"provider","hospname","condition","measurecode","measurename","score","sample","footnote","footnote1","msr_cd" "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","405 patients","2 ","2","SCIP-INF-2 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","165 patients",,,"HF-3 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","537 patients","2 ","2","SCIP-INF-6 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","244 patients",,,"AMI-4 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","185 patients","2 ","2","SCIP-VTE-1 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","514 patients",,,"HF-2 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","147 patients",,,"PN-6 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","110 patients",,,"HF-4 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","441 patients",,,"AMI-5 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","79 patients","2 ","2","SCIP-CARD-2 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","107 patients",,,"PN-4 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","385 patients","2 ","2","SCIP-INF-3 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","399 patients","2 ","2","SCIP-INF-1 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","160 patients",,,"PN-7 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","136 patients","2 ","2","SCIP-INF-4 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","71 patients",,,"AMI-3 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","455 patients",,,"HF-1 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","125 patients",,,"PN-3B " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","184 patients","2 ","2","SCIP-VTE-2 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","191 patients",,,"PN-2 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","40 patients",,,"AMI-8A " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","196 patients",,,"PN-5C " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","516 patients",,,"AMI-2 " "010001","SOUTHEAST ALABAMA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","270 patients",,,"AMI-1 " "010005","MARSHALL MEDICAL CENTER SOUTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","120 patients",,,"PN-3B " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010005","MARSHALL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010005","MARSHALL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","76 patients",,,"SCIP-VTE-2 " "010005","MARSHALL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","168 patients",,,"SCIP-INF-1 " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","20 patients","1 ","1","AMI-1 " "010005","MARSHALL MEDICAL CENTER SOUTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","118 patients",,,"PN-7 " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","69 patients",,,"HF-3 " "010005","MARSHALL MEDICAL CENTER SOUTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","98 patients",,,"PN-4 " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","34 patients",,,"HF-4 " "010005","MARSHALL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","167 patients",,,"SCIP-INF-2 " "010005","MARSHALL MEDICAL CENTER SOUTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","172 patients",,,"PN-2 " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","160 patients",,,"HF-2 " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","110 patients",,,"HF-1 " "010005","MARSHALL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","237 patients",,,"SCIP-INF-6 " "010005","MARSHALL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","76 patients",,,"SCIP-VTE-1 " "010005","MARSHALL MEDICAL CENTER SOUTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","211 patients",,,"PN-5C " "010005","MARSHALL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","158 patients",,,"SCIP-INF-3 " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010005","MARSHALL MEDICAL CENTER SOUTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","175 patients",,,"PN-6 " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "010005","MARSHALL MEDICAL CENTER SOUTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "010005","MARSHALL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","36%","14 patients","1 ","1","SCIP-CARD-2 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","242 patients","2 ","2","SCIP-VTE-1 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","PN-4 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","259 patients","2 ","2","HF-2 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","61 patients","2 ","2","AMI-8A " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","130 patients","2 ","2","SCIP-INF-4 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","174 patients","2 ","2","PN-2 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","457 patients","2 ","2","SCIP-INF-1 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","84 patients","2 ","2","HF-3 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","619 patients","2 ","2","SCIP-INF-6 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","107 patients","2 ","2","SCIP-CARD-2 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","247 patients","2 ","2","AMI-2 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","103 patients","2 ","2","AMI-4 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","HF-4 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","137 patients","2 ","2","PN-3B " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","227 patients","2 ","2","AMI-5 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","138 patients","2 ","2","PN-6 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","242 patients","2 ","2","SCIP-VTE-2 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","159 patients","2 ","2","AMI-1 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","217 patients","2 ","2","HF-1 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","200 patients","2 ","2","PN-5C " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","462 patients","2 ","2","SCIP-INF-2 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","85 patients","2 ","2","PN-7 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","439 patients","2 ","2","SCIP-INF-3 " "010006","ELIZA COFFEE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","43 patients","2 ","2","AMI-3 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,2 ","12","AMI-2 " "010007","MIZELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","11 patients","1 ","1","SCIP-CARD-2 " "010007","MIZELL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","85 patients",,,"PN-2 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,2 ","12","AMI-5 " "010007","MIZELL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","87 patients",,,"PN-5C " "010007","MIZELL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","57 patients",,,"PN-6 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","14 patients","1 ","1","HF-3 " "010007","MIZELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","101 patients",,,"SCIP-INF-2 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "010007","MIZELL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","63 patients",,,"PN-7 " "010007","MIZELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010007","MIZELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","77 patients",,,"SCIP-VTE-1 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010007","MIZELL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "010007","MIZELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","101 patients",,,"SCIP-INF-1 " "010007","MIZELL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","64 patients",,,"PN-3B " "010007","MIZELL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","59 patients",,,"HF-1 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","76 patients",,,"HF-2 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "010007","MIZELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","76 patients",,,"SCIP-VTE-2 " "010007","MIZELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","100 patients",,,"SCIP-INF-3 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "010007","MIZELL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1,2 ","12","AMI-1 " "010007","MIZELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","123 patients",,,"SCIP-INF-6 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","39 patients",,,"HF-2 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010008","CRENSHAW COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","21 patients","1 ","1","PN-6 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "010008","CRENSHAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "010008","CRENSHAW COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","9 patients","1 ","1","PN-4 " "010008","CRENSHAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1,3 ","13","SCIP-VTE-2 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","4%","26 patients",,,"HF-1 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","5 patients","1 ","1","HF-4 " "010008","CRENSHAW COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1 ","1","PN-3B " "010008","CRENSHAW COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","47%","15 patients","1 ","1","PN-7 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010008","CRENSHAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "010008","CRENSHAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","4 patients","1,3 ","13","SCIP-INF-6 " "010008","CRENSHAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,3 ","13","SCIP-VTE-1 " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010008","CRENSHAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "010008","CRENSHAW COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","21 patients","1 ","1","PN-5C " "010008","CRENSHAW COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010008","CRENSHAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "010008","CRENSHAW COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","25%","16 patients","1 ","1","PN-2 " "010008","CRENSHAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "010009","HARTSELLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "010009","HARTSELLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1,2,3 ","123","SCIP-INF-1 " "010009","HARTSELLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "010009","HARTSELLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","30 patients",,,"PN-3B " "010009","HARTSELLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1,2 ","12","SCIP-CARD-2 " "010009","HARTSELLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "010009","HARTSELLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "010009","HARTSELLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","57%","7 patients","1,2,3 ","123","SCIP-INF-2 " "010009","HARTSELLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","45 patients",,,"PN-6 " "010009","HARTSELLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "010009","HARTSELLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1,2,3 ","123","SCIP-INF-6 " "010009","HARTSELLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010009","HARTSELLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","9 patients","1,2,3 ","123","SCIP-VTE-2 " "010009","HARTSELLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "010009","HARTSELLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","35 patients",,,"HF-1 " "010009","HARTSELLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","44 patients",,,"PN-2 " "010009","HARTSELLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010009","HARTSELLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","9 patients","1,2,3 ","123","SCIP-VTE-1 " "010009","HARTSELLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","51 patients",,,"PN-5C " "010009","HARTSELLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","42 patients",,,"HF-2 " "010009","HARTSELLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","5 patients","1,2,3 ","123","SCIP-INF-3 " "010009","HARTSELLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "010009","HARTSELLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "010009","HARTSELLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","30 patients",,,"PN-7 " "010009","HARTSELLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "010010","MARSHALL MEDICAL CENTER NORTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","65 patients",,,"PN-4 " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","27 patients",,,"HF-3 " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "010010","MARSHALL MEDICAL CENTER NORTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","128 patients",,,"PN-2 " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "010010","MARSHALL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","155 patients",,,"SCIP-INF-6 " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "010010","MARSHALL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010010","MARSHALL MEDICAL CENTER NORTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","158 patients",,,"PN-5C " "010010","MARSHALL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","56 patients",,,"SCIP-VTE-1 " "010010","MARSHALL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","63 patients",,,"SCIP-INF-3 " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010010","MARSHALL MEDICAL CENTER NORTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","133 patients",,,"PN-6 " "010010","MARSHALL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","56 patients",,,"SCIP-VTE-2 " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "010010","MARSHALL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","66 patients",,,"SCIP-INF-1 " "010010","MARSHALL MEDICAL CENTER NORTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","101 patients",,,"PN-7 " "010010","MARSHALL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","14 patients","1 ","1","SCIP-CARD-2 " "010010","MARSHALL MEDICAL CENTER NORTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","115 patients",,,"PN-3B " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","55 patients",,,"HF-1 " "010010","MARSHALL MEDICAL CENTER NORTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","80 patients",,,"HF-2 " "010010","MARSHALL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","64 patients",,,"SCIP-INF-2 " "010011","ST VINCENT'S EAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","240 patients",,,"AMI-1 " "010011","ST VINCENT'S EAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","112 patients","2 ","2","PN-6 " "010011","ST VINCENT'S EAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","473 patients","2 ","2","SCIP-INF-2 " "010011","ST VINCENT'S EAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","229 patients","2 ","2","SCIP-VTE-1 " "010011","ST VINCENT'S EAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"AMI-4 " "010011","ST VINCENT'S EAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","442 patients","2 ","2","SCIP-INF-3 " "010011","ST VINCENT'S EAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","125 patients","2 ","2","PN-2 " "010011","ST VINCENT'S EAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","131 patients","2 ","2","PN-3B " "010011","ST VINCENT'S EAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","48 patients",,,"AMI-8A " "010011","ST VINCENT'S EAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","295 patients",,,"AMI-2 " "010011","ST VINCENT'S EAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","316 patients",,,"HF-1 " "010011","ST VINCENT'S EAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010011","ST VINCENT'S EAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","461 patients","2 ","2","SCIP-INF-1 " "010011","ST VINCENT'S EAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","89 patients","2 ","2","PN-7 " "010011","ST VINCENT'S EAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","130 patients",,,"HF-3 " "010011","ST VINCENT'S EAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","372 patients",,,"HF-2 " "010011","ST VINCENT'S EAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","288 patients",,,"AMI-5 " "010011","ST VINCENT'S EAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","601 patients","2 ","2","SCIP-INF-6 " "010011","ST VINCENT'S EAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","PN-4 " "010011","ST VINCENT'S EAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","125 patients","2 ","2","SCIP-CARD-2 " "010011","ST VINCENT'S EAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","60%","127 patients","2 ","2","SCIP-INF-4 " "010011","ST VINCENT'S EAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"HF-4 " "010011","ST VINCENT'S EAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","70 patients",,,"AMI-3 " "010011","ST VINCENT'S EAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","224 patients","2 ","2","SCIP-VTE-2 " "010011","ST VINCENT'S EAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","135 patients","2 ","2","PN-5C " "010012","DEKALB REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "010012","DEKALB REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","82 patients",,,"PN-6 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","36 patients",,,"HF-3 " "010012","DEKALB REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","56 patients",,,"PN-7 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","39 patients",,,"AMI-2 " "010012","DEKALB REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","69 patients",,,"PN-2 " "010012","DEKALB REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","90 patients","2 ","2","SCIP-VTE-1 " "010012","DEKALB REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","91 patients",,,"PN-3B " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "010012","DEKALB REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1,2 ","12","SCIP-CARD-2 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","41 patients",,,"AMI-5 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "010012","DEKALB REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","147 patients","2 ","2","SCIP-INF-2 " "010012","DEKALB REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","136 patients","2 ","2","SCIP-INF-3 " "010012","DEKALB REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","179 patients","2 ","2","SCIP-INF-6 " "010012","DEKALB REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","76 patients",,,"HF-1 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","94 patients",,,"HF-2 " "010012","DEKALB REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","88 patients",,,"PN-5C " "010012","DEKALB REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","90 patients","2 ","2","SCIP-VTE-2 " "010012","DEKALB REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","139 patients","2 ","2","SCIP-INF-1 " "010012","DEKALB REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-8A " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","26 patients","2 ","2","PN-6 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","10 patients","1,2,3 ","123","SCIP-VTE-2 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","10 patients","1,2,3 ","123","SCIP-VTE-1 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","91 patients","2 ","2","HF-2 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","24 patients","1,2 ","12","PN-7 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","14 patients","1,2,3 ","123","SCIP-INF-3 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","24 patients","1,2 ","12","PN-5C " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","15 patients","1,2,3 ","123","SCIP-INF-6 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","14 patients","1,2,3 ","123","SCIP-INF-1 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","PN-4 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1,2 ","12","HF-4 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","24 patients","1,2 ","12","PN-3B " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","14 patients","1,2,3 ","123","SCIP-INF-2 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","25 patients","2 ","2","HF-3 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","25 patients","2 ","2","PN-2 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","79 patients","2 ","2","HF-1 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "010015","SOUTHWEST ALABAMA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","208 patients",,,"AMI-2 " "010016","SHELBY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","370 patients","2 ","2","SCIP-INF-2 " "010016","SHELBY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","331 patients","2 ","2","SCIP-INF-3 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","71 patients",,,"HF-3 " "010016","SHELBY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","225 patients","2 ","2","SCIP-VTE-2 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","169 patients",,,"AMI-5 " "010016","SHELBY BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","199 patients",,,"PN-7 " "010016","SHELBY BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","239 patients",,,"PN-5C " "010016","SHELBY BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"PN-4 " "010016","SHELBY BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","110 patients",,,"PN-3B " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","179 patients",,,"AMI-1 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"AMI-3 " "010016","SHELBY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","588 patients","2 ","2","SCIP-INF-6 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","36 patients",,,"AMI-8A " "010016","SHELBY BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","116 patients",,,"PN-6 " "010016","SHELBY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","226 patients","2 ","2","SCIP-VTE-1 " "010016","SHELBY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","368 patients","2 ","2","SCIP-INF-1 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","246 patients",,,"HF-2 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010016","SHELBY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","96 patients","2 ","2","SCIP-CARD-2 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","98 patients",,,"AMI-4 " "010016","SHELBY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","116 patients","2 ","2","SCIP-INF-4 " "010016","SHELBY BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","235 patients",,,"PN-2 " "010016","SHELBY BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","210 patients",,,"HF-1 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "010018","CALLAHAN EYE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","114 patients",,,"HF-1 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","253 patients","2 ","2","SCIP-INF-1 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","142 patients","2 ","2","SCIP-VTE-2 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","54 patients","2 ","2","SCIP-CARD-2 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","37 patients",,,"HF-3 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","149 patients",,,"HF-2 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","144 patients","2 ","2","SCIP-VTE-1 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","192 patients",,,"PN-5C " "010019","HELEN KELLER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","149 patients",,,"PN-3B " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010019","HELEN KELLER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","79 patients",,,"PN-4 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","139 patients",,,"PN-6 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","255 patients","2 ","2","SCIP-INF-2 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010019","HELEN KELLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","245 patients","2 ","2","SCIP-INF-3 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","119 patients",,,"PN-7 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","14 patients","1 ","1","AMI-5 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","150 patients",,,"PN-2 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","33 patients",,,"AMI-1 " "010019","HELEN KELLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","369 patients","2 ","2","SCIP-INF-6 " "010021","DALE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "010021","DALE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "010021","DALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010021","DALE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "010021","DALE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","67 patients",,,"PN-3B " "010021","DALE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","80 patients",,,"PN-2 " "010021","DALE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010021","DALE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","94 patients",,,"HF-2 " "010021","DALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","52 patients",,,"SCIP-INF-2 " "010021","DALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","50 patients",,,"SCIP-VTE-1 " "010021","DALE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","64%","59 patients",,,"PN-6 " "010021","DALE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","79 patients",,,"HF-1 " "010021","DALE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","HF-3 " "010021","DALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","52 patients",,,"SCIP-INF-1 " "010021","DALE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "010021","DALE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "010021","DALE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010021","DALE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","32 patients",,,"HF-4 " "010021","DALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","50 patients",,,"SCIP-VTE-2 " "010021","DALE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","39 patients",,,"PN-4 " "010021","DALE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","74 patients",,,"PN-5C " "010021","DALE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","62 patients",,,"PN-7 " "010021","DALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","48 patients",,,"SCIP-INF-3 " "010021","DALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "010021","DALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","94 patients",,,"SCIP-INF-6 " "010022","CHEROKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010022","CHEROKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1,2,3 ","123","SCIP-VTE-2 " "010022","CHEROKEE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "010022","CHEROKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","2 patients","1,2,3 ","123","SCIP-INF-1 " "010022","CHEROKEE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","HF-3 " "010022","CHEROKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","1 patients","1,2,3 ","123","SCIP-INF-3 " "010022","CHEROKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1,2,3 ","123","SCIP-VTE-1 " "010022","CHEROKEE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "010022","CHEROKEE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","31 patients",,,"PN-7 " "010022","CHEROKEE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010022","CHEROKEE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","44 patients",,,"PN-6 " "010022","CHEROKEE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "010022","CHEROKEE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","48 patients",,,"HF-2 " "010022","CHEROKEE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","56 patients",,,"PN-5C " "010022","CHEROKEE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","44 patients",,,"PN-2 " "010022","CHEROKEE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010022","CHEROKEE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","33 patients",,,"PN-3B " "010022","CHEROKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,2,3 ","123","SCIP-INF-2 " "010022","CHEROKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "010022","CHEROKEE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010022","CHEROKEE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "010022","CHEROKEE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010022","CHEROKEE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","35 patients",,,"HF-1 " "010022","CHEROKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,2,3 ","123","SCIP-INF-6 " "010022","CHEROKEE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","27 patients","2 ","2","AMI-8A " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","292 patients","2 ","2","HF-2 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","77 patients","2 ","2","HF-4 " "010023","BAPTIST MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","179 patients","2 ","2","SCIP-VTE-2 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010023","BAPTIST MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","392 patients","2 ","2","SCIP-INF-3 " "010023","BAPTIST MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","125 patients","2 ","2","SCIP-INF-4 " "010023","BAPTIST MEDICAL CENTER SOUTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","80 patients","2 ","2","PN-4 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","98 patients","2 ","2","HF-3 " "010023","BAPTIST MEDICAL CENTER SOUTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","103 patients","2 ","2","PN-3B " "010023","BAPTIST MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","423 patients","2 ","2","SCIP-INF-2 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","53 patients","2 ","2","AMI-3 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","257 patients","2 ","2","HF-1 " "010023","BAPTIST MEDICAL CENTER SOUTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","101 patients","2 ","2","PN-5C " "010023","BAPTIST MEDICAL CENTER SOUTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","71 patients","2 ","2","PN-6 " "010023","BAPTIST MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","575 patients","2 ","2","SCIP-INF-6 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","254 patients","2 ","2","AMI-5 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","119 patients","2 ","2","AMI-4 " "010023","BAPTIST MEDICAL CENTER SOUTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","87 patients","2 ","2","PN-7 " "010023","BAPTIST MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","412 patients","2 ","2","SCIP-INF-1 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","282 patients","2 ","2","AMI-2 " "010023","BAPTIST MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","179 patients","2 ","2","SCIP-VTE-1 " "010023","BAPTIST MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","89 patients","2 ","2","SCIP-CARD-2 " "010023","BAPTIST MEDICAL CENTER SOUTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","99 patients","2 ","2","PN-2 " "010023","BAPTIST MEDICAL CENTER SOUTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","134 patients","2 ","2","AMI-1 " "010024","JACKSON HOSPITAL & CLINIC INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1062 patients","2 ","2","SCIP-INF-6 " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","93 patients",,,"HF-4 " "010024","JACKSON HOSPITAL & CLINIC INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","827 patients","2 ","2","SCIP-INF-2 " "010024","JACKSON HOSPITAL & CLINIC INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","844 patients","2 ","2","SCIP-INF-1 " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","45%","430 patients",,,"HF-1 " "010024","JACKSON HOSPITAL & CLINIC INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","259 patients","2 ","2","SCIP-VTE-2 " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","146 patients",,,"HF-3 " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","165 patients",,,"AMI-2 " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","518 patients",,,"HF-2 " "010024","JACKSON HOSPITAL & CLINIC INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","230 patients",,,"PN-3B " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","111 patients",,,"AMI-1 " "010024","JACKSON HOSPITAL & CLINIC INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","97 patients",,,"PN-6 " "010024","JACKSON HOSPITAL & CLINIC INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","180 patients","2 ","2","SCIP-CARD-2 " "010024","JACKSON HOSPITAL & CLINIC INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","263 patients","2 ","2","SCIP-VTE-1 " "010024","JACKSON HOSPITAL & CLINIC INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","184 patients",,,"PN-7 " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","173 patients",,,"AMI-5 " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","65 patients",,,"AMI-4 " "010024","JACKSON HOSPITAL & CLINIC INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","243 patients",,,"PN-2 " "010024","JACKSON HOSPITAL & CLINIC INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","233 patients",,,"PN-5C " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","40%","15 patients","1 ","1","AMI-8A " "010024","JACKSON HOSPITAL & CLINIC INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","74 patients",,,"PN-4 " "010024","JACKSON HOSPITAL & CLINIC INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","72%","270 patients","2 ","2","SCIP-INF-4 " "010024","JACKSON HOSPITAL & CLINIC INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","817 patients","2 ","2","SCIP-INF-3 " "010024","JACKSON HOSPITAL & CLINIC INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","24 patients","1 ","1","AMI-3 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","24 patients","1 ","1","AMI-1 " "010025","G H LANIER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","43 patients",,,"PN-3B " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","75 patients",,,"HF-3 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"HF-4 " "010025","G H LANIER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","84 patients",,,"SCIP-VTE-2 " "010025","G H LANIER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","116 patients",,,"SCIP-INF-3 " "010025","G H LANIER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","60 patients",,,"PN-7 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","13 patients","1 ","1","AMI-5 " "010025","G H LANIER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010025","G H LANIER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","118 patients",,,"SCIP-INF-2 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","164 patients",,,"HF-2 " "010025","G H LANIER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","85 patients",,,"SCIP-VTE-1 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "010025","G H LANIER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","50 patients",,,"PN-5C " "010025","G H LANIER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","117 patients",,,"SCIP-INF-1 " "010025","G H LANIER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","34 patients",,,"PN-4 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010025","G H LANIER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","52 patients",,,"PN-6 " "010025","G H LANIER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","32%","19 patients","1 ","1","SCIP-CARD-2 " "010025","G H LANIER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","172 patients",,,"SCIP-INF-6 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","AMI-4 " "010025","G H LANIER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","55 patients",,,"PN-2 " "010025","G H LANIER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","54%","137 patients",,,"HF-1 " "010027","ELBA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "010027","ELBA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "010027","ELBA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","30 patients","2 ","2","PN-6 " "010027","ELBA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","3 patients","1,3 ","13","HF-2 " "010027","ELBA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010027","ELBA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","40 patients","2 ","2","PN-5C " "010027","ELBA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1,2 ","12","PN-4 " "010027","ELBA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010027","ELBA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "010027","ELBA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010027","ELBA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010027","ELBA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "010027","ELBA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010027","ELBA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "010027","ELBA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","31 patients","2 ","2","PN-2 " "010027","ELBA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","23 patients","1,2 ","12","PN-7 " "010027","ELBA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,3 ","13","HF-1 " "010027","ELBA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "010027","ELBA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "010027","ELBA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010027","ELBA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "010027","ELBA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010027","ELBA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010027","ELBA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1,2 ","12","PN-3B " "010027","ELBA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","89 patients",,,"PN-7 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","129 patients",,,"PN-3B " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","115 patients",,,"PN-6 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","122 patients",,,"AMI-4 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1001 patients",,,"SCIP-INF-1 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","72 patients",,,"AMI-3 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","208 patients",,,"SCIP-CARD-2 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","290 patients",,,"AMI-2 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","101 patients",,,"HF-4 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","272 patients",,,"HF-3 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","26 patients",,,"AMI-8A " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","241 patients",,,"SCIP-INF-4 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","473 patients",,,"SCIP-VTE-1 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","473 patients",,,"SCIP-VTE-2 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","962 patients",,,"SCIP-INF-3 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","185 patients",,,"AMI-1 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","153 patients",,,"PN-5C " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1016 patients",,,"SCIP-INF-2 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","281 patients",,,"AMI-5 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"PN-4 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","114 patients",,,"PN-2 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","570 patients",,,"HF-2 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","527 patients",,,"HF-1 " "010029","EAST ALABAMA MEDICAL CENTER AND SNF","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1421 patients",,,"SCIP-INF-6 " "010032","WEDOWEE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1,3 ","13","AMI-1 " "010032","WEDOWEE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","PN-4 " "010032","WEDOWEE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","14 patients","1 ","1","PN-3B " "010032","WEDOWEE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010032","WEDOWEE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","12%","16 patients","1 ","1","PN-7 " "010032","WEDOWEE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010032","WEDOWEE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "010032","WEDOWEE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010032","WEDOWEE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","34 patients",,,"HF-1 " "010032","WEDOWEE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","25%","28 patients",,,"PN-2 " "010032","WEDOWEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010032","WEDOWEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010032","WEDOWEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010032","WEDOWEE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010032","WEDOWEE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010032","WEDOWEE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","25%","4 patients","1 ","1","HF-3 " "010032","WEDOWEE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010032","WEDOWEE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "010032","WEDOWEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010032","WEDOWEE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010032","WEDOWEE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","38%","39 patients",,,"HF-2 " "010032","WEDOWEE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "010032","WEDOWEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010032","WEDOWEE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","30 patients",,,"PN-5C " "010032","WEDOWEE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","23 patients","1 ","1","PN-6 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","230 patients","2 ","2","SCIP-VTE-1 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","224 patients","2 ","2","SCIP-VTE-2 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","169 patients","2 ","2","PN-4 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","147 patients","2 ","2","AMI-4 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","140 patients","2 ","2","SCIP-INF-4 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","317 patients","2 ","2","SCIP-INF-3 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","87 patients","2 ","2","AMI-3 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","350 patients","2 ","2","SCIP-INF-2 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","681 patients","2 ","2","HF-2 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","47 patients","2 ","2","AMI-8A " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","324 patients","2 ","2","SCIP-INF-1 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","585 patients","2 ","2","SCIP-INF-6 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","242 patients","2 ","2","PN-7 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","130 patients","2 ","2","HF-4 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","378 patients","2 ","2","PN-3B " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","618 patients","2 ","2","HF-1 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","247 patients","2 ","2","PN-2 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","229 patients","2 ","2","AMI-1 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","357 patients","2 ","2","PN-5C " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","331 patients","2 ","2","AMI-5 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","343 patients","2 ","2","HF-3 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","155 patients","2 ","2","PN-6 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","94 patients","2 ","2","SCIP-CARD-2 " "010033","UNIVERSITY OF ALABAMA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","316 patients","2 ","2","AMI-2 " "010034","COMMUNITY HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010034","COMMUNITY HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","77%","13 patients","1 ","1","AMI-1 " "010034","COMMUNITY HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","65 patients","2 ","2","HF-1 " "010034","COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","10 patients","1 ","1","SCIP-INF-2 " "010034","COMMUNITY HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","71 patients",,,"PN-5C " "010034","COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients",,,"SCIP-INF-6 " "010034","COMMUNITY HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","76 patients",,,"PN-3B " "010034","COMMUNITY HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","41 patients",,,"PN-4 " "010034","COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "010034","COMMUNITY HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "010034","COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","9 patients","1 ","1","SCIP-INF-3 " "010034","COMMUNITY HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "010034","COMMUNITY HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","70 patients",,,"PN-2 " "010034","COMMUNITY HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "010034","COMMUNITY HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010034","COMMUNITY HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","56 patients",,,"PN-7 " "010034","COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","24 patients","1 ","1","SCIP-VTE-2 " "010034","COMMUNITY HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients","2 ","2","HF-3 " "010034","COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010034","COMMUNITY HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010034","COMMUNITY HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","52 patients",,,"PN-6 " "010034","COMMUNITY HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,2 ","12","HF-4 " "010034","COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","10 patients","1 ","1","SCIP-INF-1 " "010034","COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","24 patients","1 ","1","SCIP-VTE-1 " "010034","COMMUNITY HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","87 patients","2 ","2","HF-2 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010035","CULLMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","298 patients","2 ","2","SCIP-VTE-2 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients","2 ","2","HF-3 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","125 patients",,,"PN-7 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","51 patients",,,"AMI-1 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","26 patients",,,"AMI-2 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","405 patients","2 ","2","SCIP-INF-3 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","158 patients","2 ","2","HF-1 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","417 patients","2 ","2","SCIP-INF-2 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","HF-4 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","160 patients",,,"PN-5C " "010035","CULLMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","155 patients",,,"PN-2 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","200 patients","2 ","2","HF-2 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","136 patients",,,"PN-6 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"PN-4 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","411 patients","2 ","2","SCIP-INF-1 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","598 patients","2 ","2","SCIP-INF-6 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","68 patients",,,"SCIP-CARD-2 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","298 patients","2 ","2","SCIP-VTE-1 " "010035","CULLMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","138 patients",,,"PN-3B " "010036","ANDALUSIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","204 patients",,,"SCIP-INF-6 " "010036","ANDALUSIA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","55 patients",,,"PN-3B " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","139 patients",,,"HF-2 " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "010036","ANDALUSIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","66 patients",,,"SCIP-VTE-1 " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "010036","ANDALUSIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","19 patients","1 ","1","SCIP-CARD-2 " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010036","ANDALUSIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","136 patients",,,"SCIP-INF-3 " "010036","ANDALUSIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "010036","ANDALUSIA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","21 patients","1 ","1","HF-3 " "010036","ANDALUSIA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","52 patients",,,"PN-7 " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","121 patients",,,"HF-1 " "010036","ANDALUSIA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","93 patients",,,"PN-5C " "010036","ANDALUSIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","141 patients",,,"SCIP-INF-2 " "010036","ANDALUSIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","139 patients",,,"SCIP-INF-1 " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "010036","ANDALUSIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","66 patients",,,"SCIP-VTE-2 " "010036","ANDALUSIA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","64 patients",,,"PN-6 " "010036","ANDALUSIA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","77 patients",,,"PN-2 " "010036","ANDALUSIA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","102 patients",,,"PN-3B " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","87 patients",,,"PN-7 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","49 patients",,,"HF-3 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","195 patients",,,"SCIP-INF-6 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","23 patients","1 ","1","SCIP-CARD-2 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-2 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","73 patients",,,"AMI-2 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","116 patients",,,"SCIP-VTE-2 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","117 patients",,,"SCIP-VTE-1 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","142 patients",,,"HF-1 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"PN-4 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","95 patients",,,"SCIP-INF-3 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","157 patients",,,"HF-2 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","98 patients",,,"SCIP-INF-2 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","99 patients",,,"PN-6 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","67 patients",,,"AMI-5 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","33%","9 patients","1 ","1","CAC-3 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","15 patients","1 ","1","AMI-8A " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-1 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","110 patients",,,"PN-2 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","81 patients",,,"AMI-1 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","96 patients",,,"SCIP-INF-1 " "010038","STRINGFELLOW MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","145 patients",,,"PN-5C " "010039","HUNTSVILLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","44 patients","2 ","2","AMI-8A " "010039","HUNTSVILLE HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","14%","193 patients",,,"CAC-3 " "010039","HUNTSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","269 patients","2 ","2","SCIP-VTE-2 " "010039","HUNTSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","149 patients","2 ","2","SCIP-INF-4 " "010039","HUNTSVILLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","264 patients","2 ","2","HF-1 " "010039","HUNTSVILLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010039","HUNTSVILLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","135 patients","2 ","2","AMI-4 " "010039","HUNTSVILLE HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","193 patients",,,"CAC-1 " "010039","HUNTSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","123 patients","2 ","2","SCIP-CARD-2 " "010039","HUNTSVILLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","323 patients","2 ","2","AMI-2 " "010039","HUNTSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","561 patients","2 ","2","SCIP-INF-3 " "010039","HUNTSVILLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","509 patients",,,"PN-2 " "010039","HUNTSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","601 patients","2 ","2","SCIP-INF-1 " "010039","HUNTSVILLE HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","193 patients",,,"CAC-2 " "010039","HUNTSVILLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","511 patients",,,"PN-5C " "010039","HUNTSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","269 patients","2 ","2","SCIP-VTE-1 " "010039","HUNTSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","852 patients","2 ","2","SCIP-INF-6 " "010039","HUNTSVILLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","301 patients","2 ","2","AMI-5 " "010039","HUNTSVILLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","102 patients","2 ","2","HF-3 " "010039","HUNTSVILLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","409 patients",,,"PN-7 " "010039","HUNTSVILLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","303 patients","2 ","2","HF-2 " "010039","HUNTSVILLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","294 patients",,,"PN-4 " "010039","HUNTSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","603 patients","2 ","2","SCIP-INF-2 " "010039","HUNTSVILLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","155 patients","2 ","2","AMI-1 " "010039","HUNTSVILLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","77 patients","2 ","2","AMI-3 " "010039","HUNTSVILLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","313 patients",,,"PN-6 " "010039","HUNTSVILLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","496 patients",,,"PN-3B " "010039","HUNTSVILLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","HF-4 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","186 patients",,,"SCIP-INF-4 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","854 patients",,,"SCIP-INF-6 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","117 patients",,,"AMI-5 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","130 patients",,,"PN-4 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","187 patients",,,"PN-7 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","123 patients",,,"AMI-1 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","12 patients","1 ","1","AMI-8A " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","134 patients",,,"AMI-2 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","315 patients",,,"SCIP-VTE-2 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","259 patients",,,"HF-2 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","557 patients",,,"SCIP-INF-1 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","564 patients",,,"SCIP-INF-2 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","187 patients",,,"PN-3B " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","69 patients",,,"HF-3 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"AMI-4 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"HF-4 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","AMI-3 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","520 patients",,,"SCIP-INF-3 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","255 patients",,,"PN-2 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","68%","25 patients",,,"AMI-7A " "010040","GADSDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","266 patients",,,"PN-5C " "010040","GADSDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","315 patients",,,"SCIP-VTE-1 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","153 patients",,,"PN-6 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","47%","211 patients",,,"HF-1 " "010040","GADSDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","109 patients",,,"SCIP-CARD-2 " "010043","CHILTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "010043","CHILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-1 " "010043","CHILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "010043","CHILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "010043","CHILTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "010043","CHILTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "010043","CHILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "010043","CHILTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","44 patients",,,"PN-5C " "010043","CHILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,3 ","13","SCIP-INF-3 " "010043","CHILTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","19 patients","1 ","1","HF-1 " "010043","CHILTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "010043","CHILTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010043","CHILTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010043","CHILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "010043","CHILTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","38 patients",,,"PN-6 " "010043","CHILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "010043","CHILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-2 " "010043","CHILTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "010043","CHILTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","PN-4 " "010043","CHILTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010043","CHILTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","47 patients",,,"PN-2 " "010043","CHILTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","36 patients",,,"PN-3B " "010043","CHILTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "010043","CHILTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","37 patients",,,"PN-7 " "010043","CHILTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","28 patients",,,"HF-2 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1,3 ","13","AMI-5 " "010044","MARION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","15 patients","1,2 ","12","SCIP-INF-3 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","38 patients",,,"HF-1 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010044","MARION REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","85 patients",,,"PN-7 " "010044","MARION REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","42 patients",,,"PN-4 " "010044","MARION REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","97 patients",,,"PN-6 " "010044","MARION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,2 ","12","SCIP-VTE-1 " "010044","MARION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1,2 ","12","SCIP-VTE-2 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","HF-4 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "010044","MARION REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","121 patients",,,"PN-5C " "010044","MARION REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","101 patients",,,"PN-2 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","18 patients","1 ","1","HF-3 " "010044","MARION REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","78 patients",,,"PN-3B " "010044","MARION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","15 patients","1,2 ","12","SCIP-INF-2 " "010044","MARION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","19 patients","1,2 ","12","SCIP-INF-6 " "010044","MARION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","15 patients","1,2 ","12","SCIP-INF-1 " "010044","MARION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010044","MARION REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","46 patients",,,"HF-2 " "010044","MARION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1,2 ","12","SCIP-CARD-2 " "010044","MARION REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010045","FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1 ","1","SCIP-VTE-2 " "010045","FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "010045","FAYETTE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1 ","1","HF-3 " "010045","FAYETTE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","41 patients",,,"PN-3B " "010045","FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1 ","1","SCIP-INF-6 " "010045","FAYETTE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","79 patients",,,"PN-6 " "010045","FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010045","FAYETTE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","85 patients",,,"HF-2 " "010045","FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1 ","1","SCIP-VTE-1 " "010045","FAYETTE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","86 patients",,,"PN-7 " "010045","FAYETTE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","67 patients",,,"HF-1 " "010045","FAYETTE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010045","FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients",,,"SCIP-INF-2 " "010045","FAYETTE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "010045","FAYETTE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "010045","FAYETTE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","11 patients","1 ","1","AMI-5 " "010045","FAYETTE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "010045","FAYETTE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "010045","FAYETTE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "010045","FAYETTE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "010045","FAYETTE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","109 patients",,,"PN-5C " "010045","FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients",,,"SCIP-INF-1 " "010045","FAYETTE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010045","FAYETTE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","117 patients",,,"PN-2 " "010045","FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients",,,"SCIP-INF-3 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"HF-4 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","280 patients","2 ","2","SCIP-VTE-1 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","178 patients",,,"PN-7 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"AMI-4 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","125 patients",,,"AMI-5 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","145 patients",,,"AMI-2 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-3 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-2 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","261 patients",,,"PN-5C " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"PN-4 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","196 patients",,,"PN-3B " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","352 patients","2 ","2","SCIP-INF-3 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","350 patients",,,"HF-2 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","126 patients",,,"AMI-1 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","88%","8 patients","1 ","1","AMI-7A " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","114 patients","2 ","2","SCIP-INF-4 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-1 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","107 patients","2 ","2","SCIP-CARD-2 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","16 patients","1 ","1","AMI-8A " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","404 patients","2 ","2","SCIP-INF-2 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","402 patients","2 ","2","SCIP-INF-1 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","90 patients",,,"HF-3 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","268 patients",,,"HF-1 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","239 patients",,,"PN-2 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","607 patients","2 ","2","SCIP-INF-6 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","280 patients","2 ","2","SCIP-VTE-2 " "010046","RIVERVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","212 patients",,,"PN-6 " "010047","GEORGIANA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","53%","19 patients","1 ","1","AMI-1 " "010047","GEORGIANA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010047","GEORGIANA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1,2 ","12","PN-3B " "010047","GEORGIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010047","GEORGIANA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","HF-4 " "010047","GEORGIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010047","GEORGIANA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010047","GEORGIANA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","30 patients","2 ","2","PN-6 " "010047","GEORGIANA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","16 patients","1 ","1","AMI-2 " "010047","GEORGIANA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","51 patients",,,"HF-1 " "010047","GEORGIANA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010047","GEORGIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010047","GEORGIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010047","GEORGIANA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","36 patients","2 ","2","PN-5C " "010047","GEORGIANA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","63%","59 patients",,,"HF-2 " "010047","GEORGIANA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "010047","GEORGIANA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","39 patients","2 ","2","PN-2 " "010047","GEORGIANA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1,2 ","12","PN-4 " "010047","GEORGIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010047","GEORGIANA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","31 patients","2 ","2","PN-7 " "010047","GEORGIANA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "010047","GEORGIANA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010047","GEORGIANA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1 ","1","AMI-4 " "010047","GEORGIANA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","15 patients","1 ","1","AMI-5 " "010047","GEORGIANA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010049","MEDICAL CENTER ENTERPRISE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010049","MEDICAL CENTER ENTERPRISE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","49 patients",,,"PN-3B " "010049","MEDICAL CENTER ENTERPRISE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","27 patients",,,"SCIP-CARD-2 " "010049","MEDICAL CENTER ENTERPRISE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","85 patients",,,"PN-5C " "010049","MEDICAL CENTER ENTERPRISE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "010049","MEDICAL CENTER ENTERPRISE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","391 patients",,,"SCIP-INF-3 " "010049","MEDICAL CENTER ENTERPRISE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "010049","MEDICAL CENTER ENTERPRISE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","82 patients",,,"HF-2 " "010049","MEDICAL CENTER ENTERPRISE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","196 patients",,,"SCIP-VTE-2 " "010049","MEDICAL CENTER ENTERPRISE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","72 patients",,,"PN-2 " "010049","MEDICAL CENTER ENTERPRISE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "010049","MEDICAL CENTER ENTERPRISE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","397 patients",,,"SCIP-INF-1 " "010049","MEDICAL CENTER ENTERPRISE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010049","MEDICAL CENTER ENTERPRISE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "010049","MEDICAL CENTER ENTERPRISE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010049","MEDICAL CENTER ENTERPRISE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010049","MEDICAL CENTER ENTERPRISE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","70 patients",,,"HF-1 " "010049","MEDICAL CENTER ENTERPRISE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","196 patients",,,"SCIP-VTE-1 " "010049","MEDICAL CENTER ENTERPRISE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","37 patients",,,"PN-7 " "010049","MEDICAL CENTER ENTERPRISE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","67 patients",,,"PN-6 " "010049","MEDICAL CENTER ENTERPRISE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "010049","MEDICAL CENTER ENTERPRISE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010049","MEDICAL CENTER ENTERPRISE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "010049","MEDICAL CENTER ENTERPRISE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","399 patients",,,"SCIP-INF-2 " "010049","MEDICAL CENTER ENTERPRISE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","485 patients",,,"SCIP-INF-6 " "010050","ST VINCENTS BLOUNT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","37%","19 patients","1 ","1","SCIP-VTE-2 " "010050","ST VINCENTS BLOUNT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "010050","ST VINCENTS BLOUNT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "010050","ST VINCENTS BLOUNT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","105 patients",,,"PN-5C " "010050","ST VINCENTS BLOUNT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010050","ST VINCENTS BLOUNT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010050","ST VINCENTS BLOUNT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","92 patients",,,"PN-2 " "010050","ST VINCENTS BLOUNT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1 ","1","HF-4 " "010050","ST VINCENTS BLOUNT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","34 patients",,,"HF-2 " "010050","ST VINCENTS BLOUNT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010050","ST VINCENTS BLOUNT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010050","ST VINCENTS BLOUNT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","37%","19 patients","1 ","1","SCIP-VTE-1 " "010050","ST VINCENTS BLOUNT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","24 patients","1 ","1","SCIP-INF-3 " "010050","ST VINCENTS BLOUNT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "010050","ST VINCENTS BLOUNT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","29 patients",,,"PN-4 " "010050","ST VINCENTS BLOUNT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","74 patients",,,"PN-6 " "010050","ST VINCENTS BLOUNT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "010050","ST VINCENTS BLOUNT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "010050","ST VINCENTS BLOUNT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","25%","8 patients","1 ","1","SCIP-CARD-2 " "010050","ST VINCENTS BLOUNT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","25 patients",,,"SCIP-INF-2 " "010050","ST VINCENTS BLOUNT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","64%","28 patients",,,"SCIP-INF-1 " "010050","ST VINCENTS BLOUNT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","55 patients",,,"PN-7 " "010050","ST VINCENTS BLOUNT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","39 patients",,,"SCIP-INF-6 " "010050","ST VINCENTS BLOUNT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","103 patients",,,"PN-3B " "010050","ST VINCENTS BLOUNT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","24 patients","1 ","1","HF-1 " "010051","GREENE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","26 patients",,,"HF-2 " "010051","GREENE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010051","GREENE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010051","GREENE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","24 patients","1 ","1","HF-1 " "010051","GREENE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010051","GREENE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","PN-4 " "010051","GREENE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010051","GREENE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010051","GREENE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "010051","GREENE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","28 patients",,,"PN-5C " "010051","GREENE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010051","GREENE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010051","GREENE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010051","GREENE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010051","GREENE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010051","GREENE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","17 patients","1 ","1","PN-6 " "010051","GREENE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "010051","GREENE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "010051","GREENE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010051","GREENE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "010051","GREENE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","6%","17 patients","1 ","1","PN-2 " "010051","GREENE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","8%","13 patients","1 ","1","PN-7 " "010051","GREENE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "010051","GREENE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010051","GREENE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","20 patients","1 ","1","PN-2 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","62%","8 patients","1 ","1","AMI-2 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","10 patients","1 ","1","PN-6 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","28 patients",,,"HF-1 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","9 patients","1 ","1","AMI-5 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","31 patients",,,"HF-2 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","30 patients",,,"PN-5C " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010052","LAKE MARTIN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","29%","21 patients","1 ","1","PN-7 " "010054","PARKWAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010054","PARKWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","141 patients","2 ","2","SCIP-INF-2 " "010054","PARKWAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","178 patients",,,"HF-1 " "010054","PARKWAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","214 patients",,,"HF-2 " "010054","PARKWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","81 patients","2 ","2","SCIP-VTE-2 " "010054","PARKWAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","55 patients",,,"HF-4 " "010054","PARKWAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010054","PARKWAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010054","PARKWAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","82 patients",,,"PN-7 " "010054","PARKWAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "010054","PARKWAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","122 patients",,,"PN-6 " "010054","PARKWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","139 patients","2 ","2","SCIP-INF-1 " "010054","PARKWAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010054","PARKWAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","69 patients",,,"PN-4 " "010054","PARKWAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "010054","PARKWAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","138 patients",,,"PN-5C " "010054","PARKWAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","170 patients",,,"PN-3B " "010054","PARKWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","134 patients","2 ","2","SCIP-INF-3 " "010054","PARKWAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","61 patients",,,"HF-3 " "010054","PARKWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","19 patients","1,2 ","12","SCIP-CARD-2 " "010054","PARKWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","187 patients","2 ","2","SCIP-INF-6 " "010054","PARKWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010054","PARKWAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "010054","PARKWAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","113 patients",,,"PN-2 " "010054","PARKWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","81 patients","2 ","2","SCIP-VTE-1 " "010055","FLOWERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","882 patients",,,"SCIP-INF-3 " "010055","FLOWERS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","41 patients",,,"AMI-8A " "010055","FLOWERS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","497 patients",,,"SCIP-VTE-2 " "010055","FLOWERS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "010055","FLOWERS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","290 patients",,,"HF-1 " "010055","FLOWERS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","152 patients",,,"PN-3B " "010055","FLOWERS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","94 patients",,,"HF-3 " "010055","FLOWERS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","166 patients",,,"PN-2 " "010055","FLOWERS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","128 patients",,,"PN-7 " "010055","FLOWERS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","145 patients",,,"AMI-1 " "010055","FLOWERS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","58 patients",,,"AMI-3 " "010055","FLOWERS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","114 patients",,,"AMI-4 " "010055","FLOWERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1295 patients",,,"SCIP-INF-6 " "010055","FLOWERS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","147 patients",,,"SCIP-CARD-2 " "010055","FLOWERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","957 patients",,,"SCIP-INF-2 " "010055","FLOWERS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","238 patients",,,"AMI-5 " "010055","FLOWERS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "010055","FLOWERS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","112 patients",,,"PN-6 " "010055","FLOWERS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "010055","FLOWERS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","249 patients",,,"AMI-2 " "010055","FLOWERS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","342 patients",,,"HF-2 " "010055","FLOWERS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","497 patients",,,"SCIP-VTE-1 " "010055","FLOWERS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","146 patients",,,"PN-5C " "010055","FLOWERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","165 patients",,,"SCIP-INF-4 " "010055","FLOWERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","950 patients",,,"SCIP-INF-1 " "010056","ST VINCENTS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","344 patients","2 ","2","HF-1 " "010056","ST VINCENTS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","237 patients",,,"PN-7 " "010056","ST VINCENTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","125 patients","2 ","2","SCIP-INF-4 " "010056","ST VINCENTS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","239 patients",,,"AMI-1 " "010056","ST VINCENTS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","250 patients","2 ","2","PN-2 " "010056","ST VINCENTS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","419 patients","2 ","2","HF-2 " "010056","ST VINCENTS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","82 patients","2 ","2","SCIP-CARD-2 " "010056","ST VINCENTS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","PN-4 " "010056","ST VINCENTS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","308 patients","2 ","2","PN-5C " "010056","ST VINCENTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","540 patients","2 ","2","SCIP-INF-6 " "010056","ST VINCENTS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","168 patients","2 ","2","SCIP-VTE-2 " "010056","ST VINCENTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","397 patients","2 ","2","SCIP-INF-1 " "010056","ST VINCENTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","403 patients","2 ","2","SCIP-INF-2 " "010056","ST VINCENTS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"AMI-4 " "010056","ST VINCENTS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","242 patients",,,"AMI-5 " "010056","ST VINCENTS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","260 patients",,,"AMI-2 " "010056","ST VINCENTS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","169 patients","2 ","2","SCIP-VTE-1 " "010056","ST VINCENTS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","283 patients","2 ","2","PN-3B " "010056","ST VINCENTS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","237 patients","2 ","2","PN-6 " "010056","ST VINCENTS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","HF-4 " "010056","ST VINCENTS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","50 patients",,,"AMI-8A " "010056","ST VINCENTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","375 patients","2 ","2","SCIP-INF-3 " "010056","ST VINCENTS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","119 patients","2 ","2","HF-3 " "010056","ST VINCENTS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010056","ST VINCENTS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","41 patients",,,"AMI-3 " "010058","BIBB MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "010058","BIBB MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "010058","BIBB MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "010058","BIBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010058","BIBB MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "010058","BIBB MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "010058","BIBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010058","BIBB MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "010058","BIBB MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","14 patients","1,3 ","13","HF-1 " "010058","BIBB MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "010058","BIBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010058","BIBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010058","BIBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010058","BIBB MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "010058","BIBB MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "010058","BIBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010058","BIBB MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1 ","1","PN-6 " "010058","BIBB MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","23 patients","1 ","1","PN-2 " "010058","BIBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010058","BIBB MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","25 patients",,,"PN-5C " "010058","BIBB MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","53%","19 patients","1,3 ","13","HF-2 " "010058","BIBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010058","BIBB MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1 ","1","PN-3B " "010058","BIBB MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","21 patients","1 ","1","PN-7 " "010058","BIBB MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1,3 ","13","HF-4 " "010059","LAWRENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","4 patients","1,3 ","13","SCIP-INF-6 " "010059","LAWRENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "010059","LAWRENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "010059","LAWRENCE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","102 patients",,,"PN-5C " "010059","LAWRENCE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","61 patients",,,"PN-7 " "010059","LAWRENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "010059","LAWRENCE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "010059","LAWRENCE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","82 patients",,,"PN-2 " "010059","LAWRENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "010059","LAWRENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "010059","LAWRENCE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","53 patients",,,"HF-2 " "010059","LAWRENCE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","77%","22 patients","1 ","1","AMI-1 " "010059","LAWRENCE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","47 patients",,,"HF-1 " "010059","LAWRENCE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "010059","LAWRENCE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010059","LAWRENCE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","12 patients","1 ","1","AMI-2 " "010059","LAWRENCE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","68 patients",,,"PN-6 " "010059","LAWRENCE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","50 patients",,,"PN-4 " "010059","LAWRENCE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "010059","LAWRENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "010059","LAWRENCE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","16 patients","1 ","1","AMI-5 " "010059","LAWRENCE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","71 patients",,,"PN-3B " "010059","LAWRENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "010059","LAWRENCE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010059","LAWRENCE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010061","HIGHLANDS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010061","HIGHLANDS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","69%","61 patients","2 ","2","PN-4 " "010061","HIGHLANDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","5 patients","1 ","1","SCIP-CARD-2 " "010061","HIGHLANDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","103 patients","2 ","2","SCIP-INF-6 " "010061","HIGHLANDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","34 patients","2 ","2","SCIP-VTE-1 " "010061","HIGHLANDS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","92 patients","2 ","2","HF-2 " "010061","HIGHLANDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010061","HIGHLANDS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","39%","18 patients","1 ","1","AMI-1 " "010061","HIGHLANDS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","70 patients","2 ","2","HF-1 " "010061","HIGHLANDS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","190 patients","2 ","2","PN-5C " "010061","HIGHLANDS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","137 patients","2 ","2","PN-2 " "010061","HIGHLANDS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","76%","21 patients","1,2 ","12","HF-4 " "010061","HIGHLANDS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","30%","10 patients","1 ","1","AMI-5 " "010061","HIGHLANDS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","54 patients","2 ","2","PN-3B " "010061","HIGHLANDS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","161 patients","2 ","2","PN-6 " "010061","HIGHLANDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","32 patients","2 ","2","SCIP-VTE-2 " "010061","HIGHLANDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","76 patients","2 ","2","SCIP-INF-1 " "010061","HIGHLANDS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010061","HIGHLANDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","77 patients","2 ","2","SCIP-INF-2 " "010061","HIGHLANDS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","96 patients","2 ","2","PN-7 " "010061","HIGHLANDS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","65%","23 patients","1,2 ","12","HF-3 " "010061","HIGHLANDS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1 ","1","AMI-4 " "010061","HIGHLANDS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010061","HIGHLANDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","68 patients","2 ","2","SCIP-INF-3 " "010061","HIGHLANDS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","20%","10 patients","1 ","1","AMI-2 " "010062","WIREGRASS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","AMI-3 " "010062","WIREGRASS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","73 patients",,,"PN-6 " "010062","WIREGRASS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","38 patients",,,"HF-1 " "010062","WIREGRASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1 ","1","SCIP-INF-6 " "010062","WIREGRASS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","64 patients",,,"PN-7 " "010062","WIREGRASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010062","WIREGRASS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","80 patients",,,"PN-2 " "010062","WIREGRASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","20%","10 patients","1 ","1","SCIP-INF-2 " "010062","WIREGRASS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"PN-4 " "010062","WIREGRASS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010062","WIREGRASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","31%","16 patients","1 ","1","SCIP-VTE-2 " "010062","WIREGRASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","40%","10 patients","1 ","1","SCIP-INF-1 " "010062","WIREGRASS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010062","WIREGRASS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","70 patients",,,"PN-3B " "010062","WIREGRASS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "010062","WIREGRASS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010062","WIREGRASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "010062","WIREGRASS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","14 patients","1 ","1","AMI-1 " "010062","WIREGRASS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "010062","WIREGRASS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","10 patients","1 ","1","AMI-5 " "010062","WIREGRASS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","107 patients",,,"PN-5C " "010062","WIREGRASS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","46 patients",,,"HF-2 " "010062","WIREGRASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","31%","16 patients","1 ","1","SCIP-VTE-1 " "010062","WIREGRASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","9 patients","1 ","1","SCIP-INF-3 " "010062","WIREGRASS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","64%","11 patients","1 ","1","AMI-2 " "010065","RUSSELL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","59 patients",,,"AMI-1 " "010065","RUSSELL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","24%","17 patients","1 ","1","AMI-8A " "010065","RUSSELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010065","RUSSELL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "010065","RUSSELL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","86 patients",,,"PN-5C " "010065","RUSSELL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","57 patients",,,"AMI-5 " "010065","RUSSELL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","77 patients",,,"PN-2 " "010065","RUSSELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","73 patients",,,"SCIP-VTE-2 " "010065","RUSSELL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","71 patients",,,"HF-1 " "010065","RUSSELL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010065","RUSSELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","142 patients",,,"SCIP-INF-3 " "010065","RUSSELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","73 patients",,,"SCIP-VTE-1 " "010065","RUSSELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","200 patients",,,"SCIP-INF-6 " "010065","RUSSELL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","54 patients",,,"AMI-2 " "010065","RUSSELL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","53 patients",,,"PN-6 " "010065","RUSSELL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","72 patients",,,"PN-3B " "010065","RUSSELL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "010065","RUSSELL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "010065","RUSSELL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","100 patients",,,"HF-2 " "010065","RUSSELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","22 patients","1 ","1","SCIP-CARD-2 " "010065","RUSSELL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","AMI-3 " "010065","RUSSELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","148 patients",,,"SCIP-INF-1 " "010065","RUSSELL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","58 patients",,,"PN-7 " "010065","RUSSELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","150 patients",,,"SCIP-INF-2 " "010065","RUSSELL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","68%","25 patients",,,"HF-3 " "010066","FLORALA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","42 patients","2 ","2","HF-2 " "010066","FLORALA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","43 patients","2 ","2","PN-6 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,2,3 ","123","AMI-5 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","43%","7 patients","1,2 ","12","HF-3 " "010066","FLORALA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","15 patients","1,2 ","12","PN-3B " "010066","FLORALA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010066","FLORALA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "010066","FLORALA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","27 patients","2,3 ","23","PN-5C " "010066","FLORALA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1,2 ","12","PN-4 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,2,3 ","123","AMI-1 " "010066","FLORALA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","41 patients","2 ","2","HF-1 " "010066","FLORALA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "010066","FLORALA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010066","FLORALA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","51 patients","2 ","2","PN-2 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,2,3 ","123","AMI-2 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "010066","FLORALA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","HF-4 " "010066","FLORALA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "010066","FLORALA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010066","FLORALA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","32 patients","2 ","2","PN-7 " "010066","FLORALA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010069","MEDICAL CENTER BARBOUR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","50 patients",,,"PN-3B " "010069","MEDICAL CENTER BARBOUR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","28 patients",,,"SCIP-INF-1 " "010069","MEDICAL CENTER BARBOUR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "010069","MEDICAL CENTER BARBOUR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","73 patients",,,"PN-6 " "010069","MEDICAL CENTER BARBOUR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","39 patients",,,"SCIP-INF-6 " "010069","MEDICAL CENTER BARBOUR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "010069","MEDICAL CENTER BARBOUR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010069","MEDICAL CENTER BARBOUR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010069","MEDICAL CENTER BARBOUR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","28 patients",,,"SCIP-INF-3 " "010069","MEDICAL CENTER BARBOUR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "010069","MEDICAL CENTER BARBOUR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","69 patients",,,"HF-2 " "010069","MEDICAL CENTER BARBOUR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","23 patients","1 ","1","HF-3 " "010069","MEDICAL CENTER BARBOUR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","22 patients","1 ","1","PN-4 " "010069","MEDICAL CENTER BARBOUR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010069","MEDICAL CENTER BARBOUR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","61 patients",,,"PN-2 " "010069","MEDICAL CENTER BARBOUR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "010069","MEDICAL CENTER BARBOUR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "010069","MEDICAL CENTER BARBOUR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","60 patients",,,"HF-1 " "010069","MEDICAL CENTER BARBOUR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","80 patients",,,"PN-5C " "010069","MEDICAL CENTER BARBOUR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","15 patients","1 ","1","SCIP-VTE-1 " "010069","MEDICAL CENTER BARBOUR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","56%","41 patients",,,"PN-7 " "010069","MEDICAL CENTER BARBOUR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","36%","14 patients","1 ","1","SCIP-VTE-2 " "010069","MEDICAL CENTER BARBOUR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","28 patients",,,"SCIP-INF-2 " "010069","MEDICAL CENTER BARBOUR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010069","MEDICAL CENTER BARBOUR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "010073","CLAY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","12 patients","1 ","1","AMI-2 " "010073","CLAY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010073","CLAY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010073","CLAY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","42%","40 patients",,,"HF-1 " "010073","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "010073","CLAY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","58%","66 patients",,,"HF-2 " "010073","CLAY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010073","CLAY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","45 patients",,,"PN-6 " "010073","CLAY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "010073","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","4 patients","1,3 ","13","SCIP-VTE-2 " "010073","CLAY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","54 patients",,,"PN-2 " "010073","CLAY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","13 patients","1 ","1","AMI-1 " "010073","CLAY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","HF-4 " "010073","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,3 ","13","SCIP-VTE-1 " "010073","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","75%","4 patients","1,3 ","13","SCIP-INF-6 " "010073","CLAY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","22 patients","1 ","1","PN-3B " "010073","CLAY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","60 patients",,,"PN-5C " "010073","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "010073","CLAY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","36 patients",,,"PN-7 " "010073","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010073","CLAY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","12 patients","1 ","1","HF-3 " "010073","CLAY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","46%","13 patients","1 ","1","AMI-5 " "010073","CLAY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "010073","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "010073","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","91 patients","2 ","2","SCIP-CARD-2 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"PN-4 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","688 patients","2 ","2","SCIP-INF-6 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","324 patients",,,"AMI-2 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","517 patients","2 ","2","SCIP-INF-2 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","27 patients",,,"AMI-8A " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","321 patients","2 ","2","SCIP-VTE-2 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","121 patients",,,"HF-3 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","116 patients",,,"AMI-4 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","323 patients","2 ","2","SCIP-VTE-1 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","316 patients",,,"AMI-1 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","490 patients","2 ","2","SCIP-INF-3 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","324 patients",,,"AMI-5 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","126 patients",,,"PN-6 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","46 patients",,,"AMI-3 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","181 patients",,,"PN-5C " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","517 patients","2 ","2","SCIP-INF-1 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","338 patients",,,"HF-1 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","137 patients",,,"PN-7 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","140 patients",,,"PN-3B " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","120 patients","2 ","2","SCIP-INF-4 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","179 patients",,,"PN-2 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"HF-4 " "010078","NORTHEAST ALABAMA REGIONAL MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","409 patients",,,"HF-2 " "010079","ATHENS-LIMESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","61 patients",,,"SCIP-INF-1 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "010079","ATHENS-LIMESTONE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","71 patients",,,"SCIP-VTE-2 " "010079","ATHENS-LIMESTONE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","12 patients","1 ","1","SCIP-CARD-2 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010079","ATHENS-LIMESTONE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","115 patients",,,"PN-3B " "010079","ATHENS-LIMESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010079","ATHENS-LIMESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","58 patients",,,"SCIP-INF-3 " "010079","ATHENS-LIMESTONE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","63 patients",,,"PN-7 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","109 patients",,,"HF-1 " "010079","ATHENS-LIMESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","60 patients",,,"SCIP-INF-2 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","35 patients",,,"HF-3 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010079","ATHENS-LIMESTONE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","97 patients",,,"PN-6 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "010079","ATHENS-LIMESTONE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","68%","71 patients",,,"SCIP-VTE-1 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","125 patients",,,"HF-2 " "010079","ATHENS-LIMESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","124 patients",,,"SCIP-INF-6 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "010079","ATHENS-LIMESTONE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","67 patients",,,"PN-4 " "010079","ATHENS-LIMESTONE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","84 patients",,,"PN-2 " "010079","ATHENS-LIMESTONE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","77%","13 patients","1 ","1","AMI-1 " "010079","ATHENS-LIMESTONE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","132 patients",,,"PN-5C " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","155 patients","2 ","2","SCIP-INF-3 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","108 patients",,,"PN-2 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","91 patients",,,"PN-6 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","191 patients",,,"HF-2 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","150 patients","2 ","2","SCIP-VTE-2 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","89 patients",,,"PN-7 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","173 patients","2 ","2","SCIP-INF-2 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients","2 ","2","SCIP-CARD-2 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","287 patients","2 ","2","SCIP-INF-6 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","108 patients",,,"PN-3B " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","29 patients",,,"AMI-1 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","168 patients","2 ","2","SCIP-INF-1 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","150 patients","2 ","2","SCIP-VTE-1 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","124 patients",,,"PN-5C " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","20 patients","1 ","1","AMI-5 " "010083","SOUTH BALDWIN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","162 patients",,,"HF-1 " "010085","DECATUR GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","208 patients",,,"PN-5C " "010085","DECATUR GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","185 patients",,,"PN-2 " "010085","DECATUR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","391 patients","2 ","2","SCIP-INF-6 " "010085","DECATUR GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","38 patients",,,"AMI-2 " "010085","DECATUR GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","35 patients",,,"AMI-5 " "010085","DECATUR GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","9 patients","1 ","1","AMI-8A " "010085","DECATUR GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "010085","DECATUR GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","137 patients",,,"PN-3B " "010085","DECATUR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","13 patients","1,2 ","12","SCIP-INF-4 " "010085","DECATUR GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","48 patients",,,"AMI-1 " "010085","DECATUR GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "010085","DECATUR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","297 patients","2 ","2","SCIP-INF-3 " "010085","DECATUR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","307 patients","2 ","2","SCIP-INF-2 " "010085","DECATUR GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","87 patients",,,"HF-3 " "010085","DECATUR GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","173 patients",,,"PN-6 " "010085","DECATUR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","306 patients","2 ","2","SCIP-INF-1 " "010085","DECATUR GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","268 patients",,,"HF-2 " "010085","DECATUR GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","99 patients",,,"PN-4 " "010085","DECATUR GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "010085","DECATUR GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","236 patients",,,"HF-1 " "010085","DECATUR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","212 patients","2 ","2","SCIP-VTE-1 " "010085","DECATUR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","65 patients","2 ","2","SCIP-CARD-2 " "010085","DECATUR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","205 patients","2 ","2","SCIP-VTE-2 " "010085","DECATUR GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010085","DECATUR GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","129 patients",,,"PN-7 " "010086","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "010086","NORTHWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","45 patients",,,"PN-7 " "010086","NORTHWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","HF-3 " "010086","NORTHWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"PN-4 " "010086","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","103 patients",,,"SCIP-INF-2 " "010086","NORTHWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","66 patients",,,"PN-2 " "010086","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "010086","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "010086","NORTHWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","62 patients",,,"PN-6 " "010086","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","58 patients",,,"SCIP-VTE-1 " "010086","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010086","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","146 patients",,,"SCIP-INF-6 " "010086","NORTHWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "010086","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "010086","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010086","NORTHWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","59 patients",,,"HF-2 " "010086","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "010086","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","19 patients","1 ","1","SCIP-CARD-2 " "010086","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","58 patients",,,"SCIP-VTE-2 " "010086","NORTHWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","59 patients",,,"PN-3B " "010086","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","98 patients",,,"SCIP-INF-3 " "010086","NORTHWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","85 patients",,,"PN-5C " "010086","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","102 patients",,,"SCIP-INF-1 " "010086","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "010086","NORTHWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","48 patients",,,"HF-1 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","150 patients","2 ","2","HF-2 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","24 patients","1,2 ","12","PN-6 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","58 patients","2 ","2","AMI-4 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","HF-4 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","96 patients","2 ","2","AMI-5 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","144 patients","2 ","2","SCIP-VTE-1 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","16 patients","1,2 ","12","AMI-8A " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","91 patients","2 ","2","AMI-2 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","117 patients","2 ","2","SCIP-INF-2 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","146 patients","2 ","2","HF-1 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","112 patients","2 ","2","SCIP-INF-1 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","86 patients","2 ","2","AMI-1 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","23 patients","1,2 ","12","SCIP-CARD-2 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","47 patients","2 ","2","SCIP-INF-4 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1,2 ","12","AMI-3 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","84 patients","2 ","2","HF-3 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","280 patients","2 ","2","SCIP-INF-6 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","PN-4 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","142 patients","2 ","2","SCIP-VTE-2 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","35 patients","2 ","2","PN-3B " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","109 patients","2 ","2","SCIP-INF-3 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","31 patients","2 ","2","PN-5C " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","7 patients","1,2 ","12","PN-2 " "010087","UNIV OF SOUTH ALABAMA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","25 patients","2 ","2","PN-7 " "010089","WALKER BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","224 patients","2 ","2","SCIP-INF-3 " "010089","WALKER BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","157 patients",,,"PN-3B " "010089","WALKER BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","203 patients",,,"PN-5C " "010089","WALKER BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","310 patients","2 ","2","SCIP-INF-6 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","129 patients",,,"HF-1 " "010089","WALKER BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","230 patients","2 ","2","SCIP-INF-2 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "010089","WALKER BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","137 patients","2 ","2","SCIP-VTE-1 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","83 patients",,,"AMI-1 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-8A " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","59 patients",,,"AMI-5 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "010089","WALKER BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","103 patients",,,"PN-4 " "010089","WALKER BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","230 patients","2 ","2","SCIP-INF-1 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","90%","10 patients","1 ","1","AMI-7A " "010089","WALKER BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","175 patients",,,"PN-2 " "010089","WALKER BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","126 patients",,,"PN-6 " "010089","WALKER BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010089","WALKER BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","143 patients",,,"PN-7 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"HF-3 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","163 patients",,,"HF-2 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","68 patients",,,"AMI-2 " "010089","WALKER BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","137 patients","2 ","2","SCIP-VTE-2 " "010089","WALKER BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","39 patients",,,"SCIP-CARD-2 " "010089","WALKER BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "010090","PROVIDENCE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","111 patients",,,"AMI-4 " "010090","PROVIDENCE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","38 patients",,,"AMI-3 " "010090","PROVIDENCE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","351 patients",,,"HF-1 " "010090","PROVIDENCE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"HF-4 " "010090","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","72 patients","2 ","2","SCIP-CARD-2 " "010090","PROVIDENCE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","79 patients",,,"AMI-8A " "010090","PROVIDENCE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","216 patients",,,"PN-3B " "010090","PROVIDENCE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","244 patients",,,"AMI-5 " "010090","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","163 patients","2 ","2","SCIP-VTE-2 " "010090","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","327 patients","2 ","2","SCIP-INF-3 " "010090","PROVIDENCE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","125 patients",,,"PN-4 " "010090","PROVIDENCE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","257 patients",,,"PN-2 " "010090","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","165 patients","2 ","2","SCIP-VTE-1 " "010090","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","347 patients","2 ","2","SCIP-INF-1 " "010090","PROVIDENCE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","204 patients",,,"PN-6 " "010090","PROVIDENCE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010090","PROVIDENCE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","82 patients",,,"HF-3 " "010090","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","119 patients","2 ","2","SCIP-INF-4 " "010090","PROVIDENCE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","296 patients",,,"PN-5C " "010090","PROVIDENCE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","392 patients",,,"HF-2 " "010090","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","512 patients","2 ","2","SCIP-INF-6 " "010090","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","354 patients","2 ","2","SCIP-INF-2 " "010090","PROVIDENCE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","210 patients",,,"AMI-1 " "010090","PROVIDENCE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","241 patients",,,"AMI-2 " "010090","PROVIDENCE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","217 patients",,,"PN-7 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","29 patients",,,"HF-2 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010091","GROVE HILL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1,3 ","13","PN-4 " "010091","GROVE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","8 patients","1 ","1","SCIP-VTE-2 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010091","GROVE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","6 patients","1 ","1","SCIP-INF-1 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010091","GROVE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","21 patients","1 ","1","SCIP-INF-6 " "010091","GROVE HILL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","8 patients","1,3 ","13","PN-3B " "010091","GROVE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","8 patients","1 ","1","SCIP-VTE-1 " "010091","GROVE HILL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","4 patients","1,3 ","13","PN-2 " "010091","GROVE HILL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","6 patients","1,3 ","13","PN-6 " "010091","GROVE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-2 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","32%","25 patients",,,"HF-1 " "010091","GROVE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","6 patients","1 ","1","SCIP-INF-3 " "010091","GROVE HILL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","11 patients","1,3 ","13","PN-5C " "010091","GROVE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "010091","GROVE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "010091","GROVE HILL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1 ","1","PN-7 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010091","GROVE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "010092","D C H REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","303 patients","2 ","2","SCIP-INF-3 " "010092","D C H REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","167 patients","2 ","2","AMI-1 " "010092","D C H REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010092","D C H REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","67 patients","2 ","2","HF-4 " "010092","D C H REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","235 patients","2 ","2","PN-2 " "010092","D C H REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","136 patients","2 ","2","PN-3B " "010092","D C H REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","335 patients","2 ","2","SCIP-INF-2 " "010092","D C H REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","231 patients","2 ","2","SCIP-VTE-1 " "010092","D C H REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","249 patients","2 ","2","AMI-2 " "010092","D C H REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","138 patients","2 ","2","PN-4 " "010092","D C H REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","247 patients","2 ","2","HF-1 " "010092","D C H REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","102 patients","2 ","2","HF-3 " "010092","D C H REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","239 patients","2 ","2","PN-5C " "010092","D C H REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","38 patients","2 ","2","AMI-8A " "010092","D C H REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","143 patients","2 ","2","PN-6 " "010092","D C H REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","290 patients","2 ","2","HF-2 " "010092","D C H REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","332 patients","2 ","2","SCIP-INF-1 " "010092","D C H REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","180 patients","2 ","2","PN-7 " "010092","D C H REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","229 patients","2 ","2","SCIP-VTE-2 " "010092","D C H REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","78 patients","2 ","2","SCIP-INF-4 " "010092","D C H REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","511 patients","2 ","2","SCIP-INF-6 " "010092","D C H REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","215 patients","2 ","2","AMI-5 " "010092","D C H REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","33 patients","2 ","2","AMI-3 " "010092","D C H REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","118 patients","2 ","2","AMI-4 " "010092","D C H REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","81 patients","2 ","2","SCIP-CARD-2 " "010095","HALE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","19 patients","1 ","1","PN-6 " "010095","HALE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010095","HALE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","22%","9 patients","1 ","1","PN-7 " "010095","HALE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1 ","1","PN-3B " "010095","HALE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","35%","17 patients","1 ","1","PN-2 " "010095","HALE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "010095","HALE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010095","HALE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","HF-4 " "010095","HALE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010095","HALE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010095","HALE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010095","HALE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "010095","HALE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010095","HALE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010095","HALE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010095","HALE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010095","HALE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010095","HALE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","31 patients",,,"HF-1 " "010095","HALE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "010095","HALE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010095","HALE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","23 patients","1 ","1","PN-5C " "010095","HALE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010095","HALE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","37 patients",,,"HF-2 " "010095","HALE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "010095","HALE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "010097","ELMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010097","ELMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010097","ELMORE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","32 patients","2 ","2","PN-6 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010097","ELMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","44%","9 patients","1 ","1","HF-4 " "010097","ELMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "010097","ELMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","24%","38 patients",,,"HF-1 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010097","ELMORE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","PN-4 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010097","ELMORE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","43%","21 patients","1,2 ","12","PN-2 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","39 patients",,,"HF-2 " "010097","ELMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "010097","ELMORE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","27 patients","2 ","2","PN-7 " "010097","ELMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010097","ELMORE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","30 patients","2 ","2","PN-3B " "010097","ELMORE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","12 patients","1,2,3 ","123","PN-5C " "010097","ELMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010097","ELMORE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","PN-4 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","138 patients",,,"SCIP-INF-6 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","57 patients",,,"HF-1 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","79 patients",,,"SCIP-INF-3 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","80 patients",,,"SCIP-INF-2 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","38 patients",,,"PN-7 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","64 patients",,,"SCIP-VTE-1 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","54 patients",,,"PN-6 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1 ","1","AMI-1 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","AMI-3 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","10 patients","1 ","1","SCIP-CARD-2 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","59 patients",,,"PN-5C " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","64 patients",,,"SCIP-VTE-2 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","28 patients",,,"HF-3 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","82 patients",,,"SCIP-INF-1 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","41 patients",,,"PN-2 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","67 patients",,,"HF-2 " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010099","D W MCMILLAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","14 patients","1 ","1","PN-3B " "010100","THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","149 patients","2 ","2","SCIP-VTE-1 " "010100","THOMAS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","87 patients",,,"PN-2 " "010100","THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","126 patients","2 ","2","SCIP-INF-4 " "010100","THOMAS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","217 patients",,,"AMI-5 " "010100","THOMAS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "010100","THOMAS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","51 patients",,,"PN-3B " "010100","THOMAS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","213 patients",,,"AMI-2 " "010100","THOMAS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","194 patients",,,"HF-1 " "010100","THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","149 patients","2 ","2","SCIP-VTE-2 " "010100","THOMAS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","62 patients",,,"PN-6 " "010100","THOMAS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients",,,"HF-3 " "010100","THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","313 patients","2 ","2","SCIP-INF-3 " "010100","THOMAS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "010100","THOMAS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","91 patients",,,"PN-5C " "010100","THOMAS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","227 patients",,,"HF-2 " "010100","THOMAS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "010100","THOMAS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","95 patients",,,"AMI-4 " "010100","THOMAS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","142 patients",,,"AMI-1 " "010100","THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","325 patients","2 ","2","SCIP-INF-1 " "010100","THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","468 patients","2 ","2","SCIP-INF-6 " "010100","THOMAS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","38 patients",,,"AMI-8A " "010100","THOMAS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010100","THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","338 patients","2 ","2","SCIP-INF-2 " "010100","THOMAS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","64 patients",,,"PN-7 " "010100","THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","57 patients","2 ","2","SCIP-CARD-2 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","73 patients",,,"HF-1 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","88 patients","2 ","2","SCIP-INF-2 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","85 patients","2 ","2","SCIP-INF-3 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010101","CITIZENS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","108 patients","2 ","2","SCIP-INF-6 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","24 patients","1 ","1","AMI-1 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","87 patients","2 ","2","SCIP-INF-1 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","42 patients",,,"PN-7 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","35 patients",,,"PN-6 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","41 patients",,,"PN-5C " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010101","CITIZENS BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","38 patients",,,"PN-2 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","38 patients","2 ","2","SCIP-VTE-1 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","38 patients","2 ","2","SCIP-VTE-2 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","89 patients",,,"HF-2 " "010101","CITIZENS BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","49 patients",,,"PN-3B " "010101","CITIZENS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1,2 ","12","SCIP-CARD-2 " "010102","J PAUL JONES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","11 patients","1,3 ","13","PN-5C " "010102","J PAUL JONES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "010102","J PAUL JONES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "010102","J PAUL JONES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010102","J PAUL JONES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "010102","J PAUL JONES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","2 patients","1,3 ","13","PN-3B " "010102","J PAUL JONES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "010102","J PAUL JONES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010102","J PAUL JONES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","56%","9 patients","1,3 ","13","PN-6 " "010102","J PAUL JONES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "010102","J PAUL JONES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","2 patients","1 ","1","PN-7 " "010102","J PAUL JONES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010102","J PAUL JONES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,3 ","13","PN-4 " "010102","J PAUL JONES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","7 patients","1,3 ","13","PN-2 " "010102","J PAUL JONES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010102","J PAUL JONES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010102","J PAUL JONES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "010102","J PAUL JONES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010102","J PAUL JONES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "010102","J PAUL JONES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010102","J PAUL JONES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "010102","J PAUL JONES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","7%","14 patients","1,3 ","13","HF-2 " "010102","J PAUL JONES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "010102","J PAUL JONES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","12 patients","1,3 ","13","HF-1 " "010102","J PAUL JONES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","250 patients","2 ","2","AMI-1 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","379 patients","2 ","2","AMI-2 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","177 patients","2 ","2","SCIP-VTE-1 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","168 patients","2 ","2","PN-6 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","267 patients","2 ","2","PN-2 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","152 patients","2 ","2","PN-4 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","452 patients","2 ","2","SCIP-INF-2 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","447 patients","2 ","2","SCIP-INF-1 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","415 patients","2 ","2","SCIP-INF-3 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","380 patients","2 ","2","AMI-5 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","452 patients",,,"HF-2 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","106 patients","2 ","2","SCIP-CARD-2 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","177 patients","2 ","2","SCIP-VTE-2 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","140 patients","2 ","2","SCIP-INF-4 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","98 patients","2 ","2","AMI-3 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","245 patients",,,"PN-7 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","385 patients",,,"HF-1 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","177 patients","2 ","2","AMI-4 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","589 patients","2 ","2","SCIP-INF-6 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","249 patients","2 ","2","PN-3B " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","207 patients",,,"HF-3 " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","41 patients","2 ","2","AMI-8A " "010103","PRINCETON BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","269 patients","2 ","2","PN-5C " "010103","PRINCETON BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"HF-4 " "010104","TRINITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","282 patients",,,"HF-2 " "010104","TRINITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","31 patients",,,"AMI-8A " "010104","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1141 patients",,,"SCIP-INF-6 " "010104","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","190 patients",,,"SCIP-CARD-2 " "010104","TRINITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "010104","TRINITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","88 patients",,,"PN-3B " "010104","TRINITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","239 patients",,,"HF-1 " "010104","TRINITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","318 patients",,,"AMI-5 " "010104","TRINITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","97 patients",,,"PN-6 " "010104","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","442 patients",,,"SCIP-VTE-2 " "010104","TRINITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","184 patients",,,"AMI-1 " "010104","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","236 patients",,,"SCIP-INF-4 " "010104","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","739 patients",,,"SCIP-INF-2 " "010104","TRINITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010104","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","679 patients",,,"SCIP-INF-3 " "010104","TRINITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","70 patients",,,"AMI-3 " "010104","TRINITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "010104","TRINITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","135 patients",,,"AMI-4 " "010104","TRINITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","133 patients",,,"PN-5C " "010104","TRINITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","144 patients",,,"PN-2 " "010104","TRINITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","313 patients",,,"AMI-2 " "010104","TRINITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","96 patients",,,"HF-3 " "010104","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","727 patients",,,"SCIP-INF-1 " "010104","TRINITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","119 patients",,,"PN-7 " "010104","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","450 patients",,,"SCIP-VTE-1 " "010108","PRATTVILLE BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","10 patients","1,2 ","12","SCIP-INF-2 " "010108","PRATTVILLE BAPTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","93 patients","2 ","2","PN-6 " "010108","PRATTVILLE BAPTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients","2 ","2","PN-4 " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","93 patients",,,"HF-2 " "010108","PRATTVILLE BAPTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","138 patients","2 ","2","PN-3B " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010108","PRATTVILLE BAPTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","131 patients","2 ","2","PN-5C " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "010108","PRATTVILLE BAPTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","89 patients","2 ","2","PN-7 " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"HF-4 " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "010108","PRATTVILLE BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "010108","PRATTVILLE BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","10 patients","1,2 ","12","SCIP-INF-3 " "010108","PRATTVILLE BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","HF-3 " "010108","PRATTVILLE BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","8%","12 patients","1,2 ","12","SCIP-VTE-2 " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010108","PRATTVILLE BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","10 patients","1,2 ","12","SCIP-INF-1 " "010108","PRATTVILLE BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","8%","12 patients","1,2 ","12","SCIP-VTE-1 " "010108","PRATTVILLE BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","25 patients","2 ","2","SCIP-INF-6 " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1 ","1","AMI-1 " "010108","PRATTVILLE BAPTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","116 patients","2 ","2","PN-2 " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","75 patients",,,"HF-1 " "010108","PRATTVILLE BAPTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010109","PICKENS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1,2 ","12","SCIP-CARD-2 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","51 patients",,,"HF-1 " "010109","PICKENS COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","56 patients","2 ","2","PN-6 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "010109","PICKENS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1,2 ","12","SCIP-INF-1 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "010109","PICKENS COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","51 patients","2 ","2","PN-2 " "010109","PICKENS COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","40 patients",,,"PN-7 " "010109","PICKENS COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","53 patients","2 ","2","PN-3B " "010109","PICKENS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","10 patients","1,2 ","12","SCIP-VTE-2 " "010109","PICKENS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1,2 ","12","SCIP-INF-3 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "010109","PICKENS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1,2 ","12","SCIP-INF-2 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","61 patients",,,"HF-2 " "010109","PICKENS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","10 patients","1,2 ","12","SCIP-VTE-1 " "010109","PICKENS COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1,2 ","12","PN-4 " "010109","PICKENS COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","69 patients","2 ","2","PN-5C " "010109","PICKENS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010109","PICKENS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","20 patients","1,2 ","12","SCIP-INF-6 " "010109","PICKENS COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010110","BULLOCK COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1 ","1","HF-4 " "010110","BULLOCK COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","PN-4 " "010110","BULLOCK COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","10 patients","1,2 ","12","PN-2 " "010110","BULLOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010110","BULLOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010110","BULLOCK COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010110","BULLOCK COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","32%","22 patients","1 ","1","HF-1 " "010110","BULLOCK COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010110","BULLOCK COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "010110","BULLOCK COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","7%","29 patients",,,"HF-2 " "010110","BULLOCK COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010110","BULLOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010110","BULLOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010110","BULLOCK COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","25%","4 patients","1 ","1","HF-3 " "010110","BULLOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010110","BULLOCK COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","40%","10 patients","1,2 ","12","PN-6 " "010110","BULLOCK COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","5 patients","1,2 ","12","PN-5C " "010110","BULLOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010110","BULLOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010110","BULLOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010110","BULLOCK COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,2 ","12","PN-3B " "010110","BULLOCK COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010110","BULLOCK COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "010110","BULLOCK COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "010110","BULLOCK COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","9 patients","1 ","1","PN-7 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","26 patients","3 ","3","SCIP-VTE-1 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1 ","1","PN-3B " "010112","BRYAN W WHITFIELD MEM HOSP INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","8 patients","1 ","1","SCIP-CARD-2 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","8%","40 patients","3 ","3","SCIP-INF-3 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","68%","25 patients",,,"PN-4 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","55 patients","3 ","3","SCIP-INF-6 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","38%","48 patients",,,"PN-7 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","69%","13 patients","1 ","1","AMI-1 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","27%","37 patients",,,"PN-2 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","58%","12 patients","1 ","1","HF-4 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","90 patients",,,"HF-1 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010112","BRYAN W WHITFIELD MEM HOSP INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","27%","26 patients","3 ","3","SCIP-VTE-2 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","41 patients","3 ","3","SCIP-INF-2 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","75 patients",,,"PN-5C " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","62%","8 patients","1 ","1","AMI-5 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","64%","66 patients",,,"PN-6 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","62%","8 patients","1 ","1","AMI-2 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","18%","106 patients",,,"HF-2 " "010112","BRYAN W WHITFIELD MEM HOSP INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","66%","41 patients","3 ","3","SCIP-INF-1 " "010113","MOBILE INFIRMARY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","83 patients","2 ","2","PN-7 " "010113","MOBILE INFIRMARY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","746 patients","2 ","2","SCIP-INF-6 " "010113","MOBILE INFIRMARY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","119 patients","2 ","2","SCIP-CARD-2 " "010113","MOBILE INFIRMARY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","130 patients","2 ","2","PN-5C " "010113","MOBILE INFIRMARY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","112 patients","2 ","2","PN-2 " "010113","MOBILE INFIRMARY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","259 patients","2 ","2","SCIP-VTE-1 " "010113","MOBILE INFIRMARY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","510 patients","2 ","2","SCIP-INF-2 " "010113","MOBILE INFIRMARY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients","2 ","2","PN-4 " "010113","MOBILE INFIRMARY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","40 patients","2 ","2","AMI-3 " "010113","MOBILE INFIRMARY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","220 patients","2 ","2","AMI-5 " "010113","MOBILE INFIRMARY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","503 patients","2 ","2","SCIP-INF-1 " "010113","MOBILE INFIRMARY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","68 patients","2 ","2","HF-4 " "010113","MOBILE INFIRMARY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","83 patients","2 ","2","AMI-4 " "010113","MOBILE INFIRMARY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","473 patients","2 ","2","SCIP-INF-3 " "010113","MOBILE INFIRMARY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","99 patients","2 ","2","HF-3 " "010113","MOBILE INFIRMARY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","87 patients","2 ","2","PN-3B " "010113","MOBILE INFIRMARY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","149 patients","2 ","2","AMI-1 " "010113","MOBILE INFIRMARY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010113","MOBILE INFIRMARY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","251 patients","2 ","2","HF-1 " "010113","MOBILE INFIRMARY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","251 patients","2 ","2","SCIP-VTE-2 " "010113","MOBILE INFIRMARY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","216 patients","2 ","2","AMI-2 " "010113","MOBILE INFIRMARY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","30 patients","2 ","2","AMI-8A " "010113","MOBILE INFIRMARY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","159 patients","2 ","2","SCIP-INF-4 " "010113","MOBILE INFIRMARY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","301 patients","2 ","2","HF-2 " "010113","MOBILE INFIRMARY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","51 patients","2 ","2","PN-6 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","184 patients","2 ","2","SCIP-INF-3 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","230 patients","2 ","2","SCIP-VTE-2 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","73 patients","2 ","2","PN-4 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","78 patients",,,"AMI-5 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","134 patients","2 ","2","PN-3B " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","202 patients","2 ","2","SCIP-INF-2 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","28 patients",,,"AMI-4 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","44 patients","2 ","2","SCIP-CARD-2 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","79 patients",,,"AMI-2 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","137 patients","2 ","2","PN-5C " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","84 patients","2 ","2","PN-7 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","371 patients","2 ","2","SCIP-INF-6 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","209 patients","2 ","2","SCIP-INF-1 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","205 patients",,,"HF-1 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","115 patients",,,"AMI-1 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","79 patients","2 ","2","PN-6 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","109 patients","2 ","2","PN-2 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","AMI-3 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","230 patients","2 ","2","SCIP-VTE-1 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","72 patients",,,"HF-3 " "010114","MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","227 patients",,,"HF-2 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","264 patients",,,"HF-1 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","149 patients","2 ","2","SCIP-INF-2 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","128 patients",,,"PN-3B " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","70%","27 patients",,,"AMI-2 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","264 patients","2 ","2","SCIP-INF-6 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","50 patients",,,"AMI-1 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","29 patients",,,"AMI-5 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","142 patients","2 ","2","SCIP-VTE-1 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","150 patients",,,"PN-5C " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","24 patients","1,2 ","12","SCIP-CARD-2 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","149 patients","2 ","2","SCIP-INF-1 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","92 patients",,,"PN-7 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","138 patients","2 ","2","SCIP-INF-3 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","92 patients",,,"PN-6 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","114 patients",,,"PN-2 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-7A " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","306 patients",,,"HF-2 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","106 patients",,,"HF-3 " "010118","VAUGHAN REG MED CENTER PARKWAY CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","142 patients","2 ","2","SCIP-VTE-2 " "010120","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","38 patients",,,"SCIP-INF-6 " "010120","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","19 patients","1 ","1","SCIP-VTE-2 " "010120","MONROE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","33 patients",,,"HF-3 " "010120","MONROE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","39 patients",,,"PN-3B " "010120","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","16 patients","1 ","1","SCIP-INF-3 " "010120","MONROE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "010120","MONROE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010120","MONROE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","29 patients",,,"PN-4 " "010120","MONROE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","47 patients",,,"PN-6 " "010120","MONROE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010120","MONROE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"HF-4 " "010120","MONROE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","88 patients",,,"HF-2 " "010120","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","19 patients","1 ","1","SCIP-VTE-1 " "010120","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","16 patients","1 ","1","SCIP-INF-1 " "010120","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010120","MONROE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "010120","MONROE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "010120","MONROE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","75 patients",,,"HF-1 " "010120","MONROE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","60 patients",,,"PN-5C " "010120","MONROE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "010120","MONROE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","46 patients",,,"PN-2 " "010120","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "010120","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","16 patients","1 ","1","SCIP-INF-2 " "010120","MONROE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "010120","MONROE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","36 patients",,,"PN-7 " "010125","LAKELAND COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","182 patients",,,"PN-5C " "010125","LAKELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","3 patients","1 ","1","SCIP-INF-3 " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "010125","LAKELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "010125","LAKELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010125","LAKELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1 ","1","AMI-1 " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "010125","LAKELAND COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "010125","LAKELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","6 patients","1 ","1","SCIP-VTE-1 " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","56 patients",,,"HF-1 " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "010125","LAKELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-1 " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010125","LAKELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","6 patients","1 ","1","SCIP-VTE-2 " "010125","LAKELAND COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","71 patients",,,"PN-3B " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010125","LAKELAND COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","76 patients",,,"HF-2 " "010125","LAKELAND COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","137 patients",,,"PN-6 " "010125","LAKELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-2 " "010125","LAKELAND COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","105 patients",,,"PN-7 " "010125","LAKELAND COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","132 patients",,,"PN-2 " "010126","TROY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","40%","5 patients","1 ","1","SCIP-INF-2 " "010126","TROY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","2 patients","1 ","1","AMI-2 " "010126","TROY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "010126","TROY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010126","TROY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","59%","17 patients","1 ","1","SCIP-VTE-1 " "010126","TROY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010126","TROY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1 ","1","AMI-5 " "010126","TROY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","26 patients",,,"PN-6 " "010126","TROY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","32 patients",,,"PN-5C " "010126","TROY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","37 patients",,,"PN-2 " "010126","TROY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "010126","TROY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010126","TROY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010126","TROY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","35 patients",,,"PN-3B " "010126","TROY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","54%","13 patients","1 ","1","HF-4 " "010126","TROY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-1 " "010126","TROY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","58%","12 patients","1 ","1","PN-4 " "010126","TROY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","59%","17 patients","1 ","1","SCIP-VTE-2 " "010126","TROY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010126","TROY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","49 patients",,,"HF-2 " "010126","TROY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "010126","TROY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","27 patients",,,"PN-7 " "010126","TROY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","49%","41 patients",,,"HF-1 " "010126","TROY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1 ","1","SCIP-INF-6 " "010126","TROY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","20 patients","1 ","1","HF-3 " "010128","JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "010128","JACKSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","23 patients","1 ","1","PN-2 " "010128","JACKSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,2 ","12","AMI-2 " "010128","JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,3 ","13","SCIP-VTE-2 " "010128","JACKSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","25 patients",,,"PN-7 " "010128","JACKSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","41 patients",,,"HF-2 " "010128","JACKSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "010128","JACKSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "010128","JACKSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "010128","JACKSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "010128","JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,3 ","13","SCIP-VTE-1 " "010128","JACKSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,2 ","12","AMI-1 " "010128","JACKSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "010128","JACKSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","57 patients",,,"PN-6 " "010128","JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "010128","JACKSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","60 patients",,,"PN-5C " "010128","JACKSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","37 patients",,,"HF-1 " "010128","JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "010128","JACKSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients",,,"PN-3B " "010128","JACKSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "010128","JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "010128","JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "010128","JACKSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "010128","JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "010128","JACKSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,2 ","12","AMI-5 " "010129","NORTH BALDWIN INFIRMARY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "010129","NORTH BALDWIN INFIRMARY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010129","NORTH BALDWIN INFIRMARY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "010129","NORTH BALDWIN INFIRMARY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","50 patients",,,"PN-3B " "010129","NORTH BALDWIN INFIRMARY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010129","NORTH BALDWIN INFIRMARY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010129","NORTH BALDWIN INFIRMARY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","43 patients",,,"SCIP-INF-1 " "010129","NORTH BALDWIN INFIRMARY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010129","NORTH BALDWIN INFIRMARY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","49 patients",,,"PN-5C " "010129","NORTH BALDWIN INFIRMARY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","39 patients",,,"SCIP-INF-3 " "010129","NORTH BALDWIN INFIRMARY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","48 patients",,,"HF-1 " "010129","NORTH BALDWIN INFIRMARY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","32 patients",,,"SCIP-VTE-2 " "010129","NORTH BALDWIN INFIRMARY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "010129","NORTH BALDWIN INFIRMARY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","61 patients",,,"SCIP-INF-6 " "010129","NORTH BALDWIN INFIRMARY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","42 patients",,,"SCIP-INF-2 " "010129","NORTH BALDWIN INFIRMARY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","33 patients",,,"PN-7 " "010129","NORTH BALDWIN INFIRMARY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","33 patients",,,"PN-6 " "010129","NORTH BALDWIN INFIRMARY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","54 patients",,,"HF-2 " "010129","NORTH BALDWIN INFIRMARY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010129","NORTH BALDWIN INFIRMARY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "010129","NORTH BALDWIN INFIRMARY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","HF-4 " "010129","NORTH BALDWIN INFIRMARY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "010129","NORTH BALDWIN INFIRMARY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","42 patients",,,"PN-2 " "010129","NORTH BALDWIN INFIRMARY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","32 patients",,,"SCIP-VTE-1 " "010129","NORTH BALDWIN INFIRMARY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "010130","ST VINCENT'S ST CLAIR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010130","ST VINCENT'S ST CLAIR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010130","ST VINCENT'S ST CLAIR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","57%","14 patients","1 ","1","HF-4 " "010130","ST VINCENT'S ST CLAIR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010130","ST VINCENT'S ST CLAIR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010130","ST VINCENT'S ST CLAIR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","HF-3 " "010130","ST VINCENT'S ST CLAIR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","54 patients",,,"PN-3B " "010130","ST VINCENT'S ST CLAIR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010130","ST VINCENT'S ST CLAIR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","82 patients",,,"PN-6 " "010130","ST VINCENT'S ST CLAIR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","121 patients",,,"PN-5C " "010130","ST VINCENT'S ST CLAIR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","53%","58 patients",,,"PN-7 " "010130","ST VINCENT'S ST CLAIR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","63 patients",,,"HF-1 " "010130","ST VINCENT'S ST CLAIR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010130","ST VINCENT'S ST CLAIR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","58%","73 patients",,,"PN-2 " "010130","ST VINCENT'S ST CLAIR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1,3 ","13","AMI-5 " "010130","ST VINCENT'S ST CLAIR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010130","ST VINCENT'S ST CLAIR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","68%","44 patients",,,"PN-4 " "010130","ST VINCENT'S ST CLAIR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010130","ST VINCENT'S ST CLAIR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","6 patients","1,3 ","13","AMI-1 " "010130","ST VINCENT'S ST CLAIR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","78 patients",,,"HF-2 " "010130","ST VINCENT'S ST CLAIR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010130","ST VINCENT'S ST CLAIR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010130","ST VINCENT'S ST CLAIR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010130","ST VINCENT'S ST CLAIR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "010130","ST VINCENT'S ST CLAIR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","4 patients","1,3 ","13","AMI-2 " "010131","CRESTWOOD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","150 patients",,,"HF-1 " "010131","CRESTWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","144 patients","2 ","2","SCIP-VTE-2 " "010131","CRESTWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","228 patients","2 ","2","SCIP-INF-3 " "010131","CRESTWOOD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","113 patients",,,"PN-3B " "010131","CRESTWOOD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","133 patients",,,"AMI-1 " "010131","CRESTWOOD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "010131","CRESTWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients","2 ","2","SCIP-CARD-2 " "010131","CRESTWOOD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","180 patients",,,"HF-2 " "010131","CRESTWOOD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","119 patients",,,"PN-2 " "010131","CRESTWOOD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","65 patients",,,"HF-3 " "010131","CRESTWOOD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","123 patients",,,"PN-6 " "010131","CRESTWOOD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","117 patients",,,"AMI-2 " "010131","CRESTWOOD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","160 patients",,,"PN-5C " "010131","CRESTWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","340 patients","2 ","2","SCIP-INF-6 " "010131","CRESTWOOD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","26 patients",,,"AMI-8A " "010131","CRESTWOOD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "010131","CRESTWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010131","CRESTWOOD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","80 patients",,,"PN-7 " "010131","CRESTWOOD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "010131","CRESTWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","235 patients","2 ","2","SCIP-INF-1 " "010131","CRESTWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","235 patients","2 ","2","SCIP-INF-2 " "010131","CRESTWOOD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","108 patients",,,"AMI-5 " "010131","CRESTWOOD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010131","CRESTWOOD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","AMI-3 " "010131","CRESTWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","145 patients","2 ","2","SCIP-VTE-1 " "010137","COOPER GREEN MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1,2 ","12","AMI-5 " "010137","COOPER GREEN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","113 patients","2 ","2","SCIP-INF-2 " "010137","COOPER GREEN MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","60 patients","2 ","2","HF-3 " "010137","COOPER GREEN MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","5 patients","1,2 ","12","AMI-7A " "010137","COOPER GREEN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010137","COOPER GREEN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","113 patients","2 ","2","SCIP-INF-1 " "010137","COOPER GREEN MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","44 patients","2 ","2","PN-3B " "010137","COOPER GREEN MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2 ","12","AMI-3 " "010137","COOPER GREEN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","19 patients","1,2 ","12","SCIP-CARD-2 " "010137","COOPER GREEN MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","11 patients","1,2 ","12","PN-2 " "010137","COOPER GREEN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","86 patients","2 ","2","SCIP-VTE-2 " "010137","COOPER GREEN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","180 patients","2 ","2","SCIP-INF-6 " "010137","COOPER GREEN MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","HF-4 " "010137","COOPER GREEN MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","37 patients","2 ","2","PN-6 " "010137","COOPER GREEN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","88 patients","2 ","2","SCIP-VTE-1 " "010137","COOPER GREEN MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","PN-4 " "010137","COOPER GREEN MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","96 patients","2 ","2","HF-2 " "010137","COOPER GREEN MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1,2 ","12","AMI-1 " "010137","COOPER GREEN MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","59 patients","2 ","2","PN-5C " "010137","COOPER GREEN MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "010137","COOPER GREEN MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","18 patients","1,2 ","12","PN-7 " "010137","COOPER GREEN MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","AMI-4 " "010137","COOPER GREEN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","108 patients","2 ","2","SCIP-INF-3 " "010137","COOPER GREEN MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","99 patients","2 ","2","HF-1 " "010137","COOPER GREEN MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,2 ","12","AMI-2 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "010138","HILL HOSPITAL OF SUMTER COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "010138","HILL HOSPITAL OF SUMTER COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "010139","BROOKWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","692 patients","2 ","2","SCIP-INF-3 " "010139","BROOKWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","871 patients","2 ","2","SCIP-INF-6 " "010139","BROOKWOOD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","215 patients",,,"AMI-2 " "010139","BROOKWOOD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","309 patients",,,"HF-2 " "010139","BROOKWOOD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","291 patients",,,"PN-3B " "010139","BROOKWOOD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","193 patients",,,"PN-6 " "010139","BROOKWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","229 patients","2 ","2","SCIP-INF-4 " "010139","BROOKWOOD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","97 patients",,,"HF-3 " "010139","BROOKWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","718 patients","2 ","2","SCIP-INF-1 " "010139","BROOKWOOD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","90 patients",,,"PN-4 " "010139","BROOKWOOD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","291 patients",,,"PN-2 " "010139","BROOKWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","260 patients","2 ","2","SCIP-VTE-1 " "010139","BROOKWOOD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","214 patients",,,"AMI-5 " "010139","BROOKWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","260 patients","2 ","2","SCIP-VTE-2 " "010139","BROOKWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","724 patients","2 ","2","SCIP-INF-2 " "010139","BROOKWOOD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","266 patients",,,"HF-1 " "010139","BROOKWOOD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","65 patients",,,"AMI-3 " "010139","BROOKWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","123 patients","2 ","2","SCIP-CARD-2 " "010139","BROOKWOOD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","163 patients",,,"AMI-1 " "010139","BROOKWOOD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010139","BROOKWOOD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","262 patients",,,"PN-5C " "010139","BROOKWOOD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","229 patients",,,"PN-7 " "010139","BROOKWOOD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","74 patients",,,"AMI-4 " "010139","BROOKWOOD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","42 patients",,,"AMI-8A " "010139","BROOKWOOD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "010144","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","66%","100 patients","2 ","2","SCIP-CARD-2 " "010144","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "010144","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","284 patients","2 ","2","SCIP-VTE-1 " "010144","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010144","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","98 patients",,,"PN-3B " "010144","SPRINGHILL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","60 patients",,,"HF-4 " "010144","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","538 patients","2 ","2","SCIP-INF-2 " "010144","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","69%","283 patients","2 ","2","SCIP-VTE-2 " "010144","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","116 patients",,,"PN-2 " "010144","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","30 patients",,,"AMI-3 " "010144","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","27 patients",,,"AMI-8A " "010144","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","60 patients",,,"PN-4 " "010144","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","759 patients","2 ","2","SCIP-INF-6 " "010144","SPRINGHILL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","150 patients",,,"HF-3 " "010144","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","93 patients",,,"AMI-1 " "010144","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","121 patients",,,"AMI-2 " "010144","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","144 patients",,,"PN-5C " "010144","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","535 patients","2 ","2","SCIP-INF-1 " "010144","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","99 patients",,,"AMI-5 " "010144","SPRINGHILL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","433 patients",,,"HF-2 " "010144","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","184 patients","2 ","2","SCIP-INF-4 " "010144","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","109 patients",,,"PN-6 " "010144","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","487 patients","2 ","2","SCIP-INF-3 " "010144","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","94 patients",,,"PN-7 " "010144","SPRINGHILL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","386 patients",,,"HF-1 " "010145","NORTHPORT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "010145","NORTHPORT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","177 patients","2 ","2","SCIP-VTE-2 " "010145","NORTHPORT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","89 patients",,,"HF-2 " "010145","NORTHPORT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","31 patients",,,"HF-3 " "010145","NORTHPORT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010145","NORTHPORT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "010145","NORTHPORT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "010145","NORTHPORT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "010145","NORTHPORT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","75 patients",,,"HF-1 " "010145","NORTHPORT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","30 patients","2 ","2","SCIP-CARD-2 " "010145","NORTHPORT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","193 patients","2 ","2","SCIP-INF-1 " "010145","NORTHPORT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","48 patients","2 ","2","PN-7 " "010145","NORTHPORT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","279 patients","2 ","2","SCIP-INF-6 " "010145","NORTHPORT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","195 patients","2 ","2","SCIP-INF-2 " "010145","NORTHPORT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "010145","NORTHPORT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","183 patients","2 ","2","SCIP-INF-3 " "010145","NORTHPORT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","52 patients","2 ","2","PN-2 " "010145","NORTHPORT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients","2 ","2","PN-4 " "010145","NORTHPORT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "010145","NORTHPORT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","84 patients","2 ","2","PN-5C " "010145","NORTHPORT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","177 patients","2 ","2","SCIP-VTE-1 " "010145","NORTHPORT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","68 patients","2 ","2","PN-6 " "010145","NORTHPORT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","73 patients","2 ","2","PN-3B " "010145","NORTHPORT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010145","NORTHPORT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010146","JACKSONVILLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "010146","JACKSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","73 patients",,,"SCIP-INF-3 " "010146","JACKSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","73 patients",,,"SCIP-INF-2 " "010146","JACKSONVILLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","53 patients",,,"PN-7 " "010146","JACKSONVILLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "010146","JACKSONVILLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "010146","JACKSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010146","JACKSONVILLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","79 patients",,,"PN-3B " "010146","JACKSONVILLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","62 patients",,,"PN-6 " "010146","JACKSONVILLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","93 patients",,,"PN-5C " "010146","JACKSONVILLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","40 patients",,,"HF-2 " "010146","JACKSONVILLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "010146","JACKSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","28 patients",,,"SCIP-VTE-2 " "010146","JACKSONVILLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "010146","JACKSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","76 patients",,,"SCIP-INF-6 " "010146","JACKSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "010146","JACKSONVILLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "010146","JACKSONVILLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","40%","5 patients","1,3 ","13","AMI-2 " "010146","JACKSONVILLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010146","JACKSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","28 patients",,,"SCIP-VTE-1 " "010146","JACKSONVILLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","61 patients",,,"PN-2 " "010146","JACKSONVILLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "010146","JACKSONVILLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010146","JACKSONVILLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","28 patients",,,"HF-1 " "010146","JACKSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","73 patients",,,"SCIP-INF-1 " "010148","EVERGREEN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","20 patients","1 ","1","PN-7 " "010148","EVERGREEN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "010148","EVERGREEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "010148","EVERGREEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "010148","EVERGREEN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","20 patients","1 ","1","HF-3 " "010148","EVERGREEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "010148","EVERGREEN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1 ","1","HF-4 " "010148","EVERGREEN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "010148","EVERGREEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "010148","EVERGREEN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "010148","EVERGREEN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","12 patients","1,2 ","12","PN-4 " "010148","EVERGREEN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "010148","EVERGREEN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","30 patients","2 ","2","PN-5C " "010148","EVERGREEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "010148","EVERGREEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "010148","EVERGREEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "010148","EVERGREEN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","160 patients",,,"HF-1 " "010148","EVERGREEN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010148","EVERGREEN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","23 patients","1,2 ","12","PN-2 " "010148","EVERGREEN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010148","EVERGREEN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","22 patients","1,2 ","12","PN-6 " "010148","EVERGREEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "010148","EVERGREEN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","10 patients","1,2 ","12","PN-3B " "010148","EVERGREEN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "010148","EVERGREEN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","167 patients",,,"HF-2 " "010149","BAPTIST MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","147 patients","2 ","2","SCIP-INF-2 " "010149","BAPTIST MEDICAL CENTER EAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "010149","BAPTIST MEDICAL CENTER EAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","246 patients","2 ","2","HF-2 " "010149","BAPTIST MEDICAL CENTER EAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "010149","BAPTIST MEDICAL CENTER EAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients","2 ","2","HF-4 " "010149","BAPTIST MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010149","BAPTIST MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","129 patients","2 ","2","SCIP-VTE-2 " "010149","BAPTIST MEDICAL CENTER EAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010149","BAPTIST MEDICAL CENTER EAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","83 patients","2 ","2","PN-7 " "010149","BAPTIST MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","147 patients","2 ","2","SCIP-INF-1 " "010149","BAPTIST MEDICAL CENTER EAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","62 patients",,,"AMI-1 " "010149","BAPTIST MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","248 patients","2 ","2","SCIP-INF-6 " "010149","BAPTIST MEDICAL CENTER EAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","224 patients","2 ","2","HF-1 " "010149","BAPTIST MEDICAL CENTER EAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","122 patients","2 ","2","PN-5C " "010149","BAPTIST MEDICAL CENTER EAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","55 patients","2 ","2","HF-3 " "010149","BAPTIST MEDICAL CENTER EAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","29 patients",,,"AMI-2 " "010149","BAPTIST MEDICAL CENTER EAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010149","BAPTIST MEDICAL CENTER EAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","115 patients","2 ","2","PN-2 " "010149","BAPTIST MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","25 patients","2 ","2","SCIP-CARD-2 " "010149","BAPTIST MEDICAL CENTER EAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","83 patients","2 ","2","PN-6 " "010149","BAPTIST MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","133 patients","2 ","2","SCIP-INF-3 " "010149","BAPTIST MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","129 patients","2 ","2","SCIP-VTE-1 " "010149","BAPTIST MEDICAL CENTER EAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","42 patients","2 ","2","PN-4 " "010149","BAPTIST MEDICAL CENTER EAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","119 patients","2 ","2","PN-3B " "010149","BAPTIST MEDICAL CENTER EAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","33 patients",,,"AMI-5 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","68 patients",,,"PN-7 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","121 patients","2 ","2","SCIP-CARD-2 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","80 patients",,,"PN-5C " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "01014F","BIRMINGHAM VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","90 patients",,,"PN-3B " "01014F","BIRMINGHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","77 patients","2 ","2","SCIP-INF-4 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","61 patients",,,"PN-6 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","75 patients",,,"HF-3 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","163 patients",,,"HF-2 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","9 patients","1 ","1","AMI-8A " "01014F","BIRMINGHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","367 patients","2 ","2","SCIP-INF-6 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","159 patients","2 ","2","SCIP-VTE-1 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","45 patients",,,"AMI-5 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","48 patients",,,"AMI-1 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","241 patients",,,"SCIP-INF-3 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","60 patients",,,"PN-2 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","251 patients",,,"SCIP-INF-1 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","44 patients",,,"AMI-2 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","159 patients","2 ","2","SCIP-VTE-2 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","255 patients",,,"SCIP-INF-2 " "01014F","BIRMINGHAM VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","153 patients",,,"HF-1 " "010150","L V STABLER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","47 patients",,,"PN-2 " "010150","L V STABLER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","88 patients",,,"HF-2 " "010150","L V STABLER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","59 patients",,,"PN-3B " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","83 patients",,,"HF-1 " "010150","L V STABLER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","61 patients",,,"PN-5C " "010150","L V STABLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients","2 ","2","SCIP-INF-6 " "010150","L V STABLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,2 ","12","SCIP-INF-1 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010150","L V STABLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010150","L V STABLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,2 ","12","SCIP-INF-2 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1 ","1","AMI-1 " "010150","L V STABLER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","49 patients",,,"PN-6 " "010150","L V STABLER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","36 patients",,,"PN-7 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "010150","L V STABLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "010150","L V STABLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","23 patients","1,2 ","12","SCIP-VTE-2 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","38 patients",,,"HF-3 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010150","L V STABLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","23 patients","1,2 ","12","SCIP-VTE-1 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010150","L V STABLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,2 ","12","SCIP-INF-3 " "010150","L V STABLER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010152","INFIRMARY WEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","50 patients",,,"SCIP-INF-3 " "010152","INFIRMARY WEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010152","INFIRMARY WEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","71 patients",,,"HF-2 " "010152","INFIRMARY WEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "010152","INFIRMARY WEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","20 patients","1 ","1","SCIP-CARD-2 " "010152","INFIRMARY WEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","54 patients","2 ","2","PN-2 " "010152","INFIRMARY WEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","82 patients",,,"SCIP-VTE-1 " "010152","INFIRMARY WEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","52 patients",,,"HF-1 " "010152","INFIRMARY WEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "010152","INFIRMARY WEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "010152","INFIRMARY WEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","71 patients","2 ","2","PN-3B " "010152","INFIRMARY WEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","71 patients","2 ","2","PN-6 " "010152","INFIRMARY WEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","55 patients",,,"SCIP-INF-2 " "010152","INFIRMARY WEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010152","INFIRMARY WEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010152","INFIRMARY WEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "010152","INFIRMARY WEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","81 patients",,,"SCIP-VTE-2 " "010152","INFIRMARY WEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010152","INFIRMARY WEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","55 patients",,,"SCIP-INF-1 " "010152","INFIRMARY WEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "010152","INFIRMARY WEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "010152","INFIRMARY WEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","56 patients","2 ","2","PN-7 " "010152","INFIRMARY WEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","116 patients","2 ","2","PN-5C " "010152","INFIRMARY WEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","122 patients",,,"SCIP-INF-6 " "010152","INFIRMARY WEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","25 patients",,,"HF-3 " "010157","SHOALS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","2 patients","1 ","1","AMI-2 " "010157","SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","26 patients","2 ","2","SCIP-VTE-1 " "010157","SHOALS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010157","SHOALS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","33 patients",,,"PN-4 " "010157","SHOALS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","39 patients",,,"PN-7 " "010157","SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010157","SHOALS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010157","SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","31 patients","2 ","2","SCIP-INF-1 " "010157","SHOALS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010157","SHOALS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","48 patients",,,"PN-3B " "010157","SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","28 patients","2 ","2","SCIP-INF-3 " "010157","SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "010157","SHOALS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "010157","SHOALS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "010157","SHOALS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","37 patients",,,"PN-6 " "010157","SHOALS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010157","SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","26 patients","2 ","2","SCIP-VTE-2 " "010157","SHOALS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","34 patients",,,"HF-1 " "010157","SHOALS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "010157","SHOALS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "010157","SHOALS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","42 patients",,,"HF-2 " "010157","SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","49 patients","2 ","2","SCIP-INF-6 " "010157","SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","31 patients","2 ","2","SCIP-INF-2 " "010157","SHOALS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","55 patients",,,"PN-5C " "010157","SHOALS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","41 patients",,,"PN-2 " "010158","RUSSELLVILLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010158","RUSSELLVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","125 patients","2 ","2","SCIP-VTE-2 " "010158","RUSSELLVILLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","75 patients",,,"HF-2 " "010158","RUSSELLVILLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010158","RUSSELLVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010158","RUSSELLVILLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","28 patients","2 ","2","SCIP-CARD-2 " "010158","RUSSELLVILLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "010158","RUSSELLVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","125 patients","2 ","2","SCIP-VTE-1 " "010158","RUSSELLVILLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010158","RUSSELLVILLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","78 patients",,,"PN-2 " "010158","RUSSELLVILLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","69 patients",,,"PN-3B " "010158","RUSSELLVILLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "010158","RUSSELLVILLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "010158","RUSSELLVILLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "010158","RUSSELLVILLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","95 patients",,,"PN-5C " "010158","RUSSELLVILLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "010158","RUSSELLVILLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","51 patients",,,"PN-7 " "010158","RUSSELLVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","108 patients","2 ","2","SCIP-INF-3 " "010158","RUSSELLVILLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "010158","RUSSELLVILLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "010158","RUSSELLVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","123 patients","2 ","2","SCIP-INF-1 " "010158","RUSSELLVILLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","54 patients",,,"HF-1 " "010158","RUSSELLVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","123 patients","2 ","2","SCIP-INF-2 " "010158","RUSSELLVILLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","74 patients",,,"PN-6 " "010158","RUSSELLVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","161 patients","2 ","2","SCIP-INF-6 " "010164","COOSA VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "010164","COOSA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","127 patients","2 ","2","SCIP-INF-2 " "010164","COOSA VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","101 patients",,,"PN-5C " "010164","COOSA VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","46 patients",,,"HF-3 " "010164","COOSA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010164","COOSA VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010164","COOSA VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "010164","COOSA VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","95 patients",,,"PN-3B " "010164","COOSA VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "010164","COOSA VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","57 patients",,,"PN-6 " "010164","COOSA VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","51 patients",,,"PN-7 " "010164","COOSA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","126 patients","2 ","2","SCIP-INF-3 " "010164","COOSA VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","105 patients",,,"HF-2 " "010164","COOSA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","126 patients","2 ","2","SCIP-INF-1 " "010164","COOSA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","81 patients","2 ","2","SCIP-VTE-2 " "010164","COOSA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","195 patients","2 ","2","SCIP-INF-6 " "010164","COOSA VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010164","COOSA VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","78 patients",,,"HF-1 " "010164","COOSA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","22 patients","1 ","1","SCIP-CARD-2 " "010164","COOSA VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "010164","COOSA VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010164","COOSA VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","69 patients",,,"PN-2 " "010164","COOSA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","81 patients","2 ","2","SCIP-VTE-1 " "010164","COOSA VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "010164","COOSA VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "010167","UAB HIGHLANDS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","51%","45 patients",,,"HF-1 " "010167","UAB HIGHLANDS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","61 patients",,,"PN-3B " "010167","UAB HIGHLANDS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","265 patients","2 ","2","SCIP-INF-6 " "010167","UAB HIGHLANDS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "010167","UAB HIGHLANDS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","37 patients",,,"PN-7 " "010167","UAB HIGHLANDS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","79 patients",,,"PN-5C " "010167","UAB HIGHLANDS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010167","UAB HIGHLANDS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","153 patients","2 ","2","SCIP-INF-2 " "010167","UAB HIGHLANDS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","34 patients","2 ","2","SCIP-CARD-2 " "010167","UAB HIGHLANDS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010167","UAB HIGHLANDS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010167","UAB HIGHLANDS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "010167","UAB HIGHLANDS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","51 patients",,,"PN-6 " "010167","UAB HIGHLANDS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "010167","UAB HIGHLANDS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","58 patients",,,"PN-2 " "010167","UAB HIGHLANDS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","152 patients","2 ","2","SCIP-INF-1 " "010167","UAB HIGHLANDS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","100 patients","2 ","2","SCIP-VTE-2 " "010167","UAB HIGHLANDS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "010167","UAB HIGHLANDS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010167","UAB HIGHLANDS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","101 patients","2 ","2","SCIP-VTE-1 " "010167","UAB HIGHLANDS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010167","UAB HIGHLANDS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","51 patients",,,"HF-2 " "010167","UAB HIGHLANDS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","152 patients","2 ","2","SCIP-INF-3 " "010167","UAB HIGHLANDS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "010167","UAB HIGHLANDS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "010168","SUMMIT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "010168","SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","126 patients","2 ","2","SCIP-VTE-1 " "010168","SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","151 patients","2 ","2","SCIP-INF-2 " "010168","SUMMIT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1,3 ","13","AMI-1 " "010168","SUMMIT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "010168","SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","150 patients","2 ","2","SCIP-INF-1 " "010168","SUMMIT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "010168","SUMMIT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","48 patients","2 ","2","PN-7 " "010168","SUMMIT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","51 patients","2 ","2","PN-2 " "010168","SUMMIT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "010168","SUMMIT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","40 patients","2 ","2","PN-6 " "010168","SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "010168","SUMMIT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","56 patients","2 ","2","PN-5C " "010168","SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","150 patients","2 ","2","SCIP-INF-3 " "010168","SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","126 patients","2 ","2","SCIP-VTE-2 " "010168","SUMMIT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","46 patients",,,"HF-2 " "010168","SUMMIT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","25 patients","2 ","2","PN-4 " "010168","SUMMIT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "010168","SUMMIT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,3 ","13","AMI-4 " "010168","SUMMIT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "010168","SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","36 patients","2 ","2","SCIP-CARD-2 " "010168","SUMMIT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","51 patients","2 ","2","PN-3B " "010168","SUMMIT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1,3 ","13","AMI-2 " "010168","SUMMIT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","26%","39 patients",,,"HF-1 " "010168","SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","219 patients","2 ","2","SCIP-INF-6 " "010169","ATMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-1 " "010169","ATMORE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","39 patients",,,"PN-6 " "010169","ATMORE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "010169","ATMORE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","75 patients",,,"HF-1 " "010169","ATMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1 ","1","SCIP-INF-3 " "010169","ATMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "010169","ATMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","12 patients","1 ","1","SCIP-INF-6 " "010169","ATMORE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","47 patients",,,"PN-2 " "010169","ATMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","3 patients","1 ","1","SCIP-INF-2 " "010169","ATMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","10 patients","1 ","1","SCIP-VTE-1 " "010169","ATMORE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "010169","ATMORE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","65 patients",,,"PN-5C " "010169","ATMORE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","87 patients",,,"HF-2 " "010169","ATMORE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "010169","ATMORE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","30 patients",,,"PN-7 " "010169","ATMORE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","40%","5 patients","1 ","1","AMI-5 " "010169","ATMORE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"PN-4 " "010169","ATMORE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "010169","ATMORE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","HF-4 " "010169","ATMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "010169","ATMORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","10 patients","1 ","1","SCIP-VTE-2 " "010169","ATMORE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "010169","ATMORE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","16 patients","1 ","1","HF-3 " "010169","ATMORE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","57 patients",,,"PN-3B " "010169","ATMORE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","41 patients",,,"HF-2 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","2 patients","1 ","1","AMI-1 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","33 patients",,,"PN-7 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","36 patients",,,"HF-1 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","44 patients",,,"PN-6 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","41 patients",,,"PN-3B " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","45 patients",,,"PN-5C " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","38 patients",,,"PN-2 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"HF-3 " "01019F","VA CENTRAL ALABAMA HEALTHCARE SYSTEM - MONTG","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "01021F","TUSCALOOSA VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "01021F","TUSCALOOSA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "01021F","TUSCALOOSA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "011300","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "011300","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "011300","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "011300","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "011300","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "011300","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","2 patients","1 ","1","PN-7 " "011300","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1 ","1","PN-5C " "011300","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","6 patients","1 ","1","PN-2 " "011300","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "011300","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "011300","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1 ","1","PN-3B " "011300","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "011300","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1 ","1","PN-6 " "011300","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "011300","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "011300","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "011300","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "011300","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","7 patients","1 ","1","HF-1 " "011300","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "011300","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "011300","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "011300","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","8 patients","1 ","1","HF-2 " "011300","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "011300","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "011300","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "011302","RED BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "011302","RED BAY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "011302","RED BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "011302","RED BAY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "011302","RED BAY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","10 patients","1,2,3 ","123","PN-2 " "011302","RED BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "011302","RED BAY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2,3 ","123","PN-4 " "011302","RED BAY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","10 patients","1 ","1","PN-7 " "011302","RED BAY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1,2,3 ","123","PN-5C " "011302","RED BAY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,2,3 ","123","HF-1 " "011302","RED BAY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "011302","RED BAY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "011302","RED BAY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "011302","RED BAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "011302","RED BAY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "011302","RED BAY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1,2,3 ","123","HF-2 " "011302","RED BAY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1,2,3 ","123","PN-6 " "011302","RED BAY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "011302","RED BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "011302","RED BAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "011302","RED BAY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "011302","RED BAY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","HF-4 " "011302","RED BAY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "011302","RED BAY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1,2,3 ","123","PN-3B " "011302","RED BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "011303","RANDOLPH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "011303","RANDOLPH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1,2 ","12","HF-3 " "011303","RANDOLPH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","14 patients","1,2 ","12","PN-2 " "011303","RANDOLPH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,2 ","12","HF-4 " "011303","RANDOLPH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "011303","RANDOLPH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","17 patients","1,2 ","12","PN-5C " "011303","RANDOLPH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1,2 ","12","AMI-1 " "011303","RANDOLPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "011303","RANDOLPH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","28 patients","2 ","2","HF-2 " "011303","RANDOLPH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","17 patients","1,2 ","12","PN-6 " "011303","RANDOLPH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "011303","RANDOLPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "011303","RANDOLPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "011303","RANDOLPH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","16 patients","1,2 ","12","PN-7 " "011303","RANDOLPH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","10 patients","1,2 ","12","PN-3B " "011303","RANDOLPH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "011303","RANDOLPH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","21 patients","1,2 ","12","HF-1 " "011303","RANDOLPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "011303","RANDOLPH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2 ","12","AMI-5 " "011303","RANDOLPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "011303","RANDOLPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "011303","RANDOLPH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2 ","12","AMI-2 " "011303","RANDOLPH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","11 patients","1,2 ","12","PN-4 " "011303","RANDOLPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "011303","RANDOLPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "013301","UNIV OF S AL CHILDREN'S & WOMEN'S HOS","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","132 patients","2 ","2","CAC-2 " "013301","UNIV OF S AL CHILDREN'S & WOMEN'S HOS","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","132 patients","2 ","2","CAC-1 " "013301","UNIV OF S AL CHILDREN'S & WOMEN'S HOS","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","54%","132 patients","2 ","2","CAC-3 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","794 patients","2 ","2","SCIP-INF-3 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","105 patients",,,"PN-7 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","155 patients",,,"PN-2 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","366 patients","2 ","2","SCIP-VTE-1 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","826 patients","2 ","2","SCIP-INF-2 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","87 patients",,,"HF-4 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","217 patients",,,"AMI-1 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","172 patients",,,"PN-5C " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","344 patients",,,"AMI-5 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","183 patients",,,"HF-3 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1039 patients","2 ","2","SCIP-INF-6 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","115 patients",,,"AMI-4 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","85 patients",,,"PN-4 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","168 patients",,,"PN-6 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","63 patients",,,"AMI-3 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","57 patients",,,"AMI-8A " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","59%","144 patients","2 ","2","SCIP-CARD-2 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","334 patients",,,"AMI-2 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","341 patients",,,"HF-1 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","355 patients",,,"HF-2 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","180 patients",,,"PN-3B " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","202 patients","2 ","2","SCIP-INF-4 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","364 patients","2 ","2","SCIP-VTE-2 " "020001","PROVIDENCE ALASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","815 patients","2 ","2","SCIP-INF-1 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","44 patients",,,"AMI-5 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"PN-4 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "020006","MAT-SU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","196 patients",,,"SCIP-INF-3 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-8A " "020006","MAT-SU REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","151 patients",,,"PN-3B " "020006","MAT-SU REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","156 patients",,,"PN-5C " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","55 patients",,,"AMI-1 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","113 patients",,,"PN-2 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","74 patients",,,"HF-1 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","319 patients",,,"SCIP-INF-6 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","47 patients",,,"AMI-2 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","86 patients",,,"PN-7 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","202 patients",,,"SCIP-INF-2 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","19 patients","1 ","1","SCIP-CARD-2 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","204 patients",,,"SCIP-INF-1 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"HF-3 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","151 patients",,,"SCIP-VTE-2 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","74 patients",,,"HF-2 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","108 patients",,,"PN-6 " "020006","MAT-SU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","152 patients",,,"SCIP-VTE-1 " "020008","BARTLETT REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "020008","BARTLETT REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "020008","BARTLETT REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","29 patients",,,"PN-6 " "020008","BARTLETT REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","27 patients",,,"PN-5C " "020008","BARTLETT REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "020008","BARTLETT REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","12 patients","1 ","1","PN-7 " "020008","BARTLETT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","162 patients",,,"SCIP-INF-6 " "020008","BARTLETT REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","30 patients",,,"PN-3B " "020008","BARTLETT REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "020008","BARTLETT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","65%","82 patients",,,"SCIP-VTE-1 " "020008","BARTLETT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","15 patients","1 ","1","SCIP-CARD-2 " "020008","BARTLETT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","120 patients",,,"SCIP-INF-3 " "020008","BARTLETT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","122 patients",,,"SCIP-INF-1 " "020008","BARTLETT REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1 ","1","HF-3 " "020008","BARTLETT REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "020008","BARTLETT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","80 patients",,,"SCIP-VTE-2 " "020008","BARTLETT REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","34 patients",,,"HF-1 " "020008","BARTLETT REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","PN-4 " "020008","BARTLETT REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","41 patients",,,"HF-2 " "020008","BARTLETT REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "020008","BARTLETT REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "020008","BARTLETT REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","30 patients",,,"PN-2 " "020008","BARTLETT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "020008","BARTLETT REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","13 patients","1 ","1","HF-4 " "020008","BARTLETT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","122 patients",,,"SCIP-INF-2 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","17 patients","1 ","1","CAC-1 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","26 patients",,,"AMI-8A " "020012","FAIRBANKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","275 patients","2 ","2","SCIP-INF-3 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","62 patients",,,"PN-6 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","59 patients",,,"AMI-1 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","68 patients",,,"PN-5C " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","69 patients",,,"HF-1 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","60 patients",,,"AMI-5 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","39 patients",,,"PN-7 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","60 patients",,,"AMI-2 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","234 patients","2 ","2","SCIP-VTE-2 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","236 patients","2 ","2","SCIP-VTE-1 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","39 patients","2 ","2","SCIP-CARD-2 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","69 patients",,,"HF-2 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","76 patients",,,"PN-3B " "020012","FAIRBANKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","408 patients","2 ","2","SCIP-INF-6 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients",,,"HF-3 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","278 patients","2 ","2","SCIP-INF-1 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","52 patients",,,"PN-2 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","27%","15 patients","1 ","1","CAC-3 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","278 patients","2 ","2","SCIP-INF-2 " "020012","FAIRBANKS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "020012","FAIRBANKS MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","88%","17 patients","1 ","1","CAC-2 " "020017","ALASKA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","47 patients",,,"PN-3B " "020017","ALASKA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"PN-4 " "020017","ALASKA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","119 patients",,,"AMI-2 " "020017","ALASKA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "020017","ALASKA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","146 patients","2 ","2","SCIP-INF-4 " "020017","ALASKA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"AMI-4 " "020017","ALASKA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","22 patients","1 ","1","PN-6 " "020017","ALASKA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "020017","ALASKA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","114 patients",,,"AMI-5 " "020017","ALASKA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","106 patients","2 ","2","SCIP-CARD-2 " "020017","ALASKA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "020017","ALASKA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","37 patients",,,"PN-2 " "020017","ALASKA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","29 patients",,,"PN-7 " "020017","ALASKA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "020017","ALASKA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","57 patients",,,"HF-1 " "020017","ALASKA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","499 patients","2 ","2","SCIP-INF-3 " "020017","ALASKA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","13 patients","1 ","1","AMI-8A " "020017","ALASKA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","513 patients","2 ","2","SCIP-INF-1 " "020017","ALASKA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","223 patients","2 ","2","SCIP-VTE-2 " "020017","ALASKA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","521 patients","2 ","2","SCIP-INF-2 " "020017","ALASKA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","39 patients",,,"PN-5C " "020017","ALASKA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","61 patients",,,"HF-2 " "020017","ALASKA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","226 patients","2 ","2","SCIP-VTE-1 " "020017","ALASKA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","690 patients","2 ","2","SCIP-INF-6 " "020017","ALASKA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","57 patients",,,"AMI-1 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","27%","22 patients","1,2 ","12","HF-1 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","68 patients","2 ","2","PN-6 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,2 ","12","HF-4 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1,2 ","12","HF-3 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","22 patients","1,2 ","12","HF-2 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","74 patients","2 ","2","PN-3B " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","58%","19 patients","1,2 ","12","PN-4 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","42 patients","2 ","2","PN-7 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","59 patients","2 ","2","PN-2 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "020018","YUKON KUSKOKWIM DELTA REG HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","70 patients","2 ","2","PN-5C " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","122 patients",,,"SCIP-INF-2 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","117 patients",,,"SCIP-INF-1 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","99 patients",,,"SCIP-VTE-1 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","43 patients",,,"HF-2 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","30 patients",,,"PN-7 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","112 patients",,,"SCIP-INF-3 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","184 patients",,,"SCIP-INF-6 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","22 patients","1 ","1","SCIP-CARD-2 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","58 patients",,,"PN-5C " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","52 patients",,,"PN-3B " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","46 patients",,,"PN-6 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","33 patients",,,"PN-2 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","40 patients",,,"HF-1 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","99 patients",,,"SCIP-VTE-2 " "020024","CENTRAL PENINSULA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "020026","ALASKA NATIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","257 patients","2 ","2","SCIP-INF-1 " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","79%","19 patients","1 ","1","AMI-5 " "020026","ALASKA NATIVE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","88 patients",,,"PN-4 " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","42 patients",,,"HF-3 " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","AMI-4 " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","65 patients",,,"HF-1 " "020026","ALASKA NATIVE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","111 patients",,,"PN-3B " "020026","ALASKA NATIVE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","84 patients",,,"PN-6 " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "020026","ALASKA NATIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","258 patients","2 ","2","SCIP-INF-2 " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","65 patients",,,"HF-2 " "020026","ALASKA NATIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","41 patients","2 ","2","SCIP-CARD-2 " "020026","ALASKA NATIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "020026","ALASKA NATIVE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","101 patients",,,"PN-5C " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "020026","ALASKA NATIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","263 patients","2 ","2","SCIP-VTE-2 " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","79%","34 patients",,,"HF-4 " "020026","ALASKA NATIVE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","42%","65 patients",,,"PN-7 " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","21 patients","1 ","1","AMI-2 " "020026","ALASKA NATIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","263 patients","2 ","2","SCIP-VTE-1 " "020026","ALASKA NATIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","245 patients","2 ","2","SCIP-INF-3 " "020026","ALASKA NATIVE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "020026","ALASKA NATIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","51%","391 patients","2 ","2","SCIP-INF-6 " "020026","ALASKA NATIVE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","59 patients",,,"PN-2 " "020027","MT EDGECUMBE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","13 patients","1 ","1","HF-2 " "020027","MT EDGECUMBE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "020027","MT EDGECUMBE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","12 patients","1 ","1","SCIP-VTE-2 " "020027","MT EDGECUMBE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","10 patients","1 ","1","PN-3B " "020027","MT EDGECUMBE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "020027","MT EDGECUMBE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "020027","MT EDGECUMBE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","13 patients","1 ","1","HF-1 " "020027","MT EDGECUMBE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","PN-4 " "020027","MT EDGECUMBE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "020027","MT EDGECUMBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "020027","MT EDGECUMBE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","17 patients","1 ","1","PN-6 " "020027","MT EDGECUMBE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "020027","MT EDGECUMBE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","11 patients","1 ","1","PN-5C " "020027","MT EDGECUMBE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "020027","MT EDGECUMBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","6 patients","1 ","1","SCIP-INF-3 " "020027","MT EDGECUMBE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "020027","MT EDGECUMBE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "020027","MT EDGECUMBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","6 patients","1 ","1","SCIP-INF-1 " "020027","MT EDGECUMBE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","9 patients","1 ","1","PN-7 " "020027","MT EDGECUMBE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","13 patients","1 ","1","SCIP-VTE-1 " "020027","MT EDGECUMBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","6 patients","1 ","1","SCIP-INF-2 " "020027","MT EDGECUMBE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "020027","MT EDGECUMBE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","17 patients","1 ","1","PN-2 " "020027","MT EDGECUMBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","18 patients","1 ","1","SCIP-INF-6 " "020027","MT EDGECUMBE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "021303","SITKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "021303","SITKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "021303","SITKA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1 ","1","PN-5C " "021303","SITKA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","9 patients","1,3 ","13","HF-2 " "021303","SITKA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "021303","SITKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "021303","SITKA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","8 patients","1,3 ","13","HF-1 " "021303","SITKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,3 ","13","SCIP-INF-6 " "021303","SITKA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "021303","SITKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","2 patients","1,3 ","13","SCIP-INF-1 " "021303","SITKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","3 patients","1,3 ","13","SCIP-VTE-2 " "021303","SITKA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "021303","SITKA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients",,,"PN-7 " "021303","SITKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","3 patients","1,3 ","13","SCIP-VTE-1 " "021303","SITKA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "021303","SITKA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "021303","SITKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "021303","SITKA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "021303","SITKA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","6 patients","1 ","1","PN-2 " "021303","SITKA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "021303","SITKA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "021303","SITKA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1 ","1","PN-6 " "021303","SITKA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "021303","SITKA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "021303","SITKA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "021305","WRANGELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "021305","WRANGELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "021305","WRANGELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "021305","WRANGELL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "021305","WRANGELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "021305","WRANGELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "021305","WRANGELL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "021305","WRANGELL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "021305","WRANGELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "021305","WRANGELL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","PN-4 " "021305","WRANGELL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "021305","WRANGELL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1 ","1","PN-6 " "021305","WRANGELL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "021305","WRANGELL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","7 patients","1 ","1","PN-2 " "021305","WRANGELL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "021305","WRANGELL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,3 ","13","HF-2 " "021305","WRANGELL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1 ","1","PN-5C " "021305","WRANGELL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "021305","WRANGELL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "021305","WRANGELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "021305","WRANGELL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "021305","WRANGELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "021305","WRANGELL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "021305","WRANGELL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "021305","WRANGELL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","3 patients","1 ","1","PN-7 " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","HF-4 " "021311","KETCHIKAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","48 patients",,,"SCIP-INF-1 " "021311","KETCHIKAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "021311","KETCHIKAN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","28 patients",,,"PN-6 " "021311","KETCHIKAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","15 patients","1 ","1","HF-1 " "021311","KETCHIKAN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","30 patients",,,"PN-3B " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","18 patients","1 ","1","HF-2 " "021311","KETCHIKAN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","27 patients",,,"PN-2 " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "021311","KETCHIKAN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "021311","KETCHIKAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","66 patients",,,"SCIP-INF-6 " "021311","KETCHIKAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","37 patients",,,"SCIP-VTE-1 " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "021311","KETCHIKAN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","29 patients",,,"PN-5C " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "021311","KETCHIKAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","47 patients",,,"SCIP-INF-2 " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "021311","KETCHIKAN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "021311","KETCHIKAN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","17 patients","1 ","1","PN-7 " "021311","KETCHIKAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","46 patients",,,"SCIP-INF-3 " "021311","KETCHIKAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","37 patients",,,"SCIP-VTE-2 " "021313","SOUTH PENINSULA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "021313","SOUTH PENINSULA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "021313","SOUTH PENINSULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","4 patients","1,3 ","13","SCIP-INF-6 " "021313","SOUTH PENINSULA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "021313","SOUTH PENINSULA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "021313","SOUTH PENINSULA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1,3 ","13","PN-3B " "021313","SOUTH PENINSULA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "021313","SOUTH PENINSULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","3 patients","1,3 ","13","SCIP-INF-1 " "021313","SOUTH PENINSULA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "021313","SOUTH PENINSULA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","15 patients","1,3 ","13","PN-6 " "021313","SOUTH PENINSULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "021313","SOUTH PENINSULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","2 patients","1,3 ","13","SCIP-INF-3 " "021313","SOUTH PENINSULA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "021313","SOUTH PENINSULA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","11 patients","1,3 ","13","PN-4 " "021313","SOUTH PENINSULA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "021313","SOUTH PENINSULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-2 " "021313","SOUTH PENINSULA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","7 patients","1,3 ","13","HF-2 " "021313","SOUTH PENINSULA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1,3 ","13","PN-5C " "021313","SOUTH PENINSULA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","5 patients","1,3 ","13","HF-1 " "021313","SOUTH PENINSULA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","10 patients","1,3 ","13","PN-7 " "021313","SOUTH PENINSULA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "021313","SOUTH PENINSULA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "021313","SOUTH PENINSULA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "021313","SOUTH PENINSULA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","18 patients","1,3 ","13","PN-2 " "021313","SOUTH PENINSULA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "030001","MARYVALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","122 patients","2 ","2","SCIP-INF-6 " "030001","MARYVALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","44 patients","2 ","2","SCIP-INF-1 " "030001","MARYVALE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","AMI-3 " "030001","MARYVALE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","163 patients",,,"PN-5C " "030001","MARYVALE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","76 patients",,,"AMI-5 " "030001","MARYVALE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","61 patients",,,"HF-3 " "030001","MARYVALE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","86 patients",,,"PN-4 " "030001","MARYVALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","38 patients","2 ","2","SCIP-INF-3 " "030001","MARYVALE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","57 patients","2 ","2","SCIP-VTE-1 " "030001","MARYVALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "030001","MARYVALE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","29 patients",,,"AMI-8A " "030001","MARYVALE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","84 patients",,,"PN-7 " "030001","MARYVALE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","84 patients",,,"PN-2 " "030001","MARYVALE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","153 patients",,,"PN-3B " "030001","MARYVALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","41 patients","2 ","2","SCIP-INF-2 " "030001","MARYVALE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030001","MARYVALE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","164 patients",,,"HF-2 " "030001","MARYVALE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","103 patients",,,"PN-6 " "030001","MARYVALE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","12 patients","1 ","1","SCIP-CARD-2 " "030001","MARYVALE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","65 patients",,,"HF-4 " "030001","MARYVALE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "030001","MARYVALE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","57 patients","2 ","2","SCIP-VTE-2 " "030001","MARYVALE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","98 patients",,,"AMI-1 " "030001","MARYVALE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","76 patients",,,"AMI-2 " "030001","MARYVALE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","152 patients",,,"HF-1 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","150 patients","2 ","2","AMI-1 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","128 patients","2 ","2","SCIP-INF-4 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","133 patients","2 ","2","HF-3 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","250 patients","2 ","2","SCIP-VTE-2 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","96 patients","2 ","2","PN-3B " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","254 patients","2 ","2","SCIP-VTE-1 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","55 patients","2 ","2","PN-4 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients","2 ","2","HF-4 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","660 patients","2 ","2","SCIP-INF-6 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","61 patients","2 ","2","SCIP-CARD-2 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","293 patients","2 ","2","HF-2 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","368 patients","2 ","2","SCIP-INF-3 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","104 patients","2 ","2","PN-5C " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","70 patients","2 ","2","PN-2 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","88 patients","2 ","2","AMI-4 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","44 patients","2 ","2","AMI-3 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","417 patients","2 ","2","SCIP-INF-2 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","244 patients","2 ","2","AMI-2 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","258 patients","2 ","2","HF-1 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","206 patients","2 ","2","AMI-5 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","29 patients","2 ","2","AMI-8A " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","57 patients","2 ","2","PN-7 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","406 patients","2 ","2","SCIP-INF-1 " "030002","BANNER GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","70 patients","2 ","2","PN-6 " "030006","TUCSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","128 patients",,,"AMI-4 " "030006","TUCSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","599 patients","2 ","2","SCIP-INF-2 " "030006","TUCSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030006","TUCSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","97 patients","2 ","2","HF-3 " "030006","TUCSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","389 patients",,,"AMI-5 " "030006","TUCSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","PN-4 " "030006","TUCSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","36 patients",,,"AMI-8A " "030006","TUCSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","575 patients","2 ","2","SCIP-INF-3 " "030006","TUCSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","135 patients","2 ","2","PN-5C " "030006","TUCSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","127 patients","2 ","2","PN-2 " "030006","TUCSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","162 patients","2 ","2","SCIP-INF-4 " "030006","TUCSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","301 patients",,,"AMI-1 " "030006","TUCSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","234 patients","2 ","2","SCIP-VTE-2 " "030006","TUCSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","234 patients","2 ","2","SCIP-VTE-1 " "030006","TUCSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","788 patients","2 ","2","SCIP-INF-6 " "030006","TUCSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","91 patients","2 ","2","PN-6 " "030006","TUCSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","91 patients","2 ","2","PN-7 " "030006","TUCSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","HF-4 " "030006","TUCSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","66%","118 patients","2 ","2","SCIP-CARD-2 " "030006","TUCSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","590 patients","2 ","2","SCIP-INF-1 " "030006","TUCSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","295 patients","2 ","2","HF-2 " "030006","TUCSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","231 patients","2 ","2","HF-1 " "030006","TUCSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","398 patients",,,"AMI-2 " "030006","TUCSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","122 patients","2 ","2","PN-3B " "030006","TUCSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","78 patients",,,"AMI-3 " "030007","VERDE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","40 patients","2 ","2","SCIP-CARD-2 " "030007","VERDE VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "030007","VERDE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","180 patients","2 ","2","SCIP-VTE-1 " "030007","VERDE VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"AMI-4 " "030007","VERDE VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","99 patients",,,"PN-3B " "030007","VERDE VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030007","VERDE VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","93 patients",,,"AMI-1 " "030007","VERDE VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","127 patients",,,"PN-5C " "030007","VERDE VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","117 patients",,,"PN-7 " "030007","VERDE VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","54 patients",,,"HF-3 " "030007","VERDE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","365 patients","2 ","2","SCIP-INF-2 " "030007","VERDE VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","33 patients",,,"AMI-8A " "030007","VERDE VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","156 patients",,,"PN-2 " "030007","VERDE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","180 patients","2 ","2","SCIP-VTE-2 " "030007","VERDE VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","113 patients",,,"HF-1 " "030007","VERDE VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","137 patients",,,"HF-2 " "030007","VERDE VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "030007","VERDE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","484 patients","2 ","2","SCIP-INF-6 " "030007","VERDE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","353 patients","2 ","2","SCIP-INF-3 " "030007","VERDE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030007","VERDE VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","94 patients",,,"PN-6 " "030007","VERDE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","364 patients","2 ","2","SCIP-INF-1 " "030007","VERDE VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","106 patients",,,"AMI-2 " "030007","VERDE VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","103 patients",,,"AMI-5 " "030007","VERDE VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"PN-4 " "030010","CARONDELET ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","185 patients","2 ","2","SCIP-INF-3 " "030010","CARONDELET ST MARYS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","261 patients",,,"AMI-1 " "030010","CARONDELET ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030010","CARONDELET ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","197 patients","2 ","2","SCIP-INF-1 " "030010","CARONDELET ST MARYS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","152 patients","2 ","2","PN-6 " "030010","CARONDELET ST MARYS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","318 patients",,,"HF-2 " "030010","CARONDELET ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","32 patients","2 ","2","SCIP-CARD-2 " "030010","CARONDELET ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","169 patients","2 ","2","SCIP-VTE-1 " "030010","CARONDELET ST MARYS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","132 patients","2 ","2","PN-7 " "030010","CARONDELET ST MARYS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","189 patients","2 ","2","PN-5C " "030010","CARONDELET ST MARYS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","100 patients",,,"HF-3 " "030010","CARONDELET ST MARYS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","256 patients",,,"AMI-2 " "030010","CARONDELET ST MARYS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"AMI-4 " "030010","CARONDELET ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","197 patients","2 ","2","SCIP-INF-2 " "030010","CARONDELET ST MARYS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","67 patients",,,"AMI-8A " "030010","CARONDELET ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","169 patients","2 ","2","SCIP-VTE-2 " "030010","CARONDELET ST MARYS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","152 patients","2 ","2","PN-2 " "030010","CARONDELET ST MARYS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","69 patients","2 ","2","PN-4 " "030010","CARONDELET ST MARYS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030010","CARONDELET ST MARYS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","119 patients","2 ","2","PN-3B " "030010","CARONDELET ST MARYS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","54 patients",,,"HF-4 " "030010","CARONDELET ST MARYS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","236 patients",,,"AMI-5 " "030010","CARONDELET ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","339 patients","2 ","2","SCIP-INF-6 " "030010","CARONDELET ST MARYS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","63 patients",,,"AMI-3 " "030010","CARONDELET ST MARYS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","287 patients",,,"HF-1 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","47 patients","2 ","2","AMI-3 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","223 patients","2 ","2","HF-1 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","197 patients","2 ","2","AMI-1 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","82 patients","2 ","2","PN-4 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","203 patients","2 ","2","AMI-5 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","60 patients","2 ","2","AMI-4 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","37 patients","2 ","2","HF-4 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","209 patients","2 ","2","AMI-2 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","231 patients","2 ","2","SCIP-VTE-1 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","231 patients","2 ","2","SCIP-VTE-2 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","55 patients","2 ","2","SCIP-CARD-2 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","157 patients","2 ","2","PN-6 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","89 patients","2 ","2","HF-3 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","267 patients","2 ","2","HF-2 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","194 patients","2 ","2","PN-2 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","337 patients","2 ","2","SCIP-INF-3 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","367 patients","2 ","2","SCIP-INF-2 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","185 patients","2 ","2","PN-5C " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030011","CARONDELET ST JOSEPHS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","136 patients","2 ","2","PN-3B " "030011","CARONDELET ST JOSEPHS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","71 patients","2 ","2","AMI-8A " "030011","CARONDELET ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","532 patients","2 ","2","SCIP-INF-6 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","141 patients","2 ","2","PN-7 " "030011","CARONDELET ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","365 patients","2 ","2","SCIP-INF-1 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","94 patients","2 ","2","PN-6 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","112 patients","2 ","2","PN-3B " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","52 patients",,,"AMI-8A " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","185 patients","2 ","2","SCIP-VTE-1 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","151 patients",,,"HF-1 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","24 patients","1 ","1","AMI-3 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","180 patients",,,"AMI-1 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","580 patients","2 ","2","SCIP-INF-6 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","379 patients","2 ","2","SCIP-INF-3 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","87 patients","2 ","2","SCIP-CARD-2 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","124 patients","2 ","2","SCIP-INF-4 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","132 patients","2 ","2","PN-5C " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","179 patients",,,"HF-2 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","194 patients",,,"AMI-2 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","192 patients",,,"AMI-5 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","55 patients",,,"HF-3 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","149 patients","2 ","2","PN-2 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","409 patients","2 ","2","SCIP-INF-1 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"AMI-4 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","PN-4 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","415 patients","2 ","2","SCIP-INF-2 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","185 patients","2 ","2","SCIP-VTE-2 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","102 patients","2 ","2","PN-7 " "030012","YAVAPAI REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","81 patients",,,"AMI-3 " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","308 patients",,,"AMI-5 " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"HF-4 " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","52 patients",,,"AMI-8A " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030013","YUMA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","124 patients","2 ","2","PN-5C " "030013","YUMA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","73 patients","2 ","2","PN-6 " "030013","YUMA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","560 patients","2 ","2","SCIP-INF-3 " "030013","YUMA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","122 patients","2 ","2","SCIP-INF-4 " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","382 patients",,,"HF-1 " "030013","YUMA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","108 patients","2 ","2","PN-7 " "030013","YUMA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","566 patients","2 ","2","SCIP-INF-2 " "030013","YUMA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","711 patients","2 ","2","SCIP-INF-6 " "030013","YUMA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","59%","294 patients","2 ","2","SCIP-VTE-2 " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"AMI-4 " "030013","YUMA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","130 patients","2 ","2","PN-3B " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","177 patients",,,"HF-3 " "030013","YUMA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","109 patients","2 ","2","SCIP-CARD-2 " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","431 patients",,,"HF-2 " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","339 patients",,,"AMI-1 " "030013","YUMA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2 ","2","PN-4 " "030013","YUMA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","156 patients","2 ","2","PN-2 " "030013","YUMA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","308 patients",,,"AMI-2 " "030013","YUMA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","564 patients","2 ","2","SCIP-INF-1 " "030013","YUMA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","61%","299 patients","2 ","2","SCIP-VTE-1 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"AMI-4 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","139 patients","2 ","2","PN-5C " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","581 patients","2 ","2","SCIP-INF-6 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","107 patients","2 ","2","PN-2 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","217 patients","2 ","2","HF-1 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","409 patients","2 ","2","SCIP-INF-2 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","89 patients","2 ","2","SCIP-CARD-2 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","176 patients",,,"AMI-1 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","100 patients","2 ","2","SCIP-INF-4 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","359 patients","2 ","2","SCIP-INF-3 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","108 patients","2 ","2","PN-3B " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","HF-4 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients","2 ","2","PN-4 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","89 patients","2 ","2","PN-7 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","218 patients","2 ","2","SCIP-VTE-2 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","218 patients","2 ","2","SCIP-VTE-1 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","394 patients","2 ","2","SCIP-INF-1 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","38 patients",,,"AMI-8A " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","159 patients",,,"AMI-2 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","238 patients","2 ","2","HF-2 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","143 patients",,,"AMI-5 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","81 patients","2 ","2","HF-3 " "030014","JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","90 patients","2 ","2","PN-6 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","44 patients",,,"HF-4 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","341 patients",,,"SCIP-INF-3 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","141 patients",,,"PN-3B " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","187 patients",,,"PN-5C " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","350 patients",,,"SCIP-INF-1 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","168 patients",,,"HF-2 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","46 patients",,,"SCIP-CARD-2 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","476 patients",,,"SCIP-INF-6 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","31 patients",,,"HF-3 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","120 patients",,,"PN-7 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","16 patients","1 ","1","AMI-2 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","347 patients",,,"SCIP-INF-2 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","133 patients",,,"PN-2 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","71 patients",,,"PN-4 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","167 patients",,,"SCIP-VTE-2 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","20 patients","1 ","1","AMI-5 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","158 patients",,,"HF-1 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","38 patients",,,"AMI-1 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","120 patients",,,"PN-6 " "030016","CASA GRANDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","66%","171 patients",,,"SCIP-VTE-1 " "030022","MARICOPA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","125 patients","2 ","2","SCIP-INF-3 " "030022","MARICOPA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","147 patients",,,"HF-2 " "030022","MARICOPA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","66 patients","2 ","2","PN-7 " "030022","MARICOPA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","128 patients","2 ","2","SCIP-VTE-2 " "030022","MARICOPA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","235 patients","2 ","2","SCIP-INF-6 " "030022","MARICOPA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","59 patients",,,"AMI-1 " "030022","MARICOPA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","97 patients",,,"HF-3 " "030022","MARICOPA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","115 patients","2 ","2","PN-5C " "030022","MARICOPA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","81 patients","2 ","2","PN-6 " "030022","MARICOPA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","17 patients","1 ","1","AMI-8A " "030022","MARICOPA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","46 patients",,,"AMI-5 " "030022","MARICOPA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","118 patients","2 ","2","PN-3B " "030022","MARICOPA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "030022","MARICOPA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","63%","46 patients","2 ","2","PN-2 " "030022","MARICOPA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","129 patients","2 ","2","SCIP-INF-2 " "030022","MARICOPA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","129 patients","2 ","2","SCIP-VTE-1 " "030022","MARICOPA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","46 patients",,,"AMI-2 " "030022","MARICOPA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","17 patients","1,2 ","12","SCIP-CARD-2 " "030022","MARICOPA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","53 patients",,,"HF-4 " "030022","MARICOPA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030022","MARICOPA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","67 patients","2 ","2","PN-4 " "030022","MARICOPA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1,2 ","12","SCIP-INF-4 " "030022","MARICOPA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","24 patients","1 ","1","AMI-4 " "030022","MARICOPA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","127 patients",,,"HF-1 " "030022","MARICOPA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","129 patients","2 ","2","SCIP-INF-1 " "030023","FLAGSTAFF MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","91 patients","2 ","2","PN-3B " "030023","FLAGSTAFF MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","43 patients","2 ","2","PN-4 " "030023","FLAGSTAFF MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","133 patients",,,"HF-2 " "030023","FLAGSTAFF MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","115 patients",,,"HF-1 " "030023","FLAGSTAFF MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","124 patients",,,"AMI-2 " "030023","FLAGSTAFF MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","81 patients","2 ","2","PN-2 " "030023","FLAGSTAFF MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"HF-4 " "030023","FLAGSTAFF MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","114 patients",,,"AMI-5 " "030023","FLAGSTAFF MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","82 patients",,,"AMI-1 " "030023","FLAGSTAFF MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","56%","27 patients",,,"AMI-8A " "030023","FLAGSTAFF MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030023","FLAGSTAFF MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","AMI-3 " "030023","FLAGSTAFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","433 patients","2 ","2","SCIP-INF-1 " "030023","FLAGSTAFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","208 patients","2 ","2","SCIP-VTE-1 " "030023","FLAGSTAFF MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","104 patients","2 ","2","PN-5C " "030023","FLAGSTAFF MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "030023","FLAGSTAFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","207 patients","2 ","2","SCIP-VTE-2 " "030023","FLAGSTAFF MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","51 patients",,,"HF-3 " "030023","FLAGSTAFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","417 patients","2 ","2","SCIP-INF-3 " "030023","FLAGSTAFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","52 patients","2 ","2","SCIP-CARD-2 " "030023","FLAGSTAFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","441 patients","2 ","2","SCIP-INF-2 " "030023","FLAGSTAFF MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","77 patients","2 ","2","PN-7 " "030023","FLAGSTAFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","126 patients","2 ","2","SCIP-INF-4 " "030023","FLAGSTAFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","613 patients","2 ","2","SCIP-INF-6 " "030023","FLAGSTAFF MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","65 patients","2 ","2","PN-6 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","269 patients",,,"HF-1 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","154 patients","2 ","2","SCIP-INF-4 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","307 patients","2 ","2","SCIP-INF-3 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","333 patients","2 ","2","SCIP-INF-1 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","163 patients",,,"PN-6 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"AMI-4 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","28 patients",,,"AMI-8A " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","121 patients",,,"AMI-1 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","158 patients",,,"PN-7 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","120 patients",,,"HF-4 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","226 patients","2 ","2","SCIP-VTE-1 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","226 patients","2 ","2","SCIP-VTE-2 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","186 patients",,,"PN-2 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","131 patients",,,"AMI-2 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","272 patients",,,"PN-3B " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"AMI-3 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","88 patients","2 ","2","SCIP-CARD-2 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","97 patients",,,"AMI-5 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","168 patients",,,"HF-3 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","304 patients",,,"HF-2 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","606 patients","2 ","2","SCIP-INF-6 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","233 patients",,,"PN-5C " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","342 patients","2 ","2","SCIP-INF-2 " "030024","ST JOSEPH'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","119 patients",,,"PN-4 " "030030","PHOENIX BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","622 patients","2 ","2","SCIP-INF-3 " "030030","PHOENIX BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","275 patients","2 ","2","SCIP-VTE-1 " "030030","PHOENIX BAPTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","127 patients",,,"PN-6 " "030030","PHOENIX BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","641 patients","2 ","2","SCIP-INF-1 " "030030","PHOENIX BAPTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","46%","35 patients",,,"AMI-8A " "030030","PHOENIX BAPTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"AMI-4 " "030030","PHOENIX BAPTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","117 patients",,,"AMI-2 " "030030","PHOENIX BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","652 patients","2 ","2","SCIP-INF-2 " "030030","PHOENIX BAPTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","102 patients",,,"PN-2 " "030030","PHOENIX BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","108 patients","2 ","2","SCIP-CARD-2 " "030030","PHOENIX BAPTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","160 patients",,,"HF-2 " "030030","PHOENIX BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","274 patients","2 ","2","SCIP-VTE-2 " "030030","PHOENIX BAPTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients",,,"AMI-3 " "030030","PHOENIX BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","101 patients","2 ","2","SCIP-INF-4 " "030030","PHOENIX BAPTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","113 patients",,,"PN-3B " "030030","PHOENIX BAPTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","176 patients",,,"PN-5C " "030030","PHOENIX BAPTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"HF-4 " "030030","PHOENIX BAPTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","87 patients",,,"PN-4 " "030030","PHOENIX BAPTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"HF-3 " "030030","PHOENIX BAPTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","108 patients",,,"AMI-1 " "030030","PHOENIX BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","790 patients","2 ","2","SCIP-INF-6 " "030030","PHOENIX BAPTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","144 patients",,,"HF-1 " "030030","PHOENIX BAPTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","95 patients",,,"PN-7 " "030030","PHOENIX BAPTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030030","PHOENIX BAPTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","111 patients",,,"AMI-5 " "030033","PAYSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1,2 ","12","SCIP-CARD-2 " "030033","PAYSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","81 patients","2 ","2","SCIP-VTE-2 " "030033","PAYSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","62 patients","2 ","2","SCIP-INF-1 " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "030033","PAYSON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "030033","PAYSON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","45 patients",,,"PN-7 " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","40 patients",,,"HF-1 " "030033","PAYSON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","83 patients",,,"PN-2 " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "030033","PAYSON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","80 patients",,,"PN-6 " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "030033","PAYSON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","77 patients",,,"PN-3B " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "030033","PAYSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","81 patients","2 ","2","SCIP-VTE-1 " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","48 patients",,,"HF-2 " "030033","PAYSON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","97 patients",,,"PN-5C " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030033","PAYSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","59 patients","2 ","2","SCIP-INF-3 " "030033","PAYSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "030033","PAYSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030033","PAYSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","166 patients","2 ","2","SCIP-INF-6 " "030033","PAYSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","62 patients","2 ","2","SCIP-INF-2 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","181 patients","2 ","2","AMI-1 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","248 patients","2 ","2","HF-2 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","47 patients","2 ","2","PN-4 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","127 patients","2 ","2","SCIP-INF-4 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","132 patients","2 ","2","PN-2 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","185 patients","2 ","2","SCIP-VTE-2 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","HF-4 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","92 patients","2 ","2","AMI-4 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","132 patients","2 ","2","PN-3B " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","47 patients","2 ","2","AMI-3 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","91 patients","2 ","2","SCIP-CARD-2 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","125 patients","2 ","2","PN-5C " "030036","CHANDLER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","382 patients","2 ","2","SCIP-INF-1 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","244 patients","2 ","2","AMI-5 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","91 patients","2 ","2","HF-3 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","319 patients","2 ","2","SCIP-INF-3 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","385 patients","2 ","2","SCIP-INF-2 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","246 patients","2 ","2","AMI-2 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","220 patients","2 ","2","HF-1 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","186 patients","2 ","2","SCIP-VTE-1 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","102 patients","2 ","2","PN-6 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","597 patients","2 ","2","SCIP-INF-6 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","47 patients","2 ","2","AMI-8A " "030036","CHANDLER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","83 patients","2 ","2","PN-7 " "030036","CHANDLER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030037","ST LUKES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","18 patients","1 ","1","AMI-8A " "030037","ST LUKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","302 patients",,,"SCIP-VTE-2 " "030037","ST LUKES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","41 patients",,,"AMI-4 " "030037","ST LUKES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1 ","1","AMI-3 " "030037","ST LUKES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"HF-3 " "030037","ST LUKES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","134 patients",,,"PN-6 " "030037","ST LUKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","36 patients",,,"SCIP-INF-4 " "030037","ST LUKES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","130 patients",,,"HF-2 " "030037","ST LUKES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","167 patients",,,"PN-3B " "030037","ST LUKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","504 patients",,,"SCIP-INF-2 " "030037","ST LUKES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","99 patients",,,"PN-4 " "030037","ST LUKES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","92 patients",,,"PN-7 " "030037","ST LUKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","810 patients",,,"SCIP-INF-6 " "030037","ST LUKES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","98 patients",,,"AMI-2 " "030037","ST LUKES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","89 patients",,,"PN-2 " "030037","ST LUKES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","115 patients",,,"HF-1 " "030037","ST LUKES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","163 patients",,,"PN-5C " "030037","ST LUKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","108 patients",,,"SCIP-CARD-2 " "030037","ST LUKES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","68 patients",,,"AMI-1 " "030037","ST LUKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","436 patients",,,"SCIP-INF-3 " "030037","ST LUKES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030037","ST LUKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","501 patients",,,"SCIP-INF-1 " "030037","ST LUKES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"HF-4 " "030037","ST LUKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","304 patients",,,"SCIP-VTE-1 " "030037","ST LUKES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","93 patients",,,"AMI-5 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","603 patients","2 ","2","SCIP-INF-6 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","146 patients",,,"AMI-5 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","163 patients",,,"AMI-2 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","47 patients",,,"AMI-8A " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","119 patients","2 ","2","PN-2 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","67 patients","2 ","2","PN-6 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","281 patients","2 ","2","HF-2 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","PN-4 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","403 patients","2 ","2","SCIP-INF-2 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","232 patients","2 ","2","SCIP-VTE-2 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","368 patients","2 ","2","SCIP-INF-3 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","232 patients","2 ","2","SCIP-VTE-1 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","399 patients","2 ","2","SCIP-INF-1 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","97 patients","2 ","2","SCIP-CARD-2 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","185 patients",,,"AMI-1 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","121 patients","2 ","2","PN-5C " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"AMI-4 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","61 patients","2 ","2","HF-3 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","100 patients","2 ","2","PN-3B " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","94 patients","2 ","2","PN-7 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","237 patients","2 ","2","HF-1 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","HF-4 " "030038","SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","98 patients","2 ","2","SCIP-INF-4 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","97 patients",,,"HF-1 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","230 patients","2 ","2","SCIP-INF-1 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","171 patients","2 ","2","SCIP-VTE-1 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","355 patients","2 ","2","SCIP-INF-6 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","227 patients","2 ","2","SCIP-INF-2 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","91 patients",,,"PN-3B " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","47 patients",,,"AMI-5 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","85%","41 patients",,,"AMI-2 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","AMI-3 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","125 patients",,,"PN-5C " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","221 patients","2 ","2","SCIP-INF-3 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","117 patients",,,"HF-2 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","167 patients","2 ","2","SCIP-VTE-2 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","77 patients",,,"PN-7 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","36 patients",,,"SCIP-CARD-2 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-7A " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","72 patients",,,"AMI-1 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","22 patients","1 ","1","HF-3 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","77 patients",,,"PN-6 " "030043","SIERRA VISTA REGIONAL HEALTH CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","106 patients",,,"PN-2 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","280 patients","2 ","2","PN-5C " "030055","KINGMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","188 patients","2 ","2","PN-6 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","271 patients","2 ","2","HF-1 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","31 patients",,,"AMI-3 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","291 patients","2 ","2","PN-3B " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","68 patients","2 ","2","HF-4 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","414 patients","2 ","2","SCIP-INF-6 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","202 patients","2 ","2","SCIP-VTE-2 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","177 patients",,,"PN-7 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","137 patients",,,"AMI-5 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","263 patients","2 ","2","SCIP-INF-1 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","254 patients","2 ","2","SCIP-INF-3 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030055","KINGMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","51 patients",,,"SCIP-CARD-2 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","293 patients","2 ","2","HF-2 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"AMI-4 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","111 patients","2 ","2","HF-3 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","202 patients","2 ","2","SCIP-VTE-1 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","259 patients","2 ","2","SCIP-INF-2 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","137 patients",,,"AMI-2 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","209 patients","2 ","2","PN-2 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","158 patients",,,"AMI-1 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","142 patients","2 ","2","PN-4 " "030055","KINGMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","34 patients",,,"AMI-8A " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","AMI-4 " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","HF-4 " "030061","BANNER BOSWELL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","PN-4 " "030061","BANNER BOSWELL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","105 patients","2 ","2","PN-3B " "030061","BANNER BOSWELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","175 patients","2 ","2","SCIP-CARD-2 " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","258 patients","2 ","2","AMI-1 " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","116 patients","2 ","2","HF-3 " "030061","BANNER BOSWELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","324 patients","2 ","2","SCIP-VTE-1 " "030061","BANNER BOSWELL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","94 patients","2 ","2","PN-6 " "030061","BANNER BOSWELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","681 patients","2 ","2","SCIP-INF-2 " "030061","BANNER BOSWELL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","184 patients","2 ","2","PN-2 " "030061","BANNER BOSWELL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","133 patients","2 ","2","PN-5C " "030061","BANNER BOSWELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","920 patients","2 ","2","SCIP-INF-6 " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","44 patients","2 ","2","AMI-3 " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","271 patients","2 ","2","AMI-5 " "030061","BANNER BOSWELL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","99 patients","2 ","2","PN-7 " "030061","BANNER BOSWELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","648 patients","2 ","2","SCIP-INF-3 " "030061","BANNER BOSWELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","672 patients","2 ","2","SCIP-INF-1 " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","348 patients","2 ","2","HF-2 " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","269 patients","2 ","2","HF-1 " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","28 patients","2 ","2","AMI-8A " "030061","BANNER BOSWELL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","262 patients","2 ","2","AMI-2 " "030061","BANNER BOSWELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","248 patients","2 ","2","SCIP-INF-4 " "030061","BANNER BOSWELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","323 patients","2 ","2","SCIP-VTE-2 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","51 patients","2 ","2","HF-1 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","105 patients","2 ","2","PN-3B " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1,2 ","12","HF-4 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1,2 ","12","AMI-4 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","68 patients","2 ","2","PN-7 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","36 patients","2 ","2","AMI-1 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","136 patients","2 ","2","SCIP-VTE-2 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","32 patients","2 ","2","AMI-2 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","201 patients","2 ","2","SCIP-INF-2 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","31 patients","2 ","2","AMI-5 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","136 patients","2 ","2","SCIP-VTE-1 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","40 patients","2 ","2","PN-4 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","319 patients","2 ","2","SCIP-INF-6 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","3 patients","1,2 ","12","AMI-8A " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","198 patients","2 ","2","SCIP-INF-1 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","82 patients","2 ","2","PN-2 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","60 patients","2 ","2","HF-2 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","111 patients","2 ","2","PN-5C " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","196 patients","2 ","2","SCIP-INF-3 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","77 patients","2 ","2","PN-6 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","31 patients","2 ","2","SCIP-CARD-2 " "030062","SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1,2 ","12","HF-3 " "030064","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","190 patients","2 ","2","AMI-1 " "030064","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","353 patients","2 ","2","SCIP-INF-3 " "030064","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","176 patients","2 ","2","SCIP-VTE-2 " "030064","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","240 patients","2 ","2","AMI-5 " "030064","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","58 patients","2 ","2","PN-2 " "030064","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","142 patients","2 ","2","HF-3 " "030064","UNIVERSITY MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","81 patients","2 ","2","CAC-1 " "030064","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","46 patients","2 ","2","PN-6 " "030064","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","58 patients","2 ","2","AMI-3 " "030064","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","136 patients","2 ","2","SCIP-INF-4 " "030064","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","240 patients","2 ","2","HF-1 " "030064","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","PN-4 " "030064","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","80 patients","2 ","2","SCIP-CARD-2 " "030064","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","HF-4 " "030064","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","20 patients","1,2 ","12","AMI-8A " "030064","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","AMI-4 " "030064","UNIVERSITY MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","81%","81 patients","2 ","2","CAC-3 " "030064","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","50 patients","2 ","2","PN-7 " "030064","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","390 patients","2 ","2","SCIP-INF-2 " "030064","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","177 patients","2 ","2","SCIP-VTE-1 " "030064","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","537 patients","2 ","2","SCIP-INF-6 " "030064","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","378 patients","2 ","2","SCIP-INF-1 " "030064","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","81 patients","2 ","2","PN-5C " "030064","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030064","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","87 patients","2 ","2","PN-3B " "030064","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","257 patients","2 ","2","HF-2 " "030064","UNIVERSITY MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","80 patients","2 ","2","CAC-2 " "030064","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","247 patients","2 ","2","AMI-2 " "030065","BANNER DESERT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","39 patients","2 ","2","AMI-3 " "030065","BANNER DESERT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","197 patients","2 ","2","AMI-5 " "030065","BANNER DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","589 patients","2 ","2","SCIP-INF-6 " "030065","BANNER DESERT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","HF-4 " "030065","BANNER DESERT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","268 patients","2 ","2","HF-2 " "030065","BANNER DESERT MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","22%","334 patients","2 ","2","CAC-3 " "030065","BANNER DESERT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","99 patients","2 ","2","PN-2 " "030065","BANNER DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","401 patients","2 ","2","SCIP-INF-1 " "030065","BANNER DESERT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","99 patients","2 ","2","HF-3 " "030065","BANNER DESERT MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","335 patients","2 ","2","CAC-2 " "030065","BANNER DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","374 patients","2 ","2","SCIP-INF-3 " "030065","BANNER DESERT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","233 patients","2 ","2","HF-1 " "030065","BANNER DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","220 patients","2 ","2","SCIP-VTE-1 " "030065","BANNER DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","125 patients","2 ","2","SCIP-INF-4 " "030065","BANNER DESERT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","51 patients","2 ","2","AMI-8A " "030065","BANNER DESERT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","214 patients","2 ","2","AMI-2 " "030065","BANNER DESERT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","134 patients","2 ","2","PN-5C " "030065","BANNER DESERT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "030065","BANNER DESERT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","74 patients","2 ","2","AMI-4 " "030065","BANNER DESERT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030065","BANNER DESERT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","103 patients","2 ","2","PN-3B " "030065","BANNER DESERT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","218 patients","2 ","2","AMI-1 " "030065","BANNER DESERT MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","335 patients","2 ","2","CAC-1 " "030065","BANNER DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","92 patients","2 ","2","SCIP-CARD-2 " "030065","BANNER DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","219 patients","2 ","2","SCIP-VTE-2 " "030065","BANNER DESERT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","100 patients","2 ","2","PN-6 " "030065","BANNER DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","406 patients","2 ","2","SCIP-INF-2 " "030065","BANNER DESERT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","84 patients","2 ","2","PN-7 " "030067","LA PAZ REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","38 patients",,,"HF-1 " "030067","LA PAZ REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1,3 ","13","SCIP-INF-6 " "030067","LA PAZ REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1,3 ","13","SCIP-INF-2 " "030067","LA PAZ REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "030067","LA PAZ REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","AMI-4 " "030067","LA PAZ REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","73%","44 patients",,,"PN-3B " "030067","LA PAZ REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","62%","8 patients","1,3 ","13","AMI-5 " "030067","LA PAZ REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,3 ","13","SCIP-CARD-2 " "030067","LA PAZ REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "030067","LA PAZ REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1,3 ","13","SCIP-VTE-2 " "030067","LA PAZ REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "030067","LA PAZ REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","41 patients",,,"PN-7 " "030067","LA PAZ REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "030067","LA PAZ REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","57 patients",,,"PN-2 " "030067","LA PAZ REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","41 patients",,,"HF-2 " "030067","LA PAZ REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "030067","LA PAZ REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "030067","LA PAZ REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1,3 ","13","AMI-2 " "030067","LA PAZ REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","60%","5 patients","1,3 ","13","SCIP-INF-1 " "030067","LA PAZ REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","65 patients",,,"PN-5C " "030067","LA PAZ REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","56 patients",,,"PN-6 " "030067","LA PAZ REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,3 ","13","SCIP-VTE-1 " "030067","LA PAZ REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1,3 ","13","AMI-1 " "030067","LA PAZ REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","23 patients","1 ","1","PN-4 " "030067","LA PAZ REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","5 patients","1,3 ","13","SCIP-INF-3 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1 ","1","SCIP-CARD-2 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","53 patients",,,"SCIP-VTE-1 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","26 patients",,,"PN-4 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","122 patients",,,"SCIP-INF-1 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","140 patients",,,"SCIP-INF-6 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","124 patients",,,"SCIP-INF-2 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","53 patients",,,"SCIP-VTE-2 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","36 patients",,,"HF-1 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","39 patients",,,"PN-7 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","93 patients",,,"PN-5C " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","73 patients",,,"PN-3B " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","78 patients",,,"PN-6 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","12 patients","1 ","1","HF-4 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","42 patients",,,"HF-2 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","122 patients",,,"SCIP-INF-3 " "030068","MT GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","59 patients",,,"PN-2 " "030069","HAVASU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","406 patients","2 ","2","SCIP-INF-1 " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","83 patients",,,"AMI-5 " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","137 patients",,,"HF-2 " "030069","HAVASU REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","96 patients",,,"PN-2 " "030069","HAVASU REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","122 patients",,,"PN-5C " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","38 patients",,,"AMI-8A " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","131 patients",,,"HF-1 " "030069","HAVASU REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","71 patients",,,"PN-7 " "030069","HAVASU REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","105 patients",,,"PN-3B " "030069","HAVASU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","559 patients","2 ","2","SCIP-INF-6 " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "030069","HAVASU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","232 patients","2 ","2","SCIP-VTE-2 " "030069","HAVASU REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","84 patients",,,"PN-6 " "030069","HAVASU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","409 patients","2 ","2","SCIP-INF-2 " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","52 patients",,,"HF-3 " "030069","HAVASU REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "030069","HAVASU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","54 patients","2 ","2","SCIP-CARD-2 " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "030069","HAVASU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","103 patients","2 ","2","SCIP-INF-4 " "030069","HAVASU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","232 patients","2 ","2","SCIP-VTE-1 " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "030069","HAVASU REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","387 patients","2 ","2","SCIP-INF-3 " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","94 patients",,,"AMI-1 " "030069","HAVASU REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","77 patients",,,"AMI-2 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "030071","FORT DEFIANCE INDIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","52%","21 patients","1 ","1","SCIP-INF-1 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","37 patients",,,"PN-7 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1,3 ","13","HF-3 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","61 patients",,,"PN-5C " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","21 patients","1 ","1","SCIP-INF-2 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","45 patients",,,"PN-3B " "030071","FORT DEFIANCE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","21 patients","1 ","1","SCIP-INF-3 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","16 patients","1,3 ","13","HF-2 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "030071","FORT DEFIANCE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","6 patients","1 ","1","SCIP-VTE-1 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","53 patients",,,"PN-2 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","43 patients",,,"SCIP-INF-6 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","15 patients","1,3 ","13","HF-1 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","6 patients","1 ","1","SCIP-VTE-2 " "030071","FORT DEFIANCE INDIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","59 patients",,,"PN-6 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","90 patients",,,"PN-3B " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","65 patients",,,"PN-7 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","7%","28 patients",,,"HF-1 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","52%","84 patients",,,"SCIP-INF-1 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","75 patients",,,"SCIP-VTE-1 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","83 patients",,,"SCIP-INF-2 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","117 patients",,,"SCIP-INF-6 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","74 patients",,,"SCIP-VTE-2 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","29 patients",,,"HF-2 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","5 patients","1 ","1","PN-4 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","119 patients",,,"PN-5C " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","58 patients",,,"PN-6 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","95 patients",,,"PN-2 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "030073","TUBA CITY REGIONAL HEALTH CARE CORPORATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","80 patients",,,"SCIP-INF-3 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","18 patients","1 ","1","PN-3B " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","40%","5 patients","1 ","1","PN-7 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","21 patients","1 ","1","PN-6 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","13 patients","1 ","1","PN-5C " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1 ","1","PN-2 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,3 ","13","HF-2 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "030074","SELLS INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","2,3 ","23","HF-1 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "030077","PHS INDIAN HOSPITAL-SAN CARLOS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,"0 patients","2,3 ","23","HF-2 " "030078","PHOENIX INDIAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","37 patients","2 ","2","PN-5C " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "030078","PHOENIX INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","22 patients","1,2 ","12","SCIP-INF-3 " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","4 patients","1,3 ","13","HF-2 " "030078","PHOENIX INDIAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1,2 ","12","PN-4 " "030078","PHOENIX INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","67 patients","2 ","2","SCIP-INF-6 " "030078","PHOENIX INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","38 patients","2 ","2","SCIP-VTE-1 " "030078","PHOENIX INDIAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","35 patients","2 ","2","PN-3B " "030078","PHOENIX INDIAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients","2 ","2","PN-6 " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "030078","PHOENIX INDIAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","19 patients","1,2 ","12","PN-2 " "030078","PHOENIX INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","26 patients","2 ","2","SCIP-INF-2 " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "030078","PHOENIX INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030078","PHOENIX INDIAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","11 patients","1,2 ","12","PN-7 " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "030078","PHOENIX INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "030078","PHOENIX INDIAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1,3 ","13","HF-1 " "030078","PHOENIX INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","38 patients","2 ","2","SCIP-VTE-2 " "030078","PHOENIX INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","27 patients","2 ","2","SCIP-INF-1 " "030083","PARADISE VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","100 patients",,,"HF-2 " "030083","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "030083","PARADISE VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","178 patients",,,"PN-3B " "030083","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","189 patients","2 ","2","SCIP-VTE-2 " "030083","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030083","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","34 patients",,,"AMI-8A " "030083","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","73 patients",,,"AMI-1 " "030083","PARADISE VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","206 patients",,,"PN-5C " "030083","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","68 patients",,,"AMI-2 " "030083","PARADISE VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","154 patients",,,"PN-2 " "030083","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","319 patients","2 ","2","SCIP-INF-1 " "030083","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","189 patients","2 ","2","SCIP-VTE-1 " "030083","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","304 patients","2 ","2","SCIP-INF-3 " "030083","PARADISE VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","66 patients",,,"PN-4 " "030083","PARADISE VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","139 patients",,,"PN-6 " "030083","PARADISE VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","37 patients",,,"HF-3 " "030083","PARADISE VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","85 patients",,,"HF-1 " "030083","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","30 patients","2 ","2","SCIP-CARD-2 " "030083","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"AMI-4 " "030083","PARADISE VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","103 patients",,,"PN-7 " "030083","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","468 patients","2 ","2","SCIP-INF-6 " "030083","PARADISE VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","HF-4 " "030083","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","329 patients","2 ","2","SCIP-INF-2 " "030083","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030083","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","66 patients",,,"AMI-5 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","44 patients","2 ","2","PN-5C " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","43 patients","2 ","2","PN-3B " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","20 patients","1,2 ","12","PN-7 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","44 patients","2 ","2","PN-6 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2 ","12","PN-4 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","6 patients","1,3 ","13","SCIP-VTE-2 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,3 ","13","SCIP-INF-3 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","8 patients","1,2 ","12","HF-3 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","16 patients","1,2 ","12","HF-2 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-2 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","47 patients","2 ","2","PN-2 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","4 patients","1,3 ","13","SCIP-INF-1 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","14 patients","1,2 ","12","HF-1 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","6 patients","1,3 ","13","SCIP-VTE-1 " "030084","CHINLE COMPREHENSIVE CARE FACILITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "030085","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","147 patients",,,"AMI-5 " "030085","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","226 patients",,,"SCIP-INF-4 " "030085","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","1501 patients",,,"SCIP-INF-3 " "030085","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030085","NORTHWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "030085","NORTHWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","301 patients",,,"PN-2 " "030085","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","771 patients",,,"SCIP-VTE-1 " "030085","NORTHWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","117 patients",,,"PN-4 " "030085","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "030085","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1574 patients",,,"SCIP-INF-1 " "030085","NORTHWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","225 patients",,,"HF-1 " "030085","NORTHWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","268 patients",,,"HF-2 " "030085","NORTHWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","200 patients",,,"PN-7 " "030085","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","769 patients",,,"SCIP-VTE-2 " "030085","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1583 patients",,,"SCIP-INF-2 " "030085","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","145 patients",,,"AMI-2 " "030085","NORTHWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","354 patients",,,"PN-5C " "030085","NORTHWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","255 patients",,,"PN-6 " "030085","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2400 patients",,,"SCIP-INF-6 " "030085","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "030085","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","154 patients",,,"AMI-1 " "030085","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","35 patients",,,"AMI-8A " "030085","NORTHWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","77 patients",,,"HF-3 " "030085","NORTHWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","284 patients",,,"PN-3B " "030085","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","288 patients",,,"SCIP-CARD-2 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","141 patients","2 ","2","PN-5C " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","PN-4 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","244 patients","2 ","2","HF-1 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","35 patients","2 ","2","AMI-8A " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","94 patients","2 ","2","PN-7 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1,2 ","12","AMI-3 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","HF-4 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","256 patients","2 ","2","SCIP-VTE-1 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","51%","104 patients","2 ","2","SCIP-CARD-2 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","255 patients","2 ","2","SCIP-VTE-2 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","75 patients","2 ","2","HF-3 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","731 patients","2 ","2","SCIP-INF-6 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","AMI-4 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","506 patients","2 ","2","SCIP-INF-1 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","193 patients","2 ","2","AMI-1 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","510 patients","2 ","2","SCIP-INF-2 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","97 patients","2 ","2","PN-6 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","166 patients","2 ","2","SCIP-INF-4 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","185 patients","2 ","2","AMI-5 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","291 patients","2 ","2","HF-2 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","467 patients","2 ","2","SCIP-INF-3 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","204 patients","2 ","2","AMI-2 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","148 patients","2 ","2","PN-2 " "030087","SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","135 patients","2 ","2","PN-3B " "030088","BANNER BAYWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1078 patients","2 ","2","SCIP-INF-6 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","70 patients","2 ","2","HF-3 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","47 patients",,,"AMI-1 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","210 patients","2 ","2","HF-1 " "030088","BANNER BAYWOOD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","146 patients","2 ","2","PN-3B " "030088","BANNER BAYWOOD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients","2 ","2","PN-4 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","248 patients","2 ","2","HF-2 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "030088","BANNER BAYWOOD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","128 patients","2 ","2","PN-7 " "030088","BANNER BAYWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","439 patients","2 ","2","SCIP-VTE-1 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "030088","BANNER BAYWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030088","BANNER BAYWOOD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","178 patients","2 ","2","PN-2 " "030088","BANNER BAYWOOD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","165 patients","2 ","2","PN-5C " "030088","BANNER BAYWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","136 patients","2 ","2","SCIP-CARD-2 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2 ","2","HF-4 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","28 patients",,,"AMI-2 " "030088","BANNER BAYWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","683 patients","2 ","2","SCIP-INF-1 " "030088","BANNER BAYWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","439 patients","2 ","2","SCIP-VTE-2 " "030088","BANNER BAYWOOD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "030088","BANNER BAYWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","645 patients","2 ","2","SCIP-INF-3 " "030088","BANNER BAYWOOD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","100 patients","2 ","2","PN-6 " "030088","BANNER BAYWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","684 patients","2 ","2","SCIP-INF-2 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","36 patients","2 ","2","AMI-3 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","233 patients","2 ","2","AMI-5 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","53 patients","2 ","2","AMI-8A " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","86 patients","2 ","2","HF-3 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","331 patients","2 ","2","SCIP-INF-3 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","88 patients","2 ","2","SCIP-CARD-2 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","93 patients","2 ","2","AMI-4 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","121 patients","2 ","2","PN-5C " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","543 patients","2 ","2","SCIP-INF-6 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","292 patients","2 ","2","HF-2 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","106 patients","2 ","2","PN-2 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","225 patients","2 ","2","AMI-2 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","76 patients","2 ","2","PN-7 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","237 patients","2 ","2","HF-1 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","84 patients","2 ","2","PN-6 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","172 patients","2 ","2","SCIP-VTE-1 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","117 patients","2 ","2","SCIP-INF-4 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","HF-4 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","PN-4 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","145 patients","2 ","2","PN-3B " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","172 patients","2 ","2","SCIP-VTE-2 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","381 patients","2 ","2","SCIP-INF-2 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","255 patients","2 ","2","AMI-1 " "030089","BANNER THUNDERBIRD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","379 patients","2 ","2","SCIP-INF-1 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","559 patients","2 ","2","SCIP-INF-6 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","87 patients","2 ","2","PN-2 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","153 patients","2 ","2","PN-5C " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","201 patients","2 ","2","SCIP-VTE-2 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","96 patients",,,"HF-3 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","284 patients","2 ","2","SCIP-INF-3 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","206 patients",,,"HF-1 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","45 patients","2 ","2","AMI-8A " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","175 patients","2 ","2","AMI-2 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","107 patients","2 ","2","SCIP-INF-4 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","348 patients","2 ","2","SCIP-INF-1 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","75 patients","2 ","2","SCIP-CARD-2 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","158 patients","2 ","2","AMI-5 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","224 patients",,,"HF-2 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients","2 ","2","PN-4 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients","2 ","2","AMI-3 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","357 patients","2 ","2","SCIP-INF-2 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","201 patients","2 ","2","SCIP-VTE-1 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","AMI-4 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","129 patients","2 ","2","PN-6 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","84 patients","2 ","2","PN-7 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","145 patients","2 ","2","PN-3B " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","202 patients","2 ","2","AMI-1 " "030092","JOHN C LINCOLN DEER VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","199 patients","2 ","2","AMI-5 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","33 patients","2 ","2","AMI-8A " "030093","BANNER DEL E WEBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","675 patients","2 ","2","SCIP-INF-6 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","149 patients","2 ","2","PN-5C " "030093","BANNER DEL E WEBB MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","139 patients","2 ","2","PN-3B " "030093","BANNER DEL E WEBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","301 patients","2 ","2","SCIP-VTE-1 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","94 patients","2 ","2","HF-3 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","446 patients","2 ","2","SCIP-INF-1 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","424 patients","2 ","2","SCIP-INF-3 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","240 patients","2 ","2","AMI-1 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","193 patients","2 ","2","AMI-2 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","HF-4 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","193 patients","2 ","2","PN-2 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030093","BANNER DEL E WEBB MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","106 patients","2 ","2","PN-6 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","449 patients","2 ","2","SCIP-INF-2 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","116 patients","2 ","2","PN-7 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","PN-4 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","301 patients","2 ","2","SCIP-VTE-2 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","242 patients","2 ","2","HF-1 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","AMI-4 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","37 patients","2 ","2","AMI-3 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","294 patients","2 ","2","HF-2 " "030093","BANNER DEL E WEBB MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","105 patients","2 ","2","SCIP-CARD-2 " "030094","ARROWHEAD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","119 patients",,,"AMI-2 " "030094","ARROWHEAD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","33 patients",,,"AMI-8A " "030094","ARROWHEAD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","362 patients","2 ","2","SCIP-VTE-2 " "030094","ARROWHEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","943 patients","2 ","2","SCIP-INF-3 " "030094","ARROWHEAD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","167 patients",,,"PN-2 " "030094","ARROWHEAD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","163 patients","2 ","2","SCIP-CARD-2 " "030094","ARROWHEAD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "030094","ARROWHEAD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","174 patients",,,"HF-2 " "030094","ARROWHEAD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","102 patients",,,"PN-3B " "030094","ARROWHEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1228 patients","2 ","2","SCIP-INF-6 " "030094","ARROWHEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","151 patients","2 ","2","SCIP-INF-4 " "030094","ARROWHEAD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","167 patients",,,"PN-6 " "030094","ARROWHEAD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030094","ARROWHEAD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","137 patients",,,"PN-7 " "030094","ARROWHEAD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","362 patients","2 ","2","SCIP-VTE-1 " "030094","ARROWHEAD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "030094","ARROWHEAD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","116 patients",,,"AMI-5 " "030094","ARROWHEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","1018 patients","2 ","2","SCIP-INF-1 " "030094","ARROWHEAD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","149 patients",,,"HF-1 " "030094","ARROWHEAD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","69 patients",,,"PN-4 " "030094","ARROWHEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","999 patients","2 ","2","SCIP-INF-2 " "030094","ARROWHEAD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","198 patients",,,"PN-5C " "030094","ARROWHEAD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","53 patients",,,"HF-3 " "030094","ARROWHEAD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "030094","ARROWHEAD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","124 patients",,,"AMI-1 " "030100","TUCSON HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","335 patients","2 ","2","HF-2 " "030100","TUCSON HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","83 patients","2 ","2","AMI-4 " "030100","TUCSON HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","288 patients","2 ","2","SCIP-INF-6 " "030100","TUCSON HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","39 patients","2 ","2","HF-4 " "030100","TUCSON HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","242 patients","2 ","2","SCIP-INF-2 " "030100","TUCSON HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","46 patients",,,"PN-5C " "030100","TUCSON HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","70 patients",,,"PN-2 " "030100","TUCSON HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","23 patients","1 ","1","PN-4 " "030100","TUCSON HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","25 patients","2 ","2","AMI-8A " "030100","TUCSON HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","339 patients","2 ","2","AMI-2 " "030100","TUCSON HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","161 patients","2 ","2","AMI-1 " "030100","TUCSON HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","93 patients","2 ","2","AMI-3 " "030100","TUCSON HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","49 patients",,,"PN-7 " "030100","TUCSON HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","161 patients","2 ","2","HF-3 " "030100","TUCSON HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","213 patients","2 ","2","SCIP-INF-4 " "030100","TUCSON HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","49 patients",,,"PN-6 " "030100","TUCSON HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","225 patients","2 ","2","SCIP-INF-3 " "030100","TUCSON HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","319 patients","2 ","2","HF-1 " "030100","TUCSON HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","345 patients","2 ","2","AMI-5 " "030100","TUCSON HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","233 patients","2 ","2","SCIP-INF-1 " "030100","TUCSON HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","64%","11 patients","1,2 ","12","SCIP-VTE-2 " "030100","TUCSON HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "030100","TUCSON HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","62 patients",,,"PN-3B " "030100","TUCSON HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","83 patients",,,"SCIP-CARD-2 " "030100","TUCSON HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","64%","11 patients","1,2 ","12","SCIP-VTE-1 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","101 patients",,,"PN-6 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","139 patients",,,"PN-5C " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","139 patients","2 ","2","SCIP-VTE-2 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","245 patients",,,"HF-1 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","122 patients",,,"PN-3B " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","231 patients","2 ","2","SCIP-INF-1 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","97 patients",,,"PN-2 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","43%","21 patients","1 ","1","AMI-8A " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","231 patients","2 ","2","SCIP-INF-2 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","97 patients",,,"AMI-2 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","222 patients","2 ","2","SCIP-INF-3 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","358 patients","2 ","2","SCIP-INF-6 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","66 patients",,,"HF-3 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","263 patients",,,"HF-2 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","35 patients","2 ","2","SCIP-CARD-2 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","140 patients","2 ","2","SCIP-VTE-1 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","76 patients",,,"PN-7 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","88 patients",,,"AMI-5 " "030101","WESTERN ARIZONA REGIONAL MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","105 patients",,,"AMI-1 " "030102","ARIZONA HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","111 patients",,,"AMI-1 " "030102","ARIZONA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","280 patients",,,"SCIP-INF-2 " "030102","ARIZONA HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","216 patients",,,"HF-1 " "030102","ARIZONA HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1 ","1","PN-5C " "030102","ARIZONA HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "030102","ARIZONA HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","113 patients",,,"AMI-4 " "030102","ARIZONA HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030102","ARIZONA HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","9 patients","1 ","1","SCIP-VTE-2 " "030102","ARIZONA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","225 patients",,,"SCIP-INF-4 " "030102","ARIZONA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","252 patients",,,"SCIP-INF-3 " "030102","ARIZONA HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","369 patients",,,"AMI-5 " "030102","ARIZONA HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","89 patients",,,"AMI-3 " "030102","ARIZONA HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","14 patients","1 ","1","AMI-8A " "030102","ARIZONA HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","381 patients",,,"AMI-2 " "030102","ARIZONA HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","238 patients",,,"HF-2 " "030102","ARIZONA HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","18 patients","1 ","1","PN-2 " "030102","ARIZONA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","371 patients",,,"SCIP-INF-6 " "030102","ARIZONA HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "030102","ARIZONA HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","114 patients",,,"HF-3 " "030102","ARIZONA HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","9 patients","1 ","1","SCIP-VTE-1 " "030102","ARIZONA HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","19 patients","1 ","1","PN-7 " "030102","ARIZONA HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "030102","ARIZONA HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","76 patients",,,"SCIP-CARD-2 " "030102","ARIZONA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","267 patients",,,"SCIP-INF-1 " "030102","ARIZONA HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1 ","1","PN-6 " "030103","MAYO CLINIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","132 patients",,,"AMI-2 " "030103","MAYO CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","206 patients","2 ","2","SCIP-INF-4 " "030103","MAYO CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","513 patients","2 ","2","SCIP-VTE-1 " "030103","MAYO CLINIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","232 patients",,,"PN-2 " "030103","MAYO CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","820 patients","2 ","2","SCIP-INF-3 " "030103","MAYO CLINIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"AMI-3 " "030103","MAYO CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","890 patients","2 ","2","SCIP-INF-2 " "030103","MAYO CLINIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "030103","MAYO CLINIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","99 patients",,,"HF-3 " "030103","MAYO CLINIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","270 patients",,,"HF-2 " "030103","MAYO CLINIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "030103","MAYO CLINIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","AMI-4 " "030103","MAYO CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","513 patients","2 ","2","SCIP-VTE-2 " "030103","MAYO CLINIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","150 patients",,,"AMI-1 " "030103","MAYO CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","875 patients","2 ","2","SCIP-INF-1 " "030103","MAYO CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1376 patients","2 ","2","SCIP-INF-6 " "030103","MAYO CLINIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","185 patients",,,"PN-7 " "030103","MAYO CLINIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","31 patients",,,"AMI-8A " "030103","MAYO CLINIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","248 patients",,,"HF-1 " "030103","MAYO CLINIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","133 patients",,,"PN-6 " "030103","MAYO CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","166 patients","2 ","2","SCIP-CARD-2 " "030103","MAYO CLINIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","133 patients",,,"PN-3B " "030103","MAYO CLINIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030103","MAYO CLINIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","187 patients",,,"PN-5C " "030103","MAYO CLINIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","141 patients",,,"AMI-5 " "030105","BANNER HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "030105","BANNER HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","324 patients","2 ","2","SCIP-INF-6 " "030105","BANNER HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","179 patients","2 ","2","SCIP-INF-4 " "030105","BANNER HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030105","BANNER HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","296 patients","2 ","2","HF-2 " "030105","BANNER HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","21 patients","1 ","1","PN-2 " "030105","BANNER HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "030105","BANNER HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","260 patients","2 ","2","HF-1 " "030105","BANNER HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","157 patients","2 ","2","SCIP-INF-3 " "030105","BANNER HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","252 patients","2 ","2","AMI-5 " "030105","BANNER HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","89 patients","2 ","2","AMI-4 " "030105","BANNER HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,2 ","12","AMI-1 " "030105","BANNER HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","213 patients","2 ","2","SCIP-INF-2 " "030105","BANNER HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","HF-4 " "030105","BANNER HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "030105","BANNER HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","17 patients","1 ","1","PN-7 " "030105","BANNER HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","34 patients","2 ","2","SCIP-VTE-1 " "030105","BANNER HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients",,,"PN-5C " "030105","BANNER HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","49 patients","2 ","2","AMI-3 " "030105","BANNER HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","69 patients","2 ","2","SCIP-CARD-2 " "030105","BANNER HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","208 patients","2 ","2","SCIP-INF-1 " "030105","BANNER HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","34 patients","2 ","2","SCIP-VTE-2 " "030105","BANNER HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","256 patients","2 ","2","AMI-2 " "030105","BANNER HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "030105","BANNER HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","116 patients","2 ","2","HF-3 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","171 patients","2 ","2","SCIP-INF-3 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","69 patients","2 ","2","SCIP-VTE-1 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","69 patients","2 ","2","SCIP-VTE-2 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","173 patients","2 ","2","SCIP-INF-1 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","175 patients","2 ","2","SCIP-INF-2 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","23 patients","1,2 ","12","SCIP-CARD-2 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","220 patients","2 ","2","SCIP-INF-6 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "030107","ARIZONA SPINE AND JOINT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","16 patients","1 ","1","SCIP-CARD-2 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","103 patients","2 ","2","SCIP-INF-3 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","104 patients","2 ","2","SCIP-INF-2 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","140 patients","2 ","2","SCIP-INF-6 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","34 patients","2 ","2","SCIP-VTE-1 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","34 patients","2 ","2","SCIP-VTE-2 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","104 patients","2 ","2","SCIP-INF-1 " "030108","SURGICAL SPECIALTY HOSPITAL OF ARIZONA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "030110","WEST VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "030110","WEST VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "030110","WEST VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","105 patients",,,"PN-6 " "030110","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","64 patients","2 ","2","SCIP-CARD-2 " "030110","WEST VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","181 patients",,,"PN-5C " "030110","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","428 patients","2 ","2","SCIP-INF-2 " "030110","WEST VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"PN-4 " "030110","WEST VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","184 patients",,,"AMI-5 " "030110","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","573 patients","2 ","2","SCIP-INF-6 " "030110","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","181 patients","2 ","2","SCIP-VTE-1 " "030110","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","181 patients","2 ","2","SCIP-VTE-2 " "030110","WEST VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","180 patients",,,"AMI-2 " "030110","WEST VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","128 patients",,,"HF-1 " "030110","WEST VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","40 patients",,,"HF-3 " "030110","WEST VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","189 patients",,,"AMI-1 " "030110","WEST VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","159 patients",,,"PN-2 " "030110","WEST VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"AMI-3 " "030110","WEST VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","182 patients",,,"PN-3B " "030110","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","425 patients","2 ","2","SCIP-INF-1 " "030110","WEST VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030110","WEST VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","139 patients",,,"PN-7 " "030110","WEST VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","61%","33 patients",,,"AMI-8A " "030110","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","363 patients","2 ","2","SCIP-INF-3 " "030110","WEST VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","151 patients",,,"HF-2 " "030110","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","109 patients","2 ","2","SCIP-INF-4 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","92 patients",,,"SCIP-VTE-1 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","92 patients",,,"SCIP-VTE-2 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","85 patients",,,"SCIP-INF-3 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","21 patients","1 ","1","AMI-3 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","49%","73 patients","2 ","2","PN-7 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","30 patients",,,"HF-3 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","111 patients",,,"HF-2 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","79 patients","2 ","2","PN-3B " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","162 patients",,,"SCIP-INF-6 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","25 patients",,,"AMI-8A " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","16%","101 patients",,,"HF-1 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","70 patients","2 ","2","PN-2 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","20 patients","1 ","1","HF-4 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","86 patients",,,"SCIP-INF-1 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","99 patients",,,"AMI-2 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","122 patients",,,"AMI-1 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","68 patients","2 ","2","PN-6 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","89%","35 patients",,,"AMI-4 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","62 patients","2 ","2","PN-4 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","89 patients",,,"AMI-5 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","107 patients","2 ","2","PN-5C " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","33%","12 patients","1 ","1","SCIP-CARD-2 " "030111","UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","88 patients",,,"SCIP-INF-2 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","67 patients","2 ","2","SCIP-VTE-1 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","67 patients","2 ","2","SCIP-VTE-2 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","246 patients","2 ","2","SCIP-INF-6 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","22 patients","1,2 ","12","SCIP-CARD-2 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","196 patients","2 ","2","SCIP-INF-1 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","197 patients","2 ","2","SCIP-INF-2 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","196 patients","2 ","2","SCIP-INF-3 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "030112","ARIZONA ORTHOPEDIC SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "030114","ORO VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030114","ORO VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "030114","ORO VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","112 patients",,,"HF-1 " "030114","ORO VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","81 patients",,,"PN-6 " "030114","ORO VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","65 patients",,,"AMI-5 " "030114","ORO VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","75 patients",,,"AMI-2 " "030114","ORO VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "030114","ORO VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","25 patients",,,"AMI-8A " "030114","ORO VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","442 patients",,,"SCIP-INF-3 " "030114","ORO VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "030114","ORO VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","77 patients",,,"PN-7 " "030114","ORO VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","123 patients",,,"HF-2 " "030114","ORO VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","634 patients",,,"SCIP-INF-6 " "030114","ORO VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","106 patients",,,"PN-2 " "030114","ORO VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","455 patients",,,"SCIP-INF-1 " "030114","ORO VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","456 patients",,,"SCIP-INF-2 " "030114","ORO VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"HF-3 " "030114","ORO VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","92 patients",,,"PN-3B " "030114","ORO VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "030114","ORO VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "030114","ORO VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","81 patients",,,"SCIP-CARD-2 " "030114","ORO VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","214 patients",,,"SCIP-VTE-1 " "030114","ORO VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","90 patients",,,"AMI-1 " "030114","ORO VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","123 patients",,,"PN-5C " "030114","ORO VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","214 patients",,,"SCIP-VTE-2 " "030115","BANNER ESTRELLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","318 patients","2 ","2","SCIP-INF-2 " "030115","BANNER ESTRELLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","91 patients","2 ","2","SCIP-INF-4 " "030115","BANNER ESTRELLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","157 patients","2 ","2","SCIP-VTE-1 " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","81 patients","2 ","2","AMI-4 " "030115","BANNER ESTRELLA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","82 patients","2 ","2","PN-2 " "030115","BANNER ESTRELLA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","147 patients","2 ","2","PN-5C " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","231 patients","2 ","2","HF-1 " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","41 patients","2 ","2","AMI-8A " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","187 patients","2 ","2","AMI-5 " "030115","BANNER ESTRELLA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","84 patients","2 ","2","PN-7 " "030115","BANNER ESTRELLA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","104 patients","2 ","2","PN-6 " "030115","BANNER ESTRELLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","292 patients","2 ","2","SCIP-INF-3 " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients","2 ","2","AMI-3 " "030115","BANNER ESTRELLA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","133 patients","2 ","2","PN-3B " "030115","BANNER ESTRELLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","63 patients","2 ","2","SCIP-CARD-2 " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","92 patients","2 ","2","HF-3 " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","205 patients","2 ","2","AMI-2 " "030115","BANNER ESTRELLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","464 patients","2 ","2","SCIP-INF-6 " "030115","BANNER ESTRELLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","157 patients","2 ","2","SCIP-VTE-2 " "030115","BANNER ESTRELLA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients","2 ","2","PN-4 " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","242 patients","2 ","2","HF-2 " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients","2 ","2","HF-4 " "030115","BANNER ESTRELLA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","225 patients","2 ","2","AMI-1 " "030115","BANNER ESTRELLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","315 patients","2 ","2","SCIP-INF-1 " "030117","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","76 patients","2 ","2","SCIP-VTE-2 " "030117","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","53 patients",,,"PN-2 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","100 patients",,,"HF-1 " "030117","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","48 patients",,,"PN-7 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-7A " "030117","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","76 patients","2 ","2","SCIP-VTE-1 " "030117","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "030117","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","68 patients",,,"PN-5C " "030117","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","55 patients",,,"PN-6 " "030117","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","157 patients","2 ","2","SCIP-INF-1 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","79%","42 patients",,,"AMI-2 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "030117","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","156 patients","2 ","2","SCIP-INF-3 " "030117","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","25 patients","2 ","2","SCIP-CARD-2 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-8A " "030117","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"HF-3 " "030117","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","224 patients","2 ","2","SCIP-INF-6 " "030117","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","156 patients","2 ","2","SCIP-INF-2 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","AMI-3 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","105 patients",,,"HF-2 " "030117","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","42 patients",,,"AMI-5 " "030117","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","60 patients",,,"PN-3B " "030117","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","50 patients",,,"AMI-1 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","78 patients","2 ","2","SCIP-VTE-2 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","161 patients","2 ","2","SCIP-INF-3 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","57 patients",,,"HF-2 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","112 patients","2 ","2","PN-2 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","165 patients","2 ","2","SCIP-INF-2 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","50 patients",,,"HF-1 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","102 patients","2 ","2","PN-3B " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","234 patients","2 ","2","SCIP-INF-6 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","109 patients","2 ","2","PN-6 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","25 patients","2 ","2","SCIP-CARD-2 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","77 patients","2 ","2","PN-7 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","123 patients","2 ","2","PN-5C " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","78 patients","2 ","2","SCIP-VTE-1 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","163 patients","2 ","2","SCIP-INF-1 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients","2 ","2","PN-4 " "030118","YAVAPAI REGIONAL MEDICAL CENTER-EAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "030119","MERCY GILBERT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","73 patients","2 ","2","PN-7 " "030119","MERCY GILBERT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","PN-4 " "030119","MERCY GILBERT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","95 patients",,,"AMI-2 " "030119","MERCY GILBERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","253 patients","2 ","2","SCIP-INF-3 " "030119","MERCY GILBERT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","92 patients","2 ","2","PN-2 " "030119","MERCY GILBERT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","115 patients","2 ","2","PN-5C " "030119","MERCY GILBERT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "030119","MERCY GILBERT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "030119","MERCY GILBERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "030119","MERCY GILBERT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030119","MERCY GILBERT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","27 patients",,,"AMI-8A " "030119","MERCY GILBERT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","207 patients",,,"HF-2 " "030119","MERCY GILBERT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","76 patients",,,"HF-3 " "030119","MERCY GILBERT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","113 patients","2 ","2","PN-6 " "030119","MERCY GILBERT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "030119","MERCY GILBERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","208 patients","2 ","2","SCIP-VTE-2 " "030119","MERCY GILBERT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","126 patients","2 ","2","PN-3B " "030119","MERCY GILBERT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","195 patients",,,"HF-1 " "030119","MERCY GILBERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","208 patients","2 ","2","SCIP-VTE-1 " "030119","MERCY GILBERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","267 patients","2 ","2","SCIP-INF-1 " "030119","MERCY GILBERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","38 patients","2 ","2","SCIP-CARD-2 " "030119","MERCY GILBERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","423 patients","2 ","2","SCIP-INF-6 " "030119","MERCY GILBERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","267 patients","2 ","2","SCIP-INF-2 " "030119","MERCY GILBERT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","99 patients",,,"AMI-1 " "030119","MERCY GILBERT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","92 patients",,,"AMI-5 " "030120","GILBERT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","76 patients",,,"PN-2 " "030120","GILBERT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","68 patients",,,"PN-7 " "030120","GILBERT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "030120","GILBERT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "030120","GILBERT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "030120","GILBERT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "030120","GILBERT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "030120","GILBERT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","83 patients","2 ","2","HF-1 " "030120","GILBERT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "030120","GILBERT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","47 patients",,,"PN-4 " "030120","GILBERT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "030120","GILBERT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","108 patients",,,"PN-6 " "030120","GILBERT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "030120","GILBERT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "030120","GILBERT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "030120","GILBERT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","87 patients","2 ","2","HF-2 " "030120","GILBERT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "030120","GILBERT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","HF-4 " "030120","GILBERT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "030120","GILBERT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","109 patients",,,"PN-5C " "030120","GILBERT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "030120","GILBERT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "030120","GILBERT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1,2 ","12","HF-3 " "030120","GILBERT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","56 patients",,,"PN-3B " "030120","GILBERT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","32 patients",,,"AMI-8A " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","95 patients","2 ","2","SCIP-VTE-1 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","236 patients","2 ","2","SCIP-INF-3 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","64 patients","2 ","2","SCIP-CARD-2 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","407 patients","2 ","2","SCIP-INF-6 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","269 patients","2 ","2","HF-2 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","142 patients","2 ","2","PN-5C " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"AMI-3 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","120 patients","2 ","2","PN-7 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","95 patients","2 ","2","SCIP-VTE-2 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","148 patients",,,"AMI-1 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","48 patients",,,"AMI-4 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","139 patients","2 ","2","PN-2 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","133 patients","2 ","2","PN-3B " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","49 patients","2 ","2","HF-4 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","268 patients","2 ","2","SCIP-INF-1 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","62 patients","2 ","2","PN-4 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","105 patients","2 ","2","PN-6 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","269 patients","2 ","2","SCIP-INF-2 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","73 patients","2 ","2","SCIP-INF-4 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","72 patients","2 ","2","HF-3 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","141 patients",,,"AMI-2 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","239 patients","2 ","2","HF-1 " "030121","MOUNTAIN VISTA MEDICAL CENTER, LP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","138 patients",,,"AMI-5 " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "030122","BANNER GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","194 patients","2 ","2","SCIP-INF-3 " "030122","BANNER GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","206 patients","2 ","2","SCIP-INF-1 " "030122","BANNER GATEWAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","104 patients","2 ","2","PN-2 " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030122","BANNER GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","207 patients","2 ","2","SCIP-INF-2 " "030122","BANNER GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","25 patients","2 ","2","SCIP-CARD-2 " "030122","BANNER GATEWAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","113 patients","2 ","2","PN-3B " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","155 patients",,,"HF-1 " "030122","BANNER GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030122","BANNER GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","185 patients","2 ","2","SCIP-VTE-2 " "030122","BANNER GATEWAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","77 patients","2 ","2","PN-6 " "030122","BANNER GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","185 patients","2 ","2","SCIP-VTE-1 " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1 ","1","AMI-1 " "030122","BANNER GATEWAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","52 patients","2 ","2","PN-5C " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "030122","BANNER GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","353 patients","2 ","2","SCIP-INF-6 " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "030122","BANNER GATEWAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","80 patients","2 ","2","PN-7 " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "030122","BANNER GATEWAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","PN-4 " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","190 patients",,,"HF-2 " "030122","BANNER GATEWAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","47 patients",,,"HF-3 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","58 patients",,,"HF-1 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","285 patients","2 ","2","SCIP-INF-3 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","57 patients",,,"PN-7 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","313 patients","2 ","2","SCIP-INF-2 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","63 patients",,,"HF-2 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","201 patients","2 ","2","SCIP-VTE-1 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","201 patients","2 ","2","SCIP-VTE-2 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","87 patients",,,"PN-5C " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","83 patients",,,"PN-2 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","95 patients",,,"PN-3B " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","314 patients","2 ","2","SCIP-INF-1 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","52 patients","2 ","2","SCIP-CARD-2 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","69 patients",,,"PN-6 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","450 patients","2 ","2","SCIP-INF-6 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "030123","SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1,3 ","13","AMI-5 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1,3 ","13","AMI-2 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","13 patients","1,3 ","13","PN-2 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1,3 ","13","AMI-8A " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1,3 ","13","HF-1 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,3 ","13","AMI-3 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1,3 ","13","SCIP-CARD-2 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","10 patients","1,3 ","13","HF-2 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1,3 ","13","AMI-1 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1,3 ","13","HF-3 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "030126","ARIZONA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","18 patients","1,3 ","13","PN-5C " "030126","ARIZONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","10 patients","1,3 ","13","PN-6 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","3 patients","1,3 ","13","SCIP-INF-3 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1,3 ","13","SCIP-INF-6 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1,3 ","13","PN-4 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","16 patients","1,3 ","13","PN-3B " "030126","ARIZONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-2 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-1 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "030126","ARIZONA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "03012F","PHOENIX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","174 patients",,,"SCIP-INF-1 " "03012F","PHOENIX VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,,,"HF-1 " "03012F","PHOENIX VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","135 patients",,,"PN-2 " "03012F","PHOENIX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","160 patients","2 ","2","SCIP-VTE-2 " "03012F","PHOENIX VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","90 patients",,,"HF-3 " "03012F","PHOENIX VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "03012F","PHOENIX VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","AMI-3 " "03012F","PHOENIX VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","53 patients",,,"AMI-5 " "03012F","PHOENIX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","165 patients",,,"SCIP-INF-3 " "03012F","PHOENIX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","269 patients","2 ","2","SCIP-INF-6 " "03012F","PHOENIX VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","211 patients",,,"HF-2 " "03012F","PHOENIX VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","72 patients",,,"PN-6 " "03012F","PHOENIX VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","65 patients",,,"AMI-1 " "03012F","PHOENIX VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","22 patients","1 ","1","HF-4 " "03012F","PHOENIX VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","91 patients",,,"PN-5C " "03012F","PHOENIX VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "03012F","PHOENIX VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "03012F","PHOENIX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","90 patients","2 ","2","SCIP-CARD-2 " "03012F","PHOENIX VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","54 patients",,,"AMI-2 " "03012F","PHOENIX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","165 patients","2 ","2","SCIP-VTE-1 " "03012F","PHOENIX VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","53 patients",,,"PN-4 " "03012F","PHOENIX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "03012F","PHOENIX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","171 patients",,,"SCIP-INF-2 " "03012F","PHOENIX VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","110 patients",,,"PN-3B " "03012F","PHOENIX VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","121 patients",,,"PN-7 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","402 patients",,,"SCIP-INF-3 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-8A " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","134 patients","2 ","2","SCIP-INF-4 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","414 patients",,,"SCIP-INF-2 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","44 patients",,,"PN-4 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","105 patients",,,"PN-7 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","80 patients",,,"PN-6 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","279 patients","2 ","2","SCIP-CARD-2 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","183 patients",,,"PN-3B " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","259 patients","2 ","2","SCIP-VTE-2 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","63 patients",,,"AMI-1 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","415 patients",,,"SCIP-INF-1 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","49 patients",,,"AMI-5 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","216 patients",,,"HF-2 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","535 patients","2 ","2","SCIP-INF-6 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","166 patients",,,"PN-5C " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","150 patients",,,"PN-2 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","259 patients","2 ","2","SCIP-VTE-1 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","205 patients",,,"HF-1 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","88 patients",,,"HF-3 " "03013F","VA S. ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","59 patients",,,"AMI-2 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","31 patients",,,"PN-6 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","26 patients",,,"PN-3B " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","45 patients",,,"PN-7 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","51 patients",,,"PN-5C " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","34 patients",,,"HF-2 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","36 patients",,,"HF-1 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","58 patients",,,"PN-2 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "03033F","VA NORTHERN ARIZONA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","HF-4 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "031300","WICKENBURG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "031300","WICKENBURG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031300","WICKENBURG COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","21 patients","1 ","1","PN-7 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "031300","WICKENBURG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "031300","WICKENBURG COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","38%","8 patients","1 ","1","PN-4 " "031300","WICKENBURG COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","37 patients",,,"PN-6 " "031300","WICKENBURG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031300","WICKENBURG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","17 patients","1 ","1","HF-1 " "031300","WICKENBURG COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","16 patients","1 ","1","PN-3B " "031300","WICKENBURG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "031300","WICKENBURG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "031300","WICKENBURG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","29%","17 patients","1 ","1","HF-2 " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "031300","WICKENBURG COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","19%","31 patients",,,"PN-2 " "031300","WICKENBURG COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1 ","1","PN-5C " "031300","WICKENBURG COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "031301","BENSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "031301","BENSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "031301","BENSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "031301","BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "031301","BENSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031301","BENSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "031301","BENSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "031301","BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "031301","BENSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "031301","BENSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "031301","BENSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "031301","BENSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "031301","BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "031301","BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031301","BENSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "031301","BENSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "031301","BENSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "031301","BENSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "031301","BENSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "031301","BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "031301","BENSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "031301","BENSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "031301","BENSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "031301","BENSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "031301","BENSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","17 patients","1 ","1","PN-3B " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","16 patients","1 ","1","PN-7 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","14%","7 patients","1,3 ","13","HF-1 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","30%","10 patients","1,3 ","13","HF-2 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","17 patients","1 ","1","PN-6 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","5 patients","1 ","1","PN-5C " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","25 patients",,,"PN-2 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031302","NORTHERN COCHISE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1,3 ","13","PN-5C " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1,3 ","13","PN-3B " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","3 patients","1,3 ","13","PN-2 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","4 patients","1,3 ","13","PN-7 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1,3 ","13","PN-6 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,3 ","13","PN-4 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031303","SOUTHEAST ARIZONA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "031304","PAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","13 patients","1 ","1","PN-2 " "031304","PAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "031304","PAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","8 patients","1 ","1","HF-2 " "031304","PAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1 ","1","PN-7 " "031304","PAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "031304","PAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","21 patients","1 ","1","PN-3B " "031304","PAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "031304","PAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1,3 ","13","SCIP-VTE-1 " "031304","PAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "031304","PAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "031304","PAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "031304","PAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1 ","1","HF-1 " "031304","PAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "031304","PAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,3 ","13","SCIP-INF-3 " "031304","PAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","23 patients","1 ","1","PN-5C " "031304","PAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-1 " "031304","PAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031304","PAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "031304","PAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "031304","PAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "031304","PAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "031304","PAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","10 patients","1,3 ","13","SCIP-INF-6 " "031304","PAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-2 " "031304","PAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "031304","PAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1,3 ","13","SCIP-VTE-2 " "031305","HOPI HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "031305","HOPI HEALTH CARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "031305","HOPI HEALTH CARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","8 patients","1,3 ","13","HF-2 " "031305","HOPI HEALTH CARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","8 patients","1,3 ","13","HF-1 " "031305","HOPI HEALTH CARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","14 patients","1 ","1","PN-7 " "031305","HOPI HEALTH CARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "031305","HOPI HEALTH CARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","18 patients","1 ","1","PN-2 " "031305","HOPI HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031305","HOPI HEALTH CARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "031305","HOPI HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "031305","HOPI HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "031305","HOPI HEALTH CARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","17 patients","1 ","1","PN-3B " "031305","HOPI HEALTH CARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","38%","16 patients","1 ","1","PN-6 " "031305","HOPI HEALTH CARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "031305","HOPI HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "031305","HOPI HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "031305","HOPI HEALTH CARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "031305","HOPI HEALTH CARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "031305","HOPI HEALTH CARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "031305","HOPI HEALTH CARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "031305","HOPI HEALTH CARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "031305","HOPI HEALTH CARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "031305","HOPI HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031305","HOPI HEALTH CARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","24 patients","1 ","1","PN-5C " "031305","HOPI HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "031309","SAGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "031309","SAGE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","24 patients","1 ","1","PN-5C " "031309","SAGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031309","SAGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "031309","SAGE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "031309","SAGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "031309","SAGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031309","SAGE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","15 patients","1 ","1","PN-7 " "031309","SAGE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "031309","SAGE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "031309","SAGE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "031309","SAGE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "031309","SAGE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "031309","SAGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "031309","SAGE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients",,,"PN-3B " "031309","SAGE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "031309","SAGE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "031309","SAGE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "031309","SAGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "031309","SAGE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "031309","SAGE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "031309","SAGE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","25 patients",,,"PN-2 " "031309","SAGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "031309","SAGE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "031309","SAGE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","28 patients",,,"PN-6 " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "031311","LITTLE COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "031311","LITTLE COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "031311","LITTLE COLORADO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","22%","9 patients","1,3 ","13","PN-2 " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "031311","LITTLE COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031311","LITTLE COLORADO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,3 ","13","PN-4 " "031311","LITTLE COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "031311","LITTLE COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "031311","LITTLE COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "031311","LITTLE COLORADO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "031311","LITTLE COLORADO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","62%","13 patients","1,3 ","13","PN-3B " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "031311","LITTLE COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "031311","LITTLE COLORADO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","10 patients","1,3 ","13","PN-6 " "031311","LITTLE COLORADO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","25%","12 patients","1,3 ","13","PN-7 " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "031311","LITTLE COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "031311","LITTLE COLORADO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","4 patients","1,2,3 ","123","HF-2 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","9 patients","1 ","1","PN-2 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","16 patients","1 ","1","PN-3B " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1 ","1","PN-6 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","15 patients","1 ","1","PN-5C " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1,2,3 ","123","HF-1 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2,3 ","123","HF-3 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "031312","COPPER QUEEN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1 ","1","PN-7 " "031313","CARONDELET HOLY CROSS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "031313","CARONDELET HOLY CROSS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","20 patients","1 ","1","PN-2 " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "031313","CARONDELET HOLY CROSS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","17 patients","1 ","1","PN-7 " "031313","CARONDELET HOLY CROSS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1 ","1","PN-6 " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "031313","CARONDELET HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","15 patients","1,2 ","12","SCIP-VTE-1 " "031313","CARONDELET HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,2 ","12","SCIP-INF-3 " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "031313","CARONDELET HOLY CROSS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","6 patients","1 ","1","PN-3B " "031313","CARONDELET HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","58 patients","2 ","2","SCIP-INF-6 " "031313","CARONDELET HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031313","CARONDELET HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "031313","CARONDELET HOLY CROSS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","21 patients","1 ","1","PN-5C " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","30%","10 patients","1 ","1","HF-2 " "031313","CARONDELET HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1,2 ","12","SCIP-INF-1 " "031313","CARONDELET HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","15 patients","1,2 ","12","SCIP-VTE-2 " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","10 patients","1 ","1","HF-1 " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "031313","CARONDELET HOLY CROSS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "031313","CARONDELET HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","38 patients","2 ","2","SCIP-INF-2 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","18 patients","1,3 ","13","PN-6 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","31 patients","3 ","3","SCIP-VTE-1 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1,3 ","13","HF-4 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,3 ","13","PN-4 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","31 patients","3 ","3","SCIP-VTE-2 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","24 patients","1,3 ","13","SCIP-INF-2 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","21 patients","1 ","1","PN-7 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","30 patients","3 ","3","PN-2 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","54 patients","3 ","3","HF-2 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients","3 ","3","PN-5C " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","40 patients","3 ","3","HF-1 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","41 patients","3 ","3","SCIP-INF-6 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1,3 ","13","SCIP-CARD-2 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1,3 ","13","AMI-1 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","62%","13 patients","1,3 ","13","PN-3B " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","23 patients","1,3 ","13","SCIP-INF-3 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","10 patients","1,3 ","13","HF-3 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "031314","COBRE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","44%","25 patients","3 ","3","SCIP-INF-1 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "031315","WHITE MOUNTAIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "033302","PHOENIX CHILDREN'S HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","82%","327 patients","2 ","2","CAC-3 " "033302","PHOENIX CHILDREN'S HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","328 patients","2 ","2","CAC-2 " "033302","PHOENIX CHILDREN'S HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","329 patients","2 ","2","CAC-1 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","50 patients","2 ","2","SCIP-INF-3 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","42 patients","2 ","2","SCIP-VTE-1 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","50 patients","2 ","2","SCIP-INF-2 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","53 patients",,,"PN-3B " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","51 patients",,,"HF-2 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","51 patients","2 ","2","SCIP-INF-1 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","54 patients",,,"PN-2 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1 ","1","SCIP-CARD-2 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","49 patients",,,"PN-6 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1 ","1","AMI-5 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","79 patients","2 ","2","SCIP-INF-6 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","16 patients","1 ","1","HF-3 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","40 patients","2 ","2","SCIP-VTE-2 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","76 patients",,,"PN-5C " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","32 patients",,,"PN-7 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "040001","SILOAM SPRINGS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","40 patients",,,"HF-1 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","19 patients","1 ","1","AMI-2 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","52 patients",,,"HF-1 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040002","JOHNSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","53 patients",,,"SCIP-INF-1 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","57 patients",,,"HF-2 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","70%","27 patients",,,"AMI-1 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","13 patients","1 ","1","SCIP-CARD-2 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","89 patients",,,"PN-6 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","109 patients",,,"PN-5C " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"PN-4 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","53 patients",,,"SCIP-VTE-1 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","92 patients",,,"PN-3B " "040002","JOHNSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","86 patients",,,"SCIP-INF-6 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","100 patients",,,"PN-2 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","53 patients",,,"SCIP-VTE-2 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","73 patients",,,"PN-7 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","53 patients",,,"SCIP-INF-2 " "040002","JOHNSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","47 patients",,,"SCIP-INF-3 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","91 patients","2 ","2","PN-7 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","698 patients","2 ","2","SCIP-INF-2 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","107 patients","2 ","2","PN-6 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","132 patients","2 ","2","PN-2 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","131 patients","2 ","2","AMI-4 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","293 patients","2 ","2","SCIP-VTE-2 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","55 patients","2 ","2","HF-4 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","263 patients","2 ","2","HF-2 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","647 patients","2 ","2","SCIP-INF-3 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","293 patients","2 ","2","SCIP-VTE-1 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","167 patients","2 ","2","PN-5C " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","177 patients","2 ","2","SCIP-INF-4 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","681 patients","2 ","2","SCIP-INF-1 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","297 patients","2 ","2","AMI-2 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","218 patients","2 ","2","HF-1 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","87 patients","2 ","2","PN-4 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","46 patients","2 ","2","AMI-8A " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","80 patients","2 ","2","AMI-3 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","293 patients","2 ","2","AMI-5 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","141 patients","2 ","2","PN-3B " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","135 patients","2 ","2","HF-3 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","148 patients","2 ","2","AMI-1 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","906 patients","2 ","2","SCIP-INF-6 " "040004","WASHINGTON REGIONAL MED CTR AT NO HILLS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","136 patients","2 ","2","SCIP-CARD-2 " "040007","ST VINCENT INFIRMARY MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","204 patients",,,"PN-3B " "040007","ST VINCENT INFIRMARY MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","126 patients",,,"PN-4 " "040007","ST VINCENT INFIRMARY MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","221 patients",,,"HF-3 " "040007","ST VINCENT INFIRMARY MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","664 patients","2 ","2","SCIP-INF-6 " "040007","ST VINCENT INFIRMARY MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","44%","32 patients",,,"AMI-8A " "040007","ST VINCENT INFIRMARY MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040007","ST VINCENT INFIRMARY MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","473 patients","2 ","2","SCIP-INF-2 " "040007","ST VINCENT INFIRMARY MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","147 patients","2 ","2","SCIP-INF-4 " "040007","ST VINCENT INFIRMARY MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","419 patients",,,"HF-1 " "040007","ST VINCENT INFIRMARY MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","100 patients","2 ","2","SCIP-CARD-2 " "040007","ST VINCENT INFIRMARY MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","510 patients",,,"HF-2 " "040007","ST VINCENT INFIRMARY MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","223 patients","2 ","2","SCIP-VTE-2 " "040007","ST VINCENT INFIRMARY MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","116 patients",,,"AMI-1 " "040007","ST VINCENT INFIRMARY MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"AMI-3 " "040007","ST VINCENT INFIRMARY MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","170 patients",,,"PN-6 " "040007","ST VINCENT INFIRMARY MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","156 patients",,,"PN-7 " "040007","ST VINCENT INFIRMARY MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","461 patients","2 ","2","SCIP-INF-1 " "040007","ST VINCENT INFIRMARY MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","421 patients","2 ","2","SCIP-INF-3 " "040007","ST VINCENT INFIRMARY MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","248 patients",,,"PN-5C " "040007","ST VINCENT INFIRMARY MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","145 patients",,,"AMI-5 " "040007","ST VINCENT INFIRMARY MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","223 patients","2 ","2","SCIP-VTE-1 " "040007","ST VINCENT INFIRMARY MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"AMI-4 " "040007","ST VINCENT INFIRMARY MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","161 patients",,,"AMI-2 " "040007","ST VINCENT INFIRMARY MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","221 patients",,,"PN-2 " "040007","ST VINCENT INFIRMARY MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"HF-4 " "040010","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","335 patients","2 ","2","SCIP-INF-1 " "040010","MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","129 patients",,,"PN-5C " "040010","MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","165 patients",,,"AMI-5 " "040010","MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","165 patients",,,"PN-3B " "040010","MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","50 patients",,,"AMI-4 " "040010","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","231 patients","2 ","2","SCIP-VTE-1 " "040010","MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"HF-4 " "040010","MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","20 patients","1 ","1","AMI-8A " "040010","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","65 patients","2 ","2","SCIP-CARD-2 " "040010","MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","176 patients",,,"HF-1 " "040010","MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","123 patients",,,"PN-7 " "040010","MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","111 patients",,,"PN-6 " "040010","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","96 patients","2 ","2","SCIP-INF-4 " "040010","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","231 patients","2 ","2","SCIP-VTE-2 " "040010","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","313 patients","2 ","2","SCIP-INF-3 " "040010","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","332 patients","2 ","2","SCIP-INF-2 " "040010","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","489 patients","2 ","2","SCIP-INF-6 " "040010","MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"AMI-3 " "040010","MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040010","MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","57 patients",,,"HF-3 " "040010","MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","216 patients",,,"HF-2 " "040010","MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","167 patients",,,"AMI-2 " "040010","MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","166 patients",,,"PN-2 " "040010","MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "040010","MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","167 patients",,,"AMI-1 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","28%","54 patients",,,"PN-2 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","47%","17 patients","1 ","1","SCIP-INF-2 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","17 patients","1 ","1","SCIP-VTE-1 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","79%","28 patients",,,"SCIP-INF-6 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","14 patients","1 ","1","SCIP-VTE-2 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","32%","38 patients",,,"PN-7 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","17%","47 patients",,,"HF-1 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1 ","1","AMI-5 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","17 patients","1 ","1","SCIP-INF-1 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","51 patients",,,"PN-6 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","HF-4 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","38%","68 patients",,,"HF-2 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","17 patients","1 ","1","SCIP-INF-3 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","60 patients",,,"PN-5C " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","36%","25 patients",,,"PN-4 " "040011","JOHN ED CHAMBERS MEM HOSP, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "040014","WHITE COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","162 patients",,,"AMI-2 " "040014","WHITE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","210 patients","2 ","2","SCIP-VTE-2 " "040014","WHITE COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","51 patients",,,"AMI-3 " "040014","WHITE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","65 patients","2 ","2","SCIP-INF-4 " "040014","WHITE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","437 patients","2 ","2","SCIP-INF-2 " "040014","WHITE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","211 patients","2 ","2","SCIP-VTE-1 " "040014","WHITE COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","85 patients","2 ","2","HF-4 " "040014","WHITE COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","440 patients","2 ","2","HF-2 " "040014","WHITE COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","300 patients","2 ","2","PN-3B " "040014","WHITE COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","176 patients",,,"AMI-1 " "040014","WHITE COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","66 patients",,,"AMI-4 " "040014","WHITE COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","281 patients","2 ","2","PN-7 " "040014","WHITE COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","105 patients","2 ","2","HF-3 " "040014","WHITE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","611 patients","2 ","2","SCIP-INF-6 " "040014","WHITE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","414 patients","2 ","2","SCIP-INF-3 " "040014","WHITE COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","302 patients","2 ","2","PN-6 " "040014","WHITE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","78 patients","2 ","2","SCIP-CARD-2 " "040014","WHITE COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","418 patients","2 ","2","PN-2 " "040014","WHITE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","435 patients","2 ","2","SCIP-INF-1 " "040014","WHITE COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040014","WHITE COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","409 patients","2 ","2","PN-5C " "040014","WHITE COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","180 patients",,,"AMI-5 " "040014","WHITE COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","334 patients","2 ","2","HF-1 " "040014","WHITE COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","163 patients","2 ","2","PN-4 " "040014","WHITE COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","42 patients",,,"AMI-8A " "040015","MENA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040015","MENA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","10 patients","1,2 ","12","SCIP-VTE-2 " "040015","MENA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040015","MENA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "040015","MENA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","27 patients",,,"PN-7 " "040015","MENA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "040015","MENA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","44 patients",,,"PN-3B " "040015","MENA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","33 patients",,,"HF-1 " "040015","MENA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","10 patients","1,2 ","12","SCIP-VTE-1 " "040015","MENA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","25 patients","2 ","2","SCIP-INF-2 " "040015","MENA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "040015","MENA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","40 patients",,,"PN-2 " "040015","MENA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "040015","MENA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "040015","MENA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","43 patients",,,"PN-6 " "040015","MENA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","28 patients","2 ","2","SCIP-INF-6 " "040015","MENA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","46 patients",,,"HF-2 " "040015","MENA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","48 patients",,,"PN-5C " "040015","MENA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","PN-4 " "040015","MENA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","25 patients","2 ","2","SCIP-INF-1 " "040015","MENA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040015","MENA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","81%","16 patients","1 ","1","AMI-1 " "040015","MENA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "040015","MENA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","25 patients","2 ","2","SCIP-INF-3 " "040015","MENA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "040016","UAMS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","109 patients","2 ","2","AMI-1 " "040016","UAMS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","41%","73 patients","2 ","2","PN-7 " "040016","UAMS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","284 patients","2 ","2","HF-2 " "040016","UAMS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","328 patients","2 ","2","SCIP-INF-3 " "040016","UAMS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","102 patients","2 ","2","AMI-5 " "040016","UAMS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","256 patients","2 ","2","HF-1 " "040016","UAMS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","244 patients","2 ","2","SCIP-VTE-1 " "040016","UAMS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","375 patients","2 ","2","SCIP-INF-2 " "040016","UAMS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","581 patients","2 ","2","SCIP-INF-6 " "040016","UAMS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","26 patients","2 ","2","AMI-3 " "040016","UAMS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "040016","UAMS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","103 patients","2 ","2","HF-4 " "040016","UAMS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","100 patients","2 ","2","SCIP-CARD-2 " "040016","UAMS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","54 patients","2 ","2","PN-6 " "040016","UAMS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","36%","25 patients","2 ","2","AMI-8A " "040016","UAMS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","AMI-4 " "040016","UAMS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","61 patients","2 ","2","PN-2 " "040016","UAMS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","128 patients","2 ","2","SCIP-INF-4 " "040016","UAMS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","102 patients","2 ","2","PN-5C " "040016","UAMS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","66%","107 patients","2 ","2","PN-3B " "040016","UAMS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","110 patients","2 ","2","AMI-2 " "040016","UAMS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","243 patients","2 ","2","SCIP-VTE-2 " "040016","UAMS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","79 patients","2 ","2","PN-4 " "040016","UAMS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","335 patients","2 ","2","SCIP-INF-1 " "040016","UAMS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","133 patients","2 ","2","HF-3 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040017","NORTH ARKANSAS REGIONAL MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","129 patients","2 ","2","PN-2 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","98 patients",,,"HF-2 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","137 patients","2 ","2","PN-5C " "040017","NORTH ARKANSAS REGIONAL MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","118 patients","2 ","2","SCIP-VTE-2 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1 ","1","AMI-1 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","72 patients",,,"HF-1 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","121 patients","2 ","2","SCIP-INF-3 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","91 patients","2 ","2","PN-7 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","12 patients","1 ","1","AMI-5 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","22 patients","1,2 ","12","SCIP-CARD-2 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","123 patients","2 ","2","SCIP-INF-1 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","195 patients","2 ","2","SCIP-INF-6 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","55 patients","2 ","2","PN-4 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","24 patients","1 ","1","HF-3 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","107 patients","2 ","2","PN-6 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","12 patients","1 ","1","AMI-2 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","118 patients","2 ","2","SCIP-VTE-1 " "040017","NORTH ARKANSAS REGIONAL MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","112 patients","2 ","2","PN-3B " "040017","NORTH ARKANSAS REGIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","121 patients","2 ","2","SCIP-INF-2 " "040018","SUMMIT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","87 patients",,,"PN-2 " "040018","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","149 patients",,,"SCIP-INF-1 " "040018","SUMMIT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040018","SUMMIT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "040018","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","168 patients",,,"SCIP-INF-6 " "040018","SUMMIT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "040018","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","65 patients",,,"SCIP-VTE-2 " "040018","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","147 patients",,,"SCIP-INF-3 " "040018","SUMMIT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","64 patients",,,"HF-1 " "040018","SUMMIT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "040018","SUMMIT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","128 patients",,,"PN-3B " "040018","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","30 patients",,,"SCIP-CARD-2 " "040018","SUMMIT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "040018","SUMMIT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","24 patients","1 ","1","AMI-1 " "040018","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","149 patients",,,"SCIP-INF-2 " "040018","SUMMIT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","82 patients",,,"HF-2 " "040018","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","67 patients",,,"SCIP-VTE-1 " "040018","SUMMIT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "040018","SUMMIT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "040018","SUMMIT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","100 patients",,,"PN-6 " "040018","SUMMIT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","78 patients",,,"PN-7 " "040018","SUMMIT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","38 patients",,,"HF-3 " "040018","SUMMIT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","131 patients",,,"PN-5C " "040018","SUMMIT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-7A " "040018","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "040019","FORREST CITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","80 patients",,,"HF-1 " "040019","FORREST CITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","84 patients",,,"HF-2 " "040019","FORREST CITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "040019","FORREST CITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","58 patients",,,"PN-2 " "040019","FORREST CITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "040019","FORREST CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","66 patients","2 ","2","SCIP-INF-2 " "040019","FORREST CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","30 patients","2 ","2","SCIP-VTE-2 " "040019","FORREST CITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "040019","FORREST CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","86 patients","2 ","2","SCIP-INF-6 " "040019","FORREST CITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "040019","FORREST CITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "040019","FORREST CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","30 patients","2 ","2","SCIP-VTE-1 " "040019","FORREST CITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","56 patients",,,"PN-3B " "040019","FORREST CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040019","FORREST CITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "040019","FORREST CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","66 patients","2 ","2","SCIP-INF-1 " "040019","FORREST CITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","50 patients",,,"PN-6 " "040019","FORREST CITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","49 patients",,,"PN-7 " "040019","FORREST CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","66 patients","2 ","2","SCIP-INF-3 " "040019","FORREST CITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040019","FORREST CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1,2 ","12","SCIP-CARD-2 " "040019","FORREST CITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040019","FORREST CITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","75 patients",,,"PN-5C " "040019","FORREST CITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1 ","1","AMI-1 " "040019","FORREST CITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "040020","ST BERNARDS MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","296 patients","2 ","2","PN-5C " "040020","ST BERNARDS MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","213 patients","2 ","2","PN-3B " "040020","ST BERNARDS MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","198 patients","2 ","2","HF-3 " "040020","ST BERNARDS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","898 patients","2 ","2","SCIP-INF-6 " "040020","ST BERNARDS MEDICAL CTR","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","19 patients","1 ","1","CAC-1 " "040020","ST BERNARDS MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","53 patients",,,"AMI-8A " "040020","ST BERNARDS MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","326 patients","2 ","2","PN-2 " "040020","ST BERNARDS MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","89 patients",,,"AMI-3 " "040020","ST BERNARDS MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","304 patients","2 ","2","SCIP-VTE-2 " "040020","ST BERNARDS MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","357 patients",,,"AMI-5 " "040020","ST BERNARDS MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","211 patients",,,"AMI-1 " "040020","ST BERNARDS MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","211 patients","2 ","2","PN-6 " "040020","ST BERNARDS MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","267 patients","2 ","2","PN-7 " "040020","ST BERNARDS MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","390 patients",,,"AMI-2 " "040020","ST BERNARDS MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","345 patients","2 ","2","HF-1 " "040020","ST BERNARDS MEDICAL CTR","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","68%","19 patients","1 ","1","CAC-3 " "040020","ST BERNARDS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","653 patients","2 ","2","SCIP-INF-3 " "040020","ST BERNARDS MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","82 patients","2 ","2","HF-4 " "040020","ST BERNARDS MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","405 patients","2 ","2","HF-2 " "040020","ST BERNARDS MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","185 patients",,,"AMI-4 " "040020","ST BERNARDS MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","307 patients","2 ","2","SCIP-VTE-1 " "040020","ST BERNARDS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","686 patients","2 ","2","SCIP-INF-2 " "040020","ST BERNARDS MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","184 patients","2 ","2","PN-4 " "040020","ST BERNARDS MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","81 patients","2 ","2","SCIP-CARD-2 " "040020","ST BERNARDS MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040020","ST BERNARDS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","679 patients","2 ","2","SCIP-INF-1 " "040020","ST BERNARDS MEDICAL CTR","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","19 patients","1 ","1","CAC-2 " "040020","ST BERNARDS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","177 patients","2 ","2","SCIP-INF-4 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","320 patients",,,"HF-1 " "040022","NW ARKANSAS HOSPITALS, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","438 patients",,,"SCIP-VTE-1 " "040022","NW ARKANSAS HOSPITALS, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","233 patients",,,"PN-3B " "040022","NW ARKANSAS HOSPITALS, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","224 patients",,,"PN-6 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","201 patients",,,"AMI-5 " "040022","NW ARKANSAS HOSPITALS, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","115 patients",,,"PN-4 " "040022","NW ARKANSAS HOSPITALS, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","201 patients",,,"SCIP-INF-4 " "040022","NW ARKANSAS HOSPITALS, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","223 patients",,,"PN-2 " "040022","NW ARKANSAS HOSPITALS, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","437 patients",,,"SCIP-VTE-2 " "040022","NW ARKANSAS HOSPITALS, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","128 patients",,,"SCIP-CARD-2 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients",,,"AMI-3 " "040022","NW ARKANSAS HOSPITALS, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","610 patients",,,"SCIP-INF-3 " "040022","NW ARKANSAS HOSPITALS, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","637 patients",,,"SCIP-INF-1 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","103 patients",,,"AMI-4 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","400 patients",,,"HF-2 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","75 patients",,,"HF-4 " "040022","NW ARKANSAS HOSPITALS, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","270 patients",,,"PN-5C " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","221 patients",,,"AMI-1 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","216 patients",,,"AMI-2 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","51 patients",,,"AMI-8A " "040022","NW ARKANSAS HOSPITALS, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","650 patients",,,"SCIP-INF-2 " "040022","NW ARKANSAS HOSPITALS, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","172 patients",,,"PN-7 " "040022","NW ARKANSAS HOSPITALS, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1030 patients",,,"SCIP-INF-6 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","124 patients",,,"HF-3 " "040022","NW ARKANSAS HOSPITALS, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","373 patients","2 ","2","SCIP-INF-2 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","274 patients",,,"HF-2 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","324 patients",,,"PN-3B " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"AMI-4 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","144 patients",,,"AMI-5 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","235 patients",,,"HF-1 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","455 patients",,,"PN-5C " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","107 patients","2 ","2","SCIP-INF-4 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","320 patients","2 ","2","SCIP-INF-3 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","116 patients",,,"HF-3 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","43%","21 patients","1 ","1","AMI-8A " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","247 patients","2 ","2","SCIP-VTE-2 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","269 patients",,,"PN-6 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"AMI-3 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","156 patients",,,"AMI-1 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","171 patients",,,"PN-4 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","581 patients","2 ","2","SCIP-INF-6 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","167 patients",,,"AMI-2 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","369 patients","2 ","2","SCIP-INF-1 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","339 patients",,,"PN-7 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","465 patients",,,"PN-2 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","250 patients","2 ","2","SCIP-VTE-1 " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","74%","23 patients","1 ","1","AMI-7A " "040026","ST JOSEPHS MERCY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","75 patients","2 ","2","SCIP-CARD-2 " "040027","BAXTER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","201 patients","2 ","2","PN-5C " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","HF-4 " "040027","BAXTER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","152 patients","2 ","2","PN-6 " "040027","BAXTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","211 patients","2 ","2","SCIP-VTE-1 " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040027","BAXTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","516 patients","2 ","2","SCIP-INF-2 " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","227 patients","2 ","2","HF-1 " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","109 patients","2 ","2","HF-3 " "040027","BAXTER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","195 patients","2 ","2","PN-3B " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","205 patients",,,"AMI-5 " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","54 patients",,,"AMI-8A " "040027","BAXTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","671 patients","2 ","2","SCIP-INF-6 " "040027","BAXTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","510 patients","2 ","2","SCIP-INF-1 " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","67 patients",,,"AMI-3 " "040027","BAXTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","123 patients","2 ","2","SCIP-INF-4 " "040027","BAXTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","111 patients","2 ","2","SCIP-CARD-2 " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"AMI-4 " "040027","BAXTER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","152 patients","2 ","2","PN-7 " "040027","BAXTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","490 patients","2 ","2","SCIP-INF-3 " "040027","BAXTER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","PN-4 " "040027","BAXTER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","177 patients","2 ","2","PN-2 " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","214 patients",,,"AMI-1 " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","289 patients","2 ","2","HF-2 " "040027","BAXTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","242 patients",,,"AMI-2 " "040027","BAXTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","211 patients","2 ","2","SCIP-VTE-2 " "040029","CONWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","513 patients","2 ","2","SCIP-INF-1 " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","127 patients",,,"AMI-5 " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "040029","CONWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","169 patients","2 ","2","PN-3B " "040029","CONWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","69 patients","2 ","2","PN-4 " "040029","CONWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","77 patients","2 ","2","SCIP-CARD-2 " "040029","CONWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","495 patients","2 ","2","SCIP-INF-3 " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "040029","CONWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","119 patients","2 ","2","PN-7 " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","36 patients",,,"AMI-3 " "040029","CONWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","249 patients","2 ","2","SCIP-VTE-2 " "040029","CONWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","100 patients","2 ","2","SCIP-INF-4 " "040029","CONWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","670 patients","2 ","2","SCIP-INF-6 " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","116 patients",,,"AMI-1 " "040029","CONWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","148 patients","2 ","2","PN-2 " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","37 patients",,,"HF-3 " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","39 patients",,,"AMI-8A " "040029","CONWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","190 patients","2 ","2","PN-5C " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","135 patients",,,"HF-2 " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","130 patients",,,"AMI-2 " "040029","CONWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","144 patients","2 ","2","PN-6 " "040029","CONWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","519 patients","2 ","2","SCIP-INF-2 " "040029","CONWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","249 patients","2 ","2","SCIP-VTE-1 " "040029","CONWAY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","111 patients",,,"HF-1 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1073 patients","2 ","2","SCIP-INF-6 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","737 patients","2 ","2","SCIP-INF-2 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","244 patients","2 ","2","SCIP-INF-4 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","104 patients","2 ","2","PN-4 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","142 patients","2 ","2","SCIP-CARD-2 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","272 patients","2 ","2","AMI-2 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","211 patients","2 ","2","PN-5C " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","686 patients","2 ","2","SCIP-INF-3 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","126 patients","2 ","2","PN-3B " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","196 patients","2 ","2","PN-2 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","355 patients","2 ","2","SCIP-VTE-2 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","137 patients","2 ","2","PN-6 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","104 patients","2 ","2","AMI-4 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","241 patients","2 ","2","AMI-1 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","319 patients","2 ","2","HF-1 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","161 patients","2 ","2","HF-3 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","73 patients","2 ","2","HF-4 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","136 patients","2 ","2","PN-7 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","271 patients","2 ","2","AMI-5 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","393 patients","2 ","2","HF-2 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","56 patients","2 ","2","AMI-8A " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","735 patients","2 ","2","SCIP-INF-1 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","356 patients","2 ","2","SCIP-VTE-1 " "040036","BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","69 patients","2 ","2","AMI-3 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","163 patients",,,"PN-6 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1,2 ","12","SCIP-CARD-2 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","133 patients","2 ","2","SCIP-INF-6 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","106 patients",,,"HF-1 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","118 patients",,,"AMI-5 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","225 patients",,,"PN-5C " "040039","ARKANSAS METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","78 patients","2 ","2","SCIP-INF-1 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","173 patients",,,"PN-7 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","144 patients",,,"PN-4 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","114 patients",,,"AMI-2 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","170 patients",,,"PN-3B " "040039","ARKANSAS METHODIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","210 patients",,,"PN-2 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","66 patients","2 ","2","SCIP-VTE-1 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","11 patients","1 ","1","AMI-8A " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","128 patients",,,"AMI-1 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","116 patients",,,"HF-3 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","75 patients","2 ","2","SCIP-INF-3 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","66 patients","2 ","2","SCIP-VTE-2 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","78 patients","2 ","2","SCIP-INF-2 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","75%","4 patients","1 ","1","AMI-7A " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","172 patients",,,"HF-2 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "040039","ARKANSAS METHODIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","53 patients",,,"AMI-3 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"PN-4 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","132 patients",,,"PN-6 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","93 patients",,,"HF-1 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","28 patients",,,"AMI-5 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","242 patients",,,"SCIP-VTE-2 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040041","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","107 patients",,,"PN-7 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","188 patients",,,"PN-5C " "040041","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","471 patients",,,"SCIP-INF-6 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","41 patients",,,"HF-3 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","103 patients",,,"PN-3B " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","124 patients",,,"HF-2 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","336 patients",,,"SCIP-INF-1 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","243 patients",,,"SCIP-VTE-1 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","50 patients",,,"SCIP-CARD-2 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","326 patients",,,"SCIP-INF-3 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","48 patients",,,"AMI-1 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","334 patients",,,"SCIP-INF-2 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","138 patients",,,"PN-2 " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040041","ST MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","126 patients",,,"PN-3B " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","147 patients","2 ","2","SCIP-INF-6 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","93 patients","2 ","2","SCIP-INF-1 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","74 patients",,,"PN-7 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","86 patients",,,"PN-6 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","92 patients","2 ","2","SCIP-INF-3 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","92 patients","2 ","2","SCIP-VTE-2 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","93 patients","2 ","2","SCIP-VTE-1 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","95 patients","2 ","2","SCIP-INF-2 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","282 patients",,,"HF-2 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","14 patients","1,2 ","12","SCIP-CARD-2 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","81%","26 patients",,,"AMI-2 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","26 patients",,,"AMI-5 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","AMI-3 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"HF-4 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","137 patients",,,"PN-5C " "040042","CRITTENDEN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","99 patients",,,"PN-2 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","124 patients",,,"HF-3 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","33 patients",,,"AMI-1 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","261 patients",,,"HF-1 " "040042","CRITTENDEN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040047","FIVE RIVERS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "040047","FIVE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "040047","FIVE RIVERS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "040047","FIVE RIVERS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","50 patients",,,"HF-2 " "040047","FIVE RIVERS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "040047","FIVE RIVERS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","96 patients",,,"PN-2 " "040047","FIVE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "040047","FIVE RIVERS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","72 patients",,,"PN-6 " "040047","FIVE RIVERS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1,3 ","13","AMI-1 " "040047","FIVE RIVERS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1,3 ","13","AMI-2 " "040047","FIVE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "040047","FIVE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "040047","FIVE RIVERS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1,3 ","13","AMI-5 " "040047","FIVE RIVERS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","116 patients",,,"PN-5C " "040047","FIVE RIVERS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","80 patients",,,"PN-3B " "040047","FIVE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "040047","FIVE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "040047","FIVE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "040047","FIVE RIVERS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","66 patients",,,"PN-7 " "040047","FIVE RIVERS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","AMI-3 " "040047","FIVE RIVERS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "040047","FIVE RIVERS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "040047","FIVE RIVERS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "040047","FIVE RIVERS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","36 patients",,,"HF-1 " "040047","FIVE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "040050","OUACHITA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","50 patients","2 ","2","SCIP-INF-1 " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"HF-3 " "040050","OUACHITA COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","82 patients",,,"PN-2 " "040050","OUACHITA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","34 patients","2 ","2","SCIP-VTE-2 " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040050","OUACHITA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1,2 ","12","SCIP-CARD-2 " "040050","OUACHITA COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","65 patients",,,"PN-3B " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","91 patients",,,"HF-2 " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","71 patients",,,"HF-1 " "040050","OUACHITA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","49 patients","2 ","2","SCIP-INF-3 " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1 ","1","AMI-1 " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "040050","OUACHITA COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"PN-4 " "040050","OUACHITA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","51 patients","2 ","2","SCIP-INF-2 " "040050","OUACHITA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040050","OUACHITA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","34 patients","2 ","2","SCIP-VTE-1 " "040050","OUACHITA COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","66 patients",,,"PN-7 " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "040050","OUACHITA COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","85 patients",,,"PN-5C " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040050","OUACHITA COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","66 patients",,,"PN-6 " "040050","OUACHITA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","92 patients","2 ","2","SCIP-INF-6 " "040050","OUACHITA COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "040051","DREW MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","41 patients","2 ","2","PN-7 " "040051","DREW MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "040051","DREW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","21 patients","1 ","1","SCIP-INF-2 " "040051","DREW MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040051","DREW MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040051","DREW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "040051","DREW MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "040051","DREW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","38 patients",,,"SCIP-INF-6 " "040051","DREW MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","66 patients",,,"HF-2 " "040051","DREW MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","83 patients","2 ","2","PN-5C " "040051","DREW MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","PN-4 " "040051","DREW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","19 patients","1 ","1","SCIP-INF-3 " "040051","DREW MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","44 patients","2 ","2","PN-6 " "040051","DREW MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "040051","DREW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","17 patients","1 ","1","SCIP-VTE-1 " "040051","DREW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "040051","DREW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","17 patients","1 ","1","SCIP-VTE-2 " "040051","DREW MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","32 patients","2 ","2","PN-3B " "040051","DREW MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "040051","DREW MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "040051","DREW MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "040051","DREW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","19 patients","1 ","1","SCIP-INF-1 " "040051","DREW MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "040051","DREW MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","46 patients",,,"HF-1 " "040051","DREW MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","63 patients","2 ","2","PN-2 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","72 patients","2 ","2","HF-4 " "040055","SPARKS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","29 patients",,,"CAC-2 " "040055","SPARKS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","151 patients","2 ","2","PN-2 " "040055","SPARKS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","251 patients","2 ","2","SCIP-VTE-1 " "040055","SPARKS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","158 patients","2 ","2","SCIP-INF-4 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","57 patients","2 ","2","AMI-3 " "040055","SPARKS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","310 patients","2 ","2","SCIP-INF-3 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","76 patients","2 ","2","HF-3 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","306 patients","2 ","2","AMI-5 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","153 patients","2 ","2","AMI-4 " "040055","SPARKS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","584 patients","2 ","2","SCIP-INF-6 " "040055","SPARKS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","87 patients","2 ","2","PN-6 " "040055","SPARKS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","91 patients","2 ","2","PN-7 " "040055","SPARKS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients","2 ","2","PN-4 " "040055","SPARKS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","356 patients","2 ","2","SCIP-INF-1 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","273 patients","2 ","2","AMI-1 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","44 patients","2 ","2","AMI-8A " "040055","SPARKS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","367 patients","2 ","2","SCIP-INF-2 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","296 patients","2 ","2","HF-2 " "040055","SPARKS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","29 patients",,,"CAC-1 " "040055","SPARKS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","146 patients","2 ","2","PN-5C " "040055","SPARKS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","141 patients","2 ","2","PN-3B " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","310 patients","2 ","2","AMI-2 " "040055","SPARKS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","96%","28 patients",,,"CAC-3 " "040055","SPARKS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","92 patients","2 ","2","SCIP-CARD-2 " "040055","SPARKS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","251 patients","2 ","2","SCIP-VTE-2 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","225 patients","2 ","2","HF-1 " "040055","SPARKS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","74 patients","2 ","2","HF-3 " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","210 patients","2 ","2","AMI-1 " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","292 patients","2 ","2","AMI-5 " "040062","ST EDWARD MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","330 patients","2 ","2","SCIP-INF-2 " "040062","ST EDWARD MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","321 patients","2 ","2","SCIP-INF-1 " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","208 patients","2 ","2","HF-1 " "040062","ST EDWARD MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","83 patients","2 ","2","PN-6 " "040062","ST EDWARD MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","117 patients","2 ","2","PN-5C " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","149 patients","2 ","2","AMI-4 " "040062","ST EDWARD MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","225 patients","2 ","2","SCIP-VTE-2 " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","287 patients","2 ","2","AMI-2 " "040062","ST EDWARD MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","226 patients","2 ","2","SCIP-VTE-1 " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","33 patients","2 ","2","AMI-8A " "040062","ST EDWARD MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","92 patients","2 ","2","PN-7 " "040062","ST EDWARD MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","278 patients","2 ","2","SCIP-INF-3 " "040062","ST EDWARD MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","126 patients","2 ","2","PN-3B " "040062","ST EDWARD MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","112 patients","2 ","2","SCIP-INF-4 " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","58%","12 patients","1,2 ","12","AMI-7A " "040062","ST EDWARD MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients","2 ","2","PN-4 " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","HF-4 " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","265 patients","2 ","2","HF-2 " "040062","ST EDWARD MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","41 patients","2 ","2","AMI-3 " "040062","ST EDWARD MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","75 patients","2 ","2","SCIP-CARD-2 " "040062","ST EDWARD MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","557 patients","2 ","2","SCIP-INF-6 " "040062","ST EDWARD MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","131 patients","2 ","2","PN-2 " "040067","MAGNOLIA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "040067","MAGNOLIA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","44 patients",,,"PN-6 " "040067","MAGNOLIA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","44 patients",,,"HF-3 " "040067","MAGNOLIA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "040067","MAGNOLIA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040067","MAGNOLIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","43%","7 patients","1,2 ","12","SCIP-VTE-1 " "040067","MAGNOLIA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","97 patients",,,"HF-1 " "040067","MAGNOLIA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","123 patients",,,"HF-2 " "040067","MAGNOLIA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "040067","MAGNOLIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","15 patients","1,2 ","12","SCIP-INF-2 " "040067","MAGNOLIA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","43 patients",,,"PN-7 " "040067","MAGNOLIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040067","MAGNOLIA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "040067","MAGNOLIA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "040067","MAGNOLIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","14 patients","1,2 ","12","SCIP-INF-3 " "040067","MAGNOLIA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040067","MAGNOLIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","23 patients","1,2 ","12","SCIP-INF-6 " "040067","MAGNOLIA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","60 patients",,,"PN-3B " "040067","MAGNOLIA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","57 patients",,,"PN-2 " "040067","MAGNOLIA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "040067","MAGNOLIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","64%","14 patients","1,2 ","12","SCIP-INF-1 " "040067","MAGNOLIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","43%","7 patients","1,2 ","12","SCIP-VTE-2 " "040067","MAGNOLIA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","69 patients",,,"PN-5C " "040067","MAGNOLIA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "040067","MAGNOLIA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "040069","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","36 patients","2 ","2","SCIP-INF-6 " "040069","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","6 patients","1 ","1","AMI-5 " "040069","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","25 patients","2 ","2","SCIP-INF-2 " "040069","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,2 ","12","SCIP-CARD-2 " "040069","GREAT RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "040069","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040069","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","40 patients",,,"PN-2 " "040069","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "040069","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","64%","11 patients","1 ","1","AMI-1 " "040069","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "040069","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","25 patients","2 ","2","SCIP-INF-1 " "040069","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"PN-4 " "040069","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","25 patients","2 ","2","SCIP-INF-3 " "040069","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","24 patients","1 ","1","PN-7 " "040069","GREAT RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","86 patients",,,"HF-2 " "040069","GREAT RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","74 patients",,,"HF-1 " "040069","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","56%","9 patients","1,2 ","12","SCIP-VTE-1 " "040069","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","63 patients",,,"PN-3B " "040069","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040069","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","76 patients",,,"PN-5C " "040069","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "040069","GREAT RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","33 patients",,,"HF-3 " "040069","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","53 patients",,,"PN-6 " "040069","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040069","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","56%","9 patients","1,2 ","12","SCIP-VTE-2 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","210 patients",,,"PN-5C " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","174 patients",,,"AMI-5 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","96 patients",,,"AMI-4 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","129 patients",,,"PN-7 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","154 patients",,,"PN-6 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1267 patients",,,"SCIP-INF-6 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","748 patients",,,"SCIP-INF-3 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","170 patients",,,"AMI-2 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","124 patients",,,"SCIP-CARD-2 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","108 patients",,,"SCIP-INF-4 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","10 patients","1 ","1","AMI-7A " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","163 patients",,,"PN-2 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","60 patients",,,"AMI-3 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","813 patients",,,"SCIP-INF-2 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","154 patients",,,"AMI-1 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","182 patients",,,"HF-3 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"PN-4 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","38%","13 patients","1 ","1","AMI-8A " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","507 patients",,,"SCIP-VTE-2 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","190 patients",,,"PN-3B " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","810 patients",,,"SCIP-INF-1 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","400 patients",,,"HF-2 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","337 patients",,,"HF-1 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","100 patients",,,"HF-4 " "040071","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","507 patients",,,"SCIP-VTE-1 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","71 patients",,,"PN-5C " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","52 patients",,,"PN-6 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","61 patients",,,"PN-2 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","39 patients","2 ","2","SCIP-INF-3 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"PN-4 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","42 patients","2 ","2","SCIP-INF-2 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","42 patients",,,"HF-1 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","45 patients",,,"PN-7 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","65%","23 patients","1,2 ","12","SCIP-VTE-1 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","56 patients","2 ","2","SCIP-INF-6 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","23 patients","1,2 ","12","SCIP-VTE-2 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","55 patients",,,"HF-2 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","44 patients","2 ","2","SCIP-INF-1 " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","56 patients",,,"PN-3B " "040072","BAPTIST HEALTH MEDICAL CENTER-STUTTGART","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "040074","NORTH METRO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","125 patients",,,"PN-2 " "040074","NORTH METRO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","122 patients","2 ","2","SCIP-INF-1 " "040074","NORTH METRO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","33%","12 patients","1,2 ","12","SCIP-CARD-2 " "040074","NORTH METRO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","22 patients","1 ","1","HF-3 " "040074","NORTH METRO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","171 patients","2 ","2","SCIP-INF-6 " "040074","NORTH METRO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","64 patients",,,"HF-1 " "040074","NORTH METRO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","155 patients",,,"PN-5C " "040074","NORTH METRO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "040074","NORTH METRO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "040074","NORTH METRO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040074","NORTH METRO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "040074","NORTH METRO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","75 patients","2 ","2","SCIP-VTE-1 " "040074","NORTH METRO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","111 patients","2 ","2","SCIP-INF-3 " "040074","NORTH METRO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","114 patients","2 ","2","SCIP-INF-2 " "040074","NORTH METRO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040074","NORTH METRO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","111 patients",,,"PN-7 " "040074","NORTH METRO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","144 patients",,,"PN-3B " "040074","NORTH METRO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","51 patients",,,"PN-4 " "040074","NORTH METRO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "040074","NORTH METRO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","75 patients","2 ","2","SCIP-VTE-2 " "040074","NORTH METRO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","26 patients",,,"HF-4 " "040074","NORTH METRO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","97 patients",,,"HF-2 " "040074","NORTH METRO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","99 patients",,,"PN-6 " "040074","NORTH METRO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040074","NORTH METRO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040076","HOT SPRING COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","20 patients","1 ","1","SCIP-INF-6 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","39 patients",,,"PN-4 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","6 patients","1 ","1","SCIP-INF-3 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","82 patients",,,"PN-6 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-2 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","56%","9 patients","1 ","1","SCIP-VTE-1 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","6 patients","1 ","1","SCIP-CARD-2 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","62 patients",,,"HF-1 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","91 patients",,,"PN-3B " "040076","HOT SPRING COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","17 patients","1 ","1","HF-3 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","6 patients","1 ","1","SCIP-INF-1 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","87 patients",,,"HF-2 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","56%","9 patients","1 ","1","SCIP-VTE-2 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","76 patients",,,"PN-7 " "040076","HOT SPRING COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","128 patients",,,"PN-5C " "040076","HOT SPRING COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","113 patients",,,"PN-2 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","62 patients",,,"AMI-2 " "040078","NATIONAL PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","112 patients",,,"SCIP-VTE-2 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","89%","9 patients","1 ","1","AMI-7A " "040078","NATIONAL PARK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "040078","NATIONAL PARK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "040078","NATIONAL PARK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","92 patients",,,"PN-7 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","60 patients",,,"AMI-5 " "040078","NATIONAL PARK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","62 patients",,,"PN-3B " "040078","NATIONAL PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","137 patients",,,"SCIP-INF-3 " "040078","NATIONAL PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","160 patients",,,"SCIP-INF-1 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "040078","NATIONAL PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","113 patients",,,"SCIP-VTE-1 " "040078","NATIONAL PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","163 patients",,,"SCIP-INF-2 " "040078","NATIONAL PARK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","97 patients",,,"PN-5C " "040078","NATIONAL PARK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","102 patients",,,"PN-2 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","83 patients",,,"HF-2 " "040078","NATIONAL PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","46 patients",,,"SCIP-INF-4 " "040078","NATIONAL PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","284 patients",,,"SCIP-INF-6 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","72 patients",,,"HF-1 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","20%","5 patients","1 ","1","AMI-8A " "040078","NATIONAL PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","40 patients",,,"SCIP-CARD-2 " "040078","NATIONAL PARK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","61 patients",,,"AMI-1 " "040078","NATIONAL PARK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","78 patients",,,"PN-6 " "040080","HARRIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","99 patients",,,"PN-6 " "040080","HARRIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "040080","HARRIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","113 patients",,,"PN-5C " "040080","HARRIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","95 patients",,,"HF-2 " "040080","HARRIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","70 patients","2 ","2","SCIP-INF-6 " "040080","HARRIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","44 patients","2 ","2","SCIP-INF-2 " "040080","HARRIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "040080","HARRIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "040080","HARRIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "040080","HARRIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","32 patients","2 ","2","SCIP-VTE-1 " "040080","HARRIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "040080","HARRIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","51 patients",,,"PN-7 " "040080","HARRIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040080","HARRIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","44 patients","2 ","2","SCIP-INF-1 " "040080","HARRIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","32 patients","2 ","2","SCIP-VTE-2 " "040080","HARRIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","59 patients",,,"HF-1 " "040080","HARRIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","22 patients","1 ","1","HF-3 " "040080","HARRIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1,2 ","12","SCIP-CARD-2 " "040080","HARRIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040080","HARRIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "040080","HARRIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1 ","1","AMI-1 " "040080","HARRIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","88 patients",,,"PN-3B " "040080","HARRIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040080","HARRIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","76 patients",,,"PN-2 " "040080","HARRIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","40 patients","2 ","2","SCIP-INF-3 " "040081","PIKE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "040081","PIKE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","56%","9 patients","1,3 ","13","AMI-5 " "040081","PIKE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "040081","PIKE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "040081","PIKE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "040081","PIKE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","38%","8 patients","1,3 ","13","AMI-2 " "040081","PIKE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "040081","PIKE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","12 patients","1 ","1","PN-6 " "040081","PIKE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "040081","PIKE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","18 patients","1 ","1","PN-2 " "040081","PIKE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "040081","PIKE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","8 patients","1,3 ","13","HF-2 " "040081","PIKE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "040081","PIKE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "040081","PIKE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "040081","PIKE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "040081","PIKE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","16 patients","1 ","1","PN-5C " "040081","PIKE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "040081","PIKE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "040081","PIKE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1,3 ","13","AMI-1 " "040081","PIKE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "040081","PIKE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "040081","PIKE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","15 patients","1 ","1","PN-7 " "040081","PIKE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "040081","PIKE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","5 patients","1,3 ","13","HF-1 " "040084","SALINE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040084","SALINE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","20%","10 patients","1 ","1","AMI-8A " "040084","SALINE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","72%","32 patients",,,"AMI-2 " "040084","SALINE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "040084","SALINE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","140 patients",,,"PN-2 " "040084","SALINE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","42 patients",,,"HF-3 " "040084","SALINE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","203 patients","2 ","2","SCIP-INF-2 " "040084","SALINE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","193 patients",,,"PN-5C " "040084","SALINE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","44 patients",,,"PN-4 " "040084","SALINE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","30 patients","2 ","2","SCIP-CARD-2 " "040084","SALINE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","34 patients",,,"AMI-5 " "040084","SALINE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","186 patients","2 ","2","SCIP-INF-3 " "040084","SALINE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","107 patients",,,"PN-6 " "040084","SALINE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","AMI-3 " "040084","SALINE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","104 patients",,,"HF-1 " "040084","SALINE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","120 patients",,,"PN-7 " "040084","SALINE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","47 patients",,,"AMI-1 " "040084","SALINE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","186 patients",,,"PN-3B " "040084","SALINE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","282 patients","2 ","2","SCIP-INF-6 " "040084","SALINE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","138 patients","2 ","2","SCIP-VTE-2 " "040084","SALINE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","205 patients","2 ","2","SCIP-INF-1 " "040084","SALINE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","138 patients","2 ","2","SCIP-VTE-1 " "040084","SALINE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040084","SALINE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","142 patients",,,"HF-2 " "040084","SALINE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "040085","HELENA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","38 patients",,,"PN-3B " "040085","HELENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","16 patients","1,2 ","12","SCIP-INF-3 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","187 patients",,,"HF-2 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","138 patients",,,"HF-1 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "040085","HELENA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "040085","HELENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","6 patients","1,2 ","12","SCIP-VTE-1 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","61 patients",,,"HF-3 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "040085","HELENA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","60 patients",,,"PN-6 " "040085","HELENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","23 patients","1,2 ","12","SCIP-INF-6 " "040085","HELENA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","85 patients",,,"PN-5C " "040085","HELENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "040085","HELENA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","55 patients",,,"PN-2 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "040085","HELENA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","39 patients",,,"PN-7 " "040085","HELENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","18 patients","1,2 ","12","SCIP-INF-1 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","2 patients","1 ","1","AMI-1 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040085","HELENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040085","HELENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040085","HELENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","6 patients","1,2 ","12","SCIP-VTE-2 " "040085","HELENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","16 patients","1,2 ","12","SCIP-INF-2 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"AMI-4 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","635 patients",,,"SCIP-INF-6 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","446 patients",,,"SCIP-INF-3 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","75 patients",,,"PN-7 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","83 patients",,,"SCIP-INF-4 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","95 patients",,,"HF-3 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","174 patients",,,"SCIP-VTE-2 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","216 patients",,,"HF-2 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","128 patients",,,"AMI-5 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","174 patients",,,"SCIP-VTE-1 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","95 patients",,,"PN-2 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","73 patients",,,"SCIP-CARD-2 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","82 patients",,,"PN-6 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","111 patients",,,"PN-3B " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","163 patients",,,"HF-1 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","94 patients",,,"AMI-1 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","125 patients",,,"AMI-2 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","467 patients",,,"SCIP-INF-1 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","114 patients",,,"PN-5C " "040088","MEDICAL CENTER SOUTH ARKANSAS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","472 patients",,,"SCIP-INF-2 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","27 patients",,,"AMI-8A " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","AMI-3 " "040088","MEDICAL CENTER SOUTH ARKANSAS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040091","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","14 patients","1 ","1","SCIP-INF-6 " "040091","MEDICAL PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "040091","MEDICAL PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","AMI-3 " "040091","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","36%","11 patients","1 ","1","SCIP-VTE-2 " "040091","MEDICAL PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","50 patients",,,"PN-4 " "040091","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "040091","MEDICAL PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","77 patients",,,"PN-7 " "040091","MEDICAL PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","83 patients",,,"HF-2 " "040091","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","4 patients","1 ","1","SCIP-INF-1 " "040091","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "040091","MEDICAL PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","51 patients",,,"HF-1 " "040091","MEDICAL PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","6 patients","1 ","1","AMI-2 " "040091","MEDICAL PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","HF-4 " "040091","MEDICAL PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","58 patients",,,"PN-6 " "040091","MEDICAL PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","10 patients","1 ","1","AMI-1 " "040091","MEDICAL PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","135 patients",,,"PN-2 " "040091","MEDICAL PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","91 patients",,,"PN-3B " "040091","MEDICAL PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "040091","MEDICAL PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040091","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","12 patients","1 ","1","SCIP-VTE-1 " "040091","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "040091","MEDICAL PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040091","MEDICAL PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","28 patients",,,"HF-3 " "040091","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1 ","1","SCIP-INF-2 " "040091","MEDICAL PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","117 patients",,,"PN-5C " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","105 patients",,,"PN-3B " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","108 patients",,,"PN-2 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","62 patients","2 ","2","SCIP-INF-6 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","33 patients",,,"SCIP-INF-1 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","89 patients",,,"HF-2 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","31 patients",,,"SCIP-INF-3 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","24 patients","1,2 ","12","SCIP-VTE-1 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","24 patients","1,2 ","12","SCIP-VTE-2 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","34 patients",,,"SCIP-INF-2 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","67 patients",,,"PN-4 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","87 patients",,,"HF-1 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","106 patients",,,"PN-7 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","102 patients",,,"PN-5C " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","93 patients",,,"PN-6 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1,2 ","12","SCIP-CARD-2 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","45 patients",,,"HF-3 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "04009F","FAYETTEVILLE AR VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","220 patients",,,"SCIP-INF-1 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","217 patients",,,"PN-5C " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","59 patients",,,"AMI-2 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","58 patients",,,"AMI-5 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","189 patients",,,"PN-7 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","349 patients",,,"HF-2 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","73 patients",,,"AMI-1 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","231 patients",,,"SCIP-INF-2 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","154 patients",,,"PN-6 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","187 patients","2 ","2","SCIP-VTE-2 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","245 patients",,,"PN-3B " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","106 patients",,,"HF-4 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","182 patients",,,"HF-3 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","147 patients","2 ","2","SCIP-CARD-2 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","216 patients",,,"SCIP-INF-3 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","187 patients","2 ","2","SCIP-VTE-1 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","341 patients",,,"HF-1 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","371 patients","2 ","2","SCIP-INF-6 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","210 patients",,,"PN-2 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","103 patients",,,"PN-4 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "04010F","VA CENTRAL AR. VETERANS HEALTHCARE SYSTEM LR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","52%","23 patients","1 ","1","AMI-8A " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","446 patients","2 ","2","AMI-5 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","624 patients","2 ","2","SCIP-INF-1 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","82 patients","2 ","2","PN-4 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","311 patients","2 ","2","SCIP-VTE-2 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","634 patients","2 ","2","HF-1 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","122 patients","2 ","2","SCIP-CARD-2 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","207 patients","2 ","2","PN-2 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","208 patients","2 ","2","AMI-1 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","315 patients","2 ","2","SCIP-VTE-1 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","630 patients","2 ","2","SCIP-INF-2 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","209 patients","2 ","2","PN-3B " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","348 patients","2 ","2","HF-3 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","422 patients","2 ","2","AMI-2 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","192 patients","2 ","2","AMI-4 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","247 patients","2 ","2","PN-5C " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","128 patients","2 ","2","HF-4 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","96 patients","2 ","2","AMI-3 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","208 patients","2 ","2","SCIP-INF-4 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","738 patients","2 ","2","HF-2 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","863 patients","2 ","2","SCIP-INF-6 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","610 patients","2 ","2","SCIP-INF-3 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","43 patients","2 ","2","AMI-8A " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","142 patients","2 ","2","PN-7 " "040114","BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","153 patients","2 ","2","PN-6 " "040118","NEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","353 patients","2 ","2","SCIP-INF-2 " "040118","NEA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","180 patients",,,"HF-1 " "040118","NEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","470 patients","2 ","2","SCIP-INF-6 " "040118","NEA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","96 patients",,,"AMI-1 " "040118","NEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","353 patients","2 ","2","SCIP-INF-1 " "040118","NEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","74 patients","2 ","2","SCIP-INF-4 " "040118","NEA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","191 patients",,,"PN-2 " "040118","NEA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","168 patients",,,"PN-3B " "040118","NEA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "040118","NEA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","26 patients",,,"AMI-3 " "040118","NEA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","67 patients",,,"HF-3 " "040118","NEA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","161 patients",,,"AMI-2 " "040118","NEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","168 patients","2 ","2","SCIP-VTE-2 " "040118","NEA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040118","NEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","51 patients","2 ","2","SCIP-CARD-2 " "040118","NEA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","157 patients",,,"PN-6 " "040118","NEA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","214 patients",,,"HF-2 " "040118","NEA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","76 patients",,,"AMI-4 " "040118","NEA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","142 patients",,,"AMI-5 " "040118","NEA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","69 patients",,,"PN-4 " "040118","NEA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","61%","18 patients","1 ","1","AMI-8A " "040118","NEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","168 patients","2 ","2","SCIP-VTE-1 " "040118","NEA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","138 patients",,,"PN-7 " "040118","NEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","340 patients","2 ","2","SCIP-INF-3 " "040118","NEA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","189 patients",,,"PN-5C " "040119","WHITE RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","122 patients",,,"AMI-1 " "040119","WHITE RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"PN-4 " "040119","WHITE RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","76 patients","2 ","2","SCIP-CARD-2 " "040119","WHITE RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","230 patients","2 ","2","SCIP-VTE-1 " "040119","WHITE RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","356 patients","2 ","2","SCIP-INF-1 " "040119","WHITE RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "040119","WHITE RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","345 patients","2 ","2","SCIP-INF-3 " "040119","WHITE RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","134 patients",,,"AMI-2 " "040119","WHITE RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","437 patients","2 ","2","SCIP-INF-6 " "040119","WHITE RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","69 patients",,,"HF-3 " "040119","WHITE RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","295 patients",,,"PN-5C " "040119","WHITE RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","224 patients","2 ","2","SCIP-VTE-2 " "040119","WHITE RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","204 patients",,,"PN-7 " "040119","WHITE RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "040119","WHITE RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "040119","WHITE RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","237 patients",,,"HF-2 " "040119","WHITE RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","361 patients","2 ","2","SCIP-INF-2 " "040119","WHITE RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","123 patients",,,"AMI-5 " "040119","WHITE RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","274 patients",,,"PN-2 " "040119","WHITE RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "040119","WHITE RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","40 patients",,,"AMI-3 " "040119","WHITE RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","249 patients",,,"PN-3B " "040119","WHITE RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","179 patients",,,"HF-1 " "040119","WHITE RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","24 patients","1 ","1","AMI-8A " "040119","WHITE RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","179 patients",,,"PN-6 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "040132","LEO N LEVI NATIONAL ARTHRITIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "040134","ARKANSAS HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","555 patients",,,"AMI-2 " "040134","ARKANSAS HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","33 patients",,,"PN-3B " "040134","ARKANSAS HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients",,,"PN-5C " "040134","ARKANSAS HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","18 patients","1 ","1","AMI-8A " "040134","ARKANSAS HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","30 patients",,,"PN-7 " "040134","ARKANSAS HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"HF-4 " "040134","ARKANSAS HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "040134","ARKANSAS HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","217 patients",,,"HF-3 " "040134","ARKANSAS HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","503 patients",,,"AMI-5 " "040134","ARKANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","8 patients","1 ","1","SCIP-VTE-1 " "040134","ARKANSAS HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","36 patients",,,"PN-2 " "040134","ARKANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","654 patients",,,"SCIP-INF-3 " "040134","ARKANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","160 patients",,,"SCIP-CARD-2 " "040134","ARKANSAS HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","1 patients","1 ","1","PN-6 " "040134","ARKANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","668 patients",,,"SCIP-INF-1 " "040134","ARKANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","7 patients","1 ","1","SCIP-VTE-2 " "040134","ARKANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","620 patients",,,"SCIP-INF-4 " "040134","ARKANSAS HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","451 patients",,,"HF-2 " "040134","ARKANSAS HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","139 patients",,,"AMI-1 " "040134","ARKANSAS HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","410 patients",,,"HF-1 " "040134","ARKANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","694 patients",,,"SCIP-INF-2 " "040134","ARKANSAS HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","113 patients",,,"AMI-3 " "040134","ARKANSAS HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040134","ARKANSAS HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","250 patients",,,"AMI-4 " "040134","ARKANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","871 patients",,,"SCIP-INF-6 " "040137","ST VINCENT MEDICAL CTR NORTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","113 patients","2 ","2","SCIP-INF-6 " "040137","ST VINCENT MEDICAL CTR NORTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","17 patients","1 ","1","AMI-1 " "040137","ST VINCENT MEDICAL CTR NORTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1,2 ","12","SCIP-CARD-2 " "040137","ST VINCENT MEDICAL CTR NORTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","58 patients","2 ","2","SCIP-INF-3 " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "040137","ST VINCENT MEDICAL CTR NORTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","51 patients",,,"PN-7 " "040137","ST VINCENT MEDICAL CTR NORTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","85 patients",,,"PN-5C " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","124 patients",,,"HF-2 " "040137","ST VINCENT MEDICAL CTR NORTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","57 patients","2 ","2","SCIP-VTE-1 " "040137","ST VINCENT MEDICAL CTR NORTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","44 patients",,,"PN-3B " "040137","ST VINCENT MEDICAL CTR NORTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","57 patients","2 ","2","SCIP-VTE-2 " "040137","ST VINCENT MEDICAL CTR NORTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","60 patients","2 ","2","SCIP-INF-1 " "040137","ST VINCENT MEDICAL CTR NORTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","55 patients",,,"PN-6 " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "040137","ST VINCENT MEDICAL CTR NORTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","63 patients",,,"PN-2 " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "040137","ST VINCENT MEDICAL CTR NORTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","21 patients","1 ","1","HF-3 " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "040137","ST VINCENT MEDICAL CTR NORTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","59 patients","2 ","2","SCIP-INF-2 " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","95 patients",,,"HF-1 " "040137","ST VINCENT MEDICAL CTR NORTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "040142","HEALTHPARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040142","HEALTHPARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "040142","HEALTHPARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","4 patients","1 ","1","HF-2 " "040142","HEALTHPARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "040142","HEALTHPARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "040142","HEALTHPARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1 ","1","PN-6 " "040142","HEALTHPARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "040142","HEALTHPARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","12 patients","1 ","1","PN-5C " "040142","HEALTHPARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","100 patients","2 ","2","SCIP-VTE-1 " "040142","HEALTHPARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "040142","HEALTHPARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "040142","HEALTHPARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "040142","HEALTHPARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "040142","HEALTHPARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","170 patients","2 ","2","SCIP-INF-1 " "040142","HEALTHPARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "040142","HEALTHPARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","9 patients","1 ","1","PN-2 " "040142","HEALTHPARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","160 patients","2 ","2","SCIP-INF-3 " "040142","HEALTHPARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","100 patients","2 ","2","SCIP-VTE-2 " "040142","HEALTHPARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","25 patients","2 ","2","SCIP-CARD-2 " "040142","HEALTHPARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "040142","HEALTHPARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "040142","HEALTHPARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1 ","1","HF-1 " "040142","HEALTHPARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","171 patients","2 ","2","SCIP-INF-2 " "040142","HEALTHPARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","241 patients","2 ","2","SCIP-INF-6 " "040142","HEALTHPARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "040147","ARKANSAS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","513 patients","2 ","2","SCIP-INF-3 " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "040147","ARKANSAS SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "040147","ARKANSAS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","618 patients","2 ","2","SCIP-INF-6 " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "040147","ARKANSAS SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "040147","ARKANSAS SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "040147","ARKANSAS SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "040147","ARKANSAS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","111 patients","2 ","2","SCIP-VTE-1 " "040147","ARKANSAS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","519 patients","2 ","2","SCIP-INF-2 " "040147","ARKANSAS SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "040147","ARKANSAS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","111 patients","2 ","2","SCIP-VTE-2 " "040147","ARKANSAS SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "040147","ARKANSAS SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "040147","ARKANSAS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","518 patients","2 ","2","SCIP-INF-1 " "040147","ARKANSAS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","64 patients","2 ","2","SCIP-CARD-2 " "040147","ARKANSAS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "040152","PHYSICIANS' SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","21 patients","1 ","1","HF-2 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "041300","NORTH LOGAN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041300","NORTH LOGAN MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "041300","NORTH LOGAN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "041300","NORTH LOGAN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041300","NORTH LOGAN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","17 patients","1 ","1","HF-1 " "041300","NORTH LOGAN MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","18 patients","1 ","1","PN-5C " "041300","NORTH LOGAN MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","16 patients","1 ","1","PN-6 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041300","NORTH LOGAN MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","15 patients","1 ","1","PN-7 " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041300","NORTH LOGAN MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041300","NORTH LOGAN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041300","NORTH LOGAN MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1 ","1","PN-3B " "041300","NORTH LOGAN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041300","NORTH LOGAN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041300","NORTH LOGAN MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041300","NORTH LOGAN MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","20 patients","1 ","1","PN-2 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","18 patients","1 ","1","PN-3B " "041303","MERCY HOSPITAL TURNER MEMORIAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","56%","16 patients","1 ","1","PN-6 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","17 patients","1 ","1","HF-2 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","23 patients","1 ","1","PN-2 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","15 patients","1 ","1","PN-7 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","12 patients","1 ","1","HF-1 " "041303","MERCY HOSPITAL TURNER MEMORIAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","21 patients","1 ","1","PN-5C " "041303","MERCY HOSPITAL TURNER MEMORIAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "041305","MERCY HOSPITAL SCOTT COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "041305","MERCY HOSPITAL SCOTT COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","38 patients","3 ","3","PN-5C " "041305","MERCY HOSPITAL SCOTT COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041305","MERCY HOSPITAL SCOTT COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "041305","MERCY HOSPITAL SCOTT COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","28 patients","3 ","3","PN-6 " "041305","MERCY HOSPITAL SCOTT COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041305","MERCY HOSPITAL SCOTT COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041305","MERCY HOSPITAL SCOTT COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","15 patients","1,3 ","13","PN-7 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "041305","MERCY HOSPITAL SCOTT COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041305","MERCY HOSPITAL SCOTT COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","30 patients","3 ","3","PN-2 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "041305","MERCY HOSPITAL SCOTT COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","29 patients","3 ","3","PN-3B " "041305","MERCY HOSPITAL SCOTT COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041305","MERCY HOSPITAL SCOTT COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1,3 ","13","PN-4 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","7 patients","1,3 ","13","HF-1 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","36%","11 patients","1,3 ","13","HF-2 " "041305","MERCY HOSPITAL SCOTT COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041305","MERCY HOSPITAL SCOTT COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","39 patients",,,"PN-3B " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","104 patients",,,"PN-2 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","110 patients",,,"PN-5C " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","36 patients",,,"HF-1 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","45 patients",,,"HF-2 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","74 patients",,,"PN-6 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","66 patients",,,"PN-7 " "041307","CROSSRIDGE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","39 patients","2 ","2","HF-1 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","39 patients","2 ","2","PN-2 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","23 patients","1,2 ","12","PN-7 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","19 patients","1,2 ","12","PN-6 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","48 patients","2 ","2","HF-2 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","23 patients","1,2 ","12","HF-3 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,2 ","12","PN-3B " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","HF-4 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients","2 ","2","PN-5C " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","PN-4 " "041308","MCGEHEE DESHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","33 patients",,,"HF-2 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "041309","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "041309","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","76 patients",,,"PN-5C " "041309","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","37 patients",,,"PN-6 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "041309","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","72 patients",,,"PN-3B " "041309","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041309","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","75 patients",,,"PN-2 " "041309","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "041309","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041309","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","12 patients","1 ","1","HF-1 " "041309","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "041309","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","39 patients",,,"PN-7 " "041309","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041309","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041309","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "041309","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "041310","STONE COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","35 patients",,,"PN-7 " "041310","STONE COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "041310","STONE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041310","STONE COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "041310","STONE COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "041310","STONE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041310","STONE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041310","STONE COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041310","STONE COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","53%","15 patients","1 ","1","HF-3 " "041310","STONE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041310","STONE COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "041310","STONE COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","26 patients",,,"HF-1 " "041310","STONE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041310","STONE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041310","STONE COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","12 patients","1 ","1","PN-3B " "041310","STONE COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","70 patients",,,"PN-6 " "041310","STONE COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "041310","STONE COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","50 patients",,,"HF-2 " "041310","STONE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041310","STONE COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","79 patients",,,"PN-5C " "041310","STONE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041310","STONE COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041310","STONE COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041310","STONE COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","59 patients",,,"PN-2 " "041310","STONE COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "041311","HOWARD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "041311","HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","33%","6 patients","1 ","1","SCIP-INF-2 " "041311","HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "041311","HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","25%","4 patients","1 ","1","AMI-2 " "041311","HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","51 patients",,,"PN-3B " "041311","HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1 ","1","AMI-1 " "041311","HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","9 patients","1 ","1","SCIP-VTE-1 " "041311","HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","6 patients","1 ","1","SCIP-INF-3 " "041311","HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "041311","HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","9 patients","1 ","1","SCIP-VTE-2 " "041311","HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "041311","HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "041311","HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "041311","HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","50 patients",,,"PN-2 " "041311","HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","29 patients",,,"PN-6 " "041311","HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "041311","HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","37 patients",,,"PN-7 " "041311","HOWARD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "041311","HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","55 patients",,,"PN-5C " "041311","HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","81%","21 patients","1 ","1","SCIP-INF-6 " "041311","HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-1 " "041311","HOWARD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","23 patients","1 ","1","HF-1 " "041311","HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "041311","HOWARD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","38 patients",,,"HF-2 " "041311","HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","39 patients",,,"PN-7 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","53 patients",,,"PN-2 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","51 patients",,,"PN-3B " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","41 patients",,,"PN-6 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","59 patients",,,"PN-5C " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","12 patients","1 ","1","HF-1 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","20 patients","1 ","1","HF-2 " "041312","BAPTIST HEALTH MED CTR HEBER SPINGS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041313","OZARK HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "041313","OZARK HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","81 patients",,,"PN-6 " "041313","OZARK HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","61 patients",,,"PN-7 " "041313","OZARK HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041313","OZARK HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","41 patients",,,"PN-4 " "041313","OZARK HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","98 patients",,,"PN-3B " "041313","OZARK HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "041313","OZARK HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041313","OZARK HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "041313","OZARK HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041313","OZARK HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","104 patients",,,"PN-5C " "041313","OZARK HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041313","OZARK HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","HF-3 " "041313","OZARK HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","50 patients",,,"HF-1 " "041313","OZARK HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041313","OZARK HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "041313","OZARK HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "041313","OZARK HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041313","OZARK HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041313","OZARK HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041313","OZARK HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","97 patients",,,"PN-2 " "041313","OZARK HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "041313","OZARK HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "041313","OZARK HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","73 patients",,,"HF-2 " "041313","OZARK HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","23 patients","1,3 ","13","PN-2 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","24 patients","1 ","1","PN-7 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","12 patients","1,3 ","13","PN-6 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","27%","22 patients","1,3 ","13","HF-2 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,3 ","13","PN-3B " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","20 patients","1,3 ","13","HF-1 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","21 patients","1,3 ","13","PN-5C " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1,3 ","13","PN-4 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,3 ","13","HF-4 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "041314","DE WITT HOSPITAL & NURSING HOME, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","33 patients",,,"PN-6 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","37 patients",,,"PN-3B " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1 ","1","AMI-2 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","40 patients",,,"PN-5C " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","13 patients","1 ","1","HF-3 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","27 patients",,,"PN-2 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1 ","1","AMI-1 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-2 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","18 patients","1 ","1","PN-4 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-1 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","28 patients",,,"PN-7 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","59 patients",,,"HF-2 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","33%","3 patients","1 ","1","CAC-3 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","50 patients",,,"HF-1 " "041316","SOUTH MISSISSISSPI COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "041317","DALLAS COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","15 patients","1 ","1","PN-7 " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "041317","DALLAS COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1 ","1","PN-3B " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "041317","DALLAS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041317","DALLAS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041317","DALLAS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "041317","DALLAS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","16 patients","1 ","1","HF-1 " "041317","DALLAS COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","PN-4 " "041317","DALLAS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041317","DALLAS COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","28 patients",,,"PN-2 " "041317","DALLAS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041317","DALLAS COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","38 patients",,,"PN-5C " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041317","DALLAS COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","22 patients","1 ","1","PN-6 " "041317","DALLAS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "041317","DALLAS COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","19%","21 patients","1 ","1","HF-2 " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "041317","DALLAS COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041318","BOONEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","60 patients",,,"PN-5C " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","25 patients",,,"HF-1 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1,3 ","13","AMI-5 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","13 patients","1 ","1","PN-3B " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","36 patients",,,"PN-2 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","25 patients",,,"PN-4 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","39 patients",,,"PN-6 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","54%","35 patients",,,"HF-2 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","34 patients",,,"PN-7 " "041318","BOONEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041319","DE QUEEN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "041319","DE QUEEN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","11 patients","1 ","1","HF-1 " "041319","DE QUEEN MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","15 patients","1 ","1","PN-5C " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "041319","DE QUEEN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041319","DE QUEEN MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","13 patients","1 ","1","PN-7 " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","18 patients","1 ","1","HF-2 " "041319","DE QUEEN MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","33 patients",,,"PN-2 " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041319","DE QUEEN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041319","DE QUEEN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041319","DE QUEEN MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041319","DE QUEEN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041319","DE QUEEN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041319","DE QUEEN MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","14 patients","1 ","1","PN-6 " "041319","DE QUEEN MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","28 patients",,,"PN-3B " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "041319","DE QUEEN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041319","DE QUEEN MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","23 patients","1 ","1","PN-6 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients",,,"PN-5C " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","32 patients",,,"HF-2 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","HF-3 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","60 patients",,,"PN-2 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","35 patients",,,"PN-3B " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","48 patients","2 ","2","SCIP-INF-3 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","49 patients","2 ","2","SCIP-INF-1 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","49 patients","2 ","2","SCIP-INF-2 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","24 patients","1 ","1","HF-1 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","45 patients",,,"PN-7 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","28 patients","2 ","2","SCIP-VTE-2 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","28 patients","2 ","2","SCIP-VTE-1 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","57 patients","2 ","2","SCIP-INF-6 " "041321","BAPTIST HEALTH MED CTR-ARKADELPHIA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041323","ASHLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041323","ASHLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "041323","ASHLEY COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","28 patients","2 ","2","PN-3B " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","AMI-3 " "041323","ASHLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "041323","ASHLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041323","ASHLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "041323","ASHLEY COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","40 patients","2 ","2","PN-6 " "041323","ASHLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041323","ASHLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "041323","ASHLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041323","ASHLEY COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","39 patients",,,"PN-7 " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","28 patients",,,"HF-1 " "041323","ASHLEY COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1,2 ","12","PN-4 " "041323","ASHLEY COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","33 patients",,,"HF-2 " "041323","ASHLEY COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","53 patients","2 ","2","PN-5C " "041323","ASHLEY COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","44 patients","2 ","2","PN-2 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","23 patients","1 ","1","PN-5C " "041324","ST ANTHONY'S HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","2 patients","1,3 ","13","SCIP-INF-2 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","26 patients",,,"HF-2 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","15 patients","1 ","1","PN-6 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041324","ST ANTHONY'S HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,3 ","13","SCIP-VTE-1 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","33 patients",,,"PN-2 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","16 patients","1 ","1","HF-1 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "041324","ST ANTHONY'S HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","37 patients",,,"PN-3B " "041324","ST ANTHONY'S HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041324","ST ANTHONY'S HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "041326","DELTA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1,2 ","12","PN-4 " "041326","DELTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,2,3 ","123","SCIP-INF-1 " "041326","DELTA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","30 patients","2 ","2","PN-2 " "041326","DELTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041326","DELTA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","29 patients","2 ","2","PN-6 " "041326","DELTA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "041326","DELTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,2,3 ","123","SCIP-VTE-2 " "041326","DELTA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "041326","DELTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,2,3 ","123","SCIP-INF-3 " "041326","DELTA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","37 patients","2 ","2","PN-5C " "041326","DELTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "041326","DELTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,2,3 ","123","SCIP-VTE-1 " "041326","DELTA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "041326","DELTA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,2,3 ","123","AMI-2 " "041326","DELTA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1,2 ","12","PN-3B " "041326","DELTA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","15 patients","1,2 ","12","HF-1 " "041326","DELTA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","HF-4 " "041326","DELTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","2 patients","1,2,3 ","123","SCIP-INF-6 " "041326","DELTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","50%","2 patients","1,2,3 ","123","SCIP-INF-2 " "041326","DELTA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","33%","3 patients","1,2,3 ","123","AMI-1 " "041326","DELTA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,2,3 ","123","AMI-5 " "041326","DELTA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","29 patients","2 ","2","HF-2 " "041326","DELTA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,2 ","12","HF-3 " "041326","DELTA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","17 patients","1,2 ","12","PN-7 " "041326","DELTA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "041327","BRADLEY COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","78 patients",,,"PN-5C " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","28 patients",,,"HF-1 " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041327","BRADLEY COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","27 patients",,,"PN-3B " "041327","BRADLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "041327","BRADLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041327","BRADLEY COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","87 patients",,,"PN-2 " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "041327","BRADLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041327","BRADLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","65%","43 patients",,,"HF-2 " "041327","BRADLEY COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","22 patients","1 ","1","PN-4 " "041327","BRADLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041327","BRADLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "041327","BRADLEY COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","44 patients",,,"PN-7 " "041327","BRADLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041327","BRADLEY COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","73 patients",,,"PN-6 " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "041327","BRADLEY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041327","BRADLEY COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "041328","CHICOT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","18 patients","1 ","1","PN-3B " "041328","CHICOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "041328","CHICOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "041328","CHICOT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","2 patients","1,3 ","13","AMI-2 " "041328","CHICOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","26 patients",,,"SCIP-INF-6 " "041328","CHICOT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","32 patients",,,"PN-7 " "041328","CHICOT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "041328","CHICOT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "041328","CHICOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","21 patients","1 ","1","SCIP-INF-3 " "041328","CHICOT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","41 patients",,,"PN-5C " "041328","CHICOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","21 patients","1 ","1","SCIP-INF-2 " "041328","CHICOT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","42 patients",,,"PN-2 " "041328","CHICOT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041328","CHICOT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","HF-4 " "041328","CHICOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","21 patients","1 ","1","SCIP-INF-1 " "041328","CHICOT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","66 patients","2 ","2","HF-1 " "041328","CHICOT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "041328","CHICOT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041328","CHICOT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041328","CHICOT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","23 patients","1,2 ","12","HF-3 " "041328","CHICOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","17 patients","1 ","1","SCIP-VTE-1 " "041328","CHICOT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","39 patients",,,"PN-6 " "041328","CHICOT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "041328","CHICOT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","117 patients","2 ","2","HF-2 " "041328","CHICOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","17 patients","1 ","1","SCIP-VTE-2 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","59%","37 patients","2 ","2","SCIP-VTE-1 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","83 patients",,,"PN-6 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","51 patients",,,"PN-7 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","37 patients","2 ","2","SCIP-VTE-2 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","65%","34 patients",,,"HF-2 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","77 patients",,,"PN-2 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","77 patients",,,"PN-3B " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","99 patients",,,"PN-5C " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","63%","35 patients","2 ","2","SCIP-INF-2 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","30 patients",,,"HF-1 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","34 patients","2 ","2","SCIP-INF-3 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","36 patients","2 ","2","SCIP-INF-1 " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "041329","ST JOHN'S HOSPITAL-BERRYVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","78%","58 patients","2 ","2","SCIP-INF-6 " "041330","PIGGOTT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "041330","PIGGOTT COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","24 patients","1,3 ","13","PN-6 " "041330","PIGGOTT COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","42 patients","3 ","3","PN-5C " "041330","PIGGOTT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "041330","PIGGOTT COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","46 patients","3 ","3","PN-3B " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "041330","PIGGOTT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,3 ","13","HF-3 " "041330","PIGGOTT COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","47 patients","3 ","3","PN-2 " "041330","PIGGOTT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "041330","PIGGOTT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "041330","PIGGOTT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "041330","PIGGOTT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,3 ","13","HF-4 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "041330","PIGGOTT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","29 patients","3 ","3","HF-2 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "041330","PIGGOTT COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","31 patients",,,"PN-7 " "041330","PIGGOTT COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,3 ","13","PN-4 " "041330","PIGGOTT COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","16 patients","1,3 ","13","HF-1 " "043300","ARKANSAS CHILDREN'S HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","118 patients",,,"CAC-1 " "043300","ARKANSAS CHILDREN'S HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","118 patients",,,"CAC-2 " "043300","ARKANSAS CHILDREN'S HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","86%","118 patients",,,"CAC-3 " "050002","ST ROSE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","126 patients",,,"AMI-2 " "050002","ST ROSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","199 patients",,,"SCIP-INF-1 " "050002","ST ROSE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","AMI-3 " "050002","ST ROSE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","68 patients",,,"PN-7 " "050002","ST ROSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050002","ST ROSE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"AMI-4 " "050002","ST ROSE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","93 patients",,,"PN-2 " "050002","ST ROSE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","21 patients","1 ","1","PN-4 " "050002","ST ROSE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","186 patients",,,"SCIP-VTE-1 " "050002","ST ROSE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","98 patients",,,"PN-5C " "050002","ST ROSE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050002","ST ROSE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","44 patients",,,"PN-6 " "050002","ST ROSE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","133 patients",,,"AMI-5 " "050002","ST ROSE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","36 patients",,,"HF-4 " "050002","ST ROSE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","177 patients",,,"HF-1 " "050002","ST ROSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","300 patients",,,"SCIP-INF-6 " "050002","ST ROSE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","25 patients",,,"SCIP-CARD-2 " "050002","ST ROSE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","53 patients",,,"AMI-8A " "050002","ST ROSE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","186 patients",,,"SCIP-VTE-2 " "050002","ST ROSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","193 patients",,,"SCIP-INF-3 " "050002","ST ROSE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","198 patients",,,"HF-2 " "050002","ST ROSE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","120 patients",,,"PN-3B " "050002","ST ROSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","199 patients",,,"SCIP-INF-2 " "050002","ST ROSE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","71 patients",,,"HF-3 " "050002","ST ROSE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","128 patients",,,"AMI-1 " "050006","ST JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","68 patients",,,"PN-2 " "050006","ST JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","109 patients",,,"PN-5C " "050006","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","508 patients","2 ","2","SCIP-INF-6 " "050006","ST JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","94 patients",,,"AMI-5 " "050006","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","335 patients","2 ","2","SCIP-INF-3 " "050006","ST JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","64 patients",,,"AMI-1 " "050006","ST JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"AMI-4 " "050006","ST JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","69 patients",,,"PN-7 " "050006","ST JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050006","ST JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","84 patients",,,"HF-1 " "050006","ST JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "050006","ST JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","119 patients",,,"PN-3B " "050006","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","358 patients","2 ","2","SCIP-INF-2 " "050006","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","346 patients","2 ","2","SCIP-INF-1 " "050006","ST JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "050006","ST JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","97 patients",,,"PN-6 " "050006","ST JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","57%","21 patients","1 ","1","AMI-8A " "050006","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","72 patients","2 ","2","SCIP-INF-4 " "050006","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","197 patients","2 ","2","SCIP-VTE-1 " "050006","ST JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "050006","ST JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","AMI-3 " "050006","ST JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","105 patients",,,"AMI-2 " "050006","ST JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","93 patients",,,"HF-2 " "050006","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","41 patients","2 ","2","SCIP-CARD-2 " "050006","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","195 patients","2 ","2","SCIP-VTE-2 " "050007","PENINSULA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","155 patients",,,"AMI-5 " "050007","PENINSULA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","157 patients","2 ","2","PN-2 " "050007","PENINSULA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","27 patients",,,"AMI-8A " "050007","PENINSULA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050007","PENINSULA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","154 patients",,,"AMI-2 " "050007","PENINSULA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"AMI-4 " "050007","PENINSULA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","54 patients",,,"HF-3 " "050007","PENINSULA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","316 patients","2 ","2","SCIP-INF-1 " "050007","PENINSULA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","203 patients","2 ","2","SCIP-VTE-2 " "050007","PENINSULA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","240 patients",,,"HF-1 " "050007","PENINSULA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "050007","PENINSULA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","115 patients","2 ","2","PN-5C " "050007","PENINSULA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","481 patients","2 ","2","SCIP-INF-6 " "050007","PENINSULA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","90 patients","2 ","2","PN-6 " "050007","PENINSULA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","203 patients","2 ","2","SCIP-VTE-1 " "050007","PENINSULA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","308 patients",,,"HF-2 " "050007","PENINSULA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","322 patients","2 ","2","SCIP-INF-2 " "050007","PENINSULA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","139 patients","2 ","2","PN-3B " "050007","PENINSULA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","60 patients","2 ","2","SCIP-CARD-2 " "050007","PENINSULA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","77 patients","2 ","2","SCIP-INF-4 " "050007","PENINSULA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","293 patients","2 ","2","SCIP-INF-3 " "050007","PENINSULA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "050007","PENINSULA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1,2 ","12","PN-4 " "050007","PENINSULA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","126 patients",,,"AMI-1 " "050007","PENINSULA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","94 patients","2 ","2","PN-7 " "050008","DAVIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","71 patients","2 ","2","SCIP-INF-6 " "050008","DAVIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","9 patients","1,2 ","12","SCIP-INF-3 " "050008","DAVIES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","45 patients",,,"PN-3B " "050008","DAVIES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","63 patients",,,"HF-1 " "050008","DAVIES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","HF-4 " "050008","DAVIES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "050008","DAVIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "050008","DAVIES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","69 patients",,,"HF-2 " "050008","DAVIES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","49 patients",,,"PN-2 " "050008","DAVIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050008","DAVIES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","28 patients",,,"PN-6 " "050008","DAVIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","40 patients","2 ","2","SCIP-VTE-1 " "050008","DAVIES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050008","DAVIES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050008","DAVIES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050008","DAVIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","40 patients","2 ","2","SCIP-VTE-2 " "050008","DAVIES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "050008","DAVIES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","21 patients","1 ","1","PN-4 " "050008","DAVIES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050008","DAVIES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","45 patients",,,"PN-5C " "050008","DAVIES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "050008","DAVIES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","32 patients",,,"PN-7 " "050008","DAVIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","11 patients","1,2 ","12","SCIP-INF-2 " "050008","DAVIES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "050008","DAVIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","11 patients","1,2 ","12","SCIP-INF-1 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","169 patients",,,"AMI-2 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"HF-3 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","162 patients",,,"AMI-5 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","81 patients","2 ","2","SCIP-CARD-2 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","277 patients","2 ","2","SCIP-INF-3 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","155 patients",,,"HF-2 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","37 patients",,,"AMI-3 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","450 patients","2 ","2","SCIP-INF-6 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","306 patients","2 ","2","SCIP-INF-2 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","148 patients","2 ","2","SCIP-VTE-2 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","107 patients","2 ","2","SCIP-INF-4 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","169 patients",,,"PN-2 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","141 patients",,,"PN-3B " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","106 patients",,,"PN-7 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","33 patients",,,"AMI-8A " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","118 patients",,,"HF-1 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","302 patients","2 ","2","SCIP-INF-1 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","115 patients",,,"AMI-1 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","99 patients",,,"PN-6 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","153 patients",,,"PN-5C " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","148 patients","2 ","2","SCIP-VTE-1 " "050009","QUEEN OF THE VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"AMI-4 " "050013","ST HELENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","214 patients","2 ","2","SCIP-INF-2 " "050013","ST HELENA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "050013","ST HELENA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "050013","ST HELENA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","77 patients","2 ","2","SCIP-VTE-1 " "050013","ST HELENA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050013","ST HELENA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","35 patients",,,"PN-6 " "050013","ST HELENA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","6 patients","1 ","1","AMI-8A " "050013","ST HELENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","203 patients","2 ","2","SCIP-INF-3 " "050013","ST HELENA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","78 patients",,,"PN-2 " "050013","ST HELENA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","43 patients",,,"AMI-5 " "050013","ST HELENA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","49 patients",,,"AMI-2 " "050013","ST HELENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","210 patients","2 ","2","SCIP-INF-1 " "050013","ST HELENA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","50 patients",,,"PN-5C " "050013","ST HELENA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","48 patients","2 ","2","SCIP-CARD-2 " "050013","ST HELENA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","AMI-4 " "050013","ST HELENA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "050013","ST HELENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","67 patients","2 ","2","SCIP-INF-4 " "050013","ST HELENA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","57 patients",,,"PN-7 " "050013","ST HELENA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","45 patients",,,"PN-3B " "050013","ST HELENA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "050013","ST HELENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","308 patients","2 ","2","SCIP-INF-6 " "050013","ST HELENA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","71 patients",,,"HF-1 " "050013","ST HELENA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","76 patients",,,"HF-2 " "050013","ST HELENA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","34 patients",,,"HF-3 " "050013","ST HELENA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","75 patients","2 ","2","SCIP-VTE-2 " "050014","SUTTER AMADOR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1 ","1","SCIP-CARD-2 " "050014","SUTTER AMADOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050014","SUTTER AMADOR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","54 patients",,,"HF-1 " "050014","SUTTER AMADOR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050014","SUTTER AMADOR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050014","SUTTER AMADOR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "050014","SUTTER AMADOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","184 patients",,,"SCIP-INF-6 " "050014","SUTTER AMADOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","107 patients",,,"SCIP-VTE-1 " "050014","SUTTER AMADOR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050014","SUTTER AMADOR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "050014","SUTTER AMADOR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"PN-4 " "050014","SUTTER AMADOR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "050014","SUTTER AMADOR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "050014","SUTTER AMADOR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","71 patients",,,"HF-2 " "050014","SUTTER AMADOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","107 patients",,,"SCIP-VTE-2 " "050014","SUTTER AMADOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","131 patients",,,"SCIP-INF-1 " "050014","SUTTER AMADOR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","HF-3 " "050014","SUTTER AMADOR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050014","SUTTER AMADOR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","45 patients",,,"PN-7 " "050014","SUTTER AMADOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","129 patients",,,"SCIP-INF-3 " "050014","SUTTER AMADOR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","51 patients",,,"PN-6 " "050014","SUTTER AMADOR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","74 patients",,,"PN-5C " "050014","SUTTER AMADOR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","62 patients",,,"PN-2 " "050014","SUTTER AMADOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","132 patients",,,"SCIP-INF-2 " "050014","SUTTER AMADOR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","61 patients",,,"PN-3B " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","57 patients",,,"PN-7 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","96 patients",,,"PN-5C " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","29 patients",,,"AMI-1 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","120 patients","2 ","2","SCIP-INF-1 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","288 patients","2 ","2","SCIP-INF-6 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","77 patients",,,"HF-1 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","120 patients","2 ","2","SCIP-INF-2 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","87 patients",,,"HF-2 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","32 patients","2 ","2","SCIP-CARD-2 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"HF-3 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","126 patients","2 ","2","SCIP-VTE-1 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","100 patients",,,"PN-6 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","81%","16 patients","1 ","1","AMI-5 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","126 patients","2 ","2","SCIP-VTE-2 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","120 patients","2 ","2","SCIP-INF-3 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","107 patients",,,"PN-3B " "050016","ARROYO GRANDE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","109 patients",,,"PN-2 " "050017","MERCY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","174 patients",,,"HF-3 " "050017","MERCY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","232 patients","2 ","2","SCIP-VTE-1 " "050017","MERCY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","84 patients",,,"PN-4 " "050017","MERCY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"HF-4 " "050017","MERCY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","79 patients",,,"AMI-8A " "050017","MERCY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","278 patients",,,"PN-2 " "050017","MERCY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","178 patients","2 ","2","SCIP-INF-4 " "050017","MERCY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","330 patients",,,"PN-3B " "050017","MERCY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","378 patients",,,"HF-1 " "050017","MERCY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","310 patients",,,"AMI-4 " "050017","MERCY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","515 patients","2 ","2","SCIP-INF-1 " "050017","MERCY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","987 patients",,,"AMI-2 " "050017","MERCY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","430 patients",,,"HF-2 " "050017","MERCY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","732 patients","2 ","2","SCIP-INF-6 " "050017","MERCY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","118 patients","2 ","2","SCIP-CARD-2 " "050017","MERCY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","522 patients","2 ","2","SCIP-INF-2 " "050017","MERCY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "050017","MERCY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","148 patients",,,"AMI-3 " "050017","MERCY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","232 patients","2 ","2","SCIP-VTE-2 " "050017","MERCY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","984 patients",,,"AMI-5 " "050017","MERCY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","166 patients",,,"PN-6 " "050017","MERCY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","210 patients",,,"AMI-1 " "050017","MERCY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","314 patients",,,"PN-5C " "050017","MERCY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","485 patients","2 ","2","SCIP-INF-3 " "050017","MERCY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","168 patients",,,"PN-7 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","65%","43 patients",,,"AMI-1 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","43 patients","3 ","3","PN-5C " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1,2 ","12","HF-4 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","33%","9 patients","1 ","1","SCIP-CARD-2 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","57 patients","2 ","2","SCIP-INF-2 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","58 patients","2 ","2","SCIP-INF-1 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","102 patients","2 ","2","SCIP-INF-6 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","41 patients",,,"PN-6 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","68 patients",,,"PN-3B " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","46 patients","2 ","2","HF-3 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","AMI-4 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","55 patients","2 ","2","SCIP-INF-3 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","43%","61 patients","2 ","2","SCIP-VTE-1 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","249 patients","2 ","2","HF-2 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","106 patients",,,"PN-2 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","66 patients",,,"PN-7 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","53%","38 patients",,,"AMI-2 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","46%","37 patients",,,"AMI-5 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","148 patients","2 ","2","HF-1 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050018","PACIFIC ALLIANCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","39%","59 patients","2 ","2","SCIP-VTE-2 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","51 patients","2 ","2","PN-6 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","23 patients","1 ","1","CAC-2 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","175 patients",,,"AMI-4 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","38%","21 patients","1 ","1","CAC-3 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","547 patients",,,"HF-2 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","293 patients","2 ","2","SCIP-VTE-1 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","293 patients","2 ","2","SCIP-VTE-2 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","529 patients","2 ","2","SCIP-INF-1 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","99 patients",,,"AMI-3 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050022","RIVERSIDE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","114 patients","2 ","2","PN-3B " "050022","RIVERSIDE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","122 patients","2 ","2","PN-2 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","106 patients","2 ","2","SCIP-CARD-2 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","454 patients",,,"HF-1 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","549 patients","2 ","2","SCIP-INF-2 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","799 patients","2 ","2","SCIP-INF-6 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","379 patients",,,"AMI-1 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","23 patients","1 ","1","CAC-1 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","550 patients",,,"AMI-5 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","126 patients",,,"HF-4 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","103 patients","2 ","2","PN-5C " "050022","RIVERSIDE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","85 patients","2 ","2","PN-7 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","158 patients","2 ","2","SCIP-INF-4 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","141 patients",,,"AMI-8A " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","192 patients",,,"HF-3 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","552 patients",,,"AMI-2 " "050022","RIVERSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","496 patients","2 ","2","SCIP-INF-3 " "050024","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "050024","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","57 patients",,,"SCIP-INF-2 " "050024","PARADISE VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","244 patients",,,"PN-5C " "050024","PARADISE VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","137 patients",,,"PN-6 " "050024","PARADISE VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","89 patients",,,"HF-3 " "050024","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","23 patients","1 ","1","SCIP-CARD-2 " "050024","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "050024","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050024","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050024","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","51 patients",,,"SCIP-VTE-1 " "050024","PARADISE VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","135 patients",,,"PN-7 " "050024","PARADISE VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "050024","PARADISE VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","244 patients",,,"HF-2 " "050024","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","45 patients",,,"SCIP-INF-3 " "050024","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","79 patients",,,"AMI-1 " "050024","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","138 patients",,,"SCIP-INF-6 " "050024","PARADISE VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","192 patients",,,"PN-2 " "050024","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","42 patients",,,"AMI-2 " "050024","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","51 patients",,,"SCIP-VTE-2 " "050024","PARADISE VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","257 patients",,,"PN-3B " "050024","PARADISE VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","197 patients",,,"HF-1 " "050024","PARADISE VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "050024","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "050024","PARADISE VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050024","PARADISE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","52 patients",,,"SCIP-INF-1 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","AMI-4 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","131 patients","2 ","2","SCIP-INF-4 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","215 patients","2 ","2","AMI-5 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","204 patients","2 ","2","HF-1 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","357 patients","2 ","2","SCIP-INF-2 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","199 patients","2 ","2","SCIP-VTE-1 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","71 patients","2 ","2","PN-2 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","170 patients","2 ","2","AMI-1 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","121 patients","2 ","2","PN-3B " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","234 patients","2 ","2","HF-2 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","34 patients","2 ","2","PN-6 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","230 patients","2 ","2","AMI-2 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","86 patients","2 ","2","SCIP-CARD-2 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","65 patients","2 ","2","PN-7 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","199 patients","2 ","2","SCIP-VTE-2 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","318 patients","2 ","2","SCIP-INF-3 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","PN-4 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1,2 ","12","AMI-3 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","39 patients","2 ","2","AMI-8A " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","114 patients","2 ","2","PN-5C " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","351 patients","2 ","2","SCIP-INF-1 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","99 patients","2 ","2","HF-3 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","541 patients","2 ","2","SCIP-INF-6 " "050025","UNIV OF CALIFORNIA SAN DIEGO MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","HF-4 " "050026","GROSSMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","134 patients","2 ","2","SCIP-INF-4 " "050026","GROSSMONT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","393 patients",,,"PN-2 " "050026","GROSSMONT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","63 patients",,,"AMI-3 " "050026","GROSSMONT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","712 patients",,,"HF-2 " "050026","GROSSMONT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","146 patients",,,"AMI-4 " "050026","GROSSMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1147 patients","2 ","2","SCIP-INF-6 " "050026","GROSSMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","807 patients","2 ","2","SCIP-INF-3 " "050026","GROSSMONT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","331 patients",,,"PN-6 " "050026","GROSSMONT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","437 patients",,,"AMI-1 " "050026","GROSSMONT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","392 patients",,,"AMI-2 " "050026","GROSSMONT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","380 patients","2 ","2","SCIP-VTE-2 " "050026","GROSSMONT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","276 patients",,,"HF-3 " "050026","GROSSMONT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","381 patients","2 ","2","SCIP-VTE-1 " "050026","GROSSMONT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","125 patients",,,"AMI-8A " "050026","GROSSMONT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","152 patients",,,"HF-4 " "050026","GROSSMONT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","181 patients","2 ","2","SCIP-CARD-2 " "050026","GROSSMONT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","592 patients",,,"PN-3B " "050026","GROSSMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","851 patients","2 ","2","SCIP-INF-2 " "050026","GROSSMONT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","200 patients",,,"PN-4 " "050026","GROSSMONT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050026","GROSSMONT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","544 patients",,,"HF-1 " "050026","GROSSMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","839 patients","2 ","2","SCIP-INF-1 " "050026","GROSSMONT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","397 patients",,,"AMI-5 " "050026","GROSSMONT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","329 patients",,,"PN-7 " "050026","GROSSMONT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","537 patients",,,"PN-5C " "050028","MAD RIVER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050028","MAD RIVER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","71 patients","2 ","2","SCIP-INF-6 " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050028","MAD RIVER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","66%","38 patients","2 ","2","SCIP-VTE-1 " "050028","MAD RIVER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","66%","38 patients","2 ","2","SCIP-VTE-2 " "050028","MAD RIVER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","28 patients","2 ","2","SCIP-INF-2 " "050028","MAD RIVER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","27 patients","2 ","2","SCIP-INF-3 " "050028","MAD RIVER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","28 patients","2 ","2","SCIP-INF-1 " "050028","MAD RIVER COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","74 patients",,,"PN-3B " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "050028","MAD RIVER COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","27 patients","3 ","3","PN-5C " "050028","MAD RIVER COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","55 patients",,,"PN-2 " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","44 patients",,,"HF-2 " "050028","MAD RIVER COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "050028","MAD RIVER COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","53 patients",,,"PN-6 " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "050028","MAD RIVER COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","40 patients",,,"PN-7 " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "050028","MAD RIVER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "050028","MAD RIVER COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","40 patients",,,"HF-1 " "050030","OROVILLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","57 patients",,,"AMI-1 " "050030","OROVILLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","200 patients","2 ","2","HF-2 " "050030","OROVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","193 patients","2 ","2","SCIP-VTE-2 " "050030","OROVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","193 patients","2 ","2","SCIP-VTE-1 " "050030","OROVILLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","33 patients",,,"AMI-5 " "050030","OROVILLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","194 patients","2 ","2","PN-5C " "050030","OROVILLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","195 patients","2 ","2","PN-3B " "050030","OROVILLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050030","OROVILLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","48 patients",,,"SCIP-CARD-2 " "050030","OROVILLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","38 patients","2 ","2","HF-4 " "050030","OROVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050030","OROVILLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","107 patients","2 ","2","PN-4 " "050030","OROVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","303 patients","2 ","2","SCIP-INF-2 " "050030","OROVILLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","95 patients","2 ","2","PN-6 " "050030","OROVILLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050030","OROVILLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","31 patients",,,"AMI-2 " "050030","OROVILLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","AMI-4 " "050030","OROVILLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","183 patients","2 ","2","PN-2 " "050030","OROVILLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","171 patients","2 ","2","HF-1 " "050030","OROVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","294 patients","2 ","2","SCIP-INF-3 " "050030","OROVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","432 patients","2 ","2","SCIP-INF-6 " "050030","OROVILLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","67 patients","2 ","2","HF-3 " "050030","OROVILLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "050030","OROVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","302 patients","2 ","2","SCIP-INF-1 " "050030","OROVILLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","122 patients","2 ","2","PN-7 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","150 patients",,,"PN-6 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","372 patients",,,"HF-2 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","311 patients",,,"HF-1 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","200 patients","2 ","2","SCIP-VTE-2 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","236 patients",,,"AMI-5 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","41 patients",,,"AMI-3 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","447 patients","2 ","2","SCIP-INF-3 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","513 patients","2 ","2","SCIP-INF-2 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","142 patients",,,"HF-3 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","181 patients",,,"AMI-1 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","500 patients","2 ","2","SCIP-INF-1 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","237 patients",,,"AMI-2 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","203 patients","2 ","2","SCIP-VTE-1 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","697 patients","2 ","2","SCIP-INF-6 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","252 patients",,,"PN-2 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","227 patients",,,"PN-5C " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"AMI-4 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","148 patients","2 ","2","SCIP-INF-4 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","182 patients",,,"PN-7 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","100 patients","2 ","2","SCIP-CARD-2 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","24 patients","1 ","1","AMI-8A " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"HF-4 " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","177 patients",,,"PN-3B " "050036","BAKERSFIELD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","100 patients",,,"PN-4 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","265 patients","2 ","2","SCIP-VTE-2 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients","2 ","2","AMI-3 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","116 patients","2 ","2","PN-5C " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","88 patients","2 ","2","SCIP-CARD-2 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","51%","71 patients","2 ","2","PN-2 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","147 patients","2 ","2","HF-3 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","265 patients","2 ","2","SCIP-VTE-1 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","62 patients","2 ","2","SCIP-INF-4 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","339 patients","2 ","2","HF-1 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","173 patients","2 ","2","AMI-1 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","50 patients","2 ","2","PN-4 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","409 patients","2 ","2","SCIP-INF-3 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","50 patients","2 ","2","PN-6 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","42 patients","2 ","2","AMI-4 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","584 patients","2 ","2","SCIP-INF-6 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","440 patients","2 ","2","SCIP-INF-2 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","156 patients","2 ","2","AMI-2 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","157 patients","2 ","2","AMI-5 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","28 patients","2 ","2","AMI-8A " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","41%","64 patients","2 ","2","PN-7 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","102 patients","2 ","2","HF-4 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","432 patients","2 ","2","SCIP-INF-1 " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","122 patients","2 ","2","PN-3B " "050038","SANTA CLARA VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","360 patients","2 ","2","HF-2 " "050039","ENLOE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","211 patients",,,"AMI-5 " "050039","ENLOE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","564 patients","2 ","2","SCIP-INF-1 " "050039","ENLOE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","70 patients",,,"AMI-4 " "050039","ENLOE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","238 patients",,,"PN-7 " "050039","ENLOE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"PN-4 " "050039","ENLOE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"AMI-3 " "050039","ENLOE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","825 patients","2 ","2","SCIP-INF-6 " "050039","ENLOE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","312 patients","2 ","2","SCIP-VTE-2 " "050039","ENLOE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050039","ENLOE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","214 patients",,,"HF-1 " "050039","ENLOE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","243 patients",,,"PN-3B " "050039","ENLOE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","140 patients",,,"AMI-1 " "050039","ENLOE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"HF-4 " "050039","ENLOE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","146 patients","2 ","2","SCIP-INF-4 " "050039","ENLOE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","209 patients",,,"AMI-2 " "050039","ENLOE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","325 patients",,,"PN-2 " "050039","ENLOE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","581 patients","2 ","2","SCIP-INF-2 " "050039","ENLOE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","217 patients",,,"PN-6 " "050039","ENLOE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","318 patients",,,"PN-5C " "050039","ENLOE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","270 patients",,,"HF-2 " "050039","ENLOE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","320 patients","2 ","2","SCIP-VTE-1 " "050039","ENLOE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","84 patients",,,"HF-3 " "050039","ENLOE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","61 patients","2 ","2","SCIP-CARD-2 " "050039","ENLOE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","23 patients","1 ","1","AMI-8A " "050039","ENLOE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","527 patients","2 ","2","SCIP-INF-3 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1,2 ","12","AMI-4 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1,2 ","12","AMI-3 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","124 patients","2 ","2","HF-3 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","120 patients","2 ","2","SCIP-INF-1 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","8 patients","1,2 ","12","AMI-7A " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","59 patients","2 ","2","PN-6 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","49 patients","2 ","2","PN-3B " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","97 patients","2 ","2","PN-5C " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","270 patients","2 ","2","HF-2 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","118 patients","2 ","2","SCIP-INF-3 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","29 patients","2 ","2","PN-4 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","126 patients","2 ","2","SCIP-VTE-1 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1,2 ","12","SCIP-CARD-2 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","221 patients","2 ","2","SCIP-INF-6 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients","2 ","2","AMI-5 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","261 patients","2 ","2","HF-1 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","57 patients","2 ","2","PN-7 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","85 patients","2 ","2","HF-4 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","33 patients","2 ","2","AMI-2 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","62 patients","2 ","2","PN-2 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","74 patients","2 ","2","AMI-1 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","121 patients","2 ","2","SCIP-INF-2 " "050040","LAC/OLIVE VIEW-UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","123 patients","2 ","2","SCIP-VTE-2 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","320 patients","2 ","2","SCIP-INF-3 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","PN-4 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","158 patients","2 ","2","SCIP-VTE-1 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","426 patients","2 ","2","SCIP-INF-6 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","86 patients","2 ","2","PN-3B " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","158 patients","2 ","2","SCIP-VTE-2 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","329 patients","2 ","2","SCIP-INF-2 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","95 patients","2 ","2","PN-2 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","326 patients","2 ","2","SCIP-INF-1 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","94 patients","2 ","2","PN-6 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","63 patients",,,"PN-7 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"HF-3 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","93 patients",,,"HF-2 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","40 patients","2 ","2","SCIP-CARD-2 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","121 patients","2 ","2","PN-5C " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","78 patients",,,"HF-1 " "050042","ST ELIZABETH COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","64 patients",,,"AMI-8A " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","167 patients","2 ","2","SCIP-INF-4 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","297 patients","2 ","2","HF-2 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","122 patients","2 ","2","PN-2 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","221 patients","2 ","2","SCIP-VTE-2 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","231 patients",,,"AMI-1 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","467 patients","2 ","2","SCIP-INF-2 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","660 patients",,,"AMI-2 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","95 patients","2 ","2","HF-3 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","118 patients","2 ","2","SCIP-CARD-2 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","244 patients","2 ","2","HF-1 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","HF-4 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","459 patients","2 ","2","SCIP-INF-1 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","86 patients","2 ","2","PN-7 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","436 patients","2 ","2","SCIP-INF-3 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","679 patients",,,"AMI-5 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","636 patients","2 ","2","SCIP-INF-6 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","132 patients","2 ","2","PN-5C " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","221 patients","2 ","2","SCIP-VTE-1 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients",,,"AMI-3 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","70 patients","2 ","2","PN-6 " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","154 patients","2 ","2","PN-3B " "050043","ALTA BATES SUMMIT MEDICAL CENTER--SUMMIT CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","173 patients",,,"AMI-4 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","117 patients",,,"PN-2 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","215 patients",,,"SCIP-INF-3 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","135 patients",,,"SCIP-VTE-1 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","68 patients",,,"AMI-1 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","162 patients",,,"HF-2 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","376 patients",,,"SCIP-INF-6 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","221 patients",,,"SCIP-INF-1 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","76 patients",,,"PN-7 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","135 patients",,,"SCIP-VTE-2 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"HF-3 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","136 patients",,,"PN-5C " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","32 patients",,,"SCIP-CARD-2 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","140 patients",,,"PN-3B " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","155 patients",,,"HF-1 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","63 patients",,,"PN-6 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "050045","EL CENTRO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","225 patients",,,"SCIP-INF-2 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","20 patients","1 ","1","PN-6 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","15 patients","1 ","1","PN-7 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","43 patients",,,"SCIP-INF-1 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","21 patients","1 ","1","SCIP-VTE-2 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","7 patients","1,3 ","13","HF-2 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","59 patients",,,"SCIP-INF-6 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1 ","1","AMI-1 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients",,,"PN-3B " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","7 patients","1,3 ","13","HF-1 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","41 patients",,,"SCIP-INF-3 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","25 patients",,,"PN-2 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","42 patients",,,"SCIP-INF-2 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","28 patients",,,"PN-5C " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "050046","OJAI VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","21 patients","1 ","1","SCIP-VTE-1 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","123 patients",,,"AMI-1 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","119 patients","2 ","2","PN-7 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","25 patients",,,"CAC-1 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","87 patients","2 ","2","SCIP-CARD-2 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","38 patients",,,"AMI-8A " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","139 patients","2 ","2","SCIP-INF-4 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","484 patients","2 ","2","SCIP-INF-1 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","496 patients","2 ","2","SCIP-INF-2 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","189 patients","2 ","2","PN-5C " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","26 patients",,,"CAC-2 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","701 patients","2 ","2","SCIP-INF-6 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","212 patients","2 ","2","PN-2 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","201 patients","2 ","2","PN-3B " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","393 patients",,,"HF-2 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","42 patients","2 ","2","PN-4 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","340 patients",,,"HF-1 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","459 patients","2 ","2","SCIP-INF-3 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","88%","26 patients",,,"CAC-3 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","101 patients","2 ","2","PN-6 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","273 patients","2 ","2","SCIP-VTE-1 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","148 patients",,,"AMI-2 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","82 patients",,,"HF-3 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","273 patients","2 ","2","SCIP-VTE-2 " "050047","CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","114 patients",,,"AMI-5 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","12 patients","1 ","1","SCIP-INF-3 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","161 patients",,,"HF-2 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","77%","44 patients",,,"AMI-5 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1 ","1","SCIP-CARD-2 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","28 patients","2 ","2","PN-4 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","70 patients",,,"AMI-1 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","78 patients",,,"SCIP-INF-6 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","27 patients",,,"HF-4 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","45%","83 patients","2 ","2","PN-7 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","43%","56 patients",,,"SCIP-VTE-1 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","12 patients","1 ","1","SCIP-INF-2 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","12 patients","1 ","1","SCIP-INF-1 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","28 patients","2 ","2","PN-6 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","AMI-4 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","38%","133 patients","2 ","2","PN-2 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","84 patients","2,3 ","23","PN-5C " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","48 patients",,,"SCIP-VTE-2 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","56%","9 patients","1 ","1","AMI-3 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","127 patients","2 ","2","PN-3B " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","77%","43 patients",,,"AMI-2 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","33 patients",,,"HF-3 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","120 patients",,,"HF-1 " "050054","SAN GORGONIO MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","176 patients",,,"SCIP-INF-6 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","134 patients",,,"PN-5C " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","58%","12 patients","1 ","1","CAC-3 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","92 patients",,,"PN-6 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","103 patients",,,"SCIP-INF-3 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","46 patients",,,"PN-4 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"HF-3 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","55 patients",,,"HF-4 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","13 patients","1 ","1","CAC-2 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","13 patients","1 ","1","CAC-1 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","106 patients",,,"SCIP-VTE-2 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","94 patients",,,"PN-2 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","115 patients",,,"SCIP-INF-2 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","20 patients","1 ","1","SCIP-CARD-2 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","139 patients",,,"PN-3B " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","106 patients",,,"SCIP-VTE-1 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","114 patients",,,"SCIP-INF-1 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","173 patients",,,"HF-2 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","163 patients",,,"HF-1 " "050055","CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","82 patients",,,"PN-7 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"AMI-3 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","256 patients",,,"PN-2 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","389 patients","2 ","2","SCIP-VTE-2 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","122 patients",,,"HF-4 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","263 patients",,,"AMI-2 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","251 patients",,,"AMI-5 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","424 patients",,,"HF-1 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","67%","21 patients","1,2 ","12","SCIP-INF-4 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","81%","925 patients","2 ","2","SCIP-INF-6 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","541 patients","2 ","2","SCIP-INF-3 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","124 patients",,,"PN-3B " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","280 patients",,,"AMI-1 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","205 patients",,,"PN-6 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","70 patients",,,"AMI-8A " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","108 patients",,,"AMI-4 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","471 patients",,,"HF-2 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","207 patients",,,"PN-7 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","206 patients",,,"HF-3 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","390 patients","2 ","2","SCIP-VTE-1 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","145 patients",,,"PN-4 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","581 patients","2 ","2","SCIP-INF-2 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","316 patients",,,"PN-5C " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","583 patients","2 ","2","SCIP-INF-1 " "050056","ANTELOPE VALLEY HOSPITAL MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","98 patients","2 ","2","SCIP-CARD-2 " "050057","KAWEAH DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","535 patients","2 ","2","SCIP-INF-3 " "050057","KAWEAH DELTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","218 patients","2 ","2","PN-5C " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","318 patients","2 ","2","HF-2 " "050057","KAWEAH DELTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","61 patients",,,"AMI-8A " "050057","KAWEAH DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","186 patients","2 ","2","SCIP-INF-4 " "050057","KAWEAH DELTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","123 patients","2 ","2","PN-7 " "050057","KAWEAH DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","266 patients","2 ","2","SCIP-VTE-1 " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050057","KAWEAH DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","560 patients","2 ","2","SCIP-INF-2 " "050057","KAWEAH DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","784 patients","2 ","2","SCIP-INF-6 " "050057","KAWEAH DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","260 patients","2 ","2","SCIP-VTE-2 " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","96 patients",,,"AMI-4 " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","HF-4 " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","270 patients","2 ","2","HF-1 " "050057","KAWEAH DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","545 patients","2 ","2","SCIP-INF-1 " "050057","KAWEAH DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","112 patients","2 ","2","SCIP-CARD-2 " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","63 patients",,,"AMI-3 " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","255 patients",,,"AMI-1 " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","306 patients",,,"AMI-5 " "050057","KAWEAH DELTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","222 patients","2 ","2","PN-3B " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","149 patients","2 ","2","HF-3 " "050057","KAWEAH DELTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","121 patients","2 ","2","PN-6 " "050057","KAWEAH DELTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","319 patients",,,"AMI-2 " "050057","KAWEAH DELTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","180 patients","2 ","2","PN-2 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","502 patients",,,"HF-2 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","411 patients","2 ","2","SCIP-INF-1 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","425 patients",,,"HF-1 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","229 patients","2 ","2","SCIP-VTE-1 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","105 patients",,,"PN-6 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","197 patients",,,"PN-3B " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","229 patients","2 ","2","SCIP-VTE-2 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","166 patients",,,"HF-3 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","233 patients",,,"AMI-1 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","411 patients","2 ","2","SCIP-INF-2 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"AMI-4 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"HF-4 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","137 patients","2 ","2","SCIP-INF-4 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"PN-4 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"AMI-3 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","229 patients",,,"PN-2 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","231 patients",,,"AMI-5 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","111 patients","2 ","2","SCIP-CARD-2 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","199 patients",,,"PN-5C " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","143 patients",,,"PN-7 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","374 patients","2 ","2","SCIP-INF-3 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","248 patients",,,"AMI-2 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","588 patients","2 ","2","SCIP-INF-6 " "050058","GLENDALE MEM HOSPITAL & HLTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","51 patients",,,"AMI-8A " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","169 patients",,,"AMI-4 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","115 patients",,,"AMI-3 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","181 patients",,,"PN-4 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","879 patients",,,"SCIP-INF-1 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","707 patients",,,"SCIP-VTE-2 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","886 patients",,,"SCIP-INF-2 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","188 patients",,,"HF-4 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","701 patients",,,"HF-2 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","181 patients",,,"SCIP-CARD-2 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","465 patients",,,"AMI-1 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","519 patients",,,"AMI-2 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","540 patients",,,"PN-3B " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","311 patients",,,"PN-7 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","708 patients",,,"SCIP-VTE-1 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1900 patients",,,"SCIP-INF-6 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","252 patients",,,"SCIP-INF-4 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","488 patients",,,"PN-5C " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","319 patients",,,"PN-6 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","64 patients",,,"AMI-8A " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","862 patients",,,"SCIP-INF-3 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","517 patients",,,"AMI-5 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","630 patients",,,"HF-1 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","353 patients",,,"PN-2 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","344 patients",,,"HF-3 " "050060","COMMUNITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","324 patients",,,"HF-1 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","81 patients",,,"AMI-2 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","115 patients",,,"HF-3 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","86 patients",,,"AMI-5 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","179 patients",,,"SCIP-INF-3 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","197 patients",,,"PN-5C " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","195 patients",,,"SCIP-INF-2 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","195 patients",,,"SCIP-INF-1 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","239 patients",,,"SCIP-VTE-2 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1 ","1","SCIP-CARD-2 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","376 patients",,,"HF-2 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","129 patients",,,"PN-7 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","179 patients",,,"PN-2 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","240 patients",,,"SCIP-VTE-1 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","198 patients",,,"PN-3B " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","114 patients",,,"AMI-1 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","408 patients",,,"SCIP-INF-6 " "050063","HOLLYWOOD PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","82 patients",,,"PN-6 " "050067","OAK VALLEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","27 patients",,,"SCIP-INF-1 " "050067","OAK VALLEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "050067","OAK VALLEY DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","31 patients",,,"PN-2 " "050067","OAK VALLEY DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","44 patients",,,"PN-3B " "050067","OAK VALLEY DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","38 patients",,,"PN-5C " "050067","OAK VALLEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "050067","OAK VALLEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","52 patients",,,"SCIP-VTE-1 " "050067","OAK VALLEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","52 patients",,,"SCIP-VTE-2 " "050067","OAK VALLEY DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","33 patients",,,"PN-6 " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050067","OAK VALLEY DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","57 patients",,,"HF-2 " "050067","OAK VALLEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","90 patients",,,"SCIP-INF-6 " "050067","OAK VALLEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","26 patients",,,"SCIP-INF-2 " "050067","OAK VALLEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","26 patients",,,"SCIP-INF-3 " "050067","OAK VALLEY DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","11 patients","1 ","1","PN-7 " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","43 patients",,,"HF-1 " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","26 patients",,,"AMI-1 " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","20 patients","1 ","1","HF-3 " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "050067","OAK VALLEY DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","13 patients","1 ","1","AMI-5 " "050069","ST JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","116 patients",,,"PN-7 " "050069","ST JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","42 patients",,,"AMI-8A " "050069","ST JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","113 patients",,,"PN-6 " "050069","ST JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","204 patients",,,"AMI-1 " "050069","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","413 patients","2 ","2","SCIP-INF-2 " "050069","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","165 patients","2 ","2","SCIP-VTE-2 " "050069","ST JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","361 patients",,,"HF-2 " "050069","ST JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","172 patients",,,"PN-2 " "050069","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","404 patients","2 ","2","SCIP-INF-1 " "050069","ST JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "050069","ST JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "050069","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","572 patients","2 ","2","SCIP-INF-6 " "050069","ST JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","191 patients",,,"AMI-2 " "050069","ST JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","123 patients",,,"HF-3 " "050069","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","68 patients","2 ","2","SCIP-CARD-2 " "050069","ST JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","157 patients",,,"PN-5C " "050069","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","128 patients","2 ","2","SCIP-INF-4 " "050069","ST JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","316 patients",,,"HF-1 " "050069","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","384 patients","2 ","2","SCIP-INF-3 " "050069","ST JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"AMI-3 " "050069","ST JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","146 patients",,,"PN-3B " "050069","ST JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","196 patients",,,"AMI-5 " "050069","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","168 patients","2 ","2","SCIP-VTE-1 " "050069","ST JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "050069","ST JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","215 patients","2 ","2","SCIP-INF-3 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","131 patients","2 ","2","PN-5C " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","325 patients","2 ","2","SCIP-INF-6 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","157 patients",,,"HF-2 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","158 patients","2 ","2","SCIP-VTE-2 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","96 patients","2 ","2","PN-7 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","148 patients",,,"HF-1 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","36 patients",,,"AMI-2 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","93 patients",,,"AMI-1 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","26 patients","2 ","2","PN-4 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","222 patients","2 ","2","SCIP-INF-1 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","152 patients","2 ","2","PN-3B " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","101 patients","2 ","2","PN-6 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"HF-3 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","150 patients","2 ","2","PN-2 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","222 patients","2 ","2","SCIP-INF-2 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","68 patients","2 ","2","SCIP-CARD-2 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","158 patients","2 ","2","SCIP-VTE-1 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "050070","KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","74 patients","2 ","2","HF-3 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","178 patients","2 ","2","SCIP-VTE-2 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","95 patients","2 ","2","SCIP-CARD-2 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","174 patients","2 ","2","AMI-1 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","134 patients","2 ","2","SCIP-INF-4 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1,2 ","12","HF-4 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","363 patients","2 ","2","AMI-2 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","24 patients","1,2 ","12","AMI-8A " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","90 patients","2 ","2","PN-5C " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","358 patients","2 ","2","SCIP-INF-3 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","41 patients","2 ","2","AMI-3 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","56 patients","2 ","2","PN-6 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","293 patients","2 ","2","HF-1 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","320 patients","2 ","2","HF-2 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","178 patients","2 ","2","SCIP-VTE-1 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","384 patients","2 ","2","SCIP-INF-1 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","321 patients","2 ","2","AMI-5 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","81 patients","2 ","2","AMI-4 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","531 patients","2 ","2","SCIP-INF-6 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","114 patients","2 ","2","PN-2 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","PN-4 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","388 patients","2 ","2","SCIP-INF-2 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","76 patients","2 ","2","PN-7 " "050071","KAISER FOUNDATION HOSPITAL-SANTA CLARA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","111 patients","2 ","2","PN-3B " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","83 patients",,,"AMI-5 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","306 patients","2 ","2","SCIP-INF-3 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","168 patients","2 ","2","PN-3B " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","83 patients","2 ","2","PN-7 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","57 patients","2 ","2","HF-3 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","73 patients",,,"AMI-2 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","157 patients",,,"AMI-1 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","120 patients","2 ","2","PN-5C " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","334 patients","2 ","2","SCIP-INF-2 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","250 patients","2 ","2","SCIP-VTE-2 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","HF-4 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","193 patients","2 ","2","HF-1 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","29 patients",,,"AMI-8A " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","80 patients","2 ","2","SCIP-CARD-2 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","250 patients","2 ","2","SCIP-VTE-1 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1,2 ","12","PN-4 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","135 patients","2 ","2","PN-2 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","331 patients","2 ","2","SCIP-INF-1 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","227 patients","2 ","2","HF-2 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","99 patients","2 ","2","PN-6 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","510 patients","2 ","2","SCIP-INF-6 " "050072","KAISER FOUNDATION HOSPITAL - WALNUT CREEK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","81 patients","2 ","2","PN-7 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","101 patients","2 ","2","PN-5C " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","74 patients","2 ","2","AMI-5 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","252 patients","2 ","2","HF-2 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","286 patients","2 ","2","SCIP-INF-3 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","409 patients","2 ","2","SCIP-INF-6 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","207 patients","2 ","2","SCIP-VTE-1 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1,2 ","12","AMI-3 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","84 patients","2 ","2","SCIP-CARD-2 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","HF-4 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,2 ","12","AMI-4 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","72 patients","2 ","2","PN-6 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","125 patients","2 ","2","PN-2 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","PN-4 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","294 patients","2 ","2","SCIP-INF-1 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","114 patients","2 ","2","PN-3B " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","67 patients","2 ","2","AMI-2 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","206 patients","2 ","2","SCIP-VTE-2 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","232 patients","2 ","2","HF-1 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients","2 ","2","HF-3 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","75%","4 patients","1,2 ","12","AMI-7A " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","295 patients","2 ","2","SCIP-INF-2 " "050073","KAISER FOUNDATION HOSPITAL VALLEJO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","89 patients","2 ","2","AMI-1 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1,2 ","12","AMI-3 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","294 patients","2 ","2","SCIP-VTE-2 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","117 patients","2 ","2","PN-7 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","436 patients","2 ","2","SCIP-INF-1 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","HF-4 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","175 patients","2 ","2","PN-2 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","103 patients","2 ","2","PN-6 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","660 patients","2 ","2","SCIP-INF-6 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","83 patients","2 ","2","HF-3 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","225 patients","2 ","2","AMI-1 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1,2 ","12","AMI-7A " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","AMI-4 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","354 patients","2 ","2","HF-2 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","78 patients","2 ","2","SCIP-CARD-2 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients","2 ","2","PN-4 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","409 patients","2 ","2","SCIP-INF-3 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","133 patients","2 ","2","AMI-2 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","182 patients","2 ","2","PN-3B " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","439 patients","2 ","2","SCIP-INF-2 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","168 patients","2 ","2","PN-5C " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","319 patients","2 ","2","HF-1 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","113 patients","2 ","2","AMI-5 " "050075","KAISER FOUNDATION HOSPITAL OAKLAND/RICHMOND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","294 patients","2 ","2","SCIP-VTE-1 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","48 patients","2 ","2","HF-4 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","174 patients","2 ","2","PN-5C " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","296 patients","2 ","2","HF-2 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","286 patients","2 ","2","HF-1 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","345 patients","2 ","2","AMI-2 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","248 patients","2 ","2","SCIP-VTE-2 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","147 patients","2 ","2","PN-2 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","133 patients","2 ","2","SCIP-CARD-2 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","514 patients","2 ","2","SCIP-INF-1 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","114 patients","2 ","2","PN-6 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1,2 ","12","PN-4 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","690 patients","2 ","2","SCIP-INF-6 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","194 patients","2 ","2","PN-3B " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","494 patients","2 ","2","SCIP-INF-3 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","103 patients","2 ","2","HF-3 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","79 patients","2 ","2","AMI-4 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","356 patients","2 ","2","AMI-5 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","522 patients","2 ","2","SCIP-INF-2 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","173 patients","2 ","2","SCIP-INF-4 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients","2 ","2","AMI-3 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","108 patients",,,"PN-7 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","248 patients","2 ","2","SCIP-VTE-1 " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","8 patients","1,2 ","12","AMI-8A " "050076","KAISER FOUNDATION HOSPITAL - SAN FRANCISCO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","84 patients","2 ","2","AMI-1 " "050077","SCRIPPS MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","335 patients",,,"PN-7 " "050077","SCRIPPS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","139 patients","2 ","2","SCIP-CARD-2 " "050077","SCRIPPS MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","347 patients",,,"AMI-1 " "050077","SCRIPPS MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","77 patients",,,"AMI-8A " "050077","SCRIPPS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","615 patients","2 ","2","SCIP-INF-1 " "050077","SCRIPPS MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","167 patients",,,"PN-4 " "050077","SCRIPPS MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","326 patients",,,"AMI-2 " "050077","SCRIPPS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","625 patients","2 ","2","SCIP-INF-2 " "050077","SCRIPPS MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","60 patients",,,"AMI-3 " "050077","SCRIPPS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","438 patients","2 ","2","SCIP-VTE-1 " "050077","SCRIPPS MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","313 patients",,,"PN-6 " "050077","SCRIPPS MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","242 patients","2 ","2","HF-3 " "050077","SCRIPPS MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","128 patients","2 ","2","HF-4 " "050077","SCRIPPS MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","719 patients","2 ","2","HF-2 " "050077","SCRIPPS MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"AMI-4 " "050077","SCRIPPS MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","477 patients",,,"PN-2 " "050077","SCRIPPS MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","572 patients",,,"PN-3B " "050077","SCRIPPS MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050077","SCRIPPS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","147 patients","2 ","2","SCIP-INF-4 " "050077","SCRIPPS MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","305 patients",,,"AMI-5 " "050077","SCRIPPS MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","594 patients","2 ","2","HF-1 " "050077","SCRIPPS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","568 patients","2 ","2","SCIP-INF-3 " "050077","SCRIPPS MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","464 patients",,,"PN-5C " "050077","SCRIPPS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","438 patients","2 ","2","SCIP-VTE-2 " "050077","SCRIPPS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","984 patients","2 ","2","SCIP-INF-6 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","154 patients","2 ","2","SCIP-INF-2 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","116 patients",,,"HF-1 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","27 patients","2 ","2","SCIP-CARD-2 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","178 patients",,,"PN-3B " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","151 patients","2 ","2","SCIP-VTE-1 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","151 patients","2 ","2","SCIP-VTE-2 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","251 patients","2 ","2","SCIP-INF-6 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","139 patients",,,"PN-2 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","166 patients",,,"PN-5C " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","151 patients","2 ","2","SCIP-INF-1 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","84 patients",,,"PN-6 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"HF-3 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","148 patients",,,"HF-2 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","134 patients","2 ","2","SCIP-INF-3 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","94 patients",,,"PN-7 " "050078","PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","195 patients","2 ","2","PN-3B " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","92 patients","2 ","2","PN-6 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","102 patients","2 ","2","HF-3 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","185 patients","2 ","2","PN-5C " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","76 patients","2 ","2","PN-7 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","37 patients",,,"AMI-3 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","270 patients","2 ","2","HF-2 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","165 patients","2 ","2","SCIP-INF-1 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","61 patients","2 ","2","HF-4 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","164 patients",,,"AMI-5 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","27 patients","2 ","2","SCIP-CARD-2 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","143 patients","2 ","2","SCIP-VTE-2 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","256 patients","2 ","2","SCIP-INF-6 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","149 patients","2 ","2","SCIP-VTE-1 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","173 patients",,,"AMI-2 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","163 patients","2 ","2","SCIP-INF-3 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","26 patients","2 ","2","PN-4 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","233 patients","2 ","2","HF-1 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","166 patients",,,"AMI-1 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","163 patients","2 ","2","SCIP-INF-2 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","29 patients",,,"AMI-8A " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","112 patients","2 ","2","PN-2 " "050079","DOCTORS MEDICAL CENTER-SAN PABLO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"AMI-4 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","38 patients",,,"AMI-8A " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","406 patients","2 ","2","SCIP-INF-2 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","175 patients",,,"AMI-1 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","290 patients",,,"HF-2 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","194 patients",,,"PN-2 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","251 patients","2 ","2","SCIP-VTE-2 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","136 patients",,,"PN-7 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","116 patients","2 ","2","SCIP-INF-4 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","573 patients","2 ","2","SCIP-INF-6 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","184 patients",,,"AMI-2 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients",,,"AMI-3 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","78 patients","2 ","2","SCIP-CARD-2 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","238 patients",,,"HF-1 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","373 patients","2 ","2","SCIP-INF-3 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","401 patients","2 ","2","SCIP-INF-1 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","227 patients",,,"PN-3B " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","110 patients",,,"PN-6 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","88 patients",,,"HF-3 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","215 patients",,,"PN-5C " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","190 patients",,,"AMI-5 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","252 patients","2 ","2","SCIP-VTE-1 " "050082","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","106 patients","2 ","2","SCIP-CARD-2 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","29 patients",,,"AMI-8A " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","454 patients","2 ","2","SCIP-INF-2 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","290 patients","2 ","2","HF-2 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","263 patients",,,"AMI-5 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","83 patients","2 ","2","HF-4 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","79 patients","2 ","2","PN-6 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","195 patients","2 ","2","SCIP-VTE-2 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","101 patients","2 ","2","HF-3 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","267 patients",,,"AMI-2 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","238 patients","2 ","2","HF-1 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","173 patients","2 ","2","SCIP-INF-4 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","414 patients","2 ","2","SCIP-INF-3 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","PN-4 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"AMI-4 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","127 patients","2 ","2","PN-2 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","195 patients","2 ","2","SCIP-VTE-1 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","211 patients",,,"AMI-1 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","165 patients","2 ","2","PN-3B " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","442 patients","2 ","2","SCIP-INF-1 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","622 patients","2 ","2","SCIP-INF-6 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","159 patients","2 ","2","PN-5C " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","95 patients","2 ","2","PN-7 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","62 patients",,,"AMI-3 " "050084","ST JOSEPHS MED CENTER OF STOCKTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","6 patients","1 ","1","AMI-7A " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","11 patients","1 ","1","SCIP-CARD-2 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","168 patients",,,"HF-2 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"HF-3 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","71 patients",,,"SCIP-INF-1 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","105 patients",,,"SCIP-VTE-1 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","147 patients",,,"PN-5C " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","153 patients",,,"HF-1 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","174 patients",,,"PN-3B " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","105 patients",,,"SCIP-VTE-2 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","174 patients",,,"SCIP-INF-6 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","142 patients",,,"PN-2 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","131 patients",,,"PN-7 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","26 patients",,,"AMI-2 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","70 patients",,,"SCIP-INF-2 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","4 patients","1 ","1","AMI-7A " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","59 patients",,,"PN-6 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","58 patients",,,"AMI-1 " "050089","COMMUNITY HOSPITAL OF SAN BERNARDINO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","65 patients",,,"SCIP-INF-3 " "050090","SONOMA VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "050090","SONOMA VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","18 patients","1 ","1","AMI-1 " "050090","SONOMA VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","54 patients",,,"PN-5C " "050090","SONOMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","45 patients",,,"SCIP-VTE-1 " "050090","SONOMA VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "050090","SONOMA VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients",,,"HF-2 " "050090","SONOMA VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","64 patients",,,"PN-3B " "050090","SONOMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","45 patients",,,"SCIP-VTE-2 " "050090","SONOMA VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "050090","SONOMA VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","34 patients",,,"PN-6 " "050090","SONOMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050090","SONOMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","7 patients","1 ","1","SCIP-CARD-2 " "050090","SONOMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","44 patients",,,"SCIP-INF-3 " "050090","SONOMA VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","29 patients",,,"HF-1 " "050090","SONOMA VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","43 patients",,,"PN-7 " "050090","SONOMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","82 patients",,,"SCIP-INF-6 " "050090","SONOMA VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050090","SONOMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","47 patients",,,"SCIP-INF-2 " "050090","SONOMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","47 patients",,,"SCIP-INF-1 " "050090","SONOMA VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","PN-4 " "050090","SONOMA VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050090","SONOMA VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "050090","SONOMA VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "050090","SONOMA VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","66 patients",,,"PN-2 " "050090","SONOMA VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","70%","54 patients",,,"SCIP-INF-6 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","48 patients",,,"PN-3B " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","30 patients",,,"HF-3 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","17%","18 patients","1 ","1","SCIP-VTE-2 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1,3 ","13","AMI-1 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","51 patients",,,"PN-6 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","57 patients",,,"PN-5C " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","41%","22 patients","1 ","1","SCIP-INF-1 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","47%","49 patients",,,"PN-2 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","143 patients",,,"HF-1 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","41%","22 patients","1 ","1","SCIP-INF-3 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","52%","21 patients","1 ","1","SCIP-INF-2 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","12%","24 patients","1 ","1","SCIP-VTE-1 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","151 patients",,,"HF-2 " "050091","COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON PARK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","23 patients","1 ","1","PN-7 " "050093","SAINT AGNES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","527 patients","2 ","2","SCIP-INF-3 " "050093","SAINT AGNES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","422 patients","2 ","2","HF-2 " "050093","SAINT AGNES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","193 patients","2 ","2","PN-3B " "050093","SAINT AGNES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","368 patients","2 ","2","HF-1 " "050093","SAINT AGNES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","358 patients","2 ","2","AMI-1 " "050093","SAINT AGNES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","144 patients","2 ","2","PN-7 " "050093","SAINT AGNES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","163 patients","2 ","2","SCIP-CARD-2 " "050093","SAINT AGNES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050093","SAINT AGNES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","373 patients","2 ","2","AMI-5 " "050093","SAINT AGNES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","375 patients","2 ","2","AMI-2 " "050093","SAINT AGNES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","317 patients","2 ","2","SCIP-VTE-2 " "050093","SAINT AGNES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","172 patients","2 ","2","HF-3 " "050093","SAINT AGNES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","879 patients","2 ","2","SCIP-INF-6 " "050093","SAINT AGNES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","552 patients","2 ","2","SCIP-INF-2 " "050093","SAINT AGNES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","318 patients","2 ","2","SCIP-VTE-1 " "050093","SAINT AGNES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","166 patients","2 ","2","PN-6 " "050093","SAINT AGNES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","129 patients","2 ","2","SCIP-INF-4 " "050093","SAINT AGNES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","549 patients","2 ","2","SCIP-INF-1 " "050093","SAINT AGNES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","97 patients","2 ","2","AMI-4 " "050093","SAINT AGNES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","65 patients","2 ","2","AMI-8A " "050093","SAINT AGNES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","82 patients","2 ","2","AMI-3 " "050093","SAINT AGNES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","250 patients","2 ","2","PN-5C " "050093","SAINT AGNES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","234 patients","2 ","2","PN-2 " "050093","SAINT AGNES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "050093","SAINT AGNES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","HF-4 " "050095","LAUREL GROVE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050095","LAUREL GROVE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050095","LAUREL GROVE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050095","LAUREL GROVE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050095","LAUREL GROVE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050095","LAUREL GROVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050095","LAUREL GROVE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050095","LAUREL GROVE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050095","LAUREL GROVE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050095","LAUREL GROVE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050095","LAUREL GROVE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050095","LAUREL GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050095","LAUREL GROVE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050095","LAUREL GROVE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050095","LAUREL GROVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050095","LAUREL GROVE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050095","LAUREL GROVE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050095","LAUREL GROVE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050095","LAUREL GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050095","LAUREL GROVE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050095","LAUREL GROVE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050095","LAUREL GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050095","LAUREL GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050095","LAUREL GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050095","LAUREL GROVE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","45 patients",,,"SCIP-INF-1 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","45 patients",,,"SCIP-INF-2 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","49 patients",,,"SCIP-INF-6 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","9%","45 patients",,,"SCIP-INF-3 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","5 patients","1 ","1","SCIP-CARD-2 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","22%","9 patients","1 ","1","SCIP-VTE-2 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,3 ","13","HF-2 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","22%","9 patients","1 ","1","SCIP-VTE-1 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "050096","DOCTORS HOSPITAL OF WEST COVINA, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","3 ","3","PN-7 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","659 patients","2 ","2","SCIP-INF-2 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","264 patients","2 ","2","HF-1 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","72 patients","2 ","2","PN-7 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","115 patients","2 ","2","PN-5C " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","272 patients",,,"AMI-2 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","49 patients",,,"AMI-3 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","119 patients","2 ","2","PN-2 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","118 patients","2 ","2","PN-3B " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","157 patients","2 ","2","SCIP-INF-4 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","106 patients","2 ","2","HF-3 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","323 patients","2 ","2","HF-2 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","73 patients",,,"AMI-8A " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","292 patients",,,"AMI-5 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","119 patients","2 ","2","SCIP-CARD-2 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","369 patients","2 ","2","SCIP-VTE-2 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","96 patients",,,"AMI-4 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","HF-4 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","70 patients","2 ","2","PN-6 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","879 patients","2 ","2","SCIP-INF-6 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","300 patients",,,"AMI-1 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","653 patients","2 ","2","SCIP-INF-1 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","PN-4 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","369 patients","2 ","2","SCIP-VTE-1 " "050099","SAN ANTONIO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","600 patients","2 ","2","SCIP-INF-3 " "050100","SHARP MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","337 patients",,,"PN-3B " "050100","SHARP MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","496 patients","2 ","2","SCIP-VTE-2 " "050100","SHARP MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","297 patients",,,"PN-2 " "050100","SHARP MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","403 patients",,,"HF-2 " "050100","SHARP MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","906 patients","2 ","2","SCIP-INF-1 " "050100","SHARP MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","340 patients",,,"HF-1 " "050100","SHARP MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","874 patients","2 ","2","SCIP-INF-3 " "050100","SHARP MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","128 patients",,,"HF-3 " "050100","SHARP MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","234 patients",,,"PN-6 " "050100","SHARP MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","46 patients",,,"PN-4 " "050100","SHARP MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","260 patients",,,"AMI-5 " "050100","SHARP MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","52 patients",,,"HF-4 " "050100","SHARP MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","916 patients","2 ","2","SCIP-INF-2 " "050100","SHARP MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","53 patients",,,"AMI-8A " "050100","SHARP MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","497 patients","2 ","2","SCIP-VTE-1 " "050100","SHARP MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","36 patients",,,"AMI-3 " "050100","SHARP MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","185 patients","2 ","2","SCIP-CARD-2 " "050100","SHARP MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050100","SHARP MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","295 patients",,,"AMI-2 " "050100","SHARP MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1172 patients","2 ","2","SCIP-INF-6 " "050100","SHARP MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","178 patients",,,"PN-7 " "050100","SHARP MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","251 patients",,,"AMI-1 " "050100","SHARP MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","334 patients",,,"PN-5C " "050100","SHARP MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"AMI-4 " "050100","SHARP MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","231 patients","2 ","2","SCIP-INF-4 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","40 patients",,,"AMI-1 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "050101","SUTTER SOLANO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","43 patients",,,"PN-6 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050101","SUTTER SOLANO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","92 patients",,,"PN-5C " "050101","SUTTER SOLANO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","181 patients","2 ","2","SCIP-VTE-1 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","47 patients",,,"HF-3 " "050101","SUTTER SOLANO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","180 patients","2 ","2","SCIP-VTE-2 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","151 patients",,,"HF-2 " "050101","SUTTER SOLANO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","83%","6 patients","1 ","1","AMI-7A " "050101","SUTTER SOLANO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","64 patients",,,"PN-2 " "050101","SUTTER SOLANO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050101","SUTTER SOLANO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","57 patients",,,"PN-7 " "050101","SUTTER SOLANO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","299 patients","2 ","2","SCIP-INF-6 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "050101","SUTTER SOLANO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","42 patients",,,"SCIP-CARD-2 " "050101","SUTTER SOLANO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","218 patients","2 ","2","SCIP-INF-2 " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050101","SUTTER SOLANO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","217 patients","2 ","2","SCIP-INF-1 " "050101","SUTTER SOLANO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","209 patients","2 ","2","SCIP-INF-3 " "050101","SUTTER SOLANO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","96 patients",,,"PN-3B " "050101","SUTTER SOLANO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","137 patients",,,"HF-1 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","138 patients",,,"PN-7 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","44 patients","2 ","2","SCIP-CARD-2 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","291 patients","2 ","2","SCIP-INF-6 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","26 patients",,,"AMI-2 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","110 patients",,,"PN-6 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","110 patients",,,"HF-1 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","149 patients",,,"HF-2 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","134 patients","2 ","2","SCIP-VTE-1 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","185 patients","2 ","2","SCIP-INF-3 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","205 patients",,,"PN-2 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","255 patients",,,"PN-5C " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","186 patients","2 ","2","SCIP-INF-2 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","10 patients","1 ","1","AMI-7A " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","56 patients",,,"AMI-1 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","267 patients",,,"PN-3B " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","133 patients","2 ","2","SCIP-VTE-2 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","193 patients","2 ","2","SCIP-INF-1 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "050102","PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","45 patients",,,"HF-3 " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","354 patients",,,"HF-2 " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","172 patients",,,"AMI-1 " "050103","WHITE MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","155 patients",,,"PN-7 " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","40 patients",,,"AMI-8A " "050103","WHITE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","147 patients","2 ","2","SCIP-VTE-2 " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","162 patients",,,"AMI-5 " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "050103","WHITE MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","247 patients",,,"PN-3B " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","140 patients",,,"HF-3 " "050103","WHITE MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","102 patients",,,"PN-6 " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","51 patients",,,"AMI-4 " "050103","WHITE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","361 patients","2 ","2","SCIP-INF-6 " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","180 patients",,,"AMI-2 " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050103","WHITE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","209 patients","2 ","2","SCIP-INF-3 " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","281 patients",,,"HF-1 " "050103","WHITE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","248 patients","2 ","2","SCIP-INF-2 " "050103","WHITE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","61 patients","2 ","2","SCIP-INF-4 " "050103","WHITE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","147 patients","2 ","2","SCIP-VTE-1 " "050103","WHITE MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","232 patients",,,"PN-2 " "050103","WHITE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","244 patients","2 ","2","SCIP-INF-1 " "050103","WHITE MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","209 patients",,,"PN-5C " "050103","WHITE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","50 patients",,,"AMI-3 " "050103","WHITE MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "050103","WHITE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","44 patients","2 ","2","SCIP-CARD-2 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","106 patients",,,"HF-4 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","255 patients",,,"HF-3 " "050104","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","152 patients","2 ","2","SCIP-VTE-2 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","131 patients",,,"AMI-2 " "050104","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","179 patients","2 ","2","SCIP-INF-2 " "050104","SAINT FRANCIS MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","45%","62 patients",,,"CAC-3 " "050104","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","146 patients",,,"PN-2 " "050104","SAINT FRANCIS MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","65 patients",,,"CAC-2 " "050104","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","181 patients",,,"PN-3B " "050104","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","107 patients",,,"PN-6 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","581 patients",,,"HF-2 " "050104","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","178 patients","2 ","2","SCIP-INF-1 " "050104","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","193 patients",,,"PN-5C " "050104","SAINT FRANCIS MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","64 patients",,,"CAC-1 " "050104","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","111 patients",,,"PN-7 " "050104","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","27 patients","2 ","2","SCIP-CARD-2 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","80%","5 patients","1 ","1","AMI-7A " "050104","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","153 patients","2 ","2","SCIP-VTE-1 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","154 patients",,,"AMI-1 " "050104","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"AMI-4 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","8 patients","1 ","1","AMI-8A " "050104","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","161 patients","2 ","2","SCIP-INF-3 " "050104","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","35 patients","2 ","2","SCIP-INF-4 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","43 patients",,,"AMI-3 " "050104","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","304 patients","2 ","2","SCIP-INF-6 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","132 patients",,,"AMI-5 " "050104","SAINT FRANCIS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","501 patients",,,"HF-1 " "050107","MARIAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","48 patients",,,"HF-3 " "050107","MARIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","60 patients","2 ","2","SCIP-CARD-2 " "050107","MARIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","687 patients","2 ","2","SCIP-INF-6 " "050107","MARIAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "050107","MARIAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","210 patients",,,"PN-2 " "050107","MARIAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "050107","MARIAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "050107","MARIAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","166 patients",,,"HF-1 " "050107","MARIAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","91 patients",,,"AMI-5 " "050107","MARIAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","83%","6 patients","1 ","1","AMI-7A " "050107","MARIAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","201 patients",,,"PN-3B " "050107","MARIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","313 patients","2 ","2","SCIP-VTE-2 " "050107","MARIAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","124 patients",,,"PN-6 " "050107","MARIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","313 patients","2 ","2","SCIP-VTE-1 " "050107","MARIAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","16 patients","1 ","1","AMI-8A " "050107","MARIAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","137 patients",,,"AMI-1 " "050107","MARIAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","191 patients",,,"PN-5C " "050107","MARIAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","195 patients",,,"HF-2 " "050107","MARIAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","144 patients",,,"PN-7 " "050107","MARIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","465 patients","2 ","2","SCIP-INF-2 " "050107","MARIAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","116 patients",,,"AMI-2 " "050107","MARIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","443 patients","2 ","2","SCIP-INF-3 " "050107","MARIAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "050107","MARIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","79 patients","2 ","2","SCIP-INF-4 " "050107","MARIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","458 patients","2 ","2","SCIP-INF-1 " "050108","SUTTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","501 patients","2 ","2","SCIP-INF-3 " "050108","SUTTER GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","136 patients","2 ","2","PN-5C " "050108","SUTTER GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","366 patients",,,"AMI-5 " "050108","SUTTER GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","HF-4 " "050108","SUTTER GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","387 patients",,,"AMI-2 " "050108","SUTTER GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","126 patients",,,"AMI-4 " "050108","SUTTER GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","11 patients","1 ","1","AMI-8A " "050108","SUTTER GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","84 patients","2 ","2","PN-7 " "050108","SUTTER GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","304 patients","2 ","2","HF-2 " "050108","SUTTER GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "050108","SUTTER GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","67 patients",,,"AMI-3 " "050108","SUTTER GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","107 patients","2 ","2","PN-2 " "050108","SUTTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","252 patients","2 ","2","SCIP-VTE-1 " "050108","SUTTER GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "050108","SUTTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","252 patients","2 ","2","SCIP-VTE-2 " "050108","SUTTER GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","74 patients","2 ","2","PN-6 " "050108","SUTTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","120 patients","2 ","2","SCIP-CARD-2 " "050108","SUTTER GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","145 patients","2 ","2","PN-3B " "050108","SUTTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","514 patients","2 ","2","SCIP-INF-1 " "050108","SUTTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","530 patients","2 ","2","SCIP-INF-2 " "050108","SUTTER GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","103 patients","2 ","2","HF-3 " "050108","SUTTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","765 patients","2 ","2","SCIP-INF-6 " "050108","SUTTER GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","131 patients",,,"AMI-1 " "050108","SUTTER GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","256 patients","2 ","2","HF-1 " "050108","SUTTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","191 patients","2 ","2","SCIP-INF-4 " "050110","LOMPOC VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","58 patients",,,"PN-5C " "050110","LOMPOC VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "050110","LOMPOC VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","63 patients",,,"SCIP-INF-3 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","45%","58 patients",,,"HF-1 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "050110","LOMPOC VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","35 patients",,,"PN-7 " "050110","LOMPOC VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","104 patients",,,"SCIP-INF-6 " "050110","LOMPOC VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","46 patients",,,"PN-6 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "050110","LOMPOC VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","65 patients",,,"SCIP-INF-1 " "050110","LOMPOC VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","PN-4 " "050110","LOMPOC VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","66 patients",,,"SCIP-INF-2 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","70 patients",,,"HF-2 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050110","LOMPOC VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","64 patients",,,"SCIP-VTE-1 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050110","LOMPOC VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","51 patients",,,"PN-3B " "050110","LOMPOC VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","57 patients",,,"PN-2 " "050110","LOMPOC VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","63 patients",,,"SCIP-VTE-2 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","22 patients","1 ","1","HF-3 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","10 patients","1 ","1","AMI-1 " "050110","LOMPOC VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "050110","LOMPOC VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050111","TEMPLE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","33 patients",,,"PN-7 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050111","TEMPLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","16 patients","1 ","1","SCIP-VTE-1 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","21 patients","1 ","1","AMI-2 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","40 patients",,,"HF-3 " "050111","TEMPLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050111","TEMPLE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","18 patients","1,3 ","13","PN-5C " "050111","TEMPLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients",,,"SCIP-INF-6 " "050111","TEMPLE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","14 patients","1 ","1","PN-6 " "050111","TEMPLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","16 patients","1 ","1","SCIP-VTE-2 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","85 patients",,,"HF-1 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "050111","TEMPLE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","112 patients",,,"HF-2 " "050111","TEMPLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1 ","1","SCIP-INF-1 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050111","TEMPLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "050111","TEMPLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","3 patients","1 ","1","SCIP-INF-3 " "050111","TEMPLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","50%","4 patients","1 ","1","SCIP-INF-2 " "050111","TEMPLE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "050111","TEMPLE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","51 patients",,,"PN-2 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "050111","TEMPLE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","22 patients","1,2 ","12","SCIP-INF-4 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","323 patients","2 ","2","SCIP-INF-6 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","205 patients","2 ","2","SCIP-VTE-1 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","53%","81 patients","2 ","2","PN-7 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","75 patients","2 ","2","PN-3B " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","73 patients","2 ","2","HF-3 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,2 ","12","AMI-4 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","56%","27 patients","2 ","2","AMI-8A " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","192 patients","2 ","2","SCIP-INF-2 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","123 patients","2 ","2","AMI-5 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1,2 ","12","AMI-3 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1,2 ","12","HF-4 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","185 patients","2 ","2","SCIP-INF-3 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","126 patients","2 ","2","AMI-2 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","205 patients","2 ","2","SCIP-VTE-2 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","191 patients","2 ","2","SCIP-INF-1 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","54%","134 patients","2 ","2","PN-2 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","38 patients","2 ","2","PN-6 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","143 patients","2 ","2","AMI-1 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","88 patients","2 ","2","PN-5C " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","44 patients","2 ","2","SCIP-CARD-2 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","289 patients","2 ","2","HF-2 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","214 patients","2 ","2","HF-1 " "050112","SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","20 patients","1,2 ","12","PN-4 " "050113","SAN MATEO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","38 patients",,,"PN-6 " "050113","SAN MATEO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","35 patients",,,"AMI-1 " "050113","SAN MATEO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","93 patients",,,"SCIP-VTE-1 " "050113","SAN MATEO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","44 patients",,,"PN-2 " "050113","SAN MATEO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","175 patients",,,"SCIP-INF-6 " "050113","SAN MATEO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","69 patients",,,"SCIP-INF-2 " "050113","SAN MATEO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050113","SAN MATEO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050113","SAN MATEO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","72 patients",,,"PN-5C " "050113","SAN MATEO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","92 patients",,,"SCIP-VTE-2 " "050113","SAN MATEO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "050113","SAN MATEO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050113","SAN MATEO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "050113","SAN MATEO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","14 patients","1 ","1","SCIP-CARD-2 " "050113","SAN MATEO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "050113","SAN MATEO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","68 patients",,,"SCIP-INF-3 " "050113","SAN MATEO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1 ","1","AMI-2 " "050113","SAN MATEO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "050113","SAN MATEO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","112 patients",,,"HF-1 " "050113","SAN MATEO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","42 patients",,,"PN-7 " "050113","SAN MATEO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","65 patients",,,"PN-3B " "050113","SAN MATEO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","62 patients",,,"HF-3 " "050113","SAN MATEO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","72%","85 patients",,,"SCIP-INF-1 " "050113","SAN MATEO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","129 patients",,,"HF-2 " "050113","SAN MATEO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "050115","PALOMAR MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","159 patients",,,"PN-6 " "050115","PALOMAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","410 patients","2 ","2","SCIP-INF-2 " "050115","PALOMAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","402 patients","2 ","2","SCIP-INF-1 " "050115","PALOMAR MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","300 patients",,,"AMI-5 " "050115","PALOMAR MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","263 patients",,,"AMI-1 " "050115","PALOMAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","580 patients","2 ","2","SCIP-INF-6 " "050115","PALOMAR MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","47 patients",,,"HF-4 " "050115","PALOMAR MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","47 patients",,,"AMI-3 " "050115","PALOMAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","162 patients","2 ","2","SCIP-VTE-1 " "050115","PALOMAR MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","84 patients",,,"AMI-8A " "050115","PALOMAR MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","263 patients",,,"PN-2 " "050115","PALOMAR MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","431 patients",,,"HF-2 " "050115","PALOMAR MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","82 patients",,,"AMI-4 " "050115","PALOMAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","92 patients","2 ","2","SCIP-CARD-2 " "050115","PALOMAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","162 patients","2 ","2","SCIP-VTE-2 " "050115","PALOMAR MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","272 patients",,,"PN-5C " "050115","PALOMAR MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","174 patients",,,"PN-7 " "050115","PALOMAR MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","214 patients",,,"PN-3B " "050115","PALOMAR MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "050115","PALOMAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","95 patients","2 ","2","SCIP-INF-4 " "050115","PALOMAR MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","303 patients",,,"AMI-2 " "050115","PALOMAR MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","332 patients",,,"HF-1 " "050115","PALOMAR MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","52 patients",,,"PN-4 " "050115","PALOMAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","383 patients","2 ","2","SCIP-INF-3 " "050115","PALOMAR MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","127 patients",,,"HF-3 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","470 patients","2 ","2","SCIP-INF-2 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","153 patients","2 ","2","PN-7 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","238 patients",,,"HF-1 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","PN-4 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"AMI-4 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","220 patients","2 ","2","PN-2 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","200 patients","2 ","2","PN-5C " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","187 patients",,,"AMI-1 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","463 patients","2 ","2","SCIP-INF-1 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","27 patients",,,"AMI-8A " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","300 patients","2 ","2","SCIP-VTE-2 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","102 patients",,,"HF-3 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","640 patients","2 ","2","SCIP-INF-6 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","282 patients",,,"HF-2 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","172 patients",,,"AMI-5 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","300 patients","2 ","2","SCIP-VTE-1 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","171 patients",,,"AMI-2 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","143 patients","2 ","2","PN-6 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","216 patients","2 ","2","PN-3B " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"AMI-3 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","89 patients","2 ","2","SCIP-CARD-2 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","88 patients","2 ","2","SCIP-INF-4 " "050116","NORTHRIDGE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","428 patients","2 ","2","SCIP-INF-3 " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","149 patients",,,"HF-2 " "050118","DOCTORS HOSPITAL OF MANTECA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","43 patients",,,"PN-6 " "050118","DOCTORS HOSPITAL OF MANTECA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","88 patients",,,"SCIP-INF-3 " "050118","DOCTORS HOSPITAL OF MANTECA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","140 patients",,,"SCIP-INF-6 " "050118","DOCTORS HOSPITAL OF MANTECA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","86 patients",,,"SCIP-VTE-2 " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","52 patients",,,"HF-3 " "050118","DOCTORS HOSPITAL OF MANTECA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","36 patients",,,"PN-7 " "050118","DOCTORS HOSPITAL OF MANTECA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","92 patients",,,"SCIP-INF-2 " "050118","DOCTORS HOSPITAL OF MANTECA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","55 patients",,,"PN-3B " "050118","DOCTORS HOSPITAL OF MANTECA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","86 patients",,,"SCIP-VTE-1 " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","24 patients","1 ","1","AMI-1 " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","130 patients",,,"HF-1 " "050118","DOCTORS HOSPITAL OF MANTECA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050118","DOCTORS HOSPITAL OF MANTECA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1 ","1","SCIP-CARD-2 " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050118","DOCTORS HOSPITAL OF MANTECA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "050118","DOCTORS HOSPITAL OF MANTECA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","48 patients",,,"PN-2 " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "050118","DOCTORS HOSPITAL OF MANTECA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","90 patients",,,"SCIP-INF-1 " "050118","DOCTORS HOSPITAL OF MANTECA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","65 patients",,,"PN-5C " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "050118","DOCTORS HOSPITAL OF MANTECA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","36 patients",,,"AMI-2 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","290 patients","2 ","2","SCIP-INF-1 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","212 patients",,,"PN-2 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","58 patients",,,"PN-4 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","189 patients","2 ","2","SCIP-VTE-1 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","401 patients","2 ","2","SCIP-INF-6 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","291 patients","2 ","2","SCIP-INF-2 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","49 patients",,,"AMI-1 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","290 patients","2 ","2","SCIP-INF-3 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","38 patients",,,"HF-4 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","33 patients","2 ","2","SCIP-CARD-2 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","252 patients",,,"HF-2 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","73 patients",,,"HF-3 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","236 patients",,,"PN-3B " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","41 patients",,,"AMI-5 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","207 patients",,,"HF-1 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","154 patients",,,"PN-6 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "050121","HANFORD COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","184 patients","2 ","2","SCIP-VTE-2 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","AMI-4 " "050121","HANFORD COMMUNITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","215 patients",,,"PN-5C " "050121","HANFORD COMMUNITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","149 patients",,,"PN-7 " "050122","DAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","296 patients","2 ","2","SCIP-INF-3 " "050122","DAMERON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","103 patients",,,"PN-6 " "050122","DAMERON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","212 patients",,,"AMI-2 " "050122","DAMERON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","6 patients","1 ","1","AMI-7A " "050122","DAMERON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","211 patients",,,"PN-3B " "050122","DAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","302 patients","2 ","2","SCIP-INF-2 " "050122","DAMERON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "050122","DAMERON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","30%","10 patients","1 ","1","AMI-8A " "050122","DAMERON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","199 patients","2 ","2","SCIP-VTE-2 " "050122","DAMERON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","132 patients",,,"AMI-1 " "050122","DAMERON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","58 patients","2 ","2","SCIP-CARD-2 " "050122","DAMERON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","191 patients",,,"PN-2 " "050122","DAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","453 patients","2 ","2","SCIP-INF-6 " "050122","DAMERON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","221 patients",,,"AMI-5 " "050122","DAMERON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","95 patients",,,"HF-3 " "050122","DAMERON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","77 patients",,,"PN-4 " "050122","DAMERON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "050122","DAMERON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","271 patients",,,"HF-2 " "050122","DAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","36 patients","2 ","2","SCIP-INF-4 " "050122","DAMERON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","217 patients",,,"HF-1 " "050122","DAMERON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","28 patients",,,"AMI-3 " "050122","DAMERON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","181 patients",,,"PN-5C " "050122","DAMERON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","137 patients",,,"PN-7 " "050122","DAMERON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","204 patients","2 ","2","SCIP-VTE-1 " "050122","DAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","298 patients","2 ","2","SCIP-INF-1 " "050124","VERDUGO HILLS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","43 patients","2 ","2","PN-6 " "050124","VERDUGO HILLS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","156 patients","2 ","2","PN-5C " "050124","VERDUGO HILLS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","141 patients","2 ","2","PN-3B " "050124","VERDUGO HILLS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","142 patients",,,"HF-2 " "050124","VERDUGO HILLS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","23 patients","1 ","1","AMI-5 " "050124","VERDUGO HILLS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050124","VERDUGO HILLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","157 patients","2 ","2","SCIP-VTE-2 " "050124","VERDUGO HILLS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050124","VERDUGO HILLS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050124","VERDUGO HILLS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","38%","117 patients","2 ","2","PN-2 " "050124","VERDUGO HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","233 patients","2 ","2","SCIP-INF-2 " "050124","VERDUGO HILLS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "050124","VERDUGO HILLS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","50 patients",,,"AMI-1 " "050124","VERDUGO HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","332 patients","2 ","2","SCIP-INF-6 " "050124","VERDUGO HILLS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","20 patients","1,2 ","12","SCIP-CARD-2 " "050124","VERDUGO HILLS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","116 patients",,,"HF-1 " "050124","VERDUGO HILLS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","21 patients","1 ","1","AMI-2 " "050124","VERDUGO HILLS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","35%","78 patients","2 ","2","PN-7 " "050124","VERDUGO HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","233 patients","2 ","2","SCIP-INF-3 " "050124","VERDUGO HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","237 patients","2 ","2","SCIP-INF-1 " "050124","VERDUGO HILLS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050124","VERDUGO HILLS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","PN-4 " "050124","VERDUGO HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050124","VERDUGO HILLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","157 patients","2 ","2","SCIP-VTE-1 " "050124","VERDUGO HILLS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","30 patients",,,"HF-3 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","163 patients","2 ","2","PN-2 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","375 patients",,,"HF-2 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","389 patients","2 ","2","SCIP-INF-6 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","131 patients",,,"AMI-2 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","123 patients",,,"HF-3 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","102 patients","2 ","2","PN-7 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","35 patients",,,"CAC-2 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","155 patients",,,"AMI-1 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","169 patients","2 ","2","PN-3B " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","89%","35 patients",,,"CAC-3 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","34 patients","2 ","2","SCIP-CARD-2 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","185 patients","2 ","2","SCIP-INF-3 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","25 patients","2 ","2","SCIP-INF-4 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","232 patients","2 ","2","SCIP-INF-1 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","234 patients","2 ","2","SCIP-INF-2 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","92 patients","2 ","2","PN-6 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","205 patients","2 ","2","SCIP-VTE-1 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"AMI-4 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","35 patients",,,"CAC-1 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","34 patients",,,"AMI-8A " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","205 patients","2 ","2","SCIP-VTE-2 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","326 patients",,,"HF-1 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","150 patients","2 ","2","PN-5C " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","138 patients",,,"AMI-5 " "050125","REGIONAL MEDICAL CENTER OF SAN JOSE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","PN-4 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","224 patients",,,"PN-3B " "050126","VALLEY PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","66%","348 patients","2 ","2","SCIP-INF-3 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","220 patients",,,"PN-2 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","248 patients","2 ","2","SCIP-VTE-1 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","59%","39 patients",,,"PN-4 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","56 patients",,,"AMI-4 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","197 patients",,,"AMI-5 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","74%","510 patients","2 ","2","SCIP-INF-6 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","45 patients",,,"AMI-3 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","360 patients","2 ","2","SCIP-INF-1 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","243 patients","2 ","2","SCIP-VTE-2 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","22%","251 patients",,,"HF-1 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","63%","41 patients","2 ","2","SCIP-INF-4 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","110 patients","3 ","3","PN-5C " "050126","VALLEY PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","66 patients","2 ","2","SCIP-CARD-2 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","141 patients",,,"PN-7 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","33 patients",,,"HF-4 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","103 patients",,,"PN-6 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","361 patients","2 ","2","SCIP-INF-2 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","38 patients",,,"AMI-8A " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","320 patients",,,"HF-2 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","168 patients",,,"AMI-1 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","88 patients",,,"HF-3 " "050126","VALLEY PRESBYTERIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","207 patients",,,"AMI-2 " "050127","WOODLAND MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","113 patients",,,"PN-5C " "050127","WOODLAND MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","113 patients",,,"PN-2 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","55 patients",,,"HF-1 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","69 patients",,,"HF-2 " "050127","WOODLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","94 patients","2 ","2","SCIP-VTE-1 " "050127","WOODLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","21 patients","1 ","1","AMI-2 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050127","WOODLAND MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "050127","WOODLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","190 patients","2 ","2","SCIP-INF-1 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"HF-3 " "050127","WOODLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","94 patients","2 ","2","SCIP-VTE-2 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "050127","WOODLAND MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","56 patients",,,"PN-6 " "050127","WOODLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","39 patients","2 ","2","SCIP-CARD-2 " "050127","WOODLAND MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","73 patients",,,"PN-7 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","20 patients","1 ","1","AMI-5 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-7A " "050127","WOODLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","186 patients","2 ","2","SCIP-INF-3 " "050127","WOODLAND MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","113 patients",,,"PN-3B " "050127","WOODLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","287 patients","2 ","2","SCIP-INF-6 " "050127","WOODLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","190 patients","2 ","2","SCIP-INF-2 " "050127","WOODLAND MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "050128","TRI-CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","375 patients","2 ","2","SCIP-INF-1 " "050128","TRI-CITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","275 patients","2 ","2","AMI-1 " "050128","TRI-CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","349 patients","2 ","2","SCIP-INF-3 " "050128","TRI-CITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","79 patients","2 ","2","PN-7 " "050128","TRI-CITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "050128","TRI-CITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","58 patients","2 ","2","AMI-8A " "050128","TRI-CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","75 patients","2 ","2","SCIP-CARD-2 " "050128","TRI-CITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","246 patients","2 ","2","AMI-2 " "050128","TRI-CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","377 patients","2 ","2","SCIP-INF-2 " "050128","TRI-CITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","AMI-4 " "050128","TRI-CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","94 patients","2 ","2","SCIP-INF-4 " "050128","TRI-CITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","178 patients","2 ","2","PN-5C " "050128","TRI-CITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","191 patients","2 ","2","PN-3B " "050128","TRI-CITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients","2 ","2","AMI-3 " "050128","TRI-CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","221 patients","2 ","2","SCIP-VTE-2 " "050128","TRI-CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","561 patients","2 ","2","SCIP-INF-6 " "050128","TRI-CITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","156 patients","2 ","2","PN-2 " "050128","TRI-CITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","HF-4 " "050128","TRI-CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","221 patients","2 ","2","SCIP-VTE-1 " "050128","TRI-CITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "050128","TRI-CITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","195 patients","2 ","2","HF-1 " "050128","TRI-CITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","225 patients","2 ","2","AMI-5 " "050128","TRI-CITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","272 patients","2 ","2","HF-2 " "050128","TRI-CITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","127 patients","2 ","2","PN-6 " "050128","TRI-CITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","85 patients","2 ","2","HF-3 " "050129","ST BERNARDINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","170 patients","2 ","2","SCIP-INF-4 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","268 patients","2 ","2","AMI-5 " "050129","ST BERNARDINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","694 patients","2 ","2","SCIP-INF-6 " "050129","ST BERNARDINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","83 patients","2 ","2","PN-5C " "050129","ST BERNARDINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","41 patients","2 ","2","PN-4 " "050129","ST BERNARDINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","97 patients","2 ","2","SCIP-CARD-2 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","89 patients","2 ","2","AMI-1 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","51 patients","2 ","2","AMI-3 " "050129","ST BERNARDINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","494 patients","2 ","2","SCIP-INF-2 " "050129","ST BERNARDINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","231 patients","2 ","2","SCIP-VTE-1 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","257 patients","2 ","2","HF-1 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","294 patients","2 ","2","HF-2 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050129","ST BERNARDINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","484 patients","2 ","2","SCIP-INF-1 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","18 patients","1,2 ","12","AMI-8A " "050129","ST BERNARDINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","74 patients","2 ","2","PN-7 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","278 patients","2 ","2","AMI-2 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","77 patients","2 ","2","HF-4 " "050129","ST BERNARDINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","50 patients","2 ","2","PN-6 " "050129","ST BERNARDINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","61 patients","2 ","2","PN-3B " "050129","ST BERNARDINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","84 patients","2 ","2","AMI-4 " "050129","ST BERNARDINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","231 patients","2 ","2","SCIP-VTE-2 " "050129","ST BERNARDINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","107 patients","2 ","2","PN-2 " "050129","ST BERNARDINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","453 patients","2 ","2","SCIP-INF-3 " "050129","ST BERNARDINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","117 patients","2 ","2","HF-3 " "050131","NOVATO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","287 patients",,,"SCIP-INF-6 " "050131","NOVATO COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","38 patients",,,"PN-5C " "050131","NOVATO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","217 patients",,,"SCIP-INF-1 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","57 patients",,,"HF-2 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "050131","NOVATO COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","50 patients",,,"PN-3B " "050131","NOVATO COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "050131","NOVATO COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","46 patients",,,"HF-1 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050131","NOVATO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","27 patients",,,"SCIP-CARD-2 " "050131","NOVATO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","217 patients",,,"SCIP-INF-3 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050131","NOVATO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","128 patients",,,"SCIP-VTE-1 " "050131","NOVATO COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","32 patients",,,"PN-7 " "050131","NOVATO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","127 patients",,,"SCIP-VTE-2 " "050131","NOVATO COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","46 patients",,,"PN-2 " "050131","NOVATO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","217 patients",,,"SCIP-INF-2 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "050131","NOVATO COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050131","NOVATO COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","21 patients","1 ","1","PN-6 " "050131","NOVATO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","125 patients","2 ","2","PN-3B " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","184 patients","2 ","2","HF-2 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","267 patients","2 ","2","SCIP-INF-6 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1,2 ","12","HF-4 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","155 patients","2 ","2","PN-2 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","AMI-4 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","173 patients","2 ","2","SCIP-INF-1 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","121 patients","2 ","2","SCIP-VTE-2 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","85 patients","2 ","2","PN-7 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","31 patients",,,"AMI-5 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","49%","123 patients","2 ","2","SCIP-VTE-1 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","41 patients","2 ","2","PN-6 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1,2 ","12","SCIP-CARD-2 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","117 patients","2 ","2","HF-1 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","63%","162 patients","2 ","2","SCIP-INF-3 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","29 patients",,,"AMI-2 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1,2 ","12","PN-4 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","174 patients","2 ","2","SCIP-INF-2 " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","122 patients","2 ","2","PN-5C " "050132","SAN GABRIEL VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","52 patients","2 ","2","HF-3 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","192 patients",,,"AMI-1 " "050133","RIDEOUT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","542 patients","2 ","2","SCIP-INF-3 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","37%","316 patients",,,"HF-1 " "050133","RIDEOUT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","146 patients",,,"PN-4 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","369 patients",,,"HF-2 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","211 patients",,,"AMI-2 " "050133","RIDEOUT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","582 patients","2 ","2","SCIP-INF-2 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","62 patients",,,"AMI-4 " "050133","RIDEOUT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","118 patients",,,"SCIP-CARD-2 " "050133","RIDEOUT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","201 patients",,,"PN-3B " "050133","RIDEOUT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","189 patients",,,"PN-6 " "050133","RIDEOUT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","53%","290 patients",,,"PN-2 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","67 patients",,,"HF-4 " "050133","RIDEOUT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","171 patients","2 ","2","SCIP-INF-4 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","61%","23 patients","1 ","1","AMI-7A " "050133","RIDEOUT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","872 patients","2 ","2","SCIP-INF-6 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","23 patients","1 ","1","AMI-8A " "050133","RIDEOUT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","171 patients",,,"PN-5C " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","147 patients",,,"HF-3 " "050133","RIDEOUT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","223 patients",,,"PN-7 " "050133","RIDEOUT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","327 patients","2 ","2","SCIP-VTE-1 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","193 patients",,,"AMI-5 " "050133","RIDEOUT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","30 patients",,,"AMI-3 " "050133","RIDEOUT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","320 patients","2 ","2","SCIP-VTE-2 " "050133","RIDEOUT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","574 patients","2 ","2","SCIP-INF-1 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","AMI-4 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","3 patients","1 ","1","SCIP-VTE-2 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","3 patients","1 ","1","SCIP-INF-2 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","31%","74 patients","2 ","2","PN-7 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","6 patients","1 ","1","SCIP-VTE-1 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","36 patients",,,"HF-1 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","58 patients",,,"HF-2 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","2 patients","1 ","1","SCIP-INF-3 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","8 patients","1 ","1","AMI-2 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","69%","58 patients","2 ","2","PN-5C " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","24 patients","1 ","1","HF-3 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","49 patients","2 ","2","PN-4 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"HF-4 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","21 patients","1,2 ","12","PN-6 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","43%","67 patients","2 ","2","PN-2 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","2 patients","1 ","1","SCIP-INF-1 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","38%","8 patients","1 ","1","SCIP-INF-6 " "050135","HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050136","PETALUMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","135 patients","2 ","2","SCIP-INF-6 " "050136","PETALUMA VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "050136","PETALUMA VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","42 patients",,,"HF-1 " "050136","PETALUMA VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","90 patients",,,"PN-5C " "050136","PETALUMA VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "050136","PETALUMA VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050136","PETALUMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1,2 ","12","SCIP-CARD-2 " "050136","PETALUMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","84 patients","2 ","2","SCIP-VTE-2 " "050136","PETALUMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","85 patients","2 ","2","SCIP-INF-2 " "050136","PETALUMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050136","PETALUMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","82 patients","2 ","2","SCIP-INF-3 " "050136","PETALUMA VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","56 patients",,,"PN-7 " "050136","PETALUMA VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "050136","PETALUMA VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","54 patients",,,"HF-2 " "050136","PETALUMA VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","59 patients",,,"PN-6 " "050136","PETALUMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","85 patients","2 ","2","SCIP-INF-1 " "050136","PETALUMA VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","36 patients",,,"AMI-2 " "050136","PETALUMA VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","102 patients",,,"PN-3B " "050136","PETALUMA VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","60 patients",,,"AMI-1 " "050136","PETALUMA VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","29 patients",,,"AMI-5 " "050136","PETALUMA VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","82 patients",,,"PN-2 " "050136","PETALUMA VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "050136","PETALUMA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","84 patients","2 ","2","SCIP-VTE-1 " "050136","PETALUMA VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050136","PETALUMA VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","66 patients",,,"AMI-2 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","236 patients","2 ","2","SCIP-INF-3 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","98 patients","2 ","2","PN-6 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","89 patients","2 ","2","PN-7 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","47 patients","2 ","2","SCIP-CARD-2 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","151 patients","2 ","2","SCIP-VTE-1 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","71%","17 patients","1 ","1","AMI-7A " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","PN-4 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","74 patients",,,"HF-3 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","123 patients","2 ","2","PN-5C " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","78 patients",,,"AMI-1 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","61 patients",,,"AMI-5 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","97 patients","2 ","2","PN-3B " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","151 patients","2 ","2","SCIP-VTE-2 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","323 patients",,,"HF-2 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","133 patients","2 ","2","PN-2 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","355 patients","2 ","2","SCIP-INF-6 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","245 patients","2 ","2","SCIP-INF-2 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","242 patients","2 ","2","SCIP-INF-1 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","308 patients",,,"HF-1 " "050137","KAISER FOUNDATION HOSPITAL - PANORAMA CITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","154 patients",,,"AMI-1 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-8A " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","204 patients",,,"HF-3 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","PN-4 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","752 patients",,,"AMI-2 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","446 patients",,,"HF-2 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","432 patients","2 ","2","SCIP-INF-2 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","420 patients","2 ","2","SCIP-INF-1 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","95 patients","2 ","2","SCIP-CARD-2 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-7A " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","148 patients",,,"AMI-3 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","198 patients","2 ","2","SCIP-INF-4 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","117 patients","2 ","2","PN-5C " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","128 patients","2 ","2","PN-3B " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","80 patients","2 ","2","PN-7 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","431 patients",,,"HF-1 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","119 patients","2 ","2","PN-2 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","74 patients","2 ","2","PN-6 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","182 patients","2 ","2","SCIP-VTE-2 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","193 patients",,,"AMI-4 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","805 patients",,,"AMI-5 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","601 patients","2 ","2","SCIP-INF-6 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","412 patients","2 ","2","SCIP-INF-3 " "050138","KAISER FOUNDATION HOSPITAL - LOS ANGELES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","182 patients","2 ","2","SCIP-VTE-1 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","128 patients","2 ","2","PN-2 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","109 patients","2 ","2","PN-3B " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients","2 ","2","PN-4 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","227 patients","2 ","2","SCIP-INF-2 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","402 patients",,,"HF-2 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","378 patients","2 ","2","SCIP-INF-6 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","88 patients","2 ","2","PN-7 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","101 patients",,,"AMI-2 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","228 patients","2 ","2","SCIP-INF-1 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","107 patients",,,"AMI-5 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","94 patients","2 ","2","PN-5C " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","210 patients","2 ","2","SCIP-INF-3 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","122 patients",,,"HF-3 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","181 patients","2 ","2","SCIP-VTE-2 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","38%","8 patients","1 ","1","AMI-7A " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","111 patients",,,"AMI-1 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","87 patients","2 ","2","PN-6 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","377 patients",,,"HF-1 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","55 patients","2 ","2","SCIP-CARD-2 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "050139","KAISER FOUNDATION HOSPITAL - DOWNEY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","181 patients","2 ","2","SCIP-VTE-1 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","AMI-3 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","400 patients","2 ","2","SCIP-INF-6 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","58 patients","2 ","2","SCIP-CARD-2 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","171 patients","2 ","2","SCIP-VTE-2 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","115 patients",,,"AMI-2 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"HF-4 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","155 patients",,,"AMI-1 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","267 patients","2 ","2","SCIP-INF-3 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","492 patients",,,"HF-2 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","76%","25 patients",,,"AMI-7A " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","114 patients",,,"AMI-5 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","278 patients","2 ","2","SCIP-INF-2 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","190 patients",,,"HF-3 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","105 patients","2 ","2","PN-7 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","101 patients","2 ","2","PN-3B " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","73 patients","2 ","2","PN-6 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","278 patients","2 ","2","SCIP-INF-1 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","171 patients","2 ","2","SCIP-VTE-1 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","35 patients","2 ","2","PN-4 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","83 patients","2 ","2","PN-5C " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","148 patients","2 ","2","PN-2 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","471 patients",,,"HF-1 " "050140","KAISER FOUNDATION HOSPITAL FONTANA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","159 patients",,,"AMI-5 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","186 patients","2 ","2","PN-5C " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","511 patients","2 ","2","SCIP-VTE-1 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","739 patients","2 ","2","SCIP-INF-3 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","159 patients",,,"AMI-1 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"AMI-3 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","36 patients",,,"AMI-8A " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","774 patients","2 ","2","SCIP-INF-1 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","122 patients","2 ","2","PN-7 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","211 patients",,,"HF-2 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","177 patients","2 ","2","PN-3B " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","1155 patients","2 ","2","SCIP-INF-6 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","179 patients",,,"HF-1 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","147 patients",,,"SCIP-CARD-2 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","39 patients","2 ","2","PN-4 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","107 patients","2 ","2","PN-6 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","511 patients","2 ","2","SCIP-VTE-2 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","150 patients",,,"AMI-2 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","142 patients","2 ","2","SCIP-INF-4 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","70 patients",,,"HF-3 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","172 patients","2 ","2","PN-2 " "050145","COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","778 patients","2 ","2","SCIP-INF-2 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","149 patients","2 ","2","SCIP-INF-2 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","220 patients",,,"HF-3 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","65 patients",,,"PN-2 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","172 patients","2 ","2","SCIP-VTE-2 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","49 patients",,,"AMI-5 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","69 patients",,,"PN-7 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","420 patients",,,"HF-1 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","134 patients","2 ","2","SCIP-INF-3 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","64 patients",,,"PN-6 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","172 patients","2 ","2","SCIP-VTE-1 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","461 patients",,,"HF-2 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","50 patients",,,"AMI-2 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","288 patients","2 ","2","SCIP-INF-6 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","98 patients",,,"AMI-1 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","147 patients","2 ","2","SCIP-INF-1 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","109 patients",,,"PN-3B " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1,2 ","12","SCIP-CARD-2 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","171 patients",,,"HF-4 " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","90 patients",,,"PN-5C " "050149","CALIFORNIA HOSPITAL MEDICAL CENTER LA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","98 patients","2 ","2","PN-6 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","PN-4 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","421 patients","2 ","2","SCIP-INF-6 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","209 patients","2 ","2","SCIP-VTE-2 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","88 patients","2 ","2","PN-7 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","300 patients","2 ","2","SCIP-INF-1 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","21 patients","1 ","1","AMI-2 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","289 patients","2 ","2","SCIP-INF-3 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","144 patients","2 ","2","PN-2 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","134 patients",,,"HF-2 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","144 patients","2 ","2","PN-3B " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","146 patients","2 ","2","PN-5C " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","209 patients","2 ","2","SCIP-VTE-1 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","41 patients",,,"AMI-1 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","299 patients","2 ","2","SCIP-INF-2 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","100 patients",,,"HF-1 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","33 patients","2 ","2","SCIP-CARD-2 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","44 patients",,,"HF-3 " "050150","SIERRA NEVADA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","169 patients","2 ","2","SCIP-VTE-2 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","53 patients",,,"HF-4 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","29 patients","2 ","2","SCIP-CARD-2 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","208 patients",,,"PN-3B " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","189 patients",,,"PN-5C " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","139 patients",,,"HF-1 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","98 patients",,,"PN-7 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","186 patients","2 ","2","SCIP-INF-1 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","169 patients","2 ","2","SCIP-VTE-1 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","186 patients","2 ","2","SCIP-INF-2 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","184 patients","2 ","2","SCIP-INF-3 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","66 patients",,,"HF-3 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","27 patients",,,"AMI-1 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","284 patients","2 ","2","SCIP-INF-6 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","79 patients",,,"PN-4 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","175 patients",,,"HF-2 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","117 patients",,,"PN-2 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "050152","SAINT FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","83 patients",,,"PN-6 " "050153","O'CONNOR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","214 patients",,,"PN-5C " "050153","O'CONNOR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "050153","O'CONNOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","191 patients","2 ","2","SCIP-VTE-2 " "050153","O'CONNOR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","147 patients",,,"PN-6 " "050153","O'CONNOR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","161 patients",,,"PN-7 " "050153","O'CONNOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","74 patients","2 ","2","SCIP-INF-4 " "050153","O'CONNOR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "050153","O'CONNOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","467 patients","2 ","2","SCIP-INF-6 " "050153","O'CONNOR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","136 patients",,,"PN-3B " "050153","O'CONNOR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","108 patients",,,"AMI-1 " "050153","O'CONNOR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "050153","O'CONNOR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","85 patients",,,"HF-3 " "050153","O'CONNOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","191 patients","2 ","2","SCIP-VTE-1 " "050153","O'CONNOR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","109 patients",,,"AMI-5 " "050153","O'CONNOR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","248 patients",,,"PN-2 " "050153","O'CONNOR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","378 patients",,,"HF-2 " "050153","O'CONNOR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","64 patients","2 ","2","SCIP-CARD-2 " "050153","O'CONNOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","310 patients","2 ","2","SCIP-INF-3 " "050153","O'CONNOR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","110 patients",,,"AMI-2 " "050153","O'CONNOR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050153","O'CONNOR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","297 patients",,,"HF-1 " "050153","O'CONNOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","333 patients","2 ","2","SCIP-INF-2 " "050153","O'CONNOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","326 patients","2 ","2","SCIP-INF-1 " "050153","O'CONNOR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","23 patients","1 ","1","AMI-8A " "050153","O'CONNOR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","19 patients","1 ","1","SCIP-INF-1 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","25 patients",,,"SCIP-VTE-2 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","103 patients",,,"PN-5C " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","52 patients",,,"HF-1 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","43 patients",,,"SCIP-INF-6 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","76 patients",,,"HF-2 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050158","ENCINO HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","109 patients",,,"PN-3B " "050158","ENCINO HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","64 patients",,,"PN-6 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","19 patients","1 ","1","SCIP-INF-2 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","18 patients","1 ","1","SCIP-INF-3 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","103 patients",,,"PN-2 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","56 patients",,,"PN-7 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "050158","ENCINO HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","25 patients",,,"SCIP-VTE-1 " "050159","VENTURA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","202 patients","2 ","2","SCIP-INF-2 " "050159","VENTURA COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","50 patients",,,"PN-6 " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","49 patients",,,"HF-3 " "050159","VENTURA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","241 patients","2 ","2","SCIP-VTE-1 " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","131 patients",,,"HF-2 " "050159","VENTURA COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","65 patients",,,"PN-2 " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "050159","VENTURA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","201 patients","2 ","2","SCIP-INF-1 " "050159","VENTURA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050159","VENTURA COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","60 patients",,,"PN-7 " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "050159","VENTURA COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","120 patients",,,"HF-1 " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "050159","VENTURA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1,2 ","12","SCIP-CARD-2 " "050159","VENTURA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","193 patients","2 ","2","SCIP-INF-3 " "050159","VENTURA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","390 patients","2 ","2","SCIP-INF-6 " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "050159","VENTURA COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","111 patients",,,"PN-5C " "050159","VENTURA COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","100 patients",,,"PN-3B " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050159","VENTURA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","241 patients","2 ","2","SCIP-VTE-2 " "050159","VENTURA COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","72 patients",,,"PN-7 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","172 patients",,,"SCIP-VTE-1 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","92 patients",,,"AMI-1 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","55 patients",,,"AMI-5 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","72 patients",,,"HF-4 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","55 patients",,,"AMI-2 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","27 patients",,,"SCIP-CARD-2 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","93 patients",,,"HF-3 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","64 patients",,,"PN-2 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","155 patients",,,"SCIP-INF-1 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","171 patients",,,"SCIP-VTE-2 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","302 patients",,,"SCIP-INF-6 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","178 patients",,,"HF-1 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","100 patients",,,"PN-5C " "050167","SAN JOAQUIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","152 patients",,,"SCIP-INF-3 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","153 patients",,,"SCIP-INF-2 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","69 patients",,,"PN-4 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","73%","11 patients","1 ","1","AMI-7A " "050167","SAN JOAQUIN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","93 patients",,,"PN-3B " "050167","SAN JOAQUIN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","66 patients",,,"PN-6 " "050167","SAN JOAQUIN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","213 patients",,,"HF-2 " "050168","ST JUDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","415 patients","2 ","2","SCIP-INF-2 " "050168","ST JUDE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","273 patients",,,"PN-5C " "050168","ST JUDE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","69 patients",,,"AMI-8A " "050168","ST JUDE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","48 patients",,,"AMI-3 " "050168","ST JUDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","604 patients","2 ","2","SCIP-INF-6 " "050168","ST JUDE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","207 patients",,,"PN-7 " "050168","ST JUDE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"AMI-4 " "050168","ST JUDE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","387 patients",,,"HF-2 " "050168","ST JUDE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","132 patients",,,"HF-3 " "050168","ST JUDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","390 patients","2 ","2","SCIP-INF-3 " "050168","ST JUDE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","278 patients",,,"PN-3B " "050168","ST JUDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","412 patients","2 ","2","SCIP-INF-1 " "050168","ST JUDE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "050168","ST JUDE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","297 patients",,,"AMI-5 " "050168","ST JUDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","114 patients","2 ","2","SCIP-INF-4 " "050168","ST JUDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","184 patients","2 ","2","SCIP-VTE-1 " "050168","ST JUDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","69 patients","2 ","2","SCIP-CARD-2 " "050168","ST JUDE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","200 patients",,,"PN-6 " "050168","ST JUDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","183 patients","2 ","2","SCIP-VTE-2 " "050168","ST JUDE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "050168","ST JUDE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","305 patients",,,"AMI-1 " "050168","ST JUDE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "050168","ST JUDE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","302 patients",,,"HF-1 " "050168","ST JUDE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","299 patients",,,"AMI-2 " "050168","ST JUDE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","296 patients",,,"PN-2 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","59 patients","2 ","2","PN-6 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","43 patients","2 ","2","AMI-3 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","66 patients","2 ","2","PN-7 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","178 patients","2 ","2","SCIP-VTE-1 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","124 patients","2 ","2","PN-5C " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","135 patients","2 ","2","PN-3B " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","108 patients","2 ","2","PN-2 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","499 patients","2 ","2","SCIP-INF-6 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","336 patients","2 ","2","SCIP-INF-2 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","254 patients","2 ","2","HF-2 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","53 patients","2 ","2","AMI-8A " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","HF-4 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","49 patients","2 ","2","SCIP-CARD-2 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","88 patients","2 ","2","SCIP-INF-4 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","317 patients","2 ","2","SCIP-INF-1 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","283 patients","2 ","2","AMI-1 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","220 patients","2 ","2","HF-1 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","178 patients","2 ","2","SCIP-VTE-2 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","271 patients","2 ","2","AMI-2 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","20 patients","1,2 ","12","PN-4 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","299 patients","2 ","2","SCIP-INF-3 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","87 patients","2 ","2","HF-3 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","268 patients","2 ","2","AMI-5 " "050169","PRESBYTERIAN INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","54 patients","2 ","2","AMI-4 " "050173","ANAHEIM GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "050173","ANAHEIM GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050173","ANAHEIM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","7%","14 patients","1 ","1","SCIP-VTE-1 " "050173","ANAHEIM GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "050173","ANAHEIM GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","12 patients","1 ","1","HF-1 " "050173","ANAHEIM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "050173","ANAHEIM GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients","3 ","3","PN-5C " "050173","ANAHEIM GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","18 patients","1 ","1","HF-2 " "050173","ANAHEIM GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "050173","ANAHEIM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","18 patients","1 ","1","SCIP-INF-6 " "050173","ANAHEIM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "050173","ANAHEIM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050173","ANAHEIM GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","58 patients",,,"PN-3B " "050173","ANAHEIM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","7%","14 patients","1 ","1","SCIP-VTE-2 " "050173","ANAHEIM GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","37 patients",,,"PN-7 " "050173","ANAHEIM GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "050173","ANAHEIM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","50%","6 patients","1 ","1","SCIP-INF-2 " "050173","ANAHEIM GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050173","ANAHEIM GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "050173","ANAHEIM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "050173","ANAHEIM GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","36 patients",,,"PN-2 " "050173","ANAHEIM GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050173","ANAHEIM GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050173","ANAHEIM GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","12 patients","1 ","1","PN-6 " "050173","ANAHEIM GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","19 patients","1 ","1","AMI-3 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","237 patients",,,"HF-2 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","300 patients","2 ","2","SCIP-INF-2 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","279 patients","2 ","2","SCIP-INF-3 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","448 patients","2 ","2","SCIP-INF-6 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050174","SANTA ROSA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","207 patients",,,"PN-5C " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","179 patients",,,"AMI-2 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","297 patients","2 ","2","SCIP-INF-1 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","180 patients","2 ","2","SCIP-VTE-2 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","137 patients",,,"PN-7 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","50 patients",,,"PN-4 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","79 patients",,,"HF-3 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","165 patients",,,"AMI-5 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","36 patients",,,"AMI-8A " "050174","SANTA ROSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","180 patients","2 ","2","SCIP-VTE-1 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","86 patients",,,"PN-6 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","38 patients","2 ","2","SCIP-CARD-2 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","192 patients",,,"HF-1 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","62 patients","2 ","2","SCIP-INF-4 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","254 patients",,,"PN-3B " "050174","SANTA ROSA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","213 patients",,,"PN-2 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","48 patients",,,"AMI-4 " "050174","SANTA ROSA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","130 patients",,,"AMI-1 " "050179","EMANUEL MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","61 patients",,,"AMI-5 " "050179","EMANUEL MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050179","EMANUEL MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","139 patients","2 ","2","PN-7 " "050179","EMANUEL MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "050179","EMANUEL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "050179","EMANUEL MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","58 patients",,,"AMI-2 " "050179","EMANUEL MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","52 patients","2 ","2","HF-4 " "050179","EMANUEL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","45 patients","2 ","2","SCIP-CARD-2 " "050179","EMANUEL MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","230 patients","2 ","2","PN-5C " "050179","EMANUEL MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","155 patients","2 ","2","PN-6 " "050179","EMANUEL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","450 patients","2 ","2","SCIP-INF-6 " "050179","EMANUEL MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "050179","EMANUEL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","293 patients","2 ","2","SCIP-INF-3 " "050179","EMANUEL MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","6 patients","1 ","1","AMI-7A " "050179","EMANUEL MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","77 patients","2 ","2","HF-3 " "050179","EMANUEL MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","108 patients",,,"AMI-1 " "050179","EMANUEL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","303 patients","2 ","2","SCIP-INF-1 " "050179","EMANUEL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","211 patients","2 ","2","SCIP-VTE-1 " "050179","EMANUEL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","211 patients","2 ","2","SCIP-VTE-2 " "050179","EMANUEL MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","238 patients","2 ","2","HF-1 " "050179","EMANUEL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","298 patients","2 ","2","SCIP-INF-2 " "050179","EMANUEL MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","79 patients","2 ","2","PN-4 " "050179","EMANUEL MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","256 patients","2 ","2","PN-3B " "050179","EMANUEL MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","219 patients","2 ","2","PN-2 " "050179","EMANUEL MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","295 patients","2 ","2","HF-2 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","92 patients","2 ","2","PN-7 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","153 patients",,,"AMI-1 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","61 patients",,,"HF-3 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","266 patients","2 ","2","SCIP-VTE-2 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","135 patients",,,"AMI-5 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","201 patients",,,"HF-1 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","266 patients",,,"HF-2 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","86 patients","2 ","2","PN-6 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","307 patients","2 ","2","SCIP-INF-3 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","320 patients","2 ","2","SCIP-INF-1 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","266 patients","2 ","2","SCIP-VTE-1 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","124 patients",,,"AMI-2 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","164 patients","2 ","2","PN-3B " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","PN-4 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","33 patients",,,"AMI-8A " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","323 patients","2 ","2","SCIP-INF-2 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","138 patients","2 ","2","PN-5C " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","468 patients","2 ","2","SCIP-INF-6 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","67 patients","2 ","2","SCIP-CARD-2 " "050180","JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","164 patients","2 ","2","PN-2 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","21 patients","1,2,3 ","123","PN-5C " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","42 patients","2 ","2","PN-2 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","15 patients","1 ","1","SCIP-VTE-1 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","36%","22 patients","1 ","1","SCIP-INF-1 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","HF-4 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","16 patients","1 ","1","SCIP-INF-3 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","12 patients","1,2 ","12","PN-4 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1,2 ","12","HF-3 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients",,,"SCIP-INF-6 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","18 patients","1 ","1","SCIP-INF-2 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","35 patients","2 ","2","PN-7 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","15 patients","1 ","1","SCIP-VTE-2 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","21 patients","1,2 ","12","PN-6 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","26 patients","2 ","2","PN-3B " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","38%","26 patients","2 ","2","HF-1 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","41 patients","2 ","2","HF-2 " "050189","GEORGE L MEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050191","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","385 patients","2 ","2","SCIP-INF-6 " "050191","ST MARY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","131 patients","2 ","2","PN-5C " "050191","ST MARY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","73 patients","2 ","2","HF-3 " "050191","ST MARY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","119 patients",,,"AMI-5 " "050191","ST MARY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","204 patients","2 ","2","HF-1 " "050191","ST MARY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "050191","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","159 patients","2 ","2","SCIP-VTE-2 " "050191","ST MARY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","121 patients",,,"AMI-1 " "050191","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","189 patients","2 ","2","SCIP-INF-3 " "050191","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","49 patients","2 ","2","SCIP-INF-4 " "050191","ST MARY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","130 patients","2 ","2","PN-3B " "050191","ST MARY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","246 patients","2 ","2","HF-2 " "050191","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","225 patients","2 ","2","SCIP-INF-1 " "050191","ST MARY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","HF-4 " "050191","ST MARY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","PN-4 " "050191","ST MARY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","130 patients",,,"AMI-2 " "050191","ST MARY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","72 patients","2 ","2","PN-6 " "050191","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","227 patients","2 ","2","SCIP-INF-2 " "050191","ST MARY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"AMI-4 " "050191","ST MARY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","87 patients","2 ","2","PN-7 " "050191","ST MARY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","29 patients",,,"AMI-8A " "050191","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","49 patients","2 ","2","SCIP-CARD-2 " "050191","ST MARY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","121 patients","2 ","2","PN-2 " "050191","ST MARY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "050191","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","159 patients","2 ","2","SCIP-VTE-1 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050192","SIERRA KINGS DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","58%","66 patients",,,"PN-2 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","14 patients","1 ","1","SCIP-INF-2 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1,3 ","13","AMI-5 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","60 patients",,,"PN-6 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","36%","22 patients","1 ","1","SCIP-INF-1 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","10 patients","1 ","1","SCIP-VTE-2 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","77%","44 patients",,,"PN-5C " "050192","SIERRA KINGS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","38 patients",,,"SCIP-INF-6 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","64%","11 patients","1 ","1","SCIP-VTE-1 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","30 patients",,,"HF-1 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","62%","73 patients",,,"PN-3B " "050192","SIERRA KINGS DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","42 patients",,,"PN-7 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","15 patients","1 ","1","PN-4 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","9%","35 patients",,,"HF-2 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","14 patients","1 ","1","SCIP-INF-3 " "050192","SIERRA KINGS DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "050193","SOUTH COAST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","25 patients","2,3 ","23","PN-3B " "050193","SOUTH COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","36%","66 patients","2,3 ","23","SCIP-INF-1 " "050193","SOUTH COAST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","39 patients","2,3 ","23","HF-1 " "050193","SOUTH COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","79%","58 patients","2,3 ","23","SCIP-INF-2 " "050193","SOUTH COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","67 patients","2,3 ","23","SCIP-VTE-1 " "050193","SOUTH COAST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1,2,3 ","123","AMI-1 " "050193","SOUTH COAST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","47 patients","2,3 ","23","HF-2 " "050193","SOUTH COAST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1,2,3 ","123","AMI-5 " "050193","SOUTH COAST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,2,3 ","123","AMI-2 " "050193","SOUTH COAST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","25 patients","2 ","2","PN-7 " "050193","SOUTH COAST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","29 patients","2,3 ","23","PN-2 " "050193","SOUTH COAST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "050193","SOUTH COAST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","31 patients","2,3 ","23","PN-5C " "050193","SOUTH COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1,2,3 ","123","SCIP-CARD-2 " "050193","SOUTH COAST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2,3 ","123","AMI-3 " "050193","SOUTH COAST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "050193","SOUTH COAST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2,3 ","123","PN-4 " "050193","SOUTH COAST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","21 patients","1,2,3 ","123","PN-6 " "050193","SOUTH COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "050193","SOUTH COAST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1,2,3 ","123","HF-4 " "050193","SOUTH COAST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "050193","SOUTH COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","61 patients","2,3 ","23","SCIP-INF-3 " "050193","SOUTH COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","97 patients","2,3 ","23","SCIP-INF-6 " "050193","SOUTH COAST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1,2,3 ","123","HF-3 " "050193","SOUTH COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","66%","67 patients","2,3 ","23","SCIP-VTE-2 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","24 patients","1 ","1","AMI-2 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","62 patients",,,"PN-7 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","179 patients",,,"HF-1 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","148 patients","2 ","2","SCIP-INF-2 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","113 patients",,,"PN-5C " "050194","WATSONVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","201 patients",,,"HF-2 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","17 patients","1 ","1","AMI-5 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","150 patients","2 ","2","SCIP-INF-1 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","36 patients",,,"AMI-1 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","76 patients",,,"PN-6 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","47 patients",,,"HF-3 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","112 patients","2 ","2","SCIP-VTE-2 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","233 patients","2 ","2","SCIP-INF-6 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","19 patients","1,2 ","12","SCIP-CARD-2 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","144 patients","2 ","2","SCIP-INF-3 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050194","WATSONVILLE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","115 patients",,,"PN-3B " "050194","WATSONVILLE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","97 patients",,,"PN-2 " "050194","WATSONVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","112 patients","2 ","2","SCIP-VTE-1 " "050195","WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","360 patients","2 ","2","SCIP-INF-1 " "050195","WASHINGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","138 patients","2 ","2","PN-2 " "050195","WASHINGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","193 patients",,,"AMI-1 " "050195","WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","154 patients","2 ","2","SCIP-VTE-1 " "050195","WASHINGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","145 patients","2 ","2","PN-3B " "050195","WASHINGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","77 patients","2 ","2","PN-7 " "050195","WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","80 patients","2 ","2","SCIP-CARD-2 " "050195","WASHINGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "050195","WASHINGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050195","WASHINGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "050195","WASHINGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","PN-4 " "050195","WASHINGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","210 patients",,,"AMI-5 " "050195","WASHINGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","150 patients","2 ","2","PN-5C " "050195","WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","361 patients","2 ","2","SCIP-INF-2 " "050195","WASHINGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "050195","WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","355 patients","2 ","2","SCIP-INF-3 " "050195","WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","501 patients","2 ","2","SCIP-INF-6 " "050195","WASHINGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","62 patients",,,"AMI-8A " "050195","WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","102 patients","2 ","2","SCIP-INF-4 " "050195","WASHINGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","106 patients","2 ","2","PN-6 " "050195","WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","154 patients","2 ","2","SCIP-VTE-2 " "050195","WASHINGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","355 patients",,,"HF-2 " "050195","WASHINGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","124 patients",,,"HF-3 " "050195","WASHINGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","209 patients",,,"AMI-2 " "050195","WASHINGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","285 patients",,,"HF-1 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","77 patients",,,"HF-1 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","22 patients","1,2 ","12","SCIP-VTE-1 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","PN-4 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","55%","83 patients",,,"HF-2 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","HF-4 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","81 patients","2 ","2","SCIP-INF-2 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","45 patients",,,"PN-3B " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","33 patients",,,"PN-7 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","36 patients",,,"PN-2 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","94 patients","2 ","2","SCIP-INF-1 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","81 patients","2 ","2","SCIP-INF-3 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","43 patients",,,"PN-5C " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","37 patients",,,"PN-6 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","112 patients","2 ","2","SCIP-INF-6 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "050196","CENTRAL VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","22 patients","1,2 ","12","SCIP-VTE-2 " "050197","SEQUOIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","343 patients","2 ","2","SCIP-INF-3 " "050197","SEQUOIA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "050197","SEQUOIA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","188 patients",,,"HF-1 " "050197","SEQUOIA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "050197","SEQUOIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","156 patients","2 ","2","SCIP-VTE-2 " "050197","SEQUOIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","156 patients","2 ","2","SCIP-VTE-1 " "050197","SEQUOIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","146 patients","2 ","2","SCIP-INF-4 " "050197","SEQUOIA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","87 patients",,,"AMI-2 " "050197","SEQUOIA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050197","SEQUOIA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","101 patients",,,"PN-2 " "050197","SEQUOIA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","19 patients","1 ","1","AMI-8A " "050197","SEQUOIA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","46 patients",,,"HF-3 " "050197","SEQUOIA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","213 patients",,,"HF-2 " "050197","SEQUOIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","358 patients","2 ","2","SCIP-INF-1 " "050197","SEQUOIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","363 patients","2 ","2","SCIP-INF-2 " "050197","SEQUOIA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050197","SEQUOIA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","56 patients",,,"PN-6 " "050197","SEQUOIA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "050197","SEQUOIA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","81 patients",,,"AMI-5 " "050197","SEQUOIA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","113 patients",,,"PN-3B " "050197","SEQUOIA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","59 patients",,,"PN-7 " "050197","SEQUOIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","501 patients","2 ","2","SCIP-INF-6 " "050197","SEQUOIA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","70 patients","2 ","2","SCIP-CARD-2 " "050197","SEQUOIA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","93 patients",,,"PN-5C " "050197","SEQUOIA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","91 patients",,,"AMI-1 " "050204","LANCASTER COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","159 patients",,,"PN-3B " "050204","LANCASTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","293 patients",,,"SCIP-INF-1 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","138 patients",,,"HF-3 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","320 patients",,,"HF-2 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","128 patients",,,"AMI-2 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","135 patients",,,"AMI-1 " "050204","LANCASTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","189 patients",,,"SCIP-VTE-1 " "050204","LANCASTER COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","147 patients",,,"PN-2 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","136 patients",,,"AMI-5 " "050204","LANCASTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","45 patients",,,"SCIP-CARD-2 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","291 patients",,,"HF-1 " "050204","LANCASTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","273 patients",,,"SCIP-INF-3 " "050204","LANCASTER COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","146 patients",,,"PN-5C " "050204","LANCASTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","60%","5 patients","1 ","1","SCIP-INF-4 " "050204","LANCASTER COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"PN-4 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"AMI-3 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","23 patients","1 ","1","AMI-8A " "050204","LANCASTER COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","118 patients",,,"PN-7 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "050204","LANCASTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","189 patients",,,"SCIP-VTE-2 " "050204","LANCASTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","424 patients",,,"SCIP-INF-6 " "050204","LANCASTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","296 patients",,,"SCIP-INF-2 " "050204","LANCASTER COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","134 patients",,,"PN-6 " "050204","LANCASTER COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","2 patients","1,2,3 ","123","SCIP-VTE-2 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","18 patients","1 ","1","AMI-5 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","2,3 ","23","SCIP-INF-3 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","18%","68 patients",,,"PN-2 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","1 patients","1,2,3 ","123","SCIP-INF-1 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","10 patients","1,2,3 ","123","SCIP-VTE-1 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","23 patients","1 ","1","AMI-1 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","27 patients",,,"HF-2 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","71%","17 patients","1,3 ","13","PN-5C " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","30%","64 patients",,,"PN-7 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,2,3 ","123","SCIP-INF-2 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","14 patients","1,2,3 ","123","SCIP-INF-6 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","13 patients","1 ","1","HF-1 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","20 patients","1 ","1","AMI-2 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","10 patients","1 ","1","HF-3 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "050205","EAST VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","45%","55 patients",,,"PN-6 " "050211","ALAMEDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","65 patients","2 ","2","SCIP-INF-2 " "050211","ALAMEDA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","69 patients","2 ","2","SCIP-VTE-2 " "050211","ALAMEDA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1,2 ","12","PN-4 " "050211","ALAMEDA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","121 patients","2 ","2","PN-3B " "050211","ALAMEDA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","AMI-4 " "050211","ALAMEDA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","57%","7 patients","1,2 ","12","AMI-7A " "050211","ALAMEDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","64 patients","2 ","2","SCIP-INF-1 " "050211","ALAMEDA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1,2 ","12","SCIP-CARD-2 " "050211","ALAMEDA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","69 patients","2 ","2","SCIP-VTE-1 " "050211","ALAMEDA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","45 patients","2 ","2","HF-3 " "050211","ALAMEDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","62 patients","2 ","2","SCIP-INF-3 " "050211","ALAMEDA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","61 patients","2 ","2","PN-6 " "050211","ALAMEDA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,2 ","12","AMI-3 " "050211","ALAMEDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","108 patients","2 ","2","SCIP-INF-6 " "050211","ALAMEDA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050211","ALAMEDA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","36 patients","2 ","2","AMI-2 " "050211","ALAMEDA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","123 patients","2 ","2","HF-1 " "050211","ALAMEDA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,2 ","12","HF-4 " "050211","ALAMEDA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","66 patients","2 ","2","PN-7 " "050211","ALAMEDA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","98 patients","2 ","2","PN-2 " "050211","ALAMEDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050211","ALAMEDA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","131 patients","2 ","2","PN-5C " "050211","ALAMEDA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","57 patients","2 ","2","AMI-1 " "050211","ALAMEDA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","39 patients","2 ","2","AMI-5 " "050211","ALAMEDA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","172 patients","2 ","2","HF-2 " "050219","COAST PLAZA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050219","COAST PLAZA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "050219","COAST PLAZA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","166 patients","2 ","2","PN-5C " "050219","COAST PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","38 patients",,,"SCIP-VTE-1 " "050219","COAST PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","19 patients","1 ","1","SCIP-INF-1 " "050219","COAST PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","19 patients","1 ","1","SCIP-INF-3 " "050219","COAST PLAZA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "050219","COAST PLAZA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","58%","78 patients","2 ","2","PN-7 " "050219","COAST PLAZA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","77 patients",,,"HF-1 " "050219","COAST PLAZA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","132 patients","2 ","2","PN-3B " "050219","COAST PLAZA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "050219","COAST PLAZA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050219","COAST PLAZA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","17%","6 patients","1 ","1","AMI-7A " "050219","COAST PLAZA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","PN-4 " "050219","COAST PLAZA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","59%","94 patients","2 ","2","PN-2 " "050219","COAST PLAZA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","106 patients",,,"HF-2 " "050219","COAST PLAZA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050219","COAST PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050219","COAST PLAZA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","146 patients","2 ","2","PN-6 " "050219","COAST PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","74%","19 patients","1 ","1","SCIP-INF-2 " "050219","COAST PLAZA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "050219","COAST PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","38 patients",,,"SCIP-VTE-2 " "050219","COAST PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "050219","COAST PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","51 patients",,,"SCIP-INF-6 " "050219","COAST PLAZA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","272 patients",,,"AMI-5 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","483 patients",,,"HF-2 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","41 patients",,,"AMI-8A " "050222","SHARP CHULA VISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","502 patients","2 ","2","SCIP-INF-1 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","208 patients",,,"PN-7 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","480 patients","2 ","2","SCIP-INF-3 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","297 patients",,,"PN-2 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","295 patients",,,"AMI-1 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","56 patients",,,"HF-4 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","251 patients","2 ","2","SCIP-VTE-1 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","508 patients","2 ","2","SCIP-INF-2 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","400 patients",,,"HF-1 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","746 patients","2 ","2","SCIP-INF-6 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","165 patients","2 ","2","SCIP-INF-4 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","54 patients",,,"PN-4 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","177 patients",,,"PN-6 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","284 patients",,,"AMI-2 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","246 patients","2 ","2","SCIP-VTE-2 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","65 patients",,,"AMI-3 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","271 patients",,,"PN-5C " "050222","SHARP CHULA VISTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","304 patients",,,"PN-3B " "050222","SHARP CHULA VISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","101 patients","2 ","2","SCIP-CARD-2 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","190 patients",,,"HF-3 " "050222","SHARP CHULA VISTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","48 patients",,,"AMI-4 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","225 patients",,,"AMI-5 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","551 patients","2 ","2","SCIP-INF-1 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","181 patients","2 ","2","SCIP-INF-4 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","424 patients",,,"PN-2 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","234 patients",,,"AMI-1 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","261 patients","2 ","2","SCIP-VTE-2 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","775 patients","2 ","2","SCIP-INF-6 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","117 patients","2 ","2","SCIP-CARD-2 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","399 patients",,,"HF-1 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","524 patients","2 ","2","SCIP-INF-3 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","180 patients",,,"HF-3 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","248 patients",,,"PN-6 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","226 patients",,,"AMI-2 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","256 patients",,,"PN-7 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"AMI-3 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","447 patients",,,"PN-3B " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"AMI-4 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","488 patients",,,"HF-2 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","368 patients",,,"PN-5C " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","61 patients",,,"PN-4 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","563 patients","2 ","2","SCIP-INF-2 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","261 patients","2 ","2","SCIP-VTE-1 " "050224","HOAG MEMORIAL HOSPITAL PRESBYTERIAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","64 patients",,,"AMI-8A " "050225","FEATHER RIVER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","117 patients",,,"PN-6 " "050225","FEATHER RIVER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","169 patients",,,"PN-3B " "050225","FEATHER RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","144 patients","2 ","2","SCIP-VTE-2 " "050225","FEATHER RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","210 patients","2 ","2","SCIP-INF-3 " "050225","FEATHER RIVER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "050225","FEATHER RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","219 patients","2 ","2","SCIP-INF-2 " "050225","FEATHER RIVER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","151 patients",,,"PN-2 " "050225","FEATHER RIVER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050225","FEATHER RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","145 patients","2 ","2","SCIP-VTE-1 " "050225","FEATHER RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","309 patients","2 ","2","SCIP-INF-6 " "050225","FEATHER RIVER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "050225","FEATHER RIVER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "050225","FEATHER RIVER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","49 patients",,,"HF-1 " "050225","FEATHER RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050225","FEATHER RIVER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","120 patients",,,"PN-7 " "050225","FEATHER RIVER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","44 patients",,,"AMI-1 " "050225","FEATHER RIVER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","39 patients","2 ","2","SCIP-CARD-2 " "050225","FEATHER RIVER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","25 patients",,,"HF-3 " "050225","FEATHER RIVER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050225","FEATHER RIVER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","26 patients",,,"AMI-2 " "050225","FEATHER RIVER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","147 patients",,,"PN-5C " "050225","FEATHER RIVER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "050225","FEATHER RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","217 patients","2 ","2","SCIP-INF-1 " "050225","FEATHER RIVER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","70 patients",,,"HF-2 " "050225","FEATHER RIVER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","24 patients","1 ","1","AMI-8A " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","302 patients",,,"PN-3B " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","177 patients",,,"PN-7 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","256 patients",,,"AMI-5 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"AMI-3 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"PN-4 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","185 patients",,,"PN-6 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","340 patients","2 ","2","SCIP-INF-3 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","352 patients",,,"HF-1 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","362 patients","2 ","2","SCIP-INF-2 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","110 patients","2 ","2","SCIP-INF-4 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","418 patients",,,"HF-2 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","359 patients","2 ","2","SCIP-INF-1 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","65 patients","2 ","2","SCIP-CARD-2 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","223 patients",,,"AMI-1 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","181 patients","2 ","2","SCIP-VTE-1 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","279 patients",,,"PN-5C " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","260 patients",,,"PN-2 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","547 patients","2 ","2","SCIP-INF-6 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","154 patients",,,"HF-3 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","264 patients",,,"AMI-2 " "050226","AHMC ANAHEIM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","181 patients","2 ","2","SCIP-VTE-2 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients","2 ","2","AMI-3 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","160 patients","2 ","2","HF-3 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","180 patients","2 ","2","PN-5C " "050228","SAN FRANCISCO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","173 patients","2 ","2","SCIP-INF-3 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","129 patients","2 ","2","HF-4 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","130 patients","2 ","2","PN-3B " "050228","SAN FRANCISCO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","205 patients","2 ","2","SCIP-VTE-2 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","92 patients","2 ","2","AMI-2 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","22 patients","1,2 ","12","AMI-8A " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","105 patients","2 ","2","AMI-1 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","43 patients","2 ","2","AMI-4 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","88 patients","2 ","2","AMI-5 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","74 patients","2 ","2","PN-7 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","35 patients","2 ","2","SCIP-CARD-2 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","124 patients","2 ","2","PN-4 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","241 patients","2 ","2","HF-1 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","95 patients","2 ","2","PN-6 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","180 patients","2 ","2","SCIP-INF-1 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","291 patients","2 ","2","SCIP-INF-6 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","265 patients","2 ","2","HF-2 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","206 patients","2 ","2","SCIP-VTE-1 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","55 patients","2 ","2","PN-2 " "050228","SAN FRANCISCO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","186 patients","2 ","2","SCIP-INF-2 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","162 patients",,,"PN-3B " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","114 patients",,,"HF-2 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","256 patients",,,"SCIP-INF-6 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","136 patients",,,"SCIP-INF-3 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","48 patients",,,"AMI-2 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","53 patients",,,"AMI-5 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","112 patients",,,"SCIP-VTE-1 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","104 patients",,,"PN-7 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","139 patients",,,"SCIP-INF-1 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","91 patients",,,"AMI-1 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","112 patients",,,"SCIP-VTE-2 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","42 patients",,,"PN-6 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","22 patients","1 ","1","SCIP-CARD-2 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","139 patients",,,"SCIP-INF-2 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","153 patients",,,"PN-2 " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","156 patients",,,"PN-5C " "050230","GARDEN GROVE HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","86 patients",,,"HF-1 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","146 patients",,,"PN-7 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","549 patients","2 ","2","SCIP-INF-3 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","174 patients",,,"PN-3B " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","506 patients",,,"HF-2 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","822 patients","2 ","2","SCIP-INF-6 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","580 patients","2 ","2","SCIP-INF-1 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","578 patients","2 ","2","SCIP-INF-2 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","197 patients",,,"PN-2 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","201 patients",,,"PN-5C " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","342 patients","2 ","2","SCIP-VTE-2 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"PN-4 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","193 patients",,,"AMI-1 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","139 patients","2 ","2","SCIP-INF-4 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","88 patients",,,"HF-4 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","97 patients","2 ","2","SCIP-CARD-2 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","63 patients",,,"AMI-8A " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","344 patients","2 ","2","SCIP-VTE-1 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","404 patients",,,"HF-1 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"AMI-4 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","199 patients",,,"AMI-2 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","116 patients",,,"PN-6 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","179 patients",,,"HF-3 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","192 patients",,,"AMI-5 " "050231","POMONA VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"AMI-3 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","151 patients",,,"AMI-5 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","125 patients",,,"PN-5C " "050232","FRENCH HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","370 patients","2 ","2","SCIP-INF-1 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","156 patients",,,"AMI-2 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","363 patients","2 ","2","SCIP-INF-3 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","146 patients",,,"PN-3B " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","92 patients",,,"HF-2 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","126 patients",,,"PN-2 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"HF-3 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","84 patients",,,"PN-6 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","11 patients","1 ","1","AMI-8A " "050232","FRENCH HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","370 patients","2 ","2","SCIP-INF-2 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","119 patients","2 ","2","SCIP-VTE-1 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","84 patients","2 ","2","SCIP-CARD-2 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","119 patients","2 ","2","SCIP-VTE-2 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","76 patients",,,"PN-7 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","79 patients",,,"HF-1 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","492 patients","2 ","2","SCIP-INF-6 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","116 patients","2 ","2","SCIP-INF-4 " "050232","FRENCH HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","60 patients",,,"PN-3B " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1052 patients",,,"SCIP-INF-1 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","57 patients",,,"PN-2 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","40 patients",,,"PN-7 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","54 patients",,,"HF-2 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","44 patients",,,"HF-1 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1051 patients",,,"SCIP-INF-2 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","445 patients",,,"SCIP-VTE-1 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","444 patients",,,"SCIP-VTE-2 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","56 patients",,,"PN-5C " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","148 patients",,,"SCIP-CARD-2 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","PN-4 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","1046 patients",,,"SCIP-INF-3 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1101 patients",,,"SCIP-INF-6 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","HF-3 " "050234","SHARP CORONADO HOSPITAL AND HLTHCR CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","52 patients",,,"PN-6 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"AMI-4 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","280 patients","2 ","2","SCIP-VTE-2 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","221 patients",,,"PN-5C " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","56 patients",,,"AMI-8A " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","513 patients",,,"HF-2 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","406 patients","2 ","2","SCIP-INF-2 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","133 patients",,,"HF-3 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","132 patients",,,"PN-6 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","426 patients",,,"HF-1 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","227 patients",,,"AMI-2 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","92 patients","2 ","2","SCIP-CARD-2 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","393 patients","2 ","2","SCIP-INF-1 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","105 patients",,,"PN-3B " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","26 patients",,,"AMI-3 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","236 patients",,,"PN-2 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"PN-4 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","216 patients",,,"AMI-5 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","86 patients","2 ","2","SCIP-INF-4 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","146 patients",,,"PN-7 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","641 patients","2 ","2","SCIP-INF-6 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","245 patients",,,"AMI-1 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","280 patients","2 ","2","SCIP-VTE-1 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","360 patients","2 ","2","SCIP-INF-3 " "050235","PROVIDENCE SAINT JOSEPH MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"HF-4 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","165 patients",,,"PN-6 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","46 patients",,,"PN-4 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","358 patients",,,"PN-3B " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","512 patients","2 ","2","SCIP-INF-1 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","53 patients",,,"AMI-3 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","69 patients",,,"AMI-8A " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","366 patients","2 ","2","SCIP-VTE-1 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","289 patients",,,"AMI-1 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"AMI-4 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"HF-4 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","273 patients",,,"AMI-5 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","364 patients",,,"PN-5C " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","62 patients","2 ","2","SCIP-INF-4 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","63%","121 patients","2 ","2","SCIP-CARD-2 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","409 patients",,,"PN-2 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","474 patients","2 ","2","SCIP-INF-3 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","387 patients",,,"HF-1 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","511 patients","2 ","2","SCIP-INF-2 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","274 patients",,,"AMI-2 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","774 patients","2 ","2","SCIP-INF-6 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","518 patients",,,"HF-2 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","271 patients",,,"PN-7 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","365 patients","2 ","2","SCIP-VTE-2 " "050238","METHODIST HOSPITAL OF SOUTHERN CA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","142 patients",,,"HF-3 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","241 patients",,,"AMI-5 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","350 patients","2 ","2","SCIP-VTE-2 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","325 patients",,,"PN-2 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","139 patients",,,"PN-6 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","412 patients",,,"HF-2 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","269 patients",,,"PN-5C " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","122 patients","2 ","2","SCIP-INF-4 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","602 patients","2 ","2","SCIP-INF-1 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","246 patients",,,"PN-3B " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","119 patients","2 ","2","SCIP-CARD-2 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","39 patients",,,"AMI-3 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"HF-4 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","64 patients",,,"PN-4 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","246 patients",,,"AMI-2 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","35 patients",,,"AMI-8A " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","766 patients","2 ","2","SCIP-INF-6 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","138 patients",,,"HF-3 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","352 patients","2 ","2","SCIP-VTE-1 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","567 patients","2 ","2","SCIP-INF-3 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","342 patients",,,"HF-1 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","226 patients",,,"AMI-1 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"AMI-4 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","609 patients","2 ","2","SCIP-INF-2 " "050239","GLENDALE ADVENTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","214 patients",,,"PN-7 " "050242","DOMINICAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "050242","DOMINICAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","189 patients",,,"PN-2 " "050242","DOMINICAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "050242","DOMINICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","95 patients","2 ","2","SCIP-INF-4 " "050242","DOMINICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","354 patients","2 ","2","SCIP-INF-2 " "050242","DOMINICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","474 patients","2 ","2","SCIP-INF-6 " "050242","DOMINICAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","156 patients",,,"PN-6 " "050242","DOMINICAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","182 patients",,,"PN-3B " "050242","DOMINICAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "050242","DOMINICAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","30 patients",,,"AMI-8A " "050242","DOMINICAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","244 patients",,,"HF-2 " "050242","DOMINICAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","125 patients",,,"PN-7 " "050242","DOMINICAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","192 patients",,,"PN-5C " "050242","DOMINICAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","170 patients",,,"AMI-2 " "050242","DOMINICAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","208 patients","2 ","2","SCIP-VTE-1 " "050242","DOMINICAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "050242","DOMINICAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","208 patients","2 ","2","SCIP-VTE-2 " "050242","DOMINICAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","72 patients","2 ","2","SCIP-CARD-2 " "050242","DOMINICAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050242","DOMINICAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","156 patients",,,"AMI-1 " "050242","DOMINICAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","181 patients",,,"HF-1 " "050242","DOMINICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","319 patients","2 ","2","SCIP-INF-3 " "050242","DOMINICAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","154 patients",,,"AMI-5 " "050242","DOMINICAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","58 patients",,,"HF-3 " "050242","DOMINICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","352 patients","2 ","2","SCIP-INF-1 " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","225 patients",,,"AMI-1 " "050243","DESERT REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","212 patients",,,"PN-3B " "050243","DESERT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","454 patients","2 ","2","SCIP-INF-2 " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","306 patients",,,"HF-2 " "050243","DESERT REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","145 patients",,,"PN-7 " "050243","DESERT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","453 patients","2 ","2","SCIP-INF-1 " "050243","DESERT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","615 patients","2 ","2","SCIP-INF-6 " "050243","DESERT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","157 patients","2 ","2","SCIP-VTE-1 " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","91 patients",,,"AMI-4 " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","310 patients",,,"AMI-5 " "050243","DESERT REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","125 patients",,,"PN-6 " "050243","DESERT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","146 patients","2 ","2","SCIP-VTE-2 " "050243","DESERT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","430 patients","2 ","2","SCIP-INF-3 " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","40 patients",,,"AMI-8A " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","219 patients",,,"HF-1 " "050243","DESERT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","168 patients","2 ","2","SCIP-INF-4 " "050243","DESERT REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","56 patients",,,"PN-4 " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","116 patients",,,"HF-3 " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","42 patients",,,"AMI-3 " "050243","DESERT REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","196 patients",,,"PN-2 " "050243","DESERT REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","210 patients",,,"PN-5C " "050243","DESERT REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","304 patients",,,"AMI-2 " "050243","DESERT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","106 patients","2 ","2","SCIP-CARD-2 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","139 patients",,,"HF-4 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","180 patients",,,"HF-3 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients","2 ","2","PN-4 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","96 patients",,,"AMI-2 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","122 patients","2 ","2","PN-6 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","109 patients","2 ","2","PN-7 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","95 patients",,,"AMI-5 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients","2 ","2","SCIP-CARD-2 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","171 patients","2 ","2","PN-3B " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","117 patients",,,"AMI-1 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","82 patients","2 ","2","PN-2 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","213 patients","2 ","2","SCIP-INF-3 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","396 patients",,,"HF-1 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","227 patients","2 ","2","SCIP-INF-2 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-7A " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","552 patients","2 ","2","SCIP-INF-6 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","187 patients","2 ","2","PN-5C " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","314 patients","2 ","2","SCIP-VTE-1 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"AMI-4 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","313 patients","2 ","2","SCIP-VTE-2 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","225 patients","2 ","2","SCIP-INF-1 " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","8 patients","1 ","1","AMI-8A " "050245","ARROWHEAD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","402 patients",,,"HF-2 " "050248","NATIVIDAD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "050248","NATIVIDAD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","35 patients",,,"HF-3 " "050248","NATIVIDAD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","43 patients",,,"PN-2 " "050248","NATIVIDAD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","27 patients",,,"AMI-1 " "050248","NATIVIDAD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","10 patients","1 ","1","SCIP-CARD-2 " "050248","NATIVIDAD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","55 patients",,,"PN-6 " "050248","NATIVIDAD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","80 patients",,,"HF-2 " "050248","NATIVIDAD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","80 patients",,,"PN-5C " "050248","NATIVIDAD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","70 patients","2 ","2","SCIP-INF-3 " "050248","NATIVIDAD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "050248","NATIVIDAD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","48 patients",,,"PN-7 " "050248","NATIVIDAD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050248","NATIVIDAD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "050248","NATIVIDAD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","66%","70 patients","2 ","2","SCIP-VTE-1 " "050248","NATIVIDAD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050248","NATIVIDAD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050248","NATIVIDAD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","33 patients",,,"PN-4 " "050248","NATIVIDAD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050248","NATIVIDAD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","71 patients","2 ","2","SCIP-INF-2 " "050248","NATIVIDAD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","54%","74 patients",,,"HF-1 " "050248","NATIVIDAD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","67 patients",,,"PN-3B " "050248","NATIVIDAD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","143 patients","2 ","2","SCIP-INF-6 " "050248","NATIVIDAD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","76 patients","2 ","2","SCIP-INF-1 " "050248","NATIVIDAD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "050248","NATIVIDAD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","64%","69 patients","2 ","2","SCIP-VTE-2 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","426 patients","2 ","2","SCIP-INF-6 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","262 patients","2 ","2","SCIP-INF-2 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","134 patients",,,"HF-1 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","AMI-4 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","143 patients","2 ","2","PN-2 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","57 patients","2 ","2","SCIP-CARD-2 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","253 patients","2 ","2","SCIP-INF-3 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","46 patients",,,"HF-3 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","97 patients","2 ","2","PN-6 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","159 patients",,,"HF-2 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","39 patients","2 ","2","PN-4 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","150 patients","2 ","2","PN-3B " "050254","MARSHALL MEDICAL CENTER (1-RH)","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","238 patients","2 ","2","SCIP-VTE-1 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","238 patients","2 ","2","SCIP-VTE-2 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050254","MARSHALL MEDICAL CENTER (1-RH)","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","141 patients","2 ","2","PN-5C " "050254","MARSHALL MEDICAL CENTER (1-RH)","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","263 patients","2 ","2","SCIP-INF-1 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","102 patients","2 ","2","PN-7 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","29 patients",,,"AMI-1 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "050254","MARSHALL MEDICAL CENTER (1-RH)","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "050257","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","19 patients","1 ","1","PN-2 " "050257","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "050257","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","29 patients","3 ","3","PN-5C " "050257","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","30%","33 patients",,,"HF-1 " "050257","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "050257","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "050257","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "050257","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "050257","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "050257","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "050257","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050257","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","23 patients","1 ","1","PN-7 " "050257","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "050257","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "050257","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","15 patients","1 ","1","PN-6 " "050257","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050257","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "050257","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","HF-4 " "050257","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "050257","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "050257","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "050257","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "050257","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","2 patients","1,3 ","13","SCIP-INF-6 " "050257","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","30 patients",,,"HF-2 " "050257","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","70 patients",,,"PN-2 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","54 patients",,,"PN-7 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","82 patients",,,"PN-3B " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","56 patients",,,"PN-6 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","65 patients",,,"PN-5C " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","98 patients",,,"HF-1 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"HF-3 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","98 patients",,,"HF-2 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "05025F","FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFOR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","76%","17 patients","1 ","1","AMI-7A " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","117 patients",,,"PN-7 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","138 patients",,,"PN-2 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","141 patients","2 ","2","SCIP-VTE-2 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","174 patients",,,"HF-2 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","19 patients","1,2 ","12","SCIP-CARD-2 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"HF-4 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","196 patients","2 ","2","SCIP-INF-3 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","202 patients","2 ","2","SCIP-INF-2 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","61%","160 patients","2 ","2","SCIP-VTE-1 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","66 patients",,,"HF-3 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","80 patients",,,"AMI-1 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","202 patients","2 ","2","SCIP-INF-1 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","144 patients",,,"HF-1 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","232 patients",,,"PN-5C " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","43 patients",,,"AMI-2 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","49 patients",,,"PN-4 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","37 patients",,,"AMI-5 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","AMI-4 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","214 patients",,,"PN-3B " "050261","SIERRA VIEW DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","144 patients",,,"PN-6 " "050261","SIERRA VIEW DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050261","SIERRA VIEW DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","310 patients","2 ","2","SCIP-INF-6 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","69%","251 patients","2 ","2","SCIP-INF-3 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","535 patients","2 ","2","SCIP-INF-6 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients","2 ","2","AMI-3 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","121 patients","2 ","2","AMI-2 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","86 patients","2 ","2","PN-3B " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","82 patients","2 ","2","SCIP-CARD-2 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","282 patients","2 ","2","HF-2 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","299 patients","2 ","2","SCIP-INF-1 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","130 patients","2 ","2","AMI-1 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","135 patients","2 ","2","HF-3 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","263 patients","2 ","2","HF-1 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","235 patients","2 ","2","SCIP-VTE-2 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","138 patients","2 ","2","SCIP-INF-4 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","305 patients","2 ","2","SCIP-INF-2 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","28 patients","2 ","2","PN-6 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","30 patients","2 ","2","AMI-8A " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","32 patients","2 ","2","AMI-4 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","74 patients","2 ","2","PN-2 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","70 patients","2 ","2","PN-5C " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1,2 ","12","PN-4 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","37 patients","2 ","2","HF-4 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","100 patients","2 ","2","AMI-5 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","57 patients","2 ","2","PN-7 " "050262","RONALD REAGAN UCLA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","235 patients","2 ","2","SCIP-VTE-1 " "050264","SAN LEANDRO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050264","SAN LEANDRO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","66 patients",,,"PN-6 " "050264","SAN LEANDRO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","120 patients",,,"PN-5C " "050264","SAN LEANDRO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050264","SAN LEANDRO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","54 patients",,,"HF-3 " "050264","SAN LEANDRO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","234 patients",,,"SCIP-INF-6 " "050264","SAN LEANDRO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050264","SAN LEANDRO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","245 patients",,,"HF-1 " "050264","SAN LEANDRO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"HF-4 " "050264","SAN LEANDRO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "050264","SAN LEANDRO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","111 patients",,,"PN-2 " "050264","SAN LEANDRO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","116 patients",,,"SCIP-VTE-2 " "050264","SAN LEANDRO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","24 patients","1 ","1","SCIP-CARD-2 " "050264","SAN LEANDRO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050264","SAN LEANDRO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","138 patients",,,"SCIP-INF-1 " "050264","SAN LEANDRO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","140 patients",,,"SCIP-INF-2 " "050264","SAN LEANDRO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "050264","SAN LEANDRO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "050264","SAN LEANDRO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","121 patients",,,"PN-3B " "050264","SAN LEANDRO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","82 patients",,,"PN-7 " "050264","SAN LEANDRO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","116 patients",,,"SCIP-VTE-1 " "050264","SAN LEANDRO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050264","SAN LEANDRO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","128 patients",,,"SCIP-INF-3 " "050264","SAN LEANDRO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","278 patients",,,"HF-2 " "050264","SAN LEANDRO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "050272","REDLANDS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","690 patients","2 ","2","SCIP-INF-3 " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","76 patients",,,"AMI-5 " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","HF-4 " "050272","REDLANDS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","111 patients","2 ","2","PN-5C " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","73 patients","2 ","2","HF-3 " "050272","REDLANDS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","63 patients","2 ","2","PN-7 " "050272","REDLANDS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","118 patients","2 ","2","PN-3B " "050272","REDLANDS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","714 patients","2 ","2","SCIP-INF-1 " "050272","REDLANDS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients","2 ","2","PN-6 " "050272","REDLANDS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050272","REDLANDS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1042 patients","2 ","2","SCIP-INF-6 " "050272","REDLANDS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","122 patients","2 ","2","SCIP-CARD-2 " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","184 patients","2 ","2","HF-1 " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","74 patients",,,"AMI-2 " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","20%","5 patients","1 ","1","AMI-7A " "050272","REDLANDS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","381 patients","2 ","2","SCIP-VTE-2 " "050272","REDLANDS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","106 patients","2 ","2","PN-2 " "050272","REDLANDS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","PN-4 " "050272","REDLANDS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","713 patients","2 ","2","SCIP-INF-2 " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","116 patients",,,"AMI-1 " "050272","REDLANDS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","382 patients","2 ","2","SCIP-VTE-1 " "050272","REDLANDS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","232 patients","2 ","2","HF-2 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","62 patients",,,"PN-7 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","136 patients",,,"PN-5C " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","107 patients","2 ","2","SCIP-INF-2 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","106 patients","2 ","2","SCIP-INF-3 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","59%","32 patients","2 ","2","SCIP-CARD-2 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","211 patients","2 ","2","SCIP-INF-6 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","231 patients",,,"HF-2 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","129 patients","2 ","2","SCIP-VTE-2 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","97 patients",,,"HF-4 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","217 patients",,,"HF-1 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","107 patients","2 ","2","SCIP-INF-1 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","129 patients","2 ","2","SCIP-VTE-1 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","32 patients",,,"AMI-1 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"PN-4 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","92 patients",,,"HF-3 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","52 patients",,,"PN-2 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","86 patients",,,"PN-6 " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-7A " "050276","CONTRA COSTA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","110 patients",,,"PN-3B " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","64 patients",,,"HF-1 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","24 patients","1 ","1","HF-4 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients",,,"HF-3 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","108 patients",,,"SCIP-INF-6 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","80 patients",,,"SCIP-VTE-1 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","35 patients",,,"PN-6 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","79 patients",,,"SCIP-VTE-2 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","130 patients",,,"PN-2 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","158 patients",,,"PN-3B " "050277","PACIFIC HOSPITAL OF LONG BEACH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","155 patients",,,"PN-5C " "050277","PACIFIC HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","65 patients",,,"SCIP-INF-2 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","91 patients",,,"PN-7 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","88 patients",,,"HF-2 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050277","PACIFIC HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","63 patients",,,"SCIP-INF-3 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","65 patients",,,"SCIP-INF-1 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "050277","PACIFIC HOSPITAL OF LONG BEACH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","169 patients","2 ","2","SCIP-VTE-1 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","319 patients","2 ","2","SCIP-INF-1 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","110 patients",,,"HF-3 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","79 patients","2 ","2","SCIP-INF-4 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","203 patients",,,"AMI-1 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","87 patients","2 ","2","SCIP-CARD-2 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","234 patients",,,"AMI-5 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","328 patients","2 ","2","SCIP-INF-2 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","382 patients",,,"HF-1 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","212 patients",,,"PN-7 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","169 patients","2 ","2","SCIP-VTE-2 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","491 patients","2 ","2","SCIP-INF-6 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","139 patients",,,"PN-6 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","317 patients",,,"PN-2 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"AMI-4 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","233 patients",,,"PN-3B " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","449 patients",,,"HF-2 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"AMI-3 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","243 patients",,,"AMI-2 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","264 patients",,,"PN-5C " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","76 patients",,,"AMI-8A " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","288 patients","2 ","2","SCIP-INF-3 " "050278","PROVIDENCE HOLY CROSS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050279","HI-DESERT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050279","HI-DESERT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","32 patients",,,"HF-3 " "050279","HI-DESERT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","121 patients",,,"PN-2 " "050279","HI-DESERT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","108 patients",,,"HF-2 " "050279","HI-DESERT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","74 patients",,,"PN-7 " "050279","HI-DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","69%","58 patients",,,"SCIP-VTE-2 " "050279","HI-DESERT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "050279","HI-DESERT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","73 patients",,,"PN-6 " "050279","HI-DESERT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050279","HI-DESERT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","70 patients",,,"HF-1 " "050279","HI-DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","33%","9 patients","1 ","1","SCIP-CARD-2 " "050279","HI-DESERT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050279","HI-DESERT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050279","HI-DESERT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","28 patients",,,"HF-4 " "050279","HI-DESERT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "050279","HI-DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050279","HI-DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","74 patients",,,"SCIP-INF-3 " "050279","HI-DESERT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","58 patients",,,"PN-4 " "050279","HI-DESERT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","161 patients",,,"PN-5C " "050279","HI-DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","138 patients",,,"SCIP-INF-6 " "050279","HI-DESERT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","153 patients",,,"PN-3B " "050279","HI-DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","78 patients",,,"SCIP-INF-1 " "050279","HI-DESERT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "050279","HI-DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","78 patients",,,"SCIP-INF-2 " "050279","HI-DESERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","60 patients",,,"SCIP-VTE-1 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","149 patients",,,"SCIP-INF-1 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","39 patients",,,"PN-4 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","200 patients",,,"HF-1 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","213 patients",,,"HF-2 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","61 patients",,,"PN-7 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","121 patients",,,"HF-3 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","205 patients","2 ","2","SCIP-VTE-1 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","143 patients",,,"SCIP-INF-3 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","74 patients",,,"HF-4 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","32 patients",,,"AMI-1 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","94 patients",,,"PN-3B " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","61 patients",,,"PN-2 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","154 patients",,,"SCIP-INF-2 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","98 patients","2 ","2","SCIP-CARD-2 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","102 patients",,,"PN-5C " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","21 patients","1 ","1","AMI-2 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","68 patients",,,"PN-6 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","249 patients","2 ","2","SCIP-INF-6 " "05027F","VA LONG BEACH HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","204 patients","2 ","2","SCIP-VTE-2 " "050280","MERCY MEDICAL CENTER REDDING","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","124 patients",,,"AMI-4 " "050280","MERCY MEDICAL CENTER REDDING","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","309 patients",,,"PN-5C " "050280","MERCY MEDICAL CENTER REDDING","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "050280","MERCY MEDICAL CENTER REDDING","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","276 patients",,,"HF-2 " "050280","MERCY MEDICAL CENTER REDDING","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","483 patients","2 ","2","SCIP-INF-1 " "050280","MERCY MEDICAL CENTER REDDING","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","104 patients","2 ","2","SCIP-CARD-2 " "050280","MERCY MEDICAL CENTER REDDING","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","293 patients",,,"AMI-2 " "050280","MERCY MEDICAL CENTER REDDING","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","148 patients",,,"PN-4 " "050280","MERCY MEDICAL CENTER REDDING","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","215 patients",,,"PN-7 " "050280","MERCY MEDICAL CENTER REDDING","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","186 patients","2 ","2","SCIP-VTE-1 " "050280","MERCY MEDICAL CENTER REDDING","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","115 patients",,,"HF-3 " "050280","MERCY MEDICAL CENTER REDDING","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "050280","MERCY MEDICAL CENTER REDDING","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "050280","MERCY MEDICAL CENTER REDDING","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","50 patients",,,"AMI-8A " "050280","MERCY MEDICAL CENTER REDDING","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","228 patients",,,"HF-1 " "050280","MERCY MEDICAL CENTER REDDING","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","174 patients",,,"PN-3B " "050280","MERCY MEDICAL CENTER REDDING","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","269 patients",,,"AMI-5 " "050280","MERCY MEDICAL CENTER REDDING","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","186 patients","2 ","2","SCIP-VTE-2 " "050280","MERCY MEDICAL CENTER REDDING","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","211 patients",,,"PN-6 " "050280","MERCY MEDICAL CENTER REDDING","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","493 patients","2 ","2","SCIP-INF-2 " "050280","MERCY MEDICAL CENTER REDDING","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","278 patients",,,"PN-2 " "050280","MERCY MEDICAL CENTER REDDING","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","680 patients","2 ","2","SCIP-INF-6 " "050280","MERCY MEDICAL CENTER REDDING","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","220 patients",,,"AMI-1 " "050280","MERCY MEDICAL CENTER REDDING","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","171 patients","2 ","2","SCIP-INF-4 " "050280","MERCY MEDICAL CENTER REDDING","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","469 patients","2 ","2","SCIP-INF-3 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","29 patients",,,"AMI-2 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","168 patients",,,"HF-2 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","PN-4 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","29 patients",,,"SCIP-INF-1 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","30 patients",,,"HF-3 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","64%","28 patients",,,"SCIP-INF-3 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","44%","57 patients",,,"SCIP-VTE-1 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","198 patients",,,"PN-7 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","95 patients",,,"SCIP-INF-6 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","60 patients",,,"PN-6 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","42%","57 patients",,,"SCIP-VTE-2 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","52 patients",,,"AMI-1 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","263 patients",,,"PN-2 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","25 patients",,,"AMI-5 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","121 patients",,,"HF-1 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","200 patients",,,"PN-5C " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","29%","28 patients",,,"SCIP-INF-2 " "050281","ALHAMBRA HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","211 patients",,,"PN-3B " "050283","VALLEYCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","88 patients","2 ","2","SCIP-CARD-2 " "050283","VALLEYCARE MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","15 patients","1 ","1","CAC-2 " "050283","VALLEYCARE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "050283","VALLEYCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","429 patients","2 ","2","SCIP-INF-1 " "050283","VALLEYCARE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","227 patients",,,"PN-3B " "050283","VALLEYCARE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "050283","VALLEYCARE MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","67%","15 patients","1 ","1","CAC-3 " "050283","VALLEYCARE MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","15 patients","1 ","1","CAC-1 " "050283","VALLEYCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","39 patients","2 ","2","SCIP-INF-4 " "050283","VALLEYCARE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","210 patients",,,"PN-5C " "050283","VALLEYCARE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","50 patients",,,"AMI-8A " "050283","VALLEYCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","417 patients","2 ","2","SCIP-INF-3 " "050283","VALLEYCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","624 patients","2 ","2","SCIP-INF-6 " "050283","VALLEYCARE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050283","VALLEYCARE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","148 patients",,,"AMI-5 " "050283","VALLEYCARE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "050283","VALLEYCARE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","168 patients",,,"AMI-1 " "050283","VALLEYCARE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "050283","VALLEYCARE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","130 patients",,,"HF-1 " "050283","VALLEYCARE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","55 patients",,,"HF-3 " "050283","VALLEYCARE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","181 patients",,,"PN-2 " "050283","VALLEYCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","296 patients","2 ","2","SCIP-VTE-1 " "050283","VALLEYCARE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","158 patients",,,"PN-6 " "050283","VALLEYCARE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","164 patients",,,"HF-2 " "050283","VALLEYCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","432 patients","2 ","2","SCIP-INF-2 " "050283","VALLEYCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","296 patients","2 ","2","SCIP-VTE-2 " "050283","VALLEYCARE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","118 patients",,,"PN-7 " "050283","VALLEYCARE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","147 patients",,,"AMI-2 " "050289","SETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","202 patients","2 ","2","SCIP-VTE-1 " "050289","SETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","180 patients","2 ","2","SCIP-VTE-2 " "050289","SETON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "050289","SETON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "050289","SETON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","96 patients",,,"AMI-5 " "050289","SETON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","114 patients",,,"AMI-1 " "050289","SETON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","110 patients","3 ","3","PN-5C " "050289","SETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","297 patients","2 ","2","SCIP-INF-1 " "050289","SETON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","381 patients",,,"HF-1 " "050289","SETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","50 patients","2 ","2","SCIP-CARD-2 " "050289","SETON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","133 patients",,,"PN-7 " "050289","SETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","301 patients","2 ","2","SCIP-INF-2 " "050289","SETON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","194 patients",,,"PN-3B " "050289","SETON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "050289","SETON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","156 patients",,,"PN-6 " "050289","SETON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050289","SETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","443 patients","2 ","2","SCIP-INF-6 " "050289","SETON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","221 patients",,,"PN-2 " "050289","SETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","104 patients","2 ","2","SCIP-INF-4 " "050289","SETON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","118 patients",,,"HF-3 " "050289","SETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","286 patients","2 ","2","SCIP-INF-3 " "050289","SETON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","489 patients",,,"HF-2 " "050289","SETON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "050289","SETON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","13 patients","1 ","1","AMI-8A " "050289","SETON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","94 patients",,,"AMI-2 " "050290","SAINT JOHN'S HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","146 patients",,,"AMI-5 " "050290","SAINT JOHN'S HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","204 patients",,,"HF-1 " "050290","SAINT JOHN'S HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","44 patients","2 ","2","SCIP-CARD-2 " "050290","SAINT JOHN'S HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","261 patients",,,"PN-5C " "050290","SAINT JOHN'S HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","290 patients",,,"PN-2 " "050290","SAINT JOHN'S HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","279 patients",,,"HF-2 " "050290","SAINT JOHN'S HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","175 patients",,,"PN-7 " "050290","SAINT JOHN'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","379 patients","2 ","2","SCIP-INF-2 " "050290","SAINT JOHN'S HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","33 patients",,,"AMI-8A " "050290","SAINT JOHN'S HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "050290","SAINT JOHN'S HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","59%","185 patients","2 ","2","SCIP-VTE-2 " "050290","SAINT JOHN'S HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","88 patients",,,"HF-3 " "050290","SAINT JOHN'S HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","141 patients",,,"PN-6 " "050290","SAINT JOHN'S HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","149 patients",,,"AMI-2 " "050290","SAINT JOHN'S HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","226 patients",,,"PN-3B " "050290","SAINT JOHN'S HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "050290","SAINT JOHN'S HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","186 patients","2 ","2","SCIP-VTE-1 " "050290","SAINT JOHN'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","369 patients","2 ","2","SCIP-INF-3 " "050290","SAINT JOHN'S HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "050290","SAINT JOHN'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","101 patients","2 ","2","SCIP-INF-4 " "050290","SAINT JOHN'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","522 patients","2 ","2","SCIP-INF-6 " "050290","SAINT JOHN'S HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050290","SAINT JOHN'S HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","AMI-3 " "050290","SAINT JOHN'S HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","160 patients",,,"AMI-1 " "050290","SAINT JOHN'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","381 patients","2 ","2","SCIP-INF-1 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","300 patients","2 ","2","SCIP-INF-2 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","122 patients","2 ","2","SCIP-VTE-2 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","50 patients",,,"HF-3 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","134 patients",,,"AMI-5 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","65 patients",,,"SCIP-CARD-2 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","295 patients","2 ","2","SCIP-INF-1 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","122 patients","2 ","2","SCIP-VTE-1 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","45 patients",,,"PN-5C " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","40 patients",,,"PN-6 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","130 patients","2 ","2","SCIP-INF-4 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","94 patients",,,"HF-1 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","36 patients",,,"PN-7 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","103 patients",,,"HF-2 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","45 patients",,,"PN-2 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","137 patients",,,"AMI-2 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","24 patients","1 ","1","AMI-8A " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","62 patients",,,"AMI-1 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","398 patients","2 ","2","SCIP-INF-6 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","289 patients","2 ","2","SCIP-INF-3 " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","61 patients",,,"PN-3B " "050291","SUTTER MEDICAL CENTER OF SANTA ROSA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","217 patients","2 ","2","SCIP-INF-1 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","74 patients","2 ","2","PN-4 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","254 patients","2 ","2","SCIP-VTE-1 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","155 patients","2 ","2","HF-3 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","111 patients","2 ","2","PN-5C " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","84 patients","2 ","2","PN-6 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","28 patients","2 ","2","SCIP-CARD-2 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","299 patients","2 ","2","HF-1 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","49 patients","2 ","2","PN-2 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","75 patients",,,"AMI-1 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","92 patients","2 ","2","PN-3B " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","307 patients","2 ","2","HF-2 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","98 patients","2 ","2","HF-4 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","222 patients","2 ","2","SCIP-INF-2 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","375 patients","2 ","2","SCIP-INF-6 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","64 patients","2 ","2","PN-7 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","39 patients",,,"AMI-5 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","254 patients","2 ","2","SCIP-VTE-2 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","6 patients","1 ","1","AMI-7A " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","198 patients","2 ","2","SCIP-INF-3 " "050292","RIVERSIDE COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","45 patients",,,"AMI-2 " "050295","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","674 patients",,,"SCIP-INF-1 " "050295","MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","44%","16 patients","1 ","1","AMI-5 " "050295","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","395 patients",,,"SCIP-VTE-2 " "050295","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","673 patients",,,"SCIP-INF-2 " "050295","MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","16 patients","1 ","1","AMI-2 " "050295","MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","247 patients",,,"PN-6 " "050295","MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","439 patients",,,"PN-3B " "050295","MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","148 patients",,,"HF-1 " "050295","MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "050295","MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","263 patients",,,"PN-7 " "050295","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","645 patients",,,"SCIP-INF-3 " "050295","MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","49 patients",,,"HF-3 " "050295","MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","399 patients",,,"PN-5C " "050295","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050295","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","107 patients",,,"SCIP-CARD-2 " "050295","MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050295","MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","31 patients",,,"AMI-1 " "050295","MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","173 patients",,,"HF-2 " "050295","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","398 patients",,,"SCIP-VTE-1 " "050295","MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "050295","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","952 patients",,,"SCIP-INF-6 " "050295","MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050295","MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","306 patients",,,"PN-2 " "050295","MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050295","MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","124 patients",,,"PN-4 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","57 patients",,,"HF-1 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","67 patients",,,"HF-2 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","54 patients",,,"SCIP-INF-2 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","59%","41 patients",,,"SCIP-VTE-2 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","43 patients",,,"PN-2 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","55 patients",,,"SCIP-INF-1 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","44 patients",,,"PN-6 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","54 patients",,,"PN-5C " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","54 patients",,,"SCIP-INF-3 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","86 patients",,,"SCIP-INF-6 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","48 patients",,,"PN-3B " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","26 patients",,,"PN-7 " "050296","HAZEL HAWKINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","69%","42 patients",,,"SCIP-VTE-1 " "050298","BARSTOW COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","21 patients","1 ","1","AMI-5 " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","46 patients",,,"HF-3 " "050298","BARSTOW COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","98 patients",,,"PN-3B " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "050298","BARSTOW COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","55 patients",,,"PN-6 " "050298","BARSTOW COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","69 patients",,,"PN-2 " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","173 patients",,,"HF-2 " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","20 patients","1 ","1","AMI-2 " "050298","BARSTOW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1,2 ","12","SCIP-CARD-2 " "050298","BARSTOW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","75 patients","2 ","2","SCIP-INF-6 " "050298","BARSTOW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050298","BARSTOW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","45 patients","2 ","2","SCIP-INF-2 " "050298","BARSTOW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","32 patients","2 ","2","SCIP-VTE-2 " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "050298","BARSTOW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","45 patients","2 ","2","SCIP-INF-3 " "050298","BARSTOW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","45 patients","2 ","2","SCIP-INF-1 " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients",,,"AMI-1 " "050298","BARSTOW COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","61 patients",,,"PN-7 " "050298","BARSTOW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","66%","32 patients","2 ","2","SCIP-VTE-1 " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050298","BARSTOW COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","87 patients",,,"PN-5C " "050298","BARSTOW COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","152 patients",,,"HF-1 " "050300","ST MARY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","92 patients",,,"HF-4 " "050300","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","424 patients",,,"SCIP-INF-2 " "050300","ST MARY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","359 patients",,,"AMI-2 " "050300","ST MARY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","209 patients",,,"PN-3B " "050300","ST MARY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"PN-4 " "050300","ST MARY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","354 patients",,,"AMI-1 " "050300","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","196 patients",,,"SCIP-INF-4 " "050300","ST MARY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","59 patients",,,"AMI-8A " "050300","ST MARY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","518 patients",,,"HF-2 " "050300","ST MARY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","177 patients",,,"HF-3 " "050300","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","105 patients",,,"SCIP-CARD-2 " "050300","ST MARY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","159 patients",,,"PN-7 " "050300","ST MARY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","192 patients",,,"PN-2 " "050300","ST MARY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","240 patients",,,"PN-5C " "050300","ST MARY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","56 patients",,,"AMI-3 " "050300","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","277 patients",,,"SCIP-VTE-2 " "050300","ST MARY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","473 patients",,,"HF-1 " "050300","ST MARY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","330 patients",,,"AMI-5 " "050300","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","417 patients",,,"SCIP-INF-1 " "050300","ST MARY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","173 patients",,,"PN-6 " "050300","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","65%","284 patients",,,"SCIP-VTE-1 " "050300","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","734 patients",,,"SCIP-INF-6 " "050300","ST MARY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","121 patients",,,"AMI-4 " "050300","ST MARY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050300","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","364 patients",,,"SCIP-INF-3 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","119 patients",,,"SCIP-VTE-2 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","69 patients",,,"PN-7 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","158 patients",,,"SCIP-INF-1 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","154 patients",,,"SCIP-INF-3 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","119 patients",,,"SCIP-VTE-1 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","157 patients",,,"SCIP-INF-2 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","22 patients","1 ","1","AMI-1 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"HF-3 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","224 patients",,,"SCIP-INF-6 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","127 patients",,,"PN-3B " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","81 patients",,,"HF-1 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","133 patients",,,"PN-5C " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","88 patients",,,"HF-2 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","99 patients",,,"PN-2 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050301","UKIAH VALLEY MEDICAL CENTER/HOSPITAL D","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","83 patients",,,"PN-6 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","232 patients","2 ","2","SCIP-VTE-2 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","472 patients","2 ","2","SCIP-INF-6 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","136 patients","2 ","2","PN-5C " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","310 patients","2 ","2","SCIP-INF-3 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","100 patients",,,"AMI-5 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","259 patients","2 ","2","HF-2 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","108 patients",,,"AMI-1 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","HF-4 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","46 patients","2 ","2","SCIP-CARD-2 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","326 patients","2 ","2","SCIP-INF-1 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","155 patients","2 ","2","PN-3B " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","73 patients","2 ","2","PN-6 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","232 patients","2 ","2","SCIP-VTE-1 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","83 patients","2 ","2","PN-7 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","PN-4 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","129 patients","2 ","2","PN-2 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","68 patients","2 ","2","HF-3 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","95 patients",,,"AMI-2 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","8 patients","1 ","1","AMI-8A " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","219 patients","2 ","2","HF-1 " "050305","ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","327 patients","2 ","2","SCIP-INF-2 " "050308","EL CAMINO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","53 patients",,,"AMI-8A " "050308","EL CAMINO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","PN-4 " "050308","EL CAMINO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","755 patients","2 ","2","SCIP-INF-6 " "050308","EL CAMINO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","459 patients","2 ","2","SCIP-INF-1 " "050308","EL CAMINO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","32 patients",,,"AMI-3 " "050308","EL CAMINO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","216 patients",,,"AMI-1 " "050308","EL CAMINO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","245 patients","2 ","2","PN-5C " "050308","EL CAMINO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","106 patients","2 ","2","SCIP-INF-4 " "050308","EL CAMINO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","106 patients","2 ","2","SCIP-CARD-2 " "050308","EL CAMINO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","190 patients",,,"AMI-5 " "050308","EL CAMINO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","248 patients","2 ","2","PN-2 " "050308","EL CAMINO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","284 patients","2 ","2","HF-1 " "050308","EL CAMINO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"AMI-4 " "050308","EL CAMINO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","91 patients","2 ","2","PN-6 " "050308","EL CAMINO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","308 patients","2 ","2","SCIP-VTE-2 " "050308","EL CAMINO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","308 patients","2 ","2","SCIP-VTE-1 " "050308","EL CAMINO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050308","EL CAMINO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","174 patients","2 ","2","PN-7 " "050308","EL CAMINO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","357 patients","2 ","2","HF-2 " "050308","EL CAMINO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","83 patients","2 ","2","HF-3 " "050308","EL CAMINO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","203 patients",,,"AMI-2 " "050308","EL CAMINO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","451 patients","2 ","2","SCIP-INF-3 " "050308","EL CAMINO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","464 patients","2 ","2","SCIP-INF-2 " "050308","EL CAMINO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","HF-4 " "050308","EL CAMINO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","38 patients","2 ","2","PN-3B " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","326 patients","2 ","2","SCIP-INF-1 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"AMI-4 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","210 patients",,,"AMI-1 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","136 patients","2 ","2","PN-2 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","27 patients","2 ","2","HF-4 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","238 patients","2 ","2","SCIP-VTE-1 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","68 patients","2 ","2","PN-6 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","PN-4 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","80 patients","2 ","2","PN-7 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","314 patients","2 ","2","SCIP-INF-3 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","115 patients","2 ","2","PN-3B " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","42 patients","2 ","2","SCIP-CARD-2 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","238 patients","2 ","2","SCIP-VTE-2 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","329 patients","2 ","2","SCIP-INF-2 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","257 patients","2 ","2","HF-2 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","487 patients","2 ","2","SCIP-INF-6 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","167 patients",,,"AMI-2 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","35 patients",,,"AMI-8A " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","81 patients","2 ","2","HF-3 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","167 patients",,,"AMI-5 " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","124 patients","2 ","2","PN-5C " "050309","SUTTER ROSEVILLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","206 patients","2 ","2","HF-1 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","128 patients","2 ","2","SCIP-INF-6 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","84 patients","2 ","2","SCIP-VTE-2 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","49 patients",,,"SCIP-INF-2 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","44 patients",,,"SCIP-INF-3 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","137 patients",,,"PN-3B " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","99 patients",,,"HF-3 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","105 patients",,,"PN-2 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","42 patients",,,"HF-4 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","179 patients",,,"HF-2 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","95 patients",,,"PN-6 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","47 patients",,,"PN-4 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","47 patients",,,"SCIP-INF-1 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","131 patients",,,"PN-5C " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","83 patients",,,"PN-7 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","84 patients","2 ","2","SCIP-VTE-1 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","162 patients",,,"HF-1 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "05030F","VA N CALIFORNIA HEALTHCARE SSYTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","45 patients","2 ","2","SCIP-CARD-2 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","133 patients",,,"SCIP-INF-3 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","54 patients",,,"PN-7 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","70 patients",,,"PN-6 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","93 patients",,,"PN-3B " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","86%","7 patients","1 ","1","AMI-7A " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","137 patients",,,"SCIP-INF-1 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","88 patients",,,"PN-2 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","118 patients",,,"SCIP-VTE-1 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","99 patients",,,"PN-5C " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","137 patients",,,"SCIP-INF-2 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","118 patients",,,"SCIP-VTE-2 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","73 patients",,,"HF-1 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","92 patients",,,"HF-2 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","32 patients",,,"AMI-1 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","184 patients",,,"SCIP-INF-6 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050313","SUTTER TRACY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "050315","KERN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "050315","KERN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","30 patients",,,"PN-6 " "050315","KERN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "050315","KERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","227 patients","2 ","2","SCIP-INF-2 " "050315","KERN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050315","KERN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"HF-4 " "050315","KERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","65%","226 patients","2 ","2","SCIP-INF-3 " "050315","KERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","234 patients","2 ","2","SCIP-INF-1 " "050315","KERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","171 patients","2 ","2","SCIP-VTE-1 " "050315","KERN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","70 patients",,,"HF-2 " "050315","KERN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","22 patients","1,3 ","13","PN-5C " "050315","KERN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"PN-4 " "050315","KERN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","38 patients",,,"PN-3B " "050315","KERN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "050315","KERN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","21 patients","1 ","1","PN-2 " "050315","KERN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "050315","KERN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050315","KERN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050315","KERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","347 patients","2 ","2","SCIP-INF-6 " "050315","KERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "050315","KERN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","44 patients",,,"HF-3 " "050315","KERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","25 patients","2 ","2","SCIP-CARD-2 " "050315","KERN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","20 patients","1 ","1","PN-7 " "050315","KERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","171 patients","2 ","2","SCIP-VTE-2 " "050315","KERN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","70 patients",,,"HF-1 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "05031F","PALO ALTO VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","64 patients",,,"PN-7 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","43 patients",,,"AMI-5 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-8A " "05031F","PALO ALTO VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","83 patients",,,"PN-2 " "05031F","PALO ALTO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","117 patients","2 ","2","SCIP-INF-4 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"HF-4 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","138 patients",,,"HF-1 " "05031F","PALO ALTO VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","43 patients",,,"PN-6 " "05031F","PALO ALTO VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "05031F","PALO ALTO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","220 patients","2 ","2","SCIP-VTE-1 " "05031F","PALO ALTO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","541 patients","2 ","2","SCIP-INF-6 " "05031F","PALO ALTO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","448 patients",,,"SCIP-INF-2 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","160 patients",,,"HF-2 " "05031F","PALO ALTO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","220 patients","2 ","2","SCIP-VTE-2 " "05031F","PALO ALTO VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","74 patients",,,"PN-5C " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","47 patients",,,"AMI-2 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "05031F","PALO ALTO VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","89 patients",,,"PN-3B " "05031F","PALO ALTO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","153 patients","2 ","2","SCIP-CARD-2 " "05031F","PALO ALTO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","448 patients",,,"SCIP-INF-1 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","49 patients",,,"AMI-1 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "05031F","PALO ALTO VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","67 patients",,,"HF-3 " "05031F","PALO ALTO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","437 patients",,,"SCIP-INF-3 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","122 patients","2 ","2","SCIP-VTE-1 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","41 patients","2 ","2","PN-6 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","154 patients","2 ","2","PN-5C " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","132 patients","2 ","2","HF-3 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","122 patients","2 ","2","SCIP-VTE-2 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","61 patients","2 ","2","PN-7 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","190 patients","2 ","2","SCIP-INF-6 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","121 patients","2 ","2","SCIP-INF-1 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","121 patients","2 ","2","SCIP-INF-2 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050320","ALAMEDA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1,2 ","12","SCIP-CARD-2 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","263 patients","2 ","2","HF-2 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","248 patients","2 ","2","HF-1 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","67 patients","2 ","2","PN-4 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","113 patients","2 ","2","HF-4 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","73%","128 patients","2 ","2","PN-3B " "050320","ALAMEDA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","116 patients","2 ","2","SCIP-INF-3 " "050320","ALAMEDA COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050320","ALAMEDA COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","42 patients","2 ","2","PN-2 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","167 patients","2 ","2","SCIP-INF-4 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","251 patients","2 ","2","HF-2 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","76 patients","2 ","2","PN-6 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","90 patients","2 ","2","SCIP-CARD-2 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients","2 ","2","AMI-3 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","500 patients","2 ","2","SCIP-INF-1 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","278 patients","2 ","2","SCIP-VTE-2 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","206 patients","2 ","2","HF-1 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","118 patients","2 ","2","PN-5C " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","278 patients","2 ","2","SCIP-VTE-1 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","724 patients","2 ","2","SCIP-INF-6 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","PN-4 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","153 patients","2 ","2","PN-3B " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","140 patients","2 ","2","PN-2 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","29 patients","2 ","2","AMI-8A " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","HF-4 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","512 patients","2 ","2","SCIP-INF-2 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","302 patients","2 ","2","AMI-2 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","99 patients","2 ","2","HF-3 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","106 patients","2 ","2","AMI-1 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","286 patients","2 ","2","AMI-5 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","468 patients","2 ","2","SCIP-INF-3 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","AMI-4 " "050324","SCRIPPS MEMORIAL HOSPITAL LA JOLLA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","84 patients","2 ","2","PN-7 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","20%","75 patients",,,"CAC-3 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","710 patients","2 ","2","SCIP-INF-6 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","93 patients","2 ","2","PN-5C " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","176 patients","2 ","2","AMI-1 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","95%","75 patients",,,"CAC-2 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","282 patients","2 ","2","AMI-2 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","265 patients","2 ","2","HF-1 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","280 patients","2 ","2","SCIP-VTE-1 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","499 patients","2 ","2","SCIP-INF-2 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","492 patients","2 ","2","SCIP-INF-1 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","44 patients","2 ","2","HF-4 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","267 patients","2 ","2","AMI-5 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","468 patients","2 ","2","SCIP-INF-3 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","118 patients","2 ","2","AMI-4 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","147 patients","2 ","2","HF-3 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","75 patients",,,"CAC-1 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","71 patients","2 ","2","PN-3B " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","169 patients","2 ","2","SCIP-INF-4 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","27 patients","2 ","2","PN-4 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","71 patients","2 ","2","AMI-3 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","280 patients","2 ","2","SCIP-VTE-2 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","81 patients","2 ","2","PN-2 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","50 patients","2 ","2","AMI-8A " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","126 patients","2 ","2","SCIP-CARD-2 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","62 patients","2 ","2","PN-7 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","313 patients","2 ","2","HF-2 " "050327","LOMA LINDA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","37 patients","2 ","2","PN-6 " "050329","CORONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","235 patients","2 ","2","SCIP-INF-3 " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","175 patients",,,"HF-1 " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","32 patients",,,"AMI-5 " "050329","CORONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","254 patients","2 ","2","SCIP-INF-1 " "050329","CORONA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","170 patients",,,"PN-6 " "050329","CORONA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","252 patients",,,"PN-5C " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","218 patients",,,"HF-2 " "050329","CORONA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","257 patients",,,"PN-3B " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","89 patients",,,"AMI-1 " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "050329","CORONA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","201 patients",,,"PN-2 " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","6 patients","1 ","1","AMI-7A " "050329","CORONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050329","CORONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","166 patients","2 ","2","SCIP-VTE-1 " "050329","CORONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","365 patients","2 ","2","SCIP-INF-6 " "050329","CORONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","166 patients","2 ","2","SCIP-VTE-2 " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","32 patients",,,"AMI-2 " "050329","CORONA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "050329","CORONA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","134 patients",,,"PN-7 " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050329","CORONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","258 patients","2 ","2","SCIP-INF-2 " "050329","CORONA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"HF-3 " "050329","CORONA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients","2 ","2","SCIP-CARD-2 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","56 patients",,,"AMI-4 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","217 patients","2 ","2","SCIP-VTE-2 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","432 patients","2 ","2","SCIP-INF-3 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","249 patients",,,"HF-1 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","632 patients","2 ","2","SCIP-INF-6 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","181 patients",,,"PN-5C " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","21 patients","1 ","1","AMI-8A " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","167 patients",,,"AMI-2 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","103 patients",,,"PN-7 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","294 patients",,,"HF-2 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","105 patients","2 ","2","SCIP-CARD-2 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","111 patients",,,"PN-6 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"AMI-3 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","459 patients","2 ","2","SCIP-INF-1 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","217 patients","2 ","2","SCIP-VTE-1 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","465 patients","2 ","2","SCIP-INF-2 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","162 patients",,,"PN-3B " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","148 patients","2 ","2","SCIP-INF-4 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","157 patients",,,"PN-2 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","178 patients",,,"AMI-5 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","107 patients",,,"AMI-1 " "050334","SALINAS VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","77 patients",,,"HF-3 " "050335","SONORA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","97 patients",,,"PN-3B " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","HF-3 " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","83%","12 patients","1 ","1","AMI-7A " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "050335","SONORA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","141 patients",,,"PN-6 " "050335","SONORA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","67 patients",,,"PN-4 " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","27 patients",,,"AMI-2 " "050335","SONORA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","157 patients",,,"PN-2 " "050335","SONORA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","205 patients",,,"SCIP-VTE-1 " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","AMI-4 " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050335","SONORA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050335","SONORA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","386 patients",,,"SCIP-INF-3 " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "050335","SONORA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","204 patients",,,"SCIP-VTE-2 " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","60 patients",,,"HF-1 " "050335","SONORA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","44 patients",,,"SCIP-CARD-2 " "050335","SONORA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","397 patients",,,"SCIP-INF-1 " "050335","SONORA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","191 patients",,,"PN-5C " "050335","SONORA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","511 patients",,,"SCIP-INF-6 " "050335","SONORA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","115 patients",,,"PN-7 " "050335","SONORA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","394 patients",,,"SCIP-INF-2 " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","57 patients",,,"AMI-1 " "050335","SONORA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","77 patients",,,"HF-2 " "050336","LODI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050336","LODI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","152 patients","2 ","2","SCIP-VTE-2 " "050336","LODI MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","79 patients","2 ","2","PN-7 " "050336","LODI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","360 patients","2 ","2","SCIP-INF-6 " "050336","LODI MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "050336","LODI MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","142 patients","2 ","2","PN-3B " "050336","LODI MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","15 patients","1 ","1","AMI-7A " "050336","LODI MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","77 patients",,,"HF-3 " "050336","LODI MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "050336","LODI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","152 patients","2 ","2","SCIP-VTE-1 " "050336","LODI MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "050336","LODI MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","76 patients","2 ","2","PN-5C " "050336","LODI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","227 patients","2 ","2","SCIP-INF-2 " "050336","LODI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","226 patients","2 ","2","SCIP-INF-1 " "050336","LODI MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","79 patients",,,"AMI-1 " "050336","LODI MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050336","LODI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","45 patients","2 ","2","SCIP-CARD-2 " "050336","LODI MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","138 patients",,,"HF-1 " "050336","LODI MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","125 patients","2 ","2","PN-2 " "050336","LODI MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","PN-4 " "050336","LODI MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","90 patients","2 ","2","PN-6 " "050336","LODI MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","180 patients",,,"HF-2 " "050336","LODI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","221 patients","2 ","2","SCIP-INF-3 " "050336","LODI MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","45 patients",,,"AMI-5 " "050336","LODI MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","41 patients",,,"AMI-2 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","16 patients","1 ","1","AMI-2 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","69 patients",,,"PN-7 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","49%","155 patients","2 ","2","SCIP-INF-3 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","29 patients",,,"PN-4 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","133 patients",,,"HF-1 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","18 patients","1 ","1","AMI-5 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","159 patients","2 ","2","SCIP-INF-2 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","105 patients",,,"PN-2 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","131 patients",,,"PN-3B " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","129 patients",,,"PN-5C " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","33 patients",,,"AMI-1 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","78 patients",,,"PN-6 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","101 patients","2 ","2","SCIP-VTE-2 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","16 patients","1 ","1","SCIP-CARD-2 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","156 patients","2 ","2","SCIP-INF-1 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","217 patients","2 ","2","SCIP-INF-6 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","102 patients","2 ","2","SCIP-VTE-1 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","137 patients",,,"HF-2 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","54 patients",,,"HF-3 " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "050342","PIONEERS MEMORIAL HEALTHCARE DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","90 patients","2 ","2","AMI-1 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","46 patients","2 ","2","PN-6 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","306 patients","2 ","2","SCIP-INF-1 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1,2 ","12","AMI-3 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","HF-4 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","298 patients","2 ","2","SCIP-INF-3 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","219 patients","2 ","2","SCIP-VTE-2 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","309 patients","2 ","2","SCIP-INF-2 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","AMI-4 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","97 patients","2 ","2","PN-5C " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","458 patients","2 ","2","SCIP-INF-6 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","84 patients","2 ","2","PN-3B " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","52%","27 patients","2 ","2","AMI-8A " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","43 patients","2 ","2","SCIP-CARD-2 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","94 patients","2 ","2","AMI-5 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","88 patients","2 ","2","HF-3 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","219 patients","2 ","2","SCIP-VTE-1 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","66 patients","2 ","2","SCIP-INF-4 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","82 patients","2 ","2","PN-2 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","200 patients","2 ","2","HF-1 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","96 patients","2 ","2","AMI-2 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","214 patients","2 ","2","HF-2 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","67 patients","2 ","2","PN-7 " "050348","UNIV OF CALIFORNIA IRVINE MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","35 patients","2 ","2","PN-4 " "050349","CORCORAN DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","5 patients","1,3 ","13","HF-1 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "050349","CORCORAN DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","2 patients","1,3 ","13","PN-2 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050349","CORCORAN DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050349","CORCORAN DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "050349","CORCORAN DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1,3 ","13","PN-6 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "050349","CORCORAN DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","5 patients","1 ","1","PN-7 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","5 patients","1,3 ","13","HF-2 " "050349","CORCORAN DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050349","CORCORAN DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050349","CORCORAN DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "050349","CORCORAN DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050349","CORCORAN DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050349","CORCORAN DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","67%","6 patients","1,3 ","13","PN-5C " "050349","CORCORAN DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "050349","CORCORAN DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050349","CORCORAN DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "050349","CORCORAN DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1,3 ","13","PN-3B " "050350","BEVERLY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","118 patients",,,"AMI-2 " "050350","BEVERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","234 patients",,,"SCIP-INF-1 " "050350","BEVERLY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","159 patients",,,"SCIP-VTE-2 " "050350","BEVERLY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","114 patients",,,"AMI-5 " "050350","BEVERLY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","44 patients",,,"AMI-3 " "050350","BEVERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","46%","13 patients","1 ","1","SCIP-INF-4 " "050350","BEVERLY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","303 patients","2 ","2","HF-2 " "050350","BEVERLY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","58%","48 patients",,,"SCIP-CARD-2 " "050350","BEVERLY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","107 patients","2 ","2","PN-7 " "050350","BEVERLY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","149 patients","2 ","2","PN-3B " "050350","BEVERLY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","180 patients","2 ","2","PN-2 " "050350","BEVERLY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050350","BEVERLY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","253 patients","2 ","2","HF-1 " "050350","BEVERLY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","123 patients","2 ","2","HF-3 " "050350","BEVERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","369 patients",,,"SCIP-INF-6 " "050350","BEVERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","234 patients",,,"SCIP-INF-2 " "050350","BEVERLY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","131 patients",,,"AMI-1 " "050350","BEVERLY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","PN-4 " "050350","BEVERLY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,2 ","12","HF-4 " "050350","BEVERLY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","82 patients","2 ","2","PN-6 " "050350","BEVERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","229 patients",,,"SCIP-INF-3 " "050350","BEVERLY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","37 patients",,,"AMI-8A " "050350","BEVERLY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","165 patients",,,"SCIP-VTE-1 " "050350","BEVERLY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "050350","BEVERLY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","162 patients","2 ","2","PN-5C " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","465 patients","2 ","2","HF-1 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","206 patients","2 ","2","PN-5C " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","305 patients","2 ","2","AMI-5 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","81 patients","2 ","2","SCIP-CARD-2 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","129 patients","2 ","2","PN-7 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","HF-4 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","312 patients","2 ","2","AMI-2 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","66 patients","2 ","2","AMI-8A " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","125 patients","2 ","2","PN-6 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","107 patients","2 ","2","SCIP-INF-4 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","201 patients","2 ","2","PN-3B " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","42 patients","2 ","2","AMI-3 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","573 patients","2 ","2","SCIP-INF-3 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","583 patients","2 ","2","HF-2 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","PN-4 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","212 patients","2 ","2","HF-3 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","449 patients","2 ","2","SCIP-VTE-2 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","450 patients","2 ","2","SCIP-VTE-1 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","613 patients","2 ","2","SCIP-INF-1 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","614 patients","2 ","2","SCIP-INF-2 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","329 patients","2 ","2","AMI-1 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","AMI-4 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","202 patients","2 ","2","PN-2 " "050351","TORRANCE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","929 patients","2 ","2","SCIP-INF-6 " "050352","BARTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","147 patients","2 ","2","SCIP-INF-3 " "050352","BARTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","154 patients","2 ","2","SCIP-INF-1 " "050352","BARTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050352","BARTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","44 patients",,,"HF-1 " "050352","BARTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","50 patients",,,"PN-5C " "050352","BARTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "050352","BARTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050352","BARTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","78%","201 patients","2 ","2","SCIP-INF-6 " "050352","BARTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","43 patients",,,"HF-2 " "050352","BARTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","39 patients",,,"PN-6 " "050352","BARTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","28 patients",,,"PN-7 " "050352","BARTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","117 patients","2 ","2","SCIP-VTE-1 " "050352","BARTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050352","BARTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "050352","BARTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","114 patients","2 ","2","SCIP-VTE-2 " "050352","BARTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050352","BARTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050352","BARTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "050352","BARTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","56 patients",,,"PN-3B " "050352","BARTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "050352","BARTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "050352","BARTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","152 patients","2 ","2","SCIP-INF-2 " "050352","BARTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1,2 ","12","SCIP-CARD-2 " "050352","BARTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","32 patients",,,"PN-2 " "050352","BARTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","183 patients",,,"PN-6 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","575 patients",,,"HF-2 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","311 patients",,,"PN-5C " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","370 patients","2 ","2","SCIP-VTE-2 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","601 patients","2 ","2","SCIP-INF-1 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","99 patients","2 ","2","SCIP-CARD-2 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","48 patients",,,"AMI-8A " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","604 patients","2 ","2","SCIP-INF-2 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","385 patients",,,"PN-3B " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","72 patients","2 ","2","SCIP-INF-4 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","370 patients","2 ","2","SCIP-VTE-1 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","238 patients",,,"PN-7 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"AMI-3 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","201 patients",,,"AMI-5 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","306 patients",,,"PN-2 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","187 patients",,,"AMI-1 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","451 patients",,,"HF-1 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","790 patients","2 ","2","SCIP-INF-6 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","215 patients",,,"HF-3 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","539 patients","2 ","2","SCIP-INF-3 " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050353","PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","213 patients",,,"AMI-2 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","222 patients","2 ","2","SCIP-INF-1 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","20 patients","1 ","1","PN-6 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","15 patients","1 ","1","HF-1 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","19 patients","1 ","1","PN-7 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","27 patients",,,"PN-2 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","98 patients","2 ","2","SCIP-VTE-2 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","23 patients","1 ","1","PN-3B " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","98 patients","2 ","2","SCIP-VTE-1 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","215 patients","2 ","2","SCIP-INF-2 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","272 patients","2 ","2","SCIP-INF-6 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","25 patients",,,"PN-5C " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","20 patients","1 ","1","HF-2 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","24%","17 patients","1,2 ","12","SCIP-CARD-2 " "050357","GOLETA VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","200 patients","2 ","2","SCIP-INF-3 " "050359","TULARE DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050359","TULARE DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","50 patients",,,"AMI-1 " "050359","TULARE DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","152 patients",,,"PN-5C " "050359","TULARE DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","82 patients",,,"PN-7 " "050359","TULARE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","117 patients",,,"SCIP-INF-1 " "050359","TULARE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","105 patients",,,"SCIP-VTE-1 " "050359","TULARE DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "050359","TULARE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050359","TULARE DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","155 patients",,,"PN-3B " "050359","TULARE DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","100 patients",,,"HF-1 " "050359","TULARE DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","25 patients",,,"AMI-5 " "050359","TULARE DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "050359","TULARE DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "050359","TULARE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","22 patients","1 ","1","SCIP-CARD-2 " "050359","TULARE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","186 patients",,,"SCIP-INF-6 " "050359","TULARE DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050359","TULARE DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","61 patients",,,"HF-3 " "050359","TULARE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","105 patients",,,"SCIP-VTE-2 " "050359","TULARE DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","124 patients",,,"PN-6 " "050359","TULARE DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","25 patients",,,"AMI-2 " "050359","TULARE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","117 patients",,,"SCIP-INF-2 " "050359","TULARE DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","112 patients",,,"PN-2 " "050359","TULARE DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "050359","TULARE DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","115 patients",,,"HF-2 " "050359","TULARE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","113 patients",,,"SCIP-INF-3 " "050360","MARIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","342 patients","2 ","2","SCIP-INF-2 " "050360","MARIN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "050360","MARIN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","31 patients",,,"AMI-8A " "050360","MARIN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "050360","MARIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","319 patients","2 ","2","SCIP-INF-3 " "050360","MARIN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050360","MARIN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "050360","MARIN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","199 patients",,,"PN-3B " "050360","MARIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","53 patients","2 ","2","SCIP-CARD-2 " "050360","MARIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","188 patients","2 ","2","SCIP-VTE-1 " "050360","MARIN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","106 patients",,,"AMI-1 " "050360","MARIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","72 patients","2 ","2","SCIP-INF-4 " "050360","MARIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","336 patients","2 ","2","SCIP-INF-1 " "050360","MARIN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","188 patients",,,"HF-2 " "050360","MARIN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","135 patients",,,"AMI-2 " "050360","MARIN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","161 patients",,,"PN-2 " "050360","MARIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","498 patients","2 ","2","SCIP-INF-6 " "050360","MARIN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","56 patients",,,"HF-3 " "050360","MARIN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","113 patients",,,"PN-7 " "050360","MARIN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"AMI-4 " "050360","MARIN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","177 patients",,,"PN-5C " "050360","MARIN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","128 patients",,,"AMI-5 " "050360","MARIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","188 patients","2 ","2","SCIP-VTE-2 " "050360","MARIN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","113 patients",,,"PN-6 " "050360","MARIN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","151 patients",,,"HF-1 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","62 patients","2 ","2","SCIP-VTE-1 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","15 patients","1,2 ","12","SCIP-CARD-2 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","25 patients",,,"PN-6 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","21 patients","1 ","1","PN-7 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","101 patients","2 ","2","SCIP-INF-6 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","26 patients",,,"PN-2 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","41 patients",,,"PN-5C " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","75 patients","2 ","2","SCIP-INF-3 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","76 patients","2 ","2","SCIP-INF-2 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","62 patients","2 ","2","SCIP-VTE-2 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","20 patients","1 ","1","HF-3 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","38 patients",,,"PN-3B " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","61 patients",,,"HF-1 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","75 patients","2 ","2","SCIP-INF-1 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "050366","MARK TWAIN ST JOSEPH'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","66 patients",,,"HF-2 " "050367","NORTHBAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","30 patients",,,"SCIP-CARD-2 " "050367","NORTHBAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050367","NORTHBAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "050367","NORTHBAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "050367","NORTHBAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","154 patients",,,"HF-2 " "050367","NORTHBAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","100 patients",,,"SCIP-VTE-1 " "050367","NORTHBAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","165 patients",,,"PN-5C " "050367","NORTHBAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","54 patients",,,"SCIP-INF-3 " "050367","NORTHBAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","100 patients",,,"SCIP-VTE-2 " "050367","NORTHBAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","89 patients",,,"PN-6 " "050367","NORTHBAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","56%","9 patients","1 ","1","SCIP-INF-4 " "050367","NORTHBAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","26 patients",,,"AMI-2 " "050367","NORTHBAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","48 patients",,,"AMI-1 " "050367","NORTHBAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","140 patients",,,"HF-1 " "050367","NORTHBAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","60 patients",,,"SCIP-INF-1 " "050367","NORTHBAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","178 patients",,,"PN-3B " "050367","NORTHBAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "050367","NORTHBAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","61 patients",,,"HF-3 " "050367","NORTHBAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","60 patients",,,"SCIP-INF-2 " "050367","NORTHBAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","91 patients",,,"PN-7 " "050367","NORTHBAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","29 patients",,,"AMI-5 " "050367","NORTHBAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "050367","NORTHBAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","159 patients",,,"SCIP-INF-6 " "050367","NORTHBAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","130 patients",,,"PN-2 " "050367","NORTHBAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-7A " "050373","LAC+USC MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","304 patients","2 ","2","HF-3 " "050373","LAC+USC MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","66%","145 patients","2 ","2","PN-3B " "050373","LAC+USC MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","547 patients","2 ","2","HF-1 " "050373","LAC+USC MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","62%","208 patients","2 ","2","PN-5C " "050373","LAC+USC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","59%","125 patients","2 ","2","SCIP-INF-4 " "050373","LAC+USC MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","133 patients","2 ","2","AMI-1 " "050373","LAC+USC MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","35 patients","2 ","2","AMI-3 " "050373","LAC+USC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","705 patients","2 ","2","SCIP-INF-2 " "050373","LAC+USC MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","152 patients","2 ","2","AMI-2 " "050373","LAC+USC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","341 patients","2 ","2","SCIP-VTE-1 " "050373","LAC+USC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","341 patients","2 ","2","SCIP-VTE-2 " "050373","LAC+USC MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients","2 ","2","SCIP-CARD-2 " "050373","LAC+USC MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","213 patients","2 ","2","HF-4 " "050373","LAC+USC MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","85 patients","2 ","2","PN-7 " "050373","LAC+USC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","704 patients","2 ","2","SCIP-INF-1 " "050373","LAC+USC MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050373","LAC+USC MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","149 patients","2 ","2","PN-6 " "050373","LAC+USC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","691 patients","2 ","2","SCIP-INF-3 " "050373","LAC+USC MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","73 patients","2 ","2","PN-4 " "050373","LAC+USC MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","562 patients","2 ","2","HF-2 " "050373","LAC+USC MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","36 patients","2 ","2","AMI-8A " "050373","LAC+USC MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","59 patients","2 ","2","PN-2 " "050373","LAC+USC MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","136 patients","2 ","2","AMI-5 " "050373","LAC+USC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","892 patients","2 ","2","SCIP-INF-6 " "050373","LAC+USC MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","53 patients","2 ","2","AMI-4 " "050376","LAC/HARBOR-UCLA MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","284 patients","2 ","2","SCIP-INF-1 " "050376","LAC/HARBOR-UCLA MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","86 patients","2 ","2","PN-6 " "050376","LAC/HARBOR-UCLA MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","270 patients","2 ","2","SCIP-INF-3 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050376","LAC/HARBOR-UCLA MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","286 patients","2 ","2","SCIP-INF-2 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","175 patients","2 ","2","AMI-1 " "050376","LAC/HARBOR-UCLA MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","56 patients","2 ","2","PN-7 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","55 patients","2 ","2","HF-4 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","44 patients","2 ","2","AMI-3 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","61 patients","2 ","2","AMI-4 " "050376","LAC/HARBOR-UCLA MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","202 patients","2 ","2","SCIP-VTE-2 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","30 patients","2 ","2","AMI-8A " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","283 patients","2 ","2","HF-1 " "050376","LAC/HARBOR-UCLA MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","440 patients","2 ","2","SCIP-INF-6 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","208 patients","2 ","2","AMI-2 " "050376","LAC/HARBOR-UCLA MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","72%","122 patients","2 ","2","PN-5C " "050376","LAC/HARBOR-UCLA MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","81 patients","2 ","2","SCIP-INF-4 " "050376","LAC/HARBOR-UCLA MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","56 patients","2 ","2","SCIP-CARD-2 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","121 patients","2 ","2","HF-3 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","288 patients","2 ","2","HF-2 " "050376","LAC/HARBOR-UCLA MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","65 patients","2 ","2","PN-2 " "050376","LAC/HARBOR-UCLA MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","203 patients","2 ","2","SCIP-VTE-1 " "050376","LAC/HARBOR-UCLA MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","PN-4 " "050376","LAC/HARBOR-UCLA MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","208 patients","2 ","2","AMI-5 " "050376","LAC/HARBOR-UCLA MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","121 patients","2 ","2","PN-3B " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","106 patients","2 ","2","SCIP-INF-6 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","61 patients","2 ","2","SCIP-VTE-1 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","62 patients","2 ","2","SCIP-INF-1 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","42 patients",,,"PN-7 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","60 patients","2 ","2","SCIP-VTE-2 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1 ","1","HF-3 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","61 patients","2 ","2","SCIP-INF-3 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","12 patients","1 ","1","PN-6 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","57 patients",,,"PN-3B " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","59 patients",,,"HF-2 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","62 patients","2 ","2","SCIP-INF-2 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","36 patients","3 ","3","PN-5C " "050378","PACIFICA HOSPITAL OF THE VALLEY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","50 patients",,,"HF-1 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1,2 ","12","SCIP-CARD-2 " "050378","PACIFICA HOSPITAL OF THE VALLEY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","59 patients",,,"PN-2 " "050380","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","456 patients","2 ","2","SCIP-INF-3 " "050380","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","102 patients","2 ","2","SCIP-CARD-2 " "050380","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","118 patients",,,"PN-7 " "050380","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","304 patients","2 ","2","SCIP-VTE-1 " "050380","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","53 patients",,,"HF-3 " "050380","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","181 patients",,,"AMI-1 " "050380","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "050380","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","196 patients",,,"PN-2 " "050380","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "050380","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","134 patients",,,"PN-6 " "050380","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","304 patients","2 ","2","SCIP-VTE-2 " "050380","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","170 patients",,,"PN-5C " "050380","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","267 patients",,,"HF-2 " "050380","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","137 patients","2 ","2","SCIP-INF-4 " "050380","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","188 patients",,,"AMI-5 " "050380","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","751 patients","2 ","2","SCIP-INF-6 " "050380","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "050380","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","525 patients","2 ","2","SCIP-INF-2 " "050380","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","40 patients",,,"AMI-8A " "050380","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","186 patients",,,"AMI-2 " "050380","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","192 patients",,,"HF-1 " "050380","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "050380","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050380","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","504 patients","2 ","2","SCIP-INF-1 " "050380","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","123 patients",,,"PN-3B " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","53%","72 patients","2 ","2","PN-7 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","72 patients","2 ","2","PN-6 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","130 patients","2 ","2","PN-2 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","576 patients","2 ","2","SCIP-INF-3 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","281 patients",,,"AMI-5 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","280 patients","2 ","2","HF-2 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","82 patients",,,"AMI-4 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","102 patients","2 ","2","HF-3 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","463 patients","2 ","2","SCIP-VTE-2 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","642 patients","2 ","2","SCIP-INF-1 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","109 patients","2 ","2","SCIP-CARD-2 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","23 patients","1,2 ","12","PN-4 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","476 patients","2 ","2","SCIP-VTE-1 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","246 patients",,,"AMI-1 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","40 patients","2 ","2","HF-4 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","50 patients",,,"AMI-8A " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","102 patients","2 ","2","PN-3B " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","91 patients","2 ","2","SCIP-INF-4 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","306 patients",,,"AMI-2 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","63 patients",,,"AMI-3 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","128 patients","2 ","2","PN-5C " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","918 patients","2 ","2","SCIP-INF-6 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","643 patients","2 ","2","SCIP-INF-2 " "050382","CITRUS VALLEY MEDICAL CENTER-IC CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","49%","232 patients","2 ","2","HF-1 " "050385","PALM DRIVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","43 patients","2 ","2","SCIP-VTE-2 " "050385","PALM DRIVE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "050385","PALM DRIVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","43 patients","2 ","2","SCIP-VTE-1 " "050385","PALM DRIVE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","43%","7 patients","1 ","1","HF-3 " "050385","PALM DRIVE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","56%","36 patients",,,"HF-2 " "050385","PALM DRIVE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","41 patients","3 ","3","PN-5C " "050385","PALM DRIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","87 patients","2 ","2","SCIP-INF-1 " "050385","PALM DRIVE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050385","PALM DRIVE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","62 patients",,,"PN-3B " "050385","PALM DRIVE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","45%","53 patients",,,"PN-2 " "050385","PALM DRIVE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "050385","PALM DRIVE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "050385","PALM DRIVE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","43 patients",,,"PN-6 " "050385","PALM DRIVE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "050385","PALM DRIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050385","PALM DRIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","86 patients","2 ","2","SCIP-INF-3 " "050385","PALM DRIVE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "050385","PALM DRIVE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","43%","7 patients","1,2 ","12","SCIP-CARD-2 " "050385","PALM DRIVE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","HF-4 " "050385","PALM DRIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","72%","102 patients","2 ","2","SCIP-INF-6 " "050385","PALM DRIVE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "050385","PALM DRIVE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050385","PALM DRIVE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","48%","44 patients",,,"PN-7 " "050385","PALM DRIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","86 patients","2 ","2","SCIP-INF-2 " "050385","PALM DRIVE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","11%","27 patients",,,"HF-1 " "050390","HEMET VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","333 patients","2 ","2","SCIP-INF-6 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "050390","HEMET VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","86%","21 patients","1 ","1","AMI-7A " "050390","HEMET VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","185 patients","2 ","2","SCIP-VTE-1 " "050390","HEMET VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","115 patients","2 ","2","PN-5C " "050390","HEMET VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","117 patients","2 ","2","PN-3B " "050390","HEMET VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","175 patients","2 ","2","SCIP-VTE-2 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050390","HEMET VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","113 patients",,,"AMI-5 " "050390","HEMET VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","177 patients","2 ","2","SCIP-INF-3 " "050390","HEMET VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","66 patients","2 ","2","PN-7 " "050390","HEMET VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","196 patients","2 ","2","SCIP-INF-1 " "050390","HEMET VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","26 patients","2 ","2","SCIP-CARD-2 " "050390","HEMET VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","74 patients","2 ","2","PN-6 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","249 patients",,,"AMI-1 " "050390","HEMET VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","102 patients","2 ","2","PN-2 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","117 patients","2 ","2","HF-3 " "050390","HEMET VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","194 patients","2 ","2","SCIP-INF-2 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","45 patients","2 ","2","HF-4 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","294 patients","2 ","2","HF-2 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","231 patients","2 ","2","HF-1 " "050390","HEMET VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients","2 ","2","PN-4 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","38 patients",,,"AMI-3 " "050390","HEMET VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","96 patients",,,"AMI-2 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","177 patients",,,"PN-7 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","55 patients","2 ","2","SCIP-INF-4 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"HF-4 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","256 patients",,,"PN-5C " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","162 patients",,,"AMI-5 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","196 patients",,,"AMI-1 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","473 patients","2 ","2","SCIP-INF-2 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","431 patients",,,"HF-1 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","80 patients","2 ","2","SCIP-CARD-2 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","413 patients","2 ","2","SCIP-INF-3 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","499 patients",,,"HF-2 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","214 patients",,,"PN-3B " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","39 patients",,,"AMI-3 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","171 patients",,,"PN-6 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","341 patients","2 ","2","SCIP-VTE-1 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","468 patients","2 ","2","SCIP-INF-1 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","719 patients","2 ","2","SCIP-INF-6 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","170 patients",,,"AMI-2 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","31%","13 patients","1 ","1","AMI-8A " "050393","DOWNEY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "050393","DOWNEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","340 patients","2 ","2","SCIP-VTE-2 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","179 patients",,,"HF-3 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "050393","DOWNEY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","272 patients",,,"PN-2 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","231 patients",,,"AMI-2 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","261 patients","2 ","2","HF-2 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","229 patients","2 ","2","PN-2 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","152 patients","2 ","2","PN-7 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","470 patients","2 ","2","SCIP-INF-1 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","666 patients","2 ","2","SCIP-INF-6 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","220 patients","2 ","2","HF-1 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","27 patients",,,"AMI-3 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","176 patients",,,"AMI-1 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","221 patients",,,"AMI-5 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","214 patients","2 ","2","PN-5C " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1,2 ","12","HF-4 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","91 patients","2 ","2","HF-3 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","445 patients","2 ","2","SCIP-INF-3 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","117 patients","2 ","2","PN-6 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","469 patients","2 ","2","SCIP-INF-2 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","41 patients",,,"AMI-8A " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","314 patients","2 ","2","SCIP-VTE-2 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","315 patients","2 ","2","SCIP-VTE-1 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients","2 ","2","PN-4 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","112 patients","2 ","2","SCIP-INF-4 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","75 patients","2 ","2","SCIP-CARD-2 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"AMI-4 " "050394","COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","235 patients","2 ","2","PN-3B " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"HF-4 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","128 patients","2 ","2","SCIP-INF-4 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","151 patients",,,"PN-6 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","247 patients","2 ","2","SCIP-VTE-2 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","63%","54 patients","2 ","2","SCIP-CARD-2 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050396","SANTA BARBARA COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","449 patients","2 ","2","SCIP-INF-3 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","654 patients","2 ","2","SCIP-INF-6 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","476 patients","2 ","2","SCIP-INF-1 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","211 patients",,,"PN-5C " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","246 patients",,,"HF-1 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","310 patients",,,"HF-2 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","247 patients","2 ","2","SCIP-VTE-1 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","175 patients",,,"AMI-5 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","93 patients",,,"HF-3 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","34 patients",,,"AMI-8A " "050396","SANTA BARBARA COTTAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","156 patients",,,"PN-7 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","485 patients","2 ","2","SCIP-INF-2 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","194 patients",,,"PN-3B " "050396","SANTA BARBARA COTTAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","252 patients",,,"PN-2 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","200 patients",,,"AMI-2 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"PN-4 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "050396","SANTA BARBARA COTTAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","105 patients",,,"AMI-1 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","HF-4 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "050397","COALINGA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050397","COALINGA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050397","COALINGA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","36 patients",,,"PN-3B " "050397","COALINGA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050397","COALINGA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","43 patients",,,"PN-6 " "050397","COALINGA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "050397","COALINGA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050397","COALINGA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","17%","6 patients","1 ","1","PN-4 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","2%","41 patients",,,"HF-2 " "050397","COALINGA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050397","COALINGA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","36%","11 patients","1 ","1","PN-7 " "050397","COALINGA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050397","COALINGA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","5%","37 patients",,,"HF-1 " "050397","COALINGA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","16 patients","1,3 ","13","PN-5C " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "050397","COALINGA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","44%","16 patients","1 ","1","PN-2 " "050397","COALINGA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050407","CHINESE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","74 patients","2 ","2","SCIP-INF-2 " "050407","CHINESE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1,2 ","12","SCIP-CARD-2 " "050407","CHINESE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","139 patients","2 ","2","SCIP-INF-6 " "050407","CHINESE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050407","CHINESE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","99 patients","2 ","2","SCIP-VTE-2 " "050407","CHINESE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","82 patients",,,"HF-1 " "050407","CHINESE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "050407","CHINESE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "050407","CHINESE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050407","CHINESE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","90 patients",,,"HF-2 " "050407","CHINESE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1,2 ","12","PN-4 " "050407","CHINESE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050407","CHINESE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","87 patients","2 ","2","PN-6 " "050407","CHINESE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","73 patients","2 ","2","SCIP-INF-1 " "050407","CHINESE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","40%","72 patients","2 ","2","SCIP-INF-3 " "050407","CHINESE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050407","CHINESE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","24 patients","1 ","1","HF-3 " "050407","CHINESE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","23 patients","1 ","1","AMI-1 " "050407","CHINESE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","59%","100 patients","2 ","2","SCIP-VTE-1 " "050407","CHINESE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","75 patients",,,"PN-7 " "050407","CHINESE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","94 patients","2 ","2","PN-3B " "050407","CHINESE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "050407","CHINESE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "050407","CHINESE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","140 patients","2 ","2","PN-2 " "050407","CHINESE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","116 patients","2 ","2","PN-5C " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","415 patients",,,"HF-1 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","72 patients",,,"AMI-5 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","158 patients","2 ","2","PN-2 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","248 patients","2 ","2","SCIP-INF-2 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","134 patients","2 ","2","PN-5C " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","68 patients",,,"AMI-2 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","128 patients",,,"HF-3 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","133 patients","2 ","2","SCIP-VTE-2 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","95 patients","2 ","2","PN-7 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","133 patients","2 ","2","SCIP-VTE-1 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","90 patients",,,"AMI-1 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","108 patients","2 ","2","PN-6 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","247 patients","2 ","2","SCIP-INF-1 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","PN-4 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-7A " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","243 patients","2 ","2","SCIP-INF-3 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","353 patients","2 ","2","SCIP-INF-6 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","414 patients",,,"HF-2 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","53 patients","2 ","2","SCIP-CARD-2 " "050411","KAISER FOUNDATION HOSPITAL - HARBOR CITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","134 patients","2 ","2","PN-3B " "050414","MERCY HOSPITAL OF FOLSOM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","124 patients",,,"PN-6 " "050414","MERCY HOSPITAL OF FOLSOM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","326 patients","2 ","2","SCIP-INF-6 " "050414","MERCY HOSPITAL OF FOLSOM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","229 patients","2 ","2","SCIP-INF-2 " "050414","MERCY HOSPITAL OF FOLSOM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "050414","MERCY HOSPITAL OF FOLSOM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050414","MERCY HOSPITAL OF FOLSOM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "050414","MERCY HOSPITAL OF FOLSOM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050414","MERCY HOSPITAL OF FOLSOM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","128 patients",,,"PN-2 " "050414","MERCY HOSPITAL OF FOLSOM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","152 patients","2 ","2","SCIP-VTE-2 " "050414","MERCY HOSPITAL OF FOLSOM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050414","MERCY HOSPITAL OF FOLSOM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","98 patients",,,"HF-2 " "050414","MERCY HOSPITAL OF FOLSOM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","75 patients",,,"PN-7 " "050414","MERCY HOSPITAL OF FOLSOM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","227 patients","2 ","2","SCIP-INF-1 " "050414","MERCY HOSPITAL OF FOLSOM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","78 patients",,,"HF-1 " "050414","MERCY HOSPITAL OF FOLSOM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","34 patients",,,"HF-3 " "050414","MERCY HOSPITAL OF FOLSOM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050414","MERCY HOSPITAL OF FOLSOM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "050414","MERCY HOSPITAL OF FOLSOM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","PN-4 " "050414","MERCY HOSPITAL OF FOLSOM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","220 patients","2 ","2","SCIP-INF-3 " "050414","MERCY HOSPITAL OF FOLSOM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","36 patients","2 ","2","SCIP-CARD-2 " "050414","MERCY HOSPITAL OF FOLSOM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","142 patients",,,"PN-3B " "050414","MERCY HOSPITAL OF FOLSOM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "050414","MERCY HOSPITAL OF FOLSOM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","152 patients","2 ","2","SCIP-VTE-1 " "050414","MERCY HOSPITAL OF FOLSOM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","126 patients",,,"PN-5C " "050414","MERCY HOSPITAL OF FOLSOM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "050417","SUTTER COAST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","101 patients",,,"PN-2 " "050417","SUTTER COAST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","108 patients",,,"PN-3B " "050417","SUTTER COAST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","59 patients",,,"HF-1 " "050417","SUTTER COAST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","35 patients",,,"SCIP-VTE-2 " "050417","SUTTER COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050417","SUTTER COAST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","66 patients",,,"HF-2 " "050417","SUTTER COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","32 patients",,,"SCIP-INF-3 " "050417","SUTTER COAST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050417","SUTTER COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","35 patients",,,"SCIP-INF-2 " "050417","SUTTER COAST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050417","SUTTER COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","62 patients",,,"SCIP-INF-6 " "050417","SUTTER COAST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","67 patients",,,"PN-7 " "050417","SUTTER COAST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","HF-3 " "050417","SUTTER COAST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "050417","SUTTER COAST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","99 patients",,,"PN-5C " "050417","SUTTER COAST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","17 patients","1 ","1","AMI-2 " "050417","SUTTER COAST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "050417","SUTTER COAST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","35 patients",,,"SCIP-VTE-1 " "050417","SUTTER COAST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","22 patients","1 ","1","AMI-1 " "050417","SUTTER COAST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "050417","SUTTER COAST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "050417","SUTTER COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","34 patients",,,"SCIP-INF-1 " "050417","SUTTER COAST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "050417","SUTTER COAST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","67 patients",,,"PN-6 " "050417","SUTTER COAST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "050423","PALO VERDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","14%","7 patients","1,3 ","13","HF-1 " "050423","PALO VERDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050423","PALO VERDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "050423","PALO VERDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","70%","10 patients","1,3 ","13","PN-5C " "050423","PALO VERDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "050423","PALO VERDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","3 patients","1,3 ","13","SCIP-INF-2 " "050423","PALO VERDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050423","PALO VERDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "050423","PALO VERDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","4 patients","1,3 ","13","SCIP-INF-1 " "050423","PALO VERDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "050423","PALO VERDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1,3 ","13","PN-4 " "050423","PALO VERDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "050423","PALO VERDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050423","PALO VERDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,3 ","13","SCIP-INF-3 " "050423","PALO VERDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","7 patients","1,3 ","13","SCIP-VTE-2 " "050423","PALO VERDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "050423","PALO VERDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "050423","PALO VERDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","9 patients","1,3 ","13","PN-6 " "050423","PALO VERDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","7 patients","1,3 ","13","SCIP-VTE-1 " "050423","PALO VERDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "050423","PALO VERDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","71%","7 patients","1,3 ","13","PN-3B " "050423","PALO VERDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","27%","11 patients","1,3 ","13","HF-2 " "050423","PALO VERDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","11 patients","1,3 ","13","SCIP-INF-6 " "050423","PALO VERDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","4 patients","1,3 ","13","PN-2 " "050423","PALO VERDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1,3 ","13","PN-7 " "050424","SCRIPPS GREEN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","282 patients",,,"HF-2 " "050424","SCRIPPS GREEN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","128 patients",,,"PN-7 " "050424","SCRIPPS GREEN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050424","SCRIPPS GREEN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","250 patients",,,"HF-1 " "050424","SCRIPPS GREEN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","163 patients",,,"AMI-2 " "050424","SCRIPPS GREEN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","204 patients","2 ","2","SCIP-VTE-1 " "050424","SCRIPPS GREEN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","148 patients",,,"AMI-5 " "050424","SCRIPPS GREEN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-8A " "050424","SCRIPPS GREEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","142 patients","2 ","2","SCIP-INF-4 " "050424","SCRIPPS GREEN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","83 patients",,,"PN-5C " "050424","SCRIPPS GREEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","419 patients","2 ","2","SCIP-INF-1 " "050424","SCRIPPS GREEN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","70 patients",,,"AMI-1 " "050424","SCRIPPS GREEN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","AMI-3 " "050424","SCRIPPS GREEN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "050424","SCRIPPS GREEN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","77 patients",,,"PN-3B " "050424","SCRIPPS GREEN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","105 patients",,,"HF-3 " "050424","SCRIPPS GREEN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","204 patients","2 ","2","SCIP-VTE-2 " "050424","SCRIPPS GREEN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "050424","SCRIPPS GREEN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","191 patients",,,"PN-2 " "050424","SCRIPPS GREEN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","53 patients",,,"PN-6 " "050424","SCRIPPS GREEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","596 patients","2 ","2","SCIP-INF-6 " "050424","SCRIPPS GREEN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","99 patients","2 ","2","SCIP-CARD-2 " "050424","SCRIPPS GREEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","405 patients","2 ","2","SCIP-INF-3 " "050424","SCRIPPS GREEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","423 patients","2 ","2","SCIP-INF-2 " "050424","SCRIPPS GREEN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","286 patients","2 ","2","PN-5C " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","155 patients","2 ","2","AMI-2 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","287 patients","2 ","2","PN-3B " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","788 patients","2 ","2","SCIP-INF-6 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","159 patients","2 ","2","AMI-5 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","181 patients","2 ","2","AMI-1 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","318 patients","2 ","2","PN-2 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","93 patients","2 ","2","HF-3 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","360 patients","2 ","2","SCIP-VTE-1 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","27%","15 patients","1,2 ","12","AMI-7A " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","377 patients","2 ","2","HF-1 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1,2 ","12","AMI-3 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","AMI-4 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","433 patients","2 ","2","HF-2 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","436 patients","2 ","2","SCIP-INF-2 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","116 patients","2 ","2","SCIP-CARD-2 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","201 patients","2 ","2","PN-6 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","360 patients","2 ","2","SCIP-VTE-2 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","417 patients","2 ","2","SCIP-INF-3 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","432 patients","2 ","2","SCIP-INF-1 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","107 patients","2 ","2","PN-4 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","225 patients","2 ","2","PN-7 " "050425","KAISER FOUNDATION HOSPITAL - SACRAMENTO/ROSEVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","73 patients","2 ","2","HF-4 " "050426","WEST ANAHEIM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","14 patients","1,2 ","12","SCIP-INF-4 " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","20 patients","1,2 ","12","AMI-8A " "050426","WEST ANAHEIM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","34 patients","2 ","2","SCIP-INF-1 " "050426","WEST ANAHEIM MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","52 patients","2 ","2","PN-6 " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","AMI-4 " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1,2 ","12","HF-4 " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","186 patients","2 ","2","HF-1 " "050426","WEST ANAHEIM MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","131 patients","2 ","2","PN-3B " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1,2 ","12","AMI-3 " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","221 patients","2 ","2","HF-2 " "050426","WEST ANAHEIM MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","103 patients","2 ","2","PN-2 " "050426","WEST ANAHEIM MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1,2 ","12","SCIP-CARD-2 " "050426","WEST ANAHEIM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","20 patients","1,2 ","12","SCIP-INF-3 " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","116 patients","2 ","2","AMI-2 " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","118 patients","2 ","2","AMI-5 " "050426","WEST ANAHEIM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","121 patients","2 ","2","SCIP-INF-6 " "050426","WEST ANAHEIM MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","67 patients","2 ","2","PN-7 " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","117 patients","2 ","2","AMI-1 " "050426","WEST ANAHEIM MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","48 patients","2 ","2","HF-3 " "050426","WEST ANAHEIM MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","68 patients","2 ","2","SCIP-VTE-2 " "050426","WEST ANAHEIM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","34 patients","2 ","2","SCIP-INF-2 " "050426","WEST ANAHEIM MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","114 patients","2 ","2","PN-5C " "050426","WEST ANAHEIM MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","68 patients","2 ","2","SCIP-VTE-1 " "050426","WEST ANAHEIM MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","PN-4 " "050434","COLUSA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","48 patients",,,"PN-5C " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","29%","7 patients","1 ","1","HF-4 " "050434","COLUSA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "050434","COLUSA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","44%","9 patients","1 ","1","PN-4 " "050434","COLUSA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","25%","4 patients","1,3 ","13","SCIP-VTE-1 " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1 ","1","AMI-1 " "050434","COLUSA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "050434","COLUSA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","45 patients",,,"PN-3B " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","36 patients",,,"HF-2 " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "050434","COLUSA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "050434","COLUSA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "050434","COLUSA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "050434","COLUSA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","42 patients",,,"PN-2 " "050434","COLUSA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","22 patients","1 ","1","PN-7 " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050434","COLUSA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","30%","27 patients",,,"HF-1 " "050434","COLUSA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","65%","31 patients",,,"PN-6 " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050434","COLUSA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","25%","4 patients","1,3 ","13","SCIP-VTE-2 " "050434","COLUSA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050435","FALLBROOK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "050435","FALLBROOK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050435","FALLBROOK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","99 patients","2 ","2","SCIP-VTE-2 " "050435","FALLBROOK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","51 patients",,,"PN-7 " "050435","FALLBROOK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "050435","FALLBROOK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients","2 ","2","SCIP-CARD-2 " "050435","FALLBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","196 patients","2 ","2","SCIP-INF-1 " "050435","FALLBROOK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050435","FALLBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","261 patients","2 ","2","SCIP-INF-6 " "050435","FALLBROOK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","77 patients",,,"PN-5C " "050435","FALLBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","196 patients","2 ","2","SCIP-INF-2 " "050435","FALLBROOK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","40 patients",,,"HF-1 " "050435","FALLBROOK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "050435","FALLBROOK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","92 patients",,,"PN-3B " "050435","FALLBROOK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","89 patients",,,"PN-2 " "050435","FALLBROOK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "050435","FALLBROOK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050435","FALLBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050435","FALLBROOK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "050435","FALLBROOK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","75 patients",,,"PN-6 " "050435","FALLBROOK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "050435","FALLBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","195 patients","2 ","2","SCIP-INF-3 " "050435","FALLBROOK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050435","FALLBROOK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","47 patients",,,"HF-2 " "050435","FALLBROOK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","99 patients","2 ","2","SCIP-VTE-1 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"AMI-4 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","466 patients","2 ","2","HF-2 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","235 patients",,,"AMI-1 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","160 patients","2 ","2","HF-3 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","195 patients",,,"AMI-5 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","723 patients","2 ","2","SCIP-INF-1 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","287 patients","2 ","2","PN-5C " "050438","HUNTINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","734 patients","2 ","2","SCIP-INF-2 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","93 patients","2 ","2","SCIP-INF-4 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","96 patients","2 ","2","SCIP-CARD-2 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","300 patients","2 ","2","PN-3B " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","47 patients",,,"AMI-8A " "050438","HUNTINGTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","PN-4 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","199 patients",,,"PN-7 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","374 patients","2 ","2","HF-1 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1032 patients","2 ","2","SCIP-INF-6 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"AMI-3 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","168 patients","2 ","2","PN-6 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","64 patients","2 ","2","HF-4 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","277 patients","2 ","2","PN-2 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","524 patients","2 ","2","SCIP-VTE-1 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","211 patients",,,"AMI-2 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","674 patients","2 ","2","SCIP-INF-3 " "050438","HUNTINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","524 patients","2 ","2","SCIP-VTE-2 " "050441","STANFORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","181 patients",,,"AMI-2 " "050441","STANFORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","169 patients",,,"AMI-5 " "050441","STANFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","524 patients","2 ","2","SCIP-INF-2 " "050441","STANFORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","333 patients",,,"HF-2 " "050441","STANFORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "050441","STANFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","485 patients","2 ","2","SCIP-INF-3 " "050441","STANFORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "050441","STANFORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "050441","STANFORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","112 patients",,,"HF-3 " "050441","STANFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","307 patients","2 ","2","SCIP-VTE-2 " "050441","STANFORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","233 patients",,,"PN-2 " "050441","STANFORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","175 patients",,,"AMI-1 " "050441","STANFORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","119 patients",,,"PN-6 " "050441","STANFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","762 patients","2 ","2","SCIP-INF-6 " "050441","STANFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","307 patients","2 ","2","SCIP-VTE-1 " "050441","STANFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","166 patients","2 ","2","SCIP-INF-4 " "050441","STANFORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","297 patients",,,"HF-1 " "050441","STANFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","515 patients","2 ","2","SCIP-INF-1 " "050441","STANFORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"PN-4 " "050441","STANFORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050441","STANFORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","204 patients",,,"PN-3B " "050441","STANFORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","97 patients","2 ","2","SCIP-CARD-2 " "050441","STANFORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","169 patients",,,"PN-7 " "050441","STANFORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","155 patients",,,"PN-5C " "050441","STANFORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","30 patients",,,"AMI-8A " "050444","MERCY MEDICAL CENTER MERCED","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","74 patients","2 ","2","HF-3 " "050444","MERCY MEDICAL CENTER MERCED","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","136 patients","2 ","2","PN-5C " "050444","MERCY MEDICAL CENTER MERCED","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","PN-4 " "050444","MERCY MEDICAL CENTER MERCED","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","76 patients","2 ","2","PN-6 " "050444","MERCY MEDICAL CENTER MERCED","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","109 patients","2 ","2","PN-2 " "050444","MERCY MEDICAL CENTER MERCED","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","HF-4 " "050444","MERCY MEDICAL CENTER MERCED","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","42 patients","2 ","2","SCIP-CARD-2 " "050444","MERCY MEDICAL CENTER MERCED","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","70 patients",,,"AMI-1 " "050444","MERCY MEDICAL CENTER MERCED","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050444","MERCY MEDICAL CENTER MERCED","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","73 patients","2 ","2","PN-7 " "050444","MERCY MEDICAL CENTER MERCED","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","263 patients","2 ","2","SCIP-INF-2 " "050444","MERCY MEDICAL CENTER MERCED","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","52 patients",,,"AMI-5 " "050444","MERCY MEDICAL CENTER MERCED","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","47 patients",,,"AMI-2 " "050444","MERCY MEDICAL CENTER MERCED","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","144 patients","2 ","2","PN-3B " "050444","MERCY MEDICAL CENTER MERCED","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","405 patients","2 ","2","SCIP-INF-6 " "050444","MERCY MEDICAL CENTER MERCED","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","AMI-3 " "050444","MERCY MEDICAL CENTER MERCED","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","229 patients","2 ","2","HF-1 " "050444","MERCY MEDICAL CENTER MERCED","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","273 patients","2 ","2","HF-2 " "050444","MERCY MEDICAL CENTER MERCED","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "050444","MERCY MEDICAL CENTER MERCED","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","221 patients","2 ","2","SCIP-VTE-1 " "050444","MERCY MEDICAL CENTER MERCED","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","254 patients","2 ","2","SCIP-INF-3 " "050444","MERCY MEDICAL CENTER MERCED","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","221 patients","2 ","2","SCIP-VTE-2 " "050444","MERCY MEDICAL CENTER MERCED","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","6 patients","1 ","1","AMI-7A " "050444","MERCY MEDICAL CENTER MERCED","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050444","MERCY MEDICAL CENTER MERCED","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","264 patients","2 ","2","SCIP-INF-1 " "050448","RIDGECREST REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","60 patients",,,"PN-6 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050448","RIDGECREST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050448","RIDGECREST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","61 patients",,,"SCIP-VTE-1 " "050448","RIDGECREST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","60 patients",,,"SCIP-VTE-2 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","104 patients",,,"HF-2 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","84 patients",,,"HF-1 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "050448","RIDGECREST REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","27 patients",,,"PN-4 " "050448","RIDGECREST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "050448","RIDGECREST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","21 patients","1 ","1","SCIP-INF-1 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","71%","7 patients","1 ","1","AMI-5 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "050448","RIDGECREST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","18 patients","1 ","1","SCIP-INF-3 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","36 patients",,,"HF-3 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "050448","RIDGECREST REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","81 patients",,,"PN-5C " "050448","RIDGECREST REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","59 patients",,,"PN-3B " "050448","RIDGECREST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","91 patients",,,"SCIP-INF-6 " "050448","RIDGECREST REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "050448","RIDGECREST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","52%","21 patients","1 ","1","SCIP-INF-2 " "050448","RIDGECREST REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","46 patients",,,"PN-7 " "050448","RIDGECREST REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","69 patients",,,"PN-2 " "050454","UCSF MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","247 patients","2 ","2","SCIP-VTE-1 " "050454","UCSF MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","88 patients","2 ","2","HF-3 " "050454","UCSF MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","255 patients","2 ","2","HF-1 " "050454","UCSF MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","30 patients","2 ","2","PN-4 " "050454","UCSF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","615 patients","2 ","2","SCIP-INF-6 " "050454","UCSF MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","52%","46 patients",,,"CAC-3 " "050454","UCSF MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1,2 ","12","AMI-3 " "050454","UCSF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","387 patients","2 ","2","SCIP-INF-2 " "050454","UCSF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","386 patients","2 ","2","SCIP-INF-1 " "050454","UCSF MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","245 patients","2 ","2","SCIP-VTE-2 " "050454","UCSF MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","46 patients",,,"CAC-2 " "050454","UCSF MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","149 patients","2 ","2","AMI-1 " "050454","UCSF MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","89 patients","2 ","2","PN-2 " "050454","UCSF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","328 patients","2 ","2","SCIP-INF-3 " "050454","UCSF MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","46 patients","2 ","2","HF-4 " "050454","UCSF MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","114 patients","2 ","2","PN-3B " "050454","UCSF MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","80 patients","2 ","2","SCIP-CARD-2 " "050454","UCSF MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","144 patients","2 ","2","AMI-2 " "050454","UCSF MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","53 patients","2 ","2","PN-6 " "050454","UCSF MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","30 patients","2 ","2","AMI-8A " "050454","UCSF MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","279 patients","2 ","2","HF-2 " "050454","UCSF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","117 patients","2 ","2","SCIP-INF-4 " "050454","UCSF MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","45 patients",,,"CAC-1 " "050454","UCSF MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","76 patients","2 ","2","PN-7 " "050454","UCSF MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","139 patients","2 ","2","AMI-5 " "050454","UCSF MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","AMI-4 " "050454","UCSF MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","114 patients","2 ","2","PN-5C " "050454","UCSF MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","118 patients",,,"PN-4 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","360 patients",,,"HF-2 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","199 patients",,,"PN-2 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","327 patients","2 ","2","SCIP-INF-1 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","337 patients","2 ","2","SCIP-INF-2 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","315 patients",,,"HF-1 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","187 patients","2 ","2","SCIP-VTE-1 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","45 patients",,,"AMI-8A " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","316 patients","2 ","2","SCIP-INF-3 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","139 patients",,,"AMI-1 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","75%","84 patients","2 ","2","SCIP-INF-4 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","181 patients",,,"PN-7 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","268 patients",,,"PN-5C " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","477 patients","2 ","2","SCIP-INF-6 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","185 patients","2 ","2","SCIP-VTE-2 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","160 patients",,,"AMI-2 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","36 patients",,,"AMI-3 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","150 patients",,,"AMI-5 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","58 patients","2 ","2","SCIP-CARD-2 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","277 patients",,,"PN-3B " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","194 patients",,,"PN-6 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","63 patients",,,"HF-4 " "050455","SAN JOAQUIN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","142 patients",,,"HF-3 " "050457","ST MARY'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","200 patients",,,"PN-3B " "050457","ST MARY'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","180 patients",,,"PN-5C " "050457","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","154 patients","2 ","2","SCIP-VTE-1 " "050457","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","48 patients","2 ","2","SCIP-CARD-2 " "050457","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","81 patients",,,"AMI-1 " "050457","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","358 patients","2 ","2","SCIP-INF-6 " "050457","ST MARY'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","206 patients",,,"HF-2 " "050457","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","244 patients","2 ","2","SCIP-INF-1 " "050457","ST MARY'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","87 patients",,,"PN-7 " "050457","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","29 patients",,,"AMI-4 " "050457","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","241 patients","2 ","2","SCIP-INF-3 " "050457","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","95 patients",,,"AMI-5 " "050457","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","33 patients","2 ","2","SCIP-INF-4 " "050457","ST MARY'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","157 patients",,,"HF-1 " "050457","ST MARY'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","162 patients",,,"PN-2 " "050457","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","154 patients","2 ","2","SCIP-VTE-2 " "050457","ST MARY'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "050457","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","123 patients",,,"AMI-2 " "050457","ST MARY'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"HF-4 " "050457","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050457","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","14 patients","1 ","1","AMI-8A " "050457","ST MARY'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","99 patients",,,"PN-6 " "050457","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","243 patients","2 ","2","SCIP-INF-2 " "050457","ST MARY'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","61 patients",,,"HF-3 " "050457","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "050464","DOCTORS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","346 patients",,,"HF-1 " "050464","DOCTORS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","712 patients","2 ","2","SCIP-INF-3 " "050464","DOCTORS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","783 patients","2 ","2","SCIP-INF-2 " "050464","DOCTORS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1104 patients","2 ","2","SCIP-INF-6 " "050464","DOCTORS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","194 patients",,,"PN-6 " "050464","DOCTORS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","775 patients","2 ","2","SCIP-INF-1 " "050464","DOCTORS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","27 patients",,,"AMI-8A " "050464","DOCTORS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","152 patients",,,"PN-4 " "050464","DOCTORS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","111 patients",,,"HF-4 " "050464","DOCTORS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","317 patients",,,"PN-5C " "050464","DOCTORS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","129 patients",,,"HF-3 " "050464","DOCTORS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","265 patients","2 ","2","SCIP-INF-4 " "050464","DOCTORS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050464","DOCTORS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","209 patients",,,"PN-2 " "050464","DOCTORS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","346 patients","2 ","2","SCIP-VTE-2 " "050464","DOCTORS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","199 patients",,,"PN-7 " "050464","DOCTORS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","198 patients",,,"AMI-1 " "050464","DOCTORS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","354 patients",,,"AMI-5 " "050464","DOCTORS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","306 patients",,,"PN-3B " "050464","DOCTORS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","394 patients",,,"HF-2 " "050464","DOCTORS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","355 patients","2 ","2","SCIP-VTE-1 " "050464","DOCTORS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","161 patients","2 ","2","SCIP-CARD-2 " "050464","DOCTORS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","124 patients",,,"AMI-4 " "050464","DOCTORS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","363 patients",,,"AMI-2 " "050464","DOCTORS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","72 patients",,,"AMI-3 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","173 patients",,,"HF-1 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","58 patients",,,"HF-3 " "050468","MEMORIAL HOSPITAL OF GARDENA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","173 patients",,,"PN-3B " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","70%","20 patients","1 ","1","AMI-5 " "050468","MEMORIAL HOSPITAL OF GARDENA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","152 patients",,,"PN-2 " "050468","MEMORIAL HOSPITAL OF GARDENA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","178 patients",,,"PN-5C " "050468","MEMORIAL HOSPITAL OF GARDENA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","66%","71 patients",,,"SCIP-INF-3 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050468","MEMORIAL HOSPITAL OF GARDENA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","79 patients",,,"SCIP-INF-1 " "050468","MEMORIAL HOSPITAL OF GARDENA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","93 patients",,,"SCIP-VTE-1 " "050468","MEMORIAL HOSPITAL OF GARDENA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050468","MEMORIAL HOSPITAL OF GARDENA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","8 patients","1 ","1","SCIP-CARD-2 " "050468","MEMORIAL HOSPITAL OF GARDENA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","68 patients",,,"SCIP-INF-2 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","35 patients",,,"AMI-1 " "050468","MEMORIAL HOSPITAL OF GARDENA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","98 patients",,,"PN-7 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050468","MEMORIAL HOSPITAL OF GARDENA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","47 patients",,,"PN-4 " "050468","MEMORIAL HOSPITAL OF GARDENA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","76 patients",,,"PN-6 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","213 patients",,,"HF-2 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","68%","19 patients","1 ","1","AMI-2 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","AMI-3 " "050468","MEMORIAL HOSPITAL OF GARDENA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","183 patients",,,"SCIP-INF-6 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "050468","MEMORIAL HOSPITAL OF GARDENA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"HF-4 " "050468","MEMORIAL HOSPITAL OF GARDENA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","61%","85 patients",,,"SCIP-VTE-2 " "050471","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","55 patients","2 ","2","AMI-3 " "050471","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","311 patients","2 ","2","SCIP-VTE-2 " "050471","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","362 patients","2 ","2","HF-1 " "050471","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","426 patients","2 ","2","SCIP-INF-2 " "050471","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","62 patients","2 ","2","AMI-8A " "050471","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","178 patients","2 ","2","PN-3B " "050471","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","198 patients","2 ","2","AMI-1 " "050471","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","161 patients","2 ","2","HF-3 " "050471","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","HF-4 " "050471","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","424 patients","2 ","2","SCIP-INF-1 " "050471","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","798 patients","2 ","2","SCIP-INF-6 " "050471","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "050471","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","102 patients","2 ","2","SCIP-CARD-2 " "050471","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "050471","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","AMI-4 " "050471","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","390 patients","2 ","2","SCIP-INF-3 " "050471","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","122 patients","2 ","2","PN-6 " "050471","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","156 patients","2 ","2","SCIP-INF-4 " "050471","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","238 patients","2 ","2","AMI-2 " "050471","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","315 patients","2 ","2","SCIP-VTE-1 " "050471","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","231 patients","2 ","2","AMI-5 " "050471","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","191 patients","2 ","2","PN-5C " "050471","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","425 patients","2 ","2","HF-2 " "050471","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","103 patients","2 ","2","PN-7 " "050471","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","151 patients","2 ","2","PN-2 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","31 patients",,,"PN-2 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","26 patients",,,"PN-3B " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","14 patients","1 ","1","PN-7 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","19 patients","1 ","1","PN-6 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","12 patients","1 ","1","HF-1 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients",,,"PN-5C " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","14 patients","1 ","1","HF-2 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "050478","SANTA YNEZ VALLEY COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","259 patients","2 ","2","SCIP-VTE-1 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","23 patients","1,2 ","12","PN-4 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","366 patients","2 ","2","SCIP-INF-1 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","195 patients",,,"HF-2 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","371 patients","2 ","2","SCIP-INF-2 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-7A " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","103 patients","2 ","2","PN-7 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","106 patients",,,"AMI-1 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","61 patients",,,"HF-3 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","182 patients","2 ","2","PN-2 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","67 patients","2 ","2","PN-6 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","43 patients","2 ","2","SCIP-INF-4 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","141 patients",,,"HF-1 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","259 patients","2 ","2","SCIP-VTE-2 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","542 patients","2 ","2","SCIP-INF-6 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","20 patients","1 ","1","AMI-8A " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","58 patients","2 ","2","SCIP-CARD-2 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","99 patients",,,"AMI-5 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","355 patients","2 ","2","SCIP-INF-3 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","101 patients",,,"AMI-2 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","191 patients","2 ","2","PN-3B " "050481","WEST HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","181 patients","2 ","2","PN-5C " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","350 patients",,,"PN-2 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","482 patients","2 ","2","SCIP-INF-3 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","371 patients",,,"PN-5C " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","105 patients",,,"PN-4 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","59 patients",,,"AMI-3 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","271 patients",,,"PN-7 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","146 patients",,,"HF-4 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","90 patients",,,"AMI-4 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","735 patients","2 ","2","SCIP-INF-6 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","168 patients","2 ","2","SCIP-INF-4 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","71 patients",,,"AMI-8A " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","636 patients",,,"HF-2 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","290 patients","2 ","2","SCIP-VTE-1 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","44%","112 patients","2 ","2","SCIP-CARD-2 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","269 patients",,,"HF-3 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","535 patients","2 ","2","SCIP-INF-2 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","236 patients",,,"PN-6 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","311 patients",,,"AMI-2 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","289 patients","2 ","2","SCIP-VTE-2 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","360 patients",,,"PN-3B " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","305 patients",,,"AMI-5 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","522 patients","2 ","2","SCIP-INF-1 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","287 patients",,,"AMI-1 " "050485","LONG BEACH MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","536 patients",,,"HF-1 " "050488","EDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","470 patients","2 ","2","SCIP-INF-6 " "050488","EDEN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "050488","EDEN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "050488","EDEN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","26 patients",,,"AMI-2 " "050488","EDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","299 patients","2 ","2","SCIP-INF-3 " "050488","EDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","329 patients","2 ","2","SCIP-INF-1 " "050488","EDEN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","181 patients",,,"HF-2 " "050488","EDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","198 patients","2 ","2","SCIP-VTE-2 " "050488","EDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","55 patients","2 ","2","SCIP-CARD-2 " "050488","EDEN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","185 patients",,,"PN-5C " "050488","EDEN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","143 patients",,,"HF-1 " "050488","EDEN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","162 patients",,,"PN-2 " "050488","EDEN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","34 patients",,,"HF-3 " "050488","EDEN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050488","EDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","198 patients","2 ","2","SCIP-VTE-1 " "050488","EDEN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050488","EDEN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "050488","EDEN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","228 patients",,,"PN-3B " "050488","EDEN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","107 patients",,,"PN-6 " "050488","EDEN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","42 patients",,,"AMI-1 " "050488","EDEN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "050488","EDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","329 patients","2 ","2","SCIP-INF-2 " "050488","EDEN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","29 patients",,,"AMI-5 " "050488","EDEN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","115 patients",,,"PN-7 " "050488","EDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","171 patients",,,"PN-3B " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","60 patients",,,"AMI-2 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","AMI-4 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","42 patients",,,"HF-3 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","59 patients",,,"AMI-5 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","38 patients",,,"SCIP-CARD-2 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","152 patients",,,"PN-5C " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","768 patients",,,"SCIP-INF-6 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","480 patients",,,"SCIP-INF-1 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","329 patients",,,"SCIP-VTE-1 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","9 patients","1 ","1","AMI-8A " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","113 patients",,,"HF-2 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","112 patients",,,"PN-7 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","478 patients",,,"SCIP-INF-3 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","328 patients",,,"SCIP-VTE-2 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","137 patients",,,"PN-2 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","82 patients",,,"AMI-1 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","122 patients",,,"PN-6 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","92 patients",,,"HF-1 " "050492","CLOVIS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","482 patients",,,"SCIP-INF-2 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","469 patients","2 ","2","SCIP-INF-2 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","90 patients","2 ","2","PN-7 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","40 patients","2 ","2","PN-4 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","289 patients",,,"HF-1 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","48 patients",,,"AMI-8A " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","441 patients","2 ","2","SCIP-INF-3 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","335 patients",,,"HF-2 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"AMI-4 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","172 patients","2 ","2","SCIP-INF-4 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","107 patients","2 ","2","SCIP-CARD-2 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","113 patients","2 ","2","PN-6 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","92 patients",,,"HF-3 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","283 patients",,,"AMI-5 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","576 patients","2 ","2","SCIP-INF-6 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","280 patients",,,"AMI-2 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"AMI-3 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","176 patients","2 ","2","SCIP-VTE-2 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","176 patients","2 ","2","SCIP-VTE-1 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","174 patients","2 ","2","PN-3B " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","458 patients","2 ","2","SCIP-INF-1 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","181 patients",,,"AMI-1 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","135 patients","2 ","2","PN-2 " "050496","JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","160 patients","2 ","2","PN-5C " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "050498","SUTTER AUBURN FAITH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","203 patients","2 ","2","SCIP-INF-2 " "050498","SUTTER AUBURN FAITH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","69 patients","2 ","2","PN-7 " "050498","SUTTER AUBURN FAITH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","192 patients","2 ","2","SCIP-INF-3 " "050498","SUTTER AUBURN FAITH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","144 patients","2 ","2","SCIP-VTE-2 " "050498","SUTTER AUBURN FAITH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","139 patients","2 ","2","PN-3B " "050498","SUTTER AUBURN FAITH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","144 patients","2 ","2","SCIP-VTE-1 " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050498","SUTTER AUBURN FAITH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","PN-4 " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050498","SUTTER AUBURN FAITH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","199 patients","2 ","2","SCIP-INF-1 " "050498","SUTTER AUBURN FAITH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","61 patients","2 ","2","PN-6 " "050498","SUTTER AUBURN FAITH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients","2 ","2","SCIP-CARD-2 " "050498","SUTTER AUBURN FAITH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","106 patients","2 ","2","PN-2 " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050498","SUTTER AUBURN FAITH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","113 patients","2 ","2","PN-5C " "050498","SUTTER AUBURN FAITH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","87 patients",,,"HF-2 " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "050498","SUTTER AUBURN FAITH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","306 patients","2 ","2","SCIP-INF-6 " "050498","SUTTER AUBURN FAITH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","67 patients",,,"HF-1 " "050502","SAINT VINCENT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","160 patients",,,"PN-7 " "050502","SAINT VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","506 patients","2 ","2","SCIP-INF-3 " "050502","SAINT VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","118 patients","2 ","2","SCIP-INF-4 " "050502","SAINT VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","515 patients","2 ","2","SCIP-INF-1 " "050502","SAINT VINCENT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "050502","SAINT VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","681 patients","2 ","2","SCIP-INF-6 " "050502","SAINT VINCENT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","397 patients",,,"HF-2 " "050502","SAINT VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","206 patients","2 ","2","SCIP-VTE-2 " "050502","SAINT VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","521 patients","2 ","2","SCIP-INF-2 " "050502","SAINT VINCENT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","327 patients",,,"HF-1 " "050502","SAINT VINCENT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","264 patients",,,"PN-2 " "050502","SAINT VINCENT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","95 patients",,,"AMI-5 " "050502","SAINT VINCENT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","5 patients","1 ","1","AMI-8A " "050502","SAINT VINCENT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","AMI-4 " "050502","SAINT VINCENT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","231 patients",,,"PN-5C " "050502","SAINT VINCENT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","113 patients",,,"PN-6 " "050502","SAINT VINCENT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050502","SAINT VINCENT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","71 patients",,,"AMI-1 " "050502","SAINT VINCENT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "050502","SAINT VINCENT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "050502","SAINT VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","88 patients","2 ","2","SCIP-CARD-2 " "050502","SAINT VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","206 patients","2 ","2","SCIP-VTE-1 " "050502","SAINT VINCENT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","92 patients",,,"AMI-2 " "050502","SAINT VINCENT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","131 patients",,,"HF-3 " "050502","SAINT VINCENT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","203 patients",,,"PN-3B " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","136 patients",,,"AMI-5 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","267 patients","2 ","2","SCIP-INF-2 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","212 patients",,,"HF-2 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","153 patients",,,"HF-1 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","264 patients","2 ","2","SCIP-INF-1 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","163 patients",,,"PN-3B " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","62 patients",,,"PN-5C " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","60 patients",,,"HF-3 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","85 patients",,,"PN-7 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","217 patients","2 ","2","SCIP-VTE-2 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","250 patients","2 ","2","SCIP-INF-3 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","139 patients",,,"AMI-2 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","408 patients","2 ","2","SCIP-INF-6 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients","2 ","2","SCIP-CARD-2 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","217 patients","2 ","2","SCIP-VTE-1 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","36 patients",,,"AMI-8A " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","57 patients",,,"PN-6 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","146 patients",,,"PN-2 " "050503","SCRIPPS MEMORIAL HOSPITAL - ENCINITAS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","166 patients",,,"AMI-1 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","227 patients","2 ","2","SCIP-INF-3 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","64 patients",,,"PN-6 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","471 patients","2 ","2","SCIP-INF-6 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","45 patients",,,"AMI-5 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","48 patients",,,"AMI-2 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","HF-3 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","56 patients",,,"HF-1 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","244 patients","2 ","2","SCIP-VTE-1 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","74 patients",,,"PN-3B " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","244 patients","2 ","2","SCIP-VTE-2 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","233 patients","2 ","2","SCIP-INF-1 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","98 patients",,,"PN-2 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","62%","8 patients","1,2 ","12","SCIP-INF-4 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","69 patients",,,"HF-2 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","41 patients",,,"SCIP-CARD-2 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","236 patients","2 ","2","SCIP-INF-2 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","52 patients",,,"AMI-1 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","8 patients","1 ","1","AMI-8A " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","63 patients",,,"PN-7 " "050506","SIERRA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","102 patients",,,"PN-5C " "050510","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","169 patients",,,"PN-2 " "050510","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","110 patients",,,"PN-5C " "050510","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","251 patients",,,"SCIP-VTE-1 " "050510","KAISER FOUNDATION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","159 patients",,,"HF-1 " "050510","KAISER FOUNDATION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "050510","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","634 patients",,,"SCIP-INF-6 " "050510","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","84 patients",,,"AMI-1 " "050510","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "050510","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","115 patients",,,"PN-3B " "050510","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","464 patients",,,"SCIP-INF-2 " "050510","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","81 patients",,,"SCIP-CARD-2 " "050510","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "050510","KAISER FOUNDATION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","172 patients",,,"HF-2 " "050510","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","449 patients",,,"SCIP-INF-3 " "050510","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","57 patients",,,"AMI-2 " "050510","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","464 patients",,,"SCIP-INF-1 " "050510","KAISER FOUNDATION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"HF-3 " "050510","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","15 patients","1 ","1","AMI-8A " "050510","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "050510","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","59 patients",,,"AMI-5 " "050510","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","101 patients",,,"PN-7 " "050510","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050510","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","85 patients",,,"PN-6 " "050510","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050510","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","251 patients",,,"SCIP-VTE-2 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","100 patients",,,"AMI-2 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","393 patients",,,"HF-2 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","344 patients",,,"HF-1 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","96 patients","2 ","2","PN-6 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","311 patients","2 ","2","SCIP-VTE-2 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","38 patients","2 ","2","PN-4 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","94 patients",,,"HF-3 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","95 patients","2 ","2","SCIP-CARD-2 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","311 patients","2 ","2","SCIP-VTE-1 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","AMI-4 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","179 patients",,,"AMI-1 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","461 patients","2 ","2","SCIP-INF-1 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","159 patients","2 ","2","PN-2 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","159 patients","2 ","2","PN-5C " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","113 patients",,,"AMI-5 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","185 patients","2 ","2","PN-3B " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","660 patients","2 ","2","SCIP-INF-6 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","463 patients","2 ","2","SCIP-INF-2 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","106 patients","2 ","2","PN-7 " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050512","KAISER FOUNDATION HOSPITAL FREMONT/HAYWARD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","435 patients","2 ","2","SCIP-INF-3 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","194 patients",,,"HF-3 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","200 patients","2 ","2","SCIP-VTE-2 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","263 patients","2 ","2","SCIP-INF-2 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","111 patients",,,"AMI-5 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","161 patients","2 ","2","PN-3B " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","211 patients",,,"AMI-1 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","PN-4 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","251 patients","2 ","2","SCIP-INF-3 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","132 patients","2 ","2","PN-5C " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","111 patients","2 ","2","PN-7 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","108 patients",,,"AMI-2 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","63 patients","2 ","2","SCIP-CARD-2 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","200 patients","2 ","2","SCIP-VTE-1 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","629 patients",,,"HF-1 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","263 patients","2 ","2","SCIP-INF-1 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","119 patients","2 ","2","PN-6 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","682 patients",,,"HF-2 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","165 patients","2 ","2","PN-2 " "050515","KAISER FOUNDATION HOSPITAL - SAN DIEGO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","453 patients","2 ","2","SCIP-INF-6 " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","265 patients",,,"AMI-5 " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","332 patients",,,"HF-1 " "050516","MERCY SAN JUAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","482 patients",,,"PN-2 " "050516","MERCY SAN JUAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","438 patients","2 ","2","SCIP-INF-2 " "050516","MERCY SAN JUAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","91 patients","2 ","2","SCIP-CARD-2 " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","117 patients",,,"HF-3 " "050516","MERCY SAN JUAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","242 patients",,,"PN-6 " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "050516","MERCY SAN JUAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","435 patients","2 ","2","SCIP-INF-1 " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"AMI-3 " "050516","MERCY SAN JUAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","465 patients",,,"PN-5C " "050516","MERCY SAN JUAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","643 patients","2 ","2","SCIP-INF-6 " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","302 patients",,,"AMI-1 " "050516","MERCY SAN JUAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","347 patients",,,"PN-7 " "050516","MERCY SAN JUAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","530 patients",,,"PN-3B " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"HF-4 " "050516","MERCY SAN JUAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","414 patients","2 ","2","SCIP-INF-3 " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","408 patients",,,"HF-2 " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"AMI-4 " "050516","MERCY SAN JUAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","203 patients","2 ","2","SCIP-VTE-1 " "050516","MERCY SAN JUAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","104 patients","2 ","2","SCIP-INF-4 " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","47 patients",,,"AMI-8A " "050516","MERCY SAN JUAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","265 patients",,,"AMI-2 " "050516","MERCY SAN JUAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","147 patients",,,"PN-4 " "050516","MERCY SAN JUAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","203 patients","2 ","2","SCIP-VTE-2 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","102 patients",,,"HF-1 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","424 patients",,,"SCIP-INF-6 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","14 patients","1 ","1","AMI-2 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","40 patients",,,"HF-3 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","68 patients",,,"PN-6 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","62 patients",,,"PN-2 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","38 patients","3 ","3","PN-5C " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","169 patients",,,"SCIP-VTE-1 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","78%","348 patients",,,"SCIP-INF-2 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","114 patients",,,"HF-2 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","54%","346 patients",,,"SCIP-INF-3 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","77 patients",,,"PN-3B " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","350 patients",,,"SCIP-INF-1 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","27 patients",,,"AMI-1 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","60 patients",,,"SCIP-CARD-2 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","161 patients",,,"SCIP-VTE-2 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","15 patients","1 ","1","AMI-5 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","33 patients",,,"HF-4 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","48 patients",,,"PN-7 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","31 patients",,,"PN-4 " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "050517","VICTOR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050523","SUTTER DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","125 patients","2 ","2","SCIP-INF-3 " "050523","SUTTER DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","138 patients","2 ","2","SCIP-INF-1 " "050523","SUTTER DELTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "050523","SUTTER DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","144 patients","2 ","2","SCIP-VTE-2 " "050523","SUTTER DELTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","130 patients","2 ","2","PN-5C " "050523","SUTTER DELTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","181 patients",,,"HF-1 " "050523","SUTTER DELTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-8A " "050523","SUTTER DELTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","148 patients","2 ","2","PN-3B " "050523","SUTTER DELTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "050523","SUTTER DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","145 patients","2 ","2","SCIP-VTE-1 " "050523","SUTTER DELTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","56 patients",,,"AMI-2 " "050523","SUTTER DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients","2 ","2","SCIP-CARD-2 " "050523","SUTTER DELTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","61 patients",,,"AMI-5 " "050523","SUTTER DELTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","49 patients",,,"HF-3 " "050523","SUTTER DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","137 patients","2 ","2","SCIP-INF-2 " "050523","SUTTER DELTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","71%","7 patients","1 ","1","AMI-7A " "050523","SUTTER DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050523","SUTTER DELTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","211 patients",,,"HF-2 " "050523","SUTTER DELTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "050523","SUTTER DELTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","78 patients","2 ","2","PN-7 " "050523","SUTTER DELTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","97 patients",,,"AMI-1 " "050523","SUTTER DELTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","46 patients","2 ","2","PN-4 " "050523","SUTTER DELTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","109 patients","2 ","2","PN-2 " "050523","SUTTER DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","240 patients","2 ","2","SCIP-INF-6 " "050523","SUTTER DELTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","90 patients","2 ","2","PN-6 " "050526","HUNTINGTON BEACH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","HF-4 " "050526","HUNTINGTON BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1,2 ","12","SCIP-INF-2 " "050526","HUNTINGTON BEACH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","19 patients","1,2 ","12","SCIP-VTE-2 " "050526","HUNTINGTON BEACH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "050526","HUNTINGTON BEACH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","19 patients","1,2 ","12","SCIP-VTE-1 " "050526","HUNTINGTON BEACH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","AMI-4 " "050526","HUNTINGTON BEACH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","58 patients","2 ","2","PN-6 " "050526","HUNTINGTON BEACH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","101 patients","2 ","2","HF-2 " "050526","HUNTINGTON BEACH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","72 patients","2 ","2","HF-1 " "050526","HUNTINGTON BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1,2 ","12","SCIP-INF-3 " "050526","HUNTINGTON BEACH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","PN-4 " "050526","HUNTINGTON BEACH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","102 patients","2 ","2","PN-2 " "050526","HUNTINGTON BEACH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050526","HUNTINGTON BEACH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2 ","12","AMI-3 " "050526","HUNTINGTON BEACH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","104 patients","2 ","2","PN-5C " "050526","HUNTINGTON BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1,2 ","12","SCIP-INF-1 " "050526","HUNTINGTON BEACH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050526","HUNTINGTON BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050526","HUNTINGTON BEACH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","131 patients","2 ","2","PN-3B " "050526","HUNTINGTON BEACH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","57 patients","2 ","2","AMI-1 " "050526","HUNTINGTON BEACH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1,2 ","12","AMI-2 " "050526","HUNTINGTON BEACH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","68 patients","2 ","2","PN-7 " "050526","HUNTINGTON BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","41 patients","2 ","2","SCIP-INF-6 " "050526","HUNTINGTON BEACH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1,2 ","12","AMI-5 " "050526","HUNTINGTON BEACH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients","2 ","2","HF-3 " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "050528","MEMORIAL HOSPITAL LOS BANOS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","95 patients",,,"PN-3B " "050528","MEMORIAL HOSPITAL LOS BANOS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "050528","MEMORIAL HOSPITAL LOS BANOS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","49 patients",,,"PN-7 " "050528","MEMORIAL HOSPITAL LOS BANOS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","27 patients",,,"SCIP-INF-1 " "050528","MEMORIAL HOSPITAL LOS BANOS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","42 patients",,,"SCIP-INF-6 " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "050528","MEMORIAL HOSPITAL LOS BANOS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","73 patients",,,"PN-2 " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050528","MEMORIAL HOSPITAL LOS BANOS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","27 patients",,,"SCIP-INF-2 " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","39 patients",,,"HF-1 " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050528","MEMORIAL HOSPITAL LOS BANOS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","26 patients",,,"SCIP-INF-3 " "050528","MEMORIAL HOSPITAL LOS BANOS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","11 patients","1 ","1","SCIP-VTE-1 " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "050528","MEMORIAL HOSPITAL LOS BANOS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","11 patients","1 ","1","SCIP-VTE-2 " "050528","MEMORIAL HOSPITAL LOS BANOS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "050528","MEMORIAL HOSPITAL LOS BANOS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","52 patients",,,"HF-2 " "050528","MEMORIAL HOSPITAL LOS BANOS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","65 patients",,,"PN-6 " "050528","MEMORIAL HOSPITAL LOS BANOS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","100 patients",,,"PN-5C " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050528","MEMORIAL HOSPITAL LOS BANOS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "050531","BELLFLOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","76 patients",,,"SCIP-INF-3 " "050531","BELLFLOWER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050531","BELLFLOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","52 patients",,,"SCIP-VTE-1 " "050531","BELLFLOWER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "050531","BELLFLOWER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050531","BELLFLOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","73%","122 patients",,,"SCIP-INF-6 " "050531","BELLFLOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","79 patients",,,"SCIP-INF-2 " "050531","BELLFLOWER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","63 patients",,,"PN-7 " "050531","BELLFLOWER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "050531","BELLFLOWER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "050531","BELLFLOWER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","81 patients","2 ","2","PN-2 " "050531","BELLFLOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "050531","BELLFLOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050531","BELLFLOWER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","70 patients",,,"HF-2 " "050531","BELLFLOWER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","29 patients","2 ","2","PN-4 " "050531","BELLFLOWER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","4 patients","1 ","1","AMI-7A " "050531","BELLFLOWER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","81 patients","2 ","2","PN-3B " "050531","BELLFLOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","56%","50 patients",,,"SCIP-VTE-2 " "050531","BELLFLOWER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","58 patients","3 ","3","PN-5C " "050531","BELLFLOWER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","51 patients",,,"HF-1 " "050531","BELLFLOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","84 patients",,,"SCIP-INF-1 " "050531","BELLFLOWER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","49 patients","2 ","2","PN-6 " "050531","BELLFLOWER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "050531","BELLFLOWER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "050531","BELLFLOWER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","626 patients","2 ","2","SCIP-INF-6 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","497 patients","2 ","2","SCIP-INF-2 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","104 patients",,,"PN-2 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","69 patients","2 ","2","SCIP-CARD-2 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","AMI-3 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","497 patients","2 ","2","SCIP-INF-1 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","486 patients","2 ","2","SCIP-INF-3 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","148 patients",,,"PN-5C " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","144 patients",,,"HF-1 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","56 patients",,,"HF-3 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","77 patients",,,"AMI-1 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","91 patients",,,"PN-7 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","186 patients","2 ","2","SCIP-VTE-1 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","56 patients",,,"AMI-2 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","18 patients","1 ","1","AMI-8A " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","50 patients",,,"AMI-5 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","168 patients",,,"PN-3B " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","184 patients","2 ","2","SCIP-VTE-2 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","168 patients",,,"HF-2 " "050534","JOHN F KENNEDY MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","105 patients",,,"PN-6 " "050537","SUTTER DAVIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","68 patients","2 ","2","PN-5C " "050537","SUTTER DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050537","SUTTER DAVIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050537","SUTTER DAVIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","71 patients","2 ","2","PN-7 " "050537","SUTTER DAVIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "050537","SUTTER DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","160 patients","2 ","2","SCIP-INF-1 " "050537","SUTTER DAVIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","50 patients",,,"HF-2 " "050537","SUTTER DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","104 patients","2 ","2","SCIP-VTE-2 " "050537","SUTTER DAVIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "050537","SUTTER DAVIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050537","SUTTER DAVIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","40 patients",,,"HF-1 " "050537","SUTTER DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","157 patients","2 ","2","SCIP-INF-3 " "050537","SUTTER DAVIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "050537","SUTTER DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","104 patients","2 ","2","SCIP-VTE-1 " "050537","SUTTER DAVIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","114 patients","2 ","2","PN-3B " "050537","SUTTER DAVIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","PN-4 " "050537","SUTTER DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","241 patients","2 ","2","SCIP-INF-6 " "050537","SUTTER DAVIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "050537","SUTTER DAVIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050537","SUTTER DAVIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "050537","SUTTER DAVIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","88 patients","2 ","2","PN-2 " "050537","SUTTER DAVIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "050537","SUTTER DAVIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","52 patients","2 ","2","PN-6 " "050537","SUTTER DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","29 patients","2 ","2","SCIP-CARD-2 " "050537","SUTTER DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","162 patients","2 ","2","SCIP-INF-2 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","300 patients","2 ","2","SCIP-INF-1 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","34 patients",,,"AMI-2 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","194 patients","2 ","2","SCIP-VTE-2 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,2 ","12","PN-4 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","66 patients","2 ","2","SCIP-CARD-2 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"HF-3 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","300 patients","2 ","2","SCIP-INF-2 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","143 patients","2 ","2","PN-2 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","285 patients","2 ","2","SCIP-INF-3 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","92 patients","2 ","2","PN-6 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","103 patients",,,"HF-2 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","477 patients","2 ","2","SCIP-INF-6 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","157 patients","2 ","2","PN-3B " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","140 patients","2 ","2","PN-5C " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","69 patients",,,"AMI-1 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","96 patients",,,"HF-1 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","194 patients","2 ","2","SCIP-VTE-1 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","91 patients","2 ","2","PN-7 " "050541","KAISER FOUNDATION HOSPITAL - REDWOOD CITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "050543","COLLEGE HOSPITAL COSTA MESA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "050543","COLLEGE HOSPITAL COSTA MESA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050543","COLLEGE HOSPITAL COSTA MESA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "050543","COLLEGE HOSPITAL COSTA MESA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1 ","1","PN-7 " "050543","COLLEGE HOSPITAL COSTA MESA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050543","COLLEGE HOSPITAL COSTA MESA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "050543","COLLEGE HOSPITAL COSTA MESA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "050543","COLLEGE HOSPITAL COSTA MESA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "050543","COLLEGE HOSPITAL COSTA MESA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050543","COLLEGE HOSPITAL COSTA MESA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050543","COLLEGE HOSPITAL COSTA MESA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050543","COLLEGE HOSPITAL COSTA MESA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050543","COLLEGE HOSPITAL COSTA MESA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050543","COLLEGE HOSPITAL COSTA MESA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050543","COLLEGE HOSPITAL COSTA MESA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050547","SONOMA DEVELOPMENTAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050547","SONOMA DEVELOPMENTAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050547","SONOMA DEVELOPMENTAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050547","SONOMA DEVELOPMENTAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1 ","1","PN-7 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050547","SONOMA DEVELOPMENTAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050547","SONOMA DEVELOPMENTAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1 ","1","PN-2 " "050547","SONOMA DEVELOPMENTAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050547","SONOMA DEVELOPMENTAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","1 patients","1 ","1","PN-6 " "050547","SONOMA DEVELOPMENTAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050547","SONOMA DEVELOPMENTAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1,3 ","13","PN-5C " "050547","SONOMA DEVELOPMENTAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "050547","SONOMA DEVELOPMENTAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050547","SONOMA DEVELOPMENTAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050547","SONOMA DEVELOPMENTAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "050547","SONOMA DEVELOPMENTAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1 ","1","PN-3B " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","52 patients",,,"AMI-8A " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","178 patients",,,"PN-2 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"AMI-3 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","244 patients",,,"AMI-2 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","147 patients",,,"PN-3B " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","210 patients",,,"HF-1 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","363 patients","2 ","2","SCIP-INF-3 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","81 patients","2 ","2","SCIP-INF-4 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","596 patients","2 ","2","SCIP-INF-6 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","84 patients","2 ","2","SCIP-CARD-2 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","386 patients","2 ","2","SCIP-INF-1 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","393 patients","2 ","2","SCIP-INF-2 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","233 patients",,,"AMI-5 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","170 patients",,,"PN-5C " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","280 patients","2 ","2","SCIP-VTE-1 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","114 patients",,,"PN-7 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","280 patients","2 ","2","SCIP-VTE-2 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","243 patients",,,"AMI-1 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","258 patients",,,"HF-2 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","97 patients",,,"PN-6 " "050549","LOS ROBLES HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","78 patients",,,"HF-3 " "050551","LOS ALAMITOS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","142 patients",,,"PN-3B " "050551","LOS ALAMITOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","364 patients","2 ","2","SCIP-INF-1 " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","99 patients",,,"AMI-5 " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "050551","LOS ALAMITOS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","235 patients",,,"PN-2 " "050551","LOS ALAMITOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","254 patients","2 ","2","SCIP-VTE-2 " "050551","LOS ALAMITOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","530 patients","2 ","2","SCIP-INF-6 " "050551","LOS ALAMITOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","43 patients","2 ","2","SCIP-CARD-2 " "050551","LOS ALAMITOS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","207 patients",,,"PN-5C " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","90 patients",,,"HF-3 " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","127 patients",,,"AMI-1 " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","235 patients",,,"HF-1 " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "050551","LOS ALAMITOS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","131 patients",,,"PN-6 " "050551","LOS ALAMITOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","256 patients","2 ","2","SCIP-VTE-1 " "050551","LOS ALAMITOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","101 patients",,,"AMI-2 " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","295 patients",,,"HF-2 " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "050551","LOS ALAMITOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","365 patients","2 ","2","SCIP-INF-2 " "050551","LOS ALAMITOS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "050551","LOS ALAMITOS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","143 patients",,,"PN-7 " "050551","LOS ALAMITOS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","19 patients","1 ","1","AMI-8A " "050551","LOS ALAMITOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","333 patients","2 ","2","SCIP-INF-3 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1 ","1","PN-6 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","19 patients","1 ","1","SCIP-INF-1 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","76%","21 patients","1 ","1","SCIP-INF-6 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","16 patients","1 ","1","HF-1 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","15 patients","1 ","1","PN-7 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","17 patients","1 ","1","PN-5C " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","17 patients","1 ","1","SCIP-INF-3 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","9 patients","1 ","1","SCIP-VTE-2 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-2 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","22 patients","1 ","1","HF-2 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","22 patients","1 ","1","PN-2 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "050552","MOTION PICTURE & TELEVISION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","9 patients","1 ","1","SCIP-VTE-1 " "050557","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","455 patients","2 ","2","SCIP-INF-1 " "050557","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","118 patients","2 ","2","SCIP-CARD-2 " "050557","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","376 patients",,,"AMI-5 " "050557","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","227 patients","2 ","2","SCIP-VTE-1 " "050557","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","54 patients",,,"AMI-8A " "050557","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","679 patients","2 ","2","SCIP-INF-6 " "050557","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","227 patients","2 ","2","SCIP-VTE-2 " "050557","MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","HF-4 " "050557","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050557","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","368 patients",,,"AMI-2 " "050557","MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","126 patients","2 ","2","PN-3B " "050557","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","71 patients",,,"AMI-3 " "050557","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","141 patients",,,"AMI-4 " "050557","MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","229 patients","2 ","2","HF-1 " "050557","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","307 patients",,,"AMI-1 " "050557","MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","142 patients","2 ","2","PN-5C " "050557","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","423 patients","2 ","2","SCIP-INF-3 " "050557","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","467 patients","2 ","2","SCIP-INF-2 " "050557","MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","77 patients","2 ","2","PN-6 " "050557","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","124 patients","2 ","2","SCIP-INF-4 " "050557","MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","286 patients","2 ","2","HF-2 " "050557","MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","73 patients","2 ","2","HF-3 " "050557","MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","PN-4 " "050557","MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","135 patients","2 ","2","PN-2 " "050557","MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","89 patients","2 ","2","PN-7 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","62%","8 patients","1 ","1","AMI-7A " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","75 patients","2 ","2","PN-6 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","77 patients",,,"AMI-1 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","184 patients","2 ","2","SCIP-INF-2 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","122 patients","2 ","2","PN-2 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","129 patients","2 ","2","SCIP-VTE-2 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1,2 ","12","PN-4 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","84 patients","2 ","2","PN-3B " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","331 patients",,,"HF-1 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","129 patients","2 ","2","SCIP-VTE-1 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","85 patients","2 ","2","PN-7 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","109 patients",,,"HF-3 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","180 patients","2 ","2","SCIP-INF-1 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","342 patients",,,"HF-2 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","177 patients","2 ","2","SCIP-INF-3 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","52 patients",,,"AMI-2 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","287 patients","2 ","2","SCIP-INF-6 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","47 patients",,,"AMI-5 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","39 patients","2 ","2","SCIP-CARD-2 " "050561","KAISER FOUNDATION HOSPITAL - WEST LA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","82 patients","2 ","2","PN-5C " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","73 patients",,,"AMI-8A " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","105 patients","2 ","2","SCIP-INF-4 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","317 patients","2 ","2","SCIP-INF-2 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","303 patients",,,"HF-2 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","296 patients","2 ","2","SCIP-INF-3 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","52 patients","2 ","2","SCIP-CARD-2 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","132 patients",,,"PN-3B " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","206 patients",,,"PN-2 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","76 patients",,,"HF-3 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","164 patients",,,"PN-6 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","309 patients","2 ","2","SCIP-INF-1 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","138 patients",,,"PN-7 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","444 patients","2 ","2","SCIP-INF-6 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","157 patients","2 ","2","SCIP-VTE-2 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","230 patients",,,"AMI-5 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","264 patients",,,"AMI-1 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","252 patients",,,"HF-1 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","201 patients",,,"PN-5C " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","235 patients",,,"AMI-2 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","157 patients","2 ","2","SCIP-VTE-1 " "050567","MISSION HOSPITAL REGIONAL MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "050568","MADERA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","44 patients",,,"PN-7 " "050568","MADERA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","105 patients","2 ","2","SCIP-INF-1 " "050568","MADERA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1 ","1","SCIP-CARD-2 " "050568","MADERA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","58 patients","2 ","2","PN-3B " "050568","MADERA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050568","MADERA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","48 patients",,,"AMI-5 " "050568","MADERA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","HF-4 " "050568","MADERA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","58%","69 patients","2 ","2","SCIP-VTE-1 " "050568","MADERA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","41 patients",,,"AMI-2 " "050568","MADERA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","105 patients","2 ","2","SCIP-INF-2 " "050568","MADERA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","42 patients","2 ","2","PN-6 " "050568","MADERA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","PN-4 " "050568","MADERA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","68%","165 patients","2 ","2","SCIP-INF-6 " "050568","MADERA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","75 patients","2 ","2","PN-5C " "050568","MADERA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","AMI-3 " "050568","MADERA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","82 patients",,,"AMI-1 " "050568","MADERA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050568","MADERA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","59%","66 patients","2 ","2","SCIP-VTE-2 " "050568","MADERA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","103 patients","2 ","2","HF-2 " "050568","MADERA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","66 patients","2 ","2","PN-2 " "050568","MADERA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","104 patients","2 ","2","SCIP-INF-3 " "050568","MADERA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","22%","9 patients","1 ","1","AMI-7A " "050568","MADERA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "050568","MADERA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","89 patients","2 ","2","HF-1 " "050568","MADERA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","45 patients","2 ","2","HF-3 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","212 patients",,,"PN-5C " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","236 patients",,,"PN-3B " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","462 patients","2 ","2","SCIP-INF-3 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","381 patients","2 ","2","SCIP-VTE-2 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","99 patients","2 ","2","SCIP-CARD-2 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","246 patients",,,"AMI-5 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","142 patients",,,"PN-6 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","150 patients",,,"HF-3 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","281 patients",,,"PN-2 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","221 patients",,,"AMI-1 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"AMI-4 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","185 patients",,,"PN-7 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","320 patients",,,"HF-1 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","398 patients",,,"HF-2 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","860 patients","2 ","2","SCIP-INF-6 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","388 patients","2 ","2","SCIP-VTE-1 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","48 patients",,,"AMI-3 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","546 patients","2 ","2","SCIP-INF-1 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","110 patients","2 ","2","SCIP-INF-4 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","244 patients",,,"AMI-2 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","64 patients",,,"AMI-8A " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "050570","FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","551 patients","2 ","2","SCIP-INF-2 " "050573","EISENHOWER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050573","EISENHOWER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","278 patients","2 ","2","HF-3 " "050573","EISENHOWER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","302 patients",,,"PN-3B " "050573","EISENHOWER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","355 patients",,,"PN-5C " "050573","EISENHOWER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","64 patients",,,"AMI-8A " "050573","EISENHOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","164 patients","2 ","2","SCIP-VTE-1 " "050573","EISENHOWER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","322 patients",,,"PN-7 " "050573","EISENHOWER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","580 patients","2 ","2","HF-2 " "050573","EISENHOWER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","355 patients",,,"AMI-1 " "050573","EISENHOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","131 patients","2 ","2","SCIP-INF-4 " "050573","EISENHOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","68 patients","2 ","2","SCIP-CARD-2 " "050573","EISENHOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","402 patients","2 ","2","SCIP-INF-2 " "050573","EISENHOWER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","65 patients",,,"AMI-4 " "050573","EISENHOWER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","74 patients",,,"AMI-3 " "050573","EISENHOWER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","501 patients","2 ","2","HF-1 " "050573","EISENHOWER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","HF-4 " "050573","EISENHOWER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "050573","EISENHOWER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","244 patients",,,"PN-6 " "050573","EISENHOWER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","469 patients",,,"PN-2 " "050573","EISENHOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","560 patients","2 ","2","SCIP-INF-6 " "050573","EISENHOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","162 patients","2 ","2","SCIP-VTE-2 " "050573","EISENHOWER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","353 patients",,,"AMI-2 " "050573","EISENHOWER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","359 patients",,,"AMI-5 " "050573","EISENHOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","389 patients","2 ","2","SCIP-INF-1 " "050573","EISENHOWER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","372 patients","2 ","2","SCIP-INF-3 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","58 patients",,,"SCIP-VTE-2 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","74%","27 patients",,,"SCIP-INF-2 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","102 patients",,,"PN-7 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","155 patients",,,"PN-5C " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","32%","25 patients",,,"SCIP-INF-3 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","66%","59 patients",,,"SCIP-VTE-1 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","119 patients",,,"HF-2 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","45 patients",,,"PN-4 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","HF-3 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","95 patients",,,"SCIP-INF-6 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","76 patients",,,"HF-1 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","26 patients",,,"SCIP-INF-1 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","155 patients",,,"PN-2 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","45 patients",,,"PN-6 " "050575","TRI-CITY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","148 patients",,,"PN-3B " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","54 patients","2 ","2","SCIP-INF-6 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","55 patients","2 ","2","AMI-2 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","23 patients","1,2 ","12","SCIP-INF-1 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1,2 ","12","AMI-3 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1,2 ","12","SCIP-CARD-2 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1,2 ","12","AMI-7A " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","23 patients","1,2 ","12","SCIP-INF-3 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","93 patients","2 ","2","AMI-1 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","107 patients","2 ","2","HF-1 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","68 patients","2 ","2","PN-2 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","28 patients","2 ","2","SCIP-VTE-2 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","119 patients","2 ","2","HF-2 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","23 patients","1,2 ","12","SCIP-INF-2 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","87 patients","2 ","2","PN-3B " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","50 patients","2 ","2","PN-6 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,2 ","12","PN-4 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","55 patients","2 ","2","AMI-5 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","33 patients","2 ","2","PN-7 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients","2 ","2","HF-3 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","71 patients","2 ","2","PN-5C " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,2 ","12","AMI-4 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","28 patients","2 ","2","SCIP-VTE-1 " "050580","LA PALMA INTERCOMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1,2 ","12","HF-4 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","327 patients",,,"HF-1 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","274 patients","2 ","2","SCIP-INF-2 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","270 patients","2 ","2","SCIP-INF-1 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","93 patients",,,"PN-6 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","263 patients","2 ","2","SCIP-INF-3 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","178 patients",,,"PN-2 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","139 patients",,,"PN-5C " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","160 patients",,,"AMI-5 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","100 patients","2 ","2","SCIP-INF-4 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","207 patients","2 ","2","SCIP-VTE-1 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","26 patients",,,"AMI-8A " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","163 patients",,,"AMI-2 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"HF-4 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","110 patients",,,"HF-3 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","207 patients","2 ","2","SCIP-VTE-2 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","127 patients",,,"PN-3B " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","401 patients",,,"HF-2 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","122 patients",,,"PN-7 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","122 patients",,,"AMI-1 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","484 patients","2 ","2","SCIP-INF-6 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","40 patients",,,"AMI-3 " "050581","LAKEWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","74 patients","2 ","2","SCIP-CARD-2 " "050586","CHINO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","102 patients",,,"SCIP-INF-6 " "050586","CHINO VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","162 patients",,,"PN-5C " "050586","CHINO VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050586","CHINO VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "050586","CHINO VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","156 patients",,,"HF-1 " "050586","CHINO VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","113 patients",,,"PN-7 " "050586","CHINO VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050586","CHINO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","19 patients","1 ","1","SCIP-INF-3 " "050586","CHINO VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","126 patients",,,"PN-6 " "050586","CHINO VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","187 patients",,,"PN-3B " "050586","CHINO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","57 patients",,,"SCIP-VTE-1 " "050586","CHINO VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "050586","CHINO VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","20 patients","1 ","1","AMI-5 " "050586","CHINO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","22 patients","1 ","1","SCIP-INF-1 " "050586","CHINO VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","44 patients",,,"HF-3 " "050586","CHINO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050586","CHINO VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050586","CHINO VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","173 patients",,,"HF-2 " "050586","CHINO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","23 patients","1 ","1","SCIP-INF-2 " "050586","CHINO VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","153 patients",,,"PN-2 " "050586","CHINO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "050586","CHINO VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "050586","CHINO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","57 patients",,,"SCIP-VTE-2 " "050586","CHINO VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "050586","CHINO VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","69 patients",,,"PN-7 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","314 patients",,,"SCIP-INF-6 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","192 patients",,,"SCIP-INF-1 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","110 patients",,,"PN-5C " "050588","SAN DIMAS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","23 patients","1 ","1","SCIP-CARD-2 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","166 patients",,,"SCIP-INF-3 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","141 patients",,,"SCIP-VTE-1 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050588","SAN DIMAS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","98 patients",,,"PN-2 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","193 patients",,,"SCIP-INF-2 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","61%","28 patients",,,"AMI-2 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","72 patients",,,"PN-6 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","106 patients",,,"PN-3B " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","30 patients",,,"HF-3 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","73%","30 patients",,,"AMI-5 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","45 patients",,,"AMI-1 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","95 patients",,,"HF-2 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","137 patients",,,"SCIP-VTE-2 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","62 patients",,,"HF-1 " "050588","SAN DIMAS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "050589","PLACENTIA LINDA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","26 patients",,,"AMI-5 " "050589","PLACENTIA LINDA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050589","PLACENTIA LINDA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "050589","PLACENTIA LINDA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","48 patients","2 ","2","SCIP-CARD-2 " "050589","PLACENTIA LINDA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "050589","PLACENTIA LINDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","268 patients","2 ","2","SCIP-INF-1 " "050589","PLACENTIA LINDA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","132 patients",,,"PN-2 " "050589","PLACENTIA LINDA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","79 patients",,,"PN-7 " "050589","PLACENTIA LINDA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","33 patients",,,"AMI-1 " "050589","PLACENTIA LINDA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"HF-3 " "050589","PLACENTIA LINDA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","124 patients",,,"HF-2 " "050589","PLACENTIA LINDA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","182 patients","2 ","2","SCIP-VTE-1 " "050589","PLACENTIA LINDA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "050589","PLACENTIA LINDA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","98 patients",,,"HF-1 " "050589","PLACENTIA LINDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","374 patients","2 ","2","SCIP-INF-6 " "050589","PLACENTIA LINDA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","181 patients","2 ","2","SCIP-VTE-2 " "050589","PLACENTIA LINDA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","91 patients",,,"PN-3B " "050589","PLACENTIA LINDA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","99 patients",,,"PN-6 " "050589","PLACENTIA LINDA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "050589","PLACENTIA LINDA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050589","PLACENTIA LINDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","258 patients","2 ","2","SCIP-INF-3 " "050589","PLACENTIA LINDA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-7A " "050589","PLACENTIA LINDA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","125 patients",,,"PN-5C " "050589","PLACENTIA LINDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050589","PLACENTIA LINDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","268 patients","2 ","2","SCIP-INF-2 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","249 patients",,,"HF-2 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","262 patients","2 ","2","SCIP-INF-3 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050590","METHODIST HOSPITAL OF SACRAMENTO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","135 patients",,,"PN-7 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","41 patients",,,"AMI-1 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","152 patients",,,"PN-6 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","386 patients","2 ","2","SCIP-INF-6 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","265 patients","2 ","2","SCIP-INF-1 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","176 patients",,,"PN-2 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","21 patients","1 ","1","AMI-5 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","153 patients","2 ","2","SCIP-VTE-2 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","205 patients",,,"PN-5C " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","186 patients",,,"HF-1 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","153 patients","2 ","2","SCIP-VTE-1 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","207 patients",,,"PN-3B " "050590","METHODIST HOSPITAL OF SACRAMENTO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","266 patients","2 ","2","SCIP-INF-2 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1 ","1","AMI-2 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","36 patients","2 ","2","SCIP-CARD-2 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients",,,"HF-3 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050590","METHODIST HOSPITAL OF SACRAMENTO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "050590","METHODIST HOSPITAL OF SACRAMENTO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","157 patients",,,"SCIP-INF-2 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","153 patients",,,"SCIP-INF-3 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","117 patients",,,"PN-7 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","55 patients",,,"HF-3 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","35 patients",,,"AMI-1 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","18 patients","1 ","1","AMI-5 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","195 patients",,,"HF-2 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","162 patients",,,"PN-5C " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","157 patients",,,"SCIP-INF-1 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","154 patients",,,"PN-2 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","35 patients",,,"SCIP-CARD-2 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","318 patients",,,"SCIP-INF-6 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","152 patients",,,"SCIP-VTE-1 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","148 patients",,,"PN-3B " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","148 patients",,,"SCIP-VTE-2 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","25 patients",,,"PN-4 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","156 patients",,,"HF-1 " "050597","FOOTHILL PRESBYTERIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","85 patients",,,"PN-6 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","88 patients","2 ","2","CAC-1 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","101 patients","2 ","2","HF-3 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","88 patients","2 ","2","CAC-2 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","265 patients","2 ","2","SCIP-VTE-1 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","111 patients","2 ","2","PN-3B " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients","2 ","2","AMI-4 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","257 patients","2 ","2","HF-1 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","216 patients","2 ","2","AMI-5 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","165 patients","2 ","2","AMI-1 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","70 patients","2 ","2","PN-6 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","117 patients","2 ","2","PN-5C " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","39 patients","2 ","2","AMI-3 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","77 patients","2 ","2","PN-2 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","121 patients","2 ","2","SCIP-INF-4 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","410 patients","2 ","2","SCIP-INF-1 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","597 patients","2 ","2","SCIP-INF-6 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","PN-4 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","20%","86 patients","2 ","2","CAC-3 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","28 patients","2 ","2","AMI-8A " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","274 patients","2 ","2","HF-2 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","373 patients","2 ","2","SCIP-INF-3 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","265 patients","2 ","2","SCIP-VTE-2 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","424 patients","2 ","2","SCIP-INF-2 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","84 patients","2 ","2","SCIP-CARD-2 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","231 patients","2 ","2","AMI-2 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","49%","65 patients","2 ","2","PN-7 " "050599","UNIV OF CALIFORNIA DAVIS MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","82 patients","2 ","2","HF-4 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","245 patients",,,"AMI-1 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","217 patients",,,"PN-7 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","372 patients",,,"PN-2 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","285 patients",,,"PN-5C " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","85 patients","2 ","2","SCIP-CARD-2 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","111 patients",,,"HF-3 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","306 patients",,,"PN-3B " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","407 patients","2 ","2","SCIP-INF-1 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"AMI-3 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","221 patients",,,"PN-6 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","382 patients","2 ","2","SCIP-INF-3 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","212 patients",,,"AMI-5 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","393 patients",,,"HF-1 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"PN-4 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","410 patients","2 ","2","SCIP-INF-2 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","132 patients","2 ","2","SCIP-INF-4 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","500 patients",,,"HF-2 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","210 patients","2 ","2","SCIP-VTE-2 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","589 patients","2 ","2","SCIP-INF-6 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","56 patients",,,"AMI-8A " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","233 patients",,,"AMI-2 " "050603","SADDLEBACK MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","210 patients","2 ","2","SCIP-VTE-1 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","126 patients",,,"AMI-5 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","49 patients","2 ","2","SCIP-CARD-2 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","111 patients","2 ","2","PN-2 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","123 patients",,,"AMI-2 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","170 patients","2 ","2","SCIP-VTE-1 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","252 patients","2 ","2","SCIP-INF-2 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","49 patients",,,"HF-3 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","178 patients",,,"AMI-1 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","110 patients","2 ","2","PN-5C " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","170 patients","2 ","2","SCIP-VTE-2 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","263 patients",,,"HF-2 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","81 patients","2 ","2","PN-7 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","47 patients",,,"AMI-8A " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","361 patients","2 ","2","SCIP-INF-6 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","130 patients","2 ","2","PN-3B " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","247 patients","2 ","2","SCIP-INF-3 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","83 patients","2 ","2","PN-6 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","236 patients",,,"HF-1 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","251 patients","2 ","2","SCIP-INF-1 " "050604","KAISER FOUNDATION HOSPITAL-SAN JOSE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","PN-4 " "050608","DELANO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "050608","DELANO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","66%","119 patients","2 ","2","SCIP-VTE-2 " "050608","DELANO REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","41%","22 patients","1 ","1","PN-4 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","73%","97 patients",,,"HF-2 " "050608","DELANO REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","73 patients",,,"PN-6 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "050608","DELANO REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","94 patients",,,"PN-5C " "050608","DELANO REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","8%","51 patients",,,"PN-7 " "050608","DELANO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","212 patients","2 ","2","SCIP-INF-6 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","3%","72 patients",,,"HF-1 " "050608","DELANO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","19 patients","1,2 ","12","SCIP-CARD-2 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","38 patients",,,"HF-3 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "050608","DELANO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","80 patients","2 ","2","SCIP-INF-3 " "050608","DELANO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","91 patients","2 ","2","SCIP-INF-1 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","25%","16 patients","1 ","1","HF-4 " "050608","DELANO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","78%","80 patients","2 ","2","SCIP-INF-2 " "050608","DELANO REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050608","DELANO REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","10%","73 patients",,,"PN-2 " "050608","DELANO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","119 patients","2 ","2","SCIP-VTE-1 " "050608","DELANO REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","83 patients",,,"PN-3B " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","97 patients","2 ","2","PN-6 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","457 patients","2 ","2","SCIP-INF-6 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","379 patients",,,"HF-2 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","124 patients",,,"AMI-2 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","102 patients",,,"HF-3 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","98 patients","2 ","2","PN-7 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","349 patients",,,"HF-1 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","73%","11 patients","1 ","1","AMI-7A " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","304 patients","2 ","2","SCIP-INF-2 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","206 patients","2 ","2","SCIP-VTE-2 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","83 patients","2 ","2","SCIP-CARD-2 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","107 patients",,,"AMI-1 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","206 patients","2 ","2","SCIP-VTE-1 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","127 patients",,,"AMI-5 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","302 patients","2 ","2","SCIP-INF-1 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","115 patients","2 ","2","PN-5C " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","141 patients","2 ","2","PN-2 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","PN-4 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","281 patients","2 ","2","SCIP-INF-3 " "050609","KAISER FOUNDATION HOSPITAL ANAHEIM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","107 patients","2 ","2","PN-3B " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","62 patients",,,"PN-7 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","109 patients",,,"HF-2 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","27 patients","2 ","2","SCIP-CARD-2 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","51 patients",,,"PN-6 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","179 patients","2 ","2","SCIP-INF-1 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","256 patients","2 ","2","SCIP-INF-6 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","106 patients",,,"PN-2 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","79 patients",,,"HF-1 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","109 patients",,,"PN-3B " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","103 patients",,,"PN-5C " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","149 patients","2 ","2","SCIP-VTE-1 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","149 patients","2 ","2","SCIP-VTE-2 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","171 patients","2 ","2","SCIP-INF-3 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","35 patients",,,"AMI-1 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "050616","ST JOHN'S PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","179 patients","2 ","2","SCIP-INF-2 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,3 ","13","SCIP-VTE-1 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","19 patients","1 ","1","PN-7 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","18 patients","1 ","1","PN-2 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","36%","14 patients","1 ","1","HF-1 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","55%","11 patients","1,3 ","13","SCIP-INF-6 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,3 ","13","AMI-1 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","12%","8 patients","1,3 ","13","SCIP-INF-3 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1,3 ","13","SCIP-INF-2 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","28 patients",,,"PN-5C " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","14 patients","1 ","1","HF-2 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","30 patients",,,"PN-6 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","PN-4 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","28 patients",,,"PN-3B " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","8 patients","1,3 ","13","SCIP-INF-1 " "050618","BEAR VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","69 patients",,,"AMI-2 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","87 patients","2 ","2","PN-6 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","71 patients","2 ","2","PN-7 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","33 patients","2 ","2","PN-4 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","118 patients","2 ","2","PN-2 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","440 patients","2 ","2","SCIP-INF-6 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","265 patients","2 ","2","SCIP-INF-3 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","199 patients","2 ","2","HF-2 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","144 patients",,,"AMI-1 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","176 patients","2 ","2","HF-1 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","67 patients",,,"AMI-5 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","53 patients","2 ","2","HF-3 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1,2 ","12","HF-4 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","36 patients","2 ","2","SCIP-CARD-2 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","158 patients","2 ","2","PN-5C " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","159 patients","2 ","2","PN-3B " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","271 patients","2 ","2","SCIP-INF-1 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","244 patients","2 ","2","SCIP-VTE-1 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","244 patients","2 ","2","SCIP-VTE-2 " "050624","HENRY MAYO NEWHALL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","272 patients","2 ","2","SCIP-INF-2 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","64 patients",,,"AMI-3 " "050625","CEDARS-SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","2339 patients","2 ","2","SCIP-INF-2 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","73 patients",,,"AMI-8A " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","407 patients",,,"AMI-2 " "050625","CEDARS-SINAI MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","507 patients",,,"PN-5C " "050625","CEDARS-SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","430 patients",,,"SCIP-CARD-2 " "050625","CEDARS-SINAI MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","531 patients",,,"PN-2 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","325 patients",,,"HF-3 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"HF-4 " "050625","CEDARS-SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","2308 patients","2 ","2","SCIP-INF-1 " "050625","CEDARS-SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","1648 patients","2 ","2","SCIP-VTE-1 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"AMI-4 " "050625","CEDARS-SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","1648 patients","2 ","2","SCIP-VTE-2 " "050625","CEDARS-SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","469 patients","2 ","2","SCIP-INF-4 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","801 patients",,,"HF-1 " "050625","CEDARS-SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","2194 patients","2 ","2","SCIP-INF-3 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","923 patients",,,"HF-2 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","373 patients",,,"AMI-5 " "050625","CEDARS-SINAI MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","611 patients",,,"PN-3B " "050625","CEDARS-SINAI MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","357 patients",,,"PN-7 " "050625","CEDARS-SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","4199 patients","2 ","2","SCIP-INF-6 " "050625","CEDARS-SINAI MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","292 patients",,,"PN-6 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050625","CEDARS-SINAI MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"PN-4 " "050625","CEDARS-SINAI MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","408 patients",,,"AMI-1 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","361 patients","2 ","2","SCIP-INF-3 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","259 patients","2 ","2","SCIP-VTE-1 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","83 patients",,,"PN-5C " "050633","TWIN CITIES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","368 patients","2 ","2","SCIP-INF-1 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050633","TWIN CITIES COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","125 patients",,,"HF-1 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","518 patients","2 ","2","SCIP-INF-6 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","152 patients",,,"HF-2 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","102 patients",,,"PN-3B " "050633","TWIN CITIES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients",,,"SCIP-CARD-2 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","88 patients",,,"PN-6 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","259 patients","2 ","2","SCIP-VTE-2 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"HF-3 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","78 patients",,,"PN-7 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","116 patients",,,"PN-2 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","372 patients","2 ","2","SCIP-INF-2 " "050633","TWIN CITIES COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050636","POMERADO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050636","POMERADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","367 patients","2 ","2","SCIP-INF-6 " "050636","POMERADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050636","POMERADO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","142 patients","2 ","2","SCIP-VTE-1 " "050636","POMERADO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","88 patients",,,"PN-7 " "050636","POMERADO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","26 patients",,,"AMI-5 " "050636","POMERADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","256 patients","2 ","2","SCIP-INF-3 " "050636","POMERADO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050636","POMERADO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "050636","POMERADO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","26 patients",,,"AMI-2 " "050636","POMERADO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","151 patients",,,"PN-3B " "050636","POMERADO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","172 patients",,,"PN-5C " "050636","POMERADO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","59 patients",,,"AMI-1 " "050636","POMERADO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","131 patients",,,"HF-1 " "050636","POMERADO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","40 patients",,,"PN-4 " "050636","POMERADO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","193 patients",,,"HF-2 " "050636","POMERADO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050636","POMERADO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","139 patients","2 ","2","SCIP-VTE-2 " "050636","POMERADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","262 patients","2 ","2","SCIP-INF-2 " "050636","POMERADO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","27 patients","2 ","2","SCIP-CARD-2 " "050636","POMERADO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "050636","POMERADO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050636","POMERADO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","92 patients",,,"PN-6 " "050636","POMERADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","260 patients","2 ","2","SCIP-INF-1 " "050636","POMERADO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","141 patients",,,"PN-2 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","19%","26 patients","2 ","2","SCIP-VTE-2 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","91 patients",,,"PN-3B " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","25 patients","2 ","2","SCIP-INF-1 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","60 patients",,,"PN-6 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","20 patients","1,2 ","12","SCIP-INF-2 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","98 patients",,,"PN-5C " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","56 patients",,,"AMI-1 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","31 patients",,,"AMI-2 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","59 patients","2 ","2","SCIP-INF-6 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","21 patients","1,2 ","12","SCIP-INF-3 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","62 patients",,,"HF-1 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","51 patients",,,"PN-7 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","79 patients",,,"PN-2 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","78 patients",,,"HF-2 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","19%","27 patients","2 ","2","SCIP-VTE-1 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","43%","7 patients","1 ","1","SCIP-CARD-2 " "050641","EAST LOS ANGELES DOCTORS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","8 patients","1 ","1","AMI-7A " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","22%","54 patients",,,"PN-7 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","135 patients",,,"HF-2 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1 ","1","SCIP-INF-2 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","69%","67 patients",,,"PN-3B " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","21 patients","1 ","1","HF-3 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","62%","8 patients","1 ","1","SCIP-INF-1 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","33 patients",,,"PN-6 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","75 patients",,,"PN-5C " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","14 patients","1 ","1","SCIP-VTE-2 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","14 patients","1 ","1","SCIP-VTE-1 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","16%","90 patients",,,"HF-1 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","7 patients","1 ","1","SCIP-INF-3 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","73%","26 patients",,,"SCIP-INF-6 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","36%","45 patients",,,"PN-4 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","17%","46 patients",,,"PN-2 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "050644","LOS ANGELES METROPOLITAN MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","38%","50 patients",,,"HF-4 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050660","USC KENNETH NORRIS JR CANCER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","6%","71 patients","2 ","2","PN-7 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","44 patients",,,"SCIP-INF-6 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","210 patients",,,"HF-2 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","12 patients","1 ","1","SCIP-INF-1 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","41%","27 patients",,,"AMI-2 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","24%","29 patients",,,"SCIP-VTE-1 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","12 patients","1 ","1","SCIP-INF-2 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","25%","12 patients","1 ","1","SCIP-INF-3 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","AMI-4 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","21 patients","1 ","1","SCIP-VTE-2 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050663","LOS ANGELES COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","25 patients","2 ","2","PN-4 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","73%","15 patients","1 ","1","AMI-1 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","41 patients",,,"HF-4 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","44 patients","2 ","2","PN-3B " "050663","LOS ANGELES COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","68 patients","2 ","2","PN-5C " "050663","LOS ANGELES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","4 patients","1 ","1","AMI-3 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","11%","71 patients","2 ","2","PN-2 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","48%","75 patients",,,"HF-3 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","24 patients","1,2 ","12","PN-6 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","35%","26 patients",,,"AMI-5 " "050663","LOS ANGELES COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","163 patients",,,"HF-1 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,2,3 ","123","HF-2 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1,2,3 ","123","PN-7 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1,2,3 ","123","PN-2 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","2,3 ","23","HF-1 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "050668","LAGUNA HONDA HOSPITAL & REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","230 patients","2 ","2","HF-1 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","258 patients","2 ","2","HF-2 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","435 patients","2 ","2","SCIP-INF-6 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","80 patients",,,"AMI-2 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","100 patients",,,"AMI-1 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","111 patients","2 ","2","PN-5C " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","197 patients","2 ","2","SCIP-VTE-1 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","67 patients","2 ","2","HF-3 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","318 patients","2 ","2","SCIP-INF-3 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","PN-4 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","62 patients","2 ","2","PN-7 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","83 patients","2 ","2","PN-6 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","53 patients","2 ","2","SCIP-CARD-2 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","80%","5 patients","1 ","1","AMI-7A " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","326 patients","2 ","2","SCIP-INF-2 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","197 patients","2 ","2","SCIP-VTE-2 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","80 patients",,,"AMI-5 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","141 patients","2 ","2","PN-3B " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","326 patients","2 ","2","SCIP-INF-1 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","107 patients","2 ","2","PN-2 " "050674","KAISER FOUNDATION HOSP SO SACRAMENTO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","HF-4 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","12 patients","1 ","1","AMI-7A " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","407 patients","2 ","2","SCIP-INF-6 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","85 patients",,,"AMI-2 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","106 patients","2 ","2","PN-5C " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","268 patients","2 ","2","SCIP-INF-3 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","336 patients",,,"HF-2 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","52 patients","2 ","2","SCIP-CARD-2 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","87 patients",,,"AMI-1 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","178 patients","2 ","2","SCIP-VTE-2 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","105 patients","2 ","2","PN-7 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","281 patients","2 ","2","SCIP-INF-2 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","67 patients",,,"HF-3 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","87 patients","2 ","2","PN-3B " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","318 patients",,,"HF-1 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","178 patients","2 ","2","SCIP-VTE-1 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","81 patients",,,"AMI-5 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","278 patients","2 ","2","SCIP-INF-1 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","92 patients","2 ","2","PN-6 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","PN-4 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","159 patients","2 ","2","PN-2 " "050677","KAISER FOUNDATION HOSPITAL - WOODLAND HILLS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","309 patients",,,"HF-2 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","261 patients","2 ","2","SCIP-VTE-1 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","252 patients","2 ","2","SCIP-VTE-2 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","87 patients",,,"AMI-5 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","385 patients","2 ","2","SCIP-INF-3 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","115 patients",,,"AMI-1 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","593 patients","2 ","2","SCIP-INF-6 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","405 patients","2 ","2","SCIP-INF-1 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","63 patients","2 ","2","SCIP-CARD-2 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","107 patients",,,"PN-6 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","81 patients",,,"HF-3 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","AMI-4 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","44%","9 patients","1 ","1","AMI-8A " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","88 patients",,,"AMI-2 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","29 patients",,,"HF-4 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","24 patients","1 ","1","PN-4 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","404 patients","2 ","2","SCIP-INF-2 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","108 patients",,,"PN-7 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","166 patients",,,"PN-2 " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","154 patients",,,"PN-5C " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","83 patients",,,"PN-3B " "050678","ORANGE COAST MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","248 patients",,,"HF-1 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","80%","5 patients","1 ","1","AMI-7A " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","97 patients",,,"HF-2 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","35 patients",,,"PN-4 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","87 patients",,,"SCIP-VTE-1 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","66 patients",,,"PN-6 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","26 patients",,,"HF-3 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","107 patients",,,"SCIP-INF-3 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","72 patients",,,"PN-7 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","137 patients",,,"PN-3B " "050680","NORTHBAY VACAVALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","34 patients",,,"SCIP-CARD-2 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","88 patients",,,"HF-1 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","166 patients",,,"SCIP-INF-6 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","114 patients",,,"SCIP-INF-1 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050680","NORTHBAY VACAVALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","87 patients",,,"SCIP-VTE-2 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","115 patients",,,"SCIP-INF-2 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","121 patients",,,"PN-5C " "050680","NORTHBAY VACAVALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "050680","NORTHBAY VACAVALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","109 patients",,,"PN-2 " "050682","KINGSBURG MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050682","KINGSBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050682","KINGSBURG MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050682","KINGSBURG MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050682","KINGSBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050682","KINGSBURG MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050682","KINGSBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050682","KINGSBURG MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050682","KINGSBURG MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050682","KINGSBURG MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050682","KINGSBURG MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050682","KINGSBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050682","KINGSBURG MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050682","KINGSBURG MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050682","KINGSBURG MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050682","KINGSBURG MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050682","KINGSBURG MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050682","KINGSBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050682","KINGSBURG MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050682","KINGSBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050682","KINGSBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050682","KINGSBURG MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050682","KINGSBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050682","KINGSBURG MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050682","KINGSBURG MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050684","MENIFEE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","101 patients","2 ","2","SCIP-INF-1 " "050684","MENIFEE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","26 patients","2 ","2","SCIP-CARD-2 " "050684","MENIFEE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","180 patients","2 ","2","SCIP-INF-6 " "050684","MENIFEE VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","77 patients",,,"PN-7 " "050684","MENIFEE VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","91 patients",,,"PN-6 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","59%","17 patients","1 ","1","AMI-3 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","12 patients","1 ","1","AMI-7A " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","81%","63 patients",,,"AMI-5 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","154 patients",,,"HF-2 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","145 patients",,,"AMI-1 " "050684","MENIFEE VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","40 patients",,,"PN-4 " "050684","MENIFEE VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","137 patients",,,"PN-3B " "050684","MENIFEE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050684","MENIFEE VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","121 patients",,,"PN-2 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","137 patients",,,"HF-1 " "050684","MENIFEE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","101 patients","2 ","2","SCIP-INF-2 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","81%","54 patients",,,"AMI-2 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","HF-4 " "050684","MENIFEE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","82 patients","2 ","2","SCIP-VTE-2 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","48 patients",,,"HF-3 " "050684","MENIFEE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","84 patients","2 ","2","SCIP-VTE-1 " "050684","MENIFEE VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050684","MENIFEE VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","136 patients",,,"PN-5C " "050684","MENIFEE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","88 patients","2 ","2","SCIP-INF-3 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","47 patients","2 ","2","SCIP-CARD-2 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","229 patients","2 ","2","SCIP-INF-3 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","304 patients",,,"HF-2 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","12 patients","1 ","1","AMI-7A " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","66 patients",,,"AMI-5 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","86 patients","2 ","2","PN-6 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","95 patients","2 ","2","PN-5C " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","PN-4 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","102 patients",,,"HF-3 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","376 patients","2 ","2","SCIP-INF-6 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","100 patients",,,"AMI-1 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","169 patients","2 ","2","SCIP-VTE-1 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","286 patients",,,"HF-1 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","66 patients",,,"AMI-2 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","84 patients","2 ","2","PN-3B " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","243 patients","2 ","2","SCIP-INF-2 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","169 patients","2 ","2","SCIP-VTE-2 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","243 patients","2 ","2","SCIP-INF-1 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","76 patients","2 ","2","PN-7 " "050686","KAISER FOUNDATION HOSPITAL, RIVERSIDE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","115 patients","2 ","2","PN-2 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","117 patients","2 ","2","SCIP-INF-1 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","97 patients",,,"HF-2 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","116 patients","2 ","2","SCIP-INF-3 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","33 patients",,,"HF-3 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","11 patients","1,2 ","12","SCIP-CARD-2 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","177 patients","2 ","2","SCIP-INF-6 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","67 patients",,,"PN-2 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","83 patients",,,"HF-1 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050688","SAINT LOUISE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","83 patients",,,"PN-3B " "050688","SAINT LOUISE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","89 patients",,,"PN-5C " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","45 patients",,,"PN-7 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050688","SAINT LOUISE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","115 patients","2 ","2","SCIP-VTE-2 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","52 patients",,,"PN-6 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","116 patients","2 ","2","SCIP-VTE-1 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","28 patients",,,"AMI-1 " "050688","SAINT LOUISE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","116 patients","2 ","2","SCIP-INF-2 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","254 patients","2 ","2","SCIP-INF-2 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","15 patients","1 ","1","AMI-8A " "050689","SAN RAMON REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","384 patients","2 ","2","SCIP-INF-6 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","73 patients",,,"PN-7 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","248 patients","2 ","2","SCIP-INF-3 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","65 patients",,,"AMI-1 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","116 patients",,,"PN-3B " "050689","SAN RAMON REGIONAL MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","87 patients",,,"PN-6 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","47 patients","2 ","2","SCIP-INF-4 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","164 patients","2 ","2","SCIP-VTE-2 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","54 patients",,,"AMI-2 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","112 patients",,,"PN-2 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","69 patients",,,"HF-1 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","77 patients",,,"HF-2 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients",,,"HF-3 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","164 patients","2 ","2","SCIP-VTE-1 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","254 patients","2 ","2","SCIP-INF-1 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","110 patients",,,"PN-5C " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050689","SAN RAMON REGIONAL MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","57 patients",,,"AMI-5 " "050689","SAN RAMON REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","45 patients","2 ","2","SCIP-CARD-2 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","435 patients","2 ","2","SCIP-INF-1 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","240 patients","2 ","2","SCIP-VTE-2 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"HF-3 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","93 patients",,,"AMI-1 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","188 patients",,,"PN-3B " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","75 patients",,,"AMI-2 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","435 patients","2 ","2","SCIP-INF-2 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","77 patients",,,"AMI-5 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","195 patients",,,"PN-5C " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","75%","4 patients","1 ","1","AMI-7A " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","133 patients",,,"PN-7 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","119 patients",,,"HF-1 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","84 patients","2 ","2","SCIP-CARD-2 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","161 patients",,,"PN-6 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","562 patients","2 ","2","SCIP-INF-6 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","240 patients","2 ","2","SCIP-VTE-1 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","419 patients","2 ","2","SCIP-INF-3 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","130 patients",,,"HF-2 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","192 patients",,,"PN-2 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050690","KAISER FOUNDATION HOSPITAL-SANTA ROSA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,2 ","12","AMI-2 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","67 patients","2 ","2","SCIP-INF-2 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","114 patients","2 ","2","SCIP-INF-6 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","68 patients","2 ","2","SCIP-INF-3 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","34 patients","2 ","2","SCIP-VTE-1 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","101 patients","2 ","2","HF-2 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","30 patients","2 ","2","HF-3 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1,2 ","12","AMI-7A " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","33 patients","2 ","2","SCIP-VTE-2 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","79 patients","2 ","2","PN-6 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","99 patients","2 ","2","PN-3B " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","71 patients","2 ","2","SCIP-INF-1 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","81%","26 patients","2 ","2","AMI-1 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","87 patients","2 ","2","HF-1 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","101 patients","2 ","2","PN-5C " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","68 patients","2 ","2","PN-7 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","PN-4 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,2 ","12","AMI-5 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","HF-4 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1,2 ","12","SCIP-CARD-2 " "050694","MORENO VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","94 patients","2 ","2","PN-2 " "050696","USC UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","356 patients","2 ","2","SCIP-INF-2 " "050696","USC UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1 ","1","PN-2 " "050696","USC UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","669 patients","2 ","2","SCIP-INF-6 " "050696","USC UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","327 patients","2 ","2","SCIP-INF-3 " "050696","USC UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","342 patients","2 ","2","SCIP-INF-1 " "050696","USC UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "050696","USC UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "050696","USC UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "050696","USC UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","191 patients","2 ","2","SCIP-INF-4 " "050696","USC UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "050696","USC UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "050696","USC UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","107 patients","2 ","2","SCIP-CARD-2 " "050696","USC UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","43 patients",,,"AMI-5 " "050696","USC UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1 ","1","PN-6 " "050696","USC UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","78 patients",,,"HF-2 " "050696","USC UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "050696","USC UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","327 patients","2 ","2","SCIP-VTE-1 " "050696","USC UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","73 patients",,,"HF-1 " "050696","USC UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050696","USC UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","11 patients","1 ","1","PN-7 " "050696","USC UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","327 patients","2 ","2","SCIP-VTE-2 " "050696","USC UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1 ","1","PN-5C " "050696","USC UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"HF-3 " "050696","USC UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050696","USC UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","48 patients",,,"AMI-2 " "050697","PATIENTS' HOSPITAL OF REDDING","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050697","PATIENTS' HOSPITAL OF REDDING","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050697","PATIENTS' HOSPITAL OF REDDING","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","21 patients","1,2 ","12","SCIP-VTE-2 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050697","PATIENTS' HOSPITAL OF REDDING","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050697","PATIENTS' HOSPITAL OF REDDING","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050697","PATIENTS' HOSPITAL OF REDDING","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","100 patients","2 ","2","SCIP-INF-6 " "050697","PATIENTS' HOSPITAL OF REDDING","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050697","PATIENTS' HOSPITAL OF REDDING","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","93 patients","2 ","2","SCIP-INF-2 " "050697","PATIENTS' HOSPITAL OF REDDING","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","21 patients","1,2 ","12","SCIP-VTE-1 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050697","PATIENTS' HOSPITAL OF REDDING","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "050697","PATIENTS' HOSPITAL OF REDDING","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050697","PATIENTS' HOSPITAL OF REDDING","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","90 patients","2 ","2","SCIP-INF-3 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050697","PATIENTS' HOSPITAL OF REDDING","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","92 patients","2 ","2","SCIP-INF-1 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050697","PATIENTS' HOSPITAL OF REDDING","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050697","PATIENTS' HOSPITAL OF REDDING","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","253 patients",,,"PN-5C " "050701","SOUTHWEST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","441 patients","2 ","2","SCIP-VTE-2 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","65 patients",,,"AMI-5 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","176 patients",,,"AMI-1 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","227 patients",,,"PN-6 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","809 patients","2 ","2","SCIP-INF-3 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","415 patients",,,"HF-2 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1039 patients","2 ","2","SCIP-INF-6 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","98 patients","2 ","2","SCIP-CARD-2 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","83 patients",,,"PN-4 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","64 patients",,,"AMI-2 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","79%","14 patients","1 ","1","AMI-7A " "050701","SOUTHWEST HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","322 patients",,,"PN-3B " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","249 patients",,,"PN-2 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","827 patients","2 ","2","SCIP-INF-1 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","351 patients",,,"HF-1 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","441 patients","2 ","2","SCIP-VTE-1 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","831 patients","2 ","2","SCIP-INF-2 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","111 patients",,,"HF-3 " "050701","SOUTHWEST HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","186 patients",,,"PN-7 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","25%","4 patients","1 ","1","PN-6 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","94 patients",,,"PN-7 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","78%","9 patients","1 ","1","SCIP-INF-2 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","9 patients","1 ","1","SCIP-INF-1 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","32 patients",,,"PN-5C " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","17%","6 patients","1 ","1","SCIP-CARD-2 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","76 patients",,,"HF-1 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","36 patients",,,"HF-4 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","16%","55 patients",,,"SCIP-VTE-1 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","84 patients",,,"SCIP-INF-6 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","154 patients",,,"PN-3B " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","36 patients",,,"PN-4 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","AMI-3 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","131 patients",,,"HF-2 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","24%","37 patients",,,"SCIP-VTE-2 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","137 patients",,,"PN-2 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","14 patients","1 ","1","AMI-2 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","9 patients","1 ","1","SCIP-INF-3 " "050704","MISSION COMMUNITY HOSPITAL - PANORAMA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","96 patients",,,"HF-3 " "050708","FRESNO SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050708","FRESNO SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","839 patients","2 ","2","SCIP-INF-6 " "050708","FRESNO SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050708","FRESNO SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050708","FRESNO SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","746 patients","2 ","2","SCIP-INF-1 " "050708","FRESNO SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050708","FRESNO SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050708","FRESNO SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050708","FRESNO SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050708","FRESNO SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050708","FRESNO SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050708","FRESNO SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050708","FRESNO SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050708","FRESNO SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050708","FRESNO SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050708","FRESNO SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","747 patients","2 ","2","SCIP-INF-2 " "050708","FRESNO SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050708","FRESNO SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","69%","185 patients","2 ","2","SCIP-VTE-2 " "050708","FRESNO SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050708","FRESNO SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050708","FRESNO SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050708","FRESNO SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","743 patients","2 ","2","SCIP-INF-3 " "050708","FRESNO SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","122 patients","2 ","2","SCIP-CARD-2 " "050708","FRESNO SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050708","FRESNO SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","68%","187 patients","2 ","2","SCIP-VTE-1 " "050709","DESERT VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","129 patients","2 ","2","PN-5C " "050709","DESERT VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","80 patients","2 ","2","PN-4 " "050709","DESERT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","23 patients","1,2 ","12","SCIP-CARD-2 " "050709","DESERT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050709","DESERT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","124 patients","2 ","2","SCIP-VTE-1 " "050709","DESERT VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","132 patients","2 ","2","PN-6 " "050709","DESERT VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","187 patients","2 ","2","PN-2 " "050709","DESERT VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","56 patients","2 ","2","AMI-5 " "050709","DESERT VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050709","DESERT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","100 patients","2 ","2","SCIP-INF-2 " "050709","DESERT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","230 patients","2 ","2","SCIP-INF-6 " "050709","DESERT VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","89 patients","2 ","2","PN-7 " "050709","DESERT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","70 patients","2 ","2","SCIP-INF-3 " "050709","DESERT VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","58 patients","2 ","2","AMI-2 " "050709","DESERT VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1,2 ","12","AMI-3 " "050709","DESERT VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1,2 ","12","AMI-7A " "050709","DESERT VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","77 patients","2 ","2","AMI-1 " "050709","DESERT VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","87 patients","2 ","2","HF-3 " "050709","DESERT VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","237 patients","2 ","2","HF-2 " "050709","DESERT VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","HF-4 " "050709","DESERT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","105 patients","2 ","2","SCIP-INF-1 " "050709","DESERT VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1,2 ","12","AMI-4 " "050709","DESERT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","116 patients","2 ","2","SCIP-VTE-2 " "050709","DESERT VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","233 patients","2 ","2","HF-1 " "050709","DESERT VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","144 patients","2 ","2","PN-3B " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","105 patients","2 ","2","AMI-5 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","147 patients","2 ","2","PN-5C " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","269 patients","2 ","2","SCIP-INF-2 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","AMI-4 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","108 patients","2 ","2","AMI-2 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","144 patients","2 ","2","SCIP-VTE-1 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","60 patients","2 ","2","SCIP-CARD-2 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1,2 ","12","AMI-3 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","232 patients","2 ","2","HF-1 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","119 patients","2 ","2","AMI-1 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","114 patients","2 ","2","PN-3B " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","134 patients","2 ","2","PN-2 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","144 patients","2 ","2","SCIP-VTE-2 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","HF-4 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","59 patients","2 ","2","HF-3 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","PN-4 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","245 patients","2 ","2","HF-2 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","372 patients","2 ","2","SCIP-INF-6 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1,2 ","12","AMI-7A " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","102 patients","2 ","2","PN-6 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","269 patients","2 ","2","SCIP-INF-1 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","261 patients","2 ","2","SCIP-INF-3 " "050710","KAISER FOUNDATION HOSPITAL - FRESNO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","87 patients","2 ","2","PN-7 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","152 patients",,,"SCIP-INF-2 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","89 patients",,,"SCIP-VTE-2 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","89 patients",,,"SCIP-VTE-1 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","200 patients",,,"SCIP-INF-6 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","151 patients",,,"SCIP-INF-3 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","152 patients",,,"SCIP-INF-1 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050714","SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","32 patients","2 ","2","HF-2 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","19 patients","1,2 ","12","SCIP-CARD-2 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","240 patients","2 ","2","SCIP-INF-6 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,2 ","12","PN-4 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","62%","8 patients","1,2 ","12","HF-4 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2 ","2","PN-6 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","195 patients","2 ","2","SCIP-INF-1 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1,2 ","12","AMI-5 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,2 ","12","AMI-1 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","126 patients","2 ","2","SCIP-VTE-2 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","6 patients","1,2 ","12","AMI-2 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","134 patients","2 ","2","SCIP-VTE-1 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1,2 ","12","PN-2 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","10 patients","1,2 ","12","HF-3 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","28 patients","2 ","2","HF-1 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,2,3 ","123","PN-5C " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","190 patients","2 ","2","SCIP-INF-2 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,2 ","12","AMI-3 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,2 ","12","AMI-4 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","190 patients","2 ","2","SCIP-INF-3 " "050717","LAC/RANCHO LOS AMIGOS NATIONAL MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","3 patients","1,2 ","12","PN-7 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","214 patients","2 ","2","SCIP-INF-1 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","287 patients","2 ","2","SCIP-INF-6 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","71 patients","2 ","2","SCIP-VTE-1 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","213 patients","2 ","2","SCIP-INF-3 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","10 patients","1 ","1","SCIP-CARD-2 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","71 patients","2 ","2","SCIP-VTE-2 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","1 patients","1,3 ","13","PN-7 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050722","SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS--","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","214 patients","2 ","2","SCIP-INF-2 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","92 patients","2 ","2","PN-7 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","398 patients","2 ","2","SCIP-INF-6 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","256 patients","2 ","2","SCIP-INF-1 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","162 patients","2 ","2","SCIP-VTE-2 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","256 patients","2 ","2","SCIP-INF-2 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","65 patients",,,"AMI-5 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","PN-4 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","116 patients",,,"HF-3 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","61 patients",,,"AMI-2 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","414 patients",,,"HF-1 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","130 patients","2 ","2","PN-3B " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","61 patients","2 ","2","SCIP-CARD-2 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","441 patients",,,"HF-2 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","123 patients","2 ","2","PN-2 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","255 patients","2 ","2","SCIP-INF-3 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","102 patients","2 ","2","PN-5C " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","162 patients","2 ","2","SCIP-VTE-1 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","99 patients",,,"AMI-1 " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","15 patients","1 ","1","AMI-7A " "050723","KAISER FOUNDATION HOSPITAL - BALDWIN PARK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","74 patients","2 ","2","PN-6 " "050724","BAKERSFIELD HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","38 patients","2 ","2","PN-4 " "050724","BAKERSFIELD HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050724","BAKERSFIELD HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","96 patients","2 ","2","AMI-4 " "050724","BAKERSFIELD HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","39 patients",,,"SCIP-CARD-2 " "050724","BAKERSFIELD HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","42 patients","2 ","2","AMI-8A " "050724","BAKERSFIELD HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","222 patients","2 ","2","HF-2 " "050724","BAKERSFIELD HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","45 patients","2 ","2","SCIP-VTE-2 " "050724","BAKERSFIELD HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","261 patients","2 ","2","AMI-2 " "050724","BAKERSFIELD HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","45 patients","2 ","2","SCIP-VTE-1 " "050724","BAKERSFIELD HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","211 patients","2 ","2","SCIP-INF-2 " "050724","BAKERSFIELD HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","224 patients","2 ","2","AMI-5 " "050724","BAKERSFIELD HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","110 patients","2 ","2","PN-2 " "050724","BAKERSFIELD HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","197 patients","2 ","2","SCIP-INF-1 " "050724","BAKERSFIELD HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","98 patients","2 ","2","PN-5C " "050724","BAKERSFIELD HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","203 patients","2 ","2","HF-1 " "050724","BAKERSFIELD HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","215 patients","2 ","2","SCIP-INF-4 " "050724","BAKERSFIELD HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","90 patients","2 ","2","HF-3 " "050724","BAKERSFIELD HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","100 patients","2 ","2","PN-3B " "050724","BAKERSFIELD HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","74 patients","2 ","2","PN-7 " "050724","BAKERSFIELD HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","40 patients","2 ","2","HF-4 " "050724","BAKERSFIELD HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","67 patients","2 ","2","PN-6 " "050724","BAKERSFIELD HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","74 patients","2 ","2","AMI-3 " "050724","BAKERSFIELD HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","160 patients","2 ","2","AMI-1 " "050724","BAKERSFIELD HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","322 patients","2 ","2","SCIP-INF-6 " "050724","BAKERSFIELD HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","169 patients","2 ","2","SCIP-INF-3 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050726","STANISLAUS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","76%","259 patients","2 ","2","SCIP-INF-6 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050726","STANISLAUS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","82 patients","2 ","2","SCIP-VTE-2 " "050726","STANISLAUS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","217 patients","2 ","2","SCIP-INF-2 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050726","STANISLAUS SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050726","STANISLAUS SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050726","STANISLAUS SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050726","STANISLAUS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","216 patients","2 ","2","SCIP-INF-3 " "050726","STANISLAUS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050726","STANISLAUS SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050726","STANISLAUS SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050726","STANISLAUS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","217 patients","2 ","2","SCIP-INF-1 " "050726","STANISLAUS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","82 patients","2 ","2","SCIP-VTE-1 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050726","STANISLAUS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","25 patients","2 ","2","SCIP-CARD-2 " "050726","STANISLAUS SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050726","STANISLAUS SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","56 patients",,,"PN-6 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","0%","1 patients","1 ","1","PN-5C " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","20 patients","1 ","1","AMI-2 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","71 patients","2 ","2","SCIP-INF-6 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,2 ","12","SCIP-INF-3 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","33 patients",,,"HF-3 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1,2 ","12","SCIP-CARD-2 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","94 patients",,,"PN-7 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","47 patients",,,"HF-1 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","74 patients",,,"HF-2 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,2 ","12","SCIP-INF-2 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,2 ","12","SCIP-INF-1 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","137 patients",,,"PN-2 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","38 patients",,,"AMI-1 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","24 patients","1 ","1","AMI-5 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","32 patients","2 ","2","SCIP-VTE-2 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","32 patients","2 ","2","SCIP-VTE-1 " "050727","COMMUNITY HOSPITAL OF LONG BEACH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","181 patients",,,"PN-3B " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","64%","67 patients",,,"SCIP-VTE-1 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1 ","1","PN-7 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","114 patients",,,"HF-2 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","98 patients",,,"SCIP-CARD-2 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","538 patients",,,"SCIP-INF-6 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","59 patients",,,"HF-3 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","63 patients",,,"SCIP-VTE-2 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","106 patients",,,"AMI-5 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","21 patients","1 ","1","AMI-1 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","108 patients",,,"AMI-2 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-8A " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","376 patients",,,"SCIP-INF-1 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1,3 ","13","PN-5C " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","109 patients",,,"HF-1 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","3 patients","1,3 ","13","PN-2 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","368 patients",,,"SCIP-INF-3 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","381 patients",,,"SCIP-INF-2 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","310 patients",,,"SCIP-INF-4 " "050732","FRESNO HEART AND SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","26 patients",,,"AMI-3 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","59%","17 patients","1 ","1","SCIP-CARD-2 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","174 patients",,,"SCIP-INF-1 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","55 patients",,,"HF-3 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","174 patients",,,"SCIP-INF-2 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","155 patients",,,"PN-7 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","236 patients",,,"PN-2 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","52 patients",,,"AMI-5 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","81%","43 patients",,,"AMI-2 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","190 patients",,,"HF-2 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","109 patients",,,"AMI-1 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","196 patients",,,"PN-5C " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","118 patients",,,"PN-6 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","169 patients",,,"SCIP-VTE-1 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","335 patients",,,"SCIP-INF-6 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","8 patients","1 ","1","AMI-7A " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","143 patients",,,"HF-1 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","PN-4 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","226 patients",,,"PN-3B " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","169 patients",,,"SCIP-VTE-2 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","AMI-4 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "050735","WHITTIER HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","155 patients",,,"SCIP-INF-3 " "050736","MONTEREY PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","130 patients",,,"HF-1 " "050736","MONTEREY PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","131 patients","2 ","2","SCIP-INF-3 " "050736","MONTEREY PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","19 patients","1 ","1","AMI-5 " "050736","MONTEREY PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","28 patients",,,"HF-3 " "050736","MONTEREY PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050736","MONTEREY PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","17 patients","1 ","1","AMI-2 " "050736","MONTEREY PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","44 patients",,,"AMI-1 " "050736","MONTEREY PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","134 patients","2 ","2","SCIP-INF-1 " "050736","MONTEREY PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","44 patients",,,"PN-6 " "050736","MONTEREY PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","10 patients","1,2 ","12","SCIP-CARD-2 " "050736","MONTEREY PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "050736","MONTEREY PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","72 patients",,,"PN-5C " "050736","MONTEREY PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","115 patients","2 ","2","SCIP-VTE-1 " "050736","MONTEREY PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","144 patients",,,"HF-2 " "050736","MONTEREY PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050736","MONTEREY PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "050736","MONTEREY PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "050736","MONTEREY PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "050736","MONTEREY PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","115 patients","2 ","2","SCIP-VTE-2 " "050736","MONTEREY PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "050736","MONTEREY PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","88 patients",,,"PN-2 " "050736","MONTEREY PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","79 patients",,,"PN-3B " "050736","MONTEREY PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","231 patients","2 ","2","SCIP-INF-6 " "050736","MONTEREY PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","60 patients",,,"PN-7 " "050736","MONTEREY PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","135 patients","2 ","2","SCIP-INF-2 " "050737","GARFIELD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050737","GARFIELD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","102 patients",,,"AMI-5 " "050737","GARFIELD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","60 patients","2 ","2","HF-3 " "050737","GARFIELD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","122 patients","2 ","2","PN-3B " "050737","GARFIELD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","277 patients","2 ","2","HF-2 " "050737","GARFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","227 patients","2 ","2","SCIP-INF-2 " "050737","GARFIELD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","PN-4 " "050737","GARFIELD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","30 patients",,,"AMI-3 " "050737","GARFIELD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","83 patients","2 ","2","PN-7 " "050737","GARFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","81 patients","2 ","2","SCIP-INF-4 " "050737","GARFIELD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","23 patients","1 ","1","AMI-8A " "050737","GARFIELD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","151 patients","2 ","2","PN-2 " "050737","GARFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","45 patients","2 ","2","SCIP-CARD-2 " "050737","GARFIELD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","123 patients",,,"AMI-2 " "050737","GARFIELD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","120 patients","2 ","2","PN-5C " "050737","GARFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","139 patients","2 ","2","SCIP-VTE-1 " "050737","GARFIELD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","88 patients",,,"AMI-1 " "050737","GARFIELD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "050737","GARFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","201 patients","2 ","2","SCIP-INF-3 " "050737","GARFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","138 patients","2 ","2","SCIP-VTE-2 " "050737","GARFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","222 patients","2 ","2","SCIP-INF-1 " "050737","GARFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","383 patients","2 ","2","SCIP-INF-6 " "050737","GARFIELD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","59 patients","2 ","2","PN-6 " "050737","GARFIELD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","237 patients","2 ","2","HF-1 " "050737","GARFIELD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","HF-4 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","105 patients",,,"PN-5C " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","17 patients","1 ","1","SCIP-VTE-1 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","101 patients",,,"PN-2 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","107 patients",,,"PN-3B " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","64 patients",,,"HF-2 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","79%","14 patients","1 ","1","AMI-2 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","22 patients","1 ","1","SCIP-INF-3 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","55%","22 patients","1 ","1","SCIP-INF-1 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","48 patients",,,"HF-1 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","49 patients",,,"SCIP-INF-6 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","3 patients","1 ","1","SCIP-CARD-2 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","37 patients",,,"AMI-1 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","14 patients","1 ","1","SCIP-VTE-2 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","34 patients",,,"PN-6 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","70 patients",,,"PN-7 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","22 patients","1 ","1","SCIP-INF-2 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","16 patients","1 ","1","HF-3 " "050738","GREATER EL MONTE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","81%","16 patients","1 ","1","AMI-5 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","237 patients","2 ","2","AMI-5 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","PN-4 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","95 patients","2 ","2","PN-2 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1,2 ","12","SCIP-CARD-2 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","422 patients","2 ","2","HF-1 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","262 patients","2 ","2","SCIP-INF-6 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","114 patients","2 ","2","SCIP-VTE-1 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","80 patients","2 ","2","AMI-4 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","301 patients","2 ","2","AMI-1 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","133 patients","2 ","2","SCIP-INF-2 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","59 patients","2 ","2","PN-7 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","128 patients","2 ","2","SCIP-INF-1 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","23 patients","1,2 ","12","SCIP-INF-4 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","114 patients","2 ","2","SCIP-VTE-2 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","109 patients","2 ","2","SCIP-INF-3 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","452 patients","2 ","2","HF-2 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","44 patients","2 ","2","PN-6 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","54%","26 patients","2 ","2","AMI-8A " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","87 patients","2 ","2","PN-3B " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients","2 ","2","AMI-3 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","107 patients","2 ","2","HF-4 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","251 patients","2 ","2","AMI-2 " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","98 patients","2 ","2","PN-5C " "050739","CENTINELA HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","173 patients","2 ","2","HF-3 " "050740","MARINA DEL REY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","15 patients","1,2 ","12","SCIP-CARD-2 " "050740","MARINA DEL REY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","48 patients",,,"PN-7 " "050740","MARINA DEL REY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050740","MARINA DEL REY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","51 patients",,,"HF-3 " "050740","MARINA DEL REY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","131 patients","2 ","2","SCIP-INF-1 " "050740","MARINA DEL REY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","72%","18 patients","1 ","1","AMI-5 " "050740","MARINA DEL REY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","88 patients",,,"PN-2 " "050740","MARINA DEL REY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","90 patients",,,"PN-5C " "050740","MARINA DEL REY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","34 patients",,,"AMI-1 " "050740","MARINA DEL REY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","136 patients",,,"HF-1 " "050740","MARINA DEL REY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","65%","113 patients","2 ","2","SCIP-VTE-1 " "050740","MARINA DEL REY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050740","MARINA DEL REY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","PN-4 " "050740","MARINA DEL REY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","126 patients","2 ","2","SCIP-INF-3 " "050740","MARINA DEL REY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","63 patients",,,"PN-6 " "050740","MARINA DEL REY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050740","MARINA DEL REY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","111 patients","2 ","2","SCIP-VTE-2 " "050740","MARINA DEL REY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","129 patients","2 ","2","SCIP-INF-2 " "050740","MARINA DEL REY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","HF-4 " "050740","MARINA DEL REY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","84 patients",,,"PN-3B " "050740","MARINA DEL REY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","17 patients","1 ","1","AMI-2 " "050740","MARINA DEL REY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "050740","MARINA DEL REY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050740","MARINA DEL REY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","206 patients","2 ","2","SCIP-INF-6 " "050740","MARINA DEL REY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","162 patients",,,"HF-2 " "050742","OLYMPIA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","79 patients",,,"HF-3 " "050742","OLYMPIA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050742","OLYMPIA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","305 patients",,,"PN-5C " "050742","OLYMPIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","95 patients","2 ","2","SCIP-VTE-2 " "050742","OLYMPIA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050742","OLYMPIA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","206 patients",,,"PN-7 " "050742","OLYMPIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050742","OLYMPIA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "050742","OLYMPIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","95 patients","2 ","2","SCIP-VTE-1 " "050742","OLYMPIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","84 patients","2 ","2","SCIP-INF-2 " "050742","OLYMPIA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","88 patients",,,"PN-6 " "050742","OLYMPIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","84 patients","2 ","2","SCIP-INF-3 " "050742","OLYMPIA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","82 patients",,,"AMI-2 " "050742","OLYMPIA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","341 patients",,,"PN-2 " "050742","OLYMPIA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "050742","OLYMPIA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","187 patients",,,"HF-1 " "050742","OLYMPIA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","303 patients",,,"PN-3B " "050742","OLYMPIA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "050742","OLYMPIA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","282 patients",,,"HF-2 " "050742","OLYMPIA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","123 patients",,,"AMI-1 " "050742","OLYMPIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1,2 ","12","SCIP-CARD-2 " "050742","OLYMPIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","151 patients","2 ","2","SCIP-INF-6 " "050742","OLYMPIA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "050742","OLYMPIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","85 patients","2 ","2","SCIP-INF-1 " "050742","OLYMPIA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","79 patients",,,"AMI-5 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","AMI-3 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","52 patients",,,"HF-2 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","33 patients",,,"PN-7 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","36%","22 patients","1 ","1","SCIP-VTE-2 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","112 patients",,,"AMI-5 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","130 patients",,,"SCIP-INF-1 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","39 patients",,,"HF-1 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","202 patients",,,"SCIP-INF-6 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","32%","25 patients",,,"SCIP-VTE-1 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","143 patients",,,"SCIP-INF-2 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","44 patients",,,"AMI-1 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","40 patients",,,"PN-2 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","126 patients",,,"AMI-2 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","57 patients",,,"PN-3B " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","60 patients",,,"PN-5C " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","35 patients",,,"PN-6 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","26 patients",,,"SCIP-CARD-2 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","55%","105 patients",,,"SCIP-INF-3 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","116 patients",,,"SCIP-INF-4 " "050744","WESTERN MEDICAL CENTER HOSP ANAHEIM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","7 patients","1 ","1","AMI-8A " "050745","CHAPMAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "050745","CHAPMAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","63 patients",,,"PN-3B " "050745","CHAPMAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050745","CHAPMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","27 patients",,,"SCIP-VTE-2 " "050745","CHAPMAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050745","CHAPMAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "050745","CHAPMAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","55 patients",,,"PN-2 " "050745","CHAPMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050745","CHAPMAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050745","CHAPMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","63%","19 patients","1 ","1","SCIP-INF-3 " "050745","CHAPMAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "050745","CHAPMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","27 patients",,,"SCIP-VTE-1 " "050745","CHAPMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","19 patients","1 ","1","SCIP-INF-2 " "050745","CHAPMAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","38 patients",,,"PN-7 " "050745","CHAPMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","19 patients","1 ","1","SCIP-INF-1 " "050745","CHAPMAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "050745","CHAPMAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","24 patients","1 ","1","HF-1 " "050745","CHAPMAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "050745","CHAPMAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","54 patients",,,"PN-5C " "050745","CHAPMAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","27 patients",,,"HF-2 " "050745","CHAPMAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "050745","CHAPMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "050745","CHAPMAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","38 patients",,,"PN-6 " "050745","CHAPMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","50 patients",,,"SCIP-INF-6 " "050745","CHAPMAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"AMI-4 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","256 patients",,,"AMI-5 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","433 patients","2 ","2","SCIP-INF-6 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","167 patients",,,"PN-3B " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","65 patients",,,"HF-3 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","207 patients","2 ","2","SCIP-VTE-2 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","207 patients","2 ","2","SCIP-VTE-1 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","151 patients",,,"PN-5C " "050746","WESTERN MEDICAL CENTER SANTA ANA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","116 patients",,,"PN-2 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","119 patients",,,"AMI-1 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","174 patients",,,"HF-2 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","36 patients","2 ","2","SCIP-CARD-2 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","PN-4 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","64%","179 patients","2 ","2","SCIP-INF-3 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","193 patients","2 ","2","SCIP-INF-1 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","81 patients",,,"PN-7 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","194 patients","2 ","2","SCIP-INF-2 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","31 patients",,,"AMI-8A " "050746","WESTERN MEDICAL CENTER SANTA ANA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","78 patients",,,"PN-6 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","37 patients",,,"AMI-3 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","44 patients","2 ","2","SCIP-INF-4 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","146 patients",,,"HF-1 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","251 patients",,,"AMI-2 " "050746","WESTERN MEDICAL CENTER SANTA ANA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","58%","12 patients","1 ","1","AMI-5 " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050747","COASTAL COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050747","COASTAL COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","40%","5 patients","1 ","1","SCIP-CARD-2 " "050747","COASTAL COMMUNITIES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","56 patients",,,"PN-6 " "050747","COASTAL COMMUNITIES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","59 patients",,,"PN-2 " "050747","COASTAL COMMUNITIES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "050747","COASTAL COMMUNITIES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","94 patients",,,"PN-5C " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","59 patients",,,"HF-2 " "050747","COASTAL COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","100 patients",,,"SCIP-INF-3 " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "050747","COASTAL COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","14%","65 patients",,,"SCIP-VTE-2 " "050747","COASTAL COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","100 patients",,,"SCIP-INF-2 " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050747","COASTAL COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","102 patients",,,"SCIP-INF-1 " "050747","COASTAL COMMUNITIES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","45 patients",,,"PN-7 " "050747","COASTAL COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","15%","75 patients",,,"SCIP-VTE-1 " "050747","COASTAL COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","181 patients",,,"SCIP-INF-6 " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","42 patients",,,"HF-1 " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","20 patients","1 ","1","HF-3 " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","12 patients","1 ","1","AMI-2 " "050747","COASTAL COMMUNITIES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "050747","COASTAL COMMUNITIES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","98 patients",,,"PN-3B " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","89 patients",,,"HF-2 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","26 patients",,,"PN-7 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","45 patients",,,"PN-3B " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","45 patients",,,"PN-2 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1 ","1","SCIP-CARD-2 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","54 patients","2 ","2","SCIP-INF-2 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","37 patients",,,"PN-5C " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","121 patients","2 ","2","SCIP-INF-6 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","53 patients","2 ","2","SCIP-INF-1 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","51 patients","2 ","2","SCIP-INF-3 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","107 patients","2 ","2","SCIP-VTE-2 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","78 patients",,,"HF-1 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","107 patients","2 ","2","SCIP-VTE-1 " "050748","KAISER FOUNDATION HOSPITAL MANTECA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","35 patients",,,"PN-6 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","72 patients","2 ","2","SCIP-VTE-2 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","226 patients","2 ","2","SCIP-INF-3 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","19 patients","1,2 ","12","SCIP-CARD-2 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","227 patients","2 ","2","SCIP-INF-1 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","72 patients","2 ","2","SCIP-VTE-1 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","227 patients","2 ","2","SCIP-INF-2 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050749","THOUSAND OAKS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","269 patients","2 ","2","SCIP-INF-6 " "050751","MIRACLE MILE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050751","MIRACLE MILE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "050751","MIRACLE MILE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "050751","MIRACLE MILE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050751","MIRACLE MILE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050751","MIRACLE MILE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,"0 patients","3 ","3","SCIP-INF-6 " "050751","MIRACLE MILE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "050751","MIRACLE MILE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "050751","MIRACLE MILE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050751","MIRACLE MILE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "050751","MIRACLE MILE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050751","MIRACLE MILE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "050751","MIRACLE MILE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050751","MIRACLE MILE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050751","MIRACLE MILE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050751","MIRACLE MILE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050751","MIRACLE MILE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050751","MIRACLE MILE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "050751","MIRACLE MILE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050751","MIRACLE MILE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050751","MIRACLE MILE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050751","MIRACLE MILE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050751","MIRACLE MILE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050751","MIRACLE MILE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050751","MIRACLE MILE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050752","BROTMAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","72 patients",,,"AMI-1 " "050752","BROTMAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","65%","80 patients","2 ","2","HF-3 " "050752","BROTMAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","20 patients","1,2 ","12","HF-4 " "050752","BROTMAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","140 patients","2 ","2","PN-2 " "050752","BROTMAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","15 patients","1 ","1","AMI-3 " "050752","BROTMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","7%","27 patients","2 ","2","SCIP-CARD-2 " "050752","BROTMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","133 patients","2 ","2","SCIP-INF-1 " "050752","BROTMAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","142 patients","2 ","2","PN-5C " "050752","BROTMAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","73 patients",,,"AMI-2 " "050752","BROTMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","122 patients","2 ","2","SCIP-INF-2 " "050752","BROTMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "050752","BROTMAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-8A " "050752","BROTMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","54%","125 patients","2 ","2","SCIP-INF-3 " "050752","BROTMAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","231 patients","2 ","2","HF-2 " "050752","BROTMAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1,2 ","12","PN-4 " "050752","BROTMAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","47%","81 patients","2 ","2","PN-7 " "050752","BROTMAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "050752","BROTMAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "050752","BROTMAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","163 patients","2 ","2","HF-1 " "050752","BROTMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","236 patients","2 ","2","SCIP-INF-6 " "050752","BROTMAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","119 patients","2 ","2","PN-3B " "050752","BROTMAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","79%","76 patients",,,"AMI-5 " "050752","BROTMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","52%","127 patients","2 ","2","SCIP-VTE-1 " "050752","BROTMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","106 patients","2 ","2","SCIP-VTE-2 " "050752","BROTMAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","81 patients","2 ","2","PN-6 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050754","MENLO PARK SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050754","MENLO PARK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1 ","1","SCIP-INF-3 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050754","MENLO PARK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-1 " "050754","MENLO PARK SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050754","MENLO PARK SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050754","MENLO PARK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients",,,"SCIP-VTE-2 " "050754","MENLO PARK SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050754","MENLO PARK SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050754","MENLO PARK SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050754","MENLO PARK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050754","MENLO PARK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1 ","1","SCIP-INF-6 " "050754","MENLO PARK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "050754","MENLO PARK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-2 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050754","MENLO PARK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients",,,"SCIP-VTE-1 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050754","MENLO PARK SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050755","SHERMAN OAKS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"HF-3 " "050755","SHERMAN OAKS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050755","SHERMAN OAKS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "050755","SHERMAN OAKS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","100 patients",,,"AMI-1 " "050755","SHERMAN OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050755","SHERMAN OAKS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "050755","SHERMAN OAKS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","172 patients",,,"PN-5C " "050755","SHERMAN OAKS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","153 patients",,,"PN-2 " "050755","SHERMAN OAKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","58 patients",,,"SCIP-VTE-1 " "050755","SHERMAN OAKS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","22 patients","1 ","1","PN-4 " "050755","SHERMAN OAKS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "050755","SHERMAN OAKS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","63 patients",,,"AMI-2 " "050755","SHERMAN OAKS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","83 patients",,,"PN-6 " "050755","SHERMAN OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","86 patients",,,"SCIP-INF-1 " "050755","SHERMAN OAKS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","55 patients",,,"AMI-5 " "050755","SHERMAN OAKS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","133 patients",,,"HF-2 " "050755","SHERMAN OAKS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","154 patients",,,"PN-3B " "050755","SHERMAN OAKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","58 patients",,,"SCIP-VTE-2 " "050755","SHERMAN OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","85 patients",,,"SCIP-INF-3 " "050755","SHERMAN OAKS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","113 patients",,,"HF-1 " "050755","SHERMAN OAKS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050755","SHERMAN OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","136 patients",,,"SCIP-INF-6 " "050755","SHERMAN OAKS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "050755","SHERMAN OAKS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","83 patients",,,"PN-7 " "050755","SHERMAN OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","86 patients",,,"SCIP-INF-2 " "050757","ALVARADO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","66 patients",,,"PN-4 " "050757","ALVARADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","86 patients","2 ","2","SCIP-INF-4 " "050757","ALVARADO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","98 patients",,,"AMI-2 " "050757","ALVARADO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","98 patients",,,"AMI-5 " "050757","ALVARADO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "050757","ALVARADO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","79 patients",,,"HF-3 " "050757","ALVARADO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","46 patients",,,"HF-4 " "050757","ALVARADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","321 patients","2 ","2","SCIP-INF-3 " "050757","ALVARADO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","117 patients",,,"PN-6 " "050757","ALVARADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","551 patients","2 ","2","SCIP-INF-6 " "050757","ALVARADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","350 patients","2 ","2","SCIP-INF-2 " "050757","ALVARADO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","223 patients","2 ","2","SCIP-VTE-1 " "050757","ALVARADO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","84 patients","2 ","2","SCIP-CARD-2 " "050757","ALVARADO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","244 patients",,,"PN-5C " "050757","ALVARADO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","23 patients","1 ","1","AMI-8A " "050757","ALVARADO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","43 patients",,,"AMI-4 " "050757","ALVARADO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","142 patients",,,"PN-7 " "050757","ALVARADO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "050757","ALVARADO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","189 patients",,,"HF-1 " "050757","ALVARADO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","349 patients","2 ","2","SCIP-INF-1 " "050757","ALVARADO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","223 patients",,,"PN-3B " "050757","ALVARADO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","94 patients",,,"AMI-1 " "050757","ALVARADO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","205 patients",,,"PN-2 " "050757","ALVARADO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","222 patients","2 ","2","SCIP-VTE-2 " "050757","ALVARADO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","257 patients",,,"HF-2 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","87 patients",,,"HF-1 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","134 patients",,,"PN-3B " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","91 patients",,,"PN-7 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","127 patients",,,"PN-5C " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","55 patients",,,"SCIP-INF-6 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","53 patients",,,"PN-6 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","58%","19 patients","1 ","1","SCIP-VTE-1 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","11 patients","1 ","1","SCIP-INF-3 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","18 patients","1 ","1","AMI-1 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","7 patients","1 ","1","AMI-2 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"HF-3 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","124 patients",,,"PN-2 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","14 patients","1 ","1","SCIP-INF-1 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","13 patients","1 ","1","SCIP-INF-2 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","109 patients",,,"HF-2 " "050758","MONTCLAIR HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","58%","19 patients","1 ","1","SCIP-VTE-2 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","29 patients","3 ","3","AMI-2 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","113 patients","2,3 ","23","PN-3B " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","121 patients","2,3 ","23","SCIP-VTE-1 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,3 ","13","HF-4 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","303 patients","2,3 ","23","SCIP-INF-1 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","112 patients","2,3 ","23","PN-2 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2,3 ","23","PN-4 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","28 patients","3 ","3","AMI-5 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","74 patients","2,3 ","23","PN-6 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","283 patients","2,3 ","23","SCIP-INF-3 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","85 patients","2,3 ","23","PN-5C " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","98 patients","2 ","2","PN-7 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","65 patients","3 ","3","AMI-1 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","419 patients","2,3 ","23","SCIP-INF-6 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","145 patients","3 ","3","HF-1 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients","3 ","3","HF-3 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","164 patients","3 ","3","HF-2 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","121 patients","2,3 ","23","SCIP-VTE-2 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","AMI-3 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,3 ","13","AMI-4 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1,3 ","13","AMI-7A " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","97 patients","2 ","2","SCIP-CARD-2 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "050760","KAISER FOUNDATION HOSPITAL - ANTIOCH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","304 patients","2,3 ","23","SCIP-INF-2 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","105 patients","3 ","3","AMI-2 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","256 patients","3 ","3","HF-2 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1,3 ","13","AMI-3 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","555 patients","3 ","3","SCIP-INF-6 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","104 patients",,,"SCIP-CARD-2 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","157 patients","3 ","3","PN-5C " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","214 patients","3 ","3","HF-1 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","229 patients","3 ","3","PN-3B " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","259 patients","3 ","3","SCIP-INF-3 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","201 patients",,,"PN-7 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","15 patients","1,3 ","13","AMI-8A " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","3 ","3","PN-4 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","68%","240 patients","3 ","3","SCIP-VTE-1 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","274 patients","3 ","3","SCIP-INF-1 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,3 ","13","HF-4 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","63 patients","3 ","3","SCIP-INF-4 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","103 patients","3 ","3","AMI-1 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","100 patients","3 ","3","AMI-5 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,3 ","13","AMI-4 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","64%","238 patients","3 ","3","SCIP-VTE-2 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","263 patients","3 ","3","PN-2 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","134 patients","3 ","3","PN-6 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","86 patients","3 ","3","HF-3 " "050761","PROVIDENCE TARZANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","295 patients","3 ","3","SCIP-INF-2 " "050763","SILVER LAKE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "050763","SILVER LAKE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050763","SILVER LAKE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","8 patients","1,3 ","13","PN-7 " "050763","SILVER LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "050763","SILVER LAKE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","4 patients","1,3 ","13","PN-6 " "050763","SILVER LAKE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","15 patients","1,3 ","13","PN-3B " "050763","SILVER LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1,3 ","13","SCIP-VTE-1 " "050763","SILVER LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "050763","SILVER LAKE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1,3 ","13","AMI-5 " "050763","SILVER LAKE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,3 ","13","HF-4 " "050763","SILVER LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "050763","SILVER LAKE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","21 patients","1,3 ","13","HF-2 " "050763","SILVER LAKE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","6 patients","1,3 ","13","AMI-1 " "050763","SILVER LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "050763","SILVER LAKE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","25%","4 patients","1,3 ","13","AMI-2 " "050763","SILVER LAKE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","18 patients","1,3 ","13","HF-1 " "050763","SILVER LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "050763","SILVER LAKE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","7 patients","1,3 ","13","HF-3 " "050763","SILVER LAKE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "050763","SILVER LAKE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "050763","SILVER LAKE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","8 patients","1,3 ","13","PN-2 " "050763","SILVER LAKE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "050763","SILVER LAKE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,3 ","13","PN-4 " "050763","SILVER LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1,3 ","13","SCIP-VTE-2 " "050763","SILVER LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "050764","SHASTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","38 patients","3 ","3","SCIP-VTE-2 " "050764","SHASTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","51 patients","3 ","3","SCIP-INF-2 " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,3 ","13","AMI-4 " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","3 patients","1,3 ","13","AMI-8A " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","41 patients","3 ","3","HF-1 " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","55 patients","3 ","3","HF-2 " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,3 ","13","AMI-3 " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","40 patients","3 ","3","AMI-5 " "050764","SHASTA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","44 patients","3 ","3","PN-2 " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients","3 ","3","AMI-1 " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "050764","SHASTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","7 patients","1,3 ","13","SCIP-INF-4 " "050764","SHASTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","98 patients","3 ","3","SCIP-INF-6 " "050764","SHASTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","48 patients","3 ","3","SCIP-INF-1 " "050764","SHASTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","38 patients","3 ","3","SCIP-VTE-1 " "050764","SHASTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","47 patients","3 ","3","SCIP-INF-3 " "050764","SHASTA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1,3 ","13","PN-3B " "050764","SHASTA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","48 patients","3 ","3","PN-5C " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1,3 ","13","HF-4 " "050764","SHASTA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","36 patients","3 ","3","PN-6 " "050764","SHASTA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1,3 ","13","HF-3 " "050764","SHASTA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1,3 ","13","PN-4 " "050764","SHASTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1,3 ","13","SCIP-CARD-2 " "050764","SHASTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","40 patients","3 ","3","AMI-2 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "050766","SUTTER SURGICAL HOSPITAL - NORTH VALLEY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","44 patients",,,"PN-6 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","136 patients","2 ","2","SCIP-INF-4 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-8A " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","59 patients",,,"AMI-1 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","78 patients",,,"HF-3 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","248 patients",,,"HF-1 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","66 patients",,,"PN-7 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","88 patients",,,"PN-5C " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","54 patients",,,"AMI-5 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","291 patients",,,"SCIP-INF-2 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","291 patients",,,"SCIP-INF-1 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","81 patients",,,"PN-2 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","147 patients","2 ","2","SCIP-VTE-1 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","50 patients",,,"AMI-2 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","403 patients","2 ","2","SCIP-INF-6 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","95 patients",,,"PN-3B " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","147 patients","2 ","2","SCIP-VTE-2 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","268 patients",,,"SCIP-INF-3 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","174 patients","2 ","2","SCIP-CARD-2 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "05114F","VA SAN DIEGO HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","254 patients",,,"HF-2 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "05127F","LOMA LINDA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "05127F","LOMA LINDA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","312 patients","2 ","2","SCIP-VTE-1 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","192 patients",,,"HF-2 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","66 patients",,,"AMI-5 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","108 patients",,,"HF-3 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "05127F","LOMA LINDA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","454 patients","2 ","2","SCIP-INF-6 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","76 patients",,,"AMI-1 " "05127F","LOMA LINDA VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","84 patients",,,"PN-6 " "05127F","LOMA LINDA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","312 patients","2 ","2","SCIP-VTE-2 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","180 patients",,,"HF-1 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","53 patients",,,"AMI-2 " "05127F","LOMA LINDA VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","133 patients",,,"PN-3B " "05127F","LOMA LINDA VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","162 patients",,,"PN-5C " "05127F","LOMA LINDA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","323 patients",,,"SCIP-INF-2 " "05127F","LOMA LINDA VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "05127F","LOMA LINDA VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","81 patients",,,"PN-7 " "05127F","LOMA LINDA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","299 patients",,,"SCIP-INF-3 " "05127F","LOMA LINDA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","316 patients",,,"SCIP-INF-1 " "05127F","LOMA LINDA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","153 patients","2 ","2","SCIP-CARD-2 " "05127F","LOMA LINDA VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","97 patients",,,"PN-2 " "05127F","LOMA LINDA VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","126 patients",,,"HF-3 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","97 patients",,,"PN-3B " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","82 patients",,,"PN-5C " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","325 patients",,,"SCIP-INF-1 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","54 patients",,,"AMI-5 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","44 patients",,,"PN-4 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","453 patients","2 ","2","SCIP-INF-6 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","74 patients",,,"PN-7 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","301 patients",,,"SCIP-INF-3 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","62 patients",,,"AMI-1 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","76 patients",,,"PN-2 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","AMI-4 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","299 patients",,,"HF-2 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","207 patients","2 ","2","SCIP-CARD-2 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","290 patients",,,"HF-1 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","141 patients","2 ","2","SCIP-INF-4 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","48 patients",,,"PN-6 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","327 patients",,,"SCIP-INF-2 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","228 patients","2 ","2","SCIP-VTE-2 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","228 patients","2 ","2","SCIP-VTE-1 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","56 patients",,,"AMI-2 " "05128F","VA GREATER LOS ANGELES HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","67 patients",,,"HF-4 " "051301","TEHACHAPI HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "051301","TEHACHAPI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051301","TEHACHAPI HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1,3 ","13","PN-7 " "051301","TEHACHAPI HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051301","TEHACHAPI HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051301","TEHACHAPI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051301","TEHACHAPI HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1,3 ","13","PN-6 " "051301","TEHACHAPI HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,3 ","13","PN-5C " "051301","TEHACHAPI HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "051301","TEHACHAPI HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "051301","TEHACHAPI HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "051301","TEHACHAPI HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "051301","TEHACHAPI HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "051301","TEHACHAPI HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051301","TEHACHAPI HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "051301","TEHACHAPI HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051301","TEHACHAPI HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051301","TEHACHAPI HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051301","TEHACHAPI HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "051301","TEHACHAPI HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "051301","TEHACHAPI HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,3 ","13","HF-2 " "051301","TEHACHAPI HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,3 ","13","PN-3B " "051301","TEHACHAPI HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","25%","4 patients","1,3 ","13","PN-2 " "051301","TEHACHAPI HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "051301","TEHACHAPI HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "051302","SOUTHERN INYO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051302","SOUTHERN INYO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051302","SOUTHERN INYO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "051302","SOUTHERN INYO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051302","SOUTHERN INYO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "051302","SOUTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051302","SOUTHERN INYO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051302","SOUTHERN INYO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051302","SOUTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051302","SOUTHERN INYO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051302","SOUTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051302","SOUTHERN INYO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "051302","SOUTHERN INYO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051302","SOUTHERN INYO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "051302","SOUTHERN INYO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051302","SOUTHERN INYO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051302","SOUTHERN INYO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "051302","SOUTHERN INYO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "051302","SOUTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051302","SOUTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051302","SOUTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051302","SOUTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051302","SOUTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051302","SOUTHERN INYO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051302","SOUTHERN INYO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1,2,3 ","123","PN-3B " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","4 patients","1,2,3 ","123","PN-4 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","2 patients","1,2,3 ","123","PN-6 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","6 patients","1,2,3 ","123","PN-2 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","3 patients","1,2,3 ","123","PN-7 " "051304","JOHN C FREMONT HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051305","MAYERS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","5 patients","1 ","1","PN-7 " "051305","MAYERS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051305","MAYERS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051305","MAYERS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","12 patients","1 ","1","PN-6 " "051305","MAYERS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051305","MAYERS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051305","MAYERS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051305","MAYERS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","9 patients","1,3 ","13","HF-2 " "051305","MAYERS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "051305","MAYERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","6 patients","1,3 ","13","SCIP-VTE-1 " "051305","MAYERS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051305","MAYERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","16 patients","1,3 ","13","SCIP-INF-2 " "051305","MAYERS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "051305","MAYERS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","11 patients","1 ","1","PN-2 " "051305","MAYERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051305","MAYERS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","13 patients","1 ","1","PN-5C " "051305","MAYERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","16 patients","1,3 ","13","SCIP-INF-3 " "051305","MAYERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "051305","MAYERS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "051305","MAYERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","56%","16 patients","1,3 ","13","SCIP-INF-1 " "051305","MAYERS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051305","MAYERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "051305","MAYERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","76%","17 patients","1,3 ","13","SCIP-INF-6 " "051305","MAYERS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "051305","MAYERS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","6 patients","1,3 ","13","HF-1 " "051306","GLENN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1,3 ","13","PN-6 " "051306","GLENN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051306","GLENN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051306","GLENN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051306","GLENN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051306","GLENN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051306","GLENN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051306","GLENN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051306","GLENN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1,3 ","13","PN-2 " "051306","GLENN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","10 patients","1 ","1","SCIP-INF-3 " "051306","GLENN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051306","GLENN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "051306","GLENN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1,3 ","13","PN-3B " "051306","GLENN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","10 patients","1 ","1","SCIP-INF-2 " "051306","GLENN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1,3 ","13","PN-7 " "051306","GLENN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051306","GLENN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "051306","GLENN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051306","GLENN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051306","GLENN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051306","GLENN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","10 patients","1 ","1","SCIP-INF-1 " "051306","GLENN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051306","GLENN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1,3 ","13","PN-5C " "051306","GLENN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051306","GLENN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,"0 patients","3 ","3","SCIP-INF-6 " "051307","CATALINA ISLAND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051307","CATALINA ISLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051307","CATALINA ISLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051307","CATALINA ISLAND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "051307","CATALINA ISLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051307","CATALINA ISLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051307","CATALINA ISLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051307","CATALINA ISLAND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051307","CATALINA ISLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051307","CATALINA ISLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051307","CATALINA ISLAND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051307","CATALINA ISLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051307","CATALINA ISLAND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "051307","CATALINA ISLAND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051307","CATALINA ISLAND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051308","SURPRISE VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,3 ","13","PN-4 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1,3 ","13","PN-2 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,3 ","13","PN-3B " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1,3 ","13","PN-6 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","11 patients","1,3 ","13","PN-5C " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051309","JEROLD PHELPS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","39 patients",,,"PN-5C " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","18 patients","1 ","1","HF-1 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","192 patients",,,"SCIP-INF-3 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","24 patients","1 ","1","PN-7 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","90 patients",,,"SCIP-VTE-2 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","31 patients",,,"PN-3B " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","25 patients",,,"HF-2 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","35 patients",,,"PN-2 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","196 patients",,,"SCIP-INF-2 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","35 patients",,,"PN-6 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","231 patients",,,"SCIP-INF-6 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","90 patients",,,"SCIP-VTE-1 " "051310","FRANK R HOWARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","195 patients",,,"SCIP-INF-1 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051311","BIGGS GRIDLEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "051312","MOUNTAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051312","MOUNTAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","0%","2 patients","1,3 ","13","PN-5C " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051312","MOUNTAINS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","2 patients","1,3 ","13","PN-6 " "051312","MOUNTAINS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,3 ","13","PN-7 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","41 patients","2 ","2","PN-4 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","83 patients","2 ","2","PN-2 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","68%","90 patients","2 ","2","PN-3B " "051314","KERN VALLEY HEALTHCARE DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","70 patients","2 ","2","PN-6 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","106 patients","2 ","2","PN-5C " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051314","KERN VALLEY HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","43 patients","2 ","2","PN-7 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051314","KERN VALLEY HEALTHCARE DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051315","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051315","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051315","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051315","TRINITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","22%","18 patients","1 ","1","PN-7 " "051315","TRINITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051315","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051315","TRINITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051315","TRINITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051315","TRINITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051315","TRINITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","38%","8 patients","1 ","1","PN-4 " "051315","TRINITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051315","TRINITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","27 patients",,,"PN-3B " "051315","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051315","TRINITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","35 patients",,,"PN-5C " "051315","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051315","TRINITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051315","TRINITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051315","TRINITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051315","TRINITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051315","TRINITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051315","TRINITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","43%","28 patients",,,"PN-2 " "051315","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051315","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051315","TRINITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051315","TRINITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","24 patients","1 ","1","PN-6 " "051316","FAIRCHILD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","129 patients",,,"PN-5C " "051316","FAIRCHILD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "051316","FAIRCHILD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","42 patients","3 ","3","SCIP-INF-6 " "051316","FAIRCHILD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1,3 ","13","SCIP-CARD-2 " "051316","FAIRCHILD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "051316","FAIRCHILD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","13 patients","1,3 ","13","SCIP-VTE-2 " "051316","FAIRCHILD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","13 patients","1,3 ","13","SCIP-VTE-1 " "051316","FAIRCHILD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "051316","FAIRCHILD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","86 patients",,,"PN-2 " "051316","FAIRCHILD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "051316","FAIRCHILD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","24 patients","1 ","1","HF-1 " "051316","FAIRCHILD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","91 patients",,,"PN-6 " "051316","FAIRCHILD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "051316","FAIRCHILD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","74 patients","2 ","2","SCIP-INF-2 " "051316","FAIRCHILD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","33 patients",,,"PN-4 " "051316","FAIRCHILD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","95 patients",,,"PN-3B " "051316","FAIRCHILD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","56 patients",,,"PN-7 " "051316","FAIRCHILD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","76 patients","2 ","2","SCIP-INF-1 " "051316","FAIRCHILD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "051316","FAIRCHILD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "051316","FAIRCHILD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","70 patients","2 ","2","SCIP-INF-3 " "051316","FAIRCHILD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "051316","FAIRCHILD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "051316","FAIRCHILD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","12 patients","1 ","1","HF-3 " "051316","FAIRCHILD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","28 patients",,,"HF-2 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","79%","29 patients",,,"SCIP-INF-2 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","35 patients",,,"SCIP-VTE-2 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","69 patients",,,"PN-2 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","102 patients",,,"PN-5C " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","34 patients",,,"HF-1 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","29 patients",,,"SCIP-INF-1 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","53 patients",,,"PN-7 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","60 patients",,,"PN-6 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","47 patients",,,"PN-4 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","66%","35 patients",,,"SCIP-VTE-1 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","29 patients",,,"SCIP-INF-3 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","55 patients",,,"SCIP-INF-6 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","38 patients",,,"HF-2 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","95 patients",,,"PN-3B " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "051317","ST HELENA HOSPTIAL-CLEARLAKE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "051318","REDWOOD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","45 patients",,,"PN-3B " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "051318","REDWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051318","REDWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051318","REDWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","21 patients","1 ","1","HF-1 " "051318","REDWOOD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","24 patients","1 ","1","PN-7 " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","24 patients","1 ","1","HF-2 " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "051318","REDWOOD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","20 patients","1 ","1","PN-4 " "051318","REDWOOD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","42 patients",,,"PN-2 " "051318","REDWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "051318","REDWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051318","REDWOOD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","38 patients",,,"PN-6 " "051318","REDWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051318","REDWOOD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","45 patients",,,"PN-5C " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "051318","REDWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "051318","REDWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "051318","REDWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051319","MERCY MEDICAL CENTER MT SHASTA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","95 patients","2 ","2","SCIP-VTE-1 " "051319","MERCY MEDICAL CENTER MT SHASTA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","38 patients",,,"PN-6 " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "051319","MERCY MEDICAL CENTER MT SHASTA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "051319","MERCY MEDICAL CENTER MT SHASTA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","132 patients","2 ","2","SCIP-INF-2 " "051319","MERCY MEDICAL CENTER MT SHASTA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","29 patients",,,"PN-7 " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "051319","MERCY MEDICAL CENTER MT SHASTA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","130 patients","2 ","2","SCIP-INF-3 " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "051319","MERCY MEDICAL CENTER MT SHASTA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","41 patients",,,"PN-2 " "051319","MERCY MEDICAL CENTER MT SHASTA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","55 patients",,,"PN-5C " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "051319","MERCY MEDICAL CENTER MT SHASTA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","228 patients","2 ","2","SCIP-INF-6 " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","34 patients",,,"HF-1 " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "051319","MERCY MEDICAL CENTER MT SHASTA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","58 patients",,,"PN-3B " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","34 patients",,,"HF-2 " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "051319","MERCY MEDICAL CENTER MT SHASTA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "051319","MERCY MEDICAL CENTER MT SHASTA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","130 patients","2 ","2","SCIP-INF-1 " "051319","MERCY MEDICAL CENTER MT SHASTA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "051319","MERCY MEDICAL CENTER MT SHASTA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051319","MERCY MEDICAL CENTER MT SHASTA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","94 patients","2 ","2","SCIP-VTE-2 " "051320","BANNER LASSEN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","37 patients",,,"PN-2 " "051320","BANNER LASSEN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","40 patients",,,"PN-3B " "051320","BANNER LASSEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","26 patients",,,"SCIP-INF-1 " "051320","BANNER LASSEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","28 patients",,,"SCIP-INF-2 " "051320","BANNER LASSEN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "051320","BANNER LASSEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","21 patients","1 ","1","SCIP-VTE-1 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","10 patients","1 ","1","HF-1 " "051320","BANNER LASSEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","53 patients",,,"SCIP-INF-6 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "051320","BANNER LASSEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "051320","BANNER LASSEN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","31 patients",,,"PN-5C " "051320","BANNER LASSEN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","73%","15 patients","1 ","1","HF-2 " "051320","BANNER LASSEN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "051320","BANNER LASSEN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","37 patients",,,"PN-6 " "051320","BANNER LASSEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051320","BANNER LASSEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","21 patients","1 ","1","SCIP-VTE-2 " "051320","BANNER LASSEN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","20 patients","1 ","1","PN-7 " "051320","BANNER LASSEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","26 patients",,,"SCIP-INF-3 " "051321","HEALDSBURG DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","30%","37 patients","2 ","2","PN-2 " "051321","HEALDSBURG DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","24 patients","1,2 ","12","PN-7 " "051321","HEALDSBURG DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","47 patients","2 ","2","SCIP-VTE-2 " "051321","HEALDSBURG DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "051321","HEALDSBURG DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","19 patients","1,2 ","12","PN-6 " "051321","HEALDSBURG DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","24 patients","1,2 ","12","PN-5C " "051321","HEALDSBURG DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","64 patients","2 ","2","SCIP-INF-2 " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "051321","HEALDSBURG DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","76 patients","2 ","2","SCIP-INF-6 " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "051321","HEALDSBURG DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","24 patients","1,2 ","12","PN-3B " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1,3 ","13","AMI-1 " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "051321","HEALDSBURG DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","63 patients","2 ","2","SCIP-INF-3 " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "051321","HEALDSBURG DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","65 patients","2 ","2","SCIP-INF-1 " "051321","HEALDSBURG DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","30%","10 patients","1,2 ","12","PN-4 " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","47%","17 patients","1 ","1","HF-1 " "051321","HEALDSBURG DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","49 patients","2 ","2","SCIP-VTE-1 " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","24%","21 patients","1 ","1","HF-2 " "051321","HEALDSBURG DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051321","HEALDSBURG DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "051323","COLORADO RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051323","COLORADO RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "051323","COLORADO RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "051323","COLORADO RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051323","COLORADO RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051323","COLORADO RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "051323","COLORADO RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "051323","COLORADO RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051323","COLORADO RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "051323","COLORADO RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051323","COLORADO RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "051323","COLORADO RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "051323","COLORADO RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "051323","COLORADO RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051323","COLORADO RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051323","COLORADO RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "051323","COLORADO RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051323","COLORADO RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "051323","COLORADO RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "051323","COLORADO RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "051323","COLORADO RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "051323","COLORADO RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "051323","COLORADO RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "051323","COLORADO RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "051323","COLORADO RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "051324","NORTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","38 patients","2 ","2","SCIP-VTE-2 " "051324","NORTHERN INYO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","17 patients","1,2 ","12","PN-6 " "051324","NORTHERN INYO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1,2 ","12","PN-4 " "051324","NORTHERN INYO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,2,3 ","123","AMI-1 " "051324","NORTHERN INYO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","HF-3 " "051324","NORTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051324","NORTHERN INYO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1,2 ","12","PN-3B " "051324","NORTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","38 patients","2 ","2","SCIP-VTE-1 " "051324","NORTHERN INYO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,2,3 ","123","AMI-2 " "051324","NORTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","73%","84 patients","2 ","2","SCIP-INF-6 " "051324","NORTHERN INYO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","16 patients","1,2 ","12","PN-2 " "051324","NORTHERN INYO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","6 patients","1 ","1","PN-7 " "051324","NORTHERN INYO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","13%","15 patients","1,2 ","12","HF-1 " "051324","NORTHERN INYO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,2 ","12","HF-4 " "051324","NORTHERN INYO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","19 patients","1,2 ","12","PN-5C " "051324","NORTHERN INYO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "051324","NORTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "051324","NORTHERN INYO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "051324","NORTHERN INYO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","41%","17 patients","1,2 ","12","HF-2 " "051324","NORTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","66 patients","2 ","2","SCIP-INF-3 " "051324","NORTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","68 patients","2 ","2","SCIP-INF-1 " "051324","NORTHERN INYO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,2,3 ","123","AMI-5 " "051324","NORTHERN INYO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","66 patients","2 ","2","SCIP-INF-2 " "051324","NORTHERN INYO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2,3 ","123","AMI-3 " "051324","NORTHERN INYO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","72 patients",,,"SCIP-INF-2 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","21 patients","1 ","1","HF-2 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","70 patients",,,"SCIP-INF-3 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","40 patients",,,"SCIP-VTE-1 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","20 patients","1 ","1","PN-6 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","29 patients",,,"PN-3B " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","82 patients",,,"SCIP-INF-6 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","20 patients","1 ","1","PN-7 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","29 patients",,,"PN-2 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","16 patients","1 ","1","HF-1 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","70%","70 patients",,,"SCIP-INF-1 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1 ","1","AMI-1 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","40 patients",,,"SCIP-VTE-2 " "051325","MENDOCINO COAST DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","31 patients",,,"PN-5C " "051326","PLUMAS DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","20 patients","1,3 ","13","PN-2 " "051326","PLUMAS DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","54%","13 patients","1,3 ","13","PN-4 " "051326","PLUMAS DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "051326","PLUMAS DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","25 patients","3 ","3","PN-5C " "051326","PLUMAS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients","3 ","3","SCIP-INF-6 " "051326","PLUMAS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","16 patients","1,3 ","13","SCIP-VTE-1 " "051326","PLUMAS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","14 patients","1,3 ","13","SCIP-INF-2 " "051326","PLUMAS DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","12 patients","1,3 ","13","PN-3B " "051326","PLUMAS DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,3 ","13","HF-4 " "051326","PLUMAS DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "051326","PLUMAS DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1,3 ","13","PN-6 " "051326","PLUMAS DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "051326","PLUMAS DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "051326","PLUMAS DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "051326","PLUMAS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051326","PLUMAS DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","11 patients","1,3 ","13","PN-7 " "051326","PLUMAS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","14 patients","1,3 ","13","SCIP-INF-1 " "051326","PLUMAS DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","19 patients","1,3 ","13","HF-2 " "051326","PLUMAS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","16 patients","1,3 ","13","SCIP-VTE-2 " "051326","PLUMAS DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "051326","PLUMAS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "051326","PLUMAS DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","14 patients","1,3 ","13","SCIP-INF-3 " "051326","PLUMAS DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "051326","PLUMAS DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,3 ","13","AMI-7A " "051326","PLUMAS DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","15 patients","1,3 ","13","HF-1 " "051328","TAHOE FOREST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1,3 ","13","HF-3 " "051328","TAHOE FOREST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "051328","TAHOE FOREST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "051328","TAHOE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","58 patients","3 ","3","SCIP-INF-6 " "051328","TAHOE FOREST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","25%","4 patients","1,3 ","13","PN-2 " "051328","TAHOE FOREST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "051328","TAHOE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","45 patients","3 ","3","SCIP-INF-2 " "051328","TAHOE FOREST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","17%","6 patients","1,3 ","13","HF-1 " "051328","TAHOE FOREST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","8 patients","1,3 ","13","HF-2 " "051328","TAHOE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","44 patients","3 ","3","SCIP-INF-3 " "051328","TAHOE FOREST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","8 patients","1,3 ","13","PN-5C " "051328","TAHOE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","28 patients","3 ","3","SCIP-VTE-1 " "051328","TAHOE FOREST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","PN-4 " "051328","TAHOE FOREST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1,3 ","13","PN-6 " "051328","TAHOE FOREST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "051328","TAHOE FOREST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "051328","TAHOE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051328","TAHOE FOREST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "051328","TAHOE FOREST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","10 patients","1,3 ","13","PN-3B " "051328","TAHOE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","27 patients","3 ","3","SCIP-VTE-2 " "051328","TAHOE FOREST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "051328","TAHOE FOREST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "051328","TAHOE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "051328","TAHOE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","45 patients","3 ","3","SCIP-INF-1 " "051328","TAHOE FOREST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "051329","SUTTER LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "051329","SUTTER LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "051329","SUTTER LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","323 patients","2 ","2","SCIP-INF-6 " "051329","SUTTER LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","170 patients","2 ","2","SCIP-VTE-1 " "051329","SUTTER LAKESIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","76 patients",,,"PN-5C " "051329","SUTTER LAKESIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","47 patients",,,"PN-7 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "051329","SUTTER LAKESIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","51 patients",,,"PN-6 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "051329","SUTTER LAKESIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","78 patients",,,"PN-3B " "051329","SUTTER LAKESIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "051329","SUTTER LAKESIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","64 patients",,,"PN-2 " "051329","SUTTER LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","239 patients","2 ","2","SCIP-INF-1 " "051329","SUTTER LAKESIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","PN-4 " "051329","SUTTER LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","234 patients","2 ","2","SCIP-INF-3 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","37 patients",,,"HF-1 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","50 patients",,,"HF-2 " "051329","SUTTER LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","239 patients","2 ","2","SCIP-INF-2 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "051329","SUTTER LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","170 patients","2 ","2","SCIP-VTE-2 " "051329","SUTTER LAKESIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","HF-3 " "053302","CHILDRENS HOSP OF LOS ANGELES","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","41%","103 patients","2 ","2","CAC-3 " "053302","CHILDRENS HOSP OF LOS ANGELES","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","103 patients","2 ","2","CAC-1 " "053302","CHILDRENS HOSP OF LOS ANGELES","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","102 patients","2 ","2","CAC-2 " "053305","LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","81 patients","2 ","2","CAC-2 " "053305","LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","77%","81 patients","2 ","2","CAC-3 " "053305","LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","81 patients","2 ","2","CAC-1 " "053309","MILLER CHILDREN'S HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","272 patients","2 ","2","CAC-2 " "053309","MILLER CHILDREN'S HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","272 patients","2 ","2","CAC-1 " "053309","MILLER CHILDREN'S HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","33%","270 patients","2 ","2","CAC-3 " "060001","NORTH COLORADO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","134 patients","2 ","2","PN-5C " "060001","NORTH COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","322 patients","2 ","2","SCIP-INF-2 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","73 patients","2 ","2","AMI-4 " "060001","NORTH COLORADO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","87 patients","2 ","2","PN-7 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","161 patients","2 ","2","AMI-1 " "060001","NORTH COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","77 patients","2 ","2","SCIP-INF-4 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","202 patients","2 ","2","AMI-2 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","242 patients","2 ","2","HF-2 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","46 patients","2 ","2","AMI-8A " "060001","NORTH COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","303 patients","2 ","2","SCIP-INF-3 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "060001","NORTH COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","56 patients","2 ","2","SCIP-CARD-2 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","94 patients","2 ","2","HF-3 " "060001","NORTH COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","176 patients","2 ","2","SCIP-VTE-2 " "060001","NORTH COLORADO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","96 patients","2 ","2","PN-3B " "060001","NORTH COLORADO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","189 patients","2 ","2","HF-1 " "060001","NORTH COLORADO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","53 patients","2 ","2","PN-4 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","39 patients","2 ","2","HF-4 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients","2 ","2","AMI-3 " "060001","NORTH COLORADO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","97 patients","2 ","2","PN-6 " "060001","NORTH COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","314 patients","2 ","2","SCIP-INF-1 " "060001","NORTH COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","176 patients","2 ","2","SCIP-VTE-1 " "060001","NORTH COLORADO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","194 patients","2 ","2","AMI-5 " "060001","NORTH COLORADO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","457 patients","2 ","2","SCIP-INF-6 " "060001","NORTH COLORADO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","120 patients","2 ","2","PN-2 " "060003","LONGMONT UNITED HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","114 patients",,,"PN-2 " "060003","LONGMONT UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","59 patients",,,"SCIP-INF-4 " "060003","LONGMONT UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","488 patients",,,"SCIP-INF-1 " "060003","LONGMONT UNITED HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","107 patients",,,"PN-6 " "060003","LONGMONT UNITED HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","110 patients",,,"AMI-1 " "060003","LONGMONT UNITED HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","104 patients",,,"HF-1 " "060003","LONGMONT UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","463 patients",,,"SCIP-INF-3 " "060003","LONGMONT UNITED HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","74 patients",,,"PN-3B " "060003","LONGMONT UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","752 patients",,,"SCIP-INF-6 " "060003","LONGMONT UNITED HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","35 patients",,,"HF-3 " "060003","LONGMONT UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","490 patients",,,"SCIP-INF-2 " "060003","LONGMONT UNITED HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","323 patients",,,"SCIP-VTE-1 " "060003","LONGMONT UNITED HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","103 patients",,,"AMI-2 " "060003","LONGMONT UNITED HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060003","LONGMONT UNITED HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","46 patients",,,"PN-4 " "060003","LONGMONT UNITED HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","128 patients",,,"PN-5C " "060003","LONGMONT UNITED HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","100 patients",,,"AMI-5 " "060003","LONGMONT UNITED HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","45 patients",,,"AMI-8A " "060003","LONGMONT UNITED HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","HF-4 " "060003","LONGMONT UNITED HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","323 patients",,,"SCIP-VTE-2 " "060003","LONGMONT UNITED HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","13 patients","1 ","1","AMI-3 " "060003","LONGMONT UNITED HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","60 patients",,,"SCIP-CARD-2 " "060003","LONGMONT UNITED HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","33 patients",,,"AMI-4 " "060003","LONGMONT UNITED HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","80 patients",,,"PN-7 " "060003","LONGMONT UNITED HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","154 patients",,,"HF-2 " "060004","PLATTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","269 patients",,,"SCIP-INF-6 " "060004","PLATTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","115 patients",,,"SCIP-VTE-2 " "060004","PLATTE VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","51 patients",,,"PN-2 " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients",,,"AMI-1 " "060004","PLATTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","201 patients",,,"SCIP-INF-1 " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "060004","PLATTE VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","58 patients",,,"PN-3B " "060004","PLATTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060004","PLATTE VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","40 patients",,,"PN-7 " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "060004","PLATTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","198 patients",,,"SCIP-INF-3 " "060004","PLATTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","24 patients","1 ","1","SCIP-CARD-2 " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","61 patients",,,"HF-2 " "060004","PLATTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","115 patients",,,"SCIP-VTE-1 " "060004","PLATTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","201 patients",,,"SCIP-INF-2 " "060004","PLATTE VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","77 patients",,,"PN-5C " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "060004","PLATTE VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","56 patients",,,"HF-1 " "060004","PLATTE VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","65 patients",,,"PN-6 " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "060004","PLATTE VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "060006","MONTROSE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","288 patients","2 ","2","SCIP-INF-6 " "060006","MONTROSE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","63 patients",,,"PN-2 " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","37 patients",,,"HF-1 " "060006","MONTROSE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","52 patients",,,"PN-6 " "060006","MONTROSE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","67 patients",,,"PN-3B " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","39 patients",,,"AMI-2 " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "060006","MONTROSE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","186 patients","2 ","2","SCIP-INF-1 " "060006","MONTROSE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","71 patients",,,"PN-5C " "060006","MONTROSE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","29 patients","2 ","2","SCIP-CARD-2 " "060006","MONTROSE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","115 patients","2 ","2","SCIP-VTE-1 " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","5 patients","1 ","1","AMI-8A " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "060006","MONTROSE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","182 patients","2 ","2","SCIP-INF-3 " "060006","MONTROSE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "060006","MONTROSE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "060006","MONTROSE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","189 patients","2 ","2","SCIP-INF-2 " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","39 patients",,,"AMI-1 " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060006","MONTROSE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","44 patients",,,"PN-7 " "060006","MONTROSE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","47 patients",,,"HF-2 " "060006","MONTROSE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","115 patients","2 ","2","SCIP-VTE-2 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","194 patients",,,"SCIP-INF-1 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","86 patients",,,"PN-5C " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"PN-4 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","268 patients",,,"SCIP-INF-6 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","66 patients",,,"PN-3B " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","192 patients",,,"SCIP-INF-3 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","HF-4 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","59 patients",,,"PN-2 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"HF-3 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","28 patients",,,"SCIP-CARD-2 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","58 patients",,,"HF-2 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","39 patients",,,"PN-6 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","50 patients",,,"PN-7 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","108 patients",,,"SCIP-VTE-2 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","195 patients",,,"SCIP-INF-2 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","109 patients",,,"SCIP-VTE-1 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","43 patients",,,"HF-1 " "060008","SAN LUIS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","85 patients","2 ","2","PN-6 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","AMI-4 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","158 patients","2 ","2","SCIP-VTE-2 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","263 patients","2 ","2","AMI-1 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","74 patients","2 ","2","PN-7 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","77 patients","2 ","2","SCIP-CARD-2 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","190 patients","2 ","2","HF-1 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","239 patients","2 ","2","AMI-2 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","56 patients","2 ","2","HF-3 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","344 patients","2 ","2","SCIP-INF-1 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","131 patients","2 ","2","PN-5C " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","192 patients","2 ","2","AMI-5 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","94 patients","2 ","2","SCIP-INF-4 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","493 patients","2 ","2","SCIP-INF-6 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","158 patients","2 ","2","SCIP-VTE-1 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","132 patients","2 ","2","PN-3B " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","346 patients","2 ","2","SCIP-INF-2 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients","2 ","2","AMI-3 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","HF-4 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","250 patients","2 ","2","HF-2 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","319 patients","2 ","2","SCIP-INF-3 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","100 patients","2 ","2","PN-2 " "060009","EXEMPLA LUTHERAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","48 patients","2 ","2","AMI-8A " "060010","POUDRE VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","73 patients",,,"HF-3 " "060010","POUDRE VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "060010","POUDRE VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","80 patients",,,"AMI-5 " "060010","POUDRE VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","215 patients",,,"PN-2 " "060010","POUDRE VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","247 patients",,,"PN-3B " "060010","POUDRE VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","28 patients",,,"AMI-8A " "060010","POUDRE VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","168 patients",,,"PN-7 " "060010","POUDRE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","336 patients","2 ","2","SCIP-VTE-1 " "060010","POUDRE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","87 patients","2 ","2","SCIP-CARD-2 " "060010","POUDRE VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","228 patients",,,"PN-5C " "060010","POUDRE VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","83 patients",,,"PN-4 " "060010","POUDRE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060010","POUDRE VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","80 patients",,,"AMI-2 " "060010","POUDRE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","623 patients","2 ","2","SCIP-INF-1 " "060010","POUDRE VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060010","POUDRE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","606 patients","2 ","2","SCIP-INF-3 " "060010","POUDRE VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","146 patients",,,"HF-1 " "060010","POUDRE VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","169 patients",,,"PN-6 " "060010","POUDRE VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","106 patients",,,"AMI-1 " "060010","POUDRE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","619 patients","2 ","2","SCIP-INF-2 " "060010","POUDRE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","79%","918 patients","2 ","2","SCIP-INF-6 " "060010","POUDRE VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "060010","POUDRE VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","203 patients",,,"HF-2 " "060010","POUDRE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","335 patients","2 ","2","SCIP-VTE-2 " "060010","POUDRE VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","49 patients","2 ","2","AMI-4 " "060011","DENVER HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","17 patients","1,2 ","12","SCIP-CARD-2 " "060011","DENVER HEALTH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","61 patients","2 ","2","PN-2 " "060011","DENVER HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","189 patients","2 ","2","SCIP-INF-3 " "060011","DENVER HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","199 patients","2 ","2","SCIP-INF-1 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","126 patients","2 ","2","HF-3 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1,2 ","12","AMI-3 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","92 patients","2 ","2","AMI-2 " "060011","DENVER HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","190 patients","2 ","2","SCIP-VTE-1 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","283 patients","2 ","2","HF-2 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","121 patients","2 ","2","HF-4 " "060011","DENVER HEALTH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","118 patients","2 ","2","PN-4 " "060011","DENVER HEALTH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","97 patients","2 ","2","PN-6 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","272 patients","2 ","2","HF-1 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","105 patients","2 ","2","AMI-1 " "060011","DENVER HEALTH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","72 patients","2 ","2","PN-7 " "060011","DENVER HEALTH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","141 patients","2 ","2","PN-5C " "060011","DENVER HEALTH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","77 patients","2 ","2","PN-3B " "060011","DENVER HEALTH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "060011","DENVER HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","206 patients","2 ","2","SCIP-INF-2 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","89 patients","2 ","2","AMI-5 " "060011","DENVER HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","190 patients","2 ","2","SCIP-VTE-2 " "060011","DENVER HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "060011","DENVER HEALTH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","9 patients","1,2 ","12","AMI-8A " "060011","DENVER HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","325 patients","2 ","2","SCIP-INF-6 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","62 patients","2 ","2","SCIP-CARD-2 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","196 patients",,,"PN-3B " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","141 patients",,,"AMI-2 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","124 patients",,,"PN-6 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","88 patients",,,"AMI-1 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","358 patients","2 ","2","SCIP-VTE-1 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","189 patients",,,"PN-2 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","629 patients","2 ","2","SCIP-INF-6 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","25 patients",,,"AMI-8A " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","46 patients",,,"HF-3 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","380 patients","2 ","2","SCIP-INF-3 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","358 patients","2 ","2","SCIP-VTE-2 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","397 patients","2 ","2","SCIP-INF-2 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"PN-4 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","109 patients",,,"HF-1 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","130 patients",,,"HF-2 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","186 patients",,,"PN-5C " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","139 patients",,,"AMI-5 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","391 patients","2 ","2","SCIP-INF-1 " "060012","CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","143 patients",,,"PN-7 " "060013","MERCY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","320 patients",,,"SCIP-INF-1 " "060013","MERCY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","66 patients",,,"PN-2 " "060013","MERCY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","39 patients",,,"SCIP-CARD-2 " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","40 patients",,,"HF-1 " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","30 patients",,,"AMI-8A " "060013","MERCY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","176 patients",,,"SCIP-VTE-2 " "060013","MERCY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","321 patients",,,"SCIP-INF-2 " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","65 patients",,,"AMI-1 " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","108 patients",,,"AMI-5 " "060013","MERCY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","49 patients",,,"HF-2 " "060013","MERCY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"PN-4 " "060013","MERCY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","75 patients",,,"PN-3B " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","HF-3 " "060013","MERCY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","176 patients",,,"SCIP-VTE-1 " "060013","MERCY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","72 patients",,,"PN-5C " "060013","MERCY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","309 patients",,,"SCIP-INF-3 " "060013","MERCY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","436 patients",,,"SCIP-INF-6 " "060013","MERCY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","46 patients",,,"PN-6 " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","117 patients",,,"AMI-2 " "060013","MERCY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","49 patients",,,"PN-7 " "060013","MERCY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","222 patients","2 ","2","SCIP-VTE-1 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","27 patients",,,"PN-4 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","63 patients",,,"PN-7 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","76 patients",,,"PN-3B " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"AMI-4 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","77 patients",,,"AMI-5 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","55 patients",,,"CAC-2 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","323 patients","2 ","2","SCIP-INF-1 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","38 patients",,,"AMI-1 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","120 patients",,,"HF-2 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","75 patients",,,"PN-2 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","299 patients","2 ","2","SCIP-INF-3 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","221 patients","2 ","2","SCIP-VTE-2 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","66 patients",,,"PN-5C " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","99 patients",,,"HF-1 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"HF-3 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","549 patients","2 ","2","SCIP-INF-6 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","55 patients",,,"CAC-1 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","328 patients","2 ","2","SCIP-INF-2 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","69%","54 patients",,,"CAC-3 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-8A " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","64 patients","2 ","2","SCIP-INF-4 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","82 patients",,,"AMI-2 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients",,,"PN-6 " "060014","PRESBYTERIAN/ST LUKE'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","62 patients","2 ","2","SCIP-CARD-2 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","110 patients","2 ","2","SCIP-CARD-2 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","169 patients","2 ","2","PN-5C " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","794 patients","2 ","2","SCIP-INF-6 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","46 patients",,,"HF-4 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","53 patients","2 ","2","AMI-3 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","68 patients",,,"HF-3 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","175 patients","2 ","2","AMI-1 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","247 patients","2 ","2","SCIP-VTE-2 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","105 patients","2 ","2","PN-6 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","568 patients","2 ","2","SCIP-INF-3 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","62 patients","2 ","2","AMI-8A " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","263 patients","2 ","2","AMI-2 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","614 patients","2 ","2","SCIP-INF-2 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","255 patients","2 ","2","AMI-5 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","96 patients","2 ","2","PN-7 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","129 patients","2 ","2","PN-2 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","191 patients",,,"HF-2 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","606 patients","2 ","2","SCIP-INF-1 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","145 patients","2 ","2","SCIP-INF-4 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","80 patients","2 ","2","PN-4 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","90 patients","2 ","2","AMI-4 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","249 patients","2 ","2","SCIP-VTE-1 " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","169 patients","2 ","2","PN-3B " "060015","CENTURA HEALTH-ST ANTHONY CENTRAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","150 patients",,,"HF-1 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","38 patients",,,"HF-2 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","125 patients",,,"SCIP-VTE-1 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","23 patients","1 ","1","SCIP-CARD-2 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","PN-4 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","151 patients",,,"SCIP-INF-3 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","74 patients",,,"PN-5C " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","27 patients",,,"HF-1 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","43 patients",,,"PN-7 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","153 patients",,,"SCIP-INF-1 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","48 patients",,,"PN-3B " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","153 patients",,,"SCIP-INF-2 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","239 patients",,,"SCIP-INF-6 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","65 patients",,,"PN-2 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","125 patients",,,"SCIP-VTE-2 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","53 patients",,,"PN-6 " "060016","CENTURA HEALTH-ST THOMAS MORE HOSP & PROG CARE CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "060020","PARKVIEW MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","111 patients","2 ","2","PN-7 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060020","PARKVIEW MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","146 patients","2 ","2","PN-3B " "060020","PARKVIEW MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","125 patients",,,"AMI-1 " "060020","PARKVIEW MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","153 patients","2 ","2","PN-5C " "060020","PARKVIEW MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","142 patients","2 ","2","PN-2 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","187 patients",,,"HF-2 " "060020","PARKVIEW MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","104 patients","2 ","2","PN-6 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"AMI-4 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","37 patients",,,"AMI-8A " "060020","PARKVIEW MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","75 patients","2 ","2","PN-4 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","161 patients",,,"AMI-5 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","152 patients",,,"HF-1 " "060020","PARKVIEW MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","344 patients","2 ","2","SCIP-INF-2 " "060020","PARKVIEW MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","215 patients","2 ","2","SCIP-VTE-2 " "060020","PARKVIEW MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","215 patients","2 ","2","SCIP-VTE-1 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","173 patients",,,"AMI-2 " "060020","PARKVIEW MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","342 patients","2 ","2","SCIP-INF-1 " "060020","PARKVIEW MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","74%","89 patients","2 ","2","SCIP-INF-4 " "060020","PARKVIEW MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","519 patients","2 ","2","SCIP-INF-6 " "060020","PARKVIEW MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","321 patients","2 ","2","SCIP-INF-3 " "060020","PARKVIEW MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","78 patients","2 ","2","SCIP-CARD-2 " "060020","PARKVIEW MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","63 patients",,,"HF-3 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","297 patients",,,"AMI-1 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","177 patients",,,"HF-3 " "060022","MEMORIAL HOSPITAL CENTRAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","257 patients",,,"PN-6 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","93 patients",,,"HF-4 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","45 patients",,,"AMI-3 " "060022","MEMORIAL HOSPITAL CENTRAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","360 patients",,,"PN-3B " "060022","MEMORIAL HOSPITAL CENTRAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","392 patients",,,"PN-5C " "060022","MEMORIAL HOSPITAL CENTRAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","1500 patients","2 ","2","SCIP-INF-6 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","85 patients",,,"AMI-8A " "060022","MEMORIAL HOSPITAL CENTRAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","219 patients",,,"PN-7 " "060022","MEMORIAL HOSPITAL CENTRAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1112 patients","2 ","2","SCIP-INF-2 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "060022","MEMORIAL HOSPITAL CENTRAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","171 patients",,,"PN-4 " "060022","MEMORIAL HOSPITAL CENTRAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","268 patients",,,"PN-2 " "060022","MEMORIAL HOSPITAL CENTRAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","427 patients","2 ","2","SCIP-VTE-1 " "060022","MEMORIAL HOSPITAL CENTRAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","294 patients","2 ","2","SCIP-INF-4 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","387 patients",,,"AMI-5 " "060022","MEMORIAL HOSPITAL CENTRAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","1052 patients","2 ","2","SCIP-INF-1 " "060022","MEMORIAL HOSPITAL CENTRAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","424 patients","2 ","2","SCIP-VTE-2 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","147 patients",,,"AMI-4 " "060022","MEMORIAL HOSPITAL CENTRAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","199 patients","2 ","2","SCIP-CARD-2 " "060022","MEMORIAL HOSPITAL CENTRAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","1031 patients","2 ","2","SCIP-INF-3 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","458 patients",,,"HF-2 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","402 patients",,,"AMI-2 " "060022","MEMORIAL HOSPITAL CENTRAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","386 patients",,,"HF-1 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","59 patients",,,"HF-3 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","33 patients",,,"AMI-8A " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","151 patients",,,"AMI-1 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","936 patients",,,"SCIP-INF-2 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","145 patients",,,"PN-7 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","322 patients",,,"AMI-5 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","221 patients",,,"PN-5C " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","178 patients",,,"HF-1 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","206 patients",,,"SCIP-INF-4 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","201 patients",,,"PN-3B " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","629 patients",,,"SCIP-VTE-1 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","145 patients",,,"PN-6 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","198 patients",,,"SCIP-CARD-2 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","930 patients",,,"SCIP-INF-1 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1567 patients",,,"SCIP-INF-6 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","93 patients",,,"PN-4 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","177 patients",,,"PN-2 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","629 patients",,,"SCIP-VTE-2 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","127 patients",,,"AMI-4 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","331 patients",,,"AMI-2 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","906 patients",,,"SCIP-INF-3 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","218 patients",,,"HF-2 " "060023","ST MARY'S HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","44 patients",,,"AMI-3 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","71 patients","2 ","2","PN-7 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","40 patients","2 ","2","SCIP-CARD-2 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","164 patients","2 ","2","AMI-2 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","59 patients","2 ","2","AMI-4 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","165 patients","2 ","2","AMI-5 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","284 patients","2 ","2","HF-2 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1,2 ","12","AMI-3 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","132 patients","2 ","2","PN-3B " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","218 patients","2 ","2","SCIP-VTE-1 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","347 patients","2 ","2","SCIP-INF-1 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","74 patients","2 ","2","HF-4 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","339 patients","2 ","2","SCIP-INF-3 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","147 patients","2 ","2","AMI-1 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","132 patients","2 ","2","PN-5C " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","85 patients","2 ","2","HF-3 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","70 patients","2 ","2","PN-2 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","71 patients","2 ","2","PN-6 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","98 patients","2 ","2","SCIP-INF-4 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","44 patients","2 ","2","AMI-8A " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","260 patients","2 ","2","HF-1 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","68 patients","2 ","2","PN-4 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","526 patients","2 ","2","SCIP-INF-6 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","357 patients","2 ","2","SCIP-INF-2 " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "060024","UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","218 patients","2 ","2","SCIP-VTE-2 " "060027","BOULDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","114 patients","2 ","2","SCIP-INF-4 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","83 patients",,,"AMI-2 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"AMI-3 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","141 patients",,,"HF-2 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "060027","BOULDER COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","100 patients",,,"PN-6 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","40 patients",,,"HF-3 " "060027","BOULDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","205 patients","2 ","2","SCIP-VTE-1 " "060027","BOULDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","393 patients","2 ","2","SCIP-INF-1 " "060027","BOULDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","205 patients","2 ","2","SCIP-VTE-2 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","26 patients",,,"AMI-8A " "060027","BOULDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","393 patients","2 ","2","SCIP-INF-2 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","68 patients",,,"AMI-1 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","103 patients",,,"HF-1 " "060027","BOULDER COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","135 patients",,,"PN-2 " "060027","BOULDER COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","45 patients",,,"PN-4 " "060027","BOULDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","544 patients","2 ","2","SCIP-INF-6 " "060027","BOULDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","386 patients","2 ","2","SCIP-INF-3 " "060027","BOULDER COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","94 patients",,,"PN-7 " "060027","BOULDER COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","114 patients",,,"PN-3B " "060027","BOULDER COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","132 patients",,,"PN-5C " "060027","BOULDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","54 patients","2 ","2","SCIP-CARD-2 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","91 patients",,,"AMI-5 " "060027","BOULDER COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","60 patients","2 ","2","HF-3 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","HF-4 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","46 patients","2 ","2","PN-4 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","197 patients","2 ","2","AMI-2 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","405 patients","2 ","2","SCIP-INF-3 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","190 patients","2 ","2","AMI-5 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","88 patients","2 ","2","PN-7 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","432 patients","2 ","2","SCIP-INF-1 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","171 patients","2 ","2","AMI-1 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","134 patients","2 ","2","SCIP-INF-4 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","111 patients","2 ","2","PN-5C " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","130 patients","2 ","2","SCIP-CARD-2 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","32 patients","2 ","2","AMI-3 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","105 patients","2 ","2","PN-3B " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","211 patients","2 ","2","HF-1 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","122 patients","2 ","2","PN-2 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","77 patients","2 ","2","PN-6 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","209 patients","2 ","2","SCIP-VTE-2 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","241 patients","2 ","2","HF-2 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","209 patients","2 ","2","SCIP-VTE-1 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","437 patients","2 ","2","SCIP-INF-2 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","582 patients","2 ","2","SCIP-INF-6 " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","43 patients","2 ","2","AMI-8A " "060028","EXEMPLA SAINT JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","AMI-4 " "060030","MCKEE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","106 patients",,,"HF-2 " "060030","MCKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060030","MCKEE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","89 patients","2 ","2","PN-6 " "060030","MCKEE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060030","MCKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","325 patients","2 ","2","SCIP-INF-6 " "060030","MCKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","227 patients","2 ","2","SCIP-INF-2 " "060030","MCKEE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","34 patients",,,"AMI-2 " "060030","MCKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","139 patients","2 ","2","SCIP-VTE-2 " "060030","MCKEE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","138 patients","2 ","2","PN-5C " "060030","MCKEE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "060030","MCKEE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","92 patients","2 ","2","PN-7 " "060030","MCKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1,2 ","12","SCIP-CARD-2 " "060030","MCKEE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","41 patients",,,"AMI-1 " "060030","MCKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","228 patients","2 ","2","SCIP-INF-1 " "060030","MCKEE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","PN-4 " "060030","MCKEE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "060030","MCKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","140 patients","2 ","2","SCIP-VTE-1 " "060030","MCKEE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","26 patients",,,"HF-3 " "060030","MCKEE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "060030","MCKEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","220 patients","2 ","2","SCIP-INF-3 " "060030","MCKEE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","69 patients",,,"HF-1 " "060030","MCKEE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "060030","MCKEE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "060030","MCKEE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","97 patients","2 ","2","PN-3B " "060030","MCKEE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","129 patients","2 ","2","PN-2 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","351 patients",,,"PN-5C " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","317 patients",,,"AMI-1 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","130 patients",,,"AMI-4 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","170 patients","2 ","2","SCIP-INF-4 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1074 patients","2 ","2","SCIP-INF-6 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","279 patients",,,"HF-1 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","116 patients",,,"PN-4 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","326 patients",,,"HF-2 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","108 patients",,,"AMI-8A " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","266 patients",,,"PN-6 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","619 patients","2 ","2","SCIP-INF-3 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","255 patients",,,"PN-3B " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","669 patients","2 ","2","SCIP-INF-2 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","336 patients",,,"AMI-5 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","314 patients",,,"PN-2 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","127 patients","2 ","2","SCIP-CARD-2 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","375 patients",,,"AMI-2 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","660 patients","2 ","2","SCIP-INF-1 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","109 patients",,,"HF-3 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","44 patients",,,"AMI-3 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","403 patients","2 ","2","SCIP-VTE-1 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","403 patients","2 ","2","SCIP-VTE-2 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","208 patients",,,"PN-7 " "060031","CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","58 patients",,,"HF-4 " "060032","ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","444 patients","2 ","2","SCIP-INF-1 " "060032","ROSE MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","24 patients","1 ","1","CAC-1 " "060032","ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","257 patients","2 ","2","SCIP-VTE-2 " "060032","ROSE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060032","ROSE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","42 patients",,,"HF-3 " "060032","ROSE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients","2 ","2","PN-4 " "060032","ROSE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","160 patients","2 ","2","PN-3B " "060032","ROSE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","91 patients","2 ","2","PN-7 " "060032","ROSE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","115 patients",,,"AMI-2 " "060032","ROSE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "060032","ROSE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","125 patients",,,"AMI-1 " "060032","ROSE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","130 patients","2 ","2","PN-2 " "060032","ROSE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","135 patients",,,"HF-1 " "060032","ROSE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","139 patients","2 ","2","PN-5C " "060032","ROSE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","181 patients",,,"HF-2 " "060032","ROSE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "060032","ROSE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","37 patients",,,"AMI-8A " "060032","ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","625 patients","2 ","2","SCIP-INF-6 " "060032","ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","42 patients","2 ","2","SCIP-CARD-2 " "060032","ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","435 patients","2 ","2","SCIP-INF-3 " "060032","ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","257 patients","2 ","2","SCIP-VTE-1 " "060032","ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","444 patients","2 ","2","SCIP-INF-2 " "060032","ROSE MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","88%","24 patients","1 ","1","CAC-3 " "060032","ROSE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","60 patients","2 ","2","PN-6 " "060032","ROSE MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","24 patients","1 ","1","CAC-2 " "060032","ROSE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"AMI-4 " "060032","ROSE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","101 patients",,,"AMI-5 " "060032","ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","36 patients","2 ","2","SCIP-INF-4 " "060034","SWEDISH MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","55 patients",,,"CAC-1 " "060034","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","426 patients","2 ","2","SCIP-INF-1 " "060034","SWEDISH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","240 patients","2 ","2","HF-2 " "060034","SWEDISH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","58 patients","2 ","2","HF-3 " "060034","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","372 patients","2 ","2","SCIP-INF-3 " "060034","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","124 patients","2 ","2","SCIP-INF-4 " "060034","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","97 patients","2 ","2","SCIP-CARD-2 " "060034","SWEDISH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","HF-4 " "060034","SWEDISH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"AMI-4 " "060034","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","318 patients","2 ","2","SCIP-VTE-1 " "060034","SWEDISH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","157 patients",,,"AMI-1 " "060034","SWEDISH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060034","SWEDISH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","105 patients","2 ","2","PN-7 " "060034","SWEDISH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","182 patients","2 ","2","HF-1 " "060034","SWEDISH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","52 patients",,,"AMI-8A " "060034","SWEDISH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","126 patients","2 ","2","PN-3B " "060034","SWEDISH MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","16%","57 patients",,,"CAC-3 " "060034","SWEDISH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","170 patients",,,"AMI-5 " "060034","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","318 patients","2 ","2","SCIP-VTE-2 " "060034","SWEDISH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","160 patients",,,"AMI-2 " "060034","SWEDISH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "060034","SWEDISH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","139 patients","2 ","2","PN-2 " "060034","SWEDISH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","87 patients","2 ","2","PN-6 " "060034","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","720 patients","2 ","2","SCIP-INF-6 " "060034","SWEDISH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","55 patients","2 ","2","PN-4 " "060034","SWEDISH MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","57 patients",,,"CAC-2 " "060034","SWEDISH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","140 patients","2 ","2","PN-5C " "060034","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","437 patients","2 ","2","SCIP-INF-2 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","66 patients",,,"HF-2 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","189 patients",,,"PN-2 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","20%","15 patients","1 ","1","SCIP-INF-2 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","85 patients",,,"PN-4 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","220 patients",,,"PN-5C " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","29%","21 patients","1 ","1","SCIP-VTE-2 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","14 patients","1 ","1","SCIP-INF-1 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","193 patients",,,"PN-3B " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","12 patients","1 ","1","SCIP-INF-3 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","18 patients","1 ","1","HF-3 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","83 patients",,,"PN-6 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","70%","10 patients","1 ","1","AMI-2 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","27%","22 patients","1 ","1","SCIP-VTE-1 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","141 patients",,,"PN-7 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","51 patients",,,"HF-1 " "060036","ARKANSAS VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","28 patients",,,"SCIP-INF-6 " "060043","KEEFE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","4 patients","1,3 ","13","HF-2 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "060043","KEEFE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "060043","KEEFE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","23 patients","1 ","1","PN-6 " "060043","KEEFE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "060043","KEEFE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "060043","KEEFE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "060043","KEEFE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "060043","KEEFE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "060043","KEEFE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","27 patients",,,"PN-2 " "060043","KEEFE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "060043","KEEFE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","23 patients","1 ","1","PN-7 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "060043","KEEFE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "060043","KEEFE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","28 patients",,,"PN-5C " "060043","KEEFE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "060043","KEEFE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1,3 ","13","HF-1 " "060044","COLORADO PLAINS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","46 patients",,,"PN-5C " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "060044","COLORADO PLAINS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "060044","COLORADO PLAINS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","27 patients",,,"PN-7 " "060044","COLORADO PLAINS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","30 patients",,,"PN-6 " "060044","COLORADO PLAINS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","68 patients",,,"SCIP-VTE-2 " "060044","COLORADO PLAINS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","94 patients",,,"SCIP-INF-2 " "060044","COLORADO PLAINS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","40 patients",,,"PN-2 " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "060044","COLORADO PLAINS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","18 patients","1 ","1","HF-1 " "060044","COLORADO PLAINS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","126 patients",,,"SCIP-INF-6 " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "060044","COLORADO PLAINS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","93 patients",,,"SCIP-INF-1 " "060044","COLORADO PLAINS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","45 patients",,,"PN-3B " "060044","COLORADO PLAINS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","90 patients",,,"SCIP-INF-3 " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "060044","COLORADO PLAINS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","34 patients",,,"HF-2 " "060044","COLORADO PLAINS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","69 patients",,,"SCIP-VTE-1 " "060044","COLORADO PLAINS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,2,3 ","123","AMI-2 " "060049","YAMPA VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","13 patients","1,2 ","12","PN-6 " "060049","YAMPA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","90 patients","2 ","2","SCIP-VTE-2 " "060049","YAMPA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","179 patients","2 ","2","SCIP-INF-2 " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,2,3 ","123","AMI-5 " "060049","YAMPA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","181 patients","2 ","2","SCIP-INF-1 " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1,2 ","12","HF-3 " "060049","YAMPA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1,2 ","12","SCIP-CARD-2 " "060049","YAMPA VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1,2 ","12","PN-4 " "060049","YAMPA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","HF-4 " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,2,3 ","123","AMI-1 " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "060049","YAMPA VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","15 patients","1,2 ","12","PN-2 " "060049","YAMPA VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","10 patients","1,2 ","12","PN-7 " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","14 patients","1,2 ","12","HF-2 " "060049","YAMPA VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1,2 ","12","PN-3B " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","14 patients","1,2 ","12","HF-1 " "060049","YAMPA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","178 patients","2 ","2","SCIP-INF-3 " "060049","YAMPA VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","AMI-4 " "060049","YAMPA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","218 patients","2 ","2","SCIP-INF-6 " "060049","YAMPA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","90 patients","2 ","2","SCIP-VTE-1 " "060049","YAMPA VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","17 patients","1,2 ","12","PN-5C " "060054","COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","33 patients",,,"PN-4 " "060054","COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","42 patients",,,"HF-2 " "060054","COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "060054","COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "060054","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","314 patients","2 ","2","SCIP-INF-6 " "060054","COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1,3 ","13","AMI-1 " "060054","COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "060054","COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","64 patients",,,"PN-3B " "060054","COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","44 patients",,,"PN-7 " "060054","COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","74 patients",,,"PN-6 " "060054","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060054","COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "060054","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","226 patients","2 ","2","SCIP-INF-2 " "060054","COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","86 patients",,,"PN-5C " "060054","COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","27 patients",,,"HF-1 " "060054","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","226 patients","2 ","2","SCIP-INF-1 " "060054","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","173 patients","2 ","2","SCIP-VTE-2 " "060054","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","40 patients",,,"SCIP-CARD-2 " "060054","COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "060054","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","173 patients","2 ","2","SCIP-VTE-1 " "060054","COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "060054","COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "060054","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","220 patients","2 ","2","SCIP-INF-3 " "060054","COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "060054","COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","63 patients",,,"PN-2 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","74 patients","2 ","2","SCIP-INF-4 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","81 patients",,,"PN-2 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-8A " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","198 patients","2 ","2","SCIP-VTE-1 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","84 patients","2 ","2","SCIP-CARD-2 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","242 patients",,,"SCIP-INF-3 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","49 patients",,,"PN-4 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","40 patients",,,"AMI-1 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","48 patients",,,"HF-3 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","92 patients",,,"HF-1 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","50 patients",,,"AMI-5 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","98 patients",,,"HF-2 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","48 patients",,,"AMI-2 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","65 patients",,,"PN-6 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","198 patients","2 ","2","SCIP-VTE-2 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","345 patients","2 ","2","SCIP-INF-6 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","25 patients",,,"HF-4 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","247 patients",,,"SCIP-INF-2 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","94 patients",,,"PN-3B " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","85 patients",,,"PN-5C " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","243 patients",,,"SCIP-INF-1 " "06005F","VA EASTERN COLORADO HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","77 patients",,,"PN-7 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"HF-3 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","104 patients",,,"HF-1 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","243 patients","2 ","2","SCIP-VTE-2 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","58 patients",,,"PN-4 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","627 patients","2 ","2","SCIP-INF-3 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","805 patients","2 ","2","SCIP-INF-6 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","175 patients",,,"PN-3B " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","653 patients","2 ","2","SCIP-INF-2 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","88 patients",,,"AMI-5 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","136 patients",,,"PN-6 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","132 patients","2 ","2","SCIP-INF-4 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","136 patients",,,"HF-2 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","132 patients",,,"PN-7 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","243 patients","2 ","2","SCIP-VTE-1 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","82 patients",,,"AMI-2 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","168 patients",,,"PN-5C " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","643 patients","2 ","2","SCIP-INF-1 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","79 patients",,,"AMI-1 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","17 patients","1 ","1","AMI-8A " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","162 patients",,,"PN-2 " "060064","CENTURA HEALTH-PORTER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","114 patients","2 ","2","SCIP-CARD-2 " "060065","NORTH SUBURBAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","PN-4 " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"HF-3 " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "060065","NORTH SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","199 patients","2 ","2","SCIP-INF-3 " "060065","NORTH SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","332 patients","2 ","2","SCIP-INF-6 " "060065","NORTH SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","178 patients","2 ","2","SCIP-VTE-1 " "060065","NORTH SUBURBAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","66 patients","2 ","2","PN-2 " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","86 patients",,,"AMI-1 " "060065","NORTH SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","178 patients","2 ","2","SCIP-VTE-2 " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","70 patients",,,"AMI-2 " "060065","NORTH SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","215 patients","2 ","2","SCIP-INF-1 " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "060065","NORTH SUBURBAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","58 patients","2 ","2","PN-7 " "060065","NORTH SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","58 patients",,,"HF-1 " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","54 patients",,,"AMI-5 " "060065","NORTH SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","218 patients","2 ","2","SCIP-INF-2 " "060065","NORTH SUBURBAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","74 patients","2 ","2","PN-6 " "060065","NORTH SUBURBAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","118 patients","2 ","2","PN-3B " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","30 patients",,,"AMI-8A " "060065","NORTH SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1,2 ","12","SCIP-CARD-2 " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060065","NORTH SUBURBAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","75 patients",,,"HF-2 " "060065","NORTH SUBURBAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","125 patients","2 ","2","PN-5C " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","141 patients",,,"SCIP-VTE-2 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","29 patients",,,"AMI-1 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","48 patients",,,"HF-1 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","233 patients",,,"SCIP-INF-3 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","317 patients",,,"SCIP-INF-6 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","110 patients",,,"PN-5C " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","80 patients",,,"PN-6 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","234 patients",,,"SCIP-INF-1 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","23 patients","1 ","1","AMI-5 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","95 patients",,,"PN-2 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","235 patients",,,"SCIP-INF-2 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","24 patients","1 ","1","SCIP-CARD-2 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","66 patients",,,"PN-7 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","141 patients",,,"SCIP-VTE-1 " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","64 patients",,,"PN-3B " "060071","DELTA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","63 patients",,,"HF-2 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","16 patients","1,2 ","12","SCIP-CARD-2 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","36 patients",,,"PN-3B " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","37 patients",,,"PN-2 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","7 patients","1 ","1","AMI-8A " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","36 patients",,,"PN-6 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","175 patients","2 ","2","SCIP-INF-1 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","149 patients","2 ","2","SCIP-VTE-1 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","170 patients","2 ","2","SCIP-INF-3 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","264 patients","2 ","2","SCIP-INF-6 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","175 patients","2 ","2","SCIP-INF-2 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","21 patients","1 ","1","HF-2 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","22 patients","1 ","1","AMI-1 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","46 patients",,,"PN-5C " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","30 patients",,,"PN-7 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","17 patients","1 ","1","PN-4 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","42%","12 patients","1 ","1","HF-1 " "060075","VALLEY VIEW HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","148 patients","2 ","2","SCIP-VTE-2 " "060076","STERLING REGIONAL MEDCENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","41 patients",,,"PN-2 " "060076","STERLING REGIONAL MEDCENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","17 patients","1 ","1","SCIP-CARD-2 " "060076","STERLING REGIONAL MEDCENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","96 patients",,,"SCIP-INF-2 " "060076","STERLING REGIONAL MEDCENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","94 patients",,,"SCIP-INF-1 " "060076","STERLING REGIONAL MEDCENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","124 patients",,,"SCIP-VTE-1 " "060076","STERLING REGIONAL MEDCENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","39 patients",,,"PN-5C " "060076","STERLING REGIONAL MEDCENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "060076","STERLING REGIONAL MEDCENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060076","STERLING REGIONAL MEDCENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "060076","STERLING REGIONAL MEDCENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","30 patients",,,"PN-3B " "060076","STERLING REGIONAL MEDCENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","34 patients",,,"PN-7 " "060076","STERLING REGIONAL MEDCENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "060076","STERLING REGIONAL MEDCENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "060076","STERLING REGIONAL MEDCENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","32 patients",,,"HF-2 " "060076","STERLING REGIONAL MEDCENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060076","STERLING REGIONAL MEDCENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "060076","STERLING REGIONAL MEDCENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "060076","STERLING REGIONAL MEDCENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","88 patients",,,"SCIP-INF-3 " "060076","STERLING REGIONAL MEDCENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "060076","STERLING REGIONAL MEDCENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","27 patients",,,"HF-1 " "060076","STERLING REGIONAL MEDCENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","177 patients",,,"SCIP-INF-6 " "060076","STERLING REGIONAL MEDCENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","25 patients",,,"PN-6 " "060076","STERLING REGIONAL MEDCENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","124 patients",,,"SCIP-VTE-2 " "060076","STERLING REGIONAL MEDCENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "060076","STERLING REGIONAL MEDCENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","44 patients",,,"PN-5C " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","26 patients",,,"PN-3B " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","53 patients",,,"SCIP-INF-3 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","38 patients",,,"PN-2 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","36 patients",,,"HF-1 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","38 patients",,,"HF-2 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","58 patients","2 ","2","SCIP-VTE-2 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","74 patients","2 ","2","SCIP-INF-6 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","55 patients",,,"SCIP-INF-2 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients","2 ","2","SCIP-CARD-2 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","58 patients","2 ","2","SCIP-VTE-1 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","55 patients",,,"SCIP-INF-1 " "06007F","GRAND JUNCTION VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","26 patients",,,"PN-7 " "060096","VAIL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","139 patients","2 ","2","SCIP-VTE-1 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "060096","VAIL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","195 patients","2 ","2","SCIP-INF-2 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "060096","VAIL VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","12 patients","1 ","1","PN-6 " "060096","VAIL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060096","VAIL VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","18 patients","1 ","1","PN-3B " "060096","VAIL VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","8 patients","1 ","1","PN-7 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","13 patients","1 ","1","HF-2 " "060096","VAIL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","195 patients","2 ","2","SCIP-INF-3 " "060096","VAIL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","197 patients","2 ","2","SCIP-INF-1 " "060096","VAIL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1,2 ","12","SCIP-CARD-2 " "060096","VAIL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","139 patients","2 ","2","SCIP-VTE-2 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "060096","VAIL VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","8%","13 patients","1 ","1","HF-1 " "060096","VAIL VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "060096","VAIL VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","8 patients","1 ","1","PN-2 " "060096","VAIL VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","255 patients","2 ","2","SCIP-INF-6 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "060096","VAIL VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "060096","VAIL VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","19 patients","1 ","1","PN-5C " "060100","MEDICAL CENTER OF AURORA, THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","187 patients",,,"PN-2 " "060100","MEDICAL CENTER OF AURORA, THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","699 patients","2 ","2","SCIP-INF-6 " "060100","MEDICAL CENTER OF AURORA, THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","160 patients",,,"PN-7 " "060100","MEDICAL CENTER OF AURORA, THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","460 patients","2 ","2","SCIP-INF-1 " "060100","MEDICAL CENTER OF AURORA, THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","418 patients","2 ","2","SCIP-INF-3 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"AMI-4 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060100","MEDICAL CENTER OF AURORA, THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","129 patients",,,"PN-4 " "060100","MEDICAL CENTER OF AURORA, THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","262 patients","2 ","2","SCIP-VTE-2 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","196 patients",,,"AMI-1 " "060100","MEDICAL CENTER OF AURORA, THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","262 patients","2 ","2","SCIP-VTE-1 " "060100","MEDICAL CENTER OF AURORA, THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","228 patients",,,"PN-5C " "060100","MEDICAL CENTER OF AURORA, THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","116 patients",,,"HF-3 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "060100","MEDICAL CENTER OF AURORA, THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","85 patients","2 ","2","SCIP-CARD-2 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","48 patients",,,"AMI-8A " "060100","MEDICAL CENTER OF AURORA, THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","127 patients","2 ","2","SCIP-INF-4 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","28 patients",,,"AMI-3 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","301 patients",,,"HF-2 " "060100","MEDICAL CENTER OF AURORA, THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","469 patients","2 ","2","SCIP-INF-2 " "060100","MEDICAL CENTER OF AURORA, THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","285 patients",,,"PN-3B " "060100","MEDICAL CENTER OF AURORA, THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","190 patients",,,"PN-6 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","266 patients",,,"AMI-5 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","235 patients",,,"HF-1 " "060100","MEDICAL CENTER OF AURORA, THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","271 patients",,,"AMI-2 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","258 patients",,,"SCIP-INF-3 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","28 patients",,,"PN-2 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","261 patients",,,"SCIP-INF-1 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","262 patients",,,"SCIP-INF-2 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","24 patients","1 ","1","HF-2 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","31 patients",,,"PN-6 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","16 patients","1 ","1","SCIP-CARD-2 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","131 patients",,,"SCIP-VTE-2 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1,3 ","13","AMI-1 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","17 patients","1 ","1","PN-7 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,3 ","13","AMI-4 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","131 patients",,,"SCIP-VTE-1 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","13 patients","1 ","1","HF-1 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","363 patients",,,"SCIP-INF-6 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","5 patients","1,3 ","13","AMI-8A " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","28 patients",,,"PN-3B " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1,3 ","13","AMI-5 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","36 patients",,,"PN-5C " "060103","CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1,3 ","13","AMI-2 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","311 patients","2 ","2","SCIP-INF-6 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","144 patients",,,"HF-1 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","153 patients","2 ","2","SCIP-VTE-1 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","101 patients","2 ","2","PN-7 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","101 patients","2 ","2","PN-6 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","51 patients",,,"HF-3 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","190 patients","2 ","2","SCIP-INF-2 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","153 patients","2 ","2","SCIP-VTE-2 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","72 patients","2 ","2","PN-4 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","187 patients",,,"HF-2 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","112 patients",,,"AMI-1 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","190 patients","2 ","2","SCIP-INF-1 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","89 patients",,,"AMI-5 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","181 patients","2 ","2","SCIP-INF-3 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","155 patients","2 ","2","PN-5C " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"AMI-4 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","126 patients","2 ","2","PN-2 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","41 patients",,,"AMI-8A " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","58%","31 patients","2 ","2","SCIP-CARD-2 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","98 patients",,,"AMI-2 " "060104","CENTURA HEALTH-ST ANTHONY NORTH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","120 patients","2 ","2","PN-3B " "060107","NATIONAL JEWISH HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "060107","NATIONAL JEWISH HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "060107","NATIONAL JEWISH HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "060107","NATIONAL JEWISH HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "060107","NATIONAL JEWISH HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "060107","NATIONAL JEWISH HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "060107","NATIONAL JEWISH HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "060107","NATIONAL JEWISH HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "060107","NATIONAL JEWISH HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "060107","NATIONAL JEWISH HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "060107","NATIONAL JEWISH HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "060107","NATIONAL JEWISH HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "060107","NATIONAL JEWISH HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "060107","NATIONAL JEWISH HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "060107","NATIONAL JEWISH HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "060107","NATIONAL JEWISH HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "060107","NATIONAL JEWISH HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "060107","NATIONAL JEWISH HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "060107","NATIONAL JEWISH HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "060107","NATIONAL JEWISH HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "060107","NATIONAL JEWISH HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "060107","NATIONAL JEWISH HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "060107","NATIONAL JEWISH HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "060107","NATIONAL JEWISH HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "060107","NATIONAL JEWISH HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "060112","SKY RIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","354 patients","2 ","2","SCIP-INF-3 " "060112","SKY RIDGE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","127 patients",,,"PN-2 " "060112","SKY RIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","53 patients","2 ","2","SCIP-CARD-2 " "060112","SKY RIDGE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","104 patients",,,"HF-1 " "060112","SKY RIDGE MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","20 patients","1 ","1","CAC-2 " "060112","SKY RIDGE MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","45%","20 patients","1 ","1","CAC-3 " "060112","SKY RIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","366 patients","2 ","2","SCIP-INF-1 " "060112","SKY RIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","272 patients","2 ","2","SCIP-VTE-1 " "060112","SKY RIDGE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","96 patients",,,"PN-7 " "060112","SKY RIDGE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","88 patients",,,"AMI-5 " "060112","SKY RIDGE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"AMI-4 " "060112","SKY RIDGE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "060112","SKY RIDGE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","149 patients",,,"PN-5C " "060112","SKY RIDGE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","38 patients",,,"AMI-8A " "060112","SKY RIDGE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060112","SKY RIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","272 patients","2 ","2","SCIP-VTE-2 " "060112","SKY RIDGE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","96 patients",,,"AMI-2 " "060112","SKY RIDGE MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","19 patients","1 ","1","CAC-1 " "060112","SKY RIDGE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","144 patients",,,"PN-3B " "060112","SKY RIDGE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","104 patients",,,"AMI-1 " "060112","SKY RIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","370 patients","2 ","2","SCIP-INF-2 " "060112","SKY RIDGE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","114 patients",,,"PN-6 " "060112","SKY RIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","47 patients","2 ","2","SCIP-INF-4 " "060112","SKY RIDGE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","130 patients",,,"HF-2 " "060112","SKY RIDGE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "060112","SKY RIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","565 patients","2 ","2","SCIP-INF-6 " "060112","SKY RIDGE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "060112","SKY RIDGE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","128 patients",,,"AMI-1 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","238 patients",,,"PN-5C " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","283 patients","2 ","2","SCIP-INF-1 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","189 patients",,,"PN-6 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","184 patients","2 ","2","SCIP-VTE-2 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","109 patients",,,"HF-2 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"HF-3 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","52 patients",,,"AMI-8A " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","47 patients","2 ","2","SCIP-CARD-2 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","126 patients",,,"AMI-5 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","220 patients",,,"PN-3B " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","110 patients",,,"AMI-2 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","153 patients",,,"PN-7 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","184 patients","2 ","2","SCIP-VTE-1 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","198 patients",,,"PN-2 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","285 patients","2 ","2","SCIP-INF-2 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"PN-4 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","270 patients","2 ","2","SCIP-INF-3 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","401 patients","2 ","2","SCIP-INF-6 " "060113","CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","89 patients",,,"HF-1 " "060114","PARKER ADVENTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","39 patients",,,"HF-1 " "060114","PARKER ADVENTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "060114","PARKER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","162 patients","2 ","2","SCIP-VTE-2 " "060114","PARKER ADVENTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "060114","PARKER ADVENTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","15 patients","1 ","1","HF-3 " "060114","PARKER ADVENTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","44 patients",,,"AMI-8A " "060114","PARKER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","298 patients","2 ","2","SCIP-INF-6 " "060114","PARKER ADVENTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","100 patients",,,"PN-6 " "060114","PARKER ADVENTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","64 patients",,,"PN-7 " "060114","PARKER ADVENTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","97 patients",,,"PN-3B " "060114","PARKER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","53%","19 patients","1 ","1","SCIP-CARD-2 " "060114","PARKER ADVENTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "060114","PARKER ADVENTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "060114","PARKER ADVENTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "060114","PARKER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","133 patients","2 ","2","SCIP-INF-1 " "060114","PARKER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","128 patients","2 ","2","SCIP-INF-3 " "060114","PARKER ADVENTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","106 patients",,,"PN-5C " "060114","PARKER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","136 patients","2 ","2","SCIP-INF-2 " "060114","PARKER ADVENTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","84 patients",,,"AMI-5 " "060114","PARKER ADVENTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","92 patients",,,"PN-2 " "060114","PARKER ADVENTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","98 patients",,,"AMI-1 " "060114","PARKER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060114","PARKER ADVENTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","54 patients",,,"HF-2 " "060114","PARKER ADVENTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","90 patients",,,"AMI-2 " "060114","PARKER ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","162 patients","2 ","2","SCIP-VTE-1 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","HF-4 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","362 patients","2 ","2","SCIP-INF-6 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","101 patients","2 ","2","PN-7 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","117 patients","2 ","2","PN-5C " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","AMI-4 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","109 patients","2 ","2","AMI-2 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","126 patients","2 ","2","PN-3B " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","172 patients","2 ","2","SCIP-VTE-1 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","90 patients","2 ","2","PN-6 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","44 patients","2 ","2","SCIP-CARD-2 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","169 patients","2 ","2","HF-2 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","249 patients","2 ","2","SCIP-INF-1 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","144 patients","2 ","2","PN-2 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","117 patients","2 ","2","AMI-5 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","250 patients","2 ","2","SCIP-INF-2 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","PN-4 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","120 patients","2 ","2","AMI-1 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","152 patients","2 ","2","HF-1 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","240 patients","2 ","2","SCIP-INF-3 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","172 patients","2 ","2","SCIP-VTE-2 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","50 patients","2 ","2","HF-3 " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","43 patients","2 ","2","AMI-8A " "060116","EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1,2 ","12","AMI-3 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","137 patients","2 ","2","SCIP-INF-2 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","13 patients","1 ","1","SCIP-CARD-2 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","134 patients","2 ","2","SCIP-INF-3 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","219 patients","2 ","2","SCIP-INF-6 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","78 patients","2 ","2","SCIP-VTE-1 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","137 patients","2 ","2","SCIP-INF-1 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","78 patients","2 ","2","SCIP-VTE-2 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "060117","ANIMAS SURGICAL HOSPITAL, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1 ","1","PN-5C " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","31 patients",,,"SCIP-VTE-2 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","2 patients","1,3 ","13","HF-2 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1 ","1","PN-3B " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","39 patients",,,"SCIP-INF-1 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","31 patients",,,"SCIP-VTE-1 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","13 patients","1 ","1","PN-6 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","39 patients",,,"SCIP-INF-3 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","39 patients",,,"SCIP-INF-2 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","63 patients",,,"SCIP-INF-6 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1 ","1","PN-7 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","4 patients","1 ","1","PN-2 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,3 ","13","HF-1 " "060118","ST ANTHONY SUMMIT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "060119","MEDICAL CENTER OF THE ROCKIES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","229 patients","2 ","2","SCIP-INF-4 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","92 patients",,,"HF-1 " "060119","MEDICAL CENTER OF THE ROCKIES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","391 patients","2 ","2","SCIP-INF-1 " "060119","MEDICAL CENTER OF THE ROCKIES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","71 patients",,,"PN-2 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","116 patients",,,"HF-2 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients","2 ","2","AMI-3 " "060119","MEDICAL CENTER OF THE ROCKIES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","57 patients",,,"PN-6 " "060119","MEDICAL CENTER OF THE ROCKIES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","73 patients","2 ","2","SCIP-CARD-2 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","106 patients","2 ","2","AMI-4 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "060119","MEDICAL CENTER OF THE ROCKIES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","411 patients","2 ","2","SCIP-INF-2 " "060119","MEDICAL CENTER OF THE ROCKIES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","49 patients",,,"PN-7 " "060119","MEDICAL CENTER OF THE ROCKIES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","68 patients",,,"PN-3B " "060119","MEDICAL CENTER OF THE ROCKIES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","157 patients","2 ","2","SCIP-VTE-2 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","253 patients","2 ","2","AMI-5 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","276 patients","2 ","2","AMI-2 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","42 patients","2 ","2","AMI-8A " "060119","MEDICAL CENTER OF THE ROCKIES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","33 patients",,,"PN-4 " "060119","MEDICAL CENTER OF THE ROCKIES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","70 patients",,,"PN-5C " "060119","MEDICAL CENTER OF THE ROCKIES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","157 patients","2 ","2","SCIP-VTE-1 " "060119","MEDICAL CENTER OF THE ROCKIES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","366 patients","2 ","2","SCIP-INF-3 " "060119","MEDICAL CENTER OF THE ROCKIES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","594 patients","2 ","2","SCIP-INF-6 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","109 patients","2 ","2","AMI-1 " "060119","MEDICAL CENTER OF THE ROCKIES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","26 patients",,,"HF-3 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "060123","COLORADO ORTHOPAEDIC AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061301","RIO GRANDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061301","RIO GRANDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061301","RIO GRANDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","38%","8 patients","1,3 ","13","HF-1 " "061301","RIO GRANDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061301","RIO GRANDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","12 patients","1,3 ","13","HF-2 " "061301","RIO GRANDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061301","RIO GRANDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061301","RIO GRANDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061301","RIO GRANDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061301","RIO GRANDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","10 patients","1,3 ","13","PN-4 " "061301","RIO GRANDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "061301","RIO GRANDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","9 patients","1,3 ","13","PN-3B " "061301","RIO GRANDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061301","RIO GRANDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061301","RIO GRANDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","8 patients","1,3 ","13","PN-6 " "061301","RIO GRANDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061301","RIO GRANDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","13 patients","1 ","1","PN-7 " "061301","RIO GRANDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061301","RIO GRANDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","38%","13 patients","1,3 ","13","PN-2 " "061301","RIO GRANDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061301","RIO GRANDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061301","RIO GRANDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","15 patients","1,3 ","13","PN-5C " "061301","RIO GRANDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061301","RIO GRANDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061301","RIO GRANDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","14 patients","1 ","1","HF-2 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","27 patients",,,"PN-5C " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","12 patients","1 ","1","SCIP-VTE-2 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","17 patients","1 ","1","SCIP-INF-3 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","18 patients","1 ","1","PN-7 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","24 patients","1 ","1","PN-3B " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-2 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","19 patients","1 ","1","SCIP-INF-1 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","12 patients","1 ","1","SCIP-VTE-1 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","22 patients","1 ","1","SCIP-INF-6 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","4 patients","1 ","1","HF-1 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","14 patients","1 ","1","PN-6 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "061303","EAST MORGAN COUNTY HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","34 patients",,,"PN-2 " "061305","MELISSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061305","MELISSA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "061305","MELISSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1,3 ","13","HF-1 " "061305","MELISSA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061305","MELISSA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","13 patients","1 ","1","PN-2 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061305","MELISSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061305","MELISSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061305","MELISSA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1 ","1","PN-7 " "061305","MELISSA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients",,,"PN-6 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061305","MELISSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061305","MELISSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1,3 ","13","HF-2 " "061305","MELISSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061305","MELISSA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061305","MELISSA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061305","MELISSA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","12 patients","1 ","1","PN-5C " "061305","MELISSA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "061307","RANGELY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061307","RANGELY DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061307","RANGELY DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061307","RANGELY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061307","RANGELY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061307","RANGELY DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","6 patients","1,3 ","13","HF-1 " "061307","RANGELY DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,2,3 ","123","PN-5C " "061307","RANGELY DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061307","RANGELY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061307","RANGELY DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "061307","RANGELY DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,2,3 ","123","PN-6 " "061307","RANGELY DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,2,3 ","123","PN-3B " "061307","RANGELY DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061307","RANGELY DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","2 patients","1,2 ","12","PN-7 " "061307","RANGELY DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","6 patients","1,3 ","13","HF-2 " "061307","RANGELY DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "061307","RANGELY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061307","RANGELY DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061307","RANGELY DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2,3 ","123","PN-4 " "061307","RANGELY DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061307","RANGELY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061307","RANGELY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061307","RANGELY DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","2 patients","1,2,3 ","123","PN-2 " "061307","RANGELY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061307","RANGELY DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","16 patients","1 ","1","SCIP-INF-3 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","15 patients","1 ","1","SCIP-VTE-2 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","13 patients","1 ","1","HF-2 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","19 patients","1 ","1","SCIP-INF-6 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,2 ","12","PN-3B " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","10 patients","1 ","1","HF-1 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","15 patients","1 ","1","SCIP-VTE-1 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1,2 ","12","PN-5C " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1,2 ","12","PN-6 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1,2 ","12","PN-7 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1,2 ","12","PN-4 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","14 patients","1,2 ","12","PN-2 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","16 patients","1 ","1","SCIP-INF-1 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","16 patients","1 ","1","SCIP-INF-2 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061309","WRAY COMMUNITY DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "061312","ESTES PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061312","ESTES PARK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061312","ESTES PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061312","ESTES PARK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "061312","ESTES PARK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061312","ESTES PARK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "061312","ESTES PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061312","ESTES PARK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061312","ESTES PARK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "061312","ESTES PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061312","ESTES PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061312","ESTES PARK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "061312","ESTES PARK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061312","ESTES PARK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "061312","ESTES PARK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061312","ESTES PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061312","ESTES PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061312","ESTES PARK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "061312","ESTES PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061312","ESTES PARK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "061312","ESTES PARK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "061312","ESTES PARK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "061312","ESTES PARK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061312","ESTES PARK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "061312","ESTES PARK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "061313","KIT CARSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "061314","MEMORIAL HOSPITAL, THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "061314","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061314","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "061314","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "061314","MEMORIAL HOSPITAL, THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","16 patients","1,3 ","13","PN-6 " "061314","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1 ","1","SCIP-CARD-2 " "061314","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "061314","MEMORIAL HOSPITAL, THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","10 patients","1,3 ","13","PN-2 " "061314","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "061314","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "061314","MEMORIAL HOSPITAL, THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","62%","8 patients","1,3 ","13","PN-4 " "061314","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","28 patients","3 ","3","SCIP-INF-6 " "061314","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","3 patients","1,3 ","13","SCIP-VTE-2 " "061314","MEMORIAL HOSPITAL, THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1,3 ","13","HF-1 " "061314","MEMORIAL HOSPITAL, THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","57%","7 patients","1,3 ","13","HF-2 " "061314","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","25 patients","3 ","3","SCIP-INF-2 " "061314","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","25 patients","3 ","3","SCIP-INF-3 " "061314","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","4 patients","1,3 ","13","SCIP-VTE-1 " "061314","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","26 patients","3 ","3","SCIP-INF-1 " "061314","MEMORIAL HOSPITAL, THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "061314","MEMORIAL HOSPITAL, THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1,3 ","13","PN-5C " "061314","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "061314","MEMORIAL HOSPITAL, THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1 ","1","PN-7 " "061314","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "061314","MEMORIAL HOSPITAL, THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1,3 ","13","PN-3B " "061315","YUMA DISTRICT HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "061315","YUMA DISTRICT HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","14 patients","1,2 ","12","PN-5C " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2,3 ","123","HF-3 " "061315","YUMA DISTRICT HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1,2 ","12","PN-4 " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","7 patients","1,2,3 ","123","HF-1 " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "061315","YUMA DISTRICT HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061315","YUMA DISTRICT HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "061315","YUMA DISTRICT HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1,2 ","12","PN-3B " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","9 patients","1,2,3 ","123","HF-2 " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "061315","YUMA DISTRICT HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","13 patients","1,2 ","12","PN-6 " "061315","YUMA DISTRICT HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","HF-4 " "061315","YUMA DISTRICT HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "061315","YUMA DISTRICT HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "061315","YUMA DISTRICT HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "061315","YUMA DISTRICT HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","15 patients","1,2 ","12","PN-2 " "061315","YUMA DISTRICT HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "061315","YUMA DISTRICT HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "061315","YUMA DISTRICT HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1,2 ","12","PN-7 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,3 ","13","PN-6 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","6 patients","1,2,3 ","123","HF-1 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1,3 ","13","PN-4 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,2,3 ","123","HF-4 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","17 patients","1,3 ","13","PN-2 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","8 patients","1,2,3 ","123","HF-2 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","17 patients","1,3 ","13","PN-5C " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1 ","1","PN-7 " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","17 patients","1,3 ","13","PN-3B " "061316","SPANISH PEAKS REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061317","GRAND RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061317","GRAND RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","15 patients","1 ","1","HF-2 " "061317","GRAND RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061317","GRAND RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "061317","GRAND RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "061317","GRAND RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","16 patients","1 ","1","PN-6 " "061317","GRAND RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061317","GRAND RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","18 patients","1 ","1","PN-2 " "061317","GRAND RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061317","GRAND RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","15 patients","1 ","1","PN-7 " "061317","GRAND RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061317","GRAND RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061317","GRAND RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","22%","9 patients","1 ","1","HF-1 " "061317","GRAND RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","25 patients",,,"PN-3B " "061317","GRAND RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061317","GRAND RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061317","GRAND RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061317","GRAND RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061317","GRAND RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061317","GRAND RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061317","GRAND RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061317","GRAND RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061317","GRAND RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061317","GRAND RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","26 patients",,,"PN-5C " "061317","GRAND RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","HF-3 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061319","ST VINCENT GENERAL HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "061320","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "061320","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "061320","GUNNISON VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","10 patients","1,3 ","13","HF-2 " "061320","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1,3 ","13","PN-3B " "061320","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "061320","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "061320","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "061320","GUNNISON VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","9 patients","1,3 ","13","HF-1 " "061320","GUNNISON VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "061320","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1,3 ","13","SCIP-VTE-2 " "061320","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","14 patients","1,3 ","13","SCIP-INF-6 " "061320","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","PN-4 " "061320","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "061320","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1,3 ","13","SCIP-INF-3 " "061320","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1,3 ","13","PN-5C " "061320","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1,3 ","13","SCIP-VTE-1 " "061320","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","13 patients","1,3 ","13","PN-2 " "061320","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061320","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","9 patients","1 ","1","PN-7 " "061320","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1,3 ","13","SCIP-INF-1 " "061320","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1,3 ","13","SCIP-INF-2 " "061320","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "061320","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","8 patients","1,3 ","13","PN-6 " "061320","GUNNISON VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "061320","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "061321","MT SAN RAFAEL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061321","MT SAN RAFAEL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","37 patients",,,"PN-5C " "061321","MT SAN RAFAEL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","32 patients",,,"PN-2 " "061321","MT SAN RAFAEL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061321","MT SAN RAFAEL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","47%","19 patients","1 ","1","HF-2 " "061321","MT SAN RAFAEL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061321","MT SAN RAFAEL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061321","MT SAN RAFAEL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061321","MT SAN RAFAEL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","19 patients","1 ","1","PN-7 " "061321","MT SAN RAFAEL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "061321","MT SAN RAFAEL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061321","MT SAN RAFAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","24 patients","1 ","1","SCIP-INF-6 " "061321","MT SAN RAFAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","16 patients","1 ","1","SCIP-INF-1 " "061321","MT SAN RAFAEL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061321","MT SAN RAFAEL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","14 patients","1 ","1","HF-1 " "061321","MT SAN RAFAEL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "061321","MT SAN RAFAEL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061321","MT SAN RAFAEL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061321","MT SAN RAFAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","16 patients","1 ","1","SCIP-INF-3 " "061321","MT SAN RAFAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "061321","MT SAN RAFAEL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","28 patients",,,"PN-6 " "061321","MT SAN RAFAEL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","26 patients",,,"PN-3B " "061321","MT SAN RAFAEL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "061321","MT SAN RAFAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","56%","16 patients","1 ","1","SCIP-INF-2 " "061321","MT SAN RAFAEL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","14 patients","1,3 ","13","HF-2 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","12 patients","1,3 ","13","HF-1 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","5 patients","1 ","1","PN-3B " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1 ","1","PN-5C " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","10 patients","1 ","1","PN-2 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1 ","1","PN-6 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","4 patients","1 ","1","PN-7 " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061322","HEART OF THE ROCKIES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061323","PROWERS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","25%","52 patients","2 ","2","PN-2 " "061323","PROWERS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "061323","PROWERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061323","PROWERS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "061323","PROWERS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "061323","PROWERS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","18 patients","1 ","1","HF-1 " "061323","PROWERS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","45 patients","2 ","2","PN-5C " "061323","PROWERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061323","PROWERS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "061323","PROWERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061323","PROWERS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "061323","PROWERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061323","PROWERS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","30 patients","2 ","2","PN-3B " "061323","PROWERS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "061323","PROWERS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "061323","PROWERS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","59%","39 patients","2 ","2","PN-6 " "061323","PROWERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061323","PROWERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061323","PROWERS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "061323","PROWERS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "061323","PROWERS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","45%","38 patients","2 ","2","PN-7 " "061323","PROWERS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","48%","29 patients",,,"HF-2 " "061323","PROWERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061323","PROWERS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1,2 ","12","PN-4 " "061323","PROWERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061324","ASPEN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061324","ASPEN VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "061324","ASPEN VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "061324","ASPEN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061324","ASPEN VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","40%","5 patients","1 ","1","HF-3 " "061324","ASPEN VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1 ","1","PN-6 " "061324","ASPEN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061324","ASPEN VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","11 patients","1 ","1","HF-1 " "061324","ASPEN VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "061324","ASPEN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061324","ASPEN VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "061324","ASPEN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061324","ASPEN VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "061324","ASPEN VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "061324","ASPEN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061324","ASPEN VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","73%","11 patients","1 ","1","HF-2 " "061324","ASPEN VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","8 patients","1 ","1","PN-3B " "061324","ASPEN VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","10 patients","1 ","1","PN-2 " "061324","ASPEN VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1 ","1","PN-5C " "061324","ASPEN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061324","ASPEN VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "061324","ASPEN VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","7 patients","1 ","1","PN-7 " "061324","ASPEN VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "061324","ASPEN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061324","ASPEN VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "061325","PIONEERS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061325","PIONEERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061325","PIONEERS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "061325","PIONEERS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","4 patients","1,3 ","13","PN-7 " "061325","PIONEERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061325","PIONEERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061325","PIONEERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061325","PIONEERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061325","PIONEERS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061325","PIONEERS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "061325","PIONEERS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061325","PIONEERS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1,3 ","13","PN-5C " "061325","PIONEERS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061325","PIONEERS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,3 ","13","PN-6 " "061325","PIONEERS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061325","PIONEERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061325","PIONEERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061325","PIONEERS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","4 patients","1,3 ","13","PN-2 " "061325","PIONEERS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061325","PIONEERS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,3 ","13","HF-2 " "061325","PIONEERS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "061325","PIONEERS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "061325","PIONEERS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "061325","PIONEERS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061325","PIONEERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061326","PIKES PEAK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","15 patients","1 ","1","SCIP-VTE-2 " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "061326","PIKES PEAK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","15 patients","1 ","1","SCIP-VTE-1 " "061326","PIKES PEAK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "061326","PIKES PEAK REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","15 patients","1 ","1","PN-3B " "061326","PIKES PEAK REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","8 patients","1 ","1","PN-7 " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","3 patients","1,2,3 ","123","HF-2 " "061326","PIKES PEAK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","64%","11 patients","1 ","1","SCIP-INF-1 " "061326","PIKES PEAK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","45%","11 patients","1 ","1","SCIP-INF-3 " "061326","PIKES PEAK REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "061326","PIKES PEAK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "061326","PIKES PEAK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","11 patients","1 ","1","SCIP-INF-2 " "061326","PIKES PEAK REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1 ","1","PN-6 " "061326","PIKES PEAK REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","12 patients","1 ","1","PN-5C " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "061326","PIKES PEAK REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","11 patients","1 ","1","PN-2 " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "061326","PIKES PEAK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1,2,3 ","123","HF-1 " "061326","PIKES PEAK REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "061327","SOUTHWEST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","87 patients","3 ","3","SCIP-INF-6 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","47 patients","3 ","3","PN-2 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,3 ","13","PN-4 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","30 patients","3 ","3","SCIP-VTE-1 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","59 patients","3 ","3","SCIP-INF-3 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","30 patients","3 ","3","SCIP-VTE-2 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","61 patients","3 ","3","SCIP-INF-1 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1,3 ","13","HF-3 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","36 patients",,,"PN-7 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","24 patients","1,3 ","13","HF-2 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","45 patients","3 ","3","PN-6 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","61 patients","3 ","3","SCIP-INF-2 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","19 patients","1,3 ","13","HF-1 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","56 patients","3 ","3","PN-5C " "061327","SOUTHWEST MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "061327","SOUTHWEST MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","48 patients","3 ","3","PN-3B " "061328","PAGOSA MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "061328","PAGOSA MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "061328","PAGOSA MOUNTAIN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "061328","PAGOSA MOUNTAIN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "061328","PAGOSA MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "061328","PAGOSA MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "061328","PAGOSA MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "061328","PAGOSA MOUNTAIN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "061328","PAGOSA MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "061328","PAGOSA MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "061328","PAGOSA MOUNTAIN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "061328","PAGOSA MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "061328","PAGOSA MOUNTAIN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "061328","PAGOSA MOUNTAIN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "061328","PAGOSA MOUNTAIN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "063301","CHILDRENS HOSPITAL ASSOCIATION THE","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","38%","297 patients","2 ","2","CAC-3 " "063301","CHILDRENS HOSPITAL ASSOCIATION THE","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","298 patients","2 ","2","CAC-2 " "063301","CHILDRENS HOSPITAL ASSOCIATION THE","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","298 patients","2 ","2","CAC-1 " "070001","HOSPITAL OF ST RAPHAEL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","35%","48 patients",,,"AMI-8A " "070001","HOSPITAL OF ST RAPHAEL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","296 patients",,,"AMI-2 " "070001","HOSPITAL OF ST RAPHAEL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","263 patients","2 ","2","SCIP-VTE-2 " "070001","HOSPITAL OF ST RAPHAEL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","652 patients","2 ","2","SCIP-INF-2 " "070001","HOSPITAL OF ST RAPHAEL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","433 patients","2 ","2","HF-2 " "070001","HOSPITAL OF ST RAPHAEL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","161 patients","2 ","2","PN-3B " "070001","HOSPITAL OF ST RAPHAEL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","197 patients","2 ","2","SCIP-INF-4 " "070001","HOSPITAL OF ST RAPHAEL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070001","HOSPITAL OF ST RAPHAEL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","61 patients",,,"AMI-3 " "070001","HOSPITAL OF ST RAPHAEL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","87 patients","2 ","2","PN-6 " "070001","HOSPITAL OF ST RAPHAEL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","233 patients","2 ","2","PN-2 " "070001","HOSPITAL OF ST RAPHAEL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","263 patients","2 ","2","SCIP-VTE-1 " "070001","HOSPITAL OF ST RAPHAEL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","210 patients",,,"AMI-1 " "070001","HOSPITAL OF ST RAPHAEL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","614 patients","2 ","2","SCIP-INF-3 " "070001","HOSPITAL OF ST RAPHAEL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","639 patients","2 ","2","SCIP-INF-1 " "070001","HOSPITAL OF ST RAPHAEL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","197 patients","2 ","2","PN-5C " "070001","HOSPITAL OF ST RAPHAEL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","133 patients","2 ","2","PN-7 " "070001","HOSPITAL OF ST RAPHAEL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","901 patients","2 ","2","SCIP-INF-6 " "070001","HOSPITAL OF ST RAPHAEL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"AMI-4 " "070001","HOSPITAL OF ST RAPHAEL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","190 patients","2 ","2","SCIP-CARD-2 " "070001","HOSPITAL OF ST RAPHAEL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","HF-4 " "070001","HOSPITAL OF ST RAPHAEL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "070001","HOSPITAL OF ST RAPHAEL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","293 patients","2 ","2","HF-1 " "070001","HOSPITAL OF ST RAPHAEL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","122 patients","2 ","2","HF-3 " "070001","HOSPITAL OF ST RAPHAEL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","292 patients",,,"AMI-5 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","862 patients","2 ","2","SCIP-INF-6 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","261 patients","2 ","2","SCIP-VTE-2 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","592 patients","2 ","2","SCIP-INF-3 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","95 patients","2 ","2","HF-3 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","261 patients","2 ","2","SCIP-VTE-1 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","130 patients","2 ","2","PN-7 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients","2 ","2","HF-4 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","207 patients",,,"AMI-4 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","623 patients","2 ","2","SCIP-INF-1 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","188 patients","2 ","2","PN-2 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","624 patients","2 ","2","SCIP-INF-2 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","278 patients",,,"AMI-1 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","89 patients","2 ","2","PN-6 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","542 patients",,,"AMI-2 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","215 patients","2 ","2","PN-3B " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","181 patients","2 ","2","PN-5C " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","243 patients","2 ","2","HF-1 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients","2 ","2","PN-4 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","181 patients","2 ","2","SCIP-INF-4 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","147 patients","2 ","2","SCIP-CARD-2 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","71 patients",,,"AMI-8A " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","522 patients",,,"AMI-5 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","87 patients",,,"AMI-3 " "070002","ST FRANCIS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","326 patients","2 ","2","HF-2 " "070003","DAY KIMBALL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","131 patients",,,"SCIP-VTE-2 " "070003","DAY KIMBALL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","98 patients",,,"HF-1 " "070003","DAY KIMBALL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","47 patients",,,"HF-3 " "070003","DAY KIMBALL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","141 patients",,,"HF-2 " "070003","DAY KIMBALL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070003","DAY KIMBALL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","42 patients",,,"SCIP-CARD-2 " "070003","DAY KIMBALL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","116 patients",,,"PN-5C " "070003","DAY KIMBALL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","132 patients",,,"PN-3B " "070003","DAY KIMBALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","237 patients",,,"SCIP-INF-3 " "070003","DAY KIMBALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "070003","DAY KIMBALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","240 patients",,,"SCIP-INF-2 " "070003","DAY KIMBALL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","47 patients",,,"AMI-1 " "070003","DAY KIMBALL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","56%","9 patients","1 ","1","AMI-3 " "070003","DAY KIMBALL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","78 patients",,,"PN-6 " "070003","DAY KIMBALL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","26 patients",,,"PN-4 " "070003","DAY KIMBALL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","HF-4 " "070003","DAY KIMBALL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","131 patients",,,"SCIP-VTE-1 " "070003","DAY KIMBALL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","68 patients",,,"PN-7 " "070003","DAY KIMBALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","308 patients",,,"SCIP-INF-6 " "070003","DAY KIMBALL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","34 patients",,,"AMI-2 " "070003","DAY KIMBALL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","106 patients",,,"PN-2 " "070003","DAY KIMBALL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","34 patients",,,"AMI-5 " "070003","DAY KIMBALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","240 patients",,,"SCIP-INF-1 " "070003","DAY KIMBALL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070003","DAY KIMBALL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","AMI-4 " "070004","SHARON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "070004","SHARON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","107 patients",,,"SCIP-INF-1 " "070004","SHARON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","73 patients",,,"SCIP-VTE-2 " "070004","SHARON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "070004","SHARON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","46 patients",,,"PN-7 " "070004","SHARON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","54 patients",,,"HF-2 " "070004","SHARON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "070004","SHARON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "070004","SHARON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "070004","SHARON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "070004","SHARON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","33 patients",,,"HF-1 " "070004","SHARON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "070004","SHARON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","100 patients",,,"SCIP-INF-3 " "070004","SHARON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","73 patients",,,"SCIP-VTE-1 " "070004","SHARON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","73 patients",,,"PN-2 " "070004","SHARON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070004","SHARON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "070004","SHARON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1 ","1","SCIP-CARD-2 " "070004","SHARON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","150 patients",,,"SCIP-INF-6 " "070004","SHARON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","107 patients",,,"SCIP-INF-2 " "070004","SHARON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","81 patients",,,"PN-5C " "070004","SHARON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","51 patients",,,"PN-6 " "070004","SHARON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","17 patients","1 ","1","AMI-5 " "070004","SHARON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","74 patients",,,"PN-3B " "070004","SHARON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070005","WATERBURY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","239 patients","2 ","2","SCIP-VTE-2 " "070005","WATERBURY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","195 patients","2 ","2","PN-2 " "070005","WATERBURY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","125 patients","2 ","2","PN-7 " "070005","WATERBURY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","91 patients","2 ","2","SCIP-CARD-2 " "070005","WATERBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","617 patients","2 ","2","SCIP-INF-6 " "070005","WATERBURY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","35 patients",,,"AMI-8A " "070005","WATERBURY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","222 patients","2 ","2","HF-1 " "070005","WATERBURY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","88 patients","2 ","2","HF-3 " "070005","WATERBURY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","38 patients",,,"AMI-3 " "070005","WATERBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","82 patients","2 ","2","SCIP-INF-4 " "070005","WATERBURY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","257 patients",,,"AMI-5 " "070005","WATERBURY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","52 patients","2 ","2","PN-4 " "070005","WATERBURY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","256 patients",,,"AMI-1 " "070005","WATERBURY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","207 patients","2 ","2","PN-3B " "070005","WATERBURY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","326 patients","2 ","2","HF-2 " "070005","WATERBURY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","HF-4 " "070005","WATERBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","366 patients","2 ","2","SCIP-INF-3 " "070005","WATERBURY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070005","WATERBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","397 patients","2 ","2","SCIP-INF-2 " "070005","WATERBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","392 patients","2 ","2","SCIP-INF-1 " "070005","WATERBURY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","105 patients","2 ","2","PN-6 " "070005","WATERBURY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","239 patients","2 ","2","SCIP-VTE-1 " "070005","WATERBURY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","236 patients","2 ","2","PN-5C " "070005","WATERBURY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","243 patients",,,"AMI-2 " "070005","WATERBURY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","69 patients",,,"AMI-4 " "070006","STAMFORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","176 patients",,,"PN-3B " "070006","STAMFORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","226 patients",,,"HF-1 " "070006","STAMFORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "070006","STAMFORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "070006","STAMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","452 patients","2 ","2","SCIP-INF-6 " "070006","STAMFORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","121 patients",,,"PN-6 " "070006","STAMFORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","139 patients",,,"HF-3 " "070006","STAMFORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "070006","STAMFORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","42 patients",,,"AMI-3 " "070006","STAMFORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","161 patients",,,"PN-2 " "070006","STAMFORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","31 patients",,,"AMI-8A " "070006","STAMFORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","136 patients",,,"AMI-2 " "070006","STAMFORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","82 patients","2 ","2","SCIP-CARD-2 " "070006","STAMFORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","147 patients",,,"AMI-5 " "070006","STAMFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","171 patients","2 ","2","SCIP-VTE-1 " "070006","STAMFORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","176 patients",,,"PN-5C " "070006","STAMFORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070006","STAMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","314 patients","2 ","2","SCIP-INF-2 " "070006","STAMFORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","95 patients",,,"PN-7 " "070006","STAMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","311 patients","2 ","2","SCIP-INF-1 " "070006","STAMFORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","151 patients",,,"AMI-1 " "070006","STAMFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","170 patients","2 ","2","SCIP-VTE-2 " "070006","STAMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","294 patients","2 ","2","SCIP-INF-3 " "070006","STAMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","61 patients","2 ","2","SCIP-INF-4 " "070006","STAMFORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","312 patients",,,"HF-2 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","284 patients","2 ","2","SCIP-INF-2 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","273 patients","2 ","2","SCIP-INF-3 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","273 patients","2 ","2","HF-2 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","95 patients","2 ","2","PN-6 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","83 patients","2 ","2","PN-7 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","HF-4 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","125 patients","2 ","2","PN-3B " "070007","LAWRENCE & MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","135 patients","2 ","2","PN-5C " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","143 patients","2 ","2","AMI-1 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","393 patients","2 ","2","SCIP-INF-6 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients","2 ","2","AMI-3 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","138 patients","2 ","2","AMI-5 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","195 patients","2 ","2","SCIP-VTE-1 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","194 patients","2 ","2","HF-1 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","70 patients","2 ","2","HF-3 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","285 patients","2 ","2","SCIP-INF-1 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","28 patients","2 ","2","AMI-4 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","45 patients","2 ","2","PN-4 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","131 patients","2 ","2","AMI-2 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","39 patients","2 ","2","AMI-8A " "070007","LAWRENCE & MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","195 patients","2 ","2","SCIP-VTE-2 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","124 patients","2 ","2","PN-2 " "070007","LAWRENCE & MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","76 patients","2 ","2","SCIP-CARD-2 " "070008","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","44 patients",,,"PN-4 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","83 patients",,,"HF-1 " "070008","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","124 patients",,,"SCIP-INF-2 " "070008","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","104 patients",,,"SCIP-VTE-1 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","112 patients",,,"HF-2 " "070008","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070008","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","32 patients",,,"SCIP-CARD-2 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "070008","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","103 patients",,,"SCIP-VTE-2 " "070008","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","122 patients",,,"SCIP-INF-1 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","HF-4 " "070008","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","192 patients",,,"SCIP-INF-6 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "070008","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","117 patients",,,"SCIP-INF-3 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "070008","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","99 patients",,,"PN-6 " "070008","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","137 patients",,,"PN-2 " "070008","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "070008","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","87 patients",,,"PN-7 " "070008","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","118 patients",,,"PN-5C " "070008","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","147 patients",,,"PN-3B " "070010","BRIDGEPORT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","72 patients","2 ","2","AMI-4 " "070010","BRIDGEPORT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","45 patients","2 ","2","HF-4 " "070010","BRIDGEPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","465 patients","2 ","2","SCIP-INF-6 " "070010","BRIDGEPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","68 patients","2 ","2","SCIP-INF-4 " "070010","BRIDGEPORT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","255 patients","2 ","2","AMI-5 " "070010","BRIDGEPORT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","38 patients","2 ","2","AMI-3 " "070010","BRIDGEPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","269 patients","2 ","2","SCIP-INF-3 " "070010","BRIDGEPORT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","101 patients","2 ","2","PN-5C " "070010","BRIDGEPORT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","248 patients","2 ","2","AMI-2 " "070010","BRIDGEPORT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","80 patients","2 ","2","PN-7 " "070010","BRIDGEPORT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","154 patients","2 ","2","SCIP-VTE-2 " "070010","BRIDGEPORT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","110 patients","2 ","2","PN-2 " "070010","BRIDGEPORT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","104 patients","2 ","2","HF-3 " "070010","BRIDGEPORT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","154 patients","2 ","2","SCIP-VTE-1 " "070010","BRIDGEPORT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","36 patients","2 ","2","PN-4 " "070010","BRIDGEPORT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","52 patients","2 ","2","PN-6 " "070010","BRIDGEPORT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","211 patients","2 ","2","AMI-1 " "070010","BRIDGEPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","302 patients","2 ","2","SCIP-INF-1 " "070010","BRIDGEPORT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","94 patients","2 ","2","PN-3B " "070010","BRIDGEPORT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "070010","BRIDGEPORT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","213 patients","2 ","2","HF-1 " "070010","BRIDGEPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","309 patients","2 ","2","SCIP-INF-2 " "070010","BRIDGEPORT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","287 patients","2 ","2","HF-2 " "070010","BRIDGEPORT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","23 patients","1,2 ","12","AMI-8A " "070010","BRIDGEPORT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","91 patients","2 ","2","SCIP-CARD-2 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","196 patients",,,"PN-2 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","146 patients",,,"PN-7 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","40 patients","2 ","2","SCIP-CARD-2 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","162 patients",,,"PN-5C " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"PN-4 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","131 patients",,,"PN-3B " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","204 patients","2 ","2","SCIP-INF-1 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","318 patients","2 ","2","SCIP-INF-6 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","204 patients","2 ","2","SCIP-INF-2 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","87 patients",,,"HF-1 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","32 patients",,,"HF-3 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","140 patients","2 ","2","SCIP-VTE-2 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","42 patients",,,"AMI-1 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","140 patients","2 ","2","SCIP-VTE-1 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","93 patients",,,"PN-6 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","202 patients","2 ","2","SCIP-INF-3 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","132 patients",,,"HF-2 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","30 patients",,,"AMI-2 " "070011","CHARLOTTE HUNGERFORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "070012","ROCKVILLE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","128 patients",,,"PN-5C " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "070012","ROCKVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","149 patients","2 ","2","SCIP-INF-1 " "070012","ROCKVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","144 patients","2 ","2","SCIP-INF-3 " "070012","ROCKVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070012","ROCKVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","235 patients","2 ","2","SCIP-INF-6 " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "070012","ROCKVILLE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","114 patients",,,"PN-7 " "070012","ROCKVILLE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","152 patients",,,"PN-2 " "070012","ROCKVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","104 patients","2 ","2","SCIP-VTE-2 " "070012","ROCKVILLE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","159 patients",,,"PN-3B " "070012","ROCKVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","29 patients","2 ","2","SCIP-CARD-2 " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","21 patients","1 ","1","AMI-2 " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "070012","ROCKVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","104 patients","2 ","2","SCIP-VTE-1 " "070012","ROCKVILLE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","88 patients",,,"PN-6 " "070012","ROCKVILLE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","38 patients",,,"AMI-1 " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","114 patients",,,"HF-2 " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","28 patients",,,"HF-3 " "070012","ROCKVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","149 patients","2 ","2","SCIP-INF-2 " "070012","ROCKVILLE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","80 patients",,,"HF-1 " "070015","NEW MILFORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","87 patients",,,"HF-2 " "070015","NEW MILFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","253 patients","2 ","2","SCIP-INF-6 " "070015","NEW MILFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070015","NEW MILFORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","49 patients",,,"HF-1 " "070015","NEW MILFORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","40 patients","2 ","2","SCIP-CARD-2 " "070015","NEW MILFORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","HF-3 " "070015","NEW MILFORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070015","NEW MILFORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "070015","NEW MILFORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "070015","NEW MILFORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "070015","NEW MILFORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "070015","NEW MILFORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","63 patients",,,"PN-2 " "070015","NEW MILFORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "070015","NEW MILFORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","24 patients","1 ","1","AMI-5 " "070015","NEW MILFORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","75 patients",,,"PN-5C " "070015","NEW MILFORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","50 patients",,,"PN-6 " "070015","NEW MILFORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","8 patients","1 ","1","AMI-8A " "070015","NEW MILFORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","60 patients",,,"PN-3B " "070015","NEW MILFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","107 patients","2 ","2","SCIP-VTE-2 " "070015","NEW MILFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","173 patients","2 ","2","SCIP-INF-2 " "070015","NEW MILFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","107 patients","2 ","2","SCIP-VTE-1 " "070015","NEW MILFORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","35 patients",,,"AMI-1 " "070015","NEW MILFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","171 patients","2 ","2","SCIP-INF-1 " "070015","NEW MILFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","169 patients","2 ","2","SCIP-INF-3 " "070015","NEW MILFORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","47 patients",,,"PN-7 " "070016","SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","200 patients","2 ","2","SCIP-VTE-2 " "070016","SAINT MARYS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","198 patients",,,"HF-1 " "070016","SAINT MARYS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","160 patients","2 ","2","PN-3B " "070016","SAINT MARYS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","93 patients","2 ","2","PN-7 " "070016","SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","437 patients","2 ","2","SCIP-INF-3 " "070016","SAINT MARYS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","119 patients",,,"AMI-2 " "070016","SAINT MARYS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","AMI-3 " "070016","SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","454 patients","2 ","2","SCIP-INF-2 " "070016","SAINT MARYS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","49 patients",,,"AMI-4 " "070016","SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","98 patients","2 ","2","SCIP-CARD-2 " "070016","SAINT MARYS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","94 patients","2 ","2","PN-6 " "070016","SAINT MARYS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070016","SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","610 patients","2 ","2","SCIP-INF-6 " "070016","SAINT MARYS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","36 patients","2 ","2","PN-4 " "070016","SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","202 patients","2 ","2","SCIP-VTE-1 " "070016","SAINT MARYS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","152 patients","2 ","2","PN-2 " "070016","SAINT MARYS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","30 patients",,,"HF-4 " "070016","SAINT MARYS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","127 patients",,,"AMI-1 " "070016","SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","104 patients","2 ","2","SCIP-INF-4 " "070016","SAINT MARYS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","305 patients",,,"HF-2 " "070016","SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","443 patients","2 ","2","SCIP-INF-1 " "070016","SAINT MARYS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","39 patients",,,"AMI-8A " "070016","SAINT MARYS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","111 patients",,,"AMI-5 " "070016","SAINT MARYS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","170 patients","2 ","2","PN-5C " "070016","SAINT MARYS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","91 patients",,,"HF-3 " "070017","MIDSTATE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","229 patients","2 ","2","PN-5C " "070017","MIDSTATE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","136 patients","2 ","2","PN-7 " "070017","MIDSTATE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","166 patients",,,"HF-1 " "070017","MIDSTATE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","51 patients",,,"AMI-2 " "070017","MIDSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070017","MIDSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","409 patients","2 ","2","SCIP-INF-3 " "070017","MIDSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","452 patients","2 ","2","SCIP-INF-1 " "070017","MIDSTATE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "070017","MIDSTATE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","82 patients",,,"HF-3 " "070017","MIDSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","262 patients","2 ","2","SCIP-VTE-2 " "070017","MIDSTATE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","310 patients",,,"HF-2 " "070017","MIDSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","98 patients","2 ","2","SCIP-CARD-2 " "070017","MIDSTATE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","143 patients","2 ","2","PN-6 " "070017","MIDSTATE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","41 patients","2 ","2","PN-4 " "070017","MIDSTATE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "070017","MIDSTATE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","206 patients","2 ","2","PN-3B " "070017","MIDSTATE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070017","MIDSTATE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","73 patients",,,"AMI-1 " "070017","MIDSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","262 patients","2 ","2","SCIP-VTE-1 " "070017","MIDSTATE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","50 patients",,,"AMI-5 " "070017","MIDSTATE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","231 patients","2 ","2","PN-2 " "070017","MIDSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","684 patients","2 ","2","SCIP-INF-6 " "070017","MIDSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","453 patients","2 ","2","SCIP-INF-2 " "070017","MIDSTATE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "070017","MIDSTATE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070018","GREENWICH HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","164 patients","2 ","2","SCIP-VTE-1 " "070018","GREENWICH HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","227 patients","2 ","2","SCIP-INF-1 " "070018","GREENWICH HOSPITAL ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","133 patients","2 ","2","PN-5C " "070018","GREENWICH HOSPITAL ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","PN-4 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1,2 ","12","HF-4 " "070018","GREENWICH HOSPITAL ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","84 patients","2 ","2","PN-6 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","226 patients","2 ","2","HF-2 " "070018","GREENWICH HOSPITAL ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","155 patients","2 ","2","PN-3B " "070018","GREENWICH HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","50 patients","2 ","2","SCIP-CARD-2 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","52 patients","2 ","2","HF-3 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","AMI-4 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "070018","GREENWICH HOSPITAL ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","96 patients","2 ","2","PN-7 " "070018","GREENWICH HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","206 patients","2 ","2","SCIP-INF-3 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","54 patients","2 ","2","AMI-2 " "070018","GREENWICH HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","164 patients","2 ","2","SCIP-VTE-2 " "070018","GREENWICH HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","228 patients","2 ","2","SCIP-INF-2 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","49 patients","2 ","2","AMI-5 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","79 patients","2 ","2","AMI-1 " "070018","GREENWICH HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","316 patients","2 ","2","SCIP-INF-6 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","167 patients","2 ","2","HF-1 " "070018","GREENWICH HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","27 patients","2 ","2","AMI-8A " "070018","GREENWICH HOSPITAL ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,2 ","12","AMI-3 " "070018","GREENWICH HOSPITAL ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","160 patients","2 ","2","PN-2 " "070019","MILFORD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","290 patients","2 ","2","SCIP-INF-1 " "070019","MILFORD HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","168 patients",,,"PN-5C " "070019","MILFORD HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","43 patients",,,"HF-3 " "070019","MILFORD HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1 ","1","AMI-2 " "070019","MILFORD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070019","MILFORD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","293 patients","2 ","2","SCIP-INF-2 " "070019","MILFORD HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "070019","MILFORD HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","99 patients",,,"PN-7 " "070019","MILFORD HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "070019","MILFORD HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","121 patients",,,"HF-1 " "070019","MILFORD HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","168 patients",,,"PN-2 " "070019","MILFORD HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","44 patients",,,"AMI-1 " "070019","MILFORD HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","49 patients","2 ","2","SCIP-CARD-2 " "070019","MILFORD HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","176 patients","2 ","2","SCIP-VTE-2 " "070019","MILFORD HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","171 patients",,,"HF-2 " "070019","MILFORD HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","176 patients","2 ","2","SCIP-VTE-1 " "070019","MILFORD HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070019","MILFORD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","278 patients","2 ","2","SCIP-INF-3 " "070019","MILFORD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","417 patients","2 ","2","SCIP-INF-6 " "070019","MILFORD HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","121 patients",,,"PN-6 " "070019","MILFORD HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","45 patients",,,"PN-4 " "070019","MILFORD HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070019","MILFORD HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","196 patients",,,"PN-3B " "070019","MILFORD HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","AMI-3 " "070019","MILFORD HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "070020","MIDDLESEX HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","73 patients",,,"AMI-1 " "070020","MIDDLESEX HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","110 patients",,,"HF-3 " "070020","MIDDLESEX HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","190 patients",,,"HF-1 " "070020","MIDDLESEX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","496 patients",,,"SCIP-VTE-1 " "070020","MIDDLESEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "070020","MIDDLESEX HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","90 patients",,,"PN-4 " "070020","MIDDLESEX HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","227 patients",,,"PN-5C " "070020","MIDDLESEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","626 patients",,,"SCIP-INF-3 " "070020","MIDDLESEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","664 patients",,,"SCIP-INF-1 " "070020","MIDDLESEX HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","412 patients",,,"PN-2 " "070020","MIDDLESEX HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "070020","MIDDLESEX HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients",,,"AMI-3 " "070020","MIDDLESEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","665 patients",,,"SCIP-INF-2 " "070020","MIDDLESEX HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "070020","MIDDLESEX HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","90 patients",,,"AMI-5 " "070020","MIDDLESEX HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","243 patients",,,"PN-3B " "070020","MIDDLESEX HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070020","MIDDLESEX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","496 patients",,,"SCIP-VTE-2 " "070020","MIDDLESEX HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","327 patients",,,"HF-2 " "070020","MIDDLESEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1103 patients",,,"SCIP-INF-6 " "070020","MIDDLESEX HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","155 patients",,,"SCIP-CARD-2 " "070020","MIDDLESEX HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070020","MIDDLESEX HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","142 patients",,,"PN-6 " "070020","MIDDLESEX HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","74 patients",,,"AMI-2 " "070020","MIDDLESEX HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","262 patients",,,"PN-7 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","115 patients",,,"HF-2 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","110 patients",,,"SCIP-VTE-1 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","117 patients",,,"SCIP-INF-3 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","110 patients",,,"SCIP-VTE-2 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","132 patients",,,"SCIP-INF-2 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients",,,"SCIP-CARD-2 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","131 patients",,,"SCIP-INF-1 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","77 patients",,,"PN-7 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","65 patients",,,"PN-6 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","101 patients",,,"PN-2 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","29 patients",,,"AMI-1 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","207 patients",,,"SCIP-INF-6 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","116 patients",,,"PN-3B " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","75 patients",,,"HF-1 " "070021","WINDHAM COMM MEM HOSP & HATCH HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","107 patients",,,"PN-5C " "070022","YALE-NEW HAVEN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","119 patients","2 ","2","AMI-1 " "070022","YALE-NEW HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","621 patients","2 ","2","SCIP-INF-6 " "070022","YALE-NEW HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","415 patients","2 ","2","SCIP-INF-2 " "070022","YALE-NEW HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","111 patients","2 ","2","SCIP-CARD-2 " "070022","YALE-NEW HAVEN HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","66%","297 patients","2 ","2","CAC-3 " "070022","YALE-NEW HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","131 patients","2 ","2","SCIP-INF-4 " "070022","YALE-NEW HAVEN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","103 patients","2 ","2","PN-2 " "070022","YALE-NEW HAVEN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","38 patients","2 ","2","PN-6 " "070022","YALE-NEW HAVEN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","100 patients","2 ","2","PN-5C " "070022","YALE-NEW HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","227 patients","2 ","2","SCIP-VTE-2 " "070022","YALE-NEW HAVEN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "070022","YALE-NEW HAVEN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","101 patients","2 ","2","AMI-4 " "070022","YALE-NEW HAVEN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","260 patients","2 ","2","AMI-2 " "070022","YALE-NEW HAVEN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","82 patients","2 ","2","PN-7 " "070022","YALE-NEW HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","406 patients","2 ","2","SCIP-INF-1 " "070022","YALE-NEW HAVEN HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","297 patients","2 ","2","CAC-1 " "070022","YALE-NEW HAVEN HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","295 patients","2 ","2","CAC-2 " "070022","YALE-NEW HAVEN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","PN-4 " "070022","YALE-NEW HAVEN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","HF-4 " "070022","YALE-NEW HAVEN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","177 patients","2 ","2","AMI-5 " "070022","YALE-NEW HAVEN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","216 patients","2 ","2","HF-1 " "070022","YALE-NEW HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","341 patients","2 ","2","SCIP-INF-3 " "070022","YALE-NEW HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","227 patients","2 ","2","SCIP-VTE-1 " "070022","YALE-NEW HAVEN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1,2 ","12","AMI-3 " "070022","YALE-NEW HAVEN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","28 patients","2 ","2","AMI-8A " "070022","YALE-NEW HAVEN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","42 patients","2 ","2","HF-3 " "070022","YALE-NEW HAVEN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","288 patients","2 ","2","HF-2 " "070022","YALE-NEW HAVEN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","97 patients","2 ","2","PN-3B " "070024","WILLIAM W BACKUS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","214 patients","2 ","2","PN-5C " "070024","WILLIAM W BACKUS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","316 patients",,,"HF-2 " "070024","WILLIAM W BACKUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","463 patients","2 ","2","SCIP-INF-6 " "070024","WILLIAM W BACKUS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","60 patients",,,"AMI-5 " "070024","WILLIAM W BACKUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","282 patients","2 ","2","SCIP-INF-1 " "070024","WILLIAM W BACKUS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "070024","WILLIAM W BACKUS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","84 patients","2 ","2","SCIP-CARD-2 " "070024","WILLIAM W BACKUS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070024","WILLIAM W BACKUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","280 patients","2 ","2","SCIP-INF-2 " "070024","WILLIAM W BACKUS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","207 patients","2 ","2","SCIP-VTE-2 " "070024","WILLIAM W BACKUS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","101 patients","2 ","2","PN-4 " "070024","WILLIAM W BACKUS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","160 patients","2 ","2","PN-3B " "070024","WILLIAM W BACKUS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","55 patients",,,"HF-4 " "070024","WILLIAM W BACKUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","263 patients","2 ","2","SCIP-INF-3 " "070024","WILLIAM W BACKUS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","73 patients",,,"AMI-1 " "070024","WILLIAM W BACKUS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","71 patients",,,"HF-3 " "070024","WILLIAM W BACKUS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","135 patients","2 ","2","PN-7 " "070024","WILLIAM W BACKUS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","184 patients","2 ","2","PN-2 " "070024","WILLIAM W BACKUS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "070024","WILLIAM W BACKUS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","46 patients",,,"AMI-2 " "070024","WILLIAM W BACKUS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","240 patients",,,"HF-1 " "070024","WILLIAM W BACKUS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","AMI-3 " "070024","WILLIAM W BACKUS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","207 patients","2 ","2","SCIP-VTE-1 " "070024","WILLIAM W BACKUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070024","WILLIAM W BACKUS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","136 patients","2 ","2","PN-6 " "070025","HARTFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","452 patients","2 ","2","SCIP-INF-1 " "070025","HARTFORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","301 patients",,,"HF-3 " "070025","HARTFORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","684 patients",,,"AMI-2 " "070025","HARTFORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","392 patients",,,"PN-5C " "070025","HARTFORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","341 patients",,,"AMI-1 " "070025","HARTFORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-7A " "070025","HARTFORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","421 patients",,,"PN-2 " "070025","HARTFORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","622 patients",,,"HF-1 " "070025","HARTFORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","235 patients",,,"PN-6 " "070025","HARTFORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","54 patients",,,"AMI-8A " "070025","HARTFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","460 patients","2 ","2","SCIP-INF-2 " "070025","HARTFORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","149 patients",,,"PN-4 " "070025","HARTFORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","719 patients",,,"AMI-5 " "070025","HARTFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","157 patients","2 ","2","SCIP-INF-4 " "070025","HARTFORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","131 patients",,,"AMI-3 " "070025","HARTFORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","93 patients",,,"HF-4 " "070025","HARTFORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","885 patients",,,"HF-2 " "070025","HARTFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","248 patients","2 ","2","SCIP-VTE-1 " "070025","HARTFORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","238 patients",,,"AMI-4 " "070025","HARTFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","430 patients","2 ","2","SCIP-INF-3 " "070025","HARTFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","248 patients","2 ","2","SCIP-VTE-2 " "070025","HARTFORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","307 patients",,,"PN-7 " "070025","HARTFORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","112 patients","2 ","2","SCIP-CARD-2 " "070025","HARTFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","746 patients","2 ","2","SCIP-INF-6 " "070025","HARTFORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","439 patients",,,"PN-3B " "070027","MANCHESTER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","276 patients","2 ","2","SCIP-INF-2 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070027","MANCHESTER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","240 patients","2 ","2","PN-3B " "070027","MANCHESTER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","64 patients","2 ","2","SCIP-CARD-2 " "070027","MANCHESTER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","138 patients","2 ","2","PN-6 " "070027","MANCHESTER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","273 patients","2 ","2","SCIP-INF-1 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","106 patients",,,"HF-1 " "070027","MANCHESTER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","235 patients","2 ","2","SCIP-VTE-2 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070027","MANCHESTER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","43 patients",,,"AMI-1 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","166 patients",,,"HF-2 " "070027","MANCHESTER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","197 patients","2 ","2","PN-5C " "070027","MANCHESTER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","261 patients","2 ","2","SCIP-INF-3 " "070027","MANCHESTER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","240 patients","2 ","2","PN-2 " "070027","MANCHESTER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "070027","MANCHESTER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","154 patients",,,"PN-7 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","31 patients",,,"AMI-2 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "070027","MANCHESTER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","486 patients","2 ","2","SCIP-INF-6 " "070027","MANCHESTER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","235 patients","2 ","2","SCIP-VTE-1 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "070027","MANCHESTER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","34 patients",,,"HF-3 " "070028","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","158 patients","2 ","2","SCIP-VTE-2 " "070028","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","348 patients","2 ","2","SCIP-INF-1 " "070028","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","311 patients",,,"PN-2 " "070028","ST VINCENT'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","609 patients",,,"HF-2 " "070028","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","81 patients",,,"AMI-3 " "070028","ST VINCENT'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"HF-4 " "070028","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","357 patients","2 ","2","SCIP-INF-2 " "070028","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","272 patients",,,"AMI-1 " "070028","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","73 patients",,,"PN-4 " "070028","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","110 patients","2 ","2","SCIP-INF-4 " "070028","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","181 patients",,,"PN-6 " "070028","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","216 patients",,,"PN-7 " "070028","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","332 patients",,,"PN-3B " "070028","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","330 patients","2 ","2","SCIP-INF-3 " "070028","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","158 patients","2 ","2","SCIP-VTE-1 " "070028","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","66 patients",,,"AMI-8A " "070028","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","386 patients",,,"AMI-5 " "070028","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","86 patients","2 ","2","SCIP-CARD-2 " "070028","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"AMI-4 " "070028","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","351 patients",,,"AMI-2 " "070028","ST VINCENT'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","213 patients",,,"HF-3 " "070028","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070028","ST VINCENT'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","418 patients",,,"HF-1 " "070028","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","493 patients","2 ","2","SCIP-INF-6 " "070028","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","309 patients",,,"PN-5C " "070029","BRISTOL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","166 patients",,,"HF-2 " "070029","BRISTOL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","179 patients",,,"SCIP-VTE-1 " "070029","BRISTOL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","48 patients",,,"AMI-1 " "070029","BRISTOL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "070029","BRISTOL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","232 patients",,,"PN-2 " "070029","BRISTOL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","338 patients",,,"SCIP-INF-6 " "070029","BRISTOL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","268 patients",,,"PN-5C " "070029","BRISTOL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"HF-3 " "070029","BRISTOL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "070029","BRISTOL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070029","BRISTOL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","35 patients",,,"AMI-2 " "070029","BRISTOL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "070029","BRISTOL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","67 patients",,,"PN-4 " "070029","BRISTOL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","183 patients",,,"SCIP-INF-1 " "070029","BRISTOL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","185 patients",,,"SCIP-INF-2 " "070029","BRISTOL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","105 patients",,,"HF-1 " "070029","BRISTOL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","145 patients",,,"PN-6 " "070029","BRISTOL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","257 patients",,,"PN-3B " "070029","BRISTOL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","179 patients",,,"SCIP-VTE-2 " "070029","BRISTOL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","158 patients",,,"PN-7 " "070029","BRISTOL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","170 patients",,,"SCIP-INF-3 " "070029","BRISTOL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1 ","1","SCIP-CARD-2 " "070029","BRISTOL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "070029","BRISTOL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","HF-4 " "070029","BRISTOL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070031","GRIFFIN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","31 patients",,,"AMI-2 " "070031","GRIFFIN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","156 patients",,,"PN-5C " "070031","GRIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","46 patients",,,"SCIP-CARD-2 " "070031","GRIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070031","GRIFFIN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070031","GRIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","154 patients","2 ","2","SCIP-INF-3 " "070031","GRIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","288 patients","2 ","2","SCIP-INF-6 " "070031","GRIFFIN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "070031","GRIFFIN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "070031","GRIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","151 patients","2 ","2","SCIP-VTE-2 " "070031","GRIFFIN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "070031","GRIFFIN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","101 patients",,,"PN-6 " "070031","GRIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","151 patients","2 ","2","SCIP-VTE-1 " "070031","GRIFFIN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","177 patients",,,"PN-3B " "070031","GRIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","162 patients","2 ","2","SCIP-INF-1 " "070031","GRIFFIN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "070031","GRIFFIN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "070031","GRIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","162 patients","2 ","2","SCIP-INF-2 " "070031","GRIFFIN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","121 patients",,,"PN-7 " "070031","GRIFFIN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","121 patients",,,"HF-1 " "070031","GRIFFIN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","174 patients",,,"PN-2 " "070031","GRIFFIN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "070031","GRIFFIN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "070031","GRIFFIN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","215 patients",,,"HF-2 " "070031","GRIFFIN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","62 patients",,,"AMI-1 " "070033","DANBURY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","532 patients",,,"HF-2 " "070033","DANBURY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","324 patients",,,"PN-7 " "070033","DANBURY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","291 patients","2 ","2","SCIP-VTE-2 " "070033","DANBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","785 patients","2 ","2","SCIP-INF-6 " "070033","DANBURY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","92 patients",,,"PN-4 " "070033","DANBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","535 patients","2 ","2","SCIP-INF-1 " "070033","DANBURY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","164 patients","2 ","2","SCIP-CARD-2 " "070033","DANBURY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","327 patients",,,"AMI-5 " "070033","DANBURY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","48 patients",,,"AMI-8A " "070033","DANBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","540 patients","2 ","2","SCIP-INF-2 " "070033","DANBURY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","49 patients",,,"AMI-3 " "070033","DANBURY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","289 patients",,,"AMI-1 " "070033","DANBURY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","282 patients",,,"PN-6 " "070033","DANBURY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"HF-4 " "070033","DANBURY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","304 patients",,,"AMI-2 " "070033","DANBURY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","435 patients",,,"PN-5C " "070033","DANBURY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","183 patients",,,"HF-3 " "070033","DANBURY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070033","DANBURY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","381 patients",,,"HF-1 " "070033","DANBURY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","291 patients","2 ","2","SCIP-VTE-1 " "070033","DANBURY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","508 patients",,,"PN-3B " "070033","DANBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","129 patients","2 ","2","SCIP-INF-4 " "070033","DANBURY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","507 patients",,,"PN-2 " "070033","DANBURY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"AMI-4 " "070033","DANBURY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","511 patients","2 ","2","SCIP-INF-3 " "070034","NORWALK HOSPITAL ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","46 patients","2 ","2","PN-4 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","71 patients",,,"AMI-1 " "070034","NORWALK HOSPITAL ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","130 patients","2 ","2","PN-7 " "070034","NORWALK HOSPITAL ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","190 patients","2 ","2","PN-5C " "070034","NORWALK HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","717 patients",,,"SCIP-INF-6 " "070034","NORWALK HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","HF-4 " "070034","NORWALK HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","356 patients",,,"SCIP-VTE-2 " "070034","NORWALK HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","379 patients",,,"SCIP-INF-2 " "070034","NORWALK HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","351 patients",,,"SCIP-INF-3 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","189 patients","2 ","2","HF-1 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "070034","NORWALK HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","378 patients",,,"SCIP-INF-1 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070034","NORWALK HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","356 patients",,,"SCIP-VTE-1 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","58 patients",,,"AMI-5 " "070034","NORWALK HOSPITAL ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","111 patients","2 ","2","PN-6 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","271 patients","2 ","2","HF-2 " "070034","NORWALK HOSPITAL ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","207 patients","2 ","2","PN-2 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","55 patients","2 ","2","HF-3 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "070034","NORWALK HOSPITAL ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","133 patients","2 ","2","PN-3B " "070034","NORWALK HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","84 patients",,,"SCIP-CARD-2 " "070034","NORWALK HOSPITAL ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","37 patients",,,"AMI-2 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","118 patients","2 ","2","SCIP-CARD-2 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","299 patients",,,"PN-7 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","530 patients",,,"PN-3B " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","430 patients","2 ","2","SCIP-VTE-1 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","649 patients","2 ","2","SCIP-INF-3 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"AMI-3 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","722 patients",,,"HF-2 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","190 patients",,,"AMI-2 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","117 patients",,,"HF-4 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","504 patients",,,"HF-1 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","153 patients",,,"PN-4 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","423 patients",,,"PN-5C " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","447 patients",,,"PN-2 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","309 patients",,,"PN-6 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","181 patients",,,"HF-3 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","430 patients","2 ","2","SCIP-VTE-2 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","898 patients","2 ","2","SCIP-INF-6 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","42 patients",,,"AMI-8A " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","165 patients",,,"AMI-5 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","270 patients",,,"AMI-1 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","669 patients","2 ","2","SCIP-INF-1 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "070035","HOSPITAL OF CENTRAL CONNECTICUT, THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","672 patients","2 ","2","SCIP-INF-2 " "070036","JOHN DEMPSEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","148 patients","2 ","2","AMI-5 " "070036","JOHN DEMPSEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","116 patients","2 ","2","HF-1 " "070036","JOHN DEMPSEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","252 patients","2 ","2","SCIP-INF-2 " "070036","JOHN DEMPSEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","180 patients","2 ","2","HF-2 " "070036","JOHN DEMPSEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "070036","JOHN DEMPSEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","HF-4 " "070036","JOHN DEMPSEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","45 patients","2 ","2","SCIP-CARD-2 " "070036","JOHN DEMPSEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1,2 ","12","PN-4 " "070036","JOHN DEMPSEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","83 patients","2 ","2","PN-7 " "070036","JOHN DEMPSEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","257 patients","2 ","2","SCIP-INF-1 " "070036","JOHN DEMPSEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","151 patients","2 ","2","AMI-2 " "070036","JOHN DEMPSEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","120 patients","2 ","2","PN-5C " "070036","JOHN DEMPSEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients","2 ","2","HF-3 " "070036","JOHN DEMPSEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","136 patients","2 ","2","PN-3B " "070036","JOHN DEMPSEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","21 patients","1,2 ","12","AMI-8A " "070036","JOHN DEMPSEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","157 patients","2 ","2","SCIP-VTE-1 " "070036","JOHN DEMPSEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","157 patients","2 ","2","SCIP-VTE-2 " "070036","JOHN DEMPSEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","66 patients","2 ","2","PN-6 " "070036","JOHN DEMPSEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","122 patients","2 ","2","PN-2 " "070036","JOHN DEMPSEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients","2 ","2","AMI-3 " "070036","JOHN DEMPSEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","124 patients","2 ","2","AMI-1 " "070036","JOHN DEMPSEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","246 patients","2 ","2","SCIP-INF-3 " "070036","JOHN DEMPSEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","28 patients","2 ","2","AMI-4 " "070036","JOHN DEMPSEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","369 patients","2 ","2","SCIP-INF-6 " "070036","JOHN DEMPSEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","34 patients","2 ","2","SCIP-INF-4 " "070039","MASONIC HOME AND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","6 patients","1 ","1","PN-5C " "070039","MASONIC HOME AND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "070039","MASONIC HOME AND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "070039","MASONIC HOME AND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "070039","MASONIC HOME AND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "070039","MASONIC HOME AND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "070039","MASONIC HOME AND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "070039","MASONIC HOME AND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "070039","MASONIC HOME AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "070039","MASONIC HOME AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "070039","MASONIC HOME AND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","45 patients",,,"PN-2 " "070039","MASONIC HOME AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "070039","MASONIC HOME AND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "070039","MASONIC HOME AND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","21 patients","1 ","1","PN-7 " "070039","MASONIC HOME AND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","5 patients","1 ","1","PN-6 " "070039","MASONIC HOME AND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "070039","MASONIC HOME AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "070039","MASONIC HOME AND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "070039","MASONIC HOME AND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "070039","MASONIC HOME AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "070039","MASONIC HOME AND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "070039","MASONIC HOME AND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "070039","MASONIC HOME AND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "070039","MASONIC HOME AND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","31 patients",,,"HF-2 " "070039","MASONIC HOME AND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1 ","1","HF-1 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "07003F","WEST HAVEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","141 patients","2 ","2","SCIP-VTE-1 " "07003F","WEST HAVEN VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","66 patients",,,"PN-5C " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "07003F","WEST HAVEN VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","43 patients",,,"PN-6 " "07003F","WEST HAVEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","138 patients","2 ","2","SCIP-VTE-2 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","79%","19 patients","1 ","1","HF-4 " "07003F","WEST HAVEN VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","64 patients",,,"PN-7 " "07003F","WEST HAVEN VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","34 patients",,,"HF-3 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","106 patients",,,"HF-1 " "07003F","WEST HAVEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","178 patients",,,"SCIP-INF-3 " "07003F","WEST HAVEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","65 patients","2 ","2","SCIP-INF-4 " "07003F","WEST HAVEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","185 patients",,,"SCIP-INF-1 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "07003F","WEST HAVEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","282 patients","2 ","2","SCIP-INF-6 " "07003F","WEST HAVEN VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","61 patients",,,"PN-3B " "07003F","WEST HAVEN VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","76 patients",,,"PN-2 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","123 patients",,,"HF-2 " "07003F","WEST HAVEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","187 patients",,,"SCIP-INF-2 " "07003F","WEST HAVEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","146 patients","2 ","2","SCIP-CARD-2 " "07003F","WEST HAVEN VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "070040","HEBREW HOME AND HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","18 patients","1,2 ","12","PN-2 " "070040","HEBREW HOME AND HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "070040","HEBREW HOME AND HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "070040","HEBREW HOME AND HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "070040","HEBREW HOME AND HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "070040","HEBREW HOME AND HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "070040","HEBREW HOME AND HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","4 patients","1,2 ","12","PN-6 " "070040","HEBREW HOME AND HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "070040","HEBREW HOME AND HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1,2 ","12","HF-3 " "070040","HEBREW HOME AND HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "070040","HEBREW HOME AND HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "070040","HEBREW HOME AND HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","14 patients","1,2 ","12","HF-2 " "070040","HEBREW HOME AND HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "070040","HEBREW HOME AND HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "070040","HEBREW HOME AND HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,2 ","12","HF-1 " "070040","HEBREW HOME AND HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "070040","HEBREW HOME AND HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "070040","HEBREW HOME AND HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "070040","HEBREW HOME AND HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "070040","HEBREW HOME AND HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "070040","HEBREW HOME AND HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","8 patients","1,2 ","12","PN-5C " "070040","HEBREW HOME AND HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "070040","HEBREW HOME AND HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "070040","HEBREW HOME AND HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2 ","12","PN-4 " "070040","HEBREW HOME AND HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "073300","CONNECTICUT CHILDRENS MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","247 patients",,,"CAC-1 " "073300","CONNECTICUT CHILDRENS MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","88%","247 patients",,,"CAC-3 " "073300","CONNECTICUT CHILDRENS MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","247 patients",,,"CAC-2 " "080001","CHRISTIANA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","147 patients","2 ","2","AMI-8A " "080001","CHRISTIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","711 patients","2 ","2","SCIP-INF-1 " "080001","CHRISTIANA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","631 patients","2 ","2","AMI-5 " "080001","CHRISTIANA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "080001","CHRISTIANA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","652 patients","2 ","2","AMI-2 " "080001","CHRISTIANA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","186 patients","2 ","2","SCIP-CARD-2 " "080001","CHRISTIANA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","476 patients","2 ","2","PN-5C " "080001","CHRISTIANA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","171 patients","2 ","2","PN-4 " "080001","CHRISTIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","685 patients","2 ","2","SCIP-INF-3 " "080001","CHRISTIANA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","261 patients","2 ","2","PN-7 " "080001","CHRISTIANA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","544 patients","2 ","2","AMI-1 " "080001","CHRISTIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","201 patients","2 ","2","SCIP-INF-4 " "080001","CHRISTIANA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","413 patients","2 ","2","PN-3B " "080001","CHRISTIANA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","796 patients","2 ","2","HF-2 " "080001","CHRISTIANA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","232 patients","2 ","2","AMI-4 " "080001","CHRISTIANA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","275 patients","2 ","2","PN-6 " "080001","CHRISTIANA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","354 patients","2 ","2","SCIP-VTE-2 " "080001","CHRISTIANA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","129 patients","2 ","2","HF-4 " "080001","CHRISTIANA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","119 patients","2 ","2","AMI-3 " "080001","CHRISTIANA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","278 patients","2 ","2","HF-3 " "080001","CHRISTIANA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","634 patients","2 ","2","HF-1 " "080001","CHRISTIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","717 patients","2 ","2","SCIP-INF-2 " "080001","CHRISTIANA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","354 patients","2 ","2","SCIP-VTE-1 " "080001","CHRISTIANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1090 patients","2 ","2","SCIP-INF-6 " "080001","CHRISTIANA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","412 patients","2 ","2","PN-2 " "080003","ST FRANCIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "080003","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","134 patients","2 ","2","SCIP-VTE-2 " "080003","ST FRANCIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","75 patients",,,"PN-6 " "080003","ST FRANCIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"AMI-4 " "080003","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","330 patients","2 ","2","SCIP-INF-1 " "080003","ST FRANCIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","65 patients",,,"PN-4 " "080003","ST FRANCIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","27 patients",,,"AMI-3 " "080003","ST FRANCIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","121 patients",,,"HF-3 " "080003","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","331 patients","2 ","2","SCIP-INF-2 " "080003","ST FRANCIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","254 patients",,,"HF-2 " "080003","ST FRANCIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","120 patients",,,"AMI-1 " "080003","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","485 patients","2 ","2","SCIP-INF-6 " "080003","ST FRANCIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","15 patients","1 ","1","AMI-8A " "080003","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","108 patients","2 ","2","SCIP-INF-4 " "080003","ST FRANCIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","116 patients",,,"AMI-2 " "080003","ST FRANCIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","72 patients",,,"PN-2 " "080003","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","135 patients","2 ","2","SCIP-VTE-1 " "080003","ST FRANCIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","67 patients",,,"PN-7 " "080003","ST FRANCIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","221 patients",,,"HF-1 " "080003","ST FRANCIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","127 patients",,,"PN-3B " "080003","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","72 patients",,,"SCIP-CARD-2 " "080003","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","320 patients","2 ","2","SCIP-INF-3 " "080003","ST FRANCIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","112 patients",,,"AMI-5 " "080003","ST FRANCIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "080003","ST FRANCIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","124 patients",,,"PN-5C " "080004","BAYHEALTH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","314 patients",,,"PN-7 " "080004","BAYHEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1226 patients","2 ","2","SCIP-INF-6 " "080004","BAYHEALTH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","427 patients",,,"PN-5C " "080004","BAYHEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","456 patients","2 ","2","SCIP-VTE-1 " "080004","BAYHEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","455 patients","2 ","2","SCIP-VTE-2 " "080004","BAYHEALTH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"HF-4 " "080004","BAYHEALTH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","419 patients",,,"PN-3B " "080004","BAYHEALTH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","437 patients",,,"PN-2 " "080004","BAYHEALTH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","326 patients",,,"AMI-2 " "080004","BAYHEALTH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","506 patients",,,"HF-2 " "080004","BAYHEALTH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","320 patients",,,"AMI-1 " "080004","BAYHEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","779 patients","2 ","2","SCIP-INF-3 " "080004","BAYHEALTH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","237 patients",,,"PN-4 " "080004","BAYHEALTH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","60 patients",,,"AMI-8A " "080004","BAYHEALTH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","74 patients",,,"AMI-3 " "080004","BAYHEALTH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","157 patients",,,"HF-3 " "080004","BAYHEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","148 patients","2 ","2","SCIP-INF-4 " "080004","BAYHEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","867 patients","2 ","2","SCIP-INF-2 " "080004","BAYHEALTH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","143 patients",,,"AMI-4 " "080004","BAYHEALTH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","416 patients",,,"HF-1 " "080004","BAYHEALTH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "080004","BAYHEALTH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","327 patients",,,"AMI-5 " "080004","BAYHEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","194 patients","2 ","2","SCIP-CARD-2 " "080004","BAYHEALTH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","279 patients",,,"PN-6 " "080004","BAYHEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","864 patients","2 ","2","SCIP-INF-1 " "080006","NANTICOKE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","71%","7 patients","1 ","1","AMI-7A " "080006","NANTICOKE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","127 patients",,,"PN-7 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","170 patients",,,"HF-1 " "080006","NANTICOKE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","135 patients",,,"PN-2 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","89 patients",,,"AMI-1 " "080006","NANTICOKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","144 patients","2 ","2","SCIP-INF-6 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","216 patients",,,"HF-2 " "080006","NANTICOKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1,2 ","12","SCIP-CARD-2 " "080006","NANTICOKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","55 patients","2 ","2","SCIP-INF-1 " "080006","NANTICOKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","54 patients","2 ","2","SCIP-INF-2 " "080006","NANTICOKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","50 patients","2 ","2","SCIP-INF-3 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","62 patients",,,"AMI-5 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","51 patients",,,"AMI-2 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients",,,"HF-3 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "080006","NANTICOKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","80 patients","2 ","2","SCIP-VTE-1 " "080006","NANTICOKE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","120 patients",,,"PN-3B " "080006","NANTICOKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "080006","NANTICOKE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","86 patients",,,"PN-6 " "080006","NANTICOKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","80 patients","2 ","2","SCIP-VTE-2 " "080006","NANTICOKE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "080006","NANTICOKE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","102 patients",,,"PN-5C " "080007","BEEBE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","235 patients",,,"PN-3B " "080007","BEEBE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","198 patients",,,"AMI-2 " "080007","BEEBE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "080007","BEEBE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","263 patients",,,"HF-1 " "080007","BEEBE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","193 patients",,,"AMI-5 " "080007","BEEBE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "080007","BEEBE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","103 patients",,,"HF-3 " "080007","BEEBE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","943 patients","2 ","2","SCIP-INF-3 " "080007","BEEBE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","235 patients",,,"PN-5C " "080007","BEEBE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","41 patients",,,"AMI-8A " "080007","BEEBE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","218 patients",,,"PN-2 " "080007","BEEBE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","138 patients",,,"PN-7 " "080007","BEEBE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","232 patients",,,"AMI-1 " "080007","BEEBE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","25 patients",,,"AMI-3 " "080007","BEEBE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","344 patients",,,"HF-2 " "080007","BEEBE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","223 patients","2 ","2","SCIP-CARD-2 " "080007","BEEBE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","65 patients",,,"AMI-4 " "080007","BEEBE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","127 patients","2 ","2","SCIP-INF-4 " "080007","BEEBE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","953 patients","2 ","2","SCIP-INF-2 " "080007","BEEBE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","947 patients","2 ","2","SCIP-INF-1 " "080007","BEEBE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","435 patients","2 ","2","SCIP-VTE-1 " "080007","BEEBE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1293 patients","2 ","2","SCIP-INF-6 " "080007","BEEBE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","434 patients","2 ","2","SCIP-VTE-2 " "080007","BEEBE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","145 patients",,,"PN-6 " "080007","BEEBE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"PN-4 " "08002F","WILMINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","14 patients","1 ","1","SCIP-INF-3 " "08002F","WILMINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","79%","14 patients","1 ","1","SCIP-INF-2 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "08002F","WILMINGTON VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","33 patients",,,"PN-3B " "08002F","WILMINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "08002F","WILMINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","14 patients","1 ","1","SCIP-INF-1 " "08002F","WILMINGTON VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","32 patients",,,"PN-7 " "08002F","WILMINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","69 patients","2 ","2","SCIP-INF-6 " "08002F","WILMINGTON VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "08002F","WILMINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1,2 ","12","SCIP-CARD-2 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "08002F","WILMINGTON VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","24 patients","1 ","1","PN-6 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","84 patients",,,"HF-1 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","56 patients",,,"HF-3 " "08002F","WILMINGTON VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","45 patients",,,"PN-5C " "08002F","WILMINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","50 patients","2 ","2","SCIP-VTE-1 " "08002F","WILMINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","50 patients","2 ","2","SCIP-VTE-2 " "08002F","WILMINGTON VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","35 patients",,,"PN-2 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","92 patients",,,"HF-2 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "08002F","WILMINGTON VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","138 patients",,,"AMI-1 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","570 patients","2 ","2","SCIP-INF-1 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","79 patients",,,"PN-5C " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","278 patients","2 ","2","SCIP-VTE-2 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","216 patients","2 ","2","SCIP-INF-4 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","753 patients","2 ","2","SCIP-INF-6 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","56 patients",,,"PN-6 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","68 patients",,,"PN-3B " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","112 patients","2 ","2","SCIP-CARD-2 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","210 patients",,,"AMI-2 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","45 patients",,,"PN-7 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","32 patients",,,"AMI-8A " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","34 patients",,,"AMI-3 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","278 patients","2 ","2","SCIP-VTE-1 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","81 patients",,,"HF-4 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","517 patients","2 ","2","SCIP-INF-3 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"AMI-4 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","61 patients",,,"PN-2 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","445 patients",,,"HF-2 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","571 patients","2 ","2","SCIP-INF-2 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","196 patients",,,"AMI-5 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","183 patients",,,"HF-3 " "090001","GEORGE WASHINGTON UNIV HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","406 patients",,,"HF-1 " "090003","HOWARD UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","72%","145 patients","2 ","2","SCIP-INF-1 " "090003","HOWARD UNIVERSITY HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","13 patients","1,2 ","12","CAC-2 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1,2 ","12","AMI-3 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","AMI-4 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","279 patients","2 ","2","HF-1 " "090003","HOWARD UNIVERSITY HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","92%","13 patients","1,2 ","12","CAC-1 " "090003","HOWARD UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","70 patients","2 ","2","PN-6 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","55 patients","2 ","2","AMI-5 " "090003","HOWARD UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","131 patients","2 ","2","SCIP-INF-3 " "090003","HOWARD UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","63%","35 patients","2 ","2","PN-2 " "090003","HOWARD UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","91 patients","2 ","2","PN-3B " "090003","HOWARD UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","171 patients","2 ","2","SCIP-VTE-2 " "090003","HOWARD UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","236 patients","2 ","2","SCIP-INF-6 " "090003","HOWARD UNIVERSITY HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","0%","12 patients","1 ","1","CAC-3 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","98 patients","2 ","2","HF-4 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","63 patients","2 ","2","AMI-1 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","60 patients","2 ","2","AMI-2 " "090003","HOWARD UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","15 patients","1,2 ","12","SCIP-CARD-2 " "090003","HOWARD UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","171 patients","2 ","2","SCIP-VTE-1 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","130 patients","2 ","2","HF-3 " "090003","HOWARD UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","147 patients","2 ","2","SCIP-INF-2 " "090003","HOWARD UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","60 patients","2 ","2","PN-7 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "090003","HOWARD UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","84 patients","2 ","2","PN-4 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","291 patients","2 ","2","HF-2 " "090003","HOWARD UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","20%","5 patients","1,2 ","12","AMI-8A " "090003","HOWARD UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "090003","HOWARD UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","66%","125 patients","2 ","2","PN-5C " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","241 patients","2 ","2","SCIP-VTE-1 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","74 patients","2 ","2","HF-1 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,2 ","12","AMI-1 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","245 patients","2 ","2","SCIP-INF-3 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","258 patients","2 ","2","SCIP-INF-1 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","52 patients","2 ","2","SCIP-CARD-2 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,2 ","12","AMI-2 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","65 patients","2 ","2","PN-2 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","HF-4 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","406 patients","2 ","2","SCIP-INF-6 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","241 patients","2 ","2","SCIP-VTE-2 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","59%","41 patients","2 ","2","CAC-3 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","41 patients","2 ","2","CAC-1 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","39 patients","2 ","2","PN-6 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","41 patients","2 ","2","CAC-2 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients","2 ","2","PN-4 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients","2 ","2","HF-3 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","78 patients","2 ","2","PN-3B " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","64 patients","2 ","2","PN-7 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,2 ","12","AMI-5 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","84 patients","2 ","2","PN-5C " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","265 patients","2 ","2","SCIP-INF-2 " "090004","GEORGETOWN UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","88 patients","2 ","2","HF-2 " "090005","SIBLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","311 patients","2 ","2","SCIP-INF-3 " "090005","SIBLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","485 patients","2 ","2","SCIP-INF-6 " "090005","SIBLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","50 patients","2 ","2","SCIP-CARD-2 " "090005","SIBLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","325 patients","2 ","2","SCIP-INF-1 " "090005","SIBLEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","93 patients","2 ","2","PN-2 " "090005","SIBLEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","116 patients","2 ","2","PN-3B " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "090005","SIBLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","325 patients","2 ","2","SCIP-INF-2 " "090005","SIBLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","273 patients","2 ","2","SCIP-VTE-2 " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","29 patients",,,"HF-3 " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","35 patients",,,"AMI-1 " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","29 patients",,,"AMI-5 " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","98 patients",,,"HF-1 " "090005","SIBLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "090005","SIBLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","273 patients","2 ","2","SCIP-VTE-1 " "090005","SIBLEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","102 patients","2 ","2","PN-5C " "090005","SIBLEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1,2 ","12","PN-4 " "090005","SIBLEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","69 patients","2 ","2","PN-7 " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","25 patients",,,"AMI-2 " "090005","SIBLEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","83 patients","2 ","2","PN-6 " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","119 patients",,,"HF-2 " "090005","SIBLEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "090006","PROVIDENCE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "090006","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","33 patients","2 ","2","SCIP-CARD-2 " "090006","PROVIDENCE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "090006","PROVIDENCE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","658 patients",,,"HF-2 " "090006","PROVIDENCE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","151 patients",,,"PN-3B " "090006","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","186 patients","2 ","2","SCIP-VTE-1 " "090006","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","181 patients","2 ","2","SCIP-VTE-2 " "090006","PROVIDENCE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","83 patients",,,"AMI-1 " "090006","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","350 patients","2 ","2","SCIP-INF-6 " "090006","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "090006","PROVIDENCE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","69%","180 patients",,,"PN-5C " "090006","PROVIDENCE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","127 patients",,,"PN-6 " "090006","PROVIDENCE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","249 patients",,,"HF-3 " "090006","PROVIDENCE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "090006","PROVIDENCE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","48 patients",,,"AMI-5 " "090006","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","246 patients","2 ","2","SCIP-INF-2 " "090006","PROVIDENCE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","129 patients",,,"PN-7 " "090006","PROVIDENCE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","39%","155 patients",,,"PN-2 " "090006","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","233 patients","2 ","2","SCIP-INF-3 " "090006","PROVIDENCE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","66 patients",,,"PN-4 " "090006","PROVIDENCE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","22%","537 patients",,,"HF-1 " "090006","PROVIDENCE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","45 patients",,,"AMI-2 " "090006","PROVIDENCE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "090006","PROVIDENCE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","245 patients","2 ","2","SCIP-INF-1 " "090006","PROVIDENCE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","115 patients",,,"HF-4 " "090008","UNITED MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","117 patients",,,"HF-4 " "090008","UNITED MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "090008","UNITED MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","106 patients",,,"HF-3 " "090008","UNITED MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","113 patients",,,"PN-3B " "090008","UNITED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","22 patients","1 ","1","SCIP-INF-1 " "090008","UNITED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","57%","21 patients","1 ","1","SCIP-INF-3 " "090008","UNITED MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "090008","UNITED MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "090008","UNITED MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","28%","89 patients",,,"PN-7 " "090008","UNITED MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","20%","76 patients",,,"PN-2 " "090008","UNITED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","25 patients",,,"SCIP-INF-2 " "090008","UNITED MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "090008","UNITED MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "090008","UNITED MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "090008","UNITED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","101 patients",,,"SCIP-INF-6 " "090008","UNITED MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "090008","UNITED MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","48 patients",,,"SCIP-VTE-2 " "090008","UNITED MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","273 patients",,,"HF-2 " "090008","UNITED MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","103 patients",,,"PN-4 " "090008","UNITED MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","230 patients",,,"HF-1 " "090008","UNITED MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","87 patients",,,"PN-6 " "090008","UNITED MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","58%","153 patients",,,"PN-5C " "090008","UNITED MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","5 patients","1 ","1","SCIP-CARD-2 " "090008","UNITED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "090008","UNITED MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","48 patients",,,"SCIP-VTE-1 " "090011","WASHINGTON HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients","2 ","2","PN-4 " "090011","WASHINGTON HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","8 patients","1,2 ","12","AMI-8A " "090011","WASHINGTON HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","100 patients","2 ","2","AMI-4 " "090011","WASHINGTON HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","356 patients","2 ","2","HF-2 " "090011","WASHINGTON HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "090011","WASHINGTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","786 patients","2 ","2","SCIP-INF-6 " "090011","WASHINGTON HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","271 patients","2 ","2","AMI-2 " "090011","WASHINGTON HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","99 patients","2 ","2","PN-5C " "090011","WASHINGTON HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","48 patients","2 ","2","PN-3B " "090011","WASHINGTON HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","48 patients","2 ","2","AMI-3 " "090011","WASHINGTON HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","145 patients","2 ","2","HF-3 " "090011","WASHINGTON HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","35 patients","2 ","2","PN-6 " "090011","WASHINGTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","543 patients","2 ","2","SCIP-INF-3 " "090011","WASHINGTON HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","67 patients","2 ","2","PN-7 " "090011","WASHINGTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","311 patients","2 ","2","SCIP-VTE-1 " "090011","WASHINGTON HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","323 patients","2 ","2","HF-1 " "090011","WASHINGTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","558 patients","2 ","2","SCIP-INF-1 " "090011","WASHINGTON HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","67 patients","2 ","2","PN-2 " "090011","WASHINGTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","215 patients","2 ","2","SCIP-INF-4 " "090011","WASHINGTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","311 patients","2 ","2","SCIP-VTE-2 " "090011","WASHINGTON HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","63 patients","2 ","2","AMI-1 " "090011","WASHINGTON HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","83 patients","2 ","2","HF-4 " "090011","WASHINGTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","570 patients","2 ","2","SCIP-INF-2 " "090011","WASHINGTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","138 patients","2 ","2","SCIP-CARD-2 " "090011","WASHINGTON HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","229 patients","2 ","2","AMI-5 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","216 patients",,,"SCIP-INF-2 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","151 patients","2 ","2","SCIP-VTE-1 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","313 patients","2 ","2","SCIP-INF-6 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","203 patients",,,"SCIP-INF-3 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","69 patients",,,"PN-5C " "09002F","WASHINGTON DC VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","77 patients",,,"PN-3B " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"HF-4 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","206 patients",,,"HF-1 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","54 patients",,,"AMI-5 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","209 patients",,,"SCIP-INF-1 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","156 patients",,,"HF-3 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","151 patients","2 ","2","SCIP-VTE-2 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","53 patients",,,"AMI-2 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","154 patients","2 ","2","SCIP-CARD-2 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","44 patients",,,"AMI-1 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","6 patients","1 ","1","AMI-8A " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","226 patients",,,"HF-2 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","41 patients",,,"PN-7 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","101 patients","2 ","2","SCIP-INF-4 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","57 patients",,,"PN-6 " "09002F","WASHINGTON DC VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","48 patients",,,"PN-2 " "093300","CHILDREN'S HOSPITAL NMC","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","49%","348 patients","2 ","2","CAC-3 " "093300","CHILDREN'S HOSPITAL NMC","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","350 patients","2 ","2","CAC-1 " "093300","CHILDREN'S HOSPITAL NMC","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","350 patients","2 ","2","CAC-2 " "100001","SHANDS JACKSONVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","284 patients","2 ","2","HF-1 " "100001","SHANDS JACKSONVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100001","SHANDS JACKSONVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","110 patients","2 ","2","PN-5C " "100001","SHANDS JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","388 patients","2 ","2","SCIP-INF-1 " "100001","SHANDS JACKSONVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","89 patients","2 ","2","PN-2 " "100001","SHANDS JACKSONVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","139 patients","2 ","2","HF-3 " "100001","SHANDS JACKSONVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","66 patients","2 ","2","AMI-3 " "100001","SHANDS JACKSONVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","148 patients","2 ","2","AMI-4 " "100001","SHANDS JACKSONVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","91 patients","2 ","2","PN-3B " "100001","SHANDS JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","537 patients","2 ","2","SCIP-INF-6 " "100001","SHANDS JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","85 patients","2 ","2","SCIP-INF-4 " "100001","SHANDS JACKSONVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","295 patients","2 ","2","AMI-5 " "100001","SHANDS JACKSONVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","46 patients","2 ","2","AMI-8A " "100001","SHANDS JACKSONVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","93 patients","2 ","2","HF-4 " "100001","SHANDS JACKSONVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","78 patients","2 ","2","PN-7 " "100001","SHANDS JACKSONVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","67 patients","2 ","2","SCIP-CARD-2 " "100001","SHANDS JACKSONVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","208 patients","2 ","2","SCIP-VTE-1 " "100001","SHANDS JACKSONVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","83 patients","2 ","2","PN-4 " "100001","SHANDS JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","396 patients","2 ","2","SCIP-INF-2 " "100001","SHANDS JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","376 patients","2 ","2","SCIP-INF-3 " "100001","SHANDS JACKSONVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","50 patients","2 ","2","PN-6 " "100001","SHANDS JACKSONVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","320 patients","2 ","2","HF-2 " "100001","SHANDS JACKSONVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","204 patients","2 ","2","AMI-1 " "100001","SHANDS JACKSONVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","298 patients","2 ","2","AMI-2 " "100001","SHANDS JACKSONVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","208 patients","2 ","2","SCIP-VTE-2 " "100002","BETHESDA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","255 patients","2 ","2","SCIP-VTE-1 " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","229 patients","2 ","2","HF-1 " "100002","BETHESDA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","436 patients","2 ","2","SCIP-INF-1 " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","97 patients","2 ","2","HF-3 " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","126 patients","2 ","2","AMI-5 " "100002","BETHESDA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","121 patients","2 ","2","PN-7 " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","172 patients","2 ","2","AMI-1 " "100002","BETHESDA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","PN-4 " "100002","BETHESDA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","173 patients","2 ","2","PN-3B " "100002","BETHESDA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","253 patients","2 ","2","SCIP-VTE-2 " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","309 patients","2 ","2","HF-2 " "100002","BETHESDA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","402 patients","2 ","2","SCIP-INF-3 " "100002","BETHESDA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","104 patients","2 ","2","PN-6 " "100002","BETHESDA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","122 patients","2 ","2","SCIP-CARD-2 " "100002","BETHESDA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","179 patients","2 ","2","PN-2 " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","AMI-4 " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","152 patients","2 ","2","AMI-2 " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","33 patients","2 ","2","AMI-3 " "100002","BETHESDA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","166 patients","2 ","2","PN-5C " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100002","BETHESDA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","150 patients","2 ","2","SCIP-INF-4 " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","38 patients","2 ","2","AMI-8A " "100002","BETHESDA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","HF-4 " "100002","BETHESDA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","679 patients","2 ","2","SCIP-INF-6 " "100002","BETHESDA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","454 patients","2 ","2","SCIP-INF-2 " "100006","ORLANDO REGIONAL HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","378 patients","2 ","2","PN-3B " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","974 patients","2 ","2","HF-1 " "100006","ORLANDO REGIONAL HEALTHCARE","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","201 patients",,,"CAC-2 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","196 patients","2 ","2","HF-4 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","1121 patients","2 ","2","HF-2 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","239 patients",,,"AMI-4 " "100006","ORLANDO REGIONAL HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","253 patients","2 ","2","PN-4 " "100006","ORLANDO REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","362 patients","2 ","2","SCIP-CARD-2 " "100006","ORLANDO REGIONAL HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","489 patients","2 ","2","PN-2 " "100006","ORLANDO REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","1020 patients","2 ","2","SCIP-VTE-1 " "100006","ORLANDO REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","1315 patients","2 ","2","SCIP-INF-3 " "100006","ORLANDO REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","1018 patients","2 ","2","SCIP-VTE-2 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","430 patients","2 ","2","HF-3 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","129 patients",,,"AMI-3 " "100006","ORLANDO REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","461 patients","2 ","2","SCIP-INF-4 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","601 patients",,,"AMI-5 " "100006","ORLANDO REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1513 patients","2 ","2","SCIP-INF-1 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","561 patients",,,"AMI-1 " "100006","ORLANDO REGIONAL HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","433 patients","2 ","2","PN-5C " "100006","ORLANDO REGIONAL HEALTHCARE","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","67%","206 patients",,,"CAC-3 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","126 patients",,,"AMI-8A " "100006","ORLANDO REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","2663 patients","2 ","2","SCIP-INF-6 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","638 patients",,,"AMI-2 " "100006","ORLANDO REGIONAL HEALTHCARE","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","99%","185 patients",,,"CAC-1 " "100006","ORLANDO REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1535 patients","2 ","2","SCIP-INF-2 " "100006","ORLANDO REGIONAL HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","409 patients","2 ","2","PN-7 " "100006","ORLANDO REGIONAL HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100006","ORLANDO REGIONAL HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","274 patients","2 ","2","PN-6 " "100007","FLORIDA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","857 patients","2 ","2","AMI-2 " "100007","FLORIDA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","488 patients","2 ","2","PN-6 " "100007","FLORIDA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","585 patients","2 ","2","PN-3B " "100007","FLORIDA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","840 patients","2 ","2","AMI-5 " "100007","FLORIDA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","159 patients","2 ","2","AMI-3 " "100007","FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","1761 patients","2 ","2","SCIP-VTE-1 " "100007","FLORIDA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","684 patients","2 ","2","PN-7 " "100007","FLORIDA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","316 patients",,,"HF-4 " "100007","FLORIDA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","841 patients",,,"HF-3 " "100007","FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","3046 patients","2 ","2","SCIP-INF-2 " "100007","FLORIDA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","2725 patients",,,"HF-2 " "100007","FLORIDA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","852 patients","2 ","2","PN-2 " "100007","FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","492 patients","2 ","2","SCIP-INF-4 " "100007","FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","1742 patients","2 ","2","SCIP-VTE-2 " "100007","FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","4482 patients","2 ","2","SCIP-INF-6 " "100007","FLORIDA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","323 patients","2 ","2","PN-4 " "100007","FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","2830 patients","2 ","2","SCIP-INF-3 " "100007","FLORIDA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "100007","FLORIDA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","18 patients","1,2 ","12","AMI-8A " "100007","FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","482 patients","2 ","2","SCIP-CARD-2 " "100007","FLORIDA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","478 patients","2 ","2","AMI-1 " "100007","FLORIDA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","240 patients","2 ","2","AMI-4 " "100007","FLORIDA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","2241 patients",,,"HF-1 " "100007","FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","3021 patients","2 ","2","SCIP-INF-1 " "100007","FLORIDA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","1019 patients","2 ","2","PN-5C " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","131 patients",,,"HF-4 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","100 patients","2 ","2","SCIP-CARD-2 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","178 patients","2 ","2","SCIP-VTE-1 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","128 patients","2 ","2","SCIP-INF-4 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","539 patients",,,"AMI-1 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","349 patients",,,"HF-3 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","612 patients",,,"AMI-5 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","374 patients","2 ","2","SCIP-INF-3 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","479 patients",,,"PN-2 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1031 patients",,,"HF-2 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","204 patients",,,"AMI-4 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","401 patients","2 ","2","SCIP-INF-2 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","893 patients",,,"HF-1 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","130 patients",,,"AMI-8A " "100008","BAPTIST HOSPITAL OF MIAMI INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","431 patients",,,"PN-5C " "100008","BAPTIST HOSPITAL OF MIAMI INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","558 patients","2 ","2","SCIP-INF-6 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","178 patients","2 ","2","SCIP-VTE-2 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","395 patients","2 ","2","SCIP-INF-1 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","348 patients",,,"PN-7 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","158 patients",,,"AMI-3 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","296 patients",,,"PN-6 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"PN-4 " "100008","BAPTIST HOSPITAL OF MIAMI INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","521 patients",,,"PN-3B " "100008","BAPTIST HOSPITAL OF MIAMI INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","591 patients",,,"AMI-2 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","HF-4 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","168 patients",,,"AMI-1 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","262 patients","2 ","2","HF-1 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","PN-4 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","142 patients","2 ","2","PN-2 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","154 patients","2 ","2","PN-5C " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","13 patients","1 ","1","AMI-7A " "100009","UNIVERSITY OF MIAMI HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","84 patients","2 ","2","PN-7 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","118 patients","2 ","2","SCIP-CARD-2 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","56 patients","2 ","2","PN-6 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","728 patients","2 ","2","SCIP-INF-6 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","68 patients",,,"AMI-4 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","276 patients","2 ","2","SCIP-VTE-2 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","491 patients","2 ","2","SCIP-INF-1 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","58 patients",,,"AMI-3 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","308 patients","2 ","2","HF-2 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","122 patients","2 ","2","HF-3 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","186 patients","2 ","2","SCIP-INF-4 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","498 patients","2 ","2","SCIP-INF-2 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","146 patients","2 ","2","PN-3B " "100009","UNIVERSITY OF MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","276 patients","2 ","2","SCIP-VTE-1 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","486 patients","2 ","2","SCIP-INF-3 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","10 patients","1 ","1","AMI-8A " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","227 patients",,,"AMI-5 " "100009","UNIVERSITY OF MIAMI HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","221 patients",,,"AMI-2 " "100012","LEE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","47 patients","2 ","2","PN-4 " "100012","LEE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","35 patients","2 ","2","HF-4 " "100012","LEE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","60 patients","2 ","2","AMI-3 " "100012","LEE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","97 patients","2 ","2","PN-6 " "100012","LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","137 patients","2 ","2","SCIP-CARD-2 " "100012","LEE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","260 patients","2 ","2","AMI-2 " "100012","LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","169 patients","2 ","2","SCIP-INF-4 " "100012","LEE MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","216 patients","2 ","2","CAC-2 " "100012","LEE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","284 patients","2 ","2","HF-2 " "100012","LEE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","108 patients","2 ","2","HF-3 " "100012","LEE MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","215 patients","2 ","2","CAC-1 " "100012","LEE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100012","LEE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","223 patients","2 ","2","AMI-1 " "100012","LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","730 patients","2 ","2","SCIP-INF-6 " "100012","LEE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","161 patients","2 ","2","PN-5C " "100012","LEE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","242 patients","2 ","2","HF-1 " "100012","LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","212 patients","2 ","2","SCIP-VTE-2 " "100012","LEE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","151 patients","2 ","2","PN-3B " "100012","LEE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","143 patients","2 ","2","PN-2 " "100012","LEE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","275 patients","2 ","2","AMI-5 " "100012","LEE MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","75%","218 patients","2 ","2","CAC-3 " "100012","LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","505 patients","2 ","2","SCIP-INF-2 " "100012","LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","456 patients","2 ","2","SCIP-INF-3 " "100012","LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","213 patients","2 ","2","SCIP-VTE-1 " "100012","LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","494 patients","2 ","2","SCIP-INF-1 " "100012","LEE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","96 patients","2 ","2","AMI-4 " "100012","LEE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","90 patients","2 ","2","PN-7 " "100012","LEE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","64 patients","2 ","2","AMI-8A " "100014","BERT FISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","222 patients",,,"SCIP-VTE-2 " "100014","BERT FISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","207 patients",,,"SCIP-INF-3 " "100014","BERT FISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","222 patients",,,"SCIP-VTE-1 " "100014","BERT FISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100014","BERT FISH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "100014","BERT FISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","350 patients",,,"SCIP-INF-6 " "100014","BERT FISH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","161 patients",,,"HF-2 " "100014","BERT FISH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","113 patients",,,"AMI-1 " "100014","BERT FISH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "100014","BERT FISH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "100014","BERT FISH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","84 patients",,,"PN-6 " "100014","BERT FISH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","124 patients",,,"PN-5C " "100014","BERT FISH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","132 patients",,,"HF-1 " "100014","BERT FISH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","123 patients",,,"PN-3B " "100014","BERT FISH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","13 patients","1 ","1","AMI-8A " "100014","BERT FISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","225 patients",,,"SCIP-INF-2 " "100014","BERT FISH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "100014","BERT FISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","224 patients",,,"SCIP-INF-1 " "100014","BERT FISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","45 patients",,,"SCIP-CARD-2 " "100014","BERT FISH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","50 patients",,,"PN-4 " "100014","BERT FISH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","85%","59 patients",,,"AMI-2 " "100014","BERT FISH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","109 patients",,,"PN-7 " "100014","BERT FISH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","66 patients",,,"AMI-5 " "100014","BERT FISH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","65 patients",,,"HF-3 " "100014","BERT FISH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","154 patients",,,"PN-2 " "100017","HALIFAX HEALTH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","198 patients",,,"PN-4 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","295 patients",,,"AMI-1 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","147 patients",,,"AMI-4 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","388 patients",,,"AMI-5 " "100017","HALIFAX HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","789 patients","2 ","2","SCIP-INF-3 " "100017","HALIFAX HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1098 patients","2 ","2","SCIP-INF-6 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","393 patients",,,"AMI-2 " "100017","HALIFAX HEALTH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","299 patients",,,"PN-7 " "100017","HALIFAX HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","482 patients","2 ","2","SCIP-VTE-1 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","127 patients",,,"HF-4 " "100017","HALIFAX HEALTH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","441 patients",,,"PN-5C " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","228 patients",,,"HF-3 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100017","HALIFAX HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","873 patients","2 ","2","SCIP-INF-2 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","502 patients",,,"HF-1 " "100017","HALIFAX HEALTH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","319 patients",,,"PN-3B " "100017","HALIFAX HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","158 patients","2 ","2","SCIP-INF-4 " "100017","HALIFAX HEALTH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","346 patients",,,"PN-6 " "100017","HALIFAX HEALTH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","406 patients",,,"PN-2 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","80 patients",,,"AMI-8A " "100017","HALIFAX HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","482 patients","2 ","2","SCIP-VTE-2 " "100017","HALIFAX HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","870 patients","2 ","2","SCIP-INF-1 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","635 patients",,,"HF-2 " "100017","HALIFAX HEALTH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","100 patients",,,"AMI-3 " "100017","HALIFAX HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","155 patients","2 ","2","SCIP-CARD-2 " "100018","NAPLES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","435 patients","2 ","2","SCIP-INF-3 " "100018","NAPLES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","153 patients","2 ","2","SCIP-INF-4 " "100018","NAPLES COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","268 patients",,,"HF-3 " "100018","NAPLES COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","134 patients",,,"PN-4 " "100018","NAPLES COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","427 patients",,,"AMI-1 " "100018","NAPLES COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","76 patients",,,"AMI-8A " "100018","NAPLES COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","324 patients",,,"PN-6 " "100018","NAPLES COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","363 patients",,,"PN-7 " "100018","NAPLES COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","448 patients",,,"PN-5C " "100018","NAPLES COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100018","NAPLES COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","146 patients",,,"AMI-4 " "100018","NAPLES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","204 patients","2 ","2","SCIP-VTE-1 " "100018","NAPLES COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","461 patients",,,"AMI-5 " "100018","NAPLES COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","829 patients",,,"HF-1 " "100018","NAPLES COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","114 patients",,,"HF-4 " "100018","NAPLES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","518 patients","2 ","2","SCIP-INF-2 " "100018","NAPLES COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","444 patients",,,"PN-3B " "100018","NAPLES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","501 patients","2 ","2","SCIP-INF-1 " "100018","NAPLES COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","509 patients",,,"PN-2 " "100018","NAPLES COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","555 patients",,,"AMI-2 " "100018","NAPLES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","763 patients","2 ","2","SCIP-INF-6 " "100018","NAPLES COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","1003 patients",,,"HF-2 " "100018","NAPLES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","54%","111 patients","2 ","2","SCIP-CARD-2 " "100018","NAPLES COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","95 patients",,,"AMI-3 " "100018","NAPLES COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","204 patients","2 ","2","SCIP-VTE-2 " "100019","HOLMES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","460 patients",,,"PN-2 " "100019","HOLMES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","557 patients","2 ","2","SCIP-VTE-2 " "100019","HOLMES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","569 patients","2 ","2","SCIP-VTE-1 " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","916 patients","2 ","2","HF-2 " "100019","HOLMES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","1330 patients","2 ","2","SCIP-INF-6 " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","432 patients",,,"AMI-1 " "100019","HOLMES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","519 patients","2 ","2","SCIP-INF-1 " "100019","HOLMES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","315 patients",,,"PN-6 " "100019","HOLMES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","447 patients",,,"PN-5C " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","385 patients","2 ","2","HF-3 " "100019","HOLMES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","538 patients","2 ","2","SCIP-INF-2 " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","51%","76 patients",,,"AMI-8A " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","119 patients","2 ","2","HF-4 " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100019","HOLMES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","510 patients","2 ","2","SCIP-INF-3 " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","228 patients",,,"AMI-3 " "100019","HOLMES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","323 patients",,,"PN-7 " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","188 patients",,,"AMI-4 " "100019","HOLMES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"PN-4 " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","582 patients",,,"AMI-2 " "100019","HOLMES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","477 patients",,,"PN-3B " "100019","HOLMES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","182 patients","2 ","2","SCIP-INF-4 " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","709 patients","2 ","2","HF-1 " "100019","HOLMES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","236 patients","2 ","2","SCIP-CARD-2 " "100019","HOLMES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","623 patients",,,"AMI-5 " "100022","JACKSON HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients","2 ","2","HF-4 " "100022","JACKSON HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","363 patients","2 ","2","SCIP-INF-1 " "100022","JACKSON HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","31 patients","2 ","2","AMI-8A " "100022","JACKSON HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","145 patients","2 ","2","PN-3B " "100022","JACKSON HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","63 patients","2 ","2","PN-4 " "100022","JACKSON HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","368 patients","2 ","2","HF-2 " "100022","JACKSON HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","210 patients","2 ","2","AMI-2 " "100022","JACKSON HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","112 patients","2 ","2","SCIP-INF-4 " "100022","JACKSON HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","672 patients","2 ","2","SCIP-INF-6 " "100022","JACKSON HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","71%","169 patients","2 ","2","PN-5C " "100022","JACKSON HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","92 patients","2 ","2","PN-7 " "100022","JACKSON HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","307 patients","2 ","2","SCIP-VTE-1 " "100022","JACKSON HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","227 patients","2 ","2","AMI-1 " "100022","JACKSON HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","69 patients","2 ","2","AMI-3 " "100022","JACKSON HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","115 patients","2 ","2","SCIP-CARD-2 " "100022","JACKSON HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","350 patients","2 ","2","SCIP-INF-3 " "100022","JACKSON HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","99 patients","2 ","2","PN-2 " "100022","JACKSON HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1,2 ","12","AMI-7A " "100022","JACKSON HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","87 patients","2 ","2","PN-6 " "100022","JACKSON HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","179 patients","2 ","2","HF-3 " "100022","JACKSON HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","307 patients","2 ","2","SCIP-VTE-2 " "100022","JACKSON HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","216 patients","2 ","2","AMI-5 " "100022","JACKSON HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","338 patients","2 ","2","HF-1 " "100022","JACKSON HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","85 patients","2 ","2","AMI-4 " "100022","JACKSON HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","376 patients","2 ","2","SCIP-INF-2 " "100023","CITRUS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","151 patients","2 ","2","PN-3B " "100023","CITRUS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","352 patients","2 ","2","AMI-5 " "100023","CITRUS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","125 patients","2 ","2","HF-3 " "100023","CITRUS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","80 patients","2 ","2","PN-6 " "100023","CITRUS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","126 patients","2 ","2","AMI-4 " "100023","CITRUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","247 patients","2 ","2","SCIP-VTE-2 " "100023","CITRUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","489 patients","2 ","2","SCIP-INF-3 " "100023","CITRUS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","69 patients","2 ","2","AMI-8A " "100023","CITRUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","511 patients","2 ","2","SCIP-INF-2 " "100023","CITRUS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","352 patients","2 ","2","AMI-1 " "100023","CITRUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","190 patients","2 ","2","SCIP-INF-4 " "100023","CITRUS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","142 patients","2 ","2","PN-5C " "100023","CITRUS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","61 patients","2 ","2","HF-4 " "100023","CITRUS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100023","CITRUS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","328 patients","2 ","2","AMI-2 " "100023","CITRUS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","58 patients","2 ","2","PN-4 " "100023","CITRUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","137 patients","2 ","2","SCIP-CARD-2 " "100023","CITRUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","247 patients","2 ","2","SCIP-VTE-1 " "100023","CITRUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","745 patients","2 ","2","SCIP-INF-6 " "100023","CITRUS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","115 patients","2 ","2","PN-7 " "100023","CITRUS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","92 patients","2 ","2","AMI-3 " "100023","CITRUS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","343 patients","2 ","2","HF-2 " "100023","CITRUS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","179 patients","2 ","2","PN-2 " "100023","CITRUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","509 patients","2 ","2","SCIP-INF-1 " "100023","CITRUS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","272 patients","2 ","2","HF-1 " "100024","FISHERMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","62 patients","2 ","2","SCIP-VTE-2 " "100024","FISHERMEN'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","25 patients",,,"PN-2 " "100024","FISHERMEN'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","29 patients",,,"PN-3B " "100024","FISHERMEN'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "100024","FISHERMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","96 patients","2 ","2","SCIP-INF-6 " "100024","FISHERMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","59 patients","2 ","2","SCIP-INF-2 " "100024","FISHERMEN'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "100024","FISHERMEN'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","20 patients","1 ","1","HF-1 " "100024","FISHERMEN'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "100024","FISHERMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100024","FISHERMEN'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","26 patients",,,"PN-5C " "100024","FISHERMEN'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "100024","FISHERMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1,2 ","12","SCIP-CARD-2 " "100024","FISHERMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","58 patients","2 ","2","SCIP-INF-3 " "100024","FISHERMEN'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","18 patients","1 ","1","PN-7 " "100024","FISHERMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","59 patients","2 ","2","SCIP-INF-1 " "100024","FISHERMEN'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "100024","FISHERMEN'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "100024","FISHERMEN'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "100024","FISHERMEN'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","23 patients","1 ","1","PN-6 " "100024","FISHERMEN'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "100024","FISHERMEN'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","20 patients","1 ","1","HF-2 " "100024","FISHERMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","62 patients","2 ","2","SCIP-VTE-1 " "100024","FISHERMEN'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "100024","FISHERMEN'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "100025","SACRED HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","301 patients","2 ","2","AMI-2 " "100025","SACRED HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","93 patients","2 ","2","PN-7 " "100025","SACRED HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","70 patients","2 ","2","HF-4 " "100025","SACRED HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100025","SACRED HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","228 patients","2 ","2","AMI-1 " "100025","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","257 patients","2 ","2","SCIP-VTE-1 " "100025","SACRED HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","146 patients","2 ","2","PN-3B " "100025","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","257 patients","2 ","2","SCIP-VTE-2 " "100025","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","137 patients","2 ","2","SCIP-INF-4 " "100025","SACRED HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","66 patients","2 ","2","PN-4 " "100025","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","490 patients","2 ","2","SCIP-INF-3 " "100025","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","523 patients","2 ","2","SCIP-INF-2 " "100025","SACRED HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","66 patients","2 ","2","AMI-3 " "100025","SACRED HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","264 patients","2 ","2","HF-1 " "100025","SACRED HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","309 patients","2 ","2","AMI-5 " "100025","SACRED HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","100 patients","2 ","2","HF-3 " "100025","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","710 patients","2 ","2","SCIP-INF-6 " "100025","SACRED HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","298 patients","2 ","2","HF-2 " "100025","SACRED HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","41 patients","2 ","2","AMI-8A " "100025","SACRED HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","116 patients","2 ","2","PN-2 " "100025","SACRED HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","115 patients","2 ","2","AMI-4 " "100025","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","517 patients","2 ","2","SCIP-INF-1 " "100025","SACRED HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","142 patients","2 ","2","PN-5C " "100025","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","128 patients","2 ","2","SCIP-CARD-2 " "100025","SACRED HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","96 patients","2 ","2","PN-6 " "100026","BAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100026","BAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","149 patients","2 ","2","PN-7 " "100026","BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","188 patients","2 ","2","SCIP-VTE-2 " "100026","BAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","62 patients","2 ","2","AMI-8A " "100026","BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","389 patients","2 ","2","SCIP-INF-1 " "100026","BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","137 patients","2 ","2","SCIP-CARD-2 " "100026","BAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","138 patients","2 ","2","AMI-4 " "100026","BAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","106 patients","2 ","2","PN-4 " "100026","BAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","303 patients","2 ","2","AMI-5 " "100026","BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","72%","254 patients","2 ","2","SCIP-INF-4 " "100026","BAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","443 patients","2 ","2","HF-2 " "100026","BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","193 patients","2 ","2","SCIP-VTE-1 " "100026","BAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","175 patients","2 ","2","PN-5C " "100026","BAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","299 patients","2 ","2","AMI-2 " "100026","BAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","84 patients","2 ","2","AMI-3 " "100026","BAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","377 patients","2 ","2","HF-1 " "100026","BAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","179 patients","2 ","2","PN-3B " "100026","BAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","211 patients","2 ","2","PN-2 " "100026","BAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","122 patients","2 ","2","PN-6 " "100026","BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","633 patients","2 ","2","SCIP-INF-6 " "100026","BAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","260 patients","2 ","2","AMI-1 " "100026","BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","388 patients","2 ","2","SCIP-INF-2 " "100026","BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","374 patients","2 ","2","SCIP-INF-3 " "100026","BAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","111 patients","2 ","2","HF-4 " "100026","BAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","171 patients","2 ","2","HF-3 " "100028","PARRISH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","185 patients",,,"PN-2 " "100028","PARRISH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100028","PARRISH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "100028","PARRISH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","245 patients",,,"HF-1 " "100028","PARRISH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","42 patients",,,"AMI-8A " "100028","PARRISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","206 patients",,,"SCIP-VTE-1 " "100028","PARRISH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","160 patients",,,"AMI-5 " "100028","PARRISH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","294 patients",,,"HF-2 " "100028","PARRISH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","175 patients",,,"PN-6 " "100028","PARRISH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","151 patients",,,"AMI-2 " "100028","PARRISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","506 patients",,,"SCIP-INF-6 " "100028","PARRISH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","239 patients",,,"PN-5C " "100028","PARRISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","345 patients",,,"SCIP-INF-3 " "100028","PARRISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100028","PARRISH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"AMI-3 " "100028","PARRISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","204 patients",,,"SCIP-VTE-2 " "100028","PARRISH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "100028","PARRISH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","141 patients",,,"HF-3 " "100028","PARRISH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","141 patients",,,"PN-7 " "100028","PARRISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","357 patients",,,"SCIP-INF-2 " "100028","PARRISH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "100028","PARRISH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","265 patients",,,"PN-3B " "100028","PARRISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","353 patients",,,"SCIP-INF-1 " "100028","PARRISH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","181 patients",,,"AMI-1 " "100028","PARRISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","66 patients",,,"SCIP-CARD-2 " "100029","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","33 patients",,,"AMI-3 " "100029","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","121 patients","2 ","2","SCIP-VTE-1 " "100029","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","202 patients",,,"AMI-1 " "100029","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100029","NORTH SHORE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","507 patients",,,"HF-2 " "100029","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","103 patients",,,"AMI-2 " "100029","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "100029","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","12 patients","1,2 ","12","SCIP-INF-4 " "100029","NORTH SHORE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"HF-4 " "100029","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","109 patients","2 ","2","SCIP-INF-1 " "100029","NORTH SHORE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","422 patients",,,"HF-1 " "100029","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","81 patients",,,"PN-6 " "100029","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "100029","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","95 patients","2 ","2","SCIP-INF-3 " "100029","NORTH SHORE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","181 patients",,,"HF-3 " "100029","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","124 patients",,,"AMI-5 " "100029","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","152 patients",,,"PN-3B " "100029","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","77 patients",,,"PN-7 " "100029","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","44 patients","2 ","2","SCIP-CARD-2 " "100029","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","165 patients",,,"PN-5C " "100029","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","126 patients",,,"PN-2 " "100029","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","112 patients","2 ","2","SCIP-INF-2 " "100029","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","120 patients","2 ","2","SCIP-VTE-2 " "100029","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","246 patients","2 ","2","SCIP-INF-6 " "100029","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "100030","HEALTH CENTRAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","217 patients",,,"PN-5C " "100030","HEALTH CENTRAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","174 patients",,,"PN-3B " "100030","HEALTH CENTRAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","110 patients",,,"PN-6 " "100030","HEALTH CENTRAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","53 patients",,,"AMI-5 " "100030","HEALTH CENTRAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "100030","HEALTH CENTRAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","105 patients",,,"HF-3 " "100030","HEALTH CENTRAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100030","HEALTH CENTRAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","293 patients",,,"HF-1 " "100030","HEALTH CENTRAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "100030","HEALTH CENTRAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","464 patients",,,"SCIP-INF-1 " "100030","HEALTH CENTRAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","162 patients",,,"PN-2 " "100030","HEALTH CENTRAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","72 patients",,,"AMI-1 " "100030","HEALTH CENTRAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","259 patients",,,"SCIP-VTE-1 " "100030","HEALTH CENTRAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","45 patients",,,"AMI-2 " "100030","HEALTH CENTRAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","78 patients",,,"SCIP-CARD-2 " "100030","HEALTH CENTRAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","63 patients",,,"PN-4 " "100030","HEALTH CENTRAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","645 patients",,,"SCIP-INF-6 " "100030","HEALTH CENTRAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "100030","HEALTH CENTRAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100030","HEALTH CENTRAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","460 patients",,,"SCIP-INF-3 " "100030","HEALTH CENTRAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","129 patients",,,"PN-7 " "100030","HEALTH CENTRAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","465 patients",,,"SCIP-INF-2 " "100030","HEALTH CENTRAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","361 patients",,,"HF-2 " "100030","HEALTH CENTRAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"HF-4 " "100030","HEALTH CENTRAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","257 patients",,,"SCIP-VTE-2 " "100032","BAYFRONT MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","167 patients","2 ","2","SCIP-VTE-2 " "100032","BAYFRONT MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","262 patients",,,"HF-1 " "100032","BAYFRONT MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"AMI-4 " "100032","BAYFRONT MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","95 patients","2 ","2","SCIP-CARD-2 " "100032","BAYFRONT MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","314 patients","2 ","2","SCIP-INF-3 " "100032","BAYFRONT MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","66 patients",,,"HF-4 " "100032","BAYFRONT MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","175 patients",,,"PN-2 " "100032","BAYFRONT MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","345 patients","2 ","2","SCIP-INF-2 " "100032","BAYFRONT MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","118 patients",,,"HF-3 " "100032","BAYFRONT MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","329 patients",,,"HF-2 " "100032","BAYFRONT MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","273 patients",,,"PN-3B " "100032","BAYFRONT MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","186 patients",,,"AMI-2 " "100032","BAYFRONT MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100032","BAYFRONT MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","136 patients",,,"AMI-1 " "100032","BAYFRONT MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","491 patients","2 ","2","SCIP-INF-6 " "100032","BAYFRONT MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","167 patients","2 ","2","SCIP-VTE-1 " "100032","BAYFRONT MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "100032","BAYFRONT MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","183 patients",,,"AMI-5 " "100032","BAYFRONT MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","282 patients",,,"PN-5C " "100032","BAYFRONT MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","334 patients","2 ","2","SCIP-INF-1 " "100032","BAYFRONT MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","114 patients","2 ","2","SCIP-INF-4 " "100032","BAYFRONT MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","45 patients",,,"AMI-8A " "100032","BAYFRONT MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","162 patients",,,"PN-7 " "100032","BAYFRONT MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","96 patients",,,"PN-4 " "100032","BAYFRONT MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","175 patients",,,"PN-6 " "100034","MOUNT SINAI MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100034","MOUNT SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","928 patients","2 ","2","SCIP-INF-2 " "100034","MOUNT SINAI MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","313 patients",,,"PN-2 " "100034","MOUNT SINAI MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","333 patients",,,"HF-1 " "100034","MOUNT SINAI MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","203 patients",,,"PN-7 " "100034","MOUNT SINAI MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","285 patients",,,"AMI-1 " "100034","MOUNT SINAI MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","145 patients",,,"PN-6 " "100034","MOUNT SINAI MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","173 patients",,,"HF-3 " "100034","MOUNT SINAI MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","334 patients",,,"PN-5C " "100034","MOUNT SINAI MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","373 patients",,,"AMI-5 " "100034","MOUNT SINAI MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","31 patients",,,"AMI-8A " "100034","MOUNT SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","896 patients","2 ","2","SCIP-INF-3 " "100034","MOUNT SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","357 patients","2 ","2","SCIP-VTE-1 " "100034","MOUNT SINAI MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"AMI-4 " "100034","MOUNT SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","447 patients","2 ","2","SCIP-INF-4 " "100034","MOUNT SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","353 patients","2 ","2","SCIP-VTE-2 " "100034","MOUNT SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","220 patients","2 ","2","SCIP-CARD-2 " "100034","MOUNT SINAI MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","123 patients",,,"AMI-3 " "100034","MOUNT SINAI MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","304 patients",,,"PN-3B " "100034","MOUNT SINAI MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","345 patients",,,"AMI-2 " "100034","MOUNT SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1147 patients","2 ","2","SCIP-INF-6 " "100034","MOUNT SINAI MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","439 patients",,,"HF-2 " "100034","MOUNT SINAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","900 patients","2 ","2","SCIP-INF-1 " "100034","MOUNT SINAI MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"PN-4 " "100034","MOUNT SINAI MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","52 patients",,,"HF-4 " "100035","MANATEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","579 patients","2 ","2","SCIP-INF-1 " "100035","MANATEE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","376 patients",,,"HF-1 " "100035","MANATEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","347 patients","2 ","2","SCIP-VTE-2 " "100035","MANATEE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "100035","MANATEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","564 patients","2 ","2","SCIP-INF-3 " "100035","MANATEE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","176 patients",,,"PN-7 " "100035","MANATEE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","459 patients",,,"HF-2 " "100035","MANATEE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","194 patients",,,"PN-2 " "100035","MANATEE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"HF-4 " "100035","MANATEE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","100 patients",,,"AMI-4 " "100035","MANATEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","347 patients","2 ","2","SCIP-VTE-1 " "100035","MANATEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","152 patients","2 ","2","SCIP-INF-4 " "100035","MANATEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","862 patients","2 ","2","SCIP-INF-6 " "100035","MANATEE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"PN-4 " "100035","MANATEE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","165 patients",,,"PN-6 " "100035","MANATEE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","233 patients",,,"PN-5C " "100035","MANATEE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","49 patients",,,"AMI-3 " "100035","MANATEE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","275 patients",,,"AMI-1 " "100035","MANATEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","612 patients","2 ","2","SCIP-INF-2 " "100035","MANATEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","132 patients","2 ","2","SCIP-CARD-2 " "100035","MANATEE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","255 patients",,,"AMI-2 " "100035","MANATEE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","141 patients",,,"HF-3 " "100035","MANATEE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","206 patients",,,"PN-3B " "100035","MANATEE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","44 patients",,,"AMI-8A " "100035","MANATEE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","252 patients",,,"AMI-5 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100038","MEMORIAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","326 patients","2 ","2","SCIP-INF-3 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","110 patients",,,"AMI-3 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","567 patients",,,"AMI-5 " "100038","MEMORIAL REGIONAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","357 patients",,,"CAC-1 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","394 patients",,,"HF-3 " "100038","MEMORIAL REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","138 patients",,,"PN-4 " "100038","MEMORIAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","344 patients","2 ","2","SCIP-INF-1 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","98 patients",,,"AMI-8A " "100038","MEMORIAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","128 patients","2 ","2","SCIP-INF-4 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","827 patients",,,"HF-1 " "100038","MEMORIAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","564 patients","2 ","2","SCIP-INF-6 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","149 patients",,,"HF-4 " "100038","MEMORIAL REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","365 patients",,,"PN-2 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","165 patients",,,"AMI-4 " "100038","MEMORIAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","359 patients","2 ","2","SCIP-INF-2 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","376 patients",,,"AMI-1 " "100038","MEMORIAL REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","288 patients",,,"PN-7 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","513 patients",,,"AMI-2 " "100038","MEMORIAL REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","523 patients",,,"PN-3B " "100038","MEMORIAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","182 patients","2 ","2","SCIP-VTE-2 " "100038","MEMORIAL REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","921 patients",,,"HF-2 " "100038","MEMORIAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","182 patients","2 ","2","SCIP-VTE-1 " "100038","MEMORIAL REGIONAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","90%","356 patients",,,"CAC-3 " "100038","MEMORIAL REGIONAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","357 patients",,,"CAC-2 " "100038","MEMORIAL REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","456 patients",,,"PN-5C " "100038","MEMORIAL REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","318 patients",,,"PN-6 " "100038","MEMORIAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","89 patients","2 ","2","SCIP-CARD-2 " "100039","BROWARD GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","137 patients","2 ","2","SCIP-INF-4 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","HF-4 " "100039","BROWARD GENERAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","64 patients","2 ","2","PN-2 " "100039","BROWARD GENERAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","173 patients","2 ","2","PN-3B " "100039","BROWARD GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","89 patients","2 ","2","SCIP-CARD-2 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","157 patients","2 ","2","HF-3 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","268 patients","2 ","2","AMI-2 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","289 patients","2 ","2","HF-1 " "100039","BROWARD GENERAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","81 patients","2 ","2","PN-6 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","314 patients","2 ","2","HF-2 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","38 patients","2 ","2","AMI-8A " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","281 patients","2 ","2","AMI-5 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","89 patients","2 ","2","AMI-4 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","164 patients","2 ","2","AMI-1 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100039","BROWARD GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","451 patients","2 ","2","SCIP-INF-1 " "100039","BROWARD GENERAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","94 patients","2 ","2","AMI-3 " "100039","BROWARD GENERAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","138 patients","2 ","2","PN-5C " "100039","BROWARD GENERAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","90 patients","2 ","2","PN-4 " "100039","BROWARD GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","455 patients","2 ","2","SCIP-INF-2 " "100039","BROWARD GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","226 patients","2 ","2","SCIP-VTE-1 " "100039","BROWARD GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","429 patients","2 ","2","SCIP-INF-3 " "100039","BROWARD GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","607 patients","2 ","2","SCIP-INF-6 " "100039","BROWARD GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","221 patients","2 ","2","SCIP-VTE-2 " "100039","BROWARD GENERAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","71 patients","2 ","2","PN-7 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","265 patients","2 ","2","AMI-5 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100040","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","455 patients","2 ","2","SCIP-INF-2 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","111 patients","2 ","2","AMI-4 " "100040","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","118 patients","2 ","2","PN-3B " "100040","ST VINCENT'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","109 patients","2 ","2","HF-3 " "100040","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","434 patients","2 ","2","SCIP-INF-3 " "100040","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","101 patients","2 ","2","PN-2 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","161 patients","2 ","2","AMI-1 " "100040","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","58%","72 patients","2 ","2","PN-7 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","51%","238 patients","2 ","2","HF-1 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","283 patients","2 ","2","HF-2 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","53 patients","2 ","2","AMI-3 " "100040","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","600 patients","2 ","2","SCIP-INF-6 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","62 patients","2 ","2","HF-4 " "100040","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","50 patients","2 ","2","PN-4 " "100040","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","448 patients","2 ","2","SCIP-INF-1 " "100040","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","131 patients","2 ","2","SCIP-INF-4 " "100040","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","193 patients","2 ","2","SCIP-VTE-1 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","258 patients","2 ","2","AMI-2 " "100040","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","192 patients","2 ","2","SCIP-VTE-2 " "100040","ST VINCENT'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","32 patients","2 ","2","AMI-8A " "100040","ST VINCENT'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","93 patients","2 ","2","SCIP-CARD-2 " "100040","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","77%","131 patients","2 ","2","PN-5C " "100040","ST VINCENT'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","65%","98 patients","2 ","2","PN-6 " "100043","MEASE HOSPITAL- DUNEDIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","81 patients",,,"PN-7 " "100043","MEASE HOSPITAL- DUNEDIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","50 patients",,,"HF-3 " "100043","MEASE HOSPITAL- DUNEDIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","111 patients",,,"PN-5C " "100043","MEASE HOSPITAL- DUNEDIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","106 patients",,,"PN-2 " "100043","MEASE HOSPITAL- DUNEDIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","274 patients","2 ","2","SCIP-INF-6 " "100043","MEASE HOSPITAL- DUNEDIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100043","MEASE HOSPITAL- DUNEDIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100043","MEASE HOSPITAL- DUNEDIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","141 patients","2 ","2","SCIP-INF-3 " "100043","MEASE HOSPITAL- DUNEDIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","159 patients","2 ","2","SCIP-VTE-2 " "100043","MEASE HOSPITAL- DUNEDIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "100043","MEASE HOSPITAL- DUNEDIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","62 patients","2 ","2","SCIP-CARD-2 " "100043","MEASE HOSPITAL- DUNEDIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "100043","MEASE HOSPITAL- DUNEDIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100043","MEASE HOSPITAL- DUNEDIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","160 patients","2 ","2","SCIP-VTE-1 " "100043","MEASE HOSPITAL- DUNEDIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "100043","MEASE HOSPITAL- DUNEDIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","149 patients",,,"HF-2 " "100043","MEASE HOSPITAL- DUNEDIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","80 patients",,,"PN-6 " "100043","MEASE HOSPITAL- DUNEDIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","117 patients",,,"PN-3B " "100043","MEASE HOSPITAL- DUNEDIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","33 patients",,,"AMI-2 " "100043","MEASE HOSPITAL- DUNEDIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "100043","MEASE HOSPITAL- DUNEDIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","69 patients",,,"AMI-1 " "100043","MEASE HOSPITAL- DUNEDIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","148 patients","2 ","2","SCIP-INF-2 " "100043","MEASE HOSPITAL- DUNEDIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","100 patients",,,"HF-1 " "100043","MEASE HOSPITAL- DUNEDIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","32 patients",,,"AMI-5 " "100043","MEASE HOSPITAL- DUNEDIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","148 patients","2 ","2","SCIP-INF-1 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","45 patients","2 ","2","AMI-3 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","250 patients","2 ","2","AMI-5 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"HF-4 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","96 patients","2 ","2","SCIP-INF-4 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","272 patients","2 ","2","SCIP-VTE-2 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","140 patients","2 ","2","PN-5C " "100044","MARTIN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","85 patients","2 ","2","SCIP-CARD-2 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","109 patients",,,"HF-3 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","338 patients",,,"HF-1 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","257 patients","2 ","2","AMI-2 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","388 patients","2 ","2","SCIP-INF-3 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","130 patients","2 ","2","PN-7 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","436 patients","2 ","2","SCIP-INF-2 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","85 patients","2 ","2","PN-6 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","34 patients","2 ","2","AMI-8A " "100044","MARTIN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","428 patients","2 ","2","SCIP-INF-1 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","90 patients","2 ","2","AMI-4 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","631 patients","2 ","2","SCIP-INF-6 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","425 patients",,,"HF-2 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","237 patients","2 ","2","AMI-1 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","74 patients","2 ","2","PN-4 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","171 patients","2 ","2","PN-3B " "100044","MARTIN MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","188 patients","2 ","2","PN-2 " "100044","MARTIN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","272 patients","2 ","2","SCIP-VTE-1 " "100045","FLORIDA HOSPITAL DELAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","49 patients",,,"AMI-2 " "100045","FLORIDA HOSPITAL DELAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","329 patients",,,"SCIP-INF-1 " "100045","FLORIDA HOSPITAL DELAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","478 patients",,,"SCIP-INF-6 " "100045","FLORIDA HOSPITAL DELAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","319 patients",,,"SCIP-INF-3 " "100045","FLORIDA HOSPITAL DELAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","95 patients",,,"AMI-1 " "100045","FLORIDA HOSPITAL DELAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","217 patients",,,"PN-5C " "100045","FLORIDA HOSPITAL DELAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","203 patients",,,"SCIP-VTE-2 " "100045","FLORIDA HOSPITAL DELAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","177 patients",,,"PN-2 " "100045","FLORIDA HOSPITAL DELAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","204 patients",,,"SCIP-VTE-1 " "100045","FLORIDA HOSPITAL DELAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","79 patients",,,"SCIP-CARD-2 " "100045","FLORIDA HOSPITAL DELAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "100045","FLORIDA HOSPITAL DELAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","221 patients",,,"PN-3B " "100045","FLORIDA HOSPITAL DELAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","321 patients",,,"HF-2 " "100045","FLORIDA HOSPITAL DELAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100045","FLORIDA HOSPITAL DELAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","124 patients",,,"PN-6 " "100045","FLORIDA HOSPITAL DELAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","88 patients",,,"PN-4 " "100045","FLORIDA HOSPITAL DELAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","52 patients",,,"AMI-5 " "100045","FLORIDA HOSPITAL DELAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "100045","FLORIDA HOSPITAL DELAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100045","FLORIDA HOSPITAL DELAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "100045","FLORIDA HOSPITAL DELAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","89 patients",,,"HF-3 " "100045","FLORIDA HOSPITAL DELAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","332 patients",,,"SCIP-INF-2 " "100045","FLORIDA HOSPITAL DELAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","249 patients",,,"HF-1 " "100045","FLORIDA HOSPITAL DELAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","75%","8 patients","1 ","1","AMI-7A " "100045","FLORIDA HOSPITAL DELAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","137 patients",,,"PN-7 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","68 patients",,,"PN-4 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","158 patients",,,"PN-2 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","53 patients",,,"AMI-3 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","151 patients",,,"PN-3B " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","119 patients","2 ","2","SCIP-INF-4 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","123 patients",,,"PN-7 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","264 patients",,,"AMI-5 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","90 patients",,,"PN-6 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"AMI-4 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","52 patients","2 ","2","SCIP-CARD-2 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","260 patients","2 ","2","SCIP-INF-1 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","239 patients","2 ","2","SCIP-INF-3 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","265 patients","2 ","2","SCIP-INF-2 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","351 patients",,,"HF-2 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","290 patients",,,"HF-1 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","152 patients",,,"PN-5C " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","263 patients",,,"AMI-1 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","450 patients","2 ","2","SCIP-INF-6 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","127 patients","2 ","2","SCIP-VTE-2 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","259 patients",,,"AMI-2 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","127 patients","2 ","2","SCIP-VTE-1 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","103 patients",,,"HF-3 " "100046","FLORIDA HOSPITAL ZEPHYRHILLS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","55 patients",,,"AMI-8A " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","211 patients",,,"SCIP-INF-4 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","34 patients",,,"AMI-8A " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","110 patients",,,"SCIP-CARD-2 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","174 patients",,,"SCIP-VTE-2 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","304 patients",,,"HF-1 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","154 patients",,,"PN-3B " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","403 patients",,,"SCIP-INF-1 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","364 patients",,,"SCIP-INF-3 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","62 patients",,,"AMI-3 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","101 patients",,,"PN-6 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","612 patients",,,"SCIP-INF-6 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","253 patients",,,"AMI-5 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","158 patients",,,"PN-2 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","418 patients",,,"SCIP-INF-2 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","353 patients",,,"HF-2 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","264 patients",,,"AMI-2 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","121 patients",,,"HF-3 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","94 patients",,,"AMI-4 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","151 patients",,,"PN-5C " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","142 patients",,,"AMI-1 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","111 patients",,,"PN-7 " "100047","CHARLOTTE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","174 patients",,,"SCIP-VTE-1 " "100048","JAY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","56 patients",,,"PN-7 " "100048","JAY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","40 patients",,,"HF-1 " "100048","JAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "100048","JAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "100048","JAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "100048","JAY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","76 patients",,,"PN-5C " "100048","JAY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","52 patients",,,"PN-3B " "100048","JAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "100048","JAY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"PN-4 " "100048","JAY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "100048","JAY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","12 patients","1 ","1","HF-3 " "100048","JAY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "100048","JAY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100048","JAY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "100048","JAY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "100048","JAY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","70 patients",,,"PN-2 " "100048","JAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "100048","JAY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "100048","JAY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","68 patients",,,"PN-6 " "100048","JAY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "100048","JAY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "100048","JAY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100048","JAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "100048","JAY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","51 patients",,,"HF-2 " "100048","JAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","186 patients","2 ","2","SCIP-VTE-1 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","146 patients",,,"HF-1 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","114 patients",,,"PN-5C " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","37 patients",,,"HF-3 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","22 patients","1 ","1","AMI-2 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","61 patients",,,"SCIP-CARD-2 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","27 patients",,,"AMI-5 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","96 patients",,,"PN-3B " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","176 patients",,,"HF-2 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","126 patients",,,"PN-2 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","95 patients",,,"PN-7 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","37 patients",,,"CAC-1 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","32 patients",,,"AMI-1 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","86 patients",,,"PN-6 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","95%","37 patients",,,"CAC-2 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","186 patients","2 ","2","SCIP-VTE-2 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","152 patients","2 ","2","SCIP-INF-3 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","180 patients","2 ","2","SCIP-INF-2 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","81%","36 patients",,,"CAC-3 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","41 patients",,,"PN-4 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","307 patients","2 ","2","SCIP-INF-6 " "100049","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","177 patients","2 ","2","SCIP-INF-1 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","301 patients",,,"HF-2 " "100050","PALM SPRINGS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","108 patients",,,"SCIP-VTE-1 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","AMI-3 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","52 patients",,,"AMI-5 " "100050","PALM SPRINGS GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","84 patients",,,"PN-7 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","88 patients",,,"HF-3 " "100050","PALM SPRINGS GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "100050","PALM SPRINGS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","105 patients",,,"SCIP-VTE-2 " "100050","PALM SPRINGS GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","149 patients",,,"PN-2 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","48 patients",,,"AMI-2 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "100050","PALM SPRINGS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100050","PALM SPRINGS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","103 patients",,,"SCIP-INF-1 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100050","PALM SPRINGS GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","92 patients",,,"PN-6 " "100050","PALM SPRINGS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","194 patients",,,"SCIP-INF-6 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100050","PALM SPRINGS GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","171 patients",,,"PN-3B " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","91 patients",,,"AMI-1 " "100050","PALM SPRINGS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","101 patients",,,"SCIP-INF-3 " "100050","PALM SPRINGS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","23 patients","1 ","1","SCIP-CARD-2 " "100050","PALM SPRINGS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","103 patients",,,"SCIP-INF-2 " "100050","PALM SPRINGS GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","216 patients",,,"HF-1 " "100050","PALM SPRINGS GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","139 patients",,,"PN-5C " "100051","SOUTH LAKE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","60 patients",,,"PN-4 " "100051","SOUTH LAKE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","237 patients",,,"HF-1 " "100051","SOUTH LAKE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","149 patients",,,"PN-2 " "100051","SOUTH LAKE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","101 patients",,,"PN-6 " "100051","SOUTH LAKE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","67 patients",,,"AMI-2 " "100051","SOUTH LAKE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","190 patients",,,"PN-3B " "100051","SOUTH LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","375 patients","2 ","2","SCIP-INF-1 " "100051","SOUTH LAKE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","334 patients","2 ","2","SCIP-VTE-2 " "100051","SOUTH LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","509 patients","2 ","2","SCIP-INF-6 " "100051","SOUTH LAKE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","259 patients",,,"HF-2 " "100051","SOUTH LAKE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","80 patients",,,"AMI-5 " "100051","SOUTH LAKE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","108 patients",,,"AMI-1 " "100051","SOUTH LAKE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","113 patients",,,"PN-7 " "100051","SOUTH LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","362 patients","2 ","2","SCIP-INF-3 " "100051","SOUTH LAKE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "100051","SOUTH LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","374 patients","2 ","2","SCIP-INF-2 " "100051","SOUTH LAKE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","29 patients",,,"AMI-8A " "100051","SOUTH LAKE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","71 patients",,,"SCIP-CARD-2 " "100051","SOUTH LAKE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "100051","SOUTH LAKE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","161 patients",,,"PN-5C " "100051","SOUTH LAKE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","77 patients",,,"HF-3 " "100051","SOUTH LAKE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100051","SOUTH LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100051","SOUTH LAKE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","45 patients",,,"HF-4 " "100051","SOUTH LAKE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","334 patients","2 ","2","SCIP-VTE-1 " "100052","WINTER HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","897 patients",,,"SCIP-INF-6 " "100052","WINTER HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","578 patients",,,"SCIP-INF-1 " "100052","WINTER HAVEN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","228 patients",,,"PN-7 " "100052","WINTER HAVEN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","335 patients",,,"PN-5C " "100052","WINTER HAVEN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","140 patients",,,"AMI-4 " "100052","WINTER HAVEN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","111 patients",,,"AMI-3 " "100052","WINTER HAVEN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","521 patients",,,"HF-2 " "100052","WINTER HAVEN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","278 patients",,,"PN-3B " "100052","WINTER HAVEN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","226 patients",,,"PN-6 " "100052","WINTER HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","230 patients",,,"SCIP-VTE-1 " "100052","WINTER HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","226 patients",,,"SCIP-VTE-2 " "100052","WINTER HAVEN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","360 patients",,,"AMI-2 " "100052","WINTER HAVEN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","229 patients",,,"HF-3 " "100052","WINTER HAVEN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","351 patients",,,"AMI-1 " "100052","WINTER HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","545 patients",,,"SCIP-INF-3 " "100052","WINTER HAVEN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","424 patients",,,"HF-1 " "100052","WINTER HAVEN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","58 patients",,,"AMI-8A " "100052","WINTER HAVEN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","262 patients",,,"AMI-5 " "100052","WINTER HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","584 patients",,,"SCIP-INF-2 " "100052","WINTER HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","245 patients",,,"SCIP-INF-4 " "100052","WINTER HAVEN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","301 patients",,,"PN-2 " "100052","WINTER HAVEN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","84 patients",,,"HF-4 " "100052","WINTER HAVEN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","91 patients",,,"PN-4 " "100052","WINTER HAVEN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100052","WINTER HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","147 patients",,,"SCIP-CARD-2 " "100053","HIALEAH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","172 patients",,,"PN-7 " "100053","HIALEAH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1,2 ","12","SCIP-CARD-2 " "100053","HIALEAH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","124 patients","2 ","2","SCIP-VTE-1 " "100053","HIALEAH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100053","HIALEAH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "100053","HIALEAH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","125 patients",,,"HF-3 " "100053","HIALEAH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","151 patients","2 ","2","SCIP-INF-1 " "100053","HIALEAH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","377 patients",,,"PN-3B " "100053","HIALEAH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","359 patients",,,"HF-2 " "100053","HIALEAH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","266 patients",,,"PN-2 " "100053","HIALEAH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","369 patients",,,"PN-5C " "100053","HIALEAH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","90 patients",,,"AMI-2 " "100053","HIALEAH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "100053","HIALEAH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","169 patients",,,"AMI-1 " "100053","HIALEAH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","105 patients",,,"AMI-5 " "100053","HIALEAH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "100053","HIALEAH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","254 patients","2 ","2","SCIP-INF-6 " "100053","HIALEAH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","140 patients","2 ","2","SCIP-INF-3 " "100053","HIALEAH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","262 patients",,,"PN-6 " "100053","HIALEAH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","303 patients",,,"HF-1 " "100053","HIALEAH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","121 patients","2 ","2","SCIP-VTE-2 " "100053","HIALEAH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "100053","HIALEAH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100053","HIALEAH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","151 patients","2 ","2","SCIP-INF-2 " "100053","HIALEAH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "100054","TWIN CITIES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","64 patients",,,"SCIP-VTE-2 " "100054","TWIN CITIES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","26 patients",,,"SCIP-CARD-2 " "100054","TWIN CITIES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "100054","TWIN CITIES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","55 patients",,,"PN-2 " "100054","TWIN CITIES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100054","TWIN CITIES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100054","TWIN CITIES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","66 patients",,,"PN-3B " "100054","TWIN CITIES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "100054","TWIN CITIES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "100054","TWIN CITIES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","69 patients",,,"HF-2 " "100054","TWIN CITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","133 patients",,,"SCIP-INF-1 " "100054","TWIN CITIES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","36 patients",,,"PN-6 " "100054","TWIN CITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","157 patients",,,"SCIP-INF-6 " "100054","TWIN CITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","124 patients",,,"SCIP-INF-3 " "100054","TWIN CITIES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "100054","TWIN CITIES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","58 patients",,,"HF-1 " "100054","TWIN CITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100054","TWIN CITIES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","68 patients",,,"PN-5C " "100054","TWIN CITIES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","33 patients",,,"PN-7 " "100054","TWIN CITIES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "100054","TWIN CITIES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "100054","TWIN CITIES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","64 patients",,,"SCIP-VTE-1 " "100054","TWIN CITIES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "100054","TWIN CITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","133 patients",,,"SCIP-INF-2 " "100054","TWIN CITIES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","348 patients","2 ","2","SCIP-INF-1 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","115 patients",,,"AMI-2 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","69%","201 patients","2 ","2","SCIP-VTE-1 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","145 patients",,,"PN-5C " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","109 patients",,,"PN-6 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","46 patients",,,"AMI-8A " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","148 patients",,,"PN-3B " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","22 patients","1 ","1","AMI-3 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","343 patients","2 ","2","SCIP-INF-3 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","137 patients",,,"PN-2 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","353 patients","2 ","2","SCIP-INF-2 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","59 patients",,,"HF-3 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","120 patients",,,"HF-1 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","153 patients",,,"AMI-1 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","84%","456 patients","2 ","2","SCIP-INF-6 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","196 patients","2 ","2","SCIP-VTE-2 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","112 patients",,,"PN-7 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","167 patients",,,"HF-2 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","55 patients","2 ","2","SCIP-CARD-2 " "100055","HELEN ELLIS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","127 patients",,,"AMI-5 " "100057","FLORIDA HOSPITAL WATERMAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","109 patients",,,"AMI-5 " "100057","FLORIDA HOSPITAL WATERMAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","564 patients",,,"SCIP-VTE-2 " "100057","FLORIDA HOSPITAL WATERMAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","111 patients",,,"AMI-2 " "100057","FLORIDA HOSPITAL WATERMAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","931 patients",,,"SCIP-INF-6 " "100057","FLORIDA HOSPITAL WATERMAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","358 patients",,,"HF-1 " "100057","FLORIDA HOSPITAL WATERMAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100057","FLORIDA HOSPITAL WATERMAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","595 patients",,,"SCIP-INF-3 " "100057","FLORIDA HOSPITAL WATERMAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","445 patients",,,"HF-2 " "100057","FLORIDA HOSPITAL WATERMAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","278 patients",,,"PN-2 " "100057","FLORIDA HOSPITAL WATERMAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","AMI-3 " "100057","FLORIDA HOSPITAL WATERMAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","628 patients",,,"SCIP-INF-1 " "100057","FLORIDA HOSPITAL WATERMAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"PN-4 " "100057","FLORIDA HOSPITAL WATERMAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","564 patients",,,"SCIP-VTE-1 " "100057","FLORIDA HOSPITAL WATERMAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "100057","FLORIDA HOSPITAL WATERMAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","629 patients",,,"SCIP-INF-2 " "100057","FLORIDA HOSPITAL WATERMAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","135 patients",,,"HF-3 " "100057","FLORIDA HOSPITAL WATERMAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","251 patients",,,"PN-5C " "100057","FLORIDA HOSPITAL WATERMAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","159 patients",,,"SCIP-CARD-2 " "100057","FLORIDA HOSPITAL WATERMAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","203 patients",,,"PN-7 " "100057","FLORIDA HOSPITAL WATERMAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100057","FLORIDA HOSPITAL WATERMAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "100057","FLORIDA HOSPITAL WATERMAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","170 patients",,,"AMI-1 " "100057","FLORIDA HOSPITAL WATERMAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","269 patients",,,"PN-3B " "100057","FLORIDA HOSPITAL WATERMAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "100057","FLORIDA HOSPITAL WATERMAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","157 patients",,,"PN-6 " "100061","MERCY HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients","2 ","2","HF-4 " "100061","MERCY HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","279 patients","2 ","2","AMI-2 " "100061","MERCY HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","129 patients","2 ","2","PN-6 " "100061","MERCY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","863 patients","2 ","2","SCIP-INF-1 " "100061","MERCY HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","340 patients","2 ","2","HF-1 " "100061","MERCY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1108 patients","2 ","2","SCIP-INF-6 " "100061","MERCY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","121 patients","2 ","2","SCIP-INF-4 " "100061","MERCY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","835 patients","2 ","2","SCIP-INF-3 " "100061","MERCY HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","165 patients","2 ","2","SCIP-CARD-2 " "100061","MERCY HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","99 patients","2 ","2","PN-7 " "100061","MERCY HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","284 patients","2 ","2","AMI-5 " "100061","MERCY HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","391 patients","2 ","2","HF-2 " "100061","MERCY HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","172 patients","2 ","2","PN-3B " "100061","MERCY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","549 patients","2 ","2","SCIP-VTE-2 " "100061","MERCY HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100061","MERCY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","555 patients","2 ","2","SCIP-VTE-1 " "100061","MERCY HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","192 patients","2 ","2","PN-5C " "100061","MERCY HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","176 patients","2 ","2","HF-3 " "100061","MERCY HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","49 patients","2 ","2","AMI-8A " "100061","MERCY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","868 patients","2 ","2","SCIP-INF-2 " "100061","MERCY HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","87 patients","2 ","2","AMI-3 " "100061","MERCY HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","71 patients","2 ","2","AMI-4 " "100061","MERCY HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","189 patients","2 ","2","PN-2 " "100061","MERCY HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","220 patients","2 ","2","AMI-1 " "100061","MERCY HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2 ","2","PN-4 " "100062","MUNROE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","91 patients","2 ","2","PN-7 " "100062","MUNROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","162 patients","2 ","2","SCIP-VTE-1 " "100062","MUNROE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","56 patients","2 ","2","PN-4 " "100062","MUNROE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","123 patients","2 ","2","PN-5C " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","83 patients",,,"AMI-8A " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","197 patients",,,"AMI-4 " "100062","MUNROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","394 patients","2 ","2","SCIP-INF-1 " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","449 patients",,,"AMI-2 " "100062","MUNROE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","93 patients","2 ","2","PN-6 " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","120 patients",,,"AMI-3 " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","421 patients",,,"AMI-1 " "100062","MUNROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","551 patients","2 ","2","SCIP-INF-6 " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","264 patients","2 ","2","HF-2 " "100062","MUNROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","372 patients","2 ","2","SCIP-INF-3 " "100062","MUNROE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","104 patients","2 ","2","PN-3B " "100062","MUNROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","119 patients","2 ","2","SCIP-CARD-2 " "100062","MUNROE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","143 patients","2 ","2","PN-2 " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","214 patients","2 ","2","HF-1 " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","402 patients",,,"AMI-5 " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","45 patients","2 ","2","HF-4 " "100062","MUNROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","162 patients","2 ","2","SCIP-VTE-2 " "100062","MUNROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","130 patients","2 ","2","SCIP-INF-4 " "100062","MUNROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","404 patients","2 ","2","SCIP-INF-2 " "100062","MUNROE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","123 patients","2 ","2","HF-3 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","118 patients","2 ","2","SCIP-INF-3 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","137 patients","2 ","2","SCIP-INF-2 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "100063","MORTON PLANT NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","137 patients","2 ","2","SCIP-VTE-2 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","109 patients",,,"PN-2 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","128 patients",,,"HF-2 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","245 patients","2 ","2","SCIP-INF-6 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","57 patients",,,"PN-6 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","98 patients",,,"HF-1 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","47 patients","2 ","2","SCIP-CARD-2 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","62 patients",,,"AMI-2 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","83 patients",,,"PN-7 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","70 patients",,,"AMI-5 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","138 patients","2 ","2","SCIP-VTE-1 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","136 patients","2 ","2","SCIP-INF-1 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100063","MORTON PLANT NORTH BAY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","80 patients",,,"PN-5C " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","51 patients",,,"HF-3 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","95 patients",,,"PN-3B " "100063","MORTON PLANT NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","121 patients",,,"AMI-1 " "100063","MORTON PLANT NORTH BAY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "100067","ST ANTHONY'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100067","ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","435 patients","2 ","2","SCIP-INF-6 " "100067","ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100067","ST ANTHONY'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"HF-4 " "100067","ST ANTHONY'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","96 patients",,,"AMI-5 " "100067","ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","303 patients","2 ","2","SCIP-INF-2 " "100067","ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","305 patients","2 ","2","SCIP-INF-1 " "100067","ST ANTHONY'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"PN-4 " "100067","ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","169 patients","2 ","2","SCIP-VTE-2 " "100067","ST ANTHONY'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","137 patients",,,"PN-6 " "100067","ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","292 patients","2 ","2","SCIP-INF-3 " "100067","ST ANTHONY'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","97 patients",,,"HF-3 " "100067","ST ANTHONY'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","232 patients",,,"HF-1 " "100067","ST ANTHONY'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","32 patients",,,"AMI-8A " "100067","ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","52 patients","2 ","2","SCIP-CARD-2 " "100067","ST ANTHONY'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"AMI-4 " "100067","ST ANTHONY'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","296 patients",,,"HF-2 " "100067","ST ANTHONY'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "100067","ST ANTHONY'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","100 patients",,,"AMI-2 " "100067","ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","169 patients","2 ","2","SCIP-VTE-1 " "100067","ST ANTHONY'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","191 patients",,,"PN-2 " "100067","ST ANTHONY'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","251 patients",,,"PN-5C " "100067","ST ANTHONY'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","247 patients",,,"PN-3B " "100067","ST ANTHONY'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","148 patients",,,"PN-7 " "100067","ST ANTHONY'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","143 patients",,,"AMI-1 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","65 patients",,,"AMI-3 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","737 patients","2 ","2","SCIP-INF-2 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","20 patients","1 ","1","AMI-8A " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","315 patients","2 ","2","SCIP-INF-4 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","973 patients","2 ","2","SCIP-INF-6 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","184 patients","2 ","2","SCIP-CARD-2 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","721 patients","2 ","2","SCIP-INF-1 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","120 patients",,,"HF-3 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","114 patients",,,"PN-6 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","300 patients","2 ","2","SCIP-VTE-2 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","127 patients",,,"PN-3B " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","116 patients",,,"AMI-4 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","306 patients",,,"HF-1 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","310 patients",,,"AMI-2 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","304 patients","2 ","2","SCIP-VTE-1 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","171 patients",,,"AMI-1 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","89 patients",,,"PN-4 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","364 patients",,,"HF-2 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","146 patients",,,"PN-7 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","205 patients",,,"PN-2 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","265 patients",,,"AMI-5 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","635 patients","2 ","2","SCIP-INF-3 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","62 patients",,,"HF-4 " "100068","FLORIDA HOSPITAL MEMORIAL MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","196 patients",,,"PN-5C " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","68 patients","2 ","2","PN-7 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","105 patients","2 ","2","PN-6 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","85 patients","2 ","2","PN-2 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","24 patients","1,2 ","12","SCIP-CARD-2 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","PN-4 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","131 patients","2 ","2","SCIP-VTE-1 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","85 patients",,,"HF-2 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","69 patients",,,"HF-1 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","129 patients","2 ","2","PN-5C " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","277 patients","2 ","2","SCIP-INF-6 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","157 patients","2 ","2","SCIP-INF-3 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","165 patients","2 ","2","SCIP-INF-2 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","131 patients","2 ","2","SCIP-VTE-2 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","163 patients","2 ","2","SCIP-INF-1 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","132 patients","2 ","2","PN-3B " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"HF-3 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "100069","UNIVERSITY COMMUNITY HOSPITAL AT CARROLLWOOD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"AMI-4 " "100070","VENICE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","618 patients","2 ","2","SCIP-INF-1 " "100070","VENICE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","226 patients","2 ","2","SCIP-VTE-2 " "100070","VENICE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","564 patients","2 ","2","SCIP-INF-3 " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","288 patients",,,"AMI-2 " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","311 patients",,,"HF-2 " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","240 patients",,,"HF-1 " "100070","VENICE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","145 patients",,,"PN-7 " "100070","VENICE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","226 patients","2 ","2","SCIP-VTE-1 " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","328 patients",,,"AMI-1 " "100070","VENICE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","166 patients",,,"PN-5C " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","71 patients",,,"AMI-3 " "100070","VENICE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","104 patients",,,"PN-6 " "100070","VENICE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","46 patients",,,"AMI-8A " "100070","VENICE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","189 patients","2 ","2","SCIP-CARD-2 " "100070","VENICE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","260 patients","2 ","2","SCIP-INF-4 " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","107 patients",,,"HF-3 " "100070","VENICE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","875 patients","2 ","2","SCIP-INF-6 " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","311 patients",,,"AMI-5 " "100070","VENICE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "100070","VENICE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","158 patients",,,"PN-3B " "100070","VENICE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","225 patients",,,"PN-2 " "100070","VENICE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","631 patients","2 ","2","SCIP-INF-2 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","298 patients",,,"HF-2 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","152 patients",,,"AMI-1 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","246 patients",,,"SCIP-INF-3 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","12 patients","1 ","1","AMI-8A " "100071","BROOKSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","189 patients",,,"PN-7 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","273 patients",,,"SCIP-INF-2 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","81 patients",,,"HF-3 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","302 patients",,,"PN-3B " "100071","BROOKSVILLE REGIONAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","81%","26 patients",,,"CAC-3 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","248 patients",,,"HF-1 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","258 patients",,,"PN-2 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","70 patients",,,"SCIP-CARD-2 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","490 patients",,,"SCIP-INF-6 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","28 patients",,,"CAC-1 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","225 patients",,,"SCIP-VTE-2 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","99 patients",,,"AMI-5 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","271 patients",,,"SCIP-INF-1 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","116 patients",,,"PN-4 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","184 patients",,,"PN-6 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "100071","BROOKSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","90 patients",,,"AMI-2 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","270 patients",,,"PN-5C " "100071","BROOKSVILLE REGIONAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","28 patients",,,"CAC-2 " "100071","BROOKSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","227 patients",,,"SCIP-VTE-1 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","128 patients",,,"HF-3 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"AMI-3 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","530 patients",,,"SCIP-INF-6 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","6 patients","1 ","1","AMI-7A " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","263 patients",,,"PN-2 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","314 patients",,,"SCIP-INF-1 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","181 patients",,,"PN-6 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","305 patients",,,"SCIP-INF-3 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","119 patients",,,"AMI-1 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","223 patients",,,"SCIP-VTE-2 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","362 patients",,,"HF-1 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","76 patients",,,"AMI-2 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","101 patients",,,"PN-3B " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","316 patients",,,"SCIP-INF-2 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","465 patients",,,"HF-2 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","83 patients",,,"AMI-5 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","69 patients",,,"SCIP-CARD-2 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","194 patients",,,"PN-7 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","236 patients",,,"SCIP-VTE-1 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","255 patients",,,"PN-5C " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"PN-4 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "100072","FLORIDA HOSPITAL FISH MEMORIAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"HF-4 " "100073","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","366 patients","2 ","2","SCIP-INF-3 " "100073","HOLY CROSS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "100073","HOLY CROSS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","348 patients",,,"AMI-2 " "100073","HOLY CROSS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"PN-4 " "100073","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","177 patients","2 ","2","SCIP-VTE-2 " "100073","HOLY CROSS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","184 patients",,,"HF-3 " "100073","HOLY CROSS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"AMI-4 " "100073","HOLY CROSS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","325 patients",,,"AMI-5 " "100073","HOLY CROSS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","63 patients",,,"AMI-3 " "100073","HOLY CROSS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","320 patients",,,"PN-3B " "100073","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","101 patients","2 ","2","SCIP-CARD-2 " "100073","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","390 patients","2 ","2","SCIP-INF-2 " "100073","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","135 patients","2 ","2","SCIP-INF-4 " "100073","HOLY CROSS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","207 patients",,,"PN-7 " "100073","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","544 patients","2 ","2","SCIP-INF-6 " "100073","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","178 patients","2 ","2","SCIP-VTE-1 " "100073","HOLY CROSS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","314 patients",,,"PN-2 " "100073","HOLY CROSS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100073","HOLY CROSS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","56 patients",,,"AMI-8A " "100073","HOLY CROSS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","240 patients",,,"PN-5C " "100073","HOLY CROSS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","661 patients",,,"HF-2 " "100073","HOLY CROSS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","529 patients",,,"HF-1 " "100073","HOLY CROSS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","292 patients",,,"AMI-1 " "100073","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","383 patients","2 ","2","SCIP-INF-1 " "100073","HOLY CROSS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","160 patients",,,"PN-6 " "100075","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","234 patients","2 ","2","SCIP-VTE-1 " "100075","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","232 patients","2 ","2","SCIP-VTE-2 " "100075","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","537 patients","2 ","2","SCIP-INF-1 " "100075","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","108 patients",,,"AMI-8A " "100075","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","808 patients","2 ","2","SCIP-INF-6 " "100075","ST JOSEPH'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","826 patients",,,"HF-2 " "100075","ST JOSEPH'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","350 patients",,,"PN-7 " "100075","ST JOSEPH'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","177 patients",,,"PN-4 " "100075","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","517 patients",,,"AMI-1 " "100075","ST JOSEPH'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","323 patients",,,"HF-3 " "100075","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","506 patients","2 ","2","SCIP-INF-3 " "100075","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","596 patients",,,"AMI-5 " "100075","ST JOSEPH'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","680 patients",,,"HF-1 " "100075","ST JOSEPH'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","135 patients",,,"HF-4 " "100075","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100075","ST JOSEPH'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","572 patients",,,"PN-5C " "100075","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","548 patients","2 ","2","SCIP-INF-2 " "100075","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","116 patients",,,"AMI-3 " "100075","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","194 patients","2 ","2","SCIP-INF-4 " "100075","ST JOSEPH'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","454 patients",,,"PN-2 " "100075","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","194 patients",,,"AMI-4 " "100075","ST JOSEPH'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","370 patients",,,"PN-6 " "100075","ST JOSEPH'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","517 patients",,,"PN-3B " "100075","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","597 patients",,,"AMI-2 " "100075","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","149 patients","2 ","2","SCIP-CARD-2 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","137 patients",,,"PN-3B " "100076","METROPOLITAN HOSPITAL OF MIAMI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","95 patients",,,"PN-2 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","67 patients",,,"PN-7 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"HF-3 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","107 patients",,,"PN-6 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","135 patients",,,"SCIP-INF-6 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","131 patients",,,"PN-5C " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","93 patients",,,"SCIP-INF-3 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","93 patients",,,"SCIP-INF-1 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","58 patients",,,"SCIP-VTE-2 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","57%","58 patients",,,"SCIP-VTE-1 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100076","METROPOLITAN HOSPITAL OF MIAMI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","93 patients",,,"SCIP-INF-2 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","105 patients",,,"HF-1 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1 ","1","SCIP-CARD-2 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","154 patients",,,"HF-2 " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100076","METROPOLITAN HOSPITAL OF MIAMI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","60 patients",,,"AMI-1 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","26 patients",,,"CAC-2 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","550 patients","2 ","2","SCIP-INF-6 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","249 patients","2 ","2","SCIP-VTE-1 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","26 patients",,,"AMI-1 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","119 patients",,,"PN-5C " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","57 patients",,,"HF-3 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","382 patients","2 ","2","SCIP-INF-1 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","383 patients","2 ","2","SCIP-INF-2 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","96 patients","2 ","2","SCIP-CARD-2 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","113 patients",,,"PN-3B " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","249 patients","2 ","2","SCIP-VTE-2 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","343 patients","2 ","2","SCIP-INF-3 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","94 patients",,,"PN-7 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","174 patients",,,"HF-1 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","58%","24 patients","1 ","1","CAC-3 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","11 patients","1 ","1","CAC-1 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","241 patients",,,"HF-2 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","133 patients",,,"PN-2 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "100077","PEACE RIVER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","70 patients",,,"PN-6 " "100080","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","455 patients","2 ","2","SCIP-INF-3 " "100080","JFK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","459 patients",,,"PN-2 " "100080","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","501 patients","2 ","2","SCIP-INF-1 " "100080","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","514 patients","2 ","2","SCIP-INF-2 " "100080","JFK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","756 patients",,,"HF-1 " "100080","JFK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","292 patients",,,"PN-7 " "100080","JFK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","183 patients",,,"AMI-4 " "100080","JFK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","90 patients",,,"PN-3B " "100080","JFK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","584 patients",,,"AMI-1 " "100080","JFK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","135 patients",,,"AMI-3 " "100080","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","317 patients","2 ","2","SCIP-VTE-2 " "100080","JFK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","260 patients",,,"HF-3 " "100080","JFK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","153 patients",,,"PN-4 " "100080","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","132 patients","2 ","2","SCIP-CARD-2 " "100080","JFK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","271 patients",,,"PN-5C " "100080","JFK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","677 patients",,,"AMI-2 " "100080","JFK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","144 patients",,,"HF-4 " "100080","JFK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","121 patients",,,"AMI-8A " "100080","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","317 patients","2 ","2","SCIP-VTE-1 " "100080","JFK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","662 patients",,,"AMI-5 " "100080","JFK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","202 patients",,,"PN-6 " "100080","JFK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","977 patients",,,"HF-2 " "100080","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","201 patients","2 ","2","SCIP-INF-4 " "100080","JFK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100080","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","781 patients","2 ","2","SCIP-INF-6 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","2 patients","1,3 ","13","SCIP-VTE-1 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","4%","77 patients",,,"HF-2 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","64%","42 patients",,,"PN-6 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","33%","3 patients","1,3 ","13","SCIP-INF-1 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","2 patients","1,3 ","13","SCIP-VTE-2 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","3 patients","1,3 ","13","SCIP-INF-6 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","47 patients","3 ","3","PN-5C " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","44%","43 patients",,,"PN-2 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","3 patients","1,3 ","13","SCIP-INF-3 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","23%","64 patients",,,"HF-1 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","8 patients","1 ","1","PN-3B " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","15 patients","1 ","1","HF-4 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","61%","23 patients","1 ","1","PN-4 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","3 patients","1,3 ","13","SCIP-INF-2 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","58%","31 patients",,,"PN-7 " "100081","HEALTHMARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","139 patients","2 ","2","AMI-4 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","398 patients","2 ","2","SCIP-VTE-1 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100084","LEESBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1089 patients","2 ","2","SCIP-INF-2 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","390 patients","2 ","2","SCIP-VTE-2 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","95 patients","2 ","2","AMI-3 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","141 patients","2 ","2","PN-6 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","448 patients","2 ","2","SCIP-INF-4 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","235 patients","2 ","2","SCIP-CARD-2 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","154 patients","2 ","2","PN-7 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","1085 patients","2 ","2","SCIP-INF-1 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","623 patients","2 ","2","HF-2 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","353 patients","2 ","2","AMI-1 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1458 patients","2 ","2","SCIP-INF-6 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","71 patients","2 ","2","AMI-8A " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","484 patients","2 ","2","HF-1 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","160 patients","2 ","2","PN-3B " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","197 patients","2 ","2","HF-3 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","84 patients","2 ","2","HF-4 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","501 patients","2 ","2","AMI-2 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","251 patients","2 ","2","PN-2 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients","2 ","2","PN-4 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","516 patients","2 ","2","AMI-5 " "100084","LEESBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","205 patients","2 ","2","PN-5C " "100084","LEESBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","1041 patients","2 ","2","SCIP-INF-3 " "100086","NORTH BROWARD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","50 patients",,,"AMI-5 " "100086","NORTH BROWARD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","125 patients","2 ","2","PN-3B " "100086","NORTH BROWARD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","235 patients","2 ","2","HF-1 " "100086","NORTH BROWARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","280 patients","2 ","2","SCIP-INF-2 " "100086","NORTH BROWARD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "100086","NORTH BROWARD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100086","NORTH BROWARD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100086","NORTH BROWARD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","48 patients",,,"AMI-2 " "100086","NORTH BROWARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","435 patients","2 ","2","SCIP-INF-6 " "100086","NORTH BROWARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","67%","3 patients","1,2 ","12","SCIP-INF-4 " "100086","NORTH BROWARD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","109 patients","2 ","2","PN-5C " "100086","NORTH BROWARD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "100086","NORTH BROWARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","201 patients","2 ","2","SCIP-VTE-2 " "100086","NORTH BROWARD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","86 patients","2 ","2","PN-6 " "100086","NORTH BROWARD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2 ","2","PN-4 " "100086","NORTH BROWARD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","65 patients","2 ","2","PN-7 " "100086","NORTH BROWARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","201 patients","2 ","2","SCIP-VTE-1 " "100086","NORTH BROWARD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","103 patients","2 ","2","HF-3 " "100086","NORTH BROWARD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","273 patients","2 ","2","HF-2 " "100086","NORTH BROWARD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","101 patients",,,"AMI-1 " "100086","NORTH BROWARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","256 patients","2 ","2","SCIP-INF-3 " "100086","NORTH BROWARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","58 patients","2 ","2","SCIP-CARD-2 " "100086","NORTH BROWARD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","HF-4 " "100086","NORTH BROWARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","275 patients","2 ","2","SCIP-INF-1 " "100086","NORTH BROWARD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","83 patients","2 ","2","PN-2 " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","99 patients","2 ","2","AMI-4 " "100087","SARASOTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","546 patients","2 ","2","SCIP-INF-3 " "100087","SARASOTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","186 patients","2 ","2","SCIP-INF-4 " "100087","SARASOTA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","155 patients","2 ","2","PN-3B " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","400 patients","2 ","2","AMI-2 " "100087","SARASOTA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","150 patients","2 ","2","PN-5C " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","413 patients","2 ","2","HF-2 " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","50 patients","2 ","2","HF-4 " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","300 patients","2 ","2","HF-1 " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","328 patients","2 ","2","AMI-1 " "100087","SARASOTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","269 patients","2 ","2","SCIP-VTE-2 " "100087","SARASOTA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","88 patients","2 ","2","PN-6 " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","110 patients","2 ","2","AMI-3 " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","45 patients","2 ","2","AMI-8A " "100087","SARASOTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","269 patients","2 ","2","SCIP-VTE-1 " "100087","SARASOTA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","129 patients","2 ","2","PN-7 " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","429 patients","2 ","2","AMI-5 " "100087","SARASOTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","580 patients","2 ","2","SCIP-INF-2 " "100087","SARASOTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","565 patients","2 ","2","SCIP-INF-1 " "100087","SARASOTA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","61 patients","2 ","2","PN-4 " "100087","SARASOTA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","156 patients","2 ","2","HF-3 " "100087","SARASOTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","841 patients","2 ","2","SCIP-INF-6 " "100087","SARASOTA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","200 patients","2 ","2","PN-2 " "100087","SARASOTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","145 patients","2 ","2","SCIP-CARD-2 " "100088","BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","44 patients","2 ","2","AMI-3 " "100088","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","432 patients","2 ","2","SCIP-INF-4 " "100088","BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","70 patients","2 ","2","PN-4 " "100088","BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","232 patients","2 ","2","HF-1 " "100088","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","195 patients","2 ","2","SCIP-VTE-1 " "100088","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","700 patients","2 ","2","SCIP-INF-3 " "100088","BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","274 patients","2 ","2","HF-2 " "100088","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","978 patients","2 ","2","SCIP-INF-6 " "100088","BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100088","BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","115 patients","2 ","2","AMI-1 " "100088","BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","259 patients","2 ","2","AMI-5 " "100088","BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","158 patients","2 ","2","PN-5C " "100088","BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","112 patients","2 ","2","AMI-4 " "100088","BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","144 patients","2 ","2","PN-3B " "100088","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","195 patients","2 ","2","SCIP-VTE-2 " "100088","BAPTIST MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","16%","214 patients",,,"CAC-3 " "100088","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","214 patients","2 ","2","SCIP-CARD-2 " "100088","BAPTIST MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","214 patients",,,"CAC-2 " "100088","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","760 patients","2 ","2","SCIP-INF-2 " "100088","BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients","2 ","2","HF-4 " "100088","BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","122 patients","2 ","2","PN-2 " "100088","BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","93 patients","2 ","2","PN-7 " "100088","BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","95 patients","2 ","2","HF-3 " "100088","BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","117 patients","2 ","2","PN-6 " "100088","BAPTIST MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","214 patients",,,"CAC-1 " "100088","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","739 patients","2 ","2","SCIP-INF-1 " "100088","BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","257 patients","2 ","2","AMI-2 " "100088","BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","26 patients","2 ","2","AMI-8A " "100090","FLAGLER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","52%","46 patients","2 ","2","AMI-8A " "100090","FLAGLER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","31 patients","2 ","2","AMI-3 " "100090","FLAGLER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","164 patients","2 ","2","PN-5C " "100090","FLAGLER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100090","FLAGLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","64 patients","2 ","2","SCIP-INF-4 " "100090","FLAGLER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","239 patients","2 ","2","SCIP-VTE-2 " "100090","FLAGLER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","218 patients","2 ","2","AMI-2 " "100090","FLAGLER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","240 patients","2 ","2","SCIP-VTE-1 " "100090","FLAGLER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients","2 ","2","HF-4 " "100090","FLAGLER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","392 patients","2 ","2","HF-2 " "100090","FLAGLER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","68 patients","2 ","2","PN-4 " "100090","FLAGLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","378 patients","2 ","2","SCIP-INF-2 " "100090","FLAGLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","357 patients","2 ","2","SCIP-INF-3 " "100090","FLAGLER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","75 patients","2 ","2","SCIP-CARD-2 " "100090","FLAGLER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","213 patients","2 ","2","AMI-5 " "100090","FLAGLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","375 patients","2 ","2","SCIP-INF-1 " "100090","FLAGLER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","123 patients","2 ","2","HF-3 " "100090","FLAGLER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","125 patients","2 ","2","PN-6 " "100090","FLAGLER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","133 patients","2 ","2","PN-7 " "100090","FLAGLER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","318 patients","2 ","2","HF-1 " "100090","FLAGLER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","193 patients","2 ","2","PN-2 " "100090","FLAGLER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","243 patients","2 ","2","AMI-1 " "100090","FLAGLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","558 patients","2 ","2","SCIP-INF-6 " "100090","FLAGLER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","68 patients","2 ","2","AMI-4 " "100090","FLAGLER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","159 patients","2 ","2","PN-3B " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"PN-4 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","188 patients",,,"PN-5C " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","101 patients",,,"AMI-4 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"HF-4 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","126 patients",,,"HF-3 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","406 patients",,,"HF-2 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","129 patients",,,"PN-6 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","226 patients",,,"AMI-5 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","444 patients","2 ","2","SCIP-INF-2 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","190 patients",,,"PN-2 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","193 patients",,,"PN-3B " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","212 patients",,,"AMI-2 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","220 patients",,,"AMI-1 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","54 patients",,,"AMI-3 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","258 patients","2 ","2","SCIP-VTE-2 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","436 patients","2 ","2","SCIP-INF-1 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","55 patients",,,"AMI-8A " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","260 patients","2 ","2","SCIP-VTE-1 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","153 patients",,,"PN-7 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","399 patients","2 ","2","SCIP-INF-3 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","637 patients","2 ","2","SCIP-INF-6 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","166 patients","2 ","2","SCIP-INF-4 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","342 patients",,,"HF-1 " "100092","WUESTHOFF MEDICAL CENTER ROCKLEDGE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","124 patients","2 ","2","SCIP-CARD-2 " "100093","BAPTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","137 patients",,,"AMI-1 " "100093","BAPTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","133 patients","2 ","2","PN-6 " "100093","BAPTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"AMI-4 " "100093","BAPTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","46 patients",,,"AMI-3 " "100093","BAPTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","181 patients",,,"AMI-2 " "100093","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","156 patients","2 ","2","SCIP-INF-4 " "100093","BAPTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","427 patients","2 ","2","HF-2 " "100093","BAPTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","115 patients","2 ","2","HF-4 " "100093","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","124 patients","2 ","2","SCIP-CARD-2 " "100093","BAPTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","204 patients","2 ","2","PN-5C " "100093","BAPTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","195 patients","2 ","2","PN-3B " "100093","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","349 patients","2 ","2","SCIP-VTE-1 " "100093","BAPTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","152 patients","2 ","2","PN-2 " "100093","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","452 patients","2 ","2","SCIP-INF-3 " "100093","BAPTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","120 patients",,,"PN-7 " "100093","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","478 patients","2 ","2","SCIP-INF-1 " "100093","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","348 patients","2 ","2","SCIP-VTE-2 " "100093","BAPTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","26 patients",,,"AMI-8A " "100093","BAPTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","187 patients",,,"AMI-5 " "100093","BAPTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100093","BAPTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","106 patients","2 ","2","PN-4 " "100093","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","863 patients","2 ","2","SCIP-INF-6 " "100093","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","484 patients","2 ","2","SCIP-INF-2 " "100093","BAPTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","356 patients","2 ","2","HF-1 " "100093","BAPTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","147 patients","2 ","2","HF-3 " "100099","LAKE WALES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "100099","LAKE WALES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "100099","LAKE WALES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100099","LAKE WALES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "100099","LAKE WALES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","29 patients",,,"AMI-1 " "100099","LAKE WALES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","60 patients","2 ","2","SCIP-INF-1 " "100099","LAKE WALES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","62 patients",,,"PN-7 " "100099","LAKE WALES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","93 patients",,,"PN-5C " "100099","LAKE WALES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "100099","LAKE WALES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100099","LAKE WALES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","272 patients",,,"HF-2 " "100099","LAKE WALES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","55 patients",,,"PN-6 " "100099","LAKE WALES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","95 patients",,,"PN-3B " "100099","LAKE WALES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","75 patients",,,"PN-2 " "100099","LAKE WALES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","61 patients","2 ","2","SCIP-INF-2 " "100099","LAKE WALES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","24 patients","1,2 ","12","SCIP-CARD-2 " "100099","LAKE WALES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","81 patients","2 ","2","SCIP-VTE-1 " "100099","LAKE WALES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "100099","LAKE WALES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100099","LAKE WALES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","229 patients",,,"HF-1 " "100099","LAKE WALES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","56 patients","2 ","2","SCIP-INF-3 " "100099","LAKE WALES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","148 patients","2 ","2","SCIP-INF-6 " "100099","LAKE WALES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","77 patients",,,"HF-3 " "100099","LAKE WALES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "100099","LAKE WALES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","81 patients","2 ","2","SCIP-VTE-2 " "10009F","BAY PINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","308 patients","2 ","2","SCIP-VTE-1 " "10009F","BAY PINES VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","81 patients",,,"AMI-1 " "10009F","BAY PINES VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "10009F","BAY PINES VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","121 patients",,,"HF-3 " "10009F","BAY PINES VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","309 patients",,,"HF-2 " "10009F","BAY PINES VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","63 patients",,,"AMI-2 " "10009F","BAY PINES VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","115 patients",,,"PN-3B " "10009F","BAY PINES VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "10009F","BAY PINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "10009F","BAY PINES VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","116 patients",,,"PN-7 " "10009F","BAY PINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","352 patients",,,"SCIP-INF-1 " "10009F","BAY PINES VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","105 patients",,,"PN-5C " "10009F","BAY PINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","202 patients","2 ","2","SCIP-CARD-2 " "10009F","BAY PINES VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "10009F","BAY PINES VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-8A " "10009F","BAY PINES VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","68 patients",,,"AMI-5 " "10009F","BAY PINES VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","66 patients",,,"PN-6 " "10009F","BAY PINES VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"HF-4 " "10009F","BAY PINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","359 patients",,,"SCIP-INF-2 " "10009F","BAY PINES VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","265 patients",,,"HF-1 " "10009F","BAY PINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","307 patients","2 ","2","SCIP-VTE-2 " "10009F","BAY PINES VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","129 patients",,,"PN-2 " "10009F","BAY PINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","478 patients","2 ","2","SCIP-INF-6 " "10009F","BAY PINES VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "10009F","BAY PINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","338 patients",,,"SCIP-INF-3 " "100102","SHANDS AT LAKE SHORE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","112 patients","2 ","2","HF-1 " "100102","SHANDS AT LAKE SHORE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","45 patients","2 ","2","HF-4 " "100102","SHANDS AT LAKE SHORE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","PN-4 " "100102","SHANDS AT LAKE SHORE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "100102","SHANDS AT LAKE SHORE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","90 patients","2 ","2","PN-2 " "100102","SHANDS AT LAKE SHORE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","14 patients","1,2 ","12","SCIP-INF-2 " "100102","SHANDS AT LAKE SHORE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100102","SHANDS AT LAKE SHORE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100102","SHANDS AT LAKE SHORE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,2 ","12","AMI-3 " "100102","SHANDS AT LAKE SHORE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","26 patients","2 ","2","HF-3 " "100102","SHANDS AT LAKE SHORE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","50 patients","2 ","2","AMI-1 " "100102","SHANDS AT LAKE SHORE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","12 patients","1,2 ","12","SCIP-INF-3 " "100102","SHANDS AT LAKE SHORE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","60 patients","2 ","2","SCIP-INF-6 " "100102","SHANDS AT LAKE SHORE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1 ","1","SCIP-CARD-2 " "100102","SHANDS AT LAKE SHORE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","100 patients","2 ","2","PN-5C " "100102","SHANDS AT LAKE SHORE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","36 patients","2 ","2","SCIP-VTE-1 " "100102","SHANDS AT LAKE SHORE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","36 patients","2 ","2","SCIP-VTE-2 " "100102","SHANDS AT LAKE SHORE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","129 patients","2 ","2","HF-2 " "100102","SHANDS AT LAKE SHORE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","14 patients","1,2 ","12","SCIP-INF-1 " "100102","SHANDS AT LAKE SHORE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","90 patients","2 ","2","PN-3B " "100102","SHANDS AT LAKE SHORE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","69 patients","2 ","2","PN-7 " "100102","SHANDS AT LAKE SHORE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","88 patients","2 ","2","PN-6 " "100102","SHANDS AT LAKE SHORE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","44 patients","2 ","2","AMI-5 " "100102","SHANDS AT LAKE SHORE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","AMI-4 " "100102","SHANDS AT LAKE SHORE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","42 patients","2 ","2","AMI-2 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","323 patients",,,"HF-1 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","286 patients",,,"PN-5C " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","288 patients",,,"PN-2 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","223 patients",,,"AMI-2 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","140 patients","2 ","2","SCIP-INF-4 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","451 patients","2 ","2","SCIP-INF-1 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","41 patients",,,"AMI-8A " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","187 patients",,,"PN-7 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","665 patients","2 ","2","SCIP-INF-6 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","225 patients","2 ","2","SCIP-VTE-1 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","235 patients",,,"PN-3B " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","74 patients",,,"PN-4 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","462 patients","2 ","2","SCIP-INF-2 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","56 patients",,,"HF-4 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","235 patients",,,"AMI-5 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","119 patients","2 ","2","SCIP-CARD-2 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","72 patients",,,"AMI-4 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","54 patients",,,"AMI-3 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","224 patients","2 ","2","SCIP-VTE-2 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","224 patients",,,"PN-6 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","108 patients",,,"HF-3 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","249 patients",,,"AMI-1 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","434 patients","2 ","2","SCIP-INF-3 " "100105","INDIAN RIVER MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","407 patients",,,"HF-2 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","40%","47 patients",,,"PN-2 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","10%","41 patients",,,"HF-1 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","37 patients",,,"PN-3B " "100106","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","32 patients","3 ","3","PN-5C " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","63%","19 patients","1 ","1","HF-3 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","18 patients","1 ","1","AMI-1 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100106","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","58%","12 patients","1 ","1","AMI-2 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","10%","20 patients","1 ","1","SCIP-INF-2 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","5%","19 patients","1 ","1","SCIP-INF-3 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100106","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","49%","35 patients",,,"PN-7 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","20 patients","1 ","1","SCIP-INF-1 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","40 patients",,,"PN-6 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","17 patients","1 ","1","SCIP-VTE-1 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","30 patients",,,"SCIP-INF-6 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","17 patients","1 ","1","SCIP-VTE-2 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","PN-4 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","57%","56 patients",,,"HF-2 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","HF-4 " "100106","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","54%","13 patients","1 ","1","AMI-5 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","124 patients","2 ","2","SCIP-INF-3 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100107","LEHIGH REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","90 patients",,,"PN-3B " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","38 patients",,,"AMI-1 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","78 patients",,,"HF-1 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","95 patients",,,"PN-6 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","128 patients","2 ","2","SCIP-INF-2 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","183 patients","2 ","2","SCIP-INF-6 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","109 patients",,,"PN-5C " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","90 patients",,,"HF-2 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","127 patients","2 ","2","SCIP-INF-1 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"HF-3 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","87 patients","2 ","2","SCIP-VTE-2 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","57 patients",,,"PN-7 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","65 patients",,,"PN-2 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","87 patients","2 ","2","SCIP-VTE-1 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100107","LEHIGH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","21 patients","1 ","1","SCIP-CARD-2 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","338 patients",,,"SCIP-INF-2 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","90 patients",,,"SCIP-CARD-2 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-8A " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","184 patients",,,"PN-5C " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","102 patients",,,"AMI-1 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","132 patients",,,"PN-6 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","79 patients",,,"AMI-2 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","65 patients",,,"HF-4 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","171 patients",,,"PN-7 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","258 patients",,,"SCIP-VTE-1 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","96 patients",,,"AMI-5 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","363 patients",,,"HF-1 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","329 patients",,,"SCIP-INF-1 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","234 patients",,,"PN-2 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","AMI-3 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","75 patients",,,"PN-4 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","317 patients",,,"SCIP-INF-3 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","183 patients",,,"PN-3B " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","255 patients",,,"SCIP-VTE-2 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","438 patients",,,"HF-2 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","576 patients",,,"SCIP-INF-6 " "100109","FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","126 patients",,,"HF-3 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","184 patients",,,"PN-7 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","231 patients","2 ","2","SCIP-VTE-1 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","179 patients","2 ","2","SCIP-CARD-2 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","291 patients",,,"AMI-2 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","283 patients","2 ","2","HF-1 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"PN-4 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","66 patients",,,"AMI-3 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","246 patients",,,"PN-3B " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","534 patients","2 ","2","SCIP-INF-3 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","231 patients","2 ","2","SCIP-VTE-2 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","102 patients",,,"AMI-4 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","65 patients",,,"AMI-8A " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","137 patients","2 ","2","HF-3 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","299 patients",,,"AMI-5 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","574 patients","2 ","2","SCIP-INF-1 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","226 patients",,,"PN-2 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","53 patients","2 ","2","HF-4 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","214 patients","2 ","2","SCIP-INF-4 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","281 patients",,,"AMI-1 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","279 patients",,,"PN-5C " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","586 patients","2 ","2","SCIP-INF-2 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","805 patients","2 ","2","SCIP-INF-6 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","323 patients","2 ","2","HF-2 " "100110","OSCEOLA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","165 patients",,,"PN-6 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","314 patients","2 ","2","SCIP-INF-4 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","38 patients","2 ","2","AMI-8A " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1357 patients","2 ","2","SCIP-INF-6 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","536 patients","2 ","2","HF-1 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","169 patients","2 ","2","PN-3B " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","167 patients","2 ","2","PN-2 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","290 patients","2 ","2","HF-3 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","590 patients","2 ","2","SCIP-VTE-1 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","119 patients","2 ","2","PN-5C " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","108 patients","2 ","2","PN-6 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","161 patients","2 ","2","PN-7 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","748 patients","2 ","2","SCIP-INF-1 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","287 patients","2 ","2","AMI-1 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","758 patients","2 ","2","SCIP-INF-2 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","588 patients","2 ","2","SCIP-VTE-2 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","130 patients","2 ","2","HF-4 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","97 patients","2 ","2","AMI-3 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","206 patients","2 ","2","SCIP-CARD-2 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","126 patients","2 ","2","PN-4 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","171 patients","2 ","2","AMI-4 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","595 patients","2 ","2","HF-2 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","391 patients","2 ","2","AMI-5 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","727 patients","2 ","2","SCIP-INF-3 " "100113","SHANDS HOSP AT THE UNIVERSITY OF FL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","407 patients","2 ","2","AMI-2 " "100117","BAPTIST MEDICAL CENTER BEACHES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","449 patients","2 ","2","SCIP-INF-6 " "100117","BAPTIST MEDICAL CENTER BEACHES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","241 patients","2 ","2","SCIP-VTE-1 " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","185 patients","2 ","2","HF-1 " "100117","BAPTIST MEDICAL CENTER BEACHES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","184 patients","2 ","2","PN-2 " "100117","BAPTIST MEDICAL CENTER BEACHES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","286 patients","2 ","2","SCIP-INF-2 " "100117","BAPTIST MEDICAL CENTER BEACHES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100117","BAPTIST MEDICAL CENTER BEACHES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients","2 ","2","PN-4 " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1,2 ","12","AMI-2 " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1,2 ","12","AMI-5 " "100117","BAPTIST MEDICAL CENTER BEACHES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients",,,"SCIP-CARD-2 " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","HF-4 " "100117","BAPTIST MEDICAL CENTER BEACHES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","285 patients","2 ","2","SCIP-INF-1 " "100117","BAPTIST MEDICAL CENTER BEACHES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","196 patients","2 ","2","PN-3B " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100117","BAPTIST MEDICAL CENTER BEACHES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","268 patients","2 ","2","SCIP-INF-3 " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","70 patients","2 ","2","HF-3 " "100117","BAPTIST MEDICAL CENTER BEACHES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","167 patients","2 ","2","PN-6 " "100117","BAPTIST MEDICAL CENTER BEACHES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","148 patients","2 ","2","PN-7 " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","AMI-3 " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","AMI-4 " "100117","BAPTIST MEDICAL CENTER BEACHES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","241 patients","2 ","2","SCIP-VTE-2 " "100117","BAPTIST MEDICAL CENTER BEACHES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","195 patients","2 ","2","PN-5C " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","234 patients","2 ","2","HF-2 " "100117","BAPTIST MEDICAL CENTER BEACHES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","42 patients","2 ","2","AMI-1 " "100118","FLORIDA HOSPITAL FLAGLER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","361 patients",,,"SCIP-VTE-2 " "100118","FLORIDA HOSPITAL FLAGLER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","85 patients",,,"PN-7 " "100118","FLORIDA HOSPITAL FLAGLER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "100118","FLORIDA HOSPITAL FLAGLER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","316 patients",,,"SCIP-INF-3 " "100118","FLORIDA HOSPITAL FLAGLER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "100118","FLORIDA HOSPITAL FLAGLER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "100118","FLORIDA HOSPITAL FLAGLER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","121 patients",,,"PN-2 " "100118","FLORIDA HOSPITAL FLAGLER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","349 patients",,,"SCIP-INF-2 " "100118","FLORIDA HOSPITAL FLAGLER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","185 patients",,,"HF-2 " "100118","FLORIDA HOSPITAL FLAGLER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "100118","FLORIDA HOSPITAL FLAGLER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","150 patients",,,"HF-1 " "100118","FLORIDA HOSPITAL FLAGLER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","56 patients",,,"SCIP-CARD-2 " "100118","FLORIDA HOSPITAL FLAGLER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","105 patients",,,"PN-3B " "100118","FLORIDA HOSPITAL FLAGLER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","49 patients",,,"HF-3 " "100118","FLORIDA HOSPITAL FLAGLER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","361 patients",,,"SCIP-VTE-1 " "100118","FLORIDA HOSPITAL FLAGLER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","88 patients",,,"AMI-2 " "100118","FLORIDA HOSPITAL FLAGLER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100118","FLORIDA HOSPITAL FLAGLER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "100118","FLORIDA HOSPITAL FLAGLER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","88 patients",,,"AMI-5 " "100118","FLORIDA HOSPITAL FLAGLER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","126 patients",,,"AMI-1 " "100118","FLORIDA HOSPITAL FLAGLER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "100118","FLORIDA HOSPITAL FLAGLER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","119 patients",,,"PN-5C " "100118","FLORIDA HOSPITAL FLAGLER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","517 patients",,,"SCIP-INF-6 " "100118","FLORIDA HOSPITAL FLAGLER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","77 patients",,,"PN-6 " "100118","FLORIDA HOSPITAL FLAGLER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","350 patients",,,"SCIP-INF-1 " "100121","BARTOW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","73 patients",,,"SCIP-INF-2 " "100121","BARTOW REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","88 patients",,,"PN-6 " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","159 patients",,,"HF-2 " "100121","BARTOW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","56 patients",,,"SCIP-VTE-2 " "100121","BARTOW REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","83 patients",,,"PN-7 " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","139 patients",,,"HF-1 " "100121","BARTOW REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","85 patients",,,"PN-2 " "100121","BARTOW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","71 patients",,,"SCIP-INF-3 " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "100121","BARTOW REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","143 patients",,,"PN-5C " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "100121","BARTOW REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","33%","3 patients","1 ","1","CAC-3 " "100121","BARTOW REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","3 patients","1 ","1","CAC-2 " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "100121","BARTOW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","73 patients",,,"SCIP-INF-1 " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100121","BARTOW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","110 patients",,,"SCIP-INF-6 " "100121","BARTOW REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"PN-4 " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "100121","BARTOW REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","3 patients","1 ","1","CAC-1 " "100121","BARTOW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "100121","BARTOW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","64 patients",,,"HF-3 " "100121","BARTOW REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100121","BARTOW REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","129 patients",,,"PN-3B " "100121","BARTOW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","56 patients",,,"SCIP-VTE-1 " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","42 patients",,,"HF-3 " "100122","NORTH OKALOOSA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","165 patients",,,"PN-5C " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "100122","NORTH OKALOOSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","63 patients","2 ","2","SCIP-VTE-2 " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100122","NORTH OKALOOSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","13 patients","1,2 ","12","SCIP-CARD-2 " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients",,,"AMI-1 " "100122","NORTH OKALOOSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","207 patients","2 ","2","SCIP-INF-6 " "100122","NORTH OKALOOSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","122 patients","2 ","2","SCIP-INF-1 " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","163 patients",,,"HF-2 " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","130 patients",,,"HF-1 " "100122","NORTH OKALOOSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","118 patients","2 ","2","SCIP-INF-3 " "100122","NORTH OKALOOSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","127 patients","2 ","2","SCIP-INF-2 " "100122","NORTH OKALOOSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","63 patients","2 ","2","SCIP-VTE-1 " "100122","NORTH OKALOOSA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","144 patients",,,"PN-2 " "100122","NORTH OKALOOSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100122","NORTH OKALOOSA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "100122","NORTH OKALOOSA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "100122","NORTH OKALOOSA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","109 patients",,,"PN-7 " "100122","NORTH OKALOOSA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","147 patients",,,"PN-3B " "100122","NORTH OKALOOSA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","110 patients",,,"PN-6 " "100124","SANTA ROSA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"HF-3 " "100124","SANTA ROSA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100124","SANTA ROSA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","52 patients",,,"PN-2 " "100124","SANTA ROSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","169 patients",,,"SCIP-INF-6 " "100124","SANTA ROSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","22 patients","1 ","1","SCIP-CARD-2 " "100124","SANTA ROSA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "100124","SANTA ROSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100124","SANTA ROSA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","100 patients",,,"PN-3B " "100124","SANTA ROSA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","35 patients",,,"AMI-1 " "100124","SANTA ROSA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "100124","SANTA ROSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","106 patients",,,"SCIP-INF-2 " "100124","SANTA ROSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","89 patients",,,"SCIP-VTE-1 " "100124","SANTA ROSA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","116 patients",,,"HF-2 " "100124","SANTA ROSA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","76 patients",,,"PN-6 " "100124","SANTA ROSA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100124","SANTA ROSA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "100124","SANTA ROSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","89 patients",,,"SCIP-VTE-2 " "100124","SANTA ROSA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "100124","SANTA ROSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","100 patients",,,"SCIP-INF-3 " "100124","SANTA ROSA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","93 patients",,,"HF-1 " "100124","SANTA ROSA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","37 patients",,,"PN-7 " "100124","SANTA ROSA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","90 patients",,,"PN-5C " "100124","SANTA ROSA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","105 patients",,,"SCIP-INF-1 " "100124","SANTA ROSA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "100124","SANTA ROSA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "100125","HOMESTEAD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","102 patients","2 ","2","SCIP-VTE-1 " "100125","HOMESTEAD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "100125","HOMESTEAD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"PN-4 " "100125","HOMESTEAD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","313 patients",,,"PN-5C " "100125","HOMESTEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","64 patients","2 ","2","SCIP-INF-3 " "100125","HOMESTEAD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","263 patients",,,"PN-6 " "100125","HOMESTEAD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1 ","1","SCIP-CARD-2 " "100125","HOMESTEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "100125","HOMESTEAD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","155 patients",,,"PN-7 " "100125","HOMESTEAD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100125","HOMESTEAD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","355 patients",,,"HF-1 " "100125","HOMESTEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","65 patients","2 ","2","SCIP-INF-1 " "100125","HOMESTEAD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","102 patients","2 ","2","SCIP-VTE-2 " "100125","HOMESTEAD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100125","HOMESTEAD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","323 patients",,,"PN-3B " "100125","HOMESTEAD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","174 patients",,,"HF-3 " "100125","HOMESTEAD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "100125","HOMESTEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","67 patients","2 ","2","SCIP-INF-2 " "100125","HOMESTEAD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"HF-4 " "100125","HOMESTEAD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","61 patients",,,"AMI-1 " "100125","HOMESTEAD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "100125","HOMESTEAD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","205 patients","2 ","2","SCIP-INF-6 " "100125","HOMESTEAD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "100125","HOMESTEAD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","404 patients",,,"HF-2 " "100125","HOMESTEAD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","175 patients",,,"PN-2 " "100126","PALMS OF PASADENA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","HF-4 " "100126","PALMS OF PASADENA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","102 patients",,,"PN-7 " "100126","PALMS OF PASADENA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","17 patients","1 ","1","AMI-2 " "100126","PALMS OF PASADENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","283 patients","2 ","2","SCIP-INF-1 " "100126","PALMS OF PASADENA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","222 patients","2 ","2","SCIP-VTE-1 " "100126","PALMS OF PASADENA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","44 patients",,,"AMI-1 " "100126","PALMS OF PASADENA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","21 patients","1 ","1","AMI-5 " "100126","PALMS OF PASADENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","275 patients","2 ","2","SCIP-INF-3 " "100126","PALMS OF PASADENA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","149 patients",,,"PN-2 " "100126","PALMS OF PASADENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","283 patients","2 ","2","SCIP-INF-2 " "100126","PALMS OF PASADENA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","139 patients",,,"HF-1 " "100126","PALMS OF PASADENA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"PN-4 " "100126","PALMS OF PASADENA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100126","PALMS OF PASADENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","440 patients","2 ","2","SCIP-INF-6 " "100126","PALMS OF PASADENA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100126","PALMS OF PASADENA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","222 patients","2 ","2","SCIP-VTE-2 " "100126","PALMS OF PASADENA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "100126","PALMS OF PASADENA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","60 patients","2 ","2","SCIP-CARD-2 " "100126","PALMS OF PASADENA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","100 patients",,,"PN-6 " "100126","PALMS OF PASADENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100126","PALMS OF PASADENA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100126","PALMS OF PASADENA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","170 patients",,,"PN-3B " "100126","PALMS OF PASADENA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","161 patients",,,"PN-5C " "100126","PALMS OF PASADENA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","191 patients",,,"HF-2 " "100126","PALMS OF PASADENA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "100127","MORTON PLANT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","722 patients",,,"AMI-5 " "100127","MORTON PLANT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","495 patients",,,"HF-1 " "100127","MORTON PLANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","936 patients","2 ","2","SCIP-INF-6 " "100127","MORTON PLANT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","260 patients",,,"PN-3B " "100127","MORTON PLANT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","123 patients",,,"PN-4 " "100127","MORTON PLANT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","206 patients",,,"PN-7 " "100127","MORTON PLANT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","254 patients","2 ","2","SCIP-CARD-2 " "100127","MORTON PLANT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","318 patients","2 ","2","SCIP-VTE-1 " "100127","MORTON PLANT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","533 patients",,,"AMI-1 " "100127","MORTON PLANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","725 patients","2 ","2","SCIP-INF-3 " "100127","MORTON PLANT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","244 patients",,,"AMI-4 " "100127","MORTON PLANT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","200 patients",,,"HF-3 " "100127","MORTON PLANT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","291 patients",,,"PN-2 " "100127","MORTON PLANT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"HF-4 " "100127","MORTON PLANT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","317 patients","2 ","2","SCIP-VTE-2 " "100127","MORTON PLANT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","147 patients",,,"PN-6 " "100127","MORTON PLANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","230 patients","2 ","2","SCIP-INF-4 " "100127","MORTON PLANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","764 patients","2 ","2","SCIP-INF-1 " "100127","MORTON PLANT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","242 patients",,,"PN-5C " "100127","MORTON PLANT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","147 patients",,,"AMI-3 " "100127","MORTON PLANT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","722 patients",,,"AMI-2 " "100127","MORTON PLANT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100127","MORTON PLANT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","65 patients",,,"AMI-8A " "100127","MORTON PLANT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","637 patients",,,"HF-2 " "100127","MORTON PLANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","767 patients","2 ","2","SCIP-INF-2 " "100128","TAMPA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","281 patients",,,"HF-3 " "100128","TAMPA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","1638 patients","2 ","2","SCIP-INF-3 " "100128","TAMPA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","1733 patients","2 ","2","SCIP-INF-1 " "100128","TAMPA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","131 patients",,,"PN-4 " "100128","TAMPA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","315 patients",,,"AMI-1 " "100128","TAMPA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","372 patients",,,"AMI-5 " "100128","TAMPA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","368 patients",,,"AMI-2 " "100128","TAMPA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","70%","226 patients",,,"PN-5C " "100128","TAMPA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100128","TAMPA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","347 patients","2 ","2","SCIP-INF-4 " "100128","TAMPA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","2623 patients","2 ","2","SCIP-INF-6 " "100128","TAMPA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","59 patients",,,"AMI-8A " "100128","TAMPA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","317 patients","2 ","2","SCIP-CARD-2 " "100128","TAMPA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","119 patients",,,"HF-4 " "100128","TAMPA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","575 patients",,,"HF-2 " "100128","TAMPA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","512 patients",,,"HF-1 " "100128","TAMPA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","140 patients",,,"PN-7 " "100128","TAMPA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","1082 patients","2 ","2","SCIP-VTE-2 " "100128","TAMPA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","49 patients",,,"AMI-3 " "100128","TAMPA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","160 patients",,,"AMI-4 " "100128","TAMPA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","162 patients",,,"PN-6 " "100128","TAMPA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","1770 patients","2 ","2","SCIP-INF-2 " "100128","TAMPA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","132 patients",,,"PN-2 " "100128","TAMPA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","1085 patients","2 ","2","SCIP-VTE-1 " "100128","TAMPA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","216 patients",,,"PN-3B " "100130","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","30 patients",,,"SCIP-VTE-2 " "100130","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "100130","LAKESIDE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","149 patients",,,"HF-1 " "100130","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "100130","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100130","LAKESIDE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","50 patients",,,"PN-2 " "100130","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "100130","LAKESIDE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "100130","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","17 patients","1 ","1","SCIP-INF-2 " "100130","LAKESIDE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","158 patients",,,"HF-2 " "100130","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","31 patients",,,"SCIP-VTE-1 " "100130","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","16 patients","1 ","1","SCIP-INF-3 " "100130","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","17 patients","1 ","1","SCIP-INF-1 " "100130","LAKESIDE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","50 patients",,,"PN-6 " "100130","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "100130","LAKESIDE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","96 patients",,,"PN-5C " "100130","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "100130","LAKESIDE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","62 patients",,,"HF-3 " "100130","LAKESIDE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","51 patients",,,"PN-7 " "100130","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100130","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "100130","LAKESIDE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","41 patients",,,"PN-4 " "100130","LAKESIDE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","109 patients",,,"PN-3B " "100130","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100130","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","55 patients",,,"SCIP-INF-6 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","333 patients",,,"PN-2 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"PN-4 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","97 patients","2 ","2","SCIP-CARD-2 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","625 patients","2 ","2","SCIP-INF-6 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","84 patients",,,"AMI-3 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","317 patients",,,"PN-3B " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","389 patients","2 ","2","SCIP-INF-2 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","333 patients",,,"AMI-2 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","HF-4 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","297 patients",,,"PN-5C " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","266 patients","2 ","2","SCIP-VTE-2 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","155 patients",,,"PN-6 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","226 patients","2 ","2","HF-1 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","354 patients",,,"AMI-5 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","295 patients",,,"AMI-1 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","266 patients","2 ","2","SCIP-VTE-1 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","102 patients",,,"AMI-4 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","93 patients","2 ","2","HF-3 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","308 patients","2 ","2","HF-2 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","41 patients",,,"AMI-8A " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","136 patients","2 ","2","SCIP-INF-4 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","380 patients","2 ","2","SCIP-INF-1 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","210 patients",,,"PN-7 " "100131","AVENTURA HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","324 patients","2 ","2","SCIP-INF-3 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","136 patients",,,"PN-7 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","270 patients",,,"PN-3B " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","144 patients","2 ","2","SCIP-INF-3 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","32 patients",,,"AMI-2 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","130 patients","2 ","2","SCIP-VTE-2 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","132 patients","2 ","2","SCIP-VTE-1 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","129 patients",,,"HF-1 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","160 patients","2 ","2","SCIP-INF-2 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","32 patients",,,"AMI-5 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","165 patients","2 ","2","SCIP-INF-1 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","102 patients",,,"PN-4 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","55 patients",,,"AMI-1 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","212 patients",,,"PN-5C " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","155 patients",,,"PN-6 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","31 patients","2 ","2","SCIP-CARD-2 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","155 patients",,,"HF-2 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","168 patients",,,"PN-2 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","51 patients",,,"HF-3 " "100132","SOUTH FLORIDA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","264 patients","2 ","2","SCIP-INF-6 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","383 patients",,,"AMI-2 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1193 patients","2 ","2","SCIP-INF-1 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1674 patients","2 ","2","SCIP-INF-6 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","149 patients",,,"PN-6 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","210 patients",,,"HF-3 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","686 patients","2 ","2","SCIP-VTE-2 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","435 patients",,,"HF-2 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","213 patients",,,"PN-2 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","146 patients",,,"AMI-4 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","295 patients",,,"AMI-1 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","408 patients",,,"AMI-5 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","1156 patients","2 ","2","SCIP-INF-3 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","197 patients",,,"PN-5C " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","173 patients",,,"PN-3B " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","74 patients",,,"AMI-8A " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"HF-4 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","263 patients","2 ","2","SCIP-INF-4 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","360 patients",,,"HF-1 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","264 patients","2 ","2","SCIP-CARD-2 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","103 patients",,,"AMI-3 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","183 patients",,,"PN-7 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","686 patients","2 ","2","SCIP-VTE-1 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "100135","TALLAHASSEE MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1219 patients","2 ","2","SCIP-INF-2 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","187 patients",,,"PN-5C " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","107 patients",,,"PN-6 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","780 patients","2 ","2","SCIP-INF-3 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1021 patients","2 ","2","SCIP-INF-6 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","90 patients",,,"AMI-5 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","197 patients",,,"HF-3 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","396 patients",,,"HF-1 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","106 patients",,,"PN-7 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","144 patients",,,"PN-2 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","27 patients",,,"AMI-8A " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","387 patients","2 ","2","SCIP-VTE-2 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","76%","25 patients",,,"CAC-3 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","AMI-3 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","26 patients",,,"CAC-2 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","792 patients","2 ","2","SCIP-INF-1 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","795 patients","2 ","2","SCIP-INF-2 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","438 patients",,,"HF-2 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","130 patients","2 ","2","SCIP-CARD-2 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","26 patients",,,"CAC-1 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","87 patients",,,"AMI-2 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","131 patients",,,"AMI-1 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","387 patients","2 ","2","SCIP-VTE-1 " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","181 patients",,,"PN-3B " "100137","HEART OF FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100139","NATURE COAST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "100139","NATURE COAST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "100139","NATURE COAST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "100139","NATURE COAST REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","19 patients","1,3 ","13","PN-5C " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "100139","NATURE COAST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","21 patients","1,3 ","13","HF-2 " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "100139","NATURE COAST REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","15 patients","1 ","1","PN-7 " "100139","NATURE COAST REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","5 patients","1,3 ","13","PN-3B " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "100139","NATURE COAST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "100139","NATURE COAST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "100139","NATURE COAST REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","11 patients","1,3 ","13","PN-2 " "100139","NATURE COAST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","20%","5 patients","1,3 ","13","HF-3 " "100139","NATURE COAST REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","12 patients","1,3 ","13","HF-1 " "100139","NATURE COAST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "100139","NATURE COAST REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,3 ","13","PN-4 " "100139","NATURE COAST REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","18 patients","1,3 ","13","PN-6 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "100140","BAPTIST MEDICAL CENTER NASSAU","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","121 patients",,,"PN-3B " "100140","BAPTIST MEDICAL CENTER NASSAU","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","89 patients",,,"PN-6 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "100140","BAPTIST MEDICAL CENTER NASSAU","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","16 patients","1 ","1","SCIP-CARD-2 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100140","BAPTIST MEDICAL CENTER NASSAU","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","121 patients",,,"PN-5C " "100140","BAPTIST MEDICAL CENTER NASSAU","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","68 patients",,,"SCIP-INF-3 " "100140","BAPTIST MEDICAL CENTER NASSAU","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","54 patients",,,"SCIP-VTE-2 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "100140","BAPTIST MEDICAL CENTER NASSAU","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","78 patients",,,"PN-7 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "100140","BAPTIST MEDICAL CENTER NASSAU","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","49 patients",,,"PN-4 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "100140","BAPTIST MEDICAL CENTER NASSAU","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","94 patients",,,"PN-2 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","32 patients",,,"HF-3 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","86 patients",,,"HF-2 " "100140","BAPTIST MEDICAL CENTER NASSAU","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","113 patients",,,"SCIP-INF-6 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100140","BAPTIST MEDICAL CENTER NASSAU","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","71 patients",,,"SCIP-INF-1 " "100140","BAPTIST MEDICAL CENTER NASSAU","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100140","BAPTIST MEDICAL CENTER NASSAU","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","76 patients",,,"HF-1 " "100140","BAPTIST MEDICAL CENTER NASSAU","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","54 patients",,,"SCIP-VTE-1 " "100140","BAPTIST MEDICAL CENTER NASSAU","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","71 patients",,,"SCIP-INF-2 " "100142","JACKSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","21 patients","1 ","1","AMI-2 " "100142","JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","109 patients",,,"SCIP-INF-3 " "100142","JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","93 patients",,,"SCIP-VTE-2 " "100142","JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","162 patients",,,"SCIP-INF-6 " "100142","JACKSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "100142","JACKSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100142","JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","113 patients",,,"SCIP-INF-1 " "100142","JACKSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","34 patients",,,"HF-3 " "100142","JACKSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","41 patients",,,"PN-4 " "100142","JACKSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "100142","JACKSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","132 patients",,,"HF-2 " "100142","JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","95 patients",,,"SCIP-VTE-1 " "100142","JACKSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","95 patients",,,"PN-7 " "100142","JACKSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","110 patients",,,"HF-1 " "100142","JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","122 patients",,,"SCIP-INF-2 " "100142","JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "100142","JACKSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","59 patients",,,"PN-6 " "100142","JACKSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","108 patients",,,"PN-2 " "100142","JACKSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "100142","JACKSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","109 patients",,,"PN-5C " "100142","JACKSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","23 patients","1 ","1","AMI-1 " "100142","JACKSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100142","JACKSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","81 patients",,,"PN-3B " "100142","JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100142","JACKSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"HF-4 " "100150","LOWER KEYS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","41 patients",,,"PN-6 " "100150","LOWER KEYS MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","12 patients","1 ","1","CAC-1 " "100150","LOWER KEYS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "100150","LOWER KEYS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "100150","LOWER KEYS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "100150","LOWER KEYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","124 patients",,,"SCIP-INF-1 " "100150","LOWER KEYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","117 patients",,,"SCIP-INF-3 " "100150","LOWER KEYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","233 patients",,,"SCIP-INF-6 " "100150","LOWER KEYS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"HF-3 " "100150","LOWER KEYS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","70 patients",,,"HF-1 " "100150","LOWER KEYS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100150","LOWER KEYS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "100150","LOWER KEYS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "100150","LOWER KEYS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","13 patients","1 ","1","AMI-1 " "100150","LOWER KEYS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","57 patients",,,"PN-5C " "100150","LOWER KEYS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100150","LOWER KEYS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","34 patients",,,"PN-2 " "100150","LOWER KEYS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","32 patients",,,"PN-7 " "100150","LOWER KEYS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","72 patients",,,"HF-2 " "100150","LOWER KEYS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "100150","LOWER KEYS MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","12 patients","1 ","1","CAC-2 " "100150","LOWER KEYS MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","12 patients","1 ","1","CAC-3 " "100150","LOWER KEYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","129 patients",,,"SCIP-VTE-1 " "100150","LOWER KEYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","129 patients",,,"SCIP-VTE-2 " "100150","LOWER KEYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","29 patients",,,"SCIP-CARD-2 " "100150","LOWER KEYS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","66 patients",,,"PN-3B " "100150","LOWER KEYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","125 patients",,,"SCIP-INF-2 " "100150","LOWER KEYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100151","MAYO CLINIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","115 patients","2 ","2","PN-5C " "100151","MAYO CLINIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","365 patients","2 ","2","SCIP-INF-1 " "100151","MAYO CLINIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","83 patients","2 ","2","PN-7 " "100151","MAYO CLINIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","71 patients","2 ","2","PN-6 " "100151","MAYO CLINIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","201 patients","2 ","2","SCIP-VTE-2 " "100151","MAYO CLINIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "100151","MAYO CLINIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","93 patients",,,"AMI-1 " "100151","MAYO CLINIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","568 patients","2 ","2","SCIP-INF-6 " "100151","MAYO CLINIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","102 patients","2 ","2","PN-3B " "100151","MAYO CLINIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100151","MAYO CLINIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","201 patients","2 ","2","SCIP-VTE-1 " "100151","MAYO CLINIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","338 patients","2 ","2","SCIP-INF-3 " "100151","MAYO CLINIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","132 patients","2 ","2","PN-2 " "100151","MAYO CLINIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","90 patients",,,"AMI-5 " "100151","MAYO CLINIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","59 patients",,,"HF-3 " "100151","MAYO CLINIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","18 patients","1 ","1","AMI-8A " "100151","MAYO CLINIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","84 patients",,,"AMI-2 " "100151","MAYO CLINIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","368 patients","2 ","2","SCIP-INF-2 " "100151","MAYO CLINIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "100151","MAYO CLINIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","165 patients",,,"HF-1 " "100151","MAYO CLINIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","195 patients",,,"HF-2 " "100151","MAYO CLINIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","125 patients","2 ","2","SCIP-INF-4 " "100151","MAYO CLINIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","PN-4 " "100151","MAYO CLINIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","104 patients","2 ","2","SCIP-CARD-2 " "100151","MAYO CLINIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "100154","SOUTH MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","159 patients","2 ","2","SCIP-VTE-2 " "100154","SOUTH MIAMI HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","125 patients",,,"PN-7 " "100154","SOUTH MIAMI HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","170 patients",,,"AMI-1 " "100154","SOUTH MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","81 patients","2 ","2","SCIP-INF-4 " "100154","SOUTH MIAMI HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","126 patients",,,"HF-3 " "100154","SOUTH MIAMI HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","168 patients",,,"PN-2 " "100154","SOUTH MIAMI HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","243 patients",,,"AMI-2 " "100154","SOUTH MIAMI HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","226 patients",,,"PN-3B " "100154","SOUTH MIAMI HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","35 patients",,,"AMI-8A " "100154","SOUTH MIAMI HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","265 patients",,,"AMI-5 " "100154","SOUTH MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","290 patients","2 ","2","SCIP-INF-3 " "100154","SOUTH MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","159 patients","2 ","2","SCIP-VTE-1 " "100154","SOUTH MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","308 patients","2 ","2","SCIP-INF-1 " "100154","SOUTH MIAMI HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","56 patients",,,"AMI-3 " "100154","SOUTH MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","477 patients","2 ","2","SCIP-INF-6 " "100154","SOUTH MIAMI HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","383 patients",,,"HF-2 " "100154","SOUTH MIAMI HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "100154","SOUTH MIAMI HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100154","SOUTH MIAMI HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","336 patients",,,"HF-1 " "100154","SOUTH MIAMI HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","187 patients",,,"PN-5C " "100154","SOUTH MIAMI HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "100154","SOUTH MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","316 patients","2 ","2","SCIP-INF-2 " "100154","SOUTH MIAMI HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","171 patients",,,"PN-6 " "100154","SOUTH MIAMI HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"AMI-4 " "100154","SOUTH MIAMI HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","95 patients","2 ","2","SCIP-CARD-2 " "100156","LAKE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1 ","1","SCIP-CARD-2 " "100156","LAKE CITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","39 patients",,,"AMI-1 " "100156","LAKE CITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","196 patients",,,"HF-1 " "100156","LAKE CITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","64 patients",,,"HF-3 " "100156","LAKE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100156","LAKE CITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","168 patients",,,"PN-5C " "100156","LAKE CITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100156","LAKE CITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","21 patients","1 ","1","AMI-2 " "100156","LAKE CITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","248 patients",,,"HF-2 " "100156","LAKE CITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100156","LAKE CITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "100156","LAKE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","19 patients","1 ","1","SCIP-INF-1 " "100156","LAKE CITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","125 patients",,,"PN-7 " "100156","LAKE CITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","150 patients",,,"PN-3B " "100156","LAKE CITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "100156","LAKE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","93 patients",,,"SCIP-INF-6 " "100156","LAKE CITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","85 patients",,,"PN-6 " "100156","LAKE CITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "100156","LAKE CITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "100156","LAKE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","79 patients",,,"SCIP-VTE-2 " "100156","LAKE CITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100156","LAKE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","79 patients",,,"SCIP-VTE-1 " "100156","LAKE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","16 patients","1 ","1","SCIP-INF-3 " "100156","LAKE CITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","180 patients",,,"PN-2 " "100156","LAKE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-2 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","180 patients","2 ","2","PN-3B " "100157","LAKELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","124 patients","2 ","2","PN-7 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100157","LAKELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","236 patients","2 ","2","SCIP-VTE-2 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","163 patients","2 ","2","PN-2 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","304 patients","2 ","2","AMI-1 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","128 patients","2 ","2","PN-6 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","124 patients","2 ","2","SCIP-CARD-2 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","174 patients","2 ","2","HF-3 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","47 patients","2 ","2","HF-4 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","716 patients","2 ","2","SCIP-INF-6 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","382 patients","2 ","2","HF-2 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","186 patients","2 ","2","PN-5C " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","104 patients","2 ","2","AMI-4 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","68 patients","2 ","2","PN-4 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","42 patients","2 ","2","AMI-8A " "100157","LAKELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","503 patients","2 ","2","SCIP-INF-1 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","301 patients","2 ","2","AMI-5 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","515 patients","2 ","2","SCIP-INF-2 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","300 patients","2 ","2","AMI-2 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","476 patients","2 ","2","SCIP-INF-3 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","144 patients","2 ","2","SCIP-INF-4 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","334 patients","2 ","2","HF-1 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","56 patients","2 ","2","AMI-3 " "100157","LAKELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","236 patients","2 ","2","SCIP-VTE-1 " "100160","MARINERS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","51 patients",,,"PN-3B " "100160","MARINERS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","41 patients",,,"HF-1 " "100160","MARINERS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","38 patients",,,"SCIP-VTE-2 " "100160","MARINERS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "100160","MARINERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","17 patients","1 ","1","SCIP-INF-3 " "100160","MARINERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","18 patients","1 ","1","SCIP-INF-2 " "100160","MARINERS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,3 ","13","AMI-1 " "100160","MARINERS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","44 patients",,,"PN-5C " "100160","MARINERS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients",,,"HF-2 " "100160","MARINERS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "100160","MARINERS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "100160","MARINERS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","38 patients",,,"SCIP-VTE-1 " "100160","MARINERS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "100160","MARINERS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "100160","MARINERS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "100160","MARINERS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "100160","MARINERS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","35 patients",,,"PN-7 " "100160","MARINERS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "100160","MARINERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","18 patients","1 ","1","SCIP-INF-1 " "100160","MARINERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","50 patients",,,"SCIP-INF-6 " "100160","MARINERS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "100160","MARINERS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","HF-3 " "100160","MARINERS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","41 patients",,,"PN-2 " "100160","MARINERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100160","MARINERS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","31 patients",,,"PN-6 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"AMI-3 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"HF-4 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","180 patients",,,"AMI-1 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","78 patients","2 ","2","SCIP-CARD-2 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","250 patients","2 ","2","SCIP-VTE-2 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","265 patients",,,"HF-1 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","136 patients",,,"PN-2 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","654 patients","2 ","2","SCIP-INF-6 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","148 patients",,,"PN-3B " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","132 patients","2 ","2","SCIP-INF-4 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","324 patients",,,"HF-2 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","375 patients","2 ","2","SCIP-INF-1 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","119 patients",,,"PN-7 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","117 patients",,,"PN-5C " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","101 patients",,,"PN-6 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","236 patients",,,"AMI-5 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","330 patients","2 ","2","SCIP-INF-3 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","29 patients",,,"AMI-8A " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","250 patients","2 ","2","SCIP-VTE-1 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"PN-4 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","383 patients","2 ","2","SCIP-INF-2 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","225 patients",,,"AMI-2 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"AMI-4 " "100161","CENTRAL FLORIDA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","101 patients",,,"HF-3 " "100166","DOCTORS HOSPITAL OF SARASOTA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","192 patients","2 ","2","SCIP-VTE-1 " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "100166","DOCTORS HOSPITAL OF SARASOTA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","132 patients",,,"PN-2 " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","53 patients",,,"AMI-1 " "100166","DOCTORS HOSPITAL OF SARASOTA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "100166","DOCTORS HOSPITAL OF SARASOTA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","320 patients","2 ","2","SCIP-INF-2 " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","116 patients",,,"HF-2 " "100166","DOCTORS HOSPITAL OF SARASOTA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","317 patients","2 ","2","SCIP-INF-1 " "100166","DOCTORS HOSPITAL OF SARASOTA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","72 patients","2 ","2","SCIP-CARD-2 " "100166","DOCTORS HOSPITAL OF SARASOTA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100166","DOCTORS HOSPITAL OF SARASOTA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","192 patients","2 ","2","SCIP-VTE-2 " "100166","DOCTORS HOSPITAL OF SARASOTA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","112 patients",,,"PN-3B " "100166","DOCTORS HOSPITAL OF SARASOTA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","105 patients",,,"PN-5C " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","77 patients",,,"HF-1 " "100166","DOCTORS HOSPITAL OF SARASOTA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","479 patients","2 ","2","SCIP-INF-6 " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","33 patients",,,"HF-3 " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "100166","DOCTORS HOSPITAL OF SARASOTA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","90 patients",,,"PN-7 " "100166","DOCTORS HOSPITAL OF SARASOTA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","299 patients","2 ","2","SCIP-INF-3 " "100166","DOCTORS HOSPITAL OF SARASOTA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","62 patients",,,"PN-6 " "100166","DOCTORS HOSPITAL OF SARASOTA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "100167","PLANTATION GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100167","PLANTATION GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","52 patients",,,"PN-7 " "100167","PLANTATION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","192 patients","2 ","2","SCIP-INF-6 " "100167","PLANTATION GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","75 patients",,,"HF-3 " "100167","PLANTATION GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","116 patients",,,"HF-1 " "100167","PLANTATION GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","53 patients",,,"PN-2 " "100167","PLANTATION GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "100167","PLANTATION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100167","PLANTATION GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","136 patients",,,"PN-3B " "100167","PLANTATION GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","129 patients",,,"HF-2 " "100167","PLANTATION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","97 patients","2 ","2","SCIP-INF-2 " "100167","PLANTATION GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100167","PLANTATION GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "100167","PLANTATION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1,2 ","12","SCIP-CARD-2 " "100167","PLANTATION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","85 patients","2 ","2","SCIP-INF-3 " "100167","PLANTATION GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "100167","PLANTATION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","80 patients","2 ","2","SCIP-VTE-2 " "100167","PLANTATION GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","114 patients",,,"PN-5C " "100167","PLANTATION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","80 patients","2 ","2","SCIP-VTE-1 " "100167","PLANTATION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","96 patients","2 ","2","SCIP-INF-1 " "100167","PLANTATION GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "100167","PLANTATION GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","78 patients",,,"PN-6 " "100167","PLANTATION GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "100167","PLANTATION GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "100167","PLANTATION GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","214 patients","2 ","2","AMI-2 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","112 patients","2 ","2","PN-3B " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","273 patients","2 ","2","HF-2 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","115 patients","2 ","2","SCIP-INF-4 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","84 patients","2 ","2","HF-3 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","193 patients","2 ","2","SCIP-VTE-2 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","331 patients","2 ","2","SCIP-INF-3 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","195 patients","2 ","2","SCIP-VTE-1 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1,2 ","12","PN-4 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","200 patients","2 ","2","AMI-5 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","345 patients","2 ","2","SCIP-INF-2 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","190 patients","2 ","2","HF-1 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1,2 ","12","HF-4 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","350 patients","2 ","2","SCIP-INF-1 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","91 patients","2 ","2","SCIP-CARD-2 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","246 patients","2 ","2","AMI-1 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","63 patients","2 ","2","PN-6 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","42 patients","2 ","2","AMI-8A " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","155 patients","2 ","2","PN-2 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","497 patients","2 ","2","SCIP-INF-6 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","85 patients","2 ","2","PN-5C " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients","2 ","2","AMI-4 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","92 patients","2 ","2","PN-7 " "100168","BOCA RATON COMMUNITY HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","36 patients","2 ","2","AMI-3 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","172 patients","2 ","2","SCIP-VTE-1 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","89 patients","2 ","2","AMI-4 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","124 patients","2 ","2","PN-7 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","377 patients","2 ","2","SCIP-INF-1 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","226 patients","2 ","2","AMI-1 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","PN-4 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","172 patients","2 ","2","SCIP-VTE-2 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","244 patients","2 ","2","AMI-2 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","129 patients","2 ","2","HF-3 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","66 patients","2 ","2","SCIP-CARD-2 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","57 patients","2 ","2","AMI-8A " "100173","UNIVERSITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","368 patients","2 ","2","SCIP-INF-3 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","247 patients","2 ","2","AMI-5 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","186 patients","2 ","2","PN-3B " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","287 patients","2 ","2","HF-2 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","521 patients","2 ","2","SCIP-INF-6 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","37 patients","2 ","2","AMI-3 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","HF-4 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","112 patients","2 ","2","PN-6 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","231 patients","2 ","2","HF-1 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","130 patients","2 ","2","SCIP-INF-4 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","185 patients","2 ","2","PN-5C " "100173","UNIVERSITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","384 patients","2 ","2","SCIP-INF-2 " "100173","UNIVERSITY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","160 patients","2 ","2","PN-2 " "100175","DESOTO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","30 patients",,,"SCIP-VTE-1 " "100175","DESOTO MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","17 patients","1 ","1","HF-3 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1 ","1","AMI-1 " "100175","DESOTO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","16 patients","1 ","1","SCIP-INF-3 " "100175","DESOTO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "100175","DESOTO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","61%","18 patients","1 ","1","SCIP-INF-2 " "100175","DESOTO MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","14 patients","1 ","1","PN-5C " "100175","DESOTO MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "100175","DESOTO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","44 patients",,,"SCIP-INF-6 " "100175","DESOTO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","19 patients","1 ","1","SCIP-INF-1 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","HF-4 " "100175","DESOTO MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","16 patients","1 ","1","PN-2 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","72 patients",,,"HF-1 " "100175","DESOTO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100175","DESOTO MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","12 patients","1 ","1","PN-7 " "100175","DESOTO MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","15 patients","1 ","1","PN-3B " "100175","DESOTO MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100175","DESOTO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","30 patients",,,"SCIP-VTE-2 " "100175","DESOTO MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","78 patients",,,"HF-2 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","548 patients",,,"HF-2 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"HF-4 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","103 patients",,,"AMI-3 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","56 patients",,,"AMI-8A " "100176","PALM BEACH GARDENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","443 patients","2 ","2","SCIP-INF-1 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","274 patients","2 ","2","SCIP-INF-4 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","150 patients",,,"PN-3B " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","555 patients",,,"AMI-2 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","286 patients",,,"HF-3 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","471 patients","2 ","2","SCIP-INF-2 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","156 patients","2 ","2","SCIP-CARD-2 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","183 patients","2 ","2","SCIP-VTE-2 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","156 patients",,,"PN-5C " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","159 patients",,,"AMI-4 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","130 patients",,,"PN-2 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","577 patients",,,"AMI-5 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","673 patients","2 ","2","SCIP-INF-6 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","84 patients",,,"PN-7 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","113 patients",,,"PN-6 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","425 patients","2 ","2","SCIP-INF-3 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","184 patients","2 ","2","SCIP-VTE-1 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","467 patients",,,"HF-1 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","300 patients",,,"AMI-1 " "100176","PALM BEACH GARDENS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100177","CAPE CANAVERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "100177","CAPE CANAVERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","324 patients","2 ","2","SCIP-VTE-1 " "100177","CAPE CANAVERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","134 patients",,,"PN-7 " "100177","CAPE CANAVERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","178 patients",,,"PN-3B " "100177","CAPE CANAVERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100177","CAPE CANAVERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","212 patients",,,"HF-2 " "100177","CAPE CANAVERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","48 patients",,,"AMI-2 " "100177","CAPE CANAVERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","324 patients","2 ","2","SCIP-VTE-2 " "100177","CAPE CANAVERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "100177","CAPE CANAVERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","58 patients",,,"AMI-5 " "100177","CAPE CANAVERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100177","CAPE CANAVERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","117 patients",,,"PN-6 " "100177","CAPE CANAVERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","438 patients","2 ","2","SCIP-INF-1 " "100177","CAPE CANAVERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","418 patients","2 ","2","SCIP-INF-3 " "100177","CAPE CANAVERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","612 patients","2 ","2","SCIP-INF-6 " "100177","CAPE CANAVERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","88 patients",,,"AMI-1 " "100177","CAPE CANAVERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","76 patients","2 ","2","SCIP-CARD-2 " "100177","CAPE CANAVERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","67 patients",,,"PN-4 " "100177","CAPE CANAVERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","65 patients",,,"HF-3 " "100177","CAPE CANAVERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "100177","CAPE CANAVERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","195 patients",,,"PN-2 " "100177","CAPE CANAVERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100177","CAPE CANAVERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","170 patients",,,"HF-1 " "100177","CAPE CANAVERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","438 patients","2 ","2","SCIP-INF-2 " "100177","CAPE CANAVERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","165 patients",,,"PN-5C " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","184 patients","2 ","2","SCIP-INF-4 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","59 patients","2 ","2","PN-6 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","241 patients",,,"AMI-2 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","348 patients","2 ","2","SCIP-VTE-2 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","137 patients","2 ","2","PN-3B " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","26 patients",,,"AMI-8A " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","127 patients",,,"HF-3 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","202 patients",,,"AMI-5 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","127 patients","2 ","2","SCIP-CARD-2 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","89 patients","2 ","2","PN-7 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","503 patients",,,"HF-1 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","545 patients","2 ","2","SCIP-INF-1 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"AMI-4 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"AMI-3 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","557 patients","2 ","2","SCIP-INF-2 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","350 patients","2 ","2","SCIP-VTE-1 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","654 patients",,,"HF-2 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","124 patients",,,"HF-4 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","858 patients","2 ","2","SCIP-INF-6 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","444 patients","2 ","2","SCIP-INF-3 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","137 patients","2 ","2","PN-2 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","128 patients","2 ","2","PN-5C " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","PN-4 " "100179","MEMORIAL HOSPITAL JACKSONVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","213 patients",,,"AMI-1 " "100180","ST PETERSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","172 patients","2 ","2","SCIP-VTE-2 " "100180","ST PETERSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","33 patients","2 ","2","SCIP-CARD-2 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "100180","ST PETERSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","41 patients",,,"AMI-1 " "100180","ST PETERSBURG GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","102 patients",,,"PN-4 " "100180","ST PETERSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","178 patients","2 ","2","SCIP-INF-1 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100180","ST PETERSBURG GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","230 patients",,,"PN-5C " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100180","ST PETERSBURG GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","206 patients",,,"PN-2 " "100180","ST PETERSBURG GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","122 patients",,,"PN-6 " "100180","ST PETERSBURG GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","166 patients",,,"PN-7 " "100180","ST PETERSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","166 patients","2 ","2","SCIP-INF-3 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","80 patients",,,"HF-1 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","115 patients",,,"HF-2 " "100180","ST PETERSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","173 patients","2 ","2","SCIP-VTE-1 " "100180","ST PETERSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","181 patients","2 ","2","SCIP-INF-2 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "100180","ST PETERSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","344 patients","2 ","2","SCIP-INF-6 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","HF-4 " "100180","ST PETERSBURG GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"HF-3 " "100180","ST PETERSBURG GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","175 patients",,,"PN-3B " "100181","LARKIN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","29 patients",,,"HF-1 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "100181","LARKIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100181","LARKIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","83 patients",,,"SCIP-VTE-2 " "100181","LARKIN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","29 patients",,,"PN-6 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100181","LARKIN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","81 patients",,,"PN-2 " "100181","LARKIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","35 patients",,,"SCIP-INF-3 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "100181","LARKIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "100181","LARKIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","41 patients",,,"SCIP-INF-1 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "100181","LARKIN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","44 patients",,,"PN-7 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "100181","LARKIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","106 patients",,,"SCIP-INF-6 " "100181","LARKIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","84 patients",,,"SCIP-VTE-1 " "100181","LARKIN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","86 patients",,,"PN-5C " "100181","LARKIN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","14 patients","1 ","1","AMI-5 " "100181","LARKIN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","34 patients",,,"HF-2 " "100181","LARKIN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","77 patients",,,"PN-3B " "100181","LARKIN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","42 patients",,,"SCIP-INF-2 " "100183","CORAL GABLES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "100183","CORAL GABLES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","55 patients",,,"SCIP-CARD-2 " "100183","CORAL GABLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","465 patients","2 ","2","SCIP-INF-6 " "100183","CORAL GABLES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","217 patients",,,"HF-2 " "100183","CORAL GABLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100183","CORAL GABLES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","73 patients",,,"PN-7 " "100183","CORAL GABLES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "100183","CORAL GABLES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","114 patients",,,"PN-3B " "100183","CORAL GABLES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","54 patients",,,"AMI-2 " "100183","CORAL GABLES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","186 patients",,,"HF-1 " "100183","CORAL GABLES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","55 patients",,,"AMI-5 " "100183","CORAL GABLES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","117 patients",,,"PN-2 " "100183","CORAL GABLES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","91 patients",,,"PN-5C " "100183","CORAL GABLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","212 patients","2 ","2","SCIP-VTE-2 " "100183","CORAL GABLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","327 patients","2 ","2","SCIP-INF-2 " "100183","CORAL GABLES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "100183","CORAL GABLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","214 patients","2 ","2","SCIP-VTE-1 " "100183","CORAL GABLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","329 patients","2 ","2","SCIP-INF-1 " "100183","CORAL GABLES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100183","CORAL GABLES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100183","CORAL GABLES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "100183","CORAL GABLES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","110 patients",,,"AMI-1 " "100183","CORAL GABLES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","84 patients",,,"HF-3 " "100183","CORAL GABLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","325 patients","2 ","2","SCIP-INF-3 " "100183","CORAL GABLES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","71 patients",,,"PN-6 " "100187","PALMETTO GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","454 patients",,,"AMI-1 " "100187","PALMETTO GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","120 patients",,,"AMI-8A " "100187","PALMETTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","412 patients","2 ","2","SCIP-INF-1 " "100187","PALMETTO GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "100187","PALMETTO GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","171 patients",,,"HF-3 " "100187","PALMETTO GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","174 patients",,,"AMI-4 " "100187","PALMETTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","207 patients","2 ","2","SCIP-VTE-2 " "100187","PALMETTO GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","257 patients",,,"PN-5C " "100187","PALMETTO GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "100187","PALMETTO GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","473 patients",,,"HF-1 " "100187","PALMETTO GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","460 patients",,,"AMI-2 " "100187","PALMETTO GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","219 patients",,,"PN-6 " "100187","PALMETTO GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","249 patients",,,"PN-2 " "100187","PALMETTO GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","135 patients",,,"PN-7 " "100187","PALMETTO GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "100187","PALMETTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","209 patients","2 ","2","SCIP-VTE-1 " "100187","PALMETTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","189 patients","2 ","2","SCIP-INF-4 " "100187","PALMETTO GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","283 patients",,,"PN-3B " "100187","PALMETTO GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","485 patients",,,"AMI-5 " "100187","PALMETTO GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","102 patients",,,"AMI-3 " "100187","PALMETTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","416 patients","2 ","2","SCIP-INF-2 " "100187","PALMETTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","382 patients","2 ","2","SCIP-INF-3 " "100187","PALMETTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","612 patients","2 ","2","SCIP-INF-6 " "100187","PALMETTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","70 patients","2 ","2","SCIP-CARD-2 " "100187","PALMETTO GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","567 patients",,,"HF-2 " "100189","NORTHWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","155 patients",,,"PN-5C " "100189","NORTHWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "100189","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100189","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "100189","NORTHWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "100189","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","189 patients",,,"AMI-1 " "100189","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","364 patients","2 ","2","SCIP-INF-6 " "100189","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","187 patients","2 ","2","SCIP-INF-2 " "100189","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"AMI-4 " "100189","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","187 patients","2 ","2","SCIP-INF-1 " "100189","NORTHWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","98 patients",,,"HF-3 " "100189","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","22 patients","1 ","1","AMI-8A " "100189","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"AMI-3 " "100189","NORTHWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","121 patients",,,"PN-7 " "100189","NORTHWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","365 patients",,,"HF-2 " "100189","NORTHWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","173 patients",,,"PN-2 " "100189","NORTHWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","131 patients",,,"PN-6 " "100189","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","129 patients",,,"AMI-2 " "100189","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","176 patients","2 ","2","SCIP-INF-3 " "100189","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","177 patients","2 ","2","SCIP-VTE-1 " "100189","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","47 patients","2 ","2","SCIP-CARD-2 " "100189","NORTHWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","307 patients",,,"HF-1 " "100189","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","148 patients",,,"AMI-5 " "100189","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","177 patients","2 ","2","SCIP-VTE-2 " "100189","NORTHWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","180 patients",,,"PN-3B " "100191","COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "100191","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","323 patients","2 ","2","SCIP-INF-1 " "100191","COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","83 patients","2 ","2","PN-7 " "100191","COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","134 patients","2 ","2","PN-5C " "100191","COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "100191","COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","253 patients",,,"HF-1 " "100191","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","527 patients","2 ","2","SCIP-INF-6 " "100191","COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","70 patients",,,"HF-3 " "100191","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","324 patients","2 ","2","SCIP-INF-2 " "100191","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","266 patients","2 ","2","SCIP-VTE-2 " "100191","COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","7 patients","1 ","1","AMI-8A " "100191","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","101 patients","2 ","2","SCIP-CARD-2 " "100191","COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","121 patients","2 ","2","PN-2 " "100191","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","285 patients","2 ","2","SCIP-INF-3 " "100191","COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","131 patients",,,"AMI-1 " "100191","COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","77 patients","2 ","2","PN-6 " "100191","COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","76 patients","2 ","2","PN-3B " "100191","COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","320 patients",,,"HF-2 " "100191","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","266 patients","2 ","2","SCIP-VTE-1 " "100191","COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "100191","COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","61 patients",,,"AMI-2 " "100191","COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "100191","COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "100191","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100191","COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","76 patients",,,"AMI-5 " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "100200","IMPERIAL POINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","252 patients","2 ","2","SCIP-INF-1 " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "100200","IMPERIAL POINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","251 patients","2 ","2","SCIP-INF-2 " "100200","IMPERIAL POINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100200","IMPERIAL POINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","389 patients","2 ","2","SCIP-INF-6 " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","101 patients",,,"HF-1 " "100200","IMPERIAL POINT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","132 patients",,,"PN-3B " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100200","IMPERIAL POINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","236 patients","2 ","2","SCIP-INF-3 " "100200","IMPERIAL POINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","229 patients","2 ","2","SCIP-VTE-2 " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "100200","IMPERIAL POINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","230 patients","2 ","2","SCIP-VTE-1 " "100200","IMPERIAL POINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","35 patients","2 ","2","SCIP-CARD-2 " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "100200","IMPERIAL POINT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","105 patients",,,"PN-2 " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100200","IMPERIAL POINT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","80 patients",,,"PN-7 " "100200","IMPERIAL POINT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","90 patients",,,"PN-6 " "100200","IMPERIAL POINT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "100200","IMPERIAL POINT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","126 patients",,,"HF-2 " "100200","IMPERIAL POINT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","131 patients",,,"PN-5C " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","572 patients","2 ","2","SCIP-INF-1 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","259 patients",,,"AMI-1 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","327 patients","2 ","2","HF-2 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","547 patients","2 ","2","SCIP-INF-3 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","129 patients",,,"AMI-4 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","126 patients","2 ","2","SCIP-CARD-2 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","195 patients","2 ","2","PN-3B " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","HF-4 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","315 patients",,,"AMI-5 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","404 patients","2 ","2","SCIP-VTE-2 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","63 patients",,,"AMI-3 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","581 patients","2 ","2","SCIP-INF-2 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","111 patients","2 ","2","PN-7 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","260 patients","2 ","2","HF-1 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","840 patients","2 ","2","SCIP-INF-6 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","72 patients",,,"AMI-8A " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients","2 ","2","PN-4 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","405 patients","2 ","2","SCIP-VTE-1 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","130 patients","2 ","2","PN-6 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","90 patients","2 ","2","HF-3 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","140 patients","2 ","2","SCIP-INF-4 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","205 patients","2 ","2","PN-5C " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","217 patients","2 ","2","PN-2 " "100204","NORTH FLORIDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","354 patients",,,"AMI-2 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "100206","MEMORIAL HOSPITAL OF TAMPA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","135 patients","2 ","2","SCIP-INF-2 " "100206","MEMORIAL HOSPITAL OF TAMPA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "100206","MEMORIAL HOSPITAL OF TAMPA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","284 patients","2 ","2","SCIP-INF-6 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","45 patients",,,"HF-3 " "100206","MEMORIAL HOSPITAL OF TAMPA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","109 patients",,,"PN-5C " "100206","MEMORIAL HOSPITAL OF TAMPA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","140 patients","2 ","2","SCIP-VTE-2 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","22 patients","1 ","1","AMI-1 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "100206","MEMORIAL HOSPITAL OF TAMPA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","135 patients","2 ","2","SCIP-INF-1 " "100206","MEMORIAL HOSPITAL OF TAMPA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","137 patients",,,"PN-3B " "100206","MEMORIAL HOSPITAL OF TAMPA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","43 patients","2 ","2","SCIP-CARD-2 " "100206","MEMORIAL HOSPITAL OF TAMPA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","142 patients","2 ","2","SCIP-VTE-1 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","140 patients",,,"HF-2 " "100206","MEMORIAL HOSPITAL OF TAMPA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","89 patients",,,"PN-7 " "100206","MEMORIAL HOSPITAL OF TAMPA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "100206","MEMORIAL HOSPITAL OF TAMPA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","109 patients",,,"PN-6 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","112 patients",,,"HF-1 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100206","MEMORIAL HOSPITAL OF TAMPA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","126 patients","2 ","2","SCIP-INF-3 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "100206","MEMORIAL HOSPITAL OF TAMPA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100206","MEMORIAL HOSPITAL OF TAMPA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","120 patients",,,"PN-2 " "100209","KENDALL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","365 patients",,,"PN-2 " "100209","KENDALL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","219 patients",,,"HF-3 " "100209","KENDALL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","306 patients",,,"PN-5C " "100209","KENDALL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","412 patients",,,"AMI-2 " "100209","KENDALL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"HF-4 " "100209","KENDALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","368 patients","2 ","2","SCIP-INF-2 " "100209","KENDALL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","117 patients",,,"AMI-3 " "100209","KENDALL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100209","KENDALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","234 patients","2 ","2","SCIP-VTE-2 " "100209","KENDALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","65 patients","2 ","2","SCIP-INF-4 " "100209","KENDALL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","471 patients",,,"AMI-1 " "100209","KENDALL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","97 patients",,,"AMI-8A " "100209","KENDALL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "100209","KENDALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","78 patients","2 ","2","SCIP-CARD-2 " "100209","KENDALL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","592 patients",,,"HF-2 " "100209","KENDALL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","215 patients",,,"PN-6 " "100209","KENDALL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","132 patients",,,"AMI-4 " "100209","KENDALL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","525 patients",,,"HF-1 " "100209","KENDALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","581 patients","2 ","2","SCIP-INF-6 " "100209","KENDALL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","445 patients",,,"AMI-5 " "100209","KENDALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","234 patients","2 ","2","SCIP-VTE-1 " "100209","KENDALL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","244 patients",,,"PN-7 " "100209","KENDALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","364 patients","2 ","2","SCIP-INF-1 " "100209","KENDALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","326 patients","2 ","2","SCIP-INF-3 " "100209","KENDALL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","356 patients",,,"PN-3B " "100211","PASCO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","404 patients","2 ","2","SCIP-INF-6 " "100211","PASCO REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","3 patients","1 ","1","CAC-3 " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","122 patients",,,"HF-1 " "100211","PASCO REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","68 patients",,,"PN-7 " "100211","PASCO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100211","PASCO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","47 patients",,,"SCIP-CARD-2 " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "100211","PASCO REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","113 patients",,,"PN-3B " "100211","PASCO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","195 patients","2 ","2","SCIP-VTE-1 " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","148 patients",,,"HF-2 " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "100211","PASCO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","231 patients","2 ","2","SCIP-INF-1 " "100211","PASCO REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","83 patients",,,"PN-6 " "100211","PASCO REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","106 patients",,,"PN-5C " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100211","PASCO REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","93 patients",,,"PN-2 " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"HF-3 " "100211","PASCO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","219 patients","2 ","2","SCIP-INF-3 " "100211","PASCO REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","3 patients","1 ","1","CAC-1 " "100211","PASCO REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","3 patients","1 ","1","CAC-2 " "100211","PASCO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","231 patients","2 ","2","SCIP-INF-2 " "100211","PASCO REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "100211","PASCO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","195 patients","2 ","2","SCIP-VTE-2 " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100211","PASCO REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100212","OCALA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","455 patients","2 ","2","SCIP-INF-2 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","259 patients",,,"AMI-1 " "100212","OCALA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","103 patients","2 ","2","SCIP-CARD-2 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"AMI-4 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","259 patients",,,"AMI-2 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","88 patients",,,"AMI-3 " "100212","OCALA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","387 patients","2 ","2","SCIP-INF-3 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","144 patients",,,"HF-3 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","221 patients",,,"AMI-5 " "100212","OCALA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","451 patients","2 ","2","SCIP-INF-1 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","409 patients",,,"HF-2 " "100212","OCALA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","244 patients","2 ","2","SCIP-VTE-2 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","16 patients","1 ","1","AMI-8A " "100212","OCALA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","176 patients","2 ","2","PN-2 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "100212","OCALA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","108 patients","2 ","2","PN-3B " "100212","OCALA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","173 patients","2 ","2","PN-5C " "100212","OCALA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","244 patients","2 ","2","SCIP-VTE-1 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","352 patients",,,"HF-1 " "100212","OCALA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","82 patients","2 ","2","PN-4 " "100212","OCALA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","716 patients","2 ","2","SCIP-INF-6 " "100212","OCALA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","99 patients","2 ","2","PN-6 " "100212","OCALA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100212","OCALA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","86 patients","2 ","2","SCIP-INF-4 " "100212","OCALA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","122 patients","2 ","2","PN-7 " "100213","BLAKE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","311 patients","2 ","2","HF-2 " "100213","BLAKE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","243 patients",,,"AMI-5 " "100213","BLAKE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","248 patients",,,"AMI-2 " "100213","BLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","264 patients","2 ","2","SCIP-VTE-1 " "100213","BLAKE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","135 patients",,,"PN-5C " "100213","BLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","465 patients","2 ","2","SCIP-INF-2 " "100213","BLAKE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "100213","BLAKE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","HF-4 " "100213","BLAKE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "100213","BLAKE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","88 patients",,,"PN-3B " "100213","BLAKE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","154 patients",,,"PN-2 " "100213","BLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","683 patients","2 ","2","SCIP-INF-6 " "100213","BLAKE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","36 patients",,,"AMI-8A " "100213","BLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","264 patients","2 ","2","SCIP-VTE-2 " "100213","BLAKE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","279 patients",,,"AMI-1 " "100213","BLAKE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "100213","BLAKE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","87 patients","2 ","2","HF-3 " "100213","BLAKE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","225 patients","2 ","2","HF-1 " "100213","BLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","137 patients","2 ","2","SCIP-CARD-2 " "100213","BLAKE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","126 patients",,,"PN-7 " "100213","BLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","438 patients","2 ","2","SCIP-INF-3 " "100213","BLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","463 patients","2 ","2","SCIP-INF-1 " "100213","BLAKE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"AMI-3 " "100213","BLAKE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","117 patients",,,"PN-6 " "100213","BLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","168 patients","2 ","2","SCIP-INF-4 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","191 patients","2 ","2","SCIP-INF-3 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","154 patients","2 ","2","SCIP-VTE-1 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","159 patients",,,"HF-1 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","29 patients",,,"AMI-2 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","51 patients","2 ","2","SCIP-CARD-2 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","139 patients",,,"PN-2 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100217","SEBASTIAN RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","154 patients","2 ","2","SCIP-VTE-2 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","313 patients","2 ","2","SCIP-INF-6 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","87 patients",,,"PN-7 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients",,,"HF-3 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","202 patients","2 ","2","SCIP-INF-2 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","122 patients",,,"PN-3B " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","120 patients",,,"PN-6 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","172 patients",,,"HF-2 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","57 patients",,,"AMI-1 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","195 patients","2 ","2","SCIP-INF-1 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100217","SEBASTIAN RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","139 patients",,,"PN-5C " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","413 patients","2 ","2","SCIP-INF-3 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","269 patients","2 ","2","AMI-2 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","225 patients","2 ","2","SCIP-VTE-1 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","451 patients","2 ","2","SCIP-INF-1 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","661 patients","2 ","2","SCIP-INF-6 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","95 patients","2 ","2","SCIP-INF-4 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","86 patients","2 ","2","PN-7 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","66 patients","2 ","2","AMI-8A " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","143 patients","2 ","2","PN-5C " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","68 patients","2 ","2","AMI-3 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","88 patients","2 ","2","PN-6 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","233 patients","2 ","2","AMI-1 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","125 patients","2 ","2","PN-3B " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","138 patients","2 ","2","PN-2 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","453 patients","2 ","2","SCIP-INF-2 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","224 patients","2 ","2","SCIP-VTE-2 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","105 patients","2 ","2","AMI-4 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","108 patients","2 ","2","SCIP-CARD-2 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","260 patients","2 ","2","AMI-5 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","HF-4 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","106 patients","2 ","2","HF-3 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","63 patients","2 ","2","PN-4 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","254 patients","2 ","2","HF-1 " "100220","GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","306 patients","2 ","2","HF-2 " "100223","FORT WALTON BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","286 patients","2 ","2","SCIP-VTE-2 " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","193 patients",,,"HF-1 " "100223","FORT WALTON BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","76 patients","2 ","2","SCIP-CARD-2 " "100223","FORT WALTON BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","367 patients","2 ","2","SCIP-INF-3 " "100223","FORT WALTON BEACH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","137 patients",,,"PN-3B " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","44 patients",,,"AMI-8A " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","231 patients",,,"AMI-2 " "100223","FORT WALTON BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","286 patients","2 ","2","SCIP-VTE-1 " "100223","FORT WALTON BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","621 patients","2 ","2","SCIP-INF-6 " "100223","FORT WALTON BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","414 patients","2 ","2","SCIP-INF-1 " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "100223","FORT WALTON BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","108 patients","2 ","2","SCIP-INF-4 " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","227 patients",,,"AMI-5 " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","46 patients",,,"HF-3 " "100223","FORT WALTON BEACH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","105 patients",,,"PN-7 " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","139 patients",,,"AMI-1 " "100223","FORT WALTON BEACH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "100223","FORT WALTON BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","417 patients","2 ","2","SCIP-INF-2 " "100223","FORT WALTON BEACH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","138 patients",,,"PN-5C " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","233 patients",,,"HF-2 " "100223","FORT WALTON BEACH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","74 patients",,,"PN-6 " "100223","FORT WALTON BEACH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","115 patients",,,"AMI-4 " "100223","FORT WALTON BEACH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","149 patients",,,"PN-2 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","189 patients","2 ","2","SCIP-INF-3 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","170 patients","2 ","2","SCIP-VTE-1 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","129 patients",,,"PN-6 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients",,,"HF-3 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","146 patients",,,"PN-5C " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","159 patients",,,"PN-3B " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","42 patients",,,"AMI-5 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","60 patients","2 ","2","SCIP-CARD-2 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","199 patients","2 ","2","SCIP-INF-1 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","199 patients","2 ","2","SCIP-INF-2 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","170 patients","2 ","2","SCIP-VTE-2 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","35 patients",,,"AMI-2 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","82 patients",,,"AMI-1 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","188 patients",,,"HF-1 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","248 patients",,,"HF-2 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","142 patients",,,"PN-2 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","88 patients",,,"PN-7 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "100224","UNIVERSITY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","325 patients","2 ","2","SCIP-INF-6 " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","15 patients","1 ","1","AMI-8A " "100226","ORANGE PARK MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","452 patients","2 ","2","SCIP-INF-6 " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"HF-4 " "100226","ORANGE PARK MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","51 patients","2 ","2","SCIP-CARD-2 " "100226","ORANGE PARK MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","70 patients","2 ","2","PN-6 " "100226","ORANGE PARK MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","258 patients","2 ","2","SCIP-INF-1 " "100226","ORANGE PARK MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100226","ORANGE PARK MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","266 patients","2 ","2","SCIP-INF-2 " "100226","ORANGE PARK MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","95 patients","2 ","2","PN-7 " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","95 patients",,,"AMI-5 " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","237 patients",,,"HF-1 " "100226","ORANGE PARK MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","146 patients","2 ","2","PN-2 " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","120 patients",,,"AMI-1 " "100226","ORANGE PARK MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","248 patients","2 ","2","SCIP-INF-3 " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","95 patients",,,"AMI-2 " "100226","ORANGE PARK MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","159 patients","2 ","2","PN-5C " "100226","ORANGE PARK MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","221 patients","2 ","2","SCIP-VTE-1 " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"AMI-4 " "100226","ORANGE PARK MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","PN-4 " "100226","ORANGE PARK MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","219 patients","2 ","2","SCIP-VTE-2 " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","58 patients",,,"HF-3 " "100226","ORANGE PARK MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","148 patients","2 ","2","PN-3B " "100226","ORANGE PARK MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","328 patients",,,"HF-2 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","335 patients","2 ","2","SCIP-INF-3 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","86 patients",,,"PN-7 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"AMI-4 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","79 patients",,,"AMI-3 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","422 patients","2 ","2","SCIP-INF-1 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","154 patients","2 ","2","SCIP-INF-4 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","151 patients",,,"PN-5C " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","636 patients","2 ","2","SCIP-INF-6 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","122 patients",,,"PN-2 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","112 patients",,,"PN-6 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","147 patients",,,"PN-3B " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","347 patients",,,"AMI-2 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","427 patients","2 ","2","SCIP-INF-2 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","278 patients","2 ","2","SCIP-VTE-2 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","359 patients",,,"AMI-5 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","97 patients","2 ","2","SCIP-CARD-2 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","288 patients",,,"AMI-1 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","118 patients",,,"HF-3 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","336 patients",,,"HF-1 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","414 patients",,,"HF-2 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","278 patients","2 ","2","SCIP-VTE-1 " "100228","WESTSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","48 patients",,,"AMI-8A " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","74 patients",,,"AMI-1 " "100230","MEMORIAL HOSPITAL PEMBROKE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","126 patients",,,"PN-6 " "100230","MEMORIAL HOSPITAL PEMBROKE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","188 patients","2 ","2","SCIP-INF-3 " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "100230","MEMORIAL HOSPITAL PEMBROKE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","137 patients",,,"PN-3B " "100230","MEMORIAL HOSPITAL PEMBROKE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","147 patients","2 ","2","SCIP-VTE-1 " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","18 patients","1 ","1","AMI-2 " "100230","MEMORIAL HOSPITAL PEMBROKE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"PN-4 " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","248 patients",,,"HF-2 " "100230","MEMORIAL HOSPITAL PEMBROKE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","200 patients","2 ","2","SCIP-INF-1 " "100230","MEMORIAL HOSPITAL PEMBROKE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","203 patients","2 ","2","SCIP-INF-2 " "100230","MEMORIAL HOSPITAL PEMBROKE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","314 patients","2 ","2","SCIP-INF-6 " "100230","MEMORIAL HOSPITAL PEMBROKE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","147 patients","2 ","2","SCIP-VTE-2 " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","227 patients",,,"HF-1 " "100230","MEMORIAL HOSPITAL PEMBROKE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","96 patients",,,"PN-7 " "100230","MEMORIAL HOSPITAL PEMBROKE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","51 patients","2 ","2","SCIP-CARD-2 " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100230","MEMORIAL HOSPITAL PEMBROKE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","108 patients",,,"PN-2 " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"HF-3 " "100230","MEMORIAL HOSPITAL PEMBROKE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "100230","MEMORIAL HOSPITAL PEMBROKE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100230","MEMORIAL HOSPITAL PEMBROKE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","110 patients",,,"PN-5C " "100231","WEST FLORIDA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","134 patients",,,"AMI-1 " "100231","WEST FLORIDA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","72 patients","2 ","2","PN-6 " "100231","WEST FLORIDA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","122 patients","2 ","2","PN-5C " "100231","WEST FLORIDA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","210 patients",,,"AMI-2 " "100231","WEST FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","397 patients","2 ","2","SCIP-INF-3 " "100231","WEST FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","655 patients","2 ","2","SCIP-INF-6 " "100231","WEST FLORIDA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","238 patients",,,"HF-1 " "100231","WEST FLORIDA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "100231","WEST FLORIDA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","100 patients","2 ","2","PN-7 " "100231","WEST FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","101 patients","2 ","2","SCIP-CARD-2 " "100231","WEST FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","118 patients","2 ","2","SCIP-INF-4 " "100231","WEST FLORIDA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","139 patients","2 ","2","PN-3B " "100231","WEST FLORIDA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","PN-4 " "100231","WEST FLORIDA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","47 patients",,,"AMI-8A " "100231","WEST FLORIDA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100231","WEST FLORIDA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","80 patients",,,"HF-3 " "100231","WEST FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","262 patients","2 ","2","SCIP-VTE-1 " "100231","WEST FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","262 patients","2 ","2","SCIP-VTE-2 " "100231","WEST FLORIDA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","211 patients",,,"AMI-5 " "100231","WEST FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","434 patients","2 ","2","SCIP-INF-1 " "100231","WEST FLORIDA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"AMI-4 " "100231","WEST FLORIDA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","42 patients",,,"AMI-3 " "100231","WEST FLORIDA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","272 patients",,,"HF-2 " "100231","WEST FLORIDA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","156 patients","2 ","2","PN-2 " "100231","WEST FLORIDA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","441 patients","2 ","2","SCIP-INF-2 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","102 patients",,,"PN-6 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","94 patients",,,"PN-7 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","64 patients",,,"AMI-1 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","142 patients",,,"PN-5C " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","143 patients",,,"SCIP-VTE-1 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","69 patients",,,"HF-3 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","26 patients",,,"SCIP-CARD-2 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","29 patients",,,"AMI-2 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","218 patients",,,"HF-2 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","123 patients",,,"PN-3B " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","35 patients",,,"AMI-5 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","165 patients",,,"SCIP-INF-3 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","169 patients",,,"SCIP-INF-2 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","143 patients",,,"SCIP-VTE-2 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","251 patients",,,"SCIP-INF-6 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","136 patients",,,"PN-2 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","185 patients",,,"HF-1 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "100232","PUTNAM COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","169 patients",,,"SCIP-INF-1 " "100234","COLUMBIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100234","COLUMBIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","166 patients",,,"SCIP-INF-2 " "100234","COLUMBIA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","49 patients",,,"AMI-1 " "100234","COLUMBIA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","30 patients",,,"PN-6 " "100234","COLUMBIA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100234","COLUMBIA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","147 patients",,,"HF-1 " "100234","COLUMBIA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","50 patients",,,"PN-7 " "100234","COLUMBIA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","70 patients",,,"PN-3B " "100234","COLUMBIA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "100234","COLUMBIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","166 patients",,,"SCIP-INF-1 " "100234","COLUMBIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","248 patients",,,"SCIP-INF-6 " "100234","COLUMBIA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","211 patients",,,"HF-2 " "100234","COLUMBIA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "100234","COLUMBIA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "100234","COLUMBIA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100234","COLUMBIA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "100234","COLUMBIA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","64 patients",,,"PN-5C " "100234","COLUMBIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","142 patients",,,"SCIP-INF-3 " "100234","COLUMBIA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients",,,"SCIP-CARD-2 " "100234","COLUMBIA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "100234","COLUMBIA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","62 patients",,,"PN-2 " "100234","COLUMBIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","147 patients",,,"SCIP-VTE-1 " "100234","COLUMBIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","147 patients",,,"SCIP-VTE-2 " "100234","COLUMBIA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"HF-3 " "100234","COLUMBIA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "100236","FAWCETT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","157 patients",,,"PN-7 " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","165 patients",,,"AMI-1 " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","139 patients",,,"AMI-5 " "100236","FAWCETT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","183 patients",,,"PN-5C " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100236","FAWCETT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"PN-4 " "100236","FAWCETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","349 patients","2 ","2","SCIP-INF-1 " "100236","FAWCETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","89 patients","2 ","2","SCIP-CARD-2 " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","35 patients",,,"AMI-8A " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","85 patients",,,"HF-3 " "100236","FAWCETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","323 patients","2 ","2","SCIP-VTE-1 " "100236","FAWCETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","323 patients","2 ","2","SCIP-VTE-2 " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","133 patients",,,"AMI-2 " "100236","FAWCETT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","231 patients",,,"PN-2 " "100236","FAWCETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","357 patients","2 ","2","SCIP-INF-2 " "100236","FAWCETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","576 patients","2 ","2","SCIP-INF-6 " "100236","FAWCETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","332 patients","2 ","2","SCIP-INF-3 " "100236","FAWCETT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","147 patients",,,"PN-3B " "100236","FAWCETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100236","FAWCETT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","88 patients",,,"PN-6 " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","323 patients",,,"HF-2 " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"AMI-4 " "100236","FAWCETT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","233 patients",,,"HF-1 " "100238","NORTHSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","154 patients",,,"PN-7 " "100238","NORTHSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","108 patients",,,"PN-4 " "100238","NORTHSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100238","NORTHSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","160 patients",,,"PN-6 " "100238","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","224 patients","2 ","2","SCIP-INF-1 " "100238","NORTHSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","236 patients",,,"AMI-1 " "100238","NORTHSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","212 patients",,,"PN-2 " "100238","NORTHSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","329 patients",,,"HF-2 " "100238","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","437 patients","2 ","2","SCIP-INF-6 " "100238","NORTHSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","41 patients",,,"AMI-3 " "100238","NORTHSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","165 patients",,,"PN-3B " "100238","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","229 patients","2 ","2","SCIP-INF-2 " "100238","NORTHSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","144 patients",,,"AMI-4 " "100238","NORTHSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","72 patients",,,"AMI-8A " "100238","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","95 patients","2 ","2","SCIP-CARD-2 " "100238","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","136 patients","2 ","2","SCIP-INF-4 " "100238","NORTHSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","225 patients",,,"HF-1 " "100238","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","158 patients","2 ","2","SCIP-VTE-2 " "100238","NORTHSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","96 patients",,,"HF-3 " "100238","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","196 patients","2 ","2","SCIP-INF-3 " "100238","NORTHSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","214 patients",,,"PN-5C " "100238","NORTHSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","297 patients",,,"AMI-2 " "100238","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","161 patients","2 ","2","SCIP-VTE-1 " "100238","NORTHSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","293 patients",,,"AMI-5 " "100238","NORTHSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "100239","EDWARD WHITE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "100239","EDWARD WHITE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","112 patients","2 ","2","SCIP-INF-2 " "100239","EDWARD WHITE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "100239","EDWARD WHITE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100239","EDWARD WHITE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","112 patients","2 ","2","SCIP-INF-1 " "100239","EDWARD WHITE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","120 patients",,,"PN-3B " "100239","EDWARD WHITE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","73 patients",,,"PN-7 " "100239","EDWARD WHITE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "100239","EDWARD WHITE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "100239","EDWARD WHITE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100239","EDWARD WHITE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","36 patients",,,"PN-6 " "100239","EDWARD WHITE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","103 patients",,,"PN-5C " "100239","EDWARD WHITE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","75 patients",,,"PN-2 " "100239","EDWARD WHITE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","78 patients",,,"HF-2 " "100239","EDWARD WHITE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "100239","EDWARD WHITE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100239","EDWARD WHITE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","132 patients","2 ","2","SCIP-VTE-1 " "100239","EDWARD WHITE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","106 patients","2 ","2","SCIP-INF-3 " "100239","EDWARD WHITE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "100239","EDWARD WHITE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","132 patients","2 ","2","SCIP-VTE-2 " "100239","EDWARD WHITE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "100239","EDWARD WHITE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","27 patients","2 ","2","SCIP-CARD-2 " "100239","EDWARD WHITE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","181 patients","2 ","2","SCIP-INF-6 " "100239","EDWARD WHITE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "100239","EDWARD WHITE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","58 patients",,,"HF-1 " "100240","ANNE BATES LEACH EYE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "100240","ANNE BATES LEACH EYE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "100240","ANNE BATES LEACH EYE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "100240","ANNE BATES LEACH EYE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "100240","ANNE BATES LEACH EYE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "100240","ANNE BATES LEACH EYE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "100240","ANNE BATES LEACH EYE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "100240","ANNE BATES LEACH EYE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "100240","ANNE BATES LEACH EYE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "100240","ANNE BATES LEACH EYE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "100240","ANNE BATES LEACH EYE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "100240","ANNE BATES LEACH EYE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "100240","ANNE BATES LEACH EYE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "100240","ANNE BATES LEACH EYE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "100240","ANNE BATES LEACH EYE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "100242","GULF COAST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100242","GULF COAST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "100242","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","252 patients","2 ","2","SCIP-VTE-2 " "100242","GULF COAST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","82 patients","2 ","2","PN-7 " "100242","GULF COAST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","60 patients","2 ","2","PN-6 " "100242","GULF COAST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","161 patients",,,"HF-2 " "100242","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","252 patients","2 ","2","SCIP-VTE-1 " "100242","GULF COAST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","106 patients","2 ","2","PN-5C " "100242","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","560 patients","2 ","2","SCIP-INF-6 " "100242","GULF COAST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "100242","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","377 patients","2 ","2","SCIP-INF-1 " "100242","GULF COAST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100242","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","94 patients","2 ","2","SCIP-CARD-2 " "100242","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","385 patients","2 ","2","SCIP-INF-2 " "100242","GULF COAST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "100242","GULF COAST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "100242","GULF COAST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","104 patients","2 ","2","PN-3B " "100242","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","323 patients","2 ","2","SCIP-INF-3 " "100242","GULF COAST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","122 patients","2 ","2","PN-2 " "100242","GULF COAST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"HF-3 " "100242","GULF COAST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "100242","GULF COAST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "100242","GULF COAST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","132 patients",,,"HF-1 " "100242","GULF COAST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","PN-4 " "100242","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100243","BRANDON REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","77 patients",,,"AMI-8A " "100243","BRANDON REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","309 patients",,,"PN-5C " "100243","BRANDON REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","395 patients",,,"AMI-2 " "100243","BRANDON REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "100243","BRANDON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","132 patients","2 ","2","SCIP-CARD-2 " "100243","BRANDON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","338 patients","2 ","2","SCIP-VTE-1 " "100243","BRANDON REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","130 patients",,,"AMI-4 " "100243","BRANDON REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","66 patients",,,"AMI-3 " "100243","BRANDON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","491 patients","2 ","2","SCIP-INF-1 " "100243","BRANDON REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","326 patients",,,"HF-1 " "100243","BRANDON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","338 patients","2 ","2","SCIP-VTE-2 " "100243","BRANDON REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","226 patients",,,"PN-6 " "100243","BRANDON REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","150 patients",,,"PN-4 " "100243","BRANDON REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","225 patients",,,"PN-7 " "100243","BRANDON REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","110 patients",,,"HF-3 " "100243","BRANDON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","760 patients","2 ","2","SCIP-INF-6 " "100243","BRANDON REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","375 patients",,,"AMI-1 " "100243","BRANDON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","123 patients","2 ","2","SCIP-INF-4 " "100243","BRANDON REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","273 patients",,,"PN-2 " "100243","BRANDON REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100243","BRANDON REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","399 patients",,,"HF-2 " "100243","BRANDON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","496 patients","2 ","2","SCIP-INF-2 " "100243","BRANDON REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","385 patients",,,"PN-3B " "100243","BRANDON REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","418 patients",,,"AMI-5 " "100243","BRANDON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","455 patients","2 ","2","SCIP-INF-3 " "100244","CAPE CORAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","89 patients",,,"AMI-1 " "100244","CAPE CORAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","463 patients","2 ","2","SCIP-INF-6 " "100244","CAPE CORAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","226 patients","2 ","2","HF-1 " "100244","CAPE CORAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","139 patients","2 ","2","PN-3B " "100244","CAPE CORAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100244","CAPE CORAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","AMI-3 " "100244","CAPE CORAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "100244","CAPE CORAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","82 patients","2 ","2","PN-7 " "100244","CAPE CORAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","51 patients","2 ","2","PN-4 " "100244","CAPE CORAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","214 patients","2 ","2","SCIP-VTE-2 " "100244","CAPE CORAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","214 patients","2 ","2","SCIP-VTE-1 " "100244","CAPE CORAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","297 patients","2 ","2","SCIP-INF-2 " "100244","CAPE CORAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","294 patients","2 ","2","SCIP-INF-1 " "100244","CAPE CORAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","267 patients","2 ","2","HF-2 " "100244","CAPE CORAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","147 patients","2 ","2","PN-5C " "100244","CAPE CORAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","39 patients","2 ","2","HF-4 " "100244","CAPE CORAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","65 patients","2 ","2","HF-3 " "100244","CAPE CORAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","55 patients",,,"AMI-5 " "100244","CAPE CORAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100244","CAPE CORAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","59 patients","2 ","2","SCIP-CARD-2 " "100244","CAPE CORAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","289 patients","2 ","2","SCIP-INF-3 " "100244","CAPE CORAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","122 patients","2 ","2","PN-2 " "100244","CAPE CORAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","104 patients","2 ","2","PN-6 " "100244","CAPE CORAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100244","CAPE CORAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","44 patients",,,"AMI-2 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","414 patients",,,"AMI-5 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","572 patients",,,"HF-1 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","203 patients",,,"HF-3 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","187 patients",,,"PN-2 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","165 patients",,,"AMI-4 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","128 patients",,,"HF-4 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","93%","60 patients",,,"CAC-3 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","223 patients",,,"PN-3B " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","218 patients",,,"SCIP-INF-4 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","467 patients",,,"SCIP-INF-2 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","131 patients",,,"PN-6 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","810 patients",,,"SCIP-INF-6 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","369 patients",,,"SCIP-VTE-2 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","658 patients",,,"HF-2 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","217 patients",,,"AMI-1 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","34 patients",,,"AMI-8A " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","110 patients",,,"PN-4 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","202 patients",,,"PN-5C " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","152 patients",,,"SCIP-CARD-2 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","406 patients",,,"AMI-2 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","369 patients",,,"SCIP-VTE-1 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","62 patients",,,"CAC-1 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","456 patients",,,"SCIP-INF-1 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","389 patients",,,"SCIP-INF-3 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","91 patients",,,"AMI-3 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","161 patients",,,"PN-7 " "100246","LAWNWOOD REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","62 patients",,,"CAC-2 " "100248","LARGO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"PN-4 " "100248","LARGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","476 patients","2 ","2","SCIP-INF-2 " "100248","LARGO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"AMI-3 " "100248","LARGO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","257 patients",,,"PN-5C " "100248","LARGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","269 patients","2 ","2","SCIP-VTE-2 " "100248","LARGO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","266 patients",,,"AMI-1 " "100248","LARGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","269 patients","2 ","2","SCIP-VTE-1 " "100248","LARGO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "100248","LARGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","706 patients","2 ","2","SCIP-INF-6 " "100248","LARGO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"HF-4 " "100248","LARGO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","58 patients",,,"AMI-8A " "100248","LARGO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","274 patients",,,"PN-2 " "100248","LARGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","130 patients","2 ","2","SCIP-CARD-2 " "100248","LARGO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","180 patients",,,"PN-7 " "100248","LARGO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"AMI-4 " "100248","LARGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","411 patients","2 ","2","SCIP-INF-3 " "100248","LARGO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","267 patients",,,"AMI-5 " "100248","LARGO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","226 patients",,,"PN-3B " "100248","LARGO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","265 patients",,,"AMI-2 " "100248","LARGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","132 patients","2 ","2","SCIP-INF-4 " "100248","LARGO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","442 patients",,,"HF-2 " "100248","LARGO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","308 patients",,,"HF-1 " "100248","LARGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","463 patients","2 ","2","SCIP-INF-1 " "100248","LARGO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","140 patients",,,"PN-6 " "100248","LARGO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","131 patients",,,"HF-3 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","105 patients","2 ","2","SCIP-CARD-2 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","410 patients","2 ","2","SCIP-INF-3 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","58 patients",,,"AMI-2 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","87 patients",,,"PN-2 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","64 patients",,,"AMI-5 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","50 patients",,,"HF-3 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","420 patients","2 ","2","SCIP-INF-1 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","120 patients",,,"PN-3B " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","28 patients",,,"PN-4 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","597 patients","2 ","2","SCIP-INF-6 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","84 patients",,,"PN-6 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","139 patients",,,"HF-2 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","118 patients",,,"PN-5C " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","235 patients","2 ","2","SCIP-VTE-2 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","61 patients",,,"PN-7 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","109 patients",,,"HF-1 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","237 patients","2 ","2","SCIP-VTE-1 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","129 patients",,,"AMI-1 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","420 patients","2 ","2","SCIP-INF-2 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "100249","SEVEN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "100252","RAULERSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","82 patients",,,"PN-2 " "100252","RAULERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","72 patients",,,"SCIP-INF-2 " "100252","RAULERSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","242 patients",,,"HF-1 " "100252","RAULERSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","272 patients",,,"HF-2 " "100252","RAULERSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","84 patients",,,"PN-5C " "100252","RAULERSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1 ","1","SCIP-CARD-2 " "100252","RAULERSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "100252","RAULERSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "100252","RAULERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","59 patients",,,"SCIP-INF-3 " "100252","RAULERSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","64 patients",,,"PN-7 " "100252","RAULERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100252","RAULERSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "100252","RAULERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","69 patients",,,"SCIP-INF-1 " "100252","RAULERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","94 patients",,,"SCIP-VTE-2 " "100252","RAULERSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "100252","RAULERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","177 patients",,,"SCIP-INF-6 " "100252","RAULERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","94 patients",,,"SCIP-VTE-1 " "100252","RAULERSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","62 patients",,,"PN-6 " "100252","RAULERSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "100252","RAULERSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","91 patients",,,"HF-3 " "100252","RAULERSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100252","RAULERSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100252","RAULERSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","50 patients",,,"AMI-1 " "100252","RAULERSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","91 patients",,,"PN-3B " "100252","RAULERSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","20 patients","1 ","1","AMI-5 " "100253","JUPITER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","96 patients",,,"PN-7 " "100253","JUPITER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","141 patients",,,"PN-2 " "100253","JUPITER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","205 patients",,,"HF-2 " "100253","JUPITER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "100253","JUPITER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","591 patients",,,"SCIP-VTE-2 " "100253","JUPITER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "100253","JUPITER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "100253","JUPITER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","114 patients",,,"PN-6 " "100253","JUPITER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","159 patients",,,"HF-1 " "100253","JUPITER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","56 patients",,,"HF-3 " "100253","JUPITER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","72 patients","2 ","2","AMI-1 " "100253","JUPITER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "100253","JUPITER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","679 patients",,,"SCIP-INF-2 " "100253","JUPITER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","36 patients","2 ","2","AMI-2 " "100253","JUPITER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","676 patients",,,"SCIP-INF-1 " "100253","JUPITER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1,2 ","12","AMI-3 " "100253","JUPITER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","592 patients",,,"SCIP-VTE-1 " "100253","JUPITER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100253","JUPITER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","136 patients",,,"SCIP-CARD-2 " "100253","JUPITER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","75%","4 patients","1 ","1","SCIP-INF-4 " "100253","JUPITER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","39 patients","2 ","2","AMI-5 " "100253","JUPITER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","166 patients",,,"PN-3B " "100253","JUPITER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1025 patients",,,"SCIP-INF-6 " "100253","JUPITER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","657 patients",,,"SCIP-INF-3 " "100253","JUPITER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","152 patients",,,"PN-5C " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"AMI-4 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","297 patients",,,"HF-1 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","263 patients",,,"SCIP-VTE-1 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"AMI-3 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","141 patients",,,"AMI-1 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","156 patients",,,"PN-5C " "100254","CAPITAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","313 patients",,,"SCIP-INF-3 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","337 patients",,,"SCIP-INF-2 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","335 patients",,,"SCIP-INF-1 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","36 patients",,,"AMI-8A " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","136 patients",,,"AMI-5 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","563 patients",,,"SCIP-INF-6 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","358 patients",,,"HF-2 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","160 patients",,,"HF-3 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100254","CAPITAL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","117 patients",,,"PN-2 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","50 patients",,,"SCIP-CARD-2 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"HF-4 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","82 patients",,,"PN-7 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","137 patients",,,"AMI-2 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","87 patients",,,"PN-6 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","263 patients",,,"SCIP-VTE-2 " "100254","CAPITAL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","150 patients",,,"PN-3B " "100254","CAPITAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","61 patients",,,"SCIP-INF-4 " "100255","TOWN & COUNTRY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","43 patients",,,"AMI-1 " "100255","TOWN & COUNTRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","131 patients",,,"SCIP-INF-3 " "100255","TOWN & COUNTRY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","24 patients","1 ","1","HF-3 " "100255","TOWN & COUNTRY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","70 patients",,,"PN-2 " "100255","TOWN & COUNTRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","141 patients",,,"SCIP-INF-2 " "100255","TOWN & COUNTRY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","89 patients",,,"SCIP-VTE-1 " "100255","TOWN & COUNTRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","233 patients",,,"SCIP-INF-6 " "100255","TOWN & COUNTRY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","73 patients",,,"PN-3B " "100255","TOWN & COUNTRY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","62 patients",,,"HF-1 " "100255","TOWN & COUNTRY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","88 patients",,,"HF-2 " "100255","TOWN & COUNTRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "100255","TOWN & COUNTRY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","28 patients",,,"PN-4 " "100255","TOWN & COUNTRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","141 patients",,,"SCIP-INF-1 " "100255","TOWN & COUNTRY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","32 patients",,,"SCIP-CARD-2 " "100255","TOWN & COUNTRY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","78 patients",,,"PN-5C " "100255","TOWN & COUNTRY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100255","TOWN & COUNTRY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "100255","TOWN & COUNTRY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","53 patients",,,"PN-6 " "100255","TOWN & COUNTRY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100255","TOWN & COUNTRY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","23 patients","1 ","1","AMI-2 " "100255","TOWN & COUNTRY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","26 patients",,,"AMI-5 " "100255","TOWN & COUNTRY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","45 patients",,,"PN-7 " "100255","TOWN & COUNTRY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","61%","88 patients",,,"SCIP-VTE-2 " "100255","TOWN & COUNTRY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "100255","TOWN & COUNTRY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","541 patients","2 ","2","HF-2 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","177 patients","2 ","2","SCIP-CARD-2 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","313 patients","2 ","2","SCIP-VTE-1 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","885 patients","2 ","2","SCIP-INF-6 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","158 patients",,,"PN-5C " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","501 patients",,,"AMI-2 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","107 patients",,,"PN-6 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","313 patients","2 ","2","SCIP-VTE-2 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","68 patients",,,"AMI-8A " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","435 patients","2 ","2","HF-1 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"PN-4 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","446 patients","2 ","2","SCIP-INF-3 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","496 patients","2 ","2","SCIP-INF-1 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","102 patients",,,"AMI-3 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","380 patients",,,"AMI-1 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","244 patients","2 ","2","SCIP-INF-4 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","177 patients",,,"AMI-4 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","58 patients",,,"PN-3B " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","508 patients","2 ","2","SCIP-INF-2 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","171 patients","2 ","2","HF-3 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","114 patients",,,"PN-7 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","508 patients",,,"AMI-5 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","108 patients","2 ","2","HF-4 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","155 patients",,,"PN-2 " "100256","REGIONAL MEDICAL CENTER BAYONET POINT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100258","DELRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","991 patients","2 ","2","SCIP-INF-1 " "100258","DELRAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","152 patients",,,"HF-3 " "100258","DELRAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","217 patients",,,"PN-7 " "100258","DELRAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","257 patients",,,"PN-5C " "100258","DELRAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","324 patients",,,"AMI-2 " "100258","DELRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1010 patients","2 ","2","SCIP-INF-2 " "100258","DELRAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"AMI-4 " "100258","DELRAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "100258","DELRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","242 patients","2 ","2","SCIP-CARD-2 " "100258","DELRAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","627 patients",,,"HF-2 " "100258","DELRAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","355 patients",,,"AMI-5 " "100258","DELRAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","348 patients",,,"PN-2 " "100258","DELRAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","328 patients",,,"AMI-1 " "100258","DELRAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","162 patients",,,"PN-6 " "100258","DELRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","524 patients","2 ","2","SCIP-VTE-2 " "100258","DELRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","964 patients","2 ","2","SCIP-INF-3 " "100258","DELRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1337 patients","2 ","2","SCIP-INF-6 " "100258","DELRAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100258","DELRAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","471 patients",,,"HF-1 " "100258","DELRAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","72 patients",,,"AMI-3 " "100258","DELRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","248 patients","2 ","2","SCIP-INF-4 " "100258","DELRAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","43 patients",,,"AMI-8A " "100258","DELRAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","256 patients",,,"PN-3B " "100258","DELRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","525 patients","2 ","2","SCIP-VTE-1 " "100258","DELRAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "100259","SOUTH BAY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"HF-4 " "100259","SOUTH BAY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","138 patients","2 ","2","PN-3B " "100259","SOUTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","351 patients","2 ","2","SCIP-INF-6 " "100259","SOUTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100259","SOUTH BAY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","224 patients",,,"HF-2 " "100259","SOUTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","194 patients","2 ","2","SCIP-INF-1 " "100259","SOUTH BAY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","128 patients","2 ","2","PN-5C " "100259","SOUTH BAY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "100259","SOUTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","61 patients","2 ","2","SCIP-CARD-2 " "100259","SOUTH BAY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","86 patients",,,"AMI-1 " "100259","SOUTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","213 patients","2 ","2","SCIP-VTE-1 " "100259","SOUTH BAY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "100259","SOUTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","183 patients","2 ","2","SCIP-INF-3 " "100259","SOUTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","199 patients","2 ","2","SCIP-INF-2 " "100259","SOUTH BAY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","27 patients",,,"AMI-2 " "100259","SOUTH BAY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","84 patients","2 ","2","PN-6 " "100259","SOUTH BAY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100259","SOUTH BAY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","152 patients",,,"HF-1 " "100259","SOUTH BAY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","36 patients",,,"HF-3 " "100259","SOUTH BAY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","36 patients","2 ","2","PN-4 " "100259","SOUTH BAY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "100259","SOUTH BAY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","156 patients","2 ","2","PN-2 " "100259","SOUTH BAY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","85 patients","2 ","2","PN-7 " "100259","SOUTH BAY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100259","SOUTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","213 patients","2 ","2","SCIP-VTE-2 " "100260","ST LUCIE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "100260","ST LUCIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","274 patients","2 ","2","SCIP-INF-3 " "100260","ST LUCIE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","338 patients",,,"HF-1 " "100260","ST LUCIE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","193 patients",,,"PN-6 " "100260","ST LUCIE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","471 patients",,,"HF-2 " "100260","ST LUCIE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","62 patients",,,"AMI-5 " "100260","ST LUCIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","81 patients","2 ","2","SCIP-CARD-2 " "100260","ST LUCIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100260","ST LUCIE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "100260","ST LUCIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","334 patients","2 ","2","SCIP-INF-2 " "100260","ST LUCIE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","133 patients",,,"AMI-1 " "100260","ST LUCIE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","258 patients",,,"PN-3B " "100260","ST LUCIE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","240 patients",,,"PN-2 " "100260","ST LUCIE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","143 patients",,,"HF-3 " "100260","ST LUCIE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","65 patients",,,"AMI-2 " "100260","ST LUCIE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "100260","ST LUCIE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","192 patients",,,"PN-7 " "100260","ST LUCIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","536 patients","2 ","2","SCIP-INF-6 " "100260","ST LUCIE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100260","ST LUCIE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"PN-4 " "100260","ST LUCIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","291 patients","2 ","2","SCIP-VTE-2 " "100260","ST LUCIE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","5 patients","1 ","1","AMI-7A " "100260","ST LUCIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","325 patients","2 ","2","SCIP-INF-1 " "100260","ST LUCIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","291 patients","2 ","2","SCIP-VTE-1 " "100260","ST LUCIE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","211 patients",,,"PN-5C " "100264","OAK HILL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","76 patients",,,"AMI-3 " "100264","OAK HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","441 patients","2 ","2","SCIP-INF-1 " "100264","OAK HILL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","323 patients",,,"AMI-5 " "100264","OAK HILL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","221 patients",,,"PN-7 " "100264","OAK HILL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","302 patients","2 ","2","SCIP-VTE-2 " "100264","OAK HILL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","323 patients",,,"PN-2 " "100264","OAK HILL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","313 patients",,,"AMI-2 " "100264","OAK HILL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","212 patients",,,"PN-3B " "100264","OAK HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","690 patients","2 ","2","SCIP-INF-6 " "100264","OAK HILL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","363 patients",,,"HF-1 " "100264","OAK HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","128 patients","2 ","2","SCIP-INF-4 " "100264","OAK HILL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","225 patients",,,"PN-5C " "100264","OAK HILL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","302 patients","2 ","2","SCIP-VTE-1 " "100264","OAK HILL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100264","OAK HILL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","288 patients",,,"AMI-1 " "100264","OAK HILL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"AMI-4 " "100264","OAK HILL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","139 patients",,,"PN-6 " "100264","OAK HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","449 patients","2 ","2","SCIP-INF-2 " "100264","OAK HILL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "100264","OAK HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","402 patients","2 ","2","SCIP-INF-3 " "100264","OAK HILL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","143 patients","2 ","2","SCIP-CARD-2 " "100264","OAK HILL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","467 patients",,,"HF-2 " "100264","OAK HILL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","139 patients",,,"HF-3 " "100264","OAK HILL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"PN-4 " "100264","OAK HILL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","35 patients",,,"AMI-8A " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","50 patients",,,"AMI-3 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","417 patients",,,"HF-2 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"AMI-4 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","306 patients",,,"HF-1 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","211 patients",,,"AMI-5 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","306 patients",,,"PN-2 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","198 patients",,,"PN-7 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","167 patients",,,"PN-6 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","199 patients",,,"AMI-2 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","329 patients","2 ","2","SCIP-INF-1 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","79 patients","2 ","2","SCIP-CARD-2 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","302 patients","2 ","2","SCIP-INF-3 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","238 patients","2 ","2","SCIP-VTE-1 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","146 patients",,,"HF-3 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","319 patients",,,"PN-3B " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","68 patients",,,"AMI-8A " "100265","MEASE HOSPITAL - COUNTRYSIDE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","458 patients","2 ","2","SCIP-INF-6 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","333 patients",,,"AMI-1 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"HF-4 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","251 patients",,,"PN-5C " "100265","MEASE HOSPITAL - COUNTRYSIDE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","238 patients","2 ","2","SCIP-VTE-2 " "100265","MEASE HOSPITAL - COUNTRYSIDE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","324 patients","2 ","2","SCIP-INF-2 " "100266","GULF BREEZE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","161 patients",,,"PN-3B " "100266","GULF BREEZE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","96 patients","2 ","2","SCIP-CARD-2 " "100266","GULF BREEZE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","453 patients","2 ","2","SCIP-INF-2 " "100266","GULF BREEZE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","15 patients","1 ","1","HF-3 " "100266","GULF BREEZE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100266","GULF BREEZE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100266","GULF BREEZE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "100266","GULF BREEZE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","AMI-4 " "100266","GULF BREEZE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","142 patients",,,"PN-5C " "100266","GULF BREEZE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","116 patients",,,"PN-6 " "100266","GULF BREEZE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "100266","GULF BREEZE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","444 patients","2 ","2","SCIP-INF-3 " "100266","GULF BREEZE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","44 patients",,,"PN-4 " "100266","GULF BREEZE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","30 patients",,,"AMI-1 " "100266","GULF BREEZE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","25 patients",,,"AMI-2 " "100266","GULF BREEZE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","90 patients",,,"HF-1 " "100266","GULF BREEZE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","101 patients",,,"HF-2 " "100266","GULF BREEZE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","103 patients",,,"PN-7 " "100266","GULF BREEZE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","320 patients","2 ","2","SCIP-VTE-2 " "100266","GULF BREEZE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100266","GULF BREEZE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","320 patients","2 ","2","SCIP-VTE-1 " "100266","GULF BREEZE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "100266","GULF BREEZE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","453 patients","2 ","2","SCIP-INF-1 " "100266","GULF BREEZE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","134 patients",,,"PN-2 " "100266","GULF BREEZE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","625 patients","2 ","2","SCIP-INF-6 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","102 patients",,,"SCIP-VTE-1 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","102 patients",,,"SCIP-VTE-2 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","60 patients",,,"PN-3B " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","40 patients",,,"HF-3 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","65 patients",,,"PN-2 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","61 patients",,,"PN-5C " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","202 patients",,,"SCIP-INF-6 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","26 patients",,,"SCIP-CARD-2 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","33 patients",,,"AMI-2 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","44 patients",,,"PN-7 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","38 patients",,,"PN-6 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","139 patients",,,"HF-1 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","124 patients",,,"SCIP-INF-1 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","39 patients",,,"AMI-5 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","66 patients",,,"AMI-1 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","178 patients",,,"HF-2 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","126 patients",,,"SCIP-INF-2 " "100267","ENGLEWOOD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","114 patients",,,"SCIP-INF-3 " "100268","WEST BOCA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","114 patients",,,"PN-2 " "100268","WEST BOCA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "100268","WEST BOCA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","116 patients",,,"PN-6 " "100268","WEST BOCA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","153 patients",,,"HF-1 " "100268","WEST BOCA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","AMI-3 " "100268","WEST BOCA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","153 patients",,,"PN-3B " "100268","WEST BOCA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100268","WEST BOCA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "100268","WEST BOCA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","202 patients","2 ","2","SCIP-INF-2 " "100268","WEST BOCA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","191 patients","2 ","2","SCIP-INF-3 " "100268","WEST BOCA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","80 patients",,,"AMI-5 " "100268","WEST BOCA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","322 patients","2 ","2","SCIP-INF-6 " "100268","WEST BOCA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","80 patients",,,"PN-7 " "100268","WEST BOCA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","111 patients",,,"AMI-1 " "100268","WEST BOCA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","122 patients",,,"PN-5C " "100268","WEST BOCA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","199 patients","2 ","2","SCIP-INF-1 " "100268","WEST BOCA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","52 patients",,,"HF-3 " "100268","WEST BOCA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","45 patients","2 ","2","SCIP-CARD-2 " "100268","WEST BOCA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","151 patients","2 ","2","SCIP-VTE-2 " "100268","WEST BOCA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","203 patients",,,"HF-2 " "100268","WEST BOCA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","73 patients",,,"AMI-2 " "100268","WEST BOCA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "100268","WEST BOCA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100268","WEST BOCA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "100268","WEST BOCA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","151 patients","2 ","2","SCIP-VTE-1 " "100269","PALMS WEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","224 patients","2 ","2","SCIP-INF-1 " "100269","PALMS WEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","412 patients","2 ","2","SCIP-INF-6 " "100269","PALMS WEST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","91 patients",,,"PN-2 " "100269","PALMS WEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100269","PALMS WEST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","303 patients",,,"HF-2 " "100269","PALMS WEST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","245 patients","2 ","2","SCIP-VTE-1 " "100269","PALMS WEST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","83 patients",,,"PN-7 " "100269","PALMS WEST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "100269","PALMS WEST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","50 patients",,,"AMI-1 " "100269","PALMS WEST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","269 patients",,,"HF-1 " "100269","PALMS WEST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","103 patients",,,"PN-6 " "100269","PALMS WEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","160 patients","2 ","2","SCIP-INF-3 " "100269","PALMS WEST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "100269","PALMS WEST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","34 patients",,,"AMI-5 " "100269","PALMS WEST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","245 patients","2 ","2","SCIP-VTE-2 " "100269","PALMS WEST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100269","PALMS WEST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "100269","PALMS WEST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-8A " "100269","PALMS WEST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","124 patients",,,"PN-5C " "100269","PALMS WEST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","68 patients",,,"HF-3 " "100269","PALMS WEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","224 patients","2 ","2","SCIP-INF-2 " "100269","PALMS WEST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "100269","PALMS WEST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","113 patients",,,"PN-3B " "100269","PALMS WEST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","32 patients","2 ","2","SCIP-CARD-2 " "100269","PALMS WEST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","33 patients",,,"AMI-2 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","314 patients","2 ","2","SCIP-INF-2 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","140 patients",,,"PN-2 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","204 patients",,,"PN-3B " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","156 patients",,,"HF-2 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","256 patients","2 ","2","SCIP-VTE-2 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","312 patients","2 ","2","SCIP-INF-1 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","110 patients",,,"PN-7 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","182 patients",,,"PN-5C " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","256 patients","2 ","2","SCIP-VTE-1 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","450 patients","2 ","2","SCIP-INF-6 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","130 patients",,,"PN-6 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","121 patients",,,"HF-1 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","36 patients",,,"HF-3 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","309 patients","2 ","2","SCIP-INF-3 " "100275","WELLINGTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","43 patients","2 ","2","SCIP-CARD-2 " "100276","CORAL SPRINGS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","26 patients",,,"AMI-5 " "100276","CORAL SPRINGS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","277 patients","2 ","2","SCIP-INF-3 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "100276","CORAL SPRINGS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","123 patients","2 ","2","PN-5C " "100276","CORAL SPRINGS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","288 patients","2 ","2","SCIP-INF-2 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","64 patients",,,"HF-3 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","45 patients",,,"AMI-1 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","138 patients",,,"HF-1 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","158 patients",,,"HF-2 " "100276","CORAL SPRINGS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","53 patients","2 ","2","PN-7 " "100276","CORAL SPRINGS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","287 patients","2 ","2","SCIP-INF-1 " "100276","CORAL SPRINGS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","52 patients","2 ","2","SCIP-CARD-2 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100276","CORAL SPRINGS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","235 patients","2 ","2","SCIP-VTE-1 " "100276","CORAL SPRINGS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","162 patients","2 ","2","PN-3B " "100276","CORAL SPRINGS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","47 patients","2 ","2","PN-4 " "100276","CORAL SPRINGS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","122 patients","2 ","2","PN-6 " "100276","CORAL SPRINGS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","449 patients","2 ","2","SCIP-INF-6 " "100276","CORAL SPRINGS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","84 patients","2 ","2","PN-2 " "100276","CORAL SPRINGS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "100276","CORAL SPRINGS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","235 patients","2 ","2","SCIP-VTE-2 " "100277","DOUGLAS GARDENS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "100277","DOUGLAS GARDENS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2 ","2","PN-6 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","4 patients","1,2 ","12","HF-2 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "100277","DOUGLAS GARDENS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","19 patients","1,2 ","12","PN-2 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,2 ","12","HF-1 " "100277","DOUGLAS GARDENS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "100277","DOUGLAS GARDENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "100277","DOUGLAS GARDENS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1,2 ","12","PN-7 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "100277","DOUGLAS GARDENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "100277","DOUGLAS GARDENS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1,2 ","12","PN-5C " "100277","DOUGLAS GARDENS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "100277","DOUGLAS GARDENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "100277","DOUGLAS GARDENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "100277","DOUGLAS GARDENS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "100277","DOUGLAS GARDENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "100277","DOUGLAS GARDENS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","PN-4 " "100277","DOUGLAS GARDENS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "100277","DOUGLAS GARDENS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "100281","MEMORIAL HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","212 patients","2 ","2","SCIP-INF-2 " "100281","MEMORIAL HOSPITAL WEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "100281","MEMORIAL HOSPITAL WEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "100281","MEMORIAL HOSPITAL WEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","251 patients",,,"PN-6 " "100281","MEMORIAL HOSPITAL WEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","216 patients",,,"AMI-1 " "100281","MEMORIAL HOSPITAL WEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","649 patients",,,"HF-2 " "100281","MEMORIAL HOSPITAL WEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","48 patients","2 ","2","SCIP-CARD-2 " "100281","MEMORIAL HOSPITAL WEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","328 patients",,,"PN-2 " "100281","MEMORIAL HOSPITAL WEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"AMI-3 " "100281","MEMORIAL HOSPITAL WEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","196 patients","2 ","2","SCIP-VTE-1 " "100281","MEMORIAL HOSPITAL WEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","196 patients","2 ","2","SCIP-VTE-2 " "100281","MEMORIAL HOSPITAL WEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100281","MEMORIAL HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","210 patients","2 ","2","SCIP-INF-1 " "100281","MEMORIAL HOSPITAL WEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","180 patients",,,"AMI-5 " "100281","MEMORIAL HOSPITAL WEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "100281","MEMORIAL HOSPITAL WEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","306 patients",,,"PN-5C " "100281","MEMORIAL HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","192 patients","2 ","2","SCIP-INF-3 " "100281","MEMORIAL HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100281","MEMORIAL HOSPITAL WEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","371 patients",,,"PN-3B " "100281","MEMORIAL HOSPITAL WEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","238 patients",,,"PN-7 " "100281","MEMORIAL HOSPITAL WEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","61 patients",,,"AMI-8A " "100281","MEMORIAL HOSPITAL WEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","573 patients",,,"HF-1 " "100281","MEMORIAL HOSPITAL WEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","240 patients",,,"HF-3 " "100281","MEMORIAL HOSPITAL WEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","166 patients",,,"AMI-2 " "100281","MEMORIAL HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","334 patients","2 ","2","SCIP-INF-6 " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","62%","8 patients","1,2 ","12","HF-4 " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1,2 ","12","AMI-2 " "100284","WESTCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","49%","35 patients","2 ","2","SCIP-INF-3 " "100284","WESTCHESTER GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","42 patients","2 ","2","PN-6 " "100284","WESTCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","58 patients","2 ","2","SCIP-INF-6 " "100284","WESTCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","33 patients","2 ","2","SCIP-VTE-2 " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","4 patients","1,2 ","12","AMI-7A " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "100284","WESTCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100284","WESTCHESTER GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","89 patients","2 ","2","PN-5C " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "100284","WESTCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","33 patients","2 ","2","SCIP-VTE-1 " "100284","WESTCHESTER GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","72 patients","2 ","2","PN-3B " "100284","WESTCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","36 patients","2 ","2","SCIP-INF-1 " "100284","WESTCHESTER GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","52 patients","2 ","2","PN-7 " "100284","WESTCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1,2 ","12","SCIP-CARD-2 " "100284","WESTCHESTER GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","10 patients","1,2 ","12","PN-4 " "100284","WESTCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","36 patients","2 ","2","SCIP-INF-2 " "100284","WESTCHESTER GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","72 patients","2 ","2","PN-2 " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","76 patients","2 ","2","HF-2 " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1,2 ","12","AMI-5 " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","25 patients","2 ","2","HF-3 " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","20 patients","1,2 ","12","AMI-1 " "100284","WESTCHESTER GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","55 patients","2 ","2","HF-1 " "100285","MEMORIAL HOSPITAL MIRAMAR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1,2 ","12","SCIP-CARD-2 " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "100285","MEMORIAL HOSPITAL MIRAMAR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","119 patients","2 ","2","SCIP-INF-3 " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","119 patients",,,"HF-1 " "100285","MEMORIAL HOSPITAL MIRAMAR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","252 patients","2 ","2","SCIP-INF-6 " "100285","MEMORIAL HOSPITAL MIRAMAR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","130 patients","2 ","2","SCIP-VTE-1 " "100285","MEMORIAL HOSPITAL MIRAMAR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","155 patients",,,"PN-5C " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100285","MEMORIAL HOSPITAL MIRAMAR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","129 patients","2 ","2","SCIP-INF-2 " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","31 patients",,,"AMI-1 " "100285","MEMORIAL HOSPITAL MIRAMAR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100285","MEMORIAL HOSPITAL MIRAMAR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","126 patients","2 ","2","SCIP-INF-1 " "100285","MEMORIAL HOSPITAL MIRAMAR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","181 patients",,,"PN-3B " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","126 patients",,,"HF-2 " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","31 patients",,,"HF-3 " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "100285","MEMORIAL HOSPITAL MIRAMAR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","157 patients",,,"PN-6 " "100285","MEMORIAL HOSPITAL MIRAMAR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "100285","MEMORIAL HOSPITAL MIRAMAR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","79 patients",,,"PN-7 " "100285","MEMORIAL HOSPITAL MIRAMAR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","100 patients",,,"PN-2 " "100285","MEMORIAL HOSPITAL MIRAMAR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","130 patients","2 ","2","SCIP-VTE-2 " "100285","MEMORIAL HOSPITAL MIRAMAR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","85 patients",,,"AMI-5 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","136 patients",,,"PN-3B " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","183 patients",,,"HF-2 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","345 patients",,,"SCIP-INF-1 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","99 patients",,,"SCIP-CARD-2 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","97 patients",,,"PN-6 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","254 patients",,,"SCIP-VTE-1 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","137 patients",,,"PN-2 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","633 patients",,,"SCIP-INF-6 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","347 patients",,,"SCIP-INF-2 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","12 patients","1 ","1","CAC-3 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","12 patients","1 ","1","CAC-2 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","122 patients",,,"PN-5C " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","93 patients",,,"AMI-1 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","254 patients",,,"SCIP-VTE-2 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","13 patients","1 ","1","AMI-8A " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","323 patients",,,"SCIP-INF-3 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","89 patients",,,"AMI-2 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","12 patients","1 ","1","CAC-1 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","73 patients",,,"HF-3 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","106 patients",,,"PN-7 " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100286","PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","166 patients",,,"HF-1 " "100287","GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","124 patients",,,"PN-6 " "100287","GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","413 patients","2 ","2","SCIP-INF-6 " "100287","GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","260 patients","2 ","2","SCIP-INF-1 " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","10 patients","1 ","1","AMI-8A " "100287","GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","141 patients",,,"PN-2 " "100287","GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "100287","GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","162 patients",,,"PN-3B " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","51 patients",,,"HF-3 " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","94 patients",,,"AMI-1 " "100287","GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","158 patients",,,"PN-5C " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "100287","GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","261 patients","2 ","2","SCIP-INF-2 " "100287","GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","271 patients","2 ","2","SCIP-VTE-2 " "100287","GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","254 patients","2 ","2","SCIP-INF-3 " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","213 patients",,,"HF-2 " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","62 patients",,,"AMI-5 " "100287","GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"PN-4 " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","64 patients",,,"AMI-2 " "100287","GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","271 patients","2 ","2","SCIP-VTE-1 " "100287","GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","106 patients",,,"PN-7 " "100287","GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","51 patients","2 ","2","SCIP-CARD-2 " "100287","GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","166 patients",,,"HF-1 " "100288","ST MARY'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","113 patients",,,"PN-5C " "100288","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","155 patients","2 ","2","SCIP-INF-2 " "100288","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","154 patients","2 ","2","SCIP-INF-1 " "100288","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "100288","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "100288","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100288","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100288","ST MARY'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","46 patients",,,"PN-7 " "100288","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","195 patients","2 ","2","SCIP-VTE-2 " "100288","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","30 patients","2 ","2","SCIP-CARD-2 " "100288","ST MARY'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "100288","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","151 patients","2 ","2","SCIP-INF-3 " "100288","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "100288","ST MARY'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","99 patients",,,"HF-1 " "100288","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","318 patients","2 ","2","SCIP-INF-6 " "100288","ST MARY'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","51 patients",,,"PN-2 " "100288","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","67%","3 patients","1,2 ","12","SCIP-INF-4 " "100288","ST MARY'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "100288","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "100288","ST MARY'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","84 patients",,,"PN-6 " "100288","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","196 patients","2 ","2","SCIP-VTE-1 " "100288","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","33 patients",,,"AMI-1 " "100288","ST MARY'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients",,,"HF-3 " "100288","ST MARY'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","110 patients",,,"HF-2 " "100288","ST MARY'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","137 patients",,,"PN-3B " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","158 patients",,,"AMI-2 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","299 patients",,,"HF-2 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","97 patients",,,"HF-3 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","156 patients",,,"AMI-5 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","452 patients","2 ","2","SCIP-INF-3 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","20 patients","1 ","1","AMI-8A " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","285 patients",,,"HF-1 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"AMI-4 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","154 patients",,,"PN-2 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","133 patients",,,"PN-5C " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","107 patients",,,"PN-7 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","489 patients","2 ","2","SCIP-INF-2 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","701 patients","2 ","2","SCIP-INF-6 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients",,,"AMI-3 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","486 patients","2 ","2","SCIP-INF-1 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","284 patients","2 ","2","SCIP-VTE-1 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","121 patients","2 ","2","SCIP-INF-4 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","111 patients",,,"PN-6 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","88 patients","2 ","2","SCIP-CARD-2 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","152 patients",,,"PN-3B " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","284 patients","2 ","2","SCIP-VTE-2 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","161 patients",,,"AMI-1 " "100289","CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT C","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","71 patients",,,"AMI-1 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","335 patients",,,"HF-2 " "100290","VILLAGES REGIONAL HOSPITAL THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","230 patients",,,"PN-3B " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","39 patients",,,"AMI-2 " "100290","VILLAGES REGIONAL HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100290","VILLAGES REGIONAL HOSPITAL THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","201 patients",,,"PN-6 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","283 patients",,,"HF-1 " "100290","VILLAGES REGIONAL HOSPITAL THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","224 patients",,,"SCIP-VTE-2 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","12 patients","1 ","1","AMI-3 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","108 patients",,,"HF-3 " "100290","VILLAGES REGIONAL HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","145 patients",,,"SCIP-INF-2 " "100290","VILLAGES REGIONAL HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","379 patients",,,"SCIP-INF-6 " "100290","VILLAGES REGIONAL HOSPITAL THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","350 patients",,,"PN-2 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100290","VILLAGES REGIONAL HOSPITAL THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","56 patients",,,"SCIP-CARD-2 " "100290","VILLAGES REGIONAL HOSPITAL THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","260 patients",,,"PN-5C " "100290","VILLAGES REGIONAL HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","136 patients",,,"SCIP-INF-3 " "100290","VILLAGES REGIONAL HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","147 patients",,,"SCIP-INF-1 " "100290","VILLAGES REGIONAL HOSPITAL THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","220 patients",,,"PN-7 " "100290","VILLAGES REGIONAL HOSPITAL THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"PN-4 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","39 patients",,,"AMI-5 " "100290","VILLAGES REGIONAL HOSPITAL THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","225 patients",,,"SCIP-VTE-1 " "100290","VILLAGES REGIONAL HOSPITAL THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","203 patients","2 ","2","SCIP-VTE-1 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","396 patients","2 ","2","SCIP-INF-6 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","104 patients",,,"PN-2 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"HF-3 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","49 patients","2 ","2","SCIP-CARD-2 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","244 patients","2 ","2","SCIP-INF-3 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","262 patients","2 ","2","SCIP-INF-1 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","91 patients",,,"HF-1 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","66 patients",,,"PN-6 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","115 patients",,,"HF-2 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","83 patients",,,"PN-3B " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","203 patients","2 ","2","SCIP-VTE-2 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","262 patients","2 ","2","SCIP-INF-2 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","75 patients",,,"PN-7 " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100291","WUESTHOFF MEDICAL CENTER - MELBOURNE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","87 patients",,,"PN-5C " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","HF-3 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","93 patients",,,"PN-5C " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","61 patients",,,"HF-1 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","AMI-4 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","65 patients",,,"PN-7 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","65 patients",,,"PN-6 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","83 patients",,,"HF-2 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"PN-4 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","92 patients",,,"PN-2 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","386 patients","2 ","2","SCIP-INF-6 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","49 patients","2 ","2","SCIP-CARD-2 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","129 patients","2 ","2","SCIP-VTE-1 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","326 patients","2 ","2","SCIP-INF-2 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","325 patients","2 ","2","SCIP-INF-1 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","318 patients","2 ","2","SCIP-INF-3 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","124 patients","2 ","2","SCIP-VTE-2 " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","114 patients",,,"PN-3B " "100292","SACRED HEART HOSPITAL ON THE EMERALD COAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100296","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","461 patients",,,"SCIP-INF-2 " "100296","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","461 patients",,,"SCIP-INF-1 " "100296","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1 ","1","SCIP-INF-4 " "100296","DOCTORS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "100296","DOCTORS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","125 patients",,,"HF-1 " "100296","DOCTORS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100296","DOCTORS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","129 patients",,,"PN-2 " "100296","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","676 patients",,,"SCIP-INF-6 " "100296","DOCTORS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "100296","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","79 patients",,,"SCIP-CARD-2 " "100296","DOCTORS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "100296","DOCTORS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","22 patients","1 ","1","AMI-5 " "100296","DOCTORS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"HF-3 " "100296","DOCTORS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","164 patients",,,"PN-5C " "100296","DOCTORS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1 ","1","AMI-2 " "100296","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","322 patients",,,"SCIP-VTE-1 " "100296","DOCTORS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "100296","DOCTORS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","86 patients",,,"PN-7 " "100296","DOCTORS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","99 patients",,,"PN-6 " "100296","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","322 patients",,,"SCIP-VTE-2 " "100296","DOCTORS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","158 patients",,,"HF-2 " "100296","DOCTORS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "100296","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","425 patients",,,"SCIP-INF-3 " "100296","DOCTORS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","56 patients",,,"AMI-1 " "100296","DOCTORS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","188 patients",,,"PN-3B " "100299","LAKEWOOD RANCH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","64 patients",,,"PN-3B " "100299","LAKEWOOD RANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","130 patients",,,"SCIP-INF-1 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","52 patients",,,"PN-2 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients",,,"PN-5C " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","27 patients",,,"HF-3 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","53 patients",,,"PN-6 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","34 patients",,,"PN-7 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","68 patients",,,"AMI-5 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","93 patients",,,"AMI-1 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","189 patients",,,"SCIP-INF-6 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","83 patients",,,"SCIP-VTE-1 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","83 patients",,,"SCIP-VTE-2 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","116 patients",,,"HF-2 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","76 patients",,,"AMI-2 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","18 patients","1 ","1","AMI-8A " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","92 patients",,,"HF-1 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","27 patients",,,"SCIP-CARD-2 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","129 patients",,,"SCIP-INF-2 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","125 patients",,,"SCIP-INF-3 " "100299","LAKEWOOD RANCH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","67 patients",,,"PN-7 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","15 patients","1 ","1","SCIP-CARD-2 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","102 patients",,,"PN-5C " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","70 patients",,,"PN-6 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","100 patients","2 ","2","SCIP-INF-6 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","AMI-3 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","193 patients",,,"HF-2 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","41 patients","2 ","2","SCIP-INF-2 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","151 patients",,,"HF-1 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","105 patients",,,"PN-3B " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","68 patients","2 ","2","SCIP-VTE-1 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","64 patients",,,"HF-3 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","41 patients","2 ","2","SCIP-INF-1 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","26 patients",,,"AMI-5 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","45 patients",,,"AMI-1 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","35 patients","2 ","2","SCIP-INF-3 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","81%","16 patients","1 ","1","AMI-2 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","68 patients","2 ","2","SCIP-VTE-2 " "100302","ST CLOUD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","95 patients",,,"PN-2 " "100307","ST LUKE'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","PN-4 " "100307","ST LUKE'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","56 patients","2 ","2","AMI-2 " "100307","ST LUKE'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","51 patients","2 ","2","HF-3 " "100307","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","17 patients","1,2 ","12","SCIP-CARD-2 " "100307","ST LUKE'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","69 patients","2 ","2","PN-6 " "100307","ST LUKE'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1,2 ","12","AMI-3 " "100307","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","137 patients","2 ","2","SCIP-INF-1 " "100307","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "100307","ST LUKE'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "100307","ST LUKE'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1,2 ","12","AMI-4 " "100307","ST LUKE'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","12 patients","1,2 ","12","AMI-8A " "100307","ST LUKE'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","60 patients","2 ","2","AMI-1 " "100307","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","148 patients","2 ","2","SCIP-VTE-1 " "100307","ST LUKE'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","73 patients","2 ","2","PN-7 " "100307","ST LUKE'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","53 patients","2 ","2","AMI-5 " "100307","ST LUKE'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","83 patients","2 ","2","PN-3B " "100307","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","132 patients","2 ","2","SCIP-INF-3 " "100307","ST LUKE'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","121 patients","2 ","2","HF-1 " "100307","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","145 patients","2 ","2","SCIP-VTE-2 " "100307","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","68%","248 patients","2 ","2","SCIP-INF-6 " "100307","ST LUKE'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","166 patients","2 ","2","HF-2 " "100307","ST LUKE'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","110 patients","2 ","2","PN-5C " "100307","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","135 patients","2 ","2","SCIP-INF-2 " "100307","ST LUKE'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1,2 ","12","HF-4 " "100307","ST LUKE'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","90 patients","2 ","2","PN-2 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","460 patients",,,"SCIP-INF-3 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","194 patients",,,"PN-5C " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","177 patients",,,"PN-3B " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","52 patients",,,"AMI-3 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"AMI-4 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","643 patients","2 ","2","SCIP-INF-6 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","160 patients",,,"AMI-1 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","112 patients",,,"PN-6 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","481 patients",,,"SCIP-INF-2 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","164 patients","2 ","2","SCIP-INF-4 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","472 patients",,,"SCIP-INF-1 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","163 patients",,,"AMI-2 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","30%","10 patients","1 ","1","AMI-8A " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","252 patients","2 ","2","SCIP-VTE-2 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","252 patients","2 ","2","SCIP-VTE-1 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","88 patients",,,"PN-4 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","210 patients",,,"HF-3 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","167 patients",,,"PN-2 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","439 patients",,,"HF-2 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","286 patients","2 ","2","SCIP-CARD-2 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","163 patients",,,"PN-7 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","154 patients",,,"AMI-5 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"HF-4 " "10057F","VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","393 patients",,,"HF-1 " "10063F","TAMPA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","494 patients",,,"SCIP-INF-3 " "10063F","TAMPA VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","154 patients",,,"AMI-1 " "10063F","TAMPA VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","161 patients",,,"PN-5C " "10063F","TAMPA VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","139 patients",,,"AMI-5 " "10063F","TAMPA VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","175 patients",,,"HF-3 " "10063F","TAMPA VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","14 patients","1 ","1","AMI-8A " "10063F","TAMPA VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"AMI-3 " "10063F","TAMPA VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "10063F","TAMPA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","527 patients",,,"SCIP-INF-2 " "10063F","TAMPA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","661 patients","2 ","2","SCIP-INF-6 " "10063F","TAMPA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","514 patients",,,"SCIP-INF-1 " "10063F","TAMPA VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","163 patients",,,"PN-2 " "10063F","TAMPA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","333 patients","2 ","2","SCIP-CARD-2 " "10063F","TAMPA VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "10063F","TAMPA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","328 patients","2 ","2","SCIP-VTE-2 " "10063F","TAMPA VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","364 patients",,,"HF-2 " "10063F","TAMPA VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "10063F","TAMPA VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"HF-4 " "10063F","TAMPA VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","164 patients",,,"PN-3B " "10063F","TAMPA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","328 patients","2 ","2","SCIP-VTE-1 " "10063F","TAMPA VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","135 patients",,,"AMI-2 " "10063F","TAMPA VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","88 patients",,,"PN-6 " "10063F","TAMPA VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","327 patients",,,"HF-1 " "10063F","TAMPA VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","143 patients",,,"PN-7 " "10063F","TAMPA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","172 patients","2 ","2","SCIP-INF-4 " "10064F","MIAMI VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","53 patients",,,"PN-5C " "10064F","MIAMI VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","75 patients",,,"PN-3B " "10064F","MIAMI VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "10064F","MIAMI VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","37 patients",,,"PN-6 " "10064F","MIAMI VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","114 patients",,,"HF-1 " "10064F","MIAMI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","271 patients",,,"SCIP-INF-2 " "10064F","MIAMI VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "10064F","MIAMI VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-8A " "10064F","MIAMI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","140 patients","2 ","2","SCIP-CARD-2 " "10064F","MIAMI VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "10064F","MIAMI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","256 patients",,,"SCIP-INF-3 " "10064F","MIAMI VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "10064F","MIAMI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","361 patients","2 ","2","SCIP-INF-6 " "10064F","MIAMI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","160 patients","2 ","2","SCIP-VTE-2 " "10064F","MIAMI VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "10064F","MIAMI VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "10064F","MIAMI VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "10064F","MIAMI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "10064F","MIAMI VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","54 patients",,,"PN-2 " "10064F","MIAMI VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","123 patients",,,"HF-2 " "10064F","MIAMI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","160 patients","2 ","2","SCIP-VTE-1 " "10064F","MIAMI VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "10064F","MIAMI VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","58 patients",,,"PN-7 " "10064F","MIAMI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","262 patients",,,"SCIP-INF-1 " "10064F","MIAMI VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","68 patients",,,"HF-3 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","91 patients",,,"HF-3 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","215 patients",,,"HF-1 " "10065F","W PALM BEACH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "10065F","W PALM BEACH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "10065F","W PALM BEACH VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","60 patients",,,"PN-7 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "10065F","W PALM BEACH VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","87 patients",,,"PN-2 " "10065F","W PALM BEACH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","25 patients",,,"AMI-1 " "10065F","W PALM BEACH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "10065F","W PALM BEACH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "10065F","W PALM BEACH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "10065F","W PALM BEACH VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","125 patients",,,"PN-5C " "10065F","W PALM BEACH VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","126 patients",,,"PN-3B " "10065F","W PALM BEACH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "10065F","W PALM BEACH VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","236 patients",,,"HF-2 " "10065F","W PALM BEACH VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","94 patients",,,"PN-6 " "10065F","W PALM BEACH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "10065F","W PALM BEACH VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "101300","FLORIDA HOSPITAL WAUCHULA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","18 patients","1 ","1","PN-6 " "101300","FLORIDA HOSPITAL WAUCHULA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","20 patients","1 ","1","PN-3B " "101300","FLORIDA HOSPITAL WAUCHULA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","18 patients","1 ","1","PN-7 " "101300","FLORIDA HOSPITAL WAUCHULA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "101300","FLORIDA HOSPITAL WAUCHULA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "101300","FLORIDA HOSPITAL WAUCHULA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "101300","FLORIDA HOSPITAL WAUCHULA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","22 patients","1 ","1","PN-5C " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "101300","FLORIDA HOSPITAL WAUCHULA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "101300","FLORIDA HOSPITAL WAUCHULA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "101300","FLORIDA HOSPITAL WAUCHULA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "101300","FLORIDA HOSPITAL WAUCHULA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","17 patients","1 ","1","PN-2 " "101300","FLORIDA HOSPITAL WAUCHULA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "101300","FLORIDA HOSPITAL WAUCHULA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "101300","FLORIDA HOSPITAL WAUCHULA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","7 patients","1 ","1","HF-1 " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "101300","FLORIDA HOSPITAL WAUCHULA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","8 patients","1 ","1","HF-2 " "101301","SHANDS AT LIVE OAK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "101301","SHANDS AT LIVE OAK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "101301","SHANDS AT LIVE OAK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "101301","SHANDS AT LIVE OAK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "101301","SHANDS AT LIVE OAK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","78 patients","2 ","2","PN-3B " "101301","SHANDS AT LIVE OAK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","30 patients",,,"HF-1 " "101301","SHANDS AT LIVE OAK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "101301","SHANDS AT LIVE OAK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "101301","SHANDS AT LIVE OAK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "101301","SHANDS AT LIVE OAK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "101301","SHANDS AT LIVE OAK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","49 patients","2 ","2","PN-6 " "101301","SHANDS AT LIVE OAK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "101301","SHANDS AT LIVE OAK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","PN-4 " "101301","SHANDS AT LIVE OAK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "101301","SHANDS AT LIVE OAK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","39 patients","2 ","2","PN-7 " "101301","SHANDS AT LIVE OAK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "101301","SHANDS AT LIVE OAK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "101301","SHANDS AT LIVE OAK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "101301","SHANDS AT LIVE OAK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","48 patients","2 ","2","PN-2 " "101301","SHANDS AT LIVE OAK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "101301","SHANDS AT LIVE OAK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "101301","SHANDS AT LIVE OAK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "101301","SHANDS AT LIVE OAK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","74 patients","2 ","2","PN-5C " "101301","SHANDS AT LIVE OAK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","39 patients",,,"HF-2 " "101301","SHANDS AT LIVE OAK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "101302","CAMPBELLTON GRACEVILLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","53 patients",,,"PN-5C " "101307","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","32 patients",,,"PN-2 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","8 patients","1 ","1","PN-3B " "101307","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","53 patients",,,"PN-6 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","66 patients",,,"HF-1 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","21%","86 patients",,,"HF-2 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "101307","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","32 patients",,,"PN-7 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "101307","DOCTOR'S MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","21 patients","1,3 ","13","PN-6 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","18 patients","1,3 ","13","HF-2 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1,3 ","13","HF-4 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1,3 ","13","HF-3 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1,3 ","13","PN-5C " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","15 patients","1,3 ","13","PN-2 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","14 patients","1,3 ","13","PN-7 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","23%","13 patients","1,3 ","13","HF-1 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1,3 ","13","PN-4 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","13 patients","1,3 ","13","PN-3B " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "101308","NORTHWEST FLORIDA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "101309","HENDRY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","38%","8 patients","1 ","1","SCIP-VTE-2 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","72 patients",,,"HF-2 " "101309","HENDRY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "101309","HENDRY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","18 patients","1 ","1","PN-6 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","HF-3 " "101309","HENDRY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","65%","20 patients","1 ","1","PN-3B " "101309","HENDRY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","13 patients","1 ","1","SCIP-INF-2 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "101309","HENDRY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","46%","13 patients","1 ","1","SCIP-INF-3 " "101309","HENDRY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","10%","10 patients","1 ","1","PN-7 " "101309","HENDRY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients",,,"SCIP-INF-6 " "101309","HENDRY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "101309","HENDRY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","60 patients",,,"HF-1 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "101309","HENDRY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","9 patients","1 ","1","SCIP-VTE-1 " "101309","HENDRY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","15 patients","1 ","1","SCIP-INF-1 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "101309","HENDRY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","12 patients","1 ","1","PN-2 " "101309","HENDRY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","22 patients","1 ","1","PN-5C " "101309","HENDRY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "101310","SHANDS AT STARKE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","86 patients","2 ","2","PN-3B " "101310","SHANDS AT STARKE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","68 patients","2 ","2","PN-6 " "101310","SHANDS AT STARKE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","3 patients","1,2,3 ","123","SCIP-VTE-2 " "101310","SHANDS AT STARKE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","28 patients",,,"HF-2 " "101310","SHANDS AT STARKE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "101310","SHANDS AT STARKE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,2,3 ","123","SCIP-INF-6 " "101310","SHANDS AT STARKE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,2,3 ","123","SCIP-INF-1 " "101310","SHANDS AT STARKE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","66 patients","2 ","2","PN-2 " "101310","SHANDS AT STARKE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "101310","SHANDS AT STARKE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","24 patients","1 ","1","HF-1 " "101310","SHANDS AT STARKE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "101310","SHANDS AT STARKE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "101310","SHANDS AT STARKE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "101310","SHANDS AT STARKE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "101310","SHANDS AT STARKE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "101310","SHANDS AT STARKE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","PN-4 " "101310","SHANDS AT STARKE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","47 patients",,,"PN-7 " "101310","SHANDS AT STARKE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "101310","SHANDS AT STARKE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,2,3 ","123","SCIP-INF-3 " "101310","SHANDS AT STARKE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","50%","2 patients","1,2,3 ","123","SCIP-INF-2 " "101310","SHANDS AT STARKE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","77 patients","2 ","2","PN-5C " "101310","SHANDS AT STARKE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "101310","SHANDS AT STARKE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "101310","SHANDS AT STARKE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,3 ","13","AMI-7A " "101310","SHANDS AT STARKE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","3 patients","1,2,3 ","123","SCIP-VTE-1 " "110001","HAMILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","197 patients","2 ","2","SCIP-INF-1 " "110001","HAMILTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients","2 ","2","HF-4 " "110001","HAMILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","168 patients","2 ","2","SCIP-VTE-1 " "110001","HAMILTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","147 patients","2 ","2","PN-4 " "110001","HAMILTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","280 patients","2 ","2","HF-1 " "110001","HAMILTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","77 patients","2 ","2","HF-3 " "110001","HAMILTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","330 patients","2 ","2","HF-2 " "110001","HAMILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","182 patients","2 ","2","SCIP-INF-3 " "110001","HAMILTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","63%","35 patients",,,"AMI-8A " "110001","HAMILTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","262 patients","2 ","2","PN-2 " "110001","HAMILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","197 patients","2 ","2","SCIP-INF-2 " "110001","HAMILTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "110001","HAMILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","168 patients","2 ","2","SCIP-VTE-2 " "110001","HAMILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","330 patients","2 ","2","SCIP-INF-6 " "110001","HAMILTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","86 patients","2 ","2","PN-3B " "110001","HAMILTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","228 patients","2 ","2","PN-7 " "110001","HAMILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110001","HAMILTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","169 patients","2 ","2","PN-6 " "110001","HAMILTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","86 patients",,,"AMI-2 " "110001","HAMILTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"AMI-4 " "110001","HAMILTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","42 patients","2 ","2","SCIP-CARD-2 " "110001","HAMILTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "110001","HAMILTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","97 patients",,,"AMI-1 " "110001","HAMILTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","92 patients",,,"AMI-5 " "110001","HAMILTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","268 patients","2 ","2","PN-5C " "110002","UPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","118 patients",,,"PN-3B " "110002","UPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","254 patients","2 ","2","SCIP-INF-6 " "110002","UPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","122 patients",,,"PN-5C " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","39 patients",,,"AMI-1 " "110002","UPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","71 patients",,,"HF-3 " "110002","UPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","85 patients","2 ","2","SCIP-VTE-2 " "110002","UPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","26 patients","2 ","2","SCIP-CARD-2 " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","135 patients",,,"HF-2 " "110002","UPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","166 patients","2 ","2","SCIP-INF-3 " "110002","UPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","85 patients",,,"PN-6 " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","118 patients",,,"HF-1 " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "110002","UPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "110002","UPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","99 patients",,,"PN-2 " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "110002","UPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","85 patients","2 ","2","SCIP-VTE-1 " "110002","UPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","170 patients","2 ","2","SCIP-INF-1 " "110002","UPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","90 patients",,,"PN-7 " "110002","UPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110002","UPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","176 patients","2 ","2","SCIP-INF-2 " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","58 patients","2 ","2","HF-3 " "110003","SATILLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","175 patients",,,"SCIP-VTE-2 " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","HF-4 " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "110003","SATILLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","175 patients",,,"SCIP-INF-1 " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "110003","SATILLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","301 patients",,,"SCIP-INF-6 " "110003","SATILLA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","156 patients","2 ","2","PN-5C " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "110003","SATILLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","71 patients",,,"SCIP-CARD-2 " "110003","SATILLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110003","SATILLA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","103 patients","2 ","2","PN-7 " "110003","SATILLA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","93 patients","2 ","2","PN-6 " "110003","SATILLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","175 patients",,,"SCIP-VTE-1 " "110003","SATILLA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","149 patients","2 ","2","PN-3B " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "110003","SATILLA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","123 patients","2 ","2","PN-2 " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","48 patients",,,"AMI-1 " "110003","SATILLA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","PN-4 " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","157 patients","2 ","2","HF-1 " "110003","SATILLA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","191 patients","2 ","2","HF-2 " "110003","SATILLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","175 patients",,,"SCIP-INF-2 " "110003","SATILLA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","163 patients",,,"SCIP-INF-3 " "110004","HUTCHESON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","209 patients",,,"SCIP-INF-1 " "110004","HUTCHESON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","135 patients",,,"PN-2 " "110004","HUTCHESON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","109 patients",,,"PN-7 " "110004","HUTCHESON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"HF-3 " "110004","HUTCHESON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "110004","HUTCHESON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "110004","HUTCHESON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"PN-4 " "110004","HUTCHESON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","323 patients",,,"SCIP-INF-6 " "110004","HUTCHESON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "110004","HUTCHESON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","209 patients",,,"SCIP-INF-2 " "110004","HUTCHESON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110004","HUTCHESON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110004","HUTCHESON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","178 patients",,,"SCIP-VTE-1 " "110004","HUTCHESON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "110004","HUTCHESON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","219 patients",,,"PN-5C " "110004","HUTCHESON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","109 patients",,,"PN-6 " "110004","HUTCHESON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110004","HUTCHESON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","24 patients","1 ","1","SCIP-CARD-2 " "110004","HUTCHESON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","178 patients",,,"SCIP-VTE-2 " "110004","HUTCHESON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "110004","HUTCHESON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","43 patients",,,"AMI-1 " "110004","HUTCHESON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","218 patients",,,"PN-3B " "110004","HUTCHESON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","204 patients",,,"SCIP-INF-3 " "110004","HUTCHESON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","103 patients",,,"HF-1 " "110004","HUTCHESON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","143 patients",,,"HF-2 " "110005","NORTHSIDE HOSPITAL FORSYTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","307 patients","2 ","2","SCIP-INF-1 " "110005","NORTHSIDE HOSPITAL FORSYTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","98 patients","2 ","2","PN-4 " "110005","NORTHSIDE HOSPITAL FORSYTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","237 patients","2 ","2","PN-2 " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","274 patients",,,"HF-2 " "110005","NORTHSIDE HOSPITAL FORSYTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","305 patients","2 ","2","SCIP-INF-2 " "110005","NORTHSIDE HOSPITAL FORSYTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","65 patients","2 ","2","SCIP-CARD-2 " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","60 patients",,,"AMI-5 " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "110005","NORTHSIDE HOSPITAL FORSYTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","304 patients","2 ","2","PN-3B " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","67 patients",,,"HF-3 " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","244 patients",,,"HF-1 " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110005","NORTHSIDE HOSPITAL FORSYTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","296 patients","2 ","2","SCIP-INF-3 " "110005","NORTHSIDE HOSPITAL FORSYTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110005","NORTHSIDE HOSPITAL FORSYTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","224 patients","2 ","2","SCIP-VTE-1 " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","101 patients",,,"AMI-1 " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","57 patients",,,"AMI-2 " "110005","NORTHSIDE HOSPITAL FORSYTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","224 patients","2 ","2","SCIP-VTE-2 " "110005","NORTHSIDE HOSPITAL FORSYTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","204 patients","2 ","2","PN-7 " "110005","NORTHSIDE HOSPITAL FORSYTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "110005","NORTHSIDE HOSPITAL FORSYTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","529 patients","2 ","2","SCIP-INF-6 " "110005","NORTHSIDE HOSPITAL FORSYTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","200 patients","2 ","2","PN-6 " "110005","NORTHSIDE HOSPITAL FORSYTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","287 patients","2 ","2","PN-5C " "110006","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","177 patients","2 ","2","SCIP-VTE-2 " "110006","ST MARY'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","83 patients","2 ","2","PN-5C " "110006","ST MARY'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110006","ST MARY'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","66 patients",,,"PN-7 " "110006","ST MARY'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","156 patients","2 ","2","HF-2 " "110006","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","177 patients","2 ","2","SCIP-VTE-1 " "110006","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","309 patients","2 ","2","SCIP-INF-3 " "110006","ST MARY'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","38 patients","2 ","2","HF-4 " "110006","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110006","ST MARY'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","23 patients","1 ","1","AMI-2 " "110006","ST MARY'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "110006","ST MARY'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","55 patients","2 ","2","HF-3 " "110006","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","49 patients","2 ","2","SCIP-CARD-2 " "110006","ST MARY'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","25 patients",,,"AMI-5 " "110006","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","314 patients","2 ","2","SCIP-INF-1 " "110006","ST MARY'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","40 patients","2 ","2","PN-4 " "110006","ST MARY'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","144 patients","2 ","2","HF-1 " "110006","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","446 patients","2 ","2","SCIP-INF-6 " "110006","ST MARY'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "110006","ST MARY'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110006","ST MARY'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","60 patients","2 ","2","PN-3B " "110006","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","317 patients","2 ","2","SCIP-INF-2 " "110006","ST MARY'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","33 patients",,,"AMI-1 " "110006","ST MARY'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","77 patients","2 ","2","PN-2 " "110006","ST MARY'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","61 patients","2 ","2","PN-6 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","74%","137 patients","2 ","2","SCIP-INF-4 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","38%","422 patients",,,"HF-1 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","380 patients","2 ","2","SCIP-INF-3 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","190 patients","2 ","2","SCIP-VTE-2 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","169 patients",,,"PN-7 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","196 patients",,,"HF-3 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","190 patients","2 ","2","SCIP-VTE-1 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","476 patients",,,"HF-2 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","192 patients",,,"PN-5C " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","132 patients",,,"PN-6 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","101 patients",,,"AMI-3 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","583 patients","2 ","2","SCIP-INF-6 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","231 patients",,,"AMI-1 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","388 patients",,,"AMI-5 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","81 patients","2 ","2","SCIP-CARD-2 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","404 patients","2 ","2","SCIP-INF-1 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","110 patients",,,"HF-4 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","415 patients","2 ","2","SCIP-INF-2 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","123 patients",,,"PN-3B " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","138 patients",,,"PN-4 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","448 patients",,,"AMI-2 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","226 patients",,,"AMI-4 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","169 patients",,,"PN-2 " "110007","PHOEBE PUTNEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","47 patients",,,"AMI-8A " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","110 patients","2 ","2","HF-2 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","37 patients","2 ","2","HF-3 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110008","NORTHSIDE HOSPITAL CHEROKEE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","125 patients","2 ","2","SCIP-INF-1 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","115 patients","2 ","2","SCIP-VTE-2 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","123 patients","2 ","2","SCIP-INF-3 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","85 patients","2 ","2","HF-1 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","212 patients","2 ","2","SCIP-INF-6 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients","2 ","2","SCIP-CARD-2 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","162 patients","2 ","2","PN-5C " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients",,,"AMI-1 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","HF-4 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","117 patients","2 ","2","PN-2 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","127 patients","2 ","2","SCIP-INF-2 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","115 patients","2 ","2","SCIP-VTE-1 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","82 patients",,,"PN-7 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","105 patients","2 ","2","PN-6 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110008","NORTHSIDE HOSPITAL CHEROKEE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","182 patients","2 ","2","PN-3B " "110010","EMORY UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","25 patients","2 ","2","PN-6 " "110010","EMORY UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","97 patients","2 ","2","PN-5C " "110010","EMORY UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","28 patients","2 ","2","PN-4 " "110010","EMORY UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","247 patients","2 ","2","SCIP-VTE-1 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","13 patients","1,2 ","12","AMI-8A " "110010","EMORY UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","409 patients","2 ","2","SCIP-INF-2 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110010","EMORY UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","247 patients","2 ","2","SCIP-VTE-2 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","133 patients","2 ","2","HF-3 " "110010","EMORY UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","52 patients","2 ","2","PN-7 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","255 patients","2 ","2","AMI-2 " "110010","EMORY UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","106 patients","2 ","2","SCIP-CARD-2 " "110010","EMORY UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","639 patients","2 ","2","SCIP-INF-6 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","246 patients","2 ","2","AMI-5 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","110 patients","2 ","2","AMI-1 " "110010","EMORY UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","406 patients","2 ","2","SCIP-INF-1 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","72 patients","2 ","2","AMI-4 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","56 patients","2 ","2","AMI-3 " "110010","EMORY UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","121 patients","2 ","2","SCIP-INF-4 " "110010","EMORY UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","62 patients","2 ","2","PN-2 " "110010","EMORY UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","70 patients","2 ","2","PN-3B " "110010","EMORY UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","382 patients","2 ","2","SCIP-INF-3 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","HF-4 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","237 patients","2 ","2","HF-2 " "110010","EMORY UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","221 patients","2 ","2","HF-1 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","95 patients",,,"AMI-5 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","221 patients",,,"HF-1 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","217 patients",,,"SCIP-VTE-2 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","235 patients",,,"HF-2 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","123 patients",,,"PN-6 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","93 patients",,,"HF-3 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","85 patients",,,"AMI-2 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","146 patients",,,"PN-7 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","178 patients",,,"PN-2 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","88 patients",,,"PN-4 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110011","TANNER MEDICAL CENTER - CARROLLTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","148 patients",,,"PN-5C " "110011","TANNER MEDICAL CENTER - CARROLLTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","173 patients",,,"PN-3B " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","73 patients",,,"AMI-1 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","217 patients",,,"SCIP-VTE-1 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"HF-4 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","29 patients",,,"AMI-8A " "110011","TANNER MEDICAL CENTER - CARROLLTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","351 patients",,,"SCIP-INF-1 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","77 patients",,,"SCIP-CARD-2 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","491 patients",,,"SCIP-INF-6 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","347 patients",,,"SCIP-INF-3 " "110011","TANNER MEDICAL CENTER - CARROLLTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","353 patients",,,"SCIP-INF-2 " "110015","TANNER MEDICAL CENTER VILLA RICA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","64 patients",,,"PN-7 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "110015","TANNER MEDICAL CENTER VILLA RICA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","21 patients","1 ","1","SCIP-VTE-1 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"HF-3 " "110015","TANNER MEDICAL CENTER VILLA RICA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","48 patients",,,"SCIP-INF-6 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110015","TANNER MEDICAL CENTER VILLA RICA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","79 patients",,,"PN-6 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110015","TANNER MEDICAL CENTER VILLA RICA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","18 patients","1 ","1","SCIP-INF-3 " "110015","TANNER MEDICAL CENTER VILLA RICA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","19 patients","1 ","1","SCIP-INF-2 " "110015","TANNER MEDICAL CENTER VILLA RICA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","72%","25 patients",,,"SCIP-INF-1 " "110015","TANNER MEDICAL CENTER VILLA RICA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","85 patients",,,"PN-3B " "110015","TANNER MEDICAL CENTER VILLA RICA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "110015","TANNER MEDICAL CENTER VILLA RICA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","20 patients","1 ","1","SCIP-VTE-2 " "110015","TANNER MEDICAL CENTER VILLA RICA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "110015","TANNER MEDICAL CENTER VILLA RICA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","86 patients",,,"PN-5C " "110015","TANNER MEDICAL CENTER VILLA RICA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","69 patients",,,"PN-2 " "110015","TANNER MEDICAL CENTER VILLA RICA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","109 patients",,,"HF-2 " "110015","TANNER MEDICAL CENTER VILLA RICA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","103 patients",,,"HF-1 " "110016","WEST GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","395 patients",,,"SCIP-INF-6 " "110016","WEST GEORGIA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "110016","WEST GEORGIA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","101 patients",,,"PN-7 " "110016","WEST GEORGIA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","113 patients",,,"PN-6 " "110016","WEST GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","233 patients",,,"SCIP-INF-1 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","39 patients",,,"AMI-8A " "110016","WEST GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","166 patients",,,"SCIP-VTE-2 " "110016","WEST GEORGIA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","153 patients",,,"PN-3B " "110016","WEST GEORGIA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","168 patients",,,"PN-5C " "110016","WEST GEORGIA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","138 patients",,,"AMI-1 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","90 patients",,,"AMI-5 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","100 patients",,,"AMI-2 " "110016","WEST GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","220 patients",,,"SCIP-INF-3 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110016","WEST GEORGIA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","141 patients",,,"PN-2 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"AMI-4 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "110016","WEST GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","36 patients",,,"SCIP-CARD-2 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","367 patients",,,"HF-2 " "110016","WEST GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110016","WEST GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","232 patients",,,"SCIP-INF-2 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","331 patients",,,"HF-1 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","160 patients",,,"HF-3 " "110016","WEST GEORGIA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"HF-4 " "110016","WEST GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","166 patients",,,"SCIP-VTE-1 " "110018","NEWTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "110018","NEWTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","44 patients",,,"AMI-5 " "110018","NEWTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","46 patients",,,"AMI-2 " "110018","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","183 patients","2 ","2","SCIP-VTE-1 " "110018","NEWTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","258 patients",,,"HF-2 " "110018","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","44 patients","2 ","2","SCIP-CARD-2 " "110018","NEWTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","54 patients",,,"HF-4 " "110018","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","424 patients","2 ","2","SCIP-INF-6 " "110018","NEWTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","232 patients",,,"HF-1 " "110018","NEWTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","127 patients","2 ","2","PN-5C " "110018","NEWTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","83 patients","2 ","2","PN-6 " "110018","NEWTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","70 patients",,,"AMI-1 " "110018","NEWTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110018","NEWTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110018","NEWTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","85 patients",,,"HF-3 " "110018","NEWTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","67 patients","2 ","2","PN-4 " "110018","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110018","NEWTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "110018","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","289 patients","2 ","2","SCIP-INF-2 " "110018","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","183 patients","2 ","2","SCIP-VTE-2 " "110018","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","285 patients","2 ","2","SCIP-INF-3 " "110018","NEWTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","121 patients","2 ","2","PN-3B " "110018","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","288 patients","2 ","2","SCIP-INF-1 " "110018","NEWTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","96 patients",,,"PN-7 " "110018","NEWTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","137 patients","2 ","2","PN-2 " "110023","GORDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110023","GORDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","147 patients",,,"SCIP-INF-1 " "110023","GORDON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","142 patients",,,"PN-3B " "110023","GORDON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","125 patients",,,"PN-6 " "110023","GORDON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110023","GORDON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "110023","GORDON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","24 patients","1 ","1","SCIP-CARD-2 " "110023","GORDON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","20 patients","1 ","1","HF-3 " "110023","GORDON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "110023","GORDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","239 patients",,,"SCIP-INF-6 " "110023","GORDON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","139 patients",,,"SCIP-VTE-2 " "110023","GORDON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "110023","GORDON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "110023","GORDON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","120 patients",,,"PN-2 " "110023","GORDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","147 patients",,,"SCIP-INF-2 " "110023","GORDON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "110023","GORDON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","66 patients",,,"HF-1 " "110023","GORDON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","152 patients",,,"PN-5C " "110023","GORDON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110023","GORDON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","71 patients",,,"HF-2 " "110023","GORDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","139 patients",,,"SCIP-INF-3 " "110023","GORDON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","139 patients",,,"SCIP-VTE-1 " "110023","GORDON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","58 patients",,,"AMI-1 " "110023","GORDON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","97 patients",,,"PN-7 " "110023","GORDON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"PN-4 " "110024","CANDLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","117 patients","2 ","2","SCIP-INF-3 " "110024","CANDLER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","127 patients","2 ","2","SCIP-VTE-2 " "110024","CANDLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","120 patients","2 ","2","SCIP-INF-1 " "110024","CANDLER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","22 patients","1 ","1","AMI-1 " "110024","CANDLER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","167 patients",,,"PN-7 " "110024","CANDLER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","135 patients",,,"PN-6 " "110024","CANDLER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "110024","CANDLER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110024","CANDLER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","128 patients","2 ","2","SCIP-VTE-1 " "110024","CANDLER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","94 patients",,,"HF-3 " "110024","CANDLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "110024","CANDLER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","194 patients",,,"PN-2 " "110024","CANDLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","233 patients","2 ","2","SCIP-INF-6 " "110024","CANDLER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","341 patients",,,"HF-2 " "110024","CANDLER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","11 patients","1 ","1","AMI-2 " "110024","CANDLER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","204 patients",,,"PN-3B " "110024","CANDLER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "110024","CANDLER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"PN-4 " "110024","CANDLER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "110024","CANDLER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110024","CANDLER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","242 patients",,,"PN-5C " "110024","CANDLER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","124 patients","2 ","2","SCIP-INF-2 " "110024","CANDLER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","28 patients","2 ","2","SCIP-CARD-2 " "110024","CANDLER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "110024","CANDLER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","296 patients",,,"HF-1 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","155 patients","2 ","2","PN-5C " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","263 patients","2 ","2","HF-1 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","PN-4 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","131 patients","2 ","2","PN-6 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","296 patients","2 ","2","HF-2 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","114 patients","2 ","2","PN-7 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","291 patients","2 ","2","SCIP-INF-1 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","55 patients","2 ","2","AMI-5 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","236 patients","2 ","2","SCIP-VTE-1 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","86 patients","2 ","2","AMI-1 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","145 patients","2 ","2","PN-2 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","AMI-4 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","291 patients","2 ","2","SCIP-INF-2 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","81 patients","2 ","2","HF-3 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","236 patients","2 ","2","SCIP-VTE-2 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","45 patients","2 ","2","SCIP-CARD-2 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","434 patients","2 ","2","SCIP-INF-6 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","102 patients","2 ","2","PN-3B " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","12 patients","1,2 ","12","AMI-8A " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1,2 ","12","AMI-3 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","54 patients","2 ","2","AMI-2 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","280 patients","2 ","2","SCIP-INF-3 " "110025","SOUTHEAST GEORGIA HEALTH SYSTEM-BRUNSWICK CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","HF-4 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "110026","ELBERT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","71 patients",,,"PN-2 " "110026","ELBERT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","53 patients",,,"PN-7 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "110026","ELBERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","43%","23 patients","1 ","1","SCIP-VTE-1 " "110026","ELBERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "110026","ELBERT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"PN-4 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","59 patients",,,"HF-1 " "110026","ELBERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","37 patients",,,"SCIP-INF-2 " "110026","ELBERT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","42 patients",,,"PN-3B " "110026","ELBERT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","75 patients",,,"PN-5C " "110026","ELBERT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","41 patients",,,"PN-6 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110026","ELBERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110026","ELBERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","51%","37 patients",,,"SCIP-INF-3 " "110026","ELBERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","49 patients",,,"SCIP-INF-6 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110026","ELBERT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "110026","ELBERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","43%","23 patients","1 ","1","SCIP-VTE-2 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","71 patients",,,"HF-2 " "110026","ELBERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","37 patients",,,"SCIP-INF-1 " "110026","ELBERT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110027","COBB MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "110027","COBB MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","85 patients",,,"HF-2 " "110027","COBB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","17 patients","1 ","1","SCIP-VTE-1 " "110027","COBB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","22 patients","1 ","1","SCIP-INF-2 " "110027","COBB MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","64 patients",,,"HF-1 " "110027","COBB MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "110027","COBB MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110027","COBB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","21 patients","1 ","1","SCIP-INF-1 " "110027","COBB MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110027","COBB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","17 patients","1 ","1","SCIP-VTE-2 " "110027","COBB MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","86 patients",,,"PN-2 " "110027","COBB MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "110027","COBB MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","17 patients","1 ","1","HF-3 " "110027","COBB MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","70 patients",,,"PN-6 " "110027","COBB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","21 patients","1 ","1","SCIP-INF-3 " "110027","COBB MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","82 patients",,,"PN-3B " "110027","COBB MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110027","COBB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","44 patients",,,"SCIP-INF-6 " "110027","COBB MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "110027","COBB MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","108 patients",,,"PN-5C " "110027","COBB MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","67 patients",,,"PN-7 " "110027","COBB MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "110027","COBB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110027","COBB MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "110027","COBB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "110028","UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","1380 patients","2 ","2","SCIP-INF-3 " "110028","UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1645 patients","2 ","2","SCIP-INF-6 " "110028","UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","205 patients","2 ","2","HF-3 " "110028","UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","517 patients","2 ","2","SCIP-VTE-2 " "110028","UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","554 patients","2 ","2","HF-2 " "110028","UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","1413 patients","2 ","2","SCIP-INF-1 " "110028","UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","614 patients",,,"AMI-2 " "110028","UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","88 patients",,,"AMI-8A " "110028","UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","281 patients","2 ","2","PN-5C " "110028","UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","126 patients","2 ","2","PN-4 " "110028","UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","481 patients","2 ","2","HF-1 " "110028","UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","205 patients","2 ","2","PN-3B " "110028","UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","1393 patients","2 ","2","SCIP-INF-2 " "110028","UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","192 patients","2 ","2","SCIP-CARD-2 " "110028","UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","559 patients",,,"AMI-5 " "110028","UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","433 patients",,,"AMI-1 " "110028","UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","80 patients","2 ","2","HF-4 " "110028","UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","227 patients",,,"AMI-4 " "110028","UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","98 patients",,,"AMI-3 " "110028","UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","312 patients",,,"PN-7 " "110028","UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110028","UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","320 patients","2 ","2","PN-2 " "110028","UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","444 patients","2 ","2","SCIP-INF-4 " "110028","UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","517 patients","2 ","2","SCIP-VTE-1 " "110028","UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","148 patients","2 ","2","PN-6 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","428 patients",,,"AMI-1 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","111 patients","2 ","2","PN-7 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","91 patients","2 ","2","PN-5C " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","HF-4 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","69 patients","2 ","2","PN-6 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","121 patients","2 ","2","SCIP-CARD-2 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","93 patients",,,"AMI-8A " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","254 patients","2 ","2","HF-1 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","619 patients","2 ","2","SCIP-INF-6 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","348 patients","2 ","2","SCIP-INF-3 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","91 patients","2 ","2","HF-3 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","134 patients","2 ","2","PN-2 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","282 patients",,,"AMI-4 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","288 patients","2 ","2","HF-2 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","135 patients","2 ","2","SCIP-INF-4 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","207 patients","2 ","2","SCIP-VTE-2 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","207 patients","2 ","2","SCIP-VTE-1 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","617 patients",,,"AMI-5 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","575 patients",,,"AMI-2 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","399 patients","2 ","2","SCIP-INF-2 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","87 patients","2 ","2","PN-3B " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","396 patients","2 ","2","SCIP-INF-1 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","130 patients",,,"AMI-3 " "110029","NORTHEAST GEORGIA MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","83 patients","2 ","2","PN-4 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "110030","CARTERSVILLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","107 patients","2 ","2","PN-4 " "110030","CARTERSVILLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","144 patients","2 ","2","PN-2 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","123 patients",,,"HF-1 " "110030","CARTERSVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","219 patients","2 ","2","SCIP-INF-2 " "110030","CARTERSVILLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","177 patients","2 ","2","PN-5C " "110030","CARTERSVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110030","CARTERSVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","171 patients","2 ","2","SCIP-VTE-1 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110030","CARTERSVILLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","144 patients",,,"PN-7 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","36 patients",,,"HF-3 " "110030","CARTERSVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","171 patients","2 ","2","SCIP-VTE-2 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110030","CARTERSVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","205 patients","2 ","2","SCIP-INF-3 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "110030","CARTERSVILLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","213 patients","2 ","2","PN-3B " "110030","CARTERSVILLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","40 patients",,,"AMI-1 " "110030","CARTERSVILLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","132 patients",,,"HF-2 " "110030","CARTERSVILLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","92 patients","2 ","2","PN-6 " "110030","CARTERSVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","218 patients","2 ","2","SCIP-INF-1 " "110030","CARTERSVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","54 patients","2 ","2","SCIP-CARD-2 " "110030","CARTERSVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","334 patients","2 ","2","SCIP-INF-6 " "110031","SPALDING REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","270 patients",,,"PN-2 " "110031","SPALDING REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","535 patients","2 ","2","SCIP-INF-6 " "110031","SPALDING REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","182 patients",,,"PN-6 " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","92 patients",,,"AMI-1 " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","140 patients",,,"HF-3 " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-7A " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","139 patients",,,"HF-4 " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","362 patients",,,"HF-1 " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","40 patients",,,"AMI-2 " "110031","SPALDING REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","227 patients",,,"PN-7 " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","44 patients",,,"AMI-5 " "110031","SPALDING REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","318 patients",,,"PN-5C " "110031","SPALDING REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","381 patients","2 ","2","SCIP-INF-2 " "110031","SPALDING REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","61 patients","2 ","2","SCIP-CARD-2 " "110031","SPALDING REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","270 patients",,,"PN-3B " "110031","SPALDING REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","362 patients","2 ","2","SCIP-INF-3 " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","404 patients",,,"HF-2 " "110031","SPALDING REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","209 patients","2 ","2","SCIP-VTE-2 " "110031","SPALDING REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","193 patients",,,"PN-4 " "110031","SPALDING REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "110031","SPALDING REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","379 patients","2 ","2","SCIP-INF-1 " "110031","SPALDING REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","209 patients","2 ","2","SCIP-VTE-1 " "110031","SPALDING REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110032","STEPHENS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","122 patients",,,"SCIP-VTE-2 " "110032","STEPHENS COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110032","STEPHENS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","123 patients",,,"SCIP-VTE-1 " "110032","STEPHENS COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","116 patients",,,"PN-6 " "110032","STEPHENS COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","128 patients",,,"HF-1 " "110032","STEPHENS COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","146 patients",,,"PN-7 " "110032","STEPHENS COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients",,,"AMI-1 " "110032","STEPHENS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110032","STEPHENS COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","145 patients",,,"PN-3B " "110032","STEPHENS COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "110032","STEPHENS COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"PN-4 " "110032","STEPHENS COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","168 patients",,,"PN-2 " "110032","STEPHENS COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "110032","STEPHENS COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "110032","STEPHENS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","107 patients",,,"SCIP-INF-1 " "110032","STEPHENS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1 ","1","SCIP-CARD-2 " "110032","STEPHENS COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","148 patients",,,"HF-2 " "110032","STEPHENS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","92 patients",,,"SCIP-INF-3 " "110032","STEPHENS COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "110032","STEPHENS COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","173 patients",,,"PN-5C " "110032","STEPHENS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","108 patients",,,"SCIP-INF-2 " "110032","STEPHENS COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","20 patients","1 ","1","AMI-5 " "110032","STEPHENS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","181 patients",,,"SCIP-INF-6 " "110032","STEPHENS COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "110032","STEPHENS COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","114 patients","2 ","2","PN-3B " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","111 patients","2 ","2","AMI-4 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","210 patients","2 ","2","AMI-2 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","65%","72 patients","2 ","2","CAC-3 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","195 patients","2 ","2","SCIP-VTE-1 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","132 patients","2 ","2","AMI-1 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","66 patients","2 ","2","PN-7 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","383 patients","2 ","2","SCIP-INF-6 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","47%","17 patients","1,2 ","12","AMI-8A " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","278 patients","2 ","2","HF-2 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","68 patients","2 ","2","PN-2 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","135 patients","2 ","2","PN-5C " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","275 patients","2 ","2","SCIP-INF-2 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","58 patients","2 ","2","PN-4 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","186 patients","2 ","2","AMI-5 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","74 patients","2 ","2","CAC-2 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","264 patients","2 ","2","SCIP-INF-3 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","74 patients","2 ","2","CAC-1 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","195 patients","2 ","2","SCIP-VTE-2 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","34 patients","2 ","2","SCIP-INF-4 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","44 patients","2 ","2","SCIP-CARD-2 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","97 patients","2 ","2","HF-4 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients","2 ","2","AMI-3 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","275 patients","2 ","2","SCIP-INF-1 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","142 patients","2 ","2","HF-3 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","269 patients","2 ","2","HF-1 " "110034","MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","59 patients","2 ","2","PN-6 " "110035","WELLSTAR KENNESTONE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","435 patients","2 ","2","PN-5C " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","651 patients","2 ","2","HF-1 " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","76 patients","2 ","2","AMI-3 " "110035","WELLSTAR KENNESTONE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","376 patients","2 ","2","PN-3B " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","153 patients","2 ","2","AMI-8A " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110035","WELLSTAR KENNESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","928 patients","2 ","2","SCIP-INF-1 " "110035","WELLSTAR KENNESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","249 patients","2 ","2","SCIP-INF-4 " "110035","WELLSTAR KENNESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","892 patients","2 ","2","SCIP-INF-3 " "110035","WELLSTAR KENNESTONE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","161 patients","2 ","2","PN-4 " "110035","WELLSTAR KENNESTONE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","400 patients","2 ","2","PN-2 " "110035","WELLSTAR KENNESTONE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","293 patients","2 ","2","PN-6 " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","243 patients","2 ","2","AMI-4 " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","599 patients","2 ","2","AMI-2 " "110035","WELLSTAR KENNESTONE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","456 patients","2 ","2","SCIP-VTE-2 " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","475 patients","2 ","2","AMI-1 " "110035","WELLSTAR KENNESTONE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","230 patients","2 ","2","SCIP-CARD-2 " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","738 patients","2 ","2","HF-2 " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","539 patients","2 ","2","AMI-5 " "110035","WELLSTAR KENNESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","942 patients","2 ","2","SCIP-INF-2 " "110035","WELLSTAR KENNESTONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1377 patients","2 ","2","SCIP-INF-6 " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","239 patients","2 ","2","HF-3 " "110035","WELLSTAR KENNESTONE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","456 patients","2 ","2","SCIP-VTE-1 " "110035","WELLSTAR KENNESTONE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","284 patients","2 ","2","PN-7 " "110035","WELLSTAR KENNESTONE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","144 patients","2 ","2","HF-4 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","91 patients","2 ","2","HF-3 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","311 patients","2 ","2","HF-2 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","88 patients","2 ","2","PN-6 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","110 patients","2 ","2","PN-2 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","70 patients","2 ","2","PN-4 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","259 patients","2 ","2","AMI-5 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","469 patients","2 ","2","SCIP-INF-3 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","40 patients","2 ","2","AMI-8A " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","128 patients","2 ","2","AMI-4 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","272 patients","2 ","2","AMI-2 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","79 patients","2 ","2","HF-4 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","483 patients","2 ","2","SCIP-INF-1 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","490 patients","2 ","2","SCIP-INF-2 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","293 patients","2 ","2","HF-1 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","221 patients","2 ","2","SCIP-VTE-2 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","152 patients","2 ","2","SCIP-INF-4 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","703 patients","2 ","2","SCIP-INF-6 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","168 patients","2 ","2","AMI-1 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","222 patients","2 ","2","SCIP-VTE-1 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","129 patients","2 ","2","PN-3B " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","85 patients","2 ","2","PN-7 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","115 patients","2 ","2","SCIP-CARD-2 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients","2 ","2","AMI-3 " "110036","MEMORIAL HEALTH UNIV MED CEN, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","121 patients","2 ","2","PN-5C " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","290 patients","2 ","2","SCIP-VTE-2 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"AMI-3 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","63%","19 patients","1 ","1","AMI-8A " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","140 patients",,,"AMI-2 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","355 patients","2 ","2","SCIP-INF-2 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","164 patients",,,"PN-3B " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","158 patients",,,"PN-7 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","74 patients","2 ","2","SCIP-CARD-2 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","139 patients",,,"AMI-5 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","202 patients",,,"PN-2 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","81 patients",,,"HF-3 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","357 patients","2 ","2","SCIP-INF-1 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","271 patients",,,"HF-1 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","346 patients","2 ","2","SCIP-INF-3 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","317 patients",,,"HF-2 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"AMI-4 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","182 patients",,,"PN-5C " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","546 patients","2 ","2","SCIP-INF-6 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","94 patients",,,"PN-4 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","290 patients","2 ","2","SCIP-VTE-1 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","123 patients",,,"PN-6 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","116 patients",,,"AMI-1 " "110038","JOHN D ARCHBOLD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"HF-4 " "110039","TRINITY HOSPITAL OF AUGUSTA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","236 patients",,,"SCIP-VTE-2 " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "110039","TRINITY HOSPITAL OF AUGUSTA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","443 patients",,,"SCIP-INF-1 " "110039","TRINITY HOSPITAL OF AUGUSTA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","57 patients",,,"PN-5C " "110039","TRINITY HOSPITAL OF AUGUSTA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","447 patients",,,"SCIP-INF-2 " "110039","TRINITY HOSPITAL OF AUGUSTA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","237 patients",,,"SCIP-VTE-1 " "110039","TRINITY HOSPITAL OF AUGUSTA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","424 patients",,,"SCIP-INF-3 " "110039","TRINITY HOSPITAL OF AUGUSTA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","586 patients",,,"SCIP-INF-6 " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"HF-3 " "110039","TRINITY HOSPITAL OF AUGUSTA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","69 patients",,,"PN-3B " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "110039","TRINITY HOSPITAL OF AUGUSTA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","49 patients",,,"PN-6 " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","86 patients",,,"HF-2 " "110039","TRINITY HOSPITAL OF AUGUSTA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","62 patients",,,"PN-7 " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","22 patients","1 ","1","AMI-1 " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","70 patients",,,"HF-1 " "110039","TRINITY HOSPITAL OF AUGUSTA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","86 patients",,,"PN-2 " "110039","TRINITY HOSPITAL OF AUGUSTA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110039","TRINITY HOSPITAL OF AUGUSTA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "110039","TRINITY HOSPITAL OF AUGUSTA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","58 patients",,,"SCIP-CARD-2 " "110039","TRINITY HOSPITAL OF AUGUSTA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "110040","BJC MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "110040","BJC MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "110040","BJC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","60%","5 patients","1,3 ","13","SCIP-INF-1 " "110040","BJC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","3 patients","1,3 ","13","SCIP-VTE-1 " "110040","BJC MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","29 patients",,,"PN-3B " "110040","BJC MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "110040","BJC MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","12 patients","1 ","1","AMI-5 " "110040","BJC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "110040","BJC MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","HF-4 " "110040","BJC MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","61 patients",,,"HF-1 " "110040","BJC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1,3 ","13","SCIP-INF-3 " "110040","BJC MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","36 patients",,,"PN-6 " "110040","BJC MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","21 patients","1 ","1","HF-3 " "110040","BJC MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","48%","31 patients",,,"PN-2 " "110040","BJC MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","14 patients","1 ","1","AMI-2 " "110040","BJC MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110040","BJC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1,3 ","13","SCIP-INF-2 " "110040","BJC MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","45 patients",,,"PN-5C " "110040","BJC MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "110040","BJC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "110040","BJC MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","25 patients",,,"PN-7 " "110040","BJC MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110040","BJC MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","75 patients",,,"HF-2 " "110040","BJC MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "110040","BJC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","3 patients","1,3 ","13","SCIP-VTE-2 " "110041","HABERSHAM COUNTY MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","56 patients",,,"PN-4 " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110041","HABERSHAM COUNTY MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","150 patients",,,"PN-3B " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","60 patients",,,"HF-2 " "110041","HABERSHAM COUNTY MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","113 patients",,,"PN-6 " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "110041","HABERSHAM COUNTY MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","113 patients",,,"PN-2 " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "110041","HABERSHAM COUNTY MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","83 patients",,,"SCIP-VTE-2 " "110041","HABERSHAM COUNTY MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","83 patients",,,"PN-7 " "110041","HABERSHAM COUNTY MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","153 patients",,,"SCIP-INF-2 " "110041","HABERSHAM COUNTY MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","149 patients",,,"SCIP-INF-3 " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","6 patients","1,3 ","13","AMI-1 " "110041","HABERSHAM COUNTY MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","83 patients",,,"SCIP-VTE-1 " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "110041","HABERSHAM COUNTY MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","153 patients",,,"SCIP-INF-1 " "110041","HABERSHAM COUNTY MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","141 patients",,,"PN-5C " "110041","HABERSHAM COUNTY MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","32 patients",,,"SCIP-CARD-2 " "110041","HABERSHAM COUNTY MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110041","HABERSHAM COUNTY MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","210 patients",,,"SCIP-INF-6 " "110041","HABERSHAM COUNTY MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","47 patients",,,"HF-1 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2 ","12","AMI-5 " "110042","WELLSTAR PAULDING HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","19 patients","1,2 ","12","SCIP-CARD-2 " "110042","WELLSTAR PAULDING HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","95 patients","2 ","2","SCIP-INF-6 " "110042","WELLSTAR PAULDING HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","34 patients",,,"PN-7 " "110042","WELLSTAR PAULDING HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","70 patients","2 ","2","SCIP-INF-3 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","76 patients","2 ","2","HF-2 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2 ","12","AMI-2 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","HF-4 " "110042","WELLSTAR PAULDING HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","84 patients","2 ","2","PN-5C " "110042","WELLSTAR PAULDING HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","64 patients","2 ","2","PN-6 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110042","WELLSTAR PAULDING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","53 patients","2 ","2","SCIP-VTE-1 " "110042","WELLSTAR PAULDING HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","75 patients","2 ","2","SCIP-INF-1 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "110042","WELLSTAR PAULDING HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","88 patients","2 ","2","PN-3B " "110042","WELLSTAR PAULDING HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","70 patients","2 ","2","HF-1 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","33 patients","2 ","2","HF-3 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,2 ","12","AMI-1 " "110042","WELLSTAR PAULDING HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110042","WELLSTAR PAULDING HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","74 patients","2 ","2","SCIP-INF-2 " "110042","WELLSTAR PAULDING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","53 patients","2 ","2","SCIP-VTE-2 " "110042","WELLSTAR PAULDING HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","53 patients","2 ","2","PN-2 " "110042","WELLSTAR PAULDING HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "110042","WELLSTAR PAULDING HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2 ","2","PN-4 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","30 patients",,,"AMI-8A " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","66 patients",,,"PN-4 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","343 patients","2 ","2","SCIP-INF-3 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","388 patients",,,"AMI-2 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","356 patients","2 ","2","SCIP-INF-2 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","138 patients","2 ","2","SCIP-VTE-1 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","182 patients",,,"AMI-4 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"HF-4 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","112 patients",,,"PN-6 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","83 patients","2 ","2","SCIP-CARD-2 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","104 patients",,,"HF-3 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","346 patients","2 ","2","SCIP-INF-1 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","128 patients",,,"AMI-1 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","136 patients","2 ","2","SCIP-INF-4 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","123 patients",,,"PN-7 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","397 patients",,,"HF-2 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","341 patients",,,"HF-1 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","156 patients",,,"PN-2 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","168 patients",,,"PN-5C " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","138 patients","2 ","2","SCIP-VTE-2 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","493 patients","2 ","2","SCIP-INF-6 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","47 patients",,,"AMI-3 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","377 patients",,,"AMI-5 " "110043","ST JOSEPH'S HOSPITAL - SAVANNAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","145 patients",,,"PN-3B " "110044","PHOEBE SUMTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","95 patients",,,"SCIP-INF-3 " "110044","PHOEBE SUMTER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","28 patients",,,"HF-3 " "110044","PHOEBE SUMTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","100 patients",,,"SCIP-INF-1 " "110044","PHOEBE SUMTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","49 patients",,,"SCIP-VTE-2 " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","88 patients",,,"HF-2 " "110044","PHOEBE SUMTER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","56 patients",,,"PN-6 " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","76 patients",,,"HF-1 " "110044","PHOEBE SUMTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110044","PHOEBE SUMTER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","77 patients",,,"PN-5C " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "110044","PHOEBE SUMTER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","74 patients",,,"PN-3B " "110044","PHOEBE SUMTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","HF-4 " "110044","PHOEBE SUMTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","98 patients",,,"SCIP-INF-2 " "110044","PHOEBE SUMTER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","54 patients",,,"PN-7 " "110044","PHOEBE SUMTER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","79 patients",,,"PN-2 " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","14 patients","1 ","1","AMI-1 " "110044","PHOEBE SUMTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","50 patients",,,"SCIP-VTE-1 " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "110044","PHOEBE SUMTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","138 patients",,,"SCIP-INF-6 " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110044","PHOEBE SUMTER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","9 patients","1 ","1","AMI-2 " "110045","BARROW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","53 patients",,,"SCIP-INF-6 " "110045","BARROW REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","10 patients","1 ","1","CAC-1 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110045","BARROW REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","10 patients","1 ","1","CAC-2 " "110045","BARROW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","30 patients",,,"SCIP-VTE-2 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "110045","BARROW REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","40 patients",,,"PN-7 " "110045","BARROW REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","68 patients",,,"PN-6 " "110045","BARROW REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","88 patients",,,"PN-3B " "110045","BARROW REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","10 patients","1 ","1","CAC-3 " "110045","BARROW REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"PN-4 " "110045","BARROW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","18 patients","1 ","1","SCIP-INF-3 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "110045","BARROW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","22 patients","1 ","1","SCIP-INF-1 " "110045","BARROW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "110045","BARROW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","30 patients",,,"SCIP-VTE-1 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","92 patients",,,"HF-1 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","108 patients",,,"HF-2 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"HF-3 " "110045","BARROW REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","48 patients",,,"PN-2 " "110045","BARROW REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","84 patients",,,"PN-5C " "110045","BARROW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110045","BARROW REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110045","BARROW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","22 patients","1 ","1","SCIP-INF-2 " "110046","WALTON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","110 patients",,,"PN-5C " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110046","WALTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "110046","WALTON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","82 patients",,,"PN-2 " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110046","WALTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","107 patients",,,"SCIP-INF-6 " "110046","WALTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1 ","1","SCIP-CARD-2 " "110046","WALTON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","102 patients",,,"PN-3B " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","129 patients",,,"HF-2 " "110046","WALTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","60 patients",,,"SCIP-INF-3 " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","31 patients",,,"HF-3 " "110046","WALTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","64 patients",,,"SCIP-INF-2 " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","109 patients",,,"HF-1 " "110046","WALTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","51 patients",,,"SCIP-VTE-2 " "110046","WALTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","64 patients",,,"SCIP-INF-1 " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110046","WALTON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","63 patients",,,"PN-7 " "110046","WALTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","51 patients",,,"SCIP-VTE-1 " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "110046","WALTON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","78 patients",,,"PN-6 " "110046","WALTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110046","WALTON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "110050","MURRAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "110050","MURRAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","65 patients",,,"PN-5C " "110050","MURRAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "110050","MURRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1 ","1","SCIP-INF-2 " "110050","MURRAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","37 patients",,,"PN-7 " "110050","MURRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","7 patients","1 ","1","SCIP-VTE-1 " "110050","MURRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","16 patients","1 ","1","SCIP-INF-6 " "110050","MURRAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","43 patients",,,"HF-1 " "110050","MURRAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","56 patients",,,"PN-3B " "110050","MURRAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "110050","MURRAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "110050","MURRAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "110050","MURRAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "110050","MURRAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "110050","MURRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1 ","1","SCIP-CARD-2 " "110050","MURRAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","42 patients",,,"PN-2 " "110050","MURRAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "110050","MURRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","7 patients","1 ","1","SCIP-VTE-2 " "110050","MURRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","4 patients","1 ","1","SCIP-INF-1 " "110050","MURRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110050","MURRAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "110050","MURRAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","46 patients",,,"PN-6 " "110050","MURRAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","55 patients",,,"HF-2 " "110050","MURRAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","55%","11 patients","1 ","1","HF-3 " "110050","MURRAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "110051","UNION GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","16 patients","1 ","1","HF-3 " "110051","UNION GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","67 patients",,,"HF-1 " "110051","UNION GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","75 patients",,,"HF-2 " "110051","UNION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","79 patients",,,"SCIP-INF-6 " "110051","UNION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110051","UNION GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110051","UNION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "110051","UNION GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","22 patients","1 ","1","AMI-1 " "110051","UNION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","42 patients",,,"SCIP-VTE-2 " "110051","UNION GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "110051","UNION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","41 patients",,,"SCIP-INF-1 " "110051","UNION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","41 patients",,,"SCIP-INF-3 " "110051","UNION GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "110051","UNION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","77%","43 patients",,,"SCIP-INF-2 " "110051","UNION GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","109 patients",,,"PN-5C " "110051","UNION GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","67 patients",,,"PN-7 " "110051","UNION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","42 patients",,,"SCIP-VTE-1 " "110051","UNION GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","12 patients","1 ","1","AMI-2 " "110051","UNION GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110051","UNION GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","78 patients",,,"PN-6 " "110051","UNION GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","55 patients",,,"PN-3B " "110051","UNION GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","96 patients",,,"PN-2 " "110051","UNION GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110051","UNION GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "110051","UNION GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "110054","FLOYD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "110054","FLOYD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "110054","FLOYD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","186 patients",,,"HF-1 " "110054","FLOYD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","288 patients",,,"PN-5C " "110054","FLOYD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","239 patients",,,"PN-2 " "110054","FLOYD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","176 patients",,,"PN-4 " "110054","FLOYD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","214 patients",,,"HF-2 " "110054","FLOYD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","381 patients","2 ","2","SCIP-VTE-2 " "110054","FLOYD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","202 patients",,,"PN-7 " "110054","FLOYD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","58 patients",,,"AMI-1 " "110054","FLOYD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","26 patients",,,"AMI-5 " "110054","FLOYD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","118 patients","2 ","2","SCIP-CARD-2 " "110054","FLOYD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","897 patients","2 ","2","SCIP-INF-6 " "110054","FLOYD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","536 patients","2 ","2","SCIP-INF-1 " "110054","FLOYD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110054","FLOYD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","307 patients",,,"PN-3B " "110054","FLOYD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","382 patients","2 ","2","SCIP-VTE-1 " "110054","FLOYD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","51 patients",,,"HF-3 " "110054","FLOYD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","204 patients",,,"PN-6 " "110054","FLOYD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","24 patients","1 ","1","AMI-2 " "110054","FLOYD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110054","FLOYD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110054","FLOYD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","518 patients","2 ","2","SCIP-INF-3 " "110054","FLOYD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","71 patients",,,"HF-4 " "110054","FLOYD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","540 patients","2 ","2","SCIP-INF-2 " "110059","HART COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "110059","HART COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","38 patients",,,"SCIP-INF-2 " "110059","HART COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","57%","7 patients","1 ","1","SCIP-CARD-2 " "110059","HART COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","58%","38 patients",,,"SCIP-INF-3 " "110059","HART COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","51 patients",,,"PN-5C " "110059","HART COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "110059","HART COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","56 patients",,,"SCIP-VTE-2 " "110059","HART COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "110059","HART COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110059","HART COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","16 patients","1 ","1","HF-3 " "110059","HART COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","43 patients",,,"HF-2 " "110059","HART COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","65 patients",,,"SCIP-INF-6 " "110059","HART COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","41 patients",,,"PN-3B " "110059","HART COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","56 patients",,,"SCIP-VTE-1 " "110059","HART COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "110059","HART COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","23 patients","1 ","1","HF-1 " "110059","HART COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110059","HART COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "110059","HART COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110059","HART COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "110059","HART COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","45 patients",,,"PN-2 " "110059","HART COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","38 patients",,,"PN-6 " "110059","HART COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","36 patients",,,"PN-7 " "110059","HART COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","38 patients",,,"SCIP-INF-1 " "110059","HART COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110064","MEDICAL CENTER, THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","125 patients",,,"PN-3B " "110064","MEDICAL CENTER, THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110064","MEDICAL CENTER, THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","28 patients",,,"AMI-2 " "110064","MEDICAL CENTER, THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","39 patients","2 ","2","SCIP-CARD-2 " "110064","MEDICAL CENTER, THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","215 patients","2 ","2","SCIP-INF-1 " "110064","MEDICAL CENTER, THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","97 patients",,,"HF-3 " "110064","MEDICAL CENTER, THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"HF-4 " "110064","MEDICAL CENTER, THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "110064","MEDICAL CENTER, THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","132 patients",,,"PN-5C " "110064","MEDICAL CENTER, THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","227 patients",,,"HF-2 " "110064","MEDICAL CENTER, THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "110064","MEDICAL CENTER, THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","217 patients","2 ","2","SCIP-INF-2 " "110064","MEDICAL CENTER, THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","65 patients",,,"PN-6 " "110064","MEDICAL CENTER, THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","74 patients",,,"PN-2 " "110064","MEDICAL CENTER, THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110064","MEDICAL CENTER, THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","75 patients",,,"PN-7 " "110064","MEDICAL CENTER, THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","434 patients","2 ","2","SCIP-INF-6 " "110064","MEDICAL CENTER, THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","242 patients","2 ","2","SCIP-VTE-2 " "110064","MEDICAL CENTER, THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "110064","MEDICAL CENTER, THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","208 patients","2 ","2","SCIP-INF-3 " "110064","MEDICAL CENTER, THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","205 patients",,,"HF-1 " "110064","MEDICAL CENTER, THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","60 patients",,,"PN-4 " "110064","MEDICAL CENTER, THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110064","MEDICAL CENTER, THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","244 patients","2 ","2","SCIP-VTE-1 " "110064","MEDICAL CENTER, THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "110069","HOUSTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "110069","HOUSTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","27 patients",,,"AMI-5 " "110069","HOUSTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","142 patients","2 ","2","PN-5C " "110069","HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","243 patients","2 ","2","SCIP-VTE-1 " "110069","HOUSTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients","2 ","2","HF-4 " "110069","HOUSTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","76%","25 patients",,,"AMI-2 " "110069","HOUSTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","100 patients","2 ","2","PN-7 " "110069","HOUSTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","285 patients","2 ","2","HF-1 " "110069","HOUSTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110069","HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110069","HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","282 patients","2 ","2","SCIP-INF-1 " "110069","HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","283 patients","2 ","2","SCIP-INF-2 " "110069","HOUSTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","324 patients","2 ","2","HF-2 " "110069","HOUSTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "110069","HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","456 patients","2 ","2","SCIP-INF-6 " "110069","HOUSTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","127 patients","2 ","2","PN-2 " "110069","HOUSTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","48 patients",,,"AMI-1 " "110069","HOUSTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110069","HOUSTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","89 patients","2 ","2","HF-3 " "110069","HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","243 patients","2 ","2","SCIP-VTE-2 " "110069","HOUSTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","100 patients","2 ","2","PN-3B " "110069","HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","265 patients","2 ","2","SCIP-INF-3 " "110069","HOUSTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","64 patients","2 ","2","PN-6 " "110069","HOUSTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","62 patients","2 ","2","PN-4 " "110069","HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","63 patients","2 ","2","SCIP-CARD-2 " "110071","APPLING HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","32 patients",,,"HF-2 " "110071","APPLING HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","56%","41 patients",,,"PN-3B " "110071","APPLING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","9 patients","1 ","1","SCIP-VTE-2 " "110071","APPLING HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "110071","APPLING HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","28 patients",,,"HF-1 " "110071","APPLING HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110071","APPLING HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","47%","15 patients","1 ","1","SCIP-INF-1 " "110071","APPLING HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"PN-4 " "110071","APPLING HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "110071","APPLING HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","52 patients",,,"PN-7 " "110071","APPLING HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients",,,"SCIP-INF-6 " "110071","APPLING HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","13 patients","1 ","1","SCIP-INF-3 " "110071","APPLING HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","62%","13 patients","1 ","1","SCIP-INF-2 " "110071","APPLING HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1 ","1","AMI-1 " "110071","APPLING HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110071","APPLING HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","HF-4 " "110071","APPLING HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "110071","APPLING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","10 patients","1 ","1","SCIP-VTE-1 " "110071","APPLING HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110071","APPLING HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110071","APPLING HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","56%","55 patients",,,"PN-6 " "110071","APPLING HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","76 patients",,,"PN-2 " "110071","APPLING HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","62%","69 patients",,,"PN-5C " "110071","APPLING HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "110071","APPLING HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","HF-3 " "110073","DORMINY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "110073","DORMINY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","37 patients",,,"PN-7 " "110073","DORMINY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","53%","15 patients","1 ","1","SCIP-INF-1 " "110073","DORMINY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "110073","DORMINY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","19 patients","1 ","1","SCIP-VTE-1 " "110073","DORMINY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","32 patients",,,"SCIP-INF-6 " "110073","DORMINY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","53 patients",,,"PN-3B " "110073","DORMINY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","96 patients","2 ","2","HF-2 " "110073","DORMINY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110073","DORMINY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","44 patients",,,"PN-2 " "110073","DORMINY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "110073","DORMINY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","HF-4 " "110073","DORMINY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "110073","DORMINY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","60 patients",,,"PN-5C " "110073","DORMINY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "110073","DORMINY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","31 patients",,,"PN-6 " "110073","DORMINY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110073","DORMINY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients","2 ","2","HF-3 " "110073","DORMINY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","64%","14 patients","1 ","1","SCIP-INF-2 " "110073","DORMINY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "110073","DORMINY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","14 patients","1 ","1","SCIP-INF-3 " "110073","DORMINY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "110073","DORMINY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110073","DORMINY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","79 patients","2 ","2","HF-1 " "110073","DORMINY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","19 patients","1 ","1","SCIP-VTE-2 " "110074","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","375 patients","2 ","2","SCIP-INF-3 " "110074","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","86 patients","2 ","2","PN-6 " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","270 patients","2 ","2","HF-2 " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","246 patients","2 ","2","HF-1 " "110074","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","651 patients","2 ","2","SCIP-INF-6 " "110074","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","223 patients","2 ","2","SCIP-VTE-2 " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","155 patients","2 ","2","AMI-1 " "110074","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","403 patients","2 ","2","SCIP-INF-1 " "110074","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","93 patients","2 ","2","SCIP-CARD-2 " "110074","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","94 patients","2 ","2","PN-2 " "110074","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","115 patients","2 ","2","PN-3B " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","233 patients","2 ","2","AMI-2 " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","46 patients","2 ","2","AMI-3 " "110074","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","74 patients","2 ","2","PN-7 " "110074","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","111 patients","2 ","2","SCIP-INF-4 " "110074","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","71 patients","2 ","2","PN-4 " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","27 patients","2 ","2","AMI-8A " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","219 patients","2 ","2","AMI-5 " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","63 patients","2 ","2","HF-4 " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","116 patients","2 ","2","AMI-4 " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110074","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","401 patients","2 ","2","SCIP-INF-2 " "110074","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","127 patients","2 ","2","PN-5C " "110074","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","223 patients","2 ","2","SCIP-VTE-1 " "110074","ATHENS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","81 patients","2 ","2","HF-3 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","207 patients",,,"HF-1 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","275 patients",,,"SCIP-INF-1 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","85 patients",,,"HF-3 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","277 patients",,,"SCIP-INF-2 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","95 patients",,,"PN-2 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","51 patients",,,"SCIP-CARD-2 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","105 patients",,,"PN-6 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","83 patients",,,"PN-7 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-7A " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","180 patients",,,"SCIP-VTE-2 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","93%","15 patients","1 ","1","CAC-3 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","16 patients","1 ","1","CAC-1 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","150 patients",,,"PN-3B " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","422 patients",,,"SCIP-INF-6 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","16 patients","1 ","1","CAC-2 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","54 patients",,,"AMI-2 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","64 patients",,,"AMI-5 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","264 patients",,,"SCIP-INF-3 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","180 patients",,,"SCIP-VTE-1 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","74 patients",,,"AMI-1 " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","156 patients",,,"PN-5C " "110075","EAST GEORGIA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","218 patients",,,"HF-2 " "110076","DEKALB MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110076","DEKALB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1443 patients","2 ","2","SCIP-INF-6 " "110076","DEKALB MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "110076","DEKALB MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","281 patients","2 ","2","PN-7 " "110076","DEKALB MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","74 patients",,,"AMI-5 " "110076","DEKALB MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","71 patients",,,"AMI-2 " "110076","DEKALB MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","345 patients","2 ","2","PN-2 " "110076","DEKALB MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","113 patients",,,"AMI-1 " "110076","DEKALB MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","537 patients",,,"HF-1 " "110076","DEKALB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","2 patients","1,2 ","12","SCIP-INF-4 " "110076","DEKALB MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","155 patients","2 ","2","SCIP-CARD-2 " "110076","DEKALB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","936 patients","2 ","2","SCIP-INF-1 " "110076","DEKALB MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","714 patients","2 ","2","SCIP-VTE-2 " "110076","DEKALB MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","715 patients","2 ","2","SCIP-VTE-1 " "110076","DEKALB MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","156 patients","2 ","2","PN-4 " "110076","DEKALB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","935 patients","2 ","2","SCIP-INF-2 " "110076","DEKALB MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","227 patients","2 ","2","PN-6 " "110076","DEKALB MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "110076","DEKALB MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","269 patients",,,"HF-3 " "110076","DEKALB MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","137 patients",,,"HF-4 " "110076","DEKALB MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","625 patients",,,"HF-2 " "110076","DEKALB MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "110076","DEKALB MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","409 patients","2 ","2","PN-5C " "110076","DEKALB MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","861 patients","2 ","2","SCIP-INF-3 " "110076","DEKALB MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","411 patients","2 ","2","PN-3B " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","70%","119 patients","2 ","2","PN-3B " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","207 patients","2 ","2","SCIP-VTE-1 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","46%","71 patients","2 ","2","PN-7 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","150 patients","2 ","2","HF-3 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","11 patients","1,2 ","12","AMI-8A " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","207 patients","2 ","2","SCIP-VTE-2 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","56 patients","2 ","2","PN-4 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","119 patients","2 ","2","AMI-4 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","111 patients","2 ","2","SCIP-INF-4 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","60 patients","2 ","2","PN-6 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","95 patients","2 ","2","AMI-1 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","145 patients","2 ","2","PN-5C " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","65 patients","2 ","2","SCIP-CARD-2 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","529 patients","2 ","2","SCIP-INF-6 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","342 patients","2 ","2","SCIP-INF-3 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","255 patients","2 ","2","AMI-5 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","57 patients","2 ","2","AMI-3 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","272 patients","2 ","2","HF-1 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","364 patients","2 ","2","SCIP-INF-2 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","40%","77 patients","2 ","2","PN-2 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","353 patients","2 ","2","SCIP-INF-1 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","283 patients","2 ","2","HF-2 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","259 patients","2 ","2","AMI-2 " "110078","EMORY UNIVERSITY HOSPITAL MIDTOWN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","HF-4 " "110079","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients","2 ","2","AMI-3 " "110079","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","155 patients","2 ","2","SCIP-VTE-1 " "110079","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","175 patients","2 ","2","AMI-5 " "110079","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","60%","159 patients","2 ","2","PN-5C " "110079","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","133 patients","2 ","2","HF-4 " "110079","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","168 patients","2 ","2","AMI-2 " "110079","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","196 patients","2 ","2","SCIP-INF-1 " "110079","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","79 patients","2 ","2","AMI-4 " "110079","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","41%","46 patients","2 ","2","PN-2 " "110079","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","37 patients","2 ","2","SCIP-CARD-2 " "110079","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","154 patients","2 ","2","SCIP-VTE-2 " "110079","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","207 patients","2 ","2","AMI-1 " "110079","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","145 patients","2 ","2","HF-3 " "110079","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","59%","51 patients","2 ","2","SCIP-INF-4 " "110079","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","89 patients","2 ","2","PN-6 " "110079","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","274 patients","2 ","2","HF-1 " "110079","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","88 patients","2 ","2","PN-4 " "110079","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","288 patients","2 ","2","HF-2 " "110079","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","202 patients","2 ","2","SCIP-INF-2 " "110079","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","317 patients","2 ","2","SCIP-INF-6 " "110079","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","195 patients","2 ","2","SCIP-INF-3 " "110079","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","41%","56 patients","2 ","2","PN-7 " "110079","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "110079","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "110079","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","144 patients","2 ","2","PN-3B " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","505 patients",,,"HF-2 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","218 patients",,,"PN-5C " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","1015 patients",,,"AMI-5 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","121 patients",,,"PN-6 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","163 patients",,,"HF-3 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","140 patients","2 ","2","SCIP-INF-4 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","439 patients",,,"HF-1 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","475 patients","2 ","2","SCIP-INF-3 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","193 patients","2 ","2","SCIP-VTE-1 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"HF-4 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","74 patients",,,"AMI-8A " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","706 patients","2 ","2","SCIP-INF-6 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","329 patients",,,"AMI-1 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","224 patients",,,"PN-3B " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","183 patients",,,"PN-7 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","193 patients","2 ","2","SCIP-VTE-2 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1077 patients",,,"AMI-2 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","491 patients","2 ","2","SCIP-INF-1 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","237 patients",,,"PN-2 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","338 patients",,,"AMI-4 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","500 patients","2 ","2","SCIP-INF-2 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","90 patients","2 ","2","SCIP-CARD-2 " "110082","SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","139 patients",,,"AMI-3 " "110083","PIEDMONT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","210 patients","2 ","2","SCIP-VTE-2 " "110083","PIEDMONT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","HF-4 " "110083","PIEDMONT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","49 patients","2 ","2","SCIP-CARD-2 " "110083","PIEDMONT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","73 patients","2 ","2","AMI-3 " "110083","PIEDMONT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","210 patients","2 ","2","SCIP-VTE-1 " "110083","PIEDMONT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","49 patients","2 ","2","PN-4 " "110083","PIEDMONT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","157 patients","2 ","2","HF-3 " "110083","PIEDMONT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","128 patients","2 ","2","PN-3B " "110083","PIEDMONT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","16 patients","1,2 ","12","AMI-8A " "110083","PIEDMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","447 patients","2 ","2","SCIP-INF-2 " "110083","PIEDMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","631 patients","2 ","2","SCIP-INF-6 " "110083","PIEDMONT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110083","PIEDMONT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","291 patients","2 ","2","HF-1 " "110083","PIEDMONT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","143 patients","2 ","2","PN-5C " "110083","PIEDMONT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","284 patients","2 ","2","AMI-2 " "110083","PIEDMONT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","314 patients","2 ","2","HF-2 " "110083","PIEDMONT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","293 patients","2 ","2","AMI-5 " "110083","PIEDMONT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","129 patients","2 ","2","PN-2 " "110083","PIEDMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","443 patients","2 ","2","SCIP-INF-1 " "110083","PIEDMONT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","81 patients","2 ","2","PN-6 " "110083","PIEDMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","418 patients","2 ","2","SCIP-INF-3 " "110083","PIEDMONT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","85 patients","2 ","2","AMI-1 " "110083","PIEDMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","132 patients","2 ","2","SCIP-INF-4 " "110083","PIEDMONT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","92 patients","2 ","2","PN-7 " "110083","PIEDMONT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","113 patients","2 ","2","AMI-4 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","202 patients",,,"PN-2 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","160 patients",,,"PN-3B " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","36 patients",,,"SCIP-VTE-1 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","48 patients",,,"HF-1 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","53 patients",,,"HF-2 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","228 patients",,,"PN-5C " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","50 patients",,,"SCIP-INF-1 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"PN-4 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","16 patients","1 ","1","HF-3 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","47 patients",,,"SCIP-INF-3 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","50 patients",,,"SCIP-INF-2 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","36 patients",,,"SCIP-VTE-2 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","164 patients",,,"PN-6 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","144 patients",,,"PN-7 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1 ","1","SCIP-CARD-2 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","85%","67 patients",,,"SCIP-INF-6 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","13 patients","1 ","1","HF-4 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110086","WASHINGTON COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110087","GWINNETT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","168 patients",,,"AMI-1 " "110087","GWINNETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","72 patients","2 ","2","SCIP-CARD-2 " "110087","GWINNETT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "110087","GWINNETT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","67 patients",,,"AMI-5 " "110087","GWINNETT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","169 patients","2 ","2","PN-7 " "110087","GWINNETT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","278 patients","2 ","2","PN-6 " "110087","GWINNETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110087","GWINNETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","418 patients","2 ","2","SCIP-VTE-1 " "110087","GWINNETT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","542 patients","2 ","2","HF-2 " "110087","GWINNETT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","77 patients","2 ","2","HF-4 " "110087","GWINNETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","399 patients","2 ","2","SCIP-INF-2 " "110087","GWINNETT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","324 patients","2 ","2","PN-3B " "110087","GWINNETT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","AMI-3 " "110087","GWINNETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","812 patients","2 ","2","SCIP-INF-6 " "110087","GWINNETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","417 patients","2 ","2","SCIP-VTE-2 " "110087","GWINNETT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110087","GWINNETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","397 patients","2 ","2","SCIP-INF-1 " "110087","GWINNETT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","74%","43 patients",,,"AMI-7A " "110087","GWINNETT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","54 patients",,,"AMI-2 " "110087","GWINNETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","357 patients","2 ","2","SCIP-INF-3 " "110087","GWINNETT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","471 patients","2 ","2","HF-1 " "110087","GWINNETT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","414 patients","2 ","2","PN-5C " "110087","GWINNETT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","254 patients","2 ","2","PN-2 " "110087","GWINNETT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","209 patients","2 ","2","HF-3 " "110087","GWINNETT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","101 patients","2 ","2","PN-4 " "110089","COFFEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","108 patients","2 ","2","SCIP-INF-3 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","175 patients","2 ","2","HF-2 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "110089","COFFEE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients","2 ","2","PN-4 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110089","COFFEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","171 patients","2 ","2","SCIP-INF-6 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","68 patients","2 ","2","HF-3 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110089","COFFEE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","95 patients","2 ","2","PN-7 " "110089","COFFEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "110089","COFFEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","62 patients","2 ","2","SCIP-VTE-1 " "110089","COFFEE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","117 patients","2 ","2","PN-3B " "110089","COFFEE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","143 patients","2 ","2","PN-5C " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","155 patients","2 ","2","HF-1 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "110089","COFFEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1,2 ","12","SCIP-CARD-2 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "110089","COFFEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","110 patients","2 ","2","SCIP-INF-1 " "110089","COFFEE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","117 patients","2 ","2","PN-6 " "110089","COFFEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","62 patients","2 ","2","SCIP-VTE-2 " "110089","COFFEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","110 patients","2 ","2","SCIP-INF-2 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "110089","COFFEE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","123 patients","2 ","2","PN-2 " "110089","COFFEE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","HF-4 " "110091","ROCKDALE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","116 patients","2 ","2","PN-6 " "110091","ROCKDALE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","PN-4 " "110091","ROCKDALE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "110091","ROCKDALE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","70 patients",,,"HF-3 " "110091","ROCKDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","41 patients","2 ","2","SCIP-CARD-2 " "110091","ROCKDALE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "110091","ROCKDALE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "110091","ROCKDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","209 patients","2 ","2","SCIP-INF-1 " "110091","ROCKDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","177 patients","2 ","2","SCIP-VTE-1 " "110091","ROCKDALE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110091","ROCKDALE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "110091","ROCKDALE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","25 patients",,,"AMI-5 " "110091","ROCKDALE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","217 patients",,,"HF-1 " "110091","ROCKDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","210 patients","2 ","2","SCIP-INF-2 " "110091","ROCKDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","406 patients","2 ","2","SCIP-INF-6 " "110091","ROCKDALE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "110091","ROCKDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110091","ROCKDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","206 patients","2 ","2","SCIP-INF-3 " "110091","ROCKDALE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","166 patients","2 ","2","PN-3B " "110091","ROCKDALE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","145 patients","2 ","2","PN-2 " "110091","ROCKDALE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","187 patients","2 ","2","PN-5C " "110091","ROCKDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","177 patients","2 ","2","SCIP-VTE-2 " "110091","ROCKDALE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","44 patients",,,"AMI-1 " "110091","ROCKDALE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","242 patients",,,"HF-2 " "110091","ROCKDALE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","106 patients","2 ","2","PN-7 " "110092","DODGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","65 patients",,,"SCIP-INF-3 " "110092","DODGE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1,3 ","13","AMI-1 " "110092","DODGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","31 patients",,,"SCIP-VTE-2 " "110092","DODGE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","56%","50 patients",,,"PN-7 " "110092","DODGE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","78 patients",,,"PN-2 " "110092","DODGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","92 patients",,,"SCIP-INF-6 " "110092","DODGE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","63 patients",,,"HF-2 " "110092","DODGE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","14 patients","1 ","1","HF-3 " "110092","DODGE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "110092","DODGE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","48 patients",,,"HF-1 " "110092","DODGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","71 patients",,,"SCIP-INF-2 " "110092","DODGE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","68%","31 patients",,,"PN-4 " "110092","DODGE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","56 patients",,,"PN-3B " "110092","DODGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","31 patients",,,"SCIP-VTE-1 " "110092","DODGE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "110092","DODGE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "110092","DODGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","9 patients","1 ","1","SCIP-CARD-2 " "110092","DODGE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","46 patients",,,"PN-6 " "110092","DODGE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "110092","DODGE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110092","DODGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110092","DODGE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110092","DODGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","70 patients",,,"SCIP-INF-1 " "110092","DODGE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","79 patients",,,"PN-5C " "110092","DODGE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "110095","TIFT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","351 patients",,,"SCIP-VTE-2 " "110095","TIFT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","636 patients",,,"SCIP-INF-6 " "110095","TIFT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","381 patients",,,"SCIP-INF-1 " "110095","TIFT REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"PN-4 " "110095","TIFT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110095","TIFT REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","134 patients",,,"PN-7 " "110095","TIFT REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","149 patients",,,"PN-2 " "110095","TIFT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","352 patients",,,"SCIP-VTE-1 " "110095","TIFT REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","49 patients",,,"CAC-1 " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"AMI-4 " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","273 patients",,,"HF-2 " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","117 patients",,,"AMI-5 " "110095","TIFT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","383 patients",,,"SCIP-INF-2 " "110095","TIFT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","357 patients",,,"SCIP-INF-3 " "110095","TIFT REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","80%","49 patients",,,"CAC-3 " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","125 patients",,,"AMI-2 " "110095","TIFT REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","216 patients",,,"PN-3B " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","27 patients",,,"AMI-8A " "110095","TIFT REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","147 patients",,,"PN-6 " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","139 patients",,,"HF-3 " "110095","TIFT REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","199 patients",,,"PN-5C " "110095","TIFT REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","49 patients",,,"CAC-2 " "110095","TIFT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","90 patients",,,"SCIP-CARD-2 " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","120 patients",,,"AMI-1 " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"HF-4 " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","256 patients",,,"HF-1 " "110095","TIFT REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","36 patients",,,"AMI-3 " "110100","JEFFERSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "110100","JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "110100","JEFFERSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1,2 ","12","PN-4 " "110100","JEFFERSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "110100","JEFFERSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "110100","JEFFERSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","33 patients",,,"PN-7 " "110100","JEFFERSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","31 patients","2 ","2","PN-6 " "110100","JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "110100","JEFFERSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","25 patients","2 ","2","PN-3B " "110100","JEFFERSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","7 patients","1 ","1","HF-3 " "110100","JEFFERSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","47 patients","2 ","2","PN-2 " "110100","JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "110100","JEFFERSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "110100","JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "110100","JEFFERSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110100","JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "110100","JEFFERSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","58 patients","2 ","2","PN-5C " "110100","JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "110100","JEFFERSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","53 patients",,,"HF-2 " "110100","JEFFERSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110100","JEFFERSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "110100","JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "110100","JEFFERSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "110100","JEFFERSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","49 patients",,,"HF-1 " "110100","JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1,3 ","13","AMI-5 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","79%","19 patients","1,2 ","12","HF-4 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","19 patients","1 ","1","PN-4 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110101","MEMORIAL HOSPITAL OF ADEL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","22 patients","1 ","1","PN-2 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","17 patients","1,3 ","13","PN-5C " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","67 patients","2 ","2","HF-2 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","35 patients",,,"PN-6 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110101","MEMORIAL HOSPITAL OF ADEL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","19 patients","1 ","1","PN-7 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","6 patients","1,3 ","13","AMI-2 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1,3 ","13","AMI-1 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","20 patients","1 ","1","PN-3B " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","56 patients","2 ","2","HF-1 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,3 ","13","SCIP-VTE-1 " "110101","MEMORIAL HOSPITAL OF ADEL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1,2 ","12","HF-3 " "110104","CRISP REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","49 patients",,,"SCIP-VTE-2 " "110104","CRISP REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1,2 ","12","HF-4 " "110104","CRISP REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","102 patients",,,"PN-6 " "110104","CRISP REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110104","CRISP REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","152 patients","2 ","2","HF-2 " "110104","CRISP REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","96 patients",,,"PN-7 " "110104","CRISP REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","49 patients",,,"SCIP-VTE-1 " "110104","CRISP REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","57 patients",,,"SCIP-INF-1 " "110104","CRISP REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","133 patients",,,"PN-3B " "110104","CRISP REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","21 patients","1 ","1","AMI-5 " "110104","CRISP REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","84%","32 patients",,,"AMI-1 " "110104","CRISP REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "110104","CRISP REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110104","CRISP REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","164 patients",,,"PN-5C " "110104","CRISP REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110104","CRISP REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","57 patients",,,"SCIP-INF-3 " "110104","CRISP REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","143 patients","2 ","2","HF-1 " "110104","CRISP REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "110104","CRISP REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1 ","1","SCIP-CARD-2 " "110104","CRISP REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","63 patients","2 ","2","HF-3 " "110104","CRISP REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","17 patients","1 ","1","AMI-2 " "110104","CRISP REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","57 patients",,,"SCIP-INF-2 " "110104","CRISP REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","57 patients",,,"PN-4 " "110104","CRISP REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","129 patients",,,"PN-2 " "110104","CRISP REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","89 patients",,,"SCIP-INF-6 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","99 patients",,,"SCIP-VTE-2 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "110105","COLQUITT REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","92 patients",,,"PN-3B " "110105","COLQUITT REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","80 patients",,,"PN-6 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","31 patients",,,"SCIP-CARD-2 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","42 patients",,,"HF-3 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"HF-4 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","113 patients",,,"PN-2 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","160 patients",,,"SCIP-INF-2 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","51 patients",,,"PN-4 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","153 patients",,,"SCIP-INF-3 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","160 patients",,,"SCIP-INF-1 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","119 patients",,,"PN-5C " "110105","COLQUITT REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","92 patients",,,"PN-7 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","136 patients",,,"HF-1 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","100 patients",,,"SCIP-VTE-1 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","240 patients",,,"SCIP-INF-6 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","158 patients",,,"HF-2 " "110105","COLQUITT REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","35 patients",,,"AMI-1 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","105 patients","2 ","2","PN-5C " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","136 patients","2 ","2","SCIP-INF-4 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","70 patients","2 ","2","HF-4 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","428 patients","2 ","2","SCIP-INF-2 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","59 patients","2 ","2","PN-6 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","29 patients","2 ","2","AMI-8A " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","76 patients","2 ","2","PN-4 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","111 patients","2 ","2","SCIP-CARD-2 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","422 patients","2 ","2","SCIP-INF-1 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","571 patients","2 ","2","SCIP-INF-6 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","415 patients","2 ","2","SCIP-INF-3 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","73 patients","2 ","2","PN-7 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","182 patients","2 ","2","SCIP-VTE-1 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","100 patients","2 ","2","PN-3B " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","249 patients","2 ","2","HF-1 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","182 patients","2 ","2","SCIP-VTE-2 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","247 patients","2 ","2","AMI-5 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","81 patients","2 ","2","PN-2 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","137 patients","2 ","2","HF-3 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","107 patients","2 ","2","AMI-4 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","49 patients","2 ","2","AMI-3 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","256 patients","2 ","2","AMI-2 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","139 patients","2 ","2","AMI-1 " "110107","MEDICAL CENTER OF CENTRAL GEORGIA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","288 patients","2 ","2","HF-2 " "110109","EMANUEL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","44 patients","2 ","2","PN-3B " "110109","EMANUEL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","115 patients","2 ","2","HF-2 " "110109","EMANUEL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,2 ","12","AMI-5 " "110109","EMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","25 patients","2 ","2","SCIP-INF-1 " "110109","EMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","25 patients","2 ","2","SCIP-INF-3 " "110109","EMANUEL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","20 patients","1,2 ","12","HF-3 " "110109","EMANUEL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","105 patients","2 ","2","HF-1 " "110109","EMANUEL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1,2 ","12","AMI-2 " "110109","EMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","23 patients","1,2 ","12","SCIP-VTE-1 " "110109","EMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","22 patients","1,2 ","12","SCIP-VTE-2 " "110109","EMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110109","EMANUEL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","56 patients","2 ","2","PN-6 " "110109","EMANUEL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","69 patients","2 ","2","PN-2 " "110109","EMANUEL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "110109","EMANUEL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","64 patients",,,"PN-7 " "110109","EMANUEL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "110109","EMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","25 patients","2 ","2","SCIP-INF-2 " "110109","EMANUEL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","33 patients","2 ","2","PN-4 " "110109","EMANUEL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","6 patients","1,2 ","12","AMI-1 " "110109","EMANUEL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","99 patients","2 ","2","PN-5C " "110109","EMANUEL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","73%","26 patients","2 ","2","HF-4 " "110109","EMANUEL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110109","EMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","40 patients","2 ","2","SCIP-INF-6 " "110109","EMANUEL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "110109","EMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","75 patients",,,"SCIP-INF-1 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","50 patients",,,"PN-3B " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","83 patients",,,"SCIP-VTE-2 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","39 patients",,,"PN-7 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","57 patients",,,"PN-2 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","76 patients",,,"SCIP-INF-2 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","15 patients","1 ","1","PN-4 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","15 patients","1 ","1","SCIP-CARD-2 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","21 patients","1 ","1","HF-1 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","111 patients",,,"SCIP-INF-6 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","69 patients",,,"SCIP-INF-3 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","85 patients",,,"SCIP-VTE-1 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","32 patients",,,"PN-6 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","60 patients",,,"PN-5C " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","10 patients","1 ","1","HF-3 " "110111","MCDUFFIE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","27 patients",,,"HF-2 " "110112","BERRIEN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "110112","BERRIEN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "110112","BERRIEN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","32 patients","2 ","2","HF-2 " "110112","BERRIEN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","8 patients","1,2 ","12","HF-3 " "110112","BERRIEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "110112","BERRIEN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "110112","BERRIEN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","27%","15 patients","1 ","1","PN-2 " "110112","BERRIEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "110112","BERRIEN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "110112","BERRIEN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","13 patients","1 ","1","PN-6 " "110112","BERRIEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "110112","BERRIEN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "110112","BERRIEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "110112","BERRIEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "110112","BERRIEN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "110112","BERRIEN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110112","BERRIEN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","10 patients","1 ","1","PN-5C " "110112","BERRIEN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","9%","23 patients","1,2 ","12","HF-1 " "110112","BERRIEN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110112","BERRIEN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","13 patients","1 ","1","PN-7 " "110112","BERRIEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "110112","BERRIEN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "110112","BERRIEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "110112","BERRIEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "110112","BERRIEN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1,2 ","12","HF-4 " "110113","BURKE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "110113","BURKE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","15 patients","1 ","1","PN-4 " "110113","BURKE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","43 patients",,,"PN-6 " "110113","BURKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","9 patients","1 ","1","SCIP-VTE-2 " "110113","BURKE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","42 patients",,,"PN-2 " "110113","BURKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "110113","BURKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","9 patients","1 ","1","SCIP-VTE-1 " "110113","BURKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","62%","21 patients","1 ","1","SCIP-INF-1 " "110113","BURKE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","10 patients","1 ","1","AMI-2 " "110113","BURKE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "110113","BURKE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","50 patients",,,"PN-5C " "110113","BURKE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "110113","BURKE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","74 patients",,,"HF-2 " "110113","BURKE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","36 patients",,,"PN-7 " "110113","BURKE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","29 patients",,,"PN-3B " "110113","BURKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","21 patients","1 ","1","SCIP-INF-3 " "110113","BURKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","21 patients","1 ","1","SCIP-INF-2 " "110113","BURKE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110113","BURKE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110113","BURKE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "110113","BURKE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "110113","BURKE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","69 patients",,,"HF-1 " "110113","BURKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","24 patients","1 ","1","SCIP-INF-6 " "110113","BURKE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","AMI-4 " "110113","BURKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110115","ATLANTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","255 patients",,,"HF-1 " "110115","ATLANTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","69 patients",,,"SCIP-CARD-2 " "110115","ATLANTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","310 patients","2 ","2","SCIP-INF-2 " "110115","ATLANTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","54 patients",,,"AMI-2 " "110115","ATLANTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","60 patients",,,"AMI-5 " "110115","ATLANTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","102 patients",,,"PN-5C " "110115","ATLANTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","298 patients","2 ","2","SCIP-INF-3 " "110115","ATLANTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "110115","ATLANTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "110115","ATLANTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","62 patients","2 ","2","SCIP-INF-4 " "110115","ATLANTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","14 patients","1 ","1","AMI-8A " "110115","ATLANTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","350 patients","2 ","2","SCIP-VTE-2 " "110115","ATLANTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","280 patients",,,"HF-2 " "110115","ATLANTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","51 patients",,,"PN-7 " "110115","ATLANTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","62 patients",,,"PN-2 " "110115","ATLANTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","728 patients","2 ","2","SCIP-INF-6 " "110115","ATLANTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","62 patients",,,"AMI-1 " "110115","ATLANTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","112 patients",,,"PN-3B " "110115","ATLANTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","350 patients","2 ","2","SCIP-VTE-1 " "110115","ATLANTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "110115","ATLANTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","126 patients",,,"HF-3 " "110115","ATLANTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","63 patients",,,"PN-4 " "110115","ATLANTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","308 patients","2 ","2","SCIP-INF-1 " "110115","ATLANTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","89 patients",,,"HF-4 " "110115","ATLANTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","68 patients",,,"PN-6 " "110121","GRADY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "110121","GRADY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "110121","GRADY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","43 patients",,,"HF-2 " "110121","GRADY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","16 patients","1 ","1","PN-7 " "110121","GRADY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "110121","GRADY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","18 patients","1 ","1","SCIP-INF-6 " "110121","GRADY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","11 patients","1 ","1","SCIP-INF-3 " "110121","GRADY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","15 patients","1 ","1","SCIP-VTE-1 " "110121","GRADY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","15 patients","1 ","1","PN-2 " "110121","GRADY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","11 patients","1 ","1","SCIP-INF-2 " "110121","GRADY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110121","GRADY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "110121","GRADY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110121","GRADY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "110121","GRADY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","18 patients","1 ","1","PN-3B " "110121","GRADY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","15 patients","1 ","1","SCIP-VTE-2 " "110121","GRADY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "110121","GRADY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110121","GRADY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","77%","13 patients","1 ","1","SCIP-INF-1 " "110121","GRADY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "110121","GRADY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "110121","GRADY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "110121","GRADY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","37 patients",,,"HF-1 " "110121","GRADY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","33 patients",,,"PN-6 " "110121","GRADY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","38 patients",,,"PN-5C " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","335 patients",,,"HF-2 " "110122","SOUTH GEORGIA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","95 patients","2 ","2","PN-4 " "110122","SOUTH GEORGIA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","121 patients","2 ","2","PN-6 " "110122","SOUTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","650 patients","2 ","2","SCIP-INF-1 " "110122","SOUTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","158 patients","2 ","2","SCIP-CARD-2 " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","114 patients",,,"AMI-4 " "110122","SOUTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","1001 patients","2 ","2","SCIP-INF-6 " "110122","SOUTH GEORGIA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","181 patients","2 ","2","PN-2 " "110122","SOUTH GEORGIA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","157 patients","2 ","2","PN-5C " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","187 patients",,,"AMI-1 " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","6 patients","1 ","1","AMI-7A " "110122","SOUTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","506 patients","2 ","2","SCIP-VTE-1 " "110122","SOUTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","630 patients","2 ","2","SCIP-INF-3 " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","37%","38 patients",,,"AMI-8A " "110122","SOUTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","506 patients","2 ","2","SCIP-VTE-2 " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","31 patients",,,"AMI-3 " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","47%","309 patients",,,"HF-1 " "110122","SOUTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","648 patients","2 ","2","SCIP-INF-2 " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","147 patients",,,"HF-3 " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","82 patients",,,"HF-4 " "110122","SOUTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","171 patients","2 ","2","SCIP-INF-4 " "110122","SOUTH GEORGIA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","150 patients","2 ","2","PN-7 " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","253 patients",,,"AMI-2 " "110122","SOUTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","244 patients",,,"AMI-5 " "110122","SOUTH GEORGIA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","104 patients","2 ","2","PN-3B " "110124","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","60 patients",,,"SCIP-VTE-2 " "110124","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "110124","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110124","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","97 patients",,,"SCIP-INF-1 " "110124","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110124","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","7 patients","1 ","1","AMI-3 " "110124","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","61 patients",,,"SCIP-VTE-1 " "110124","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","23 patients","1 ","1","AMI-1 " "110124","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","72 patients",,,"PN-6 " "110124","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","109 patients",,,"PN-2 " "110124","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","77 patients",,,"PN-3B " "110124","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","77%","13 patients","1 ","1","AMI-2 " "110124","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","79 patients",,,"PN-7 " "110124","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","94 patients",,,"SCIP-INF-3 " "110124","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","96 patients",,,"SCIP-INF-2 " "110124","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110124","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","137 patients",,,"HF-2 " "110124","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1 ","1","SCIP-CARD-2 " "110124","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","98 patients",,,"PN-5C " "110124","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "110124","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","126 patients",,,"SCIP-INF-6 " "110124","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "110124","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","51 patients",,,"HF-3 " "110124","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110124","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","110 patients",,,"HF-1 " "110125","FAIRVIEW PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","37 patients",,,"AMI-1 " "110125","FAIRVIEW PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","149 patients",,,"HF-1 " "110125","FAIRVIEW PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","14 patients","1,2 ","12","SCIP-CARD-2 " "110125","FAIRVIEW PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","103 patients",,,"PN-3B " "110125","FAIRVIEW PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","7 patients","1 ","1","AMI-7A " "110125","FAIRVIEW PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","65 patients",,,"HF-3 " "110125","FAIRVIEW PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "110125","FAIRVIEW PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","68 patients","2 ","2","SCIP-VTE-1 " "110125","FAIRVIEW PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "110125","FAIRVIEW PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","105 patients","2 ","2","SCIP-INF-2 " "110125","FAIRVIEW PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "110125","FAIRVIEW PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","99 patients","2 ","2","SCIP-INF-3 " "110125","FAIRVIEW PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "110125","FAIRVIEW PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","87 patients",,,"PN-7 " "110125","FAIRVIEW PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","68 patients","2 ","2","SCIP-VTE-2 " "110125","FAIRVIEW PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","167 patients",,,"HF-2 " "110125","FAIRVIEW PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","95 patients",,,"PN-6 " "110125","FAIRVIEW PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "110125","FAIRVIEW PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","119 patients",,,"PN-5C " "110125","FAIRVIEW PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","175 patients","2 ","2","SCIP-INF-6 " "110125","FAIRVIEW PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110125","FAIRVIEW PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","102 patients","2 ","2","SCIP-INF-1 " "110125","FAIRVIEW PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","106 patients",,,"PN-2 " "110125","FAIRVIEW PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110125","FAIRVIEW PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","319 patients",,,"SCIP-INF-6 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","103 patients","2 ","2","PN-2 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","87 patients",,,"PN-7 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","17%","6 patients","1 ","1","AMI-7A " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","80 patients","2 ","2","PN-6 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","120 patients","2 ","2","PN-5C " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","210 patients",,,"SCIP-INF-3 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","154 patients",,,"HF-2 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","124 patients",,,"HF-1 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","230 patients",,,"SCIP-INF-2 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","126 patients",,,"SCIP-VTE-2 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","PN-4 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","28 patients",,,"AMI-2 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","23 patients","1 ","1","AMI-5 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","31 patients",,,"AMI-1 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","231 patients",,,"SCIP-INF-1 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","30 patients",,,"HF-3 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","68%","126 patients",,,"SCIP-VTE-1 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients",,,"SCIP-CARD-2 " "110128","MEADOWS REGIONAL MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","111 patients","2 ","2","PN-3B " "110129","ST FRANCIS HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","79 patients",,,"AMI-3 " "110129","ST FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","124 patients","2 ","2","SCIP-INF-4 " "110129","ST FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","385 patients","2 ","2","SCIP-INF-1 " "110129","ST FRANCIS HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","178 patients",,,"PN-7 " "110129","ST FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","98 patients","2 ","2","SCIP-CARD-2 " "110129","ST FRANCIS HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","374 patients",,,"AMI-5 " "110129","ST FRANCIS HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","305 patients",,,"AMI-1 " "110129","ST FRANCIS HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","67 patients",,,"AMI-8A " "110129","ST FRANCIS HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","542 patients",,,"HF-2 " "110129","ST FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","182 patients","2 ","2","SCIP-VTE-2 " "110129","ST FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","184 patients","2 ","2","SCIP-VTE-1 " "110129","ST FRANCIS HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","258 patients",,,"PN-2 " "110129","ST FRANCIS HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","177 patients",,,"HF-3 " "110129","ST FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","396 patients","2 ","2","SCIP-INF-2 " "110129","ST FRANCIS HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110129","ST FRANCIS HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","214 patients",,,"PN-3B " "110129","ST FRANCIS HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","461 patients",,,"HF-1 " "110129","ST FRANCIS HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","197 patients",,,"PN-6 " "110129","ST FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","362 patients","2 ","2","SCIP-INF-3 " "110129","ST FRANCIS HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","88 patients",,,"PN-4 " "110129","ST FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","555 patients","2 ","2","SCIP-INF-6 " "110129","ST FRANCIS HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","126 patients",,,"HF-4 " "110129","ST FRANCIS HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","145 patients",,,"AMI-4 " "110129","ST FRANCIS HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","260 patients",,,"PN-5C " "110129","ST FRANCIS HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","381 patients",,,"AMI-2 " "110130","IRWIN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "110130","IRWIN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "110130","IRWIN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","100 patients","2 ","2","SCIP-INF-3 " "110130","IRWIN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","101 patients","2 ","2","SCIP-INF-1 " "110130","IRWIN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","2 patients","1,3 ","13","AMI-1 " "110130","IRWIN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "110130","IRWIN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","17 patients","1 ","1","PN-6 " "110130","IRWIN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "110130","IRWIN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","62%","8 patients","1 ","1","PN-4 " "110130","IRWIN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","49 patients","2 ","2","SCIP-VTE-2 " "110130","IRWIN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "110130","IRWIN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110130","IRWIN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110130","IRWIN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","23 patients","1 ","1","PN-2 " "110130","IRWIN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1 ","1","PN-7 " "110130","IRWIN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "110130","IRWIN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","23 patients","1 ","1","HF-2 " "110130","IRWIN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110130","IRWIN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","102 patients","2 ","2","SCIP-INF-6 " "110130","IRWIN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","31 patients",,,"PN-5C " "110130","IRWIN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","49 patients","2 ","2","SCIP-VTE-1 " "110130","IRWIN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1,2 ","12","SCIP-CARD-2 " "110130","IRWIN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","100 patients","2 ","2","SCIP-INF-2 " "110130","IRWIN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","23 patients","1 ","1","HF-1 " "110130","IRWIN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","80 patients",,,"HF-2 " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","HF-4 " "110132","MEMORIAL HOSPITAL AND MANOR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","72 patients",,,"PN-5C " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110132","MEMORIAL HOSPITAL AND MANOR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","60 patients",,,"PN-3B " "110132","MEMORIAL HOSPITAL AND MANOR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","79 patients",,,"SCIP-INF-2 " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","44%","9 patients","1 ","1","AMI-2 " "110132","MEMORIAL HOSPITAL AND MANOR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","36 patients",,,"PN-6 " "110132","MEMORIAL HOSPITAL AND MANOR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","78 patients",,,"SCIP-INF-3 " "110132","MEMORIAL HOSPITAL AND MANOR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","80 patients",,,"HF-1 " "110132","MEMORIAL HOSPITAL AND MANOR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","70 patients",,,"SCIP-VTE-2 " "110132","MEMORIAL HOSPITAL AND MANOR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","9 patients","1 ","1","SCIP-CARD-2 " "110132","MEMORIAL HOSPITAL AND MANOR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","40%","42 patients",,,"PN-7 " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "110132","MEMORIAL HOSPITAL AND MANOR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","70 patients",,,"SCIP-VTE-1 " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","42 patients",,,"HF-3 " "110132","MEMORIAL HOSPITAL AND MANOR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","60 patients",,,"PN-2 " "110132","MEMORIAL HOSPITAL AND MANOR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","80 patients",,,"SCIP-INF-1 " "110132","MEMORIAL HOSPITAL AND MANOR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","32 patients",,,"PN-4 " "110132","MEMORIAL HOSPITAL AND MANOR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","119 patients",,,"SCIP-INF-6 " "110132","MEMORIAL HOSPITAL AND MANOR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","62%","16 patients","1 ","1","AMI-1 " "110135","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","74 patients","2 ","2","SCIP-VTE-2 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110135","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110135","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110135","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","123 patients","2 ","2","SCIP-INF-3 " "110135","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","75 patients","2 ","2","SCIP-VTE-1 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1 ","1","AMI-1 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","58 patients",,,"HF-2 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","21 patients","1 ","1","HF-3 " "110135","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","51 patients","2 ","2","PN-5C " "110135","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","38 patients","2 ","2","PN-3B " "110135","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","127 patients","2 ","2","SCIP-INF-1 " "110135","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","39 patients","2 ","2","PN-7 " "110135","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","26 patients","2 ","2","SCIP-CARD-2 " "110135","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","27 patients","2 ","2","PN-6 " "110135","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","68%","19 patients","1,2 ","12","PN-4 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "110135","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","177 patients","2 ","2","SCIP-INF-6 " "110135","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","54%","46 patients","2 ","2","PN-2 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","47 patients",,,"HF-1 " "110135","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","127 patients","2 ","2","SCIP-INF-2 " "110135","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "110142","EVANS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "110142","EVANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "110142","EVANS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110142","EVANS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "110142","EVANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1,3 ","13","SCIP-INF-6 " "110142","EVANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","9 patients","1,3 ","13","SCIP-INF-3 " "110142","EVANS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","48 patients",,,"PN-3B " "110142","EVANS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "110142","EVANS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "110142","EVANS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","58 patients",,,"PN-2 " "110142","EVANS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","49 patients",,,"PN-7 " "110142","EVANS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "110142","EVANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1,3 ","13","SCIP-VTE-2 " "110142","EVANS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "110142","EVANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "110142","EVANS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "110142","EVANS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","60 patients",,,"HF-2 " "110142","EVANS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","85 patients",,,"PN-5C " "110142","EVANS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110142","EVANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,3 ","13","SCIP-VTE-1 " "110142","EVANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","9 patients","1,3 ","13","SCIP-INF-1 " "110142","EVANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","9 patients","1,3 ","13","SCIP-INF-2 " "110142","EVANS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","45 patients",,,"PN-6 " "110142","EVANS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "110142","EVANS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","52 patients",,,"HF-1 " "110143","WELLSTAR COBB HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","56 patients","2 ","2","AMI-1 " "110143","WELLSTAR COBB HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","109 patients","2 ","2","SCIP-CARD-2 " "110143","WELLSTAR COBB HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","358 patients","2 ","2","PN-3B " "110143","WELLSTAR COBB HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","588 patients","2 ","2","SCIP-INF-1 " "110143","WELLSTAR COBB HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "110143","WELLSTAR COBB HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","157 patients","2 ","2","PN-4 " "110143","WELLSTAR COBB HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","443 patients","2 ","2","HF-1 " "110143","WELLSTAR COBB HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","341 patients","2 ","2","PN-5C " "110143","WELLSTAR COBB HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","496 patients","2 ","2","HF-2 " "110143","WELLSTAR COBB HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","155 patients","2 ","2","HF-3 " "110143","WELLSTAR COBB HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","894 patients","2 ","2","SCIP-INF-6 " "110143","WELLSTAR COBB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","435 patients","2 ","2","SCIP-VTE-1 " "110143","WELLSTAR COBB HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","131 patients","2 ","2","HF-4 " "110143","WELLSTAR COBB HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","250 patients","2 ","2","PN-2 " "110143","WELLSTAR COBB HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","49 patients","2 ","2","AMI-2 " "110143","WELLSTAR COBB HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110143","WELLSTAR COBB HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","582 patients","2 ","2","SCIP-INF-2 " "110143","WELLSTAR COBB HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","195 patients","2 ","2","PN-6 " "110143","WELLSTAR COBB HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","557 patients","2 ","2","SCIP-INF-3 " "110143","WELLSTAR COBB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","435 patients","2 ","2","SCIP-VTE-2 " "110143","WELLSTAR COBB HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1,2 ","12","AMI-3 " "110143","WELLSTAR COBB HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","45 patients","2 ","2","AMI-5 " "110143","WELLSTAR COBB HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110143","WELLSTAR COBB HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","213 patients","2 ","2","PN-7 " "110143","WELLSTAR COBB HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","AMI-4 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","43 patients",,,"PN-5C " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","42 patients",,,"PN-3B " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","41 patients",,,"PN-6 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","38 patients",,,"PN-2 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","36 patients",,,"SCIP-INF-1 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","68%","25 patients",,,"SCIP-VTE-1 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","50 patients",,,"HF-2 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","43 patients",,,"HF-1 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","28 patients",,,"SCIP-INF-2 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","24 patients","1 ","1","PN-7 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","53 patients",,,"SCIP-INF-6 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","28 patients",,,"SCIP-INF-3 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","25 patients",,,"SCIP-VTE-2 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110146","SOUTHEAST GEORGIA HEALTH SYSTEM-CAMDEN CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "110150","OCONEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","96 patients",,,"SCIP-VTE-1 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","36 patients",,,"HF-4 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110150","OCONEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","144 patients",,,"SCIP-INF-1 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","7 patients","1 ","1","AMI-2 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "110150","OCONEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","145 patients",,,"SCIP-INF-2 " "110150","OCONEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","75%","4 patients","1 ","1","SCIP-INF-4 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","81%","16 patients","1 ","1","AMI-1 " "110150","OCONEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","215 patients",,,"SCIP-INF-6 " "110150","OCONEE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","146 patients",,,"PN-5C " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110150","OCONEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","137 patients",,,"SCIP-INF-3 " "110150","OCONEE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","70 patients",,,"PN-4 " "110150","OCONEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","28 patients",,,"SCIP-CARD-2 " "110150","OCONEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","96 patients",,,"SCIP-VTE-2 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","157 patients",,,"HF-2 " "110150","OCONEE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","135 patients",,,"PN-2 " "110150","OCONEE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","77 patients",,,"PN-6 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","134 patients",,,"HF-1 " "110150","OCONEE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","112 patients",,,"PN-7 " "110150","OCONEE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","61 patients",,,"HF-3 " "110150","OCONEE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","119 patients",,,"PN-3B " "110153","PERRY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "110153","PERRY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","36 patients",,,"PN-4 " "110153","PERRY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","5 patients","1 ","1","AMI-5 " "110153","PERRY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","62 patients",,,"PN-6 " "110153","PERRY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","67 patients",,,"HF-1 " "110153","PERRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","51 patients",,,"SCIP-INF-3 " "110153","PERRY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","82 patients",,,"HF-2 " "110153","PERRY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","15 patients","1 ","1","SCIP-CARD-2 " "110153","PERRY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "110153","PERRY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","68 patients",,,"PN-7 " "110153","PERRY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","60 patients",,,"SCIP-VTE-2 " "110153","PERRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110153","PERRY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110153","PERRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","82 patients",,,"SCIP-INF-6 " "110153","PERRY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","91 patients",,,"PN-5C " "110153","PERRY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "110153","PERRY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","99 patients",,,"PN-2 " "110153","PERRY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","24 patients","1 ","1","HF-3 " "110153","PERRY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","69 patients",,,"PN-3B " "110153","PERRY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","HF-4 " "110153","PERRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","60 patients",,,"SCIP-INF-1 " "110153","PERRY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","60 patients",,,"SCIP-VTE-1 " "110153","PERRY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "110153","PERRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","60 patients",,,"SCIP-INF-2 " "110153","PERRY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110161","NORTHSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110161","NORTHSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110161","NORTHSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","184 patients","2 ","2","HF-2 " "110161","NORTHSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","HF-4 " "110161","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","71 patients","2 ","2","SCIP-CARD-2 " "110161","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","706 patients","2 ","2","SCIP-INF-6 " "110161","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","418 patients","2 ","2","SCIP-INF-2 " "110161","NORTHSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","31 patients",,,"AMI-2 " "110161","NORTHSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","189 patients",,,"PN-3B " "110161","NORTHSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "110161","NORTHSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","48 patients",,,"AMI-1 " "110161","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","358 patients","2 ","2","SCIP-VTE-1 " "110161","NORTHSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","56 patients",,,"PN-4 " "110161","NORTHSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","166 patients",,,"PN-5C " "110161","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","408 patients","2 ","2","SCIP-INF-3 " "110161","NORTHSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","117 patients",,,"PN-2 " "110161","NORTHSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "110161","NORTHSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","110 patients",,,"PN-7 " "110161","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","418 patients","2 ","2","SCIP-INF-1 " "110161","NORTHSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "110161","NORTHSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","124 patients",,,"PN-6 " "110161","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "110161","NORTHSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","161 patients","2 ","2","HF-1 " "110161","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","358 patients","2 ","2","SCIP-VTE-2 " "110161","NORTHSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients","2 ","2","HF-3 " "110163","PALMYRA MEDICAL CENTERS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","105 patients",,,"HF-1 " "110163","PALMYRA MEDICAL CENTERS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","53 patients",,,"PN-7 " "110163","PALMYRA MEDICAL CENTERS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "110163","PALMYRA MEDICAL CENTERS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "110163","PALMYRA MEDICAL CENTERS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110163","PALMYRA MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","272 patients",,,"SCIP-INF-3 " "110163","PALMYRA MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110163","PALMYRA MEDICAL CENTERS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","111 patients",,,"HF-2 " "110163","PALMYRA MEDICAL CENTERS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","91 patients",,,"PN-3B " "110163","PALMYRA MEDICAL CENTERS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","33 patients",,,"HF-3 " "110163","PALMYRA MEDICAL CENTERS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","228 patients",,,"SCIP-VTE-1 " "110163","PALMYRA MEDICAL CENTERS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","71 patients",,,"PN-6 " "110163","PALMYRA MEDICAL CENTERS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","81 patients",,,"PN-2 " "110163","PALMYRA MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","285 patients",,,"SCIP-INF-1 " "110163","PALMYRA MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","435 patients",,,"SCIP-INF-6 " "110163","PALMYRA MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","286 patients",,,"SCIP-INF-2 " "110163","PALMYRA MEDICAL CENTERS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "110163","PALMYRA MEDICAL CENTERS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","228 patients",,,"SCIP-VTE-2 " "110163","PALMYRA MEDICAL CENTERS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "110163","PALMYRA MEDICAL CENTERS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "110163","PALMYRA MEDICAL CENTERS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110163","PALMYRA MEDICAL CENTERS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","94 patients",,,"PN-5C " "110163","PALMYRA MEDICAL CENTERS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","52 patients",,,"SCIP-CARD-2 " "110163","PALMYRA MEDICAL CENTERS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "110163","PALMYRA MEDICAL CENTERS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"PN-4 " "110164","COLISEUM MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","103 patients",,,"AMI-1 " "110164","COLISEUM MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","112 patients",,,"PN-5C " "110164","COLISEUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","370 patients","2 ","2","SCIP-INF-1 " "110164","COLISEUM MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","74 patients",,,"PN-6 " "110164","COLISEUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","327 patients","2 ","2","SCIP-INF-3 " "110164","COLISEUM MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","325 patients",,,"HF-2 " "110164","COLISEUM MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","80 patients",,,"PN-7 " "110164","COLISEUM MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","276 patients",,,"HF-1 " "110164","COLISEUM MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"AMI-4 " "110164","COLISEUM MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","14 patients","1 ","1","AMI-8A " "110164","COLISEUM MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110164","COLISEUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","376 patients","2 ","2","SCIP-INF-2 " "110164","COLISEUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","256 patients","2 ","2","SCIP-VTE-2 " "110164","COLISEUM MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "110164","COLISEUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","120 patients","2 ","2","SCIP-INF-4 " "110164","COLISEUM MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "110164","COLISEUM MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "110164","COLISEUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","89 patients","2 ","2","SCIP-CARD-2 " "110164","COLISEUM MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","169 patients",,,"AMI-2 " "110164","COLISEUM MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","163 patients",,,"AMI-5 " "110164","COLISEUM MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","98 patients",,,"HF-3 " "110164","COLISEUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","584 patients","2 ","2","SCIP-INF-6 " "110164","COLISEUM MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","110 patients",,,"PN-2 " "110164","COLISEUM MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","113 patients",,,"PN-3B " "110164","COLISEUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","256 patients","2 ","2","SCIP-VTE-1 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","96 patients",,,"PN-4 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","181 patients",,,"AMI-2 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","48 patients",,,"AMI-3 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","65 patients",,,"AMI-4 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","177 patients",,,"AMI-5 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","642 patients",,,"HF-2 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","208 patients",,,"PN-6 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","589 patients",,,"HF-1 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","188 patients",,,"PN-2 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","129 patients",,,"HF-4 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","234 patients",,,"AMI-1 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","306 patients",,,"HF-3 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","397 patients","2 ","2","SCIP-INF-1 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","214 patients","2 ","2","SCIP-VTE-2 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","588 patients","2 ","2","SCIP-INF-6 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","214 patients","2 ","2","SCIP-VTE-1 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","310 patients",,,"PN-3B " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","56 patients",,,"AMI-8A " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","328 patients",,,"PN-5C " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","162 patients",,,"PN-7 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","394 patients","2 ","2","SCIP-INF-3 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","399 patients","2 ","2","SCIP-INF-2 " "110165","SOUTHERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","60 patients","2 ","2","SCIP-CARD-2 " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","217 patients",,,"HF-3 " "110168","REDMOND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","478 patients","2 ","2","SCIP-INF-1 " "110168","REDMOND REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","138 patients",,,"PN-4 " "110168","REDMOND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","499 patients","2 ","2","SCIP-INF-2 " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","625 patients",,,"HF-2 " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","150 patients",,,"HF-4 " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","584 patients",,,"AMI-2 " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","600 patients",,,"AMI-5 " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","95 patients",,,"AMI-3 " "110168","REDMOND REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","144 patients",,,"PN-6 " "110168","REDMOND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","206 patients","2 ","2","SCIP-INF-4 " "110168","REDMOND REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","200 patients",,,"PN-5C " "110168","REDMOND REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","224 patients",,,"PN-2 " "110168","REDMOND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","246 patients","2 ","2","SCIP-VTE-2 " "110168","REDMOND REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","182 patients",,,"PN-7 " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","74 patients",,,"AMI-8A " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","335 patients",,,"AMI-1 " "110168","REDMOND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","246 patients","2 ","2","SCIP-VTE-1 " "110168","REDMOND REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","181 patients",,,"PN-3B " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","555 patients",,,"HF-1 " "110168","REDMOND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","448 patients","2 ","2","SCIP-INF-3 " "110168","REDMOND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","816 patients","2 ","2","SCIP-INF-6 " "110168","REDMOND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","159 patients","2 ","2","SCIP-CARD-2 " "110168","REDMOND REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","296 patients",,,"AMI-4 " "110177","DOCTORS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","85 patients",,,"PN-7 " "110177","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","358 patients","2 ","2","SCIP-INF-2 " "110177","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1,2 ","12","SCIP-INF-4 " "110177","DOCTORS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","141 patients",,,"PN-5C " "110177","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","259 patients","2 ","2","SCIP-VTE-1 " "110177","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","354 patients","2 ","2","SCIP-INF-1 " "110177","DOCTORS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "110177","DOCTORS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","27 patients",,,"AMI-1 " "110177","DOCTORS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "110177","DOCTORS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110177","DOCTORS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110177","DOCTORS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","86 patients",,,"PN-6 " "110177","DOCTORS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","163 patients",,,"HF-1 " "110177","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","60 patients","2 ","2","SCIP-CARD-2 " "110177","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","543 patients","2 ","2","SCIP-INF-6 " "110177","DOCTORS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "110177","DOCTORS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","183 patients",,,"HF-2 " "110177","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","334 patients","2 ","2","SCIP-INF-3 " "110177","DOCTORS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","129 patients",,,"PN-2 " "110177","DOCTORS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","141 patients",,,"PN-3B " "110177","DOCTORS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"HF-3 " "110177","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","259 patients","2 ","2","SCIP-VTE-2 " "110177","DOCTORS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "110177","DOCTORS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "110177","DOCTORS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"PN-4 " "110183","EMORY-ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","35 patients",,,"SCIP-VTE-2 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "110183","EMORY-ADVENTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","50 patients",,,"PN-6 " "110183","EMORY-ADVENTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","64 patients",,,"PN-2 " "110183","EMORY-ADVENTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","107 patients",,,"PN-5C " "110183","EMORY-ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-2 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","100 patients",,,"HF-2 " "110183","EMORY-ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","35 patients",,,"SCIP-VTE-1 " "110183","EMORY-ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110183","EMORY-ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","45 patients",,,"SCIP-INF-6 " "110183","EMORY-ADVENTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","40 patients",,,"PN-7 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "110183","EMORY-ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","20 patients","1 ","1","SCIP-INF-1 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "110183","EMORY-ADVENTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110183","EMORY-ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "110183","EMORY-ADVENTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","110 patients",,,"PN-3B " "110183","EMORY-ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","20 patients","1 ","1","SCIP-INF-3 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","80 patients",,,"HF-1 " "110183","EMORY-ADVENTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "110184","WELLSTAR DOUGLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","275 patients","2 ","2","SCIP-INF-6 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","50 patients","2 ","2","AMI-1 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","91 patients","2 ","2","HF-3 " "110184","WELLSTAR DOUGLAS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients","2 ","2","SCIP-CARD-2 " "110184","WELLSTAR DOUGLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","169 patients","2 ","2","SCIP-INF-1 " "110184","WELLSTAR DOUGLAS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","196 patients","2 ","2","PN-5C " "110184","WELLSTAR DOUGLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","163 patients","2 ","2","SCIP-INF-3 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","20 patients","1,2 ","12","AMI-5 " "110184","WELLSTAR DOUGLAS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","196 patients","2 ","2","PN-3B " "110184","WELLSTAR DOUGLAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","133 patients","2 ","2","SCIP-VTE-2 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","AMI-4 " "110184","WELLSTAR DOUGLAS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","115 patients","2 ","2","PN-7 " "110184","WELLSTAR DOUGLAS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","149 patients","2 ","2","PN-2 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","233 patients","2 ","2","HF-1 " "110184","WELLSTAR DOUGLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","169 patients","2 ","2","SCIP-INF-2 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","AMI-3 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","20 patients","1,2 ","12","AMI-2 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","253 patients","2 ","2","HF-2 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","HF-4 " "110184","WELLSTAR DOUGLAS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","124 patients","2 ","2","PN-6 " "110184","WELLSTAR DOUGLAS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110184","WELLSTAR DOUGLAS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","102 patients","2 ","2","PN-4 " "110184","WELLSTAR DOUGLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110184","WELLSTAR DOUGLAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","133 patients","2 ","2","SCIP-VTE-1 " "110186","DOCTORS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","105 patients",,,"PN-6 " "110186","DOCTORS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","88 patients",,,"PN-2 " "110186","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","178 patients",,,"SCIP-VTE-2 " "110186","DOCTORS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110186","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","178 patients",,,"SCIP-VTE-1 " "110186","DOCTORS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"HF-4 " "110186","DOCTORS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","141 patients",,,"PN-3B " "110186","DOCTORS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110186","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","34 patients",,,"SCIP-CARD-2 " "110186","DOCTORS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "110186","DOCTORS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "110186","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","305 patients",,,"SCIP-INF-3 " "110186","DOCTORS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "110186","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","314 patients",,,"SCIP-INF-2 " "110186","DOCTORS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","49 patients",,,"HF-3 " "110186","DOCTORS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110186","DOCTORS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","127 patients",,,"PN-5C " "110186","DOCTORS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110186","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","312 patients",,,"SCIP-INF-1 " "110186","DOCTORS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","163 patients",,,"HF-2 " "110186","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110186","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","480 patients",,,"SCIP-INF-6 " "110186","DOCTORS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "110186","DOCTORS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","57 patients",,,"PN-7 " "110186","DOCTORS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","147 patients",,,"HF-1 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "110187","CHESTATEE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","55 patients",,,"SCIP-VTE-1 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "110187","CHESTATEE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","96 patients",,,"SCIP-INF-1 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","40 patients",,,"HF-1 " "110187","CHESTATEE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","69 patients",,,"PN-5C " "110187","CHESTATEE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","73 patients",,,"PN-2 " "110187","CHESTATEE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","52 patients",,,"PN-6 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","57 patients",,,"HF-2 " "110187","CHESTATEE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","54 patients",,,"SCIP-VTE-2 " "110187","CHESTATEE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","39 patients",,,"PN-7 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "110187","CHESTATEE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","96 patients",,,"SCIP-INF-2 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110187","CHESTATEE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","86 patients",,,"SCIP-INF-3 " "110187","CHESTATEE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","19 patients","1 ","1","SCIP-CARD-2 " "110187","CHESTATEE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110187","CHESTATEE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","30 patients",,,"PN-4 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "110187","CHESTATEE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","121 patients",,,"SCIP-INF-6 " "110187","CHESTATEE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","46 patients",,,"PN-3B " "110187","CHESTATEE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110189","FANNIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","139 patients","2 ","2","SCIP-INF-2 " "110189","FANNIN REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "110189","FANNIN REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110189","FANNIN REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "110189","FANNIN REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","85 patients",,,"HF-2 " "110189","FANNIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","139 patients","2 ","2","SCIP-INF-1 " "110189","FANNIN REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","82 patients",,,"PN-2 " "110189","FANNIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","131 patients","2 ","2","SCIP-INF-3 " "110189","FANNIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","72 patients","2 ","2","SCIP-VTE-1 " "110189","FANNIN REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "110189","FANNIN REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","49 patients",,,"PN-7 " "110189","FANNIN REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "110189","FANNIN REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","48 patients",,,"PN-6 " "110189","FANNIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1,2 ","12","SCIP-CARD-2 " "110189","FANNIN REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "110189","FANNIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","173 patients","2 ","2","SCIP-INF-6 " "110189","FANNIN REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110189","FANNIN REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110189","FANNIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110189","FANNIN REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "110189","FANNIN REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","86 patients",,,"PN-5C " "110189","FANNIN REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","88 patients",,,"PN-3B " "110189","FANNIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","72 patients","2 ","2","SCIP-VTE-2 " "110189","FANNIN REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","66 patients",,,"HF-1 " "110189","FANNIN REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110190","FLINT RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1 ","1","SCIP-VTE-1 " "110190","FLINT RIVER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","21 patients","1 ","1","PN-2 " "110190","FLINT RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","2 patients","1 ","1","SCIP-INF-1 " "110190","FLINT RIVER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "110190","FLINT RIVER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "110190","FLINT RIVER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","46 patients",,,"HF-2 " "110190","FLINT RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1 ","1","SCIP-INF-6 " "110190","FLINT RIVER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","25 patients",,,"PN-3B " "110190","FLINT RIVER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","6 patients","1 ","1","AMI-5 " "110190","FLINT RIVER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "110190","FLINT RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients",,,"SCIP-INF-3 " "110190","FLINT RIVER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110190","FLINT RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients",,,"SCIP-INF-2 " "110190","FLINT RIVER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","33%","21 patients","1 ","1","PN-6 " "110190","FLINT RIVER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","25 patients",,,"PN-7 " "110190","FLINT RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110190","FLINT RIVER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","28 patients",,,"PN-5C " "110190","FLINT RIVER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "110190","FLINT RIVER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "110190","FLINT RIVER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110190","FLINT RIVER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1 ","1","AMI-1 " "110190","FLINT RIVER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","28 patients",,,"HF-3 " "110190","FLINT RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1 ","1","SCIP-VTE-2 " "110190","FLINT RIVER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110190","FLINT RIVER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","37 patients",,,"HF-1 " "110191","HENRY MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","74 patients",,,"AMI-5 " "110191","HENRY MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "110191","HENRY MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","130 patients","2 ","2","PN-5C " "110191","HENRY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","33%","3 patients","1,2 ","12","SCIP-INF-4 " "110191","HENRY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","288 patients","2 ","2","SCIP-INF-3 " "110191","HENRY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","191 patients","2 ","2","SCIP-VTE-1 " "110191","HENRY MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","302 patients","2 ","2","HF-2 " "110191","HENRY MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","110 patients","2 ","2","PN-6 " "110191","HENRY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","299 patients","2 ","2","SCIP-INF-2 " "110191","HENRY MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients","2 ","2","HF-4 " "110191","HENRY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","296 patients","2 ","2","SCIP-INF-1 " "110191","HENRY MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110191","HENRY MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","103 patients","2 ","2","PN-3B " "110191","HENRY MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","114 patients","2 ","2","HF-3 " "110191","HENRY MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","94 patients","2 ","2","PN-2 " "110191","HENRY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","450 patients","2 ","2","SCIP-INF-6 " "110191","HENRY MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","255 patients","2 ","2","HF-1 " "110191","HENRY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","49 patients","2 ","2","SCIP-CARD-2 " "110191","HENRY MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","74 patients",,,"AMI-2 " "110191","HENRY MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","150 patients",,,"AMI-1 " "110191","HENRY MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","63%","35 patients",,,"AMI-7A " "110191","HENRY MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","82 patients","2 ","2","PN-7 " "110191","HENRY MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","67 patients","2 ","2","PN-4 " "110191","HENRY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","191 patients","2 ","2","SCIP-VTE-2 " "110191","HENRY MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","251 patients",,,"HF-1 " "110192","EMORY EASTSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","245 patients","2 ","2","SCIP-VTE-1 " "110192","EMORY EASTSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","327 patients","2 ","2","SCIP-INF-1 " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","72 patients",,,"HF-3 " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","91%","11 patients","1 ","1","AMI-7A " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"HF-4 " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "110192","EMORY EASTSIDE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","170 patients","2 ","2","PN-5C " "110192","EMORY EASTSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","54 patients","2 ","2","SCIP-CARD-2 " "110192","EMORY EASTSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","501 patients","2 ","2","SCIP-INF-6 " "110192","EMORY EASTSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","245 patients","2 ","2","SCIP-VTE-2 " "110192","EMORY EASTSIDE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","119 patients","2 ","2","PN-6 " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","32 patients",,,"AMI-5 " "110192","EMORY EASTSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","327 patients","2 ","2","SCIP-INF-2 " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","79 patients",,,"AMI-1 " "110192","EMORY EASTSIDE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","PN-4 " "110192","EMORY EASTSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "110192","EMORY EASTSIDE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","132 patients","2 ","2","PN-2 " "110192","EMORY EASTSIDE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","181 patients","2 ","2","PN-3B " "110192","EMORY EASTSIDE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","97 patients","2 ","2","PN-7 " "110192","EMORY EASTSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","313 patients","2 ","2","SCIP-INF-3 " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","293 patients",,,"HF-2 " "110192","EMORY EASTSIDE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","31 patients",,,"AMI-2 " "110194","DONALSONVILLE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","42%","19 patients","1 ","1","SCIP-INF-3 " "110194","DONALSONVILLE HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","28 patients",,,"PN-6 " "110194","DONALSONVILLE HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","14 patients","1 ","1","HF-3 " "110194","DONALSONVILLE HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","26%","46 patients",,,"HF-1 " "110194","DONALSONVILLE HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110194","DONALSONVILLE HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","23 patients","1 ","1","PN-4 " "110194","DONALSONVILLE HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","53 patients",,,"PN-2 " "110194","DONALSONVILLE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","34 patients",,,"SCIP-INF-6 " "110194","DONALSONVILLE HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","57 patients",,,"PN-7 " "110194","DONALSONVILLE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","57%","21 patients","1 ","1","SCIP-INF-1 " "110194","DONALSONVILLE HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","63%","49 patients",,,"HF-2 " "110194","DONALSONVILLE HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "110194","DONALSONVILLE HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","33%","3 patients","1 ","1","SCIP-CARD-2 " "110194","DONALSONVILLE HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "110194","DONALSONVILLE HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "110194","DONALSONVILLE HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","11%","19 patients","1 ","1","SCIP-VTE-1 " "110194","DONALSONVILLE HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "110194","DONALSONVILLE HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "110194","DONALSONVILLE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110194","DONALSONVILLE HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","7 patients","1 ","1","PN-3B " "110194","DONALSONVILLE HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","11%","19 patients","1 ","1","SCIP-VTE-2 " "110194","DONALSONVILLE HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","38 patients",,,"PN-5C " "110194","DONALSONVILLE HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110194","DONALSONVILLE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","65%","20 patients","1 ","1","SCIP-INF-2 " "110194","DONALSONVILLE HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110198","NORTH FULTON REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","118 patients",,,"PN-7 " "110198","NORTH FULTON REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","163 patients",,,"PN-5C " "110198","NORTH FULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","149 patients","2 ","2","SCIP-VTE-2 " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "110198","NORTH FULTON REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","118 patients",,,"PN-6 " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "110198","NORTH FULTON REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","168 patients",,,"PN-3B " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "110198","NORTH FULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","172 patients","2 ","2","SCIP-INF-2 " "110198","NORTH FULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","288 patients","2 ","2","SCIP-INF-6 " "110198","NORTH FULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","149 patients","2 ","2","SCIP-VTE-1 " "110198","NORTH FULTON REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"HF-3 " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","25 patients",,,"AMI-5 " "110198","NORTH FULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","159 patients","2 ","2","SCIP-INF-3 " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","158 patients",,,"HF-2 " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","135 patients",,,"HF-1 " "110198","NORTH FULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110198","NORTH FULTON REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","166 patients",,,"PN-2 " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","46 patients",,,"AMI-1 " "110198","NORTH FULTON REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "110198","NORTH FULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","171 patients","2 ","2","SCIP-INF-1 " "110198","NORTH FULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","24 patients","1,2 ","12","SCIP-CARD-2 " "110200","HUGHSTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "110200","HUGHSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110200","HUGHSTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "110200","HUGHSTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "110200","HUGHSTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "110200","HUGHSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","213 patients","2 ","2","SCIP-INF-1 " "110200","HUGHSTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "110200","HUGHSTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "110200","HUGHSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","213 patients","2 ","2","SCIP-INF-2 " "110200","HUGHSTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "110200","HUGHSTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "110200","HUGHSTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "110200","HUGHSTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "110200","HUGHSTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "110200","HUGHSTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","38 patients",,,"SCIP-CARD-2 " "110200","HUGHSTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,3 ","13","HF-2 " "110200","HUGHSTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "110200","HUGHSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","212 patients","2 ","2","SCIP-INF-3 " "110200","HUGHSTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","163 patients","2 ","2","SCIP-VTE-2 " "110200","HUGHSTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "110200","HUGHSTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "110200","HUGHSTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","163 patients","2 ","2","SCIP-VTE-1 " "110200","HUGHSTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "110200","HUGHSTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "110200","HUGHSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","290 patients","2 ","2","SCIP-INF-6 " "110201","COLISEUM NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110201","COLISEUM NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","181 patients","2 ","2","SCIP-INF-1 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","109 patients",,,"HF-1 " "110201","COLISEUM NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","181 patients","2 ","2","SCIP-INF-2 " "110201","COLISEUM NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","115 patients","2 ","2","SCIP-VTE-1 " "110201","COLISEUM NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","255 patients","2 ","2","SCIP-INF-6 " "110201","COLISEUM NORTHSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","60 patients",,,"PN-2 " "110201","COLISEUM NORTHSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "110201","COLISEUM NORTHSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","53 patients",,,"PN-6 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "110201","COLISEUM NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","115 patients","2 ","2","SCIP-VTE-2 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","117 patients",,,"HF-2 " "110201","COLISEUM NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","32 patients","2 ","2","SCIP-CARD-2 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110201","COLISEUM NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","160 patients","2 ","2","SCIP-INF-3 " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"HF-3 " "110201","COLISEUM NORTHSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","81 patients",,,"PN-5C " "110201","COLISEUM NORTHSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110201","COLISEUM NORTHSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","76 patients",,,"PN-3B " "110201","COLISEUM NORTHSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","52 patients",,,"PN-7 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,2 ","12","PN-5C " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","29 patients","2 ","2","HF-2 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,2 ","12","PN-4 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1,2 ","12","HF-3 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","18 patients","1,2 ","12","PN-7 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","20 patients","1,2 ","12","HF-1 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1,2 ","12","PN-6 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "110203","WESLEY WOODS GERIATRIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","34 patients","2 ","2","PN-2 " "110205","NORTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110205","NORTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","12 patients","1,2 ","12","SCIP-VTE-2 " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","AMI-3 " "110205","NORTH GEORGIA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","22 patients","1,2 ","12","PN-3B " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","13 patients","1,2 ","12","AMI-1 " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","HF-4 " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1,2 ","12","HF-3 " "110205","NORTH GEORGIA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","12 patients","1,2 ","12","PN-4 " "110205","NORTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "110205","NORTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","12 patients","1,2 ","12","SCIP-VTE-1 " "110205","NORTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","20 patients","1,2 ","12","SCIP-INF-6 " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,2 ","12","AMI-5 " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1,2 ","12","AMI-2 " "110205","NORTH GEORGIA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","13 patients","1,2 ","12","PN-6 " "110205","NORTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1,2 ","12","SCIP-INF-2 " "110205","NORTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","7 patients","1,2 ","12","SCIP-INF-1 " "110205","NORTH GEORGIA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","19 patients","1,2 ","12","PN-2 " "110205","NORTH GEORGIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1,2 ","12","SCIP-INF-3 " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","34 patients","2 ","2","HF-1 " "110205","NORTH GEORGIA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","29 patients","2 ","2","PN-5C " "110205","NORTH GEORGIA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","19 patients","1 ","1","PN-7 " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110205","NORTH GEORGIA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","43 patients","2 ","2","HF-2 " "110209","TURNING POINT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "110209","TURNING POINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "110209","TURNING POINT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "110209","TURNING POINT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "110209","TURNING POINT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "110209","TURNING POINT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "110209","TURNING POINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "110209","TURNING POINT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "110209","TURNING POINT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "110209","TURNING POINT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "110209","TURNING POINT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "110209","TURNING POINT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "110209","TURNING POINT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "110209","TURNING POINT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "110209","TURNING POINT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "110209","TURNING POINT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "110209","TURNING POINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "110209","TURNING POINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "110209","TURNING POINT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "110209","TURNING POINT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "110209","TURNING POINT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "110209","TURNING POINT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "110209","TURNING POINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "110209","TURNING POINT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "110209","TURNING POINT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "110212","SMITH NORTHVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","19 patients","1 ","1","PN-3B " "110212","SMITH NORTHVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","77 patients",,,"HF-1 " "110212","SMITH NORTHVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "110212","SMITH NORTHVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "110212","SMITH NORTHVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","84 patients",,,"HF-2 " "110212","SMITH NORTHVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","138 patients","2 ","2","SCIP-INF-3 " "110212","SMITH NORTHVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","26 patients",,,"PN-6 " "110212","SMITH NORTHVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","36 patients",,,"PN-2 " "110212","SMITH NORTHVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","PN-4 " "110212","SMITH NORTHVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","140 patients","2 ","2","SCIP-INF-1 " "110212","SMITH NORTHVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","140 patients","2 ","2","SCIP-INF-2 " "110212","SMITH NORTHVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "110212","SMITH NORTHVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "110212","SMITH NORTHVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,3 ","13","AMI-1 " "110212","SMITH NORTHVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","97 patients","2 ","2","SCIP-VTE-1 " "110212","SMITH NORTHVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","46%","24 patients","1 ","1","PN-7 " "110212","SMITH NORTHVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "110212","SMITH NORTHVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","185 patients","2 ","2","SCIP-INF-6 " "110212","SMITH NORTHVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","29 patients",,,"HF-3 " "110212","SMITH NORTHVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "110212","SMITH NORTHVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","97 patients","2 ","2","SCIP-VTE-2 " "110212","SMITH NORTHVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1,3 ","13","AMI-5 " "110212","SMITH NORTHVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1,2 ","12","SCIP-CARD-2 " "110212","SMITH NORTHVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","58 patients",,,"PN-5C " "110212","SMITH NORTHVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110215","PIEDMONT FAYETTE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","90 patients","2 ","2","PN-7 " "110215","PIEDMONT FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","269 patients","2 ","2","SCIP-VTE-1 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "110215","PIEDMONT FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","269 patients","2 ","2","SCIP-VTE-2 " "110215","PIEDMONT FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","560 patients","2 ","2","SCIP-INF-6 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","74 patients",,,"AMI-1 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","260 patients","2 ","2","HF-2 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","218 patients","2 ","2","HF-1 " "110215","PIEDMONT FAYETTE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","106 patients","2 ","2","PN-6 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","40 patients",,,"AMI-5 " "110215","PIEDMONT FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110215","PIEDMONT FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","374 patients","2 ","2","SCIP-INF-3 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","41 patients",,,"AMI-2 " "110215","PIEDMONT FAYETTE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","163 patients","2 ","2","PN-3B " "110215","PIEDMONT FAYETTE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","170 patients","2 ","2","PN-5C " "110215","PIEDMONT FAYETTE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","48 patients","2 ","2","PN-4 " "110215","PIEDMONT FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","65 patients","2 ","2","SCIP-CARD-2 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","70 patients","2 ","2","HF-3 " "110215","PIEDMONT FAYETTE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","134 patients","2 ","2","PN-2 " "110215","PIEDMONT FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","382 patients","2 ","2","SCIP-INF-1 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110215","PIEDMONT FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","383 patients","2 ","2","SCIP-INF-2 " "110215","PIEDMONT FAYETTE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","HF-4 " "110219","SOUTH FULTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110219","SOUTH FULTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","125 patients","2 ","2","SCIP-INF-3 " "110219","SOUTH FULTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","77 patients",,,"PN-6 " "110219","SOUTH FULTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-7A " "110219","SOUTH FULTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"HF-4 " "110219","SOUTH FULTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","319 patients",,,"HF-2 " "110219","SOUTH FULTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","137 patients","2 ","2","SCIP-INF-1 " "110219","SOUTH FULTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","139 patients",,,"PN-5C " "110219","SOUTH FULTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","118 patients",,,"HF-3 " "110219","SOUTH FULTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","29 patients",,,"AMI-5 " "110219","SOUTH FULTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "110219","SOUTH FULTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","127 patients","2 ","2","SCIP-VTE-2 " "110219","SOUTH FULTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","116 patients",,,"PN-7 " "110219","SOUTH FULTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","47 patients",,,"AMI-1 " "110219","SOUTH FULTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "110219","SOUTH FULTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","113 patients",,,"PN-2 " "110219","SOUTH FULTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "110219","SOUTH FULTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","26 patients",,,"AMI-2 " "110219","SOUTH FULTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","127 patients","2 ","2","SCIP-VTE-1 " "110219","SOUTH FULTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1,2 ","12","SCIP-CARD-2 " "110219","SOUTH FULTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","138 patients","2 ","2","SCIP-INF-2 " "110219","SOUTH FULTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","143 patients",,,"PN-3B " "110219","SOUTH FULTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "110219","SOUTH FULTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","282 patients",,,"HF-1 " "110219","SOUTH FULTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","223 patients","2 ","2","SCIP-INF-6 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","103 patients","2 ","2","PN-2 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","98 patients","2 ","2","SCIP-VTE-1 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","112 patients","2 ","2","PN-3B " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","HF-3 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1,2 ","12","AMI-1 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","96 patients","2 ","2","PN-5C " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1,2 ","12","AMI-2 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","79 patients","2 ","2","PN-7 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","14 patients","1 ","1","SCIP-CARD-2 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1,2 ","12","AMI-5 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","130 patients","2 ","2","SCIP-INF-3 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","134 patients","2 ","2","SCIP-INF-1 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","79 patients","2 ","2","PN-6 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","97 patients","2 ","2","SCIP-VTE-2 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","80%","193 patients","2 ","2","SCIP-INF-6 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","65 patients",,,"HF-1 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","66%","135 patients","2 ","2","SCIP-INF-2 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","74 patients",,,"HF-2 " "110225","PIEDMONT MOUNTAINSIDE HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","60 patients","2 ","2","PN-4 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","208 patients",,,"HF-1 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","39 patients",,,"AMI-1 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","119 patients","2 ","2","PN-3B " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","106 patients",,,"HF-3 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","103 patients",,,"SCIP-INF-2 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","67 patients",,,"SCIP-VTE-2 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","215 patients",,,"HF-2 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","15 patients","1 ","1","AMI-2 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","118 patients","2 ","2","PN-5C " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","57 patients","2 ","2","PN-7 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","PN-4 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1 ","1","SCIP-CARD-2 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","66 patients","2 ","2","PN-2 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","162 patients",,,"SCIP-INF-6 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","67 patients",,,"SCIP-VTE-1 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","101 patients",,,"SCIP-INF-3 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","104 patients",,,"SCIP-INF-1 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","83 patients","2 ","2","PN-6 " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110226","DEKALB MEDICAL CENTER AT HILLANDALE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","190 patients",,,"HF-1 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","289 patients","2 ","2","SCIP-INF-3 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","228 patients","2 ","2","SCIP-VTE-2 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","38 patients",,,"AMI-5 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","53 patients",,,"SCIP-CARD-2 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","230 patients","2 ","2","SCIP-VTE-1 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","169 patients",,,"PN-5C " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","295 patients","2 ","2","SCIP-INF-1 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","173 patients",,,"PN-3B " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","130 patients",,,"PN-2 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","299 patients","2 ","2","SCIP-INF-2 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","110 patients",,,"PN-7 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","60 patients",,,"HF-3 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","55 patients",,,"AMI-1 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","427 patients","2 ","2","SCIP-INF-6 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","118 patients",,,"PN-6 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","33 patients",,,"AMI-2 " "110229","PIEDMONT NEWNAN HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","212 patients",,,"HF-2 " "110230","EMORY JOHNS CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "110230","EMORY JOHNS CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","117 patients","2 ","2","SCIP-INF-2 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","89 patients",,,"HF-1 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "110230","EMORY JOHNS CREEK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","68 patients",,,"PN-2 " "110230","EMORY JOHNS CREEK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","50 patients",,,"PN-7 " "110230","EMORY JOHNS CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","218 patients","2 ","2","SCIP-INF-6 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "110230","EMORY JOHNS CREEK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","91 patients",,,"PN-5C " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "110230","EMORY JOHNS CREEK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","135 patients","2 ","2","SCIP-VTE-2 " "110230","EMORY JOHNS CREEK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","135 patients","2 ","2","SCIP-VTE-1 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"HF-3 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "110230","EMORY JOHNS CREEK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1,2 ","12","SCIP-CARD-2 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "110230","EMORY JOHNS CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","114 patients","2 ","2","SCIP-INF-3 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","95 patients",,,"HF-2 " "110230","EMORY JOHNS CREEK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "110230","EMORY JOHNS CREEK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","98 patients",,,"PN-3B " "110230","EMORY JOHNS CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","117 patients","2 ","2","SCIP-INF-1 " "110230","EMORY JOHNS CREEK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "110230","EMORY JOHNS CREEK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","88 patients",,,"PN-6 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","74 patients",,,"AMI-1 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","48 patients",,,"PN-6 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","81 patients",,,"PN-7 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","167 patients","2 ","2","SCIP-VTE-1 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","167 patients","2 ","2","SCIP-VTE-2 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","62 patients",,,"AMI-5 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-8A " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","293 patients",,,"HF-1 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","63 patients",,,"PN-2 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","246 patients",,,"SCIP-INF-1 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"HF-4 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","148 patients",,,"HF-3 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","92 patients",,,"PN-5C " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","364 patients","2 ","2","SCIP-INF-6 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","249 patients",,,"SCIP-INF-2 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","304 patients",,,"HF-2 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","131 patients",,,"PN-3B " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","240 patients",,,"SCIP-INF-3 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","62 patients",,,"AMI-2 " "11029F","DECATUR (ATLANTA) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","133 patients","2 ","2","SCIP-CARD-2 " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","13%","8 patients","1 ","1","AMI-8A " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "11030F","AUGUSTA VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","64 patients",,,"PN-5C " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","144 patients",,,"HF-2 " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","29 patients",,,"AMI-2 " "11030F","AUGUSTA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","133 patients",,,"SCIP-INF-2 " "11030F","AUGUSTA VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "11030F","AUGUSTA VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","69 patients",,,"PN-3B " "11030F","AUGUSTA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","88 patients",,,"HF-3 " "11030F","AUGUSTA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","123 patients","2 ","2","SCIP-VTE-2 " "11030F","AUGUSTA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","67 patients","2 ","2","SCIP-CARD-2 " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "11030F","AUGUSTA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","212 patients","2 ","2","SCIP-INF-6 " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "11030F","AUGUSTA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","129 patients",,,"SCIP-INF-3 " "11030F","AUGUSTA VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","50 patients",,,"PN-7 " "11030F","AUGUSTA VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","70 patients",,,"PN-2 " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","133 patients",,,"HF-1 " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","26 patients",,,"AMI-5 " "11030F","AUGUSTA VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "11030F","AUGUSTA VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","47 patients",,,"PN-6 " "11030F","AUGUSTA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","127 patients","2 ","2","SCIP-VTE-1 " "11030F","AUGUSTA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","129 patients",,,"SCIP-INF-1 " "11031F","DUBLIN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","82 patients",,,"HF-1 " "11031F","DUBLIN VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","15 patients","1 ","1","PN-6 " "11031F","DUBLIN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "11031F","DUBLIN VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "11031F","DUBLIN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "11031F","DUBLIN VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","22 patients","1 ","1","PN-3B " "11031F","DUBLIN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"HF-4 " "11031F","DUBLIN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "11031F","DUBLIN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "11031F","DUBLIN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "11031F","DUBLIN VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","27 patients",,,"PN-7 " "11031F","DUBLIN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","82 patients",,,"HF-2 " "11031F","DUBLIN VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","PN-4 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "11031F","DUBLIN VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","31 patients",,,"PN-5C " "11031F","DUBLIN VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","21 patients","1 ","1","PN-2 " "11031F","DUBLIN VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","31 patients",,,"HF-3 " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111302","BLECKLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111302","BLECKLEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1 ","1","PN-5C " "111302","BLECKLEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "111302","BLECKLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111302","BLECKLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","14 patients","1 ","1","HF-3 " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","21 patients","1 ","1","HF-2 " "111302","BLECKLEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","11 patients","1 ","1","PN-6 " "111302","BLECKLEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","12 patients","1 ","1","PN-7 " "111302","BLECKLEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","58%","12 patients","1 ","1","PN-2 " "111302","BLECKLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111302","BLECKLEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","20 patients","1 ","1","HF-1 " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111302","BLECKLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111302","BLECKLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111302","BLECKLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111302","BLECKLEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111302","BLECKLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111303","JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111303","JASPER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","11%","9 patients","1,3 ","13","HF-1 " "111303","JASPER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "111303","JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111303","JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111303","JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111303","JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111303","JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111303","JASPER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "111303","JASPER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","10 patients","1,3 ","13","HF-2 " "111303","JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111303","JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111303","JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111303","JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111303","JASPER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","PN-4 " "111303","JASPER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","11 patients","1 ","1","PN-7 " "111303","JASPER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "111303","JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111303","JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111303","JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111303","JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111303","JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111303","JASPER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","15 patients","1 ","1","PN-5C " "111303","JASPER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","16 patients","1 ","1","PN-2 " "111303","JASPER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "111306","EFFINGHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","55%","11 patients","1 ","1","HF-2 " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","11 patients","1 ","1","HF-1 " "111306","EFFINGHAM COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","27 patients",,,"PN-7 " "111306","EFFINGHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111306","EFFINGHAM COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","31 patients",,,"PN-3B " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111306","EFFINGHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111306","EFFINGHAM COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","31 patients",,,"PN-5C " "111306","EFFINGHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111306","EFFINGHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111306","EFFINGHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111306","EFFINGHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111306","EFFINGHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111306","EFFINGHAM COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","17 patients","1 ","1","PN-4 " "111306","EFFINGHAM COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","22 patients","1 ","1","PN-2 " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111306","EFFINGHAM COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","31 patients",,,"PN-6 " "111306","EFFINGHAM COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","12 patients","1,3 ","13","HF-2 " "111308","CLINCH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111308","CLINCH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "111308","CLINCH MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111308","CLINCH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111308","CLINCH MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111308","CLINCH MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "111308","CLINCH MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "111308","CLINCH MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "111308","CLINCH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111308","CLINCH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111308","CLINCH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","9%","11 patients","1,3 ","13","HF-1 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111308","CLINCH MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111308","CLINCH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111308","CLINCH MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111308","CLINCH MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,3 ","13","PN-5C " "111308","CLINCH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111310","PEACH REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","23 patients","1 ","1","PN-7 " "111310","PEACH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "111310","PEACH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","65 patients",,,"HF-2 " "111310","PEACH REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","34 patients",,,"PN-3B " "111310","PEACH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111310","PEACH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111310","PEACH REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","19 patients","1 ","1","PN-2 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111310","PEACH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111310","PEACH REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","16 patients","1 ","1","PN-4 " "111310","PEACH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111310","PEACH REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","30 patients",,,"PN-6 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","26 patients",,,"HF-3 " "111310","PEACH REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","32 patients",,,"PN-5C " "111310","PEACH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111310","PEACH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111310","PEACH REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","59 patients",,,"HF-1 " "111313","PUTNAM GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "111313","PUTNAM GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","62 patients",,,"PN-2 " "111313","PUTNAM GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111313","PUTNAM GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "111313","PUTNAM GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","14 patients","1 ","1","PN-4 " "111313","PUTNAM GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "111313","PUTNAM GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","38 patients",,,"PN-7 " "111313","PUTNAM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111313","PUTNAM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111313","PUTNAM GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111313","PUTNAM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111313","PUTNAM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111313","PUTNAM GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111313","PUTNAM GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","45 patients",,,"PN-6 " "111313","PUTNAM GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "111313","PUTNAM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111313","PUTNAM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111313","PUTNAM GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","68 patients",,,"PN-5C " "111313","PUTNAM GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111313","PUTNAM GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","52 patients",,,"PN-3B " "111313","PUTNAM GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111313","PUTNAM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111313","PUTNAM GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111313","PUTNAM GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111313","PUTNAM GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111314","EARLY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","11 patients","1 ","1","PN-6 " "111314","EARLY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "111314","EARLY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111314","EARLY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111314","EARLY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","19 patients","1 ","1","PN-5C " "111314","EARLY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111314","EARLY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111314","EARLY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","18 patients","1 ","1","PN-2 " "111314","EARLY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111314","EARLY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111314","EARLY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111314","EARLY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111314","EARLY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111314","EARLY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111314","EARLY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111314","EARLY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "111314","EARLY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","11 patients","1 ","1","HF-2 " "111314","EARLY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111314","EARLY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "111314","EARLY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","14 patients","1 ","1","PN-7 " "111314","EARLY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111314","EARLY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","5 patients","1 ","1","HF-1 " "111314","EARLY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111314","EARLY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111314","EARLY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","18 patients","1 ","1","PN-3B " "111315","CHARLTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111315","CHARLTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111315","CHARLTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "111315","CHARLTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "111315","CHARLTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","29%","7 patients","1 ","1","PN-2 " "111315","CHARLTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","13 patients","1 ","1","HF-2 " "111315","CHARLTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111315","CHARLTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "111315","CHARLTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","4 patients","1 ","1","PN-7 " "111315","CHARLTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111315","CHARLTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111315","CHARLTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","60%","5 patients","1 ","1","PN-5C " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111315","CHARLTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","18%","11 patients","1 ","1","HF-1 " "111315","CHARLTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111315","CHARLTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111318","MONROE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","26 patients",,,"PN-6 " "111318","MONROE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","27 patients",,,"PN-7 " "111318","MONROE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111318","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111318","MONROE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111318","MONROE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111318","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111318","MONROE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111318","MONROE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "111318","MONROE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "111318","MONROE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","23 patients","1 ","1","PN-3B " "111318","MONROE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","31 patients",,,"PN-2 " "111318","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111318","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111318","MONROE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "111318","MONROE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111318","MONROE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","33 patients",,,"PN-5C " "111318","MONROE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111318","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111318","MONROE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "111318","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111318","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111318","MONROE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","12 patients","1 ","1","PN-4 " "111318","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111318","MONROE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111319","SYLVAN GROVE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","7 patients","1,3 ","13","PN-5C " "111319","SYLVAN GROVE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","7 patients","1,3 ","13","HF-2 " "111319","SYLVAN GROVE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","7 patients","1,3 ","13","PN-6 " "111319","SYLVAN GROVE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "111319","SYLVAN GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111319","SYLVAN GROVE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,3 ","13","PN-4 " "111319","SYLVAN GROVE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111319","SYLVAN GROVE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1,3 ","13","PN-3B " "111319","SYLVAN GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111319","SYLVAN GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111319","SYLVAN GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111319","SYLVAN GROVE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111319","SYLVAN GROVE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "111319","SYLVAN GROVE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111319","SYLVAN GROVE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111319","SYLVAN GROVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111319","SYLVAN GROVE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111319","SYLVAN GROVE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111319","SYLVAN GROVE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111319","SYLVAN GROVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111319","SYLVAN GROVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111319","SYLVAN GROVE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","6 patients","1,3 ","13","HF-1 " "111319","SYLVAN GROVE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "111319","SYLVAN GROVE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1,3 ","13","PN-2 " "111319","SYLVAN GROVE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111320","HIGGINS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111320","HIGGINS GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","56 patients",,,"PN-2 " "111320","HIGGINS GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111320","HIGGINS GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","67 patients",,,"PN-6 " "111320","HIGGINS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111320","HIGGINS GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","35 patients",,,"HF-2 " "111320","HIGGINS GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","25 patients",,,"HF-1 " "111320","HIGGINS GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","42 patients",,,"PN-7 " "111320","HIGGINS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111320","HIGGINS GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111320","HIGGINS GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "111320","HIGGINS GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111320","HIGGINS GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111320","HIGGINS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111320","HIGGINS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111320","HIGGINS GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","82 patients",,,"PN-5C " "111320","HIGGINS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111320","HIGGINS GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "111320","HIGGINS GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111320","HIGGINS GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111320","HIGGINS GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "111320","HIGGINS GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","72 patients",,,"PN-3B " "111320","HIGGINS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111320","HIGGINS GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111320","HIGGINS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111324","CHATUGE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","34 patients",,,"PN-5C " "111324","CHATUGE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111324","CHATUGE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "111324","CHATUGE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "111324","CHATUGE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","37 patients",,,"PN-3B " "111324","CHATUGE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","18 patients","1 ","1","PN-6 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,3 ","13","AMI-2 " "111324","CHATUGE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111324","CHATUGE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","32 patients",,,"PN-7 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "111324","CHATUGE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "111324","CHATUGE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111324","CHATUGE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111324","CHATUGE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1 ","1","HF-1 " "111324","CHATUGE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111324","CHATUGE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","30 patients",,,"PN-2 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","19 patients","1 ","1","HF-2 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "111324","CHATUGE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "111325","WILLS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "111325","WILLS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "111325","WILLS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "111325","WILLS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1 ","1","AMI-5 " "111325","WILLS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "111325","WILLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111325","WILLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111325","WILLS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "111325","WILLS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","AMI-3 " "111325","WILLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111325","WILLS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","14 patients","1 ","1","PN-3B " "111325","WILLS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","39 patients",,,"PN-5C " "111325","WILLS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "111325","WILLS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","38%","13 patients","1 ","1","PN-7 " "111325","WILLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111325","WILLS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "111325","WILLS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","36 patients",,,"HF-3 " "111325","WILLS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","37 patients",,,"HF-1 " "111325","WILLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111325","WILLS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","34%","29 patients",,,"PN-2 " "111325","WILLS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","22 patients","1 ","1","PN-6 " "111325","WILLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111325","WILLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111325","WILLS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","43 patients",,,"HF-2 " "111325","WILLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","19 patients","1 ","1","PN-7 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1 ","1","PN-3B " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","27 patients",,,"PN-5C " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","12%","16 patients","1 ","1","HF-1 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","64%","11 patients","1 ","1","PN-6 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","24 patients","1 ","1","PN-2 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","11 patients","1 ","1","PN-4 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","42%","19 patients","1 ","1","HF-2 " "111326","LOUIS SMITH MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "111327","BACON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "111327","BACON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "111327","BACON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "111327","BACON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111327","BACON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","37 patients",,,"PN-6 " "111327","BACON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","36 patients",,,"PN-3B " "111327","BACON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "111327","BACON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","36 patients",,,"HF-1 " "111327","BACON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","38 patients",,,"PN-7 " "111327","BACON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "111327","BACON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "111327","BACON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "111327","BACON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","60 patients",,,"SCIP-INF-6 " "111327","BACON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "111327","BACON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","45 patients",,,"HF-2 " "111327","BACON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "111327","BACON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "111327","BACON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111327","BACON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "111327","BACON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111327","BACON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","55 patients",,,"PN-5C " "111327","BACON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111327","BACON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111327","BACON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","41 patients",,,"PN-2 " "111327","BACON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111328","PHOEBE WORTH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111328","PHOEBE WORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111328","PHOEBE WORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","15 patients","1 ","1","HF-1 " "111328","PHOEBE WORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111328","PHOEBE WORTH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "111328","PHOEBE WORTH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111328","PHOEBE WORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111328","PHOEBE WORTH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "111328","PHOEBE WORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111328","PHOEBE WORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111328","PHOEBE WORTH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "111328","PHOEBE WORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "111328","PHOEBE WORTH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "111328","PHOEBE WORTH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","15%","20 patients","1 ","1","HF-2 " "111328","PHOEBE WORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111330","POLK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","5 patients","1 ","1","HF-1 " "111330","POLK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111330","POLK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111330","POLK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111330","POLK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","8 patients","1 ","1","HF-2 " "111330","POLK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "111330","POLK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "111330","POLK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111330","POLK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","33 patients",,,"PN-3B " "111330","POLK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","34 patients",,,"PN-2 " "111330","POLK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "111330","POLK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111330","POLK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "111330","POLK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "111330","POLK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "111330","POLK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","42 patients",,,"PN-5C " "111330","POLK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111330","POLK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "111330","POLK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111330","POLK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "111330","POLK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","37 patients",,,"PN-6 " "111330","POLK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111330","POLK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","24 patients","1 ","1","PN-7 " "111330","POLK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "111330","POLK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "111331","MITCHELL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111331","MITCHELL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111331","MITCHELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111331","MITCHELL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "111331","MITCHELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111331","MITCHELL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111331","MITCHELL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","9 patients","1 ","1","PN-2 " "111331","MITCHELL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "111331","MITCHELL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","13 patients","1 ","1","HF-2 " "111331","MITCHELL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111331","MITCHELL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111331","MITCHELL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "111331","MITCHELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111331","MITCHELL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","12 patients","1 ","1","PN-6 " "111331","MITCHELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111331","MITCHELL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1 ","1","PN-3B " "111331","MITCHELL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111331","MITCHELL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "111331","MITCHELL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","9 patients","1 ","1","HF-1 " "111331","MITCHELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111331","MITCHELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111331","MITCHELL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111331","MITCHELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111331","MITCHELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111331","MITCHELL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1 ","1","PN-5C " "111332","BROOKS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111332","BROOKS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111332","BROOKS COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "111332","BROOKS COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","13 patients","1 ","1","PN-2 " "111332","BROOKS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111332","BROOKS COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","14 patients","1 ","1","PN-7 " "111332","BROOKS COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","22 patients","1 ","1","HF-2 " "111332","BROOKS COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","19 patients","1 ","1","PN-5C " "111332","BROOKS COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "111332","BROOKS COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "111332","BROOKS COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "111332","BROOKS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111332","BROOKS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111332","BROOKS COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "111332","BROOKS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111332","BROOKS COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "111332","BROOKS COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "111332","BROOKS COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","14 patients","1 ","1","PN-3B " "111332","BROOKS COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "111332","BROOKS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111332","BROOKS COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","14 patients","1 ","1","HF-1 " "111332","BROOKS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111332","BROOKS COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "111332","BROOKS COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "111332","BROOKS COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "111334","CANDLER COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","35%","34 patients","2,3 ","23","HF-2 " "111334","CANDLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "111334","CANDLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "111334","CANDLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "111334","CANDLER COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "111334","CANDLER COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","24 patients","1,2,3 ","123","HF-1 " "111334","CANDLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "111334","CANDLER COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","52 patients",,,"PN-5C " "111334","CANDLER COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "111334","CANDLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "111334","CANDLER COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","40 patients",,,"PN-7 " "111334","CANDLER COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","7 patients","1,3 ","13","AMI-2 " "111334","CANDLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "111334","CANDLER COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","57%","7 patients","1,3 ","13","AMI-5 " "111334","CANDLER COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","57%","7 patients","1,3 ","13","AMI-1 " "111334","CANDLER COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","39 patients",,,"PN-2 " "111334","CANDLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "111334","CANDLER COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1 ","1","PN-3B " "111334","CANDLER COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1,2,3 ","123","HF-4 " "111334","CANDLER COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "111334","CANDLER COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","17 patients","1 ","1","PN-4 " "111334","CANDLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "111334","CANDLER COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "111334","CANDLER COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","57%","14 patients","1 ","1","PN-6 " "111334","CANDLER COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2,3 ","123","HF-3 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1,2 ","12","HF-3 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "111335","LIBERTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","15 patients","1 ","1","SCIP-VTE-1 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","34 patients",,,"PN-5C " "111335","LIBERTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","48 patients",,,"SCIP-INF-2 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","48 patients",,,"SCIP-INF-1 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","14 patients","1 ","1","PN-4 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "111335","LIBERTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","38%","8 patients","1,2 ","12","HF-4 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","15 patients","1 ","1","SCIP-VTE-2 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","34 patients","2 ","2","HF-1 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","50 patients",,,"SCIP-INF-6 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","26 patients",,,"PN-6 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","22 patients","1 ","1","PN-7 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","14 patients","1 ","1","PN-3B " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","24 patients","1 ","1","PN-2 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","39 patients","2 ","2","HF-2 " "111335","LIBERTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","47 patients",,,"SCIP-INF-3 " "120001","THE QUEENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1478 patients","2 ","2","SCIP-INF-6 " "120001","THE QUEENS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","342 patients",,,"PN-2 " "120001","THE QUEENS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","147 patients",,,"AMI-4 " "120001","THE QUEENS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","106 patients",,,"HF-4 " "120001","THE QUEENS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","227 patients",,,"PN-6 " "120001","THE QUEENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","348 patients","2 ","2","SCIP-INF-4 " "120001","THE QUEENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1124 patients","2 ","2","SCIP-INF-2 " "120001","THE QUEENS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "120001","THE QUEENS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","208 patients",,,"HF-3 " "120001","THE QUEENS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","250 patients",,,"PN-7 " "120001","THE QUEENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","598 patients","2 ","2","SCIP-VTE-2 " "120001","THE QUEENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","599 patients","2 ","2","SCIP-VTE-1 " "120001","THE QUEENS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","330 patients",,,"PN-5C " "120001","THE QUEENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","208 patients","2 ","2","SCIP-CARD-2 " "120001","THE QUEENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","972 patients","2 ","2","SCIP-INF-3 " "120001","THE QUEENS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","70 patients",,,"AMI-3 " "120001","THE QUEENS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","246 patients",,,"AMI-1 " "120001","THE QUEENS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","37 patients",,,"AMI-8A " "120001","THE QUEENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1094 patients","2 ","2","SCIP-INF-1 " "120001","THE QUEENS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","450 patients",,,"AMI-2 " "120001","THE QUEENS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","391 patients",,,"AMI-5 " "120001","THE QUEENS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","115 patients",,,"PN-4 " "120001","THE QUEENS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","423 patients",,,"HF-1 " "120001","THE QUEENS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","361 patients",,,"PN-3B " "120001","THE QUEENS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","509 patients",,,"HF-2 " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "120002","MAUI MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","47 patients",,,"AMI-5 " "120002","MAUI MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","112 patients",,,"PN-6 " "120002","MAUI MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","126 patients",,,"PN-2 " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "120002","MAUI MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","43 patients",,,"PN-4 " "120002","MAUI MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","173 patients","2 ","2","SCIP-INF-3 " "120002","MAUI MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","199 patients","2 ","2","SCIP-VTE-1 " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","209 patients",,,"HF-1 " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","35 patients",,,"AMI-2 " "120002","MAUI MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","32 patients","2 ","2","SCIP-CARD-2 " "120002","MAUI MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","199 patients","2 ","2","SCIP-VTE-2 " "120002","MAUI MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","181 patients","2 ","2","SCIP-INF-1 " "120002","MAUI MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","324 patients","2 ","2","SCIP-INF-6 " "120002","MAUI MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","135 patients",,,"PN-3B " "120002","MAUI MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","124 patients",,,"PN-5C " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","70 patients",,,"AMI-1 " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","96 patients",,,"HF-3 " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","219 patients",,,"HF-2 " "120002","MAUI MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","100 patients",,,"PN-7 " "120002","MAUI MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "120002","MAUI MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","181 patients","2 ","2","SCIP-INF-2 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","45%","11 patients","1,2 ","12","HF-4 " "120004","WAHIAWA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","35 patients","2 ","2","PN-7 " "120004","WAHIAWA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","29%","17 patients","1,2 ","12","SCIP-VTE-2 " "120004","WAHIAWA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,2 ","12","PN-4 " "120004","WAHIAWA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","60%","5 patients","1,2 ","12","SCIP-INF-1 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","11 patients","1,2,3 ","123","AMI-2 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","6%","78 patients","2 ","2","HF-1 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","AMI-4 " "120004","WAHIAWA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "120004","WAHIAWA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","82 patients","2 ","2","HF-2 " "120004","WAHIAWA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1,2 ","12","SCIP-INF-3 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1,2,3 ","123","AMI-1 " "120004","WAHIAWA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","0%","4 patients","1,2 ","12","PN-5C " "120004","WAHIAWA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","29%","17 patients","1,2 ","12","SCIP-VTE-1 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","11 patients","1,2,3 ","123","AMI-3 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","47 patients","2 ","2","HF-3 " "120004","WAHIAWA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1,2 ","12","SCIP-INF-2 " "120004","WAHIAWA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","15 patients","1,2 ","12","PN-6 " "120004","WAHIAWA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "120004","WAHIAWA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","35%","43 patients","2 ","2","PN-2 " "120004","WAHIAWA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","65%","46 patients","2 ","2","PN-3B " "120004","WAHIAWA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","24 patients","1,2 ","12","SCIP-INF-6 " "120004","WAHIAWA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","12 patients","1,2,3 ","123","AMI-5 " "120005","HILO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","255 patients",,,"HF-2 " "120005","HILO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","83 patients",,,"PN-7 " "120005","HILO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","69%","112 patients","2 ","2","SCIP-VTE-2 " "120005","HILO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","152 patients",,,"AMI-5 " "120005","HILO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-7A " "120005","HILO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","140 patients",,,"PN-2 " "120005","HILO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "120005","HILO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","78 patients","2 ","2","SCIP-INF-1 " "120005","HILO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "120005","HILO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","70 patients","2 ","2","SCIP-INF-3 " "120005","HILO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","50 patients",,,"HF-3 " "120005","HILO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","144 patients",,,"AMI-2 " "120005","HILO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","80 patients","2 ","2","SCIP-INF-2 " "120005","HILO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "120005","HILO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","117 patients",,,"PN-6 " "120005","HILO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","35 patients","2 ","2","SCIP-CARD-2 " "120005","HILO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","161 patients",,,"PN-5C " "120005","HILO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","168 patients",,,"AMI-1 " "120005","HILO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","204 patients",,,"HF-1 " "120005","HILO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","62 patients",,,"HF-4 " "120005","HILO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","199 patients","2 ","2","SCIP-INF-6 " "120005","HILO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"PN-4 " "120005","HILO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "120005","HILO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","159 patients",,,"PN-3B " "120005","HILO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","113 patients","2 ","2","SCIP-VTE-1 " "120006","CASTLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","145 patients","2 ","2","SCIP-VTE-1 " "120006","CASTLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "120006","CASTLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "120006","CASTLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","93 patients",,,"AMI-2 " "120006","CASTLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","AMI-3 " "120006","CASTLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "120006","CASTLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","170 patients","2 ","2","SCIP-INF-1 " "120006","CASTLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","170 patients","2 ","2","SCIP-INF-2 " "120006","CASTLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","164 patients","2 ","2","SCIP-INF-3 " "120006","CASTLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","98 patients",,,"AMI-1 " "120006","CASTLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","132 patients",,,"PN-5C " "120006","CASTLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","45 patients",,,"HF-3 " "120006","CASTLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","142 patients",,,"HF-1 " "120006","CASTLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","92 patients",,,"PN-7 " "120006","CASTLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "120006","CASTLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","84 patients",,,"PN-6 " "120006","CASTLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","89 patients",,,"AMI-5 " "120006","CASTLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","9 patients","1 ","1","AMI-8A " "120006","CASTLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","133 patients",,,"PN-2 " "120006","CASTLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","145 patients","2 ","2","SCIP-VTE-2 " "120006","CASTLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","19 patients","1,2 ","12","SCIP-CARD-2 " "120006","CASTLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","139 patients",,,"PN-3B " "120006","CASTLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "120006","CASTLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","153 patients",,,"HF-2 " "120006","CASTLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","266 patients","2 ","2","SCIP-INF-6 " "120007","KUAKINI MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","89%","28 patients","2 ","2","AMI-4 " "120007","KUAKINI MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "120007","KUAKINI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","62%","95 patients","2 ","2","SCIP-INF-4 " "120007","KUAKINI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","153 patients","2 ","2","SCIP-VTE-1 " "120007","KUAKINI MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","120 patients","2 ","2","AMI-5 " "120007","KUAKINI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","424 patients","2 ","2","SCIP-INF-6 " "120007","KUAKINI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","274 patients","2 ","2","SCIP-INF-2 " "120007","KUAKINI MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","100 patients","2 ","2","PN-6 " "120007","KUAKINI MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","203 patients","2 ","2","HF-2 " "120007","KUAKINI MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","160 patients","2 ","2","PN-5C " "120007","KUAKINI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","271 patients","2 ","2","SCIP-INF-1 " "120007","KUAKINI MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","81 patients","2 ","2","AMI-1 " "120007","KUAKINI MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","48%","21 patients","1,2 ","12","AMI-8A " "120007","KUAKINI MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","14 patients","1,2 ","12","AMI-3 " "120007","KUAKINI MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","176 patients","2 ","2","PN-2 " "120007","KUAKINI MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","74 patients","2 ","2","SCIP-CARD-2 " "120007","KUAKINI MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","20 patients","1,2 ","12","PN-4 " "120007","KUAKINI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","263 patients","2 ","2","SCIP-INF-3 " "120007","KUAKINI MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","179 patients","2 ","2","HF-1 " "120007","KUAKINI MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","167 patients","2 ","2","PN-3B " "120007","KUAKINI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","152 patients","2 ","2","SCIP-VTE-2 " "120007","KUAKINI MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","35 patients","2 ","2","HF-4 " "120007","KUAKINI MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","102 patients","2 ","2","PN-7 " "120007","KUAKINI MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","58 patients","2 ","2","HF-3 " "120007","KUAKINI MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","117 patients","2 ","2","AMI-2 " "120010","HAWAII MEDICAL CENTER EAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","98 patients",,,"PN-3B " "120010","HAWAII MEDICAL CENTER EAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "120010","HAWAII MEDICAL CENTER EAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","111 patients",,,"HF-1 " "120010","HAWAII MEDICAL CENTER EAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "120010","HAWAII MEDICAL CENTER EAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","115 patients",,,"AMI-2 " "120010","HAWAII MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","64 patients",,,"SCIP-CARD-2 " "120010","HAWAII MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","128 patients",,,"SCIP-VTE-1 " "120010","HAWAII MEDICAL CENTER EAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","107 patients",,,"PN-2 " "120010","HAWAII MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","221 patients",,,"SCIP-INF-3 " "120010","HAWAII MEDICAL CENTER EAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"AMI-4 " "120010","HAWAII MEDICAL CENTER EAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "120010","HAWAII MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","78%","174 patients",,,"SCIP-INF-4 " "120010","HAWAII MEDICAL CENTER EAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","119 patients",,,"AMI-5 " "120010","HAWAII MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","126 patients",,,"SCIP-VTE-2 " "120010","HAWAII MEDICAL CENTER EAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","37 patients",,,"HF-3 " "120010","HAWAII MEDICAL CENTER EAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","121 patients",,,"HF-2 " "120010","HAWAII MEDICAL CENTER EAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","28 patients",,,"AMI-3 " "120010","HAWAII MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","258 patients",,,"SCIP-INF-2 " "120010","HAWAII MEDICAL CENTER EAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","91 patients",,,"PN-5C " "120010","HAWAII MEDICAL CENTER EAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","71 patients",,,"AMI-1 " "120010","HAWAII MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","381 patients",,,"SCIP-INF-6 " "120010","HAWAII MEDICAL CENTER EAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","66 patients",,,"PN-7 " "120010","HAWAII MEDICAL CENTER EAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-8A " "120010","HAWAII MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","245 patients",,,"SCIP-INF-1 " "120010","HAWAII MEDICAL CENTER EAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","58 patients",,,"PN-6 " "120011","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","146 patients",,,"AMI-1 " "120011","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","514 patients","2 ","2","SCIP-VTE-2 " "120011","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "120011","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","137 patients","2 ","2","SCIP-INF-4 " "120011","KAISER FOUNDATION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","325 patients",,,"HF-2 " "120011","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","230 patients",,,"AMI-5 " "120011","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","182 patients","2 ","2","SCIP-CARD-2 " "120011","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"AMI-4 " "120011","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","230 patients",,,"AMI-2 " "120011","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","34 patients",,,"AMI-3 " "120011","KAISER FOUNDATION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "120011","KAISER FOUNDATION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","20 patients","1 ","1","AMI-8A " "120011","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","525 patients","2 ","2","SCIP-VTE-1 " "120011","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","686 patients","2 ","2","SCIP-INF-1 " "120011","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","201 patients",,,"PN-2 " "120011","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","970 patients","2 ","2","SCIP-INF-6 " "120011","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","163 patients",,,"PN-3B " "120011","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","138 patients",,,"PN-6 " "120011","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","46 patients",,,"PN-4 " "120011","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","174 patients",,,"PN-5C " "120011","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","649 patients","2 ","2","SCIP-INF-3 " "120011","KAISER FOUNDATION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","312 patients",,,"HF-1 " "120011","KAISER FOUNDATION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","114 patients",,,"HF-3 " "120011","KAISER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","699 patients","2 ","2","SCIP-INF-2 " "120011","KAISER FOUNDATION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","130 patients",,,"PN-7 " "120014","WILCOX MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","91 patients",,,"HF-2 " "120014","WILCOX MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","PN-4 " "120014","WILCOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","219 patients",,,"SCIP-INF-3 " "120014","WILCOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "120014","WILCOX MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","97 patients",,,"PN-5C " "120014","WILCOX MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","111 patients",,,"PN-2 " "120014","WILCOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","24 patients","1 ","1","SCIP-CARD-2 " "120014","WILCOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","224 patients",,,"SCIP-INF-1 " "120014","WILCOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","69%","157 patients",,,"SCIP-VTE-2 " "120014","WILCOX MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","55 patients",,,"PN-6 " "120014","WILCOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","340 patients",,,"SCIP-INF-6 " "120014","WILCOX MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","66 patients",,,"PN-7 " "120014","WILCOX MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","100 patients",,,"PN-3B " "120014","WILCOX MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "120014","WILCOX MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"HF-3 " "120014","WILCOX MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "120014","WILCOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","228 patients",,,"SCIP-INF-2 " "120014","WILCOX MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "120014","WILCOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","157 patients",,,"SCIP-VTE-1 " "120014","WILCOX MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","81 patients",,,"HF-1 " "120014","WILCOX MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "120014","WILCOX MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "120014","WILCOX MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "120014","WILCOX MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "120014","WILCOX MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "120019","KONA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","22 patients","1 ","1","AMI-1 " "120019","KONA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "120019","KONA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","66 patients",,,"PN-2 " "120019","KONA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","48 patients",,,"SCIP-VTE-2 " "120019","KONA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","44 patients",,,"HF-1 " "120019","KONA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","47 patients",,,"HF-2 " "120019","KONA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","36 patients",,,"SCIP-INF-2 " "120019","KONA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "120019","KONA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "120019","KONA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "120019","KONA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","35 patients",,,"SCIP-INF-3 " "120019","KONA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","14 patients","1 ","1","HF-3 " "120019","KONA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","92 patients",,,"PN-5C " "120019","KONA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "120019","KONA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "120019","KONA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "120019","KONA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","35 patients",,,"SCIP-INF-1 " "120019","KONA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "120019","KONA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "120019","KONA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "120019","KONA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","85 patients",,,"SCIP-INF-6 " "120019","KONA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","52 patients",,,"PN-7 " "120019","KONA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","91 patients",,,"PN-3B " "120019","KONA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","49 patients",,,"SCIP-VTE-1 " "120019","KONA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","83 patients",,,"PN-6 " "120022","STRAUB CLINIC AND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","178 patients",,,"PN-2 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","36 patients","2 ","2","AMI-8A " "120022","STRAUB CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","301 patients","2 ","2","SCIP-VTE-1 " "120022","STRAUB CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","492 patients","2 ","2","SCIP-INF-1 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","56 patients","2 ","2","AMI-3 " "120022","STRAUB CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","464 patients","2 ","2","SCIP-INF-3 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","237 patients",,,"HF-1 " "120022","STRAUB CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","497 patients","2 ","2","SCIP-INF-2 " "120022","STRAUB CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","755 patients","2 ","2","SCIP-INF-6 " "120022","STRAUB CLINIC AND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","181 patients",,,"PN-5C " "120022","STRAUB CLINIC AND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","104 patients",,,"HF-3 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","268 patients","2 ","2","AMI-5 " "120022","STRAUB CLINIC AND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","109 patients",,,"PN-7 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","144 patients","2 ","2","AMI-1 " "120022","STRAUB CLINIC AND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","172 patients",,,"PN-3B " "120022","STRAUB CLINIC AND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","109 patients",,,"PN-6 " "120022","STRAUB CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","128 patients","2 ","2","SCIP-INF-4 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","283 patients","2 ","2","AMI-2 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "120022","STRAUB CLINIC AND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"PN-4 " "120022","STRAUB CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","301 patients","2 ","2","SCIP-VTE-2 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","253 patients",,,"HF-2 " "120022","STRAUB CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","111 patients",,,"SCIP-CARD-2 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","58 patients","2 ","2","AMI-4 " "120022","STRAUB CLINIC AND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","41 patients",,,"HF-4 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","346 patients",,,"HF-2 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","53 patients",,,"PN-4 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","183 patients","2 ","2","SCIP-INF-2 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","67 patients",,,"AMI-5 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","320 patients","2 ","2","SCIP-INF-6 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","291 patients",,,"PN-5C " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients","2 ","2","SCIP-CARD-2 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","183 patients","2 ","2","SCIP-INF-1 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","277 patients",,,"PN-3B " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","64 patients",,,"AMI-2 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","104 patients",,,"HF-3 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","165 patients","2 ","2","SCIP-VTE-1 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","249 patients",,,"PN-2 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","101 patients",,,"AMI-1 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","61%","178 patients","2 ","2","SCIP-INF-3 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","325 patients",,,"HF-1 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","8 patients","1 ","1","AMI-8A " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","154 patients",,,"PN-6 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","163 patients","2 ","2","SCIP-VTE-2 " "120026","KAPIOLANI MEDICAL CENTER AT PALI MOMI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","145 patients",,,"PN-7 " "120027","HAWAII MEDICAL CENTER WEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","110 patients",,,"AMI-1 " "120027","HAWAII MEDICAL CENTER WEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "120027","HAWAII MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","86 patients",,,"SCIP-INF-6 " "120027","HAWAII MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","55%","58 patients",,,"SCIP-VTE-1 " "120027","HAWAII MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","26 patients",,,"SCIP-INF-1 " "120027","HAWAII MEDICAL CENTER WEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","62 patients",,,"HF-3 " "120027","HAWAII MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","54%","56 patients",,,"SCIP-VTE-2 " "120027","HAWAII MEDICAL CENTER WEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","42%","187 patients",,,"HF-1 " "120027","HAWAII MEDICAL CENTER WEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","57 patients","2 ","2","PN-4 " "120027","HAWAII MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "120027","HAWAII MEDICAL CENTER WEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","81%","62 patients",,,"AMI-5 " "120027","HAWAII MEDICAL CENTER WEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","191 patients","2 ","2","PN-3B " "120027","HAWAII MEDICAL CENTER WEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","188 patients","2 ","2","PN-5C " "120027","HAWAII MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "120027","HAWAII MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","25 patients",,,"SCIP-INF-3 " "120027","HAWAII MEDICAL CENTER WEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","56 patients",,,"HF-4 " "120027","HAWAII MEDICAL CENTER WEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "120027","HAWAII MEDICAL CENTER WEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","70%","63 patients",,,"AMI-2 " "120027","HAWAII MEDICAL CENTER WEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","189 patients",,,"HF-2 " "120027","HAWAII MEDICAL CENTER WEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","162 patients","2 ","2","PN-2 " "120027","HAWAII MEDICAL CENTER WEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","10 patients","1 ","1","AMI-3 " "120027","HAWAII MEDICAL CENTER WEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "120027","HAWAII MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","26 patients",,,"SCIP-INF-2 " "120027","HAWAII MEDICAL CENTER WEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","141 patients","2 ","2","PN-6 " "120027","HAWAII MEDICAL CENTER WEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","88 patients",,,"PN-7 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","14 patients","1 ","1","PN-7 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","PN-4 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","30 patients",,,"PN-5C " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","29 patients",,,"HF-1 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","55%","20 patients","1 ","1","PN-2 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","35 patients",,,"PN-6 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","59 patients",,,"SCIP-INF-1 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","35 patients",,,"PN-3B " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","57 patients",,,"SCIP-INF-3 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","38 patients",,,"SCIP-VTE-2 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","30 patients",,,"HF-2 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","12 patients","1 ","1","AMI-5 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","58 patients",,,"SCIP-INF-2 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","38 patients",,,"SCIP-VTE-1 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","91 patients",,,"SCIP-INF-6 " "120028","NORTH HAWAII COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "121303","MOLOKAI GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "121303","MOLOKAI GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "121303","MOLOKAI GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "121303","MOLOKAI GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "121303","MOLOKAI GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "121303","MOLOKAI GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "121303","MOLOKAI GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "121303","MOLOKAI GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "121303","MOLOKAI GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "121303","MOLOKAI GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "121303","MOLOKAI GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "121303","MOLOKAI GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "121303","MOLOKAI GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "121303","MOLOKAI GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "121303","MOLOKAI GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "121303","MOLOKAI GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "121304","KAHUKU MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "121304","KAHUKU MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "121304","KAHUKU MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "121304","KAHUKU MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "121304","KAHUKU MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,3 ","13","PN-7 " "121304","KAHUKU MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "121304","KAHUKU MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "121304","KAHUKU MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "121304","KAHUKU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "121304","KAHUKU MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "121304","KAHUKU MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "121304","KAHUKU MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "121304","KAHUKU MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "121304","KAHUKU MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "121304","KAHUKU MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "121304","KAHUKU MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "121304","KAHUKU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "121304","KAHUKU MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "121304","KAHUKU MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "121304","KAHUKU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "121304","KAHUKU MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "121304","KAHUKU MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "121304","KAHUKU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "121304","KAHUKU MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,3 ","13","PN-2 " "121304","KAHUKU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "121308","KULA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "121308","KULA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "121308","KULA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "121308","KULA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "121308","KULA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "121308","KULA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "121308","KULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "121308","KULA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "121308","KULA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "121308","KULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "121308","KULA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "121308","KULA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "121308","KULA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "121308","KULA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "121308","KULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "121308","KULA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "121308","KULA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "121308","KULA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "121308","KULA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "121308","KULA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "121308","KULA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "121308","KULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "121308","KULA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "121308","KULA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "121308","KULA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","232 patients",,,"PN-2 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","44 patients",,,"HF-3 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","48 patients",,,"AMI-8A " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","152 patients",,,"AMI-5 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","80 patients",,,"PN-4 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","261 patients","2 ","2","SCIP-VTE-1 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","50 patients",,,"AMI-3 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","214 patients",,,"PN-5C " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","158 patients",,,"PN-7 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","62 patients","2 ","2","SCIP-CARD-2 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","363 patients","2 ","2","SCIP-INF-1 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","346 patients","2 ","2","SCIP-INF-3 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","116 patients",,,"HF-1 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","532 patients","2 ","2","SCIP-INF-6 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","63 patients",,,"AMI-4 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","368 patients","2 ","2","SCIP-INF-2 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","162 patients",,,"AMI-2 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","128 patients",,,"PN-6 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","149 patients",,,"HF-2 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","128 patients",,,"AMI-1 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","261 patients","2 ","2","SCIP-VTE-2 " "130002","ST LUKES MAGIC VALLEY RMC, LTD - HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","159 patients",,,"PN-3B " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","69 patients",,,"PN-7 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","58%","52 patients","2 ","2","SCIP-CARD-2 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","254 patients","2 ","2","SCIP-INF-3 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","177 patients","2 ","2","SCIP-VTE-2 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","416 patients","2 ","2","SCIP-INF-6 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","266 patients","2 ","2","SCIP-INF-1 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","58 patients",,,"PN-6 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","267 patients","2 ","2","SCIP-INF-2 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","42 patients",,,"HF-1 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","96 patients",,,"PN-2 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","92 patients",,,"PN-5C " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","179 patients","2 ","2","SCIP-VTE-1 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","42 patients",,,"PN-4 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","62 patients",,,"PN-3B " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","61 patients",,,"HF-2 " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "130003","ST JOSEPH REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130006","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","323 patients",,,"PN-2 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","280 patients",,,"HF-1 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","237 patients",,,"PN-7 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","410 patients",,,"AMI-2 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","134 patients",,,"PN-4 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","408 patients","2 ","2","SCIP-INF-4 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","355 patients",,,"PN-3B " "130006","ST LUKES REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","70 patients",,,"CAC-1 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1015 patients","2 ","2","SCIP-INF-3 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","59 patients",,,"AMI-3 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1311 patients","2 ","2","SCIP-INF-6 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","178 patients","2 ","2","SCIP-CARD-2 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","29%","70 patients",,,"CAC-3 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","429 patients","2 ","2","SCIP-VTE-1 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","428 patients","2 ","2","SCIP-VTE-2 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","142 patients",,,"AMI-4 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","70 patients",,,"CAC-2 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","258 patients",,,"PN-6 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","241 patients",,,"AMI-1 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1047 patients","2 ","2","SCIP-INF-2 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1029 patients","2 ","2","SCIP-INF-1 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","314 patients",,,"PN-5C " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","341 patients",,,"HF-2 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","395 patients",,,"AMI-5 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","119 patients",,,"HF-3 " "130006","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","75 patients",,,"AMI-8A " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","257 patients",,,"AMI-2 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","137 patients",,,"PN-7 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","214 patients","2 ","2","SCIP-VTE-2 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","209 patients",,,"PN-3B " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","151 patients",,,"PN-5C " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","39 patients",,,"AMI-8A " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","40 patients",,,"AMI-3 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","248 patients",,,"AMI-5 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","536 patients","2 ","2","SCIP-INF-2 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","230 patients",,,"HF-2 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","214 patients","2 ","2","SCIP-VTE-1 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","522 patients","2 ","2","SCIP-INF-3 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","88 patients","2 ","2","SCIP-CARD-2 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","141 patients",,,"PN-6 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","182 patients",,,"HF-1 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","190 patients",,,"PN-2 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"PN-4 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","525 patients","2 ","2","SCIP-INF-1 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","119 patients","2 ","2","SCIP-INF-4 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"AMI-4 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","122 patients",,,"AMI-1 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","705 patients","2 ","2","SCIP-INF-6 " "130007","ST ALPHONSUS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","71 patients",,,"HF-3 " "130013","MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","131 patients",,,"PN-2 " "130013","MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","153 patients",,,"PN-5C " "130013","MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","85 patients",,,"AMI-5 " "130013","MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "130013","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","156 patients","2 ","2","SCIP-VTE-1 " "130013","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","319 patients","2 ","2","SCIP-INF-6 " "130013","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","34 patients","2 ","2","SCIP-CARD-2 " "130013","MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","51 patients",,,"PN-4 " "130013","MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130013","MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","140 patients",,,"PN-3B " "130013","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","220 patients","2 ","2","SCIP-INF-3 " "130013","MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","98 patients",,,"AMI-1 " "130013","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","232 patients","2 ","2","SCIP-INF-1 " "130013","MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","25 patients",,,"AMI-8A " "130013","MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","37 patients",,,"HF-3 " "130013","MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","HF-4 " "130013","MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","101 patients",,,"HF-2 " "130013","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "130013","MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","106 patients",,,"PN-6 " "130013","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","231 patients","2 ","2","SCIP-INF-2 " "130013","MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"AMI-4 " "130013","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","156 patients","2 ","2","SCIP-VTE-2 " "130013","MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","82 patients",,,"HF-1 " "130013","MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","90 patients",,,"AMI-2 " "130013","MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","103 patients",,,"PN-7 " "130014","WEST VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","230 patients","2 ","2","SCIP-INF-3 " "130014","WEST VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "130014","WEST VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","378 patients","2 ","2","SCIP-INF-6 " "130014","WEST VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "130014","WEST VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","38 patients",,,"PN-4 " "130014","WEST VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","88 patients",,,"PN-6 " "130014","WEST VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","116 patients",,,"PN-5C " "130014","WEST VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","98 patients",,,"PN-3B " "130014","WEST VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "130014","WEST VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "130014","WEST VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","236 patients","2 ","2","SCIP-INF-2 " "130014","WEST VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","21 patients","1 ","1","AMI-1 " "130014","WEST VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","203 patients","2 ","2","SCIP-VTE-2 " "130014","WEST VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "130014","WEST VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","203 patients","2 ","2","SCIP-VTE-1 " "130014","WEST VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","236 patients","2 ","2","SCIP-INF-1 " "130014","WEST VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","32 patients","2 ","2","SCIP-CARD-2 " "130014","WEST VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "130014","WEST VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","72 patients",,,"PN-7 " "130014","WEST VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "130014","WEST VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","86 patients",,,"HF-2 " "130014","WEST VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","76 patients",,,"HF-1 " "130014","WEST VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130014","WEST VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","90 patients",,,"PN-2 " "130014","WEST VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","98 patients","2 ","2","PN-7 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","574 patients","2 ","2","SCIP-INF-6 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","105 patients","2 ","2","PN-3B " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","386 patients","2 ","2","SCIP-INF-2 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","70 patients","2 ","2","SCIP-CARD-2 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","21 patients","1 ","1","CAC-2 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","34 patients",,,"HF-3 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","47 patients",,,"AMI-8A " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","142 patients","2 ","2","PN-5C " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","131 patients",,,"AMI-1 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","360 patients","2 ","2","SCIP-INF-3 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","137 patients","2 ","2","PN-2 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","221 patients","2 ","2","SCIP-VTE-2 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","104 patients","2 ","2","SCIP-INF-4 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"AMI-4 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","217 patients",,,"AMI-5 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","378 patients","2 ","2","SCIP-INF-1 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","PN-4 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","82 patients","2 ","2","PN-6 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","71%","21 patients","1 ","1","CAC-3 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","21 patients","1 ","1","CAC-1 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","222 patients","2 ","2","SCIP-VTE-1 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","228 patients",,,"AMI-2 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","118 patients",,,"HF-2 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"HF-4 " "130018","EASTERN IDAHO REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","96 patients",,,"HF-1 " "130024","BONNER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","119 patients",,,"SCIP-VTE-1 " "130024","BONNER GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "130024","BONNER GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","31 patients",,,"PN-3B " "130024","BONNER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","119 patients",,,"SCIP-VTE-2 " "130024","BONNER GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "130024","BONNER GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "130024","BONNER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","221 patients",,,"SCIP-INF-1 " "130024","BONNER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","218 patients",,,"SCIP-INF-3 " "130024","BONNER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","221 patients",,,"SCIP-INF-2 " "130024","BONNER GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "130024","BONNER GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","30 patients",,,"PN-6 " "130024","BONNER GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "130024","BONNER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","36 patients",,,"SCIP-CARD-2 " "130024","BONNER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "130024","BONNER GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "130024","BONNER GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "130024","BONNER GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","19 patients","1 ","1","PN-7 " "130024","BONNER GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","20 patients","1 ","1","HF-1 " "130024","BONNER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","293 patients",,,"SCIP-INF-6 " "130024","BONNER GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "130024","BONNER GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130024","BONNER GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "130024","BONNER GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","27 patients",,,"HF-2 " "130024","BONNER GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","35 patients",,,"PN-2 " "130024","BONNER GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","39 patients",,,"PN-5C " "130025","MADISON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","28 patients",,,"PN-3B " "130025","MADISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","186 patients","2 ","2","SCIP-INF-2 " "130025","MADISON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","40%","5 patients","1 ","1","AMI-2 " "130025","MADISON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "130025","MADISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","138 patients","2 ","2","SCIP-VTE-1 " "130025","MADISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","20 patients","1,2 ","12","SCIP-CARD-2 " "130025","MADISON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","5 patients","1 ","1","HF-3 " "130025","MADISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "130025","MADISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","184 patients","2 ","2","SCIP-INF-3 " "130025","MADISON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","6 patients","1 ","1","AMI-5 " "130025","MADISON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","45 patients",,,"PN-6 " "130025","MADISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","70%","198 patients","2 ","2","SCIP-INF-1 " "130025","MADISON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "130025","MADISON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","13%","30 patients",,,"HF-1 " "130025","MADISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","123 patients","2 ","2","SCIP-VTE-2 " "130025","MADISON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130025","MADISON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "130025","MADISON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","65%","31 patients",,,"HF-2 " "130025","MADISON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "130025","MADISON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","11%","35 patients",,,"PN-2 " "130025","MADISON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","PN-4 " "130025","MADISON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","38%","24 patients","1 ","1","PN-7 " "130025","MADISON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "130025","MADISON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","56 patients",,,"PN-5C " "130025","MADISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","255 patients","2 ","2","SCIP-INF-6 " "130028","PORTNEUF MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","215 patients","2 ","2","SCIP-VTE-1 " "130028","PORTNEUF MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130028","PORTNEUF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","504 patients","2 ","2","SCIP-INF-3 " "130028","PORTNEUF MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","63 patients",,,"HF-3 " "130028","PORTNEUF MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","152 patients",,,"AMI-2 " "130028","PORTNEUF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","79 patients","2 ","2","SCIP-INF-4 " "130028","PORTNEUF MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","164 patients",,,"HF-2 " "130028","PORTNEUF MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "130028","PORTNEUF MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "130028","PORTNEUF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","750 patients","2 ","2","SCIP-INF-6 " "130028","PORTNEUF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","527 patients","2 ","2","SCIP-INF-2 " "130028","PORTNEUF MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","138 patients",,,"PN-2 " "130028","PORTNEUF MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","75 patients","2 ","2","SCIP-CARD-2 " "130028","PORTNEUF MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","AMI-3 " "130028","PORTNEUF MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","93 patients",,,"PN-7 " "130028","PORTNEUF MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"PN-4 " "130028","PORTNEUF MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","90 patients",,,"PN-6 " "130028","PORTNEUF MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","144 patients",,,"HF-1 " "130028","PORTNEUF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","524 patients","2 ","2","SCIP-INF-1 " "130028","PORTNEUF MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-8A " "130028","PORTNEUF MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","215 patients","2 ","2","SCIP-VTE-2 " "130028","PORTNEUF MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","133 patients",,,"AMI-5 " "130028","PORTNEUF MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","130 patients",,,"PN-5C " "130028","PORTNEUF MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"AMI-4 " "130028","PORTNEUF MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","150 patients",,,"PN-3B " "13003F","BOISE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","112 patients",,,"PN-5C " "13003F","BOISE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "13003F","BOISE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","34 patients",,,"AMI-1 " "13003F","BOISE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","116 patients",,,"PN-3B " "13003F","BOISE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","70 patients",,,"HF-1 " "13003F","BOISE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","112 patients",,,"PN-2 " "13003F","BOISE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "13003F","BOISE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","71 patients",,,"PN-7 " "13003F","BOISE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "13003F","BOISE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "13003F","BOISE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1 ","1","AMI-2 " "13003F","BOISE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "13003F","BOISE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "13003F","BOISE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "13003F","BOISE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients",,,"HF-3 " "13003F","BOISE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","34 patients",,,"PN-6 " "13003F","BOISE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "13003F","BOISE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "13003F","BOISE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "13003F","BOISE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "13003F","BOISE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "13003F","BOISE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "13003F","BOISE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","39 patients",,,"PN-4 " "13003F","BOISE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "13003F","BOISE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","84 patients",,,"HF-2 " "130049","KOOTENAI MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","61 patients",,,"HF-3 " "130049","KOOTENAI MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","94 patients",,,"PN-4 " "130049","KOOTENAI MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","224 patients",,,"HF-2 " "130049","KOOTENAI MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","192 patients",,,"AMI-1 " "130049","KOOTENAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","455 patients","2 ","2","SCIP-INF-3 " "130049","KOOTENAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","477 patients","2 ","2","SCIP-INF-2 " "130049","KOOTENAI MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "130049","KOOTENAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","163 patients","2 ","2","SCIP-INF-4 " "130049","KOOTENAI MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","95 patients",,,"AMI-4 " "130049","KOOTENAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","631 patients","2 ","2","SCIP-INF-6 " "130049","KOOTENAI MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","38 patients",,,"AMI-3 " "130049","KOOTENAI MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","247 patients",,,"PN-2 " "130049","KOOTENAI MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","255 patients",,,"PN-5C " "130049","KOOTENAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","202 patients","2 ","2","SCIP-VTE-1 " "130049","KOOTENAI MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","238 patients",,,"AMI-2 " "130049","KOOTENAI MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","153 patients",,,"HF-1 " "130049","KOOTENAI MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","170 patients",,,"PN-6 " "130049","KOOTENAI MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","79 patients",,,"AMI-8A " "130049","KOOTENAI MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","225 patients",,,"AMI-5 " "130049","KOOTENAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","201 patients","2 ","2","SCIP-VTE-2 " "130049","KOOTENAI MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "130049","KOOTENAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","78 patients","2 ","2","SCIP-CARD-2 " "130049","KOOTENAI MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","165 patients",,,"PN-7 " "130049","KOOTENAI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","475 patients","2 ","2","SCIP-INF-1 " "130049","KOOTENAI MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","191 patients",,,"PN-3B " "130063","TREASURE VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "130063","TREASURE VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "130063","TREASURE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "130063","TREASURE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","60 patients",,,"SCIP-INF-6 " "130063","TREASURE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","50 patients",,,"SCIP-INF-1 " "130063","TREASURE VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "130063","TREASURE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","50 patients",,,"SCIP-INF-2 " "130063","TREASURE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "130063","TREASURE VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "130063","TREASURE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","50 patients",,,"SCIP-INF-3 " "130063","TREASURE VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "130063","TREASURE VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "130063","TREASURE VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "130063","TREASURE VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "130063","TREASURE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","24 patients","1 ","1","SCIP-VTE-1 " "130063","TREASURE VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "130063","TREASURE VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "130063","TREASURE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","24 patients","1 ","1","SCIP-VTE-2 " "130063","TREASURE VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "130063","TREASURE VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "130063","TREASURE VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "130063","TREASURE VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "130063","TREASURE VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "130063","TREASURE VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "130063","TREASURE VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "130065","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","272 patients","2 ","2","SCIP-INF-2 " "130065","MOUNTAIN VIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "130065","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "130065","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","28 patients","2 ","2","SCIP-CARD-2 " "130065","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","270 patients","2 ","2","SCIP-INF-3 " "130065","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "130065","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "130065","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","270 patients","2 ","2","SCIP-INF-1 " "130065","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "130065","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "130065","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","91 patients","2 ","2","SCIP-VTE-1 " "130065","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "130065","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "130065","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","297 patients","2 ","2","SCIP-INF-6 " "130065","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "130065","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "130065","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","91 patients","2 ","2","SCIP-VTE-2 " "130065","MOUNTAIN VIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "130065","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "130065","MOUNTAIN VIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "130065","MOUNTAIN VIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "130065","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "130065","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "130065","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "130065","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "130066","NORTHWEST SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "130066","NORTHWEST SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","102 patients",,,"SCIP-INF-6 " "130066","NORTHWEST SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "130066","NORTHWEST SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "130066","NORTHWEST SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","90 patients",,,"SCIP-INF-3 " "130066","NORTHWEST SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","90 patients",,,"SCIP-INF-2 " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "130066","NORTHWEST SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "130066","NORTHWEST SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","34 patients",,,"SCIP-VTE-1 " "130066","NORTHWEST SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "130066","NORTHWEST SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "130066","NORTHWEST SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","34 patients",,,"SCIP-VTE-2 " "130066","NORTHWEST SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "130066","NORTHWEST SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "130066","NORTHWEST SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "130066","NORTHWEST SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","90 patients",,,"SCIP-INF-1 " "130067","IDAHO DOCTORS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "130067","IDAHO DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "130067","IDAHO DOCTORS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "130067","IDAHO DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "130067","IDAHO DOCTORS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "130067","IDAHO DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "130067","IDAHO DOCTORS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "130067","IDAHO DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "130067","IDAHO DOCTORS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "130067","IDAHO DOCTORS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "130067","IDAHO DOCTORS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "130067","IDAHO DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "130067","IDAHO DOCTORS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "130067","IDAHO DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "130067","IDAHO DOCTORS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "130067","IDAHO DOCTORS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "130067","IDAHO DOCTORS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "130067","IDAHO DOCTORS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "130067","IDAHO DOCTORS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "130067","IDAHO DOCTORS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "130067","IDAHO DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "130067","IDAHO DOCTORS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "130067","IDAHO DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "130067","IDAHO DOCTORS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "130067","IDAHO DOCTORS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "131305","STEELE MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "131305","STEELE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "131305","STEELE MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "131305","STEELE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "131305","STEELE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "131305","STEELE MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "131305","STEELE MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "131305","STEELE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "131305","STEELE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "131305","STEELE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "131305","STEELE MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "131305","STEELE MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "131305","STEELE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "131305","STEELE MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "131305","STEELE MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","12 patients","1 ","1","PN-7 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","13 patients","1 ","1","PN-3B " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","5 patients","1 ","1","HF-2 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","15 patients","1 ","1","PN-2 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","5 patients","1 ","1","HF-1 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","17 patients","1 ","1","PN-6 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "131323","ST LUKES WOOD RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","16 patients","1 ","1","PN-5C " "131326","CASSIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","124 patients","2 ","2","SCIP-INF-2 " "131326","CASSIA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1,2 ","12","PN-4 " "131326","CASSIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","173 patients","2 ","2","SCIP-INF-6 " "131326","CASSIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","122 patients","2 ","2","SCIP-INF-1 " "131326","CASSIA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","65 patients","2 ","2","PN-5C " "131326","CASSIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","100 patients","2 ","2","SCIP-VTE-2 " "131326","CASSIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "131326","CASSIA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","46 patients","2 ","2","PN-3B " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "131326","CASSIA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","48 patients","2 ","2","PN-2 " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","17 patients","1 ","1","HF-1 " "131326","CASSIA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","45 patients","2 ","2","PN-6 " "131326","CASSIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","45%","119 patients","2 ","2","SCIP-INF-3 " "131326","CASSIA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","37 patients","2 ","2","PN-7 " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","32 patients",,,"HF-2 " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "131326","CASSIA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "131326","CASSIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1,2 ","12","SCIP-CARD-2 " "131326","CASSIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","100 patients","2 ","2","SCIP-VTE-1 " "131327","GRITMAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "131327","GRITMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","15 patients","1 ","1","SCIP-CARD-2 " "131327","GRITMAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "131327","GRITMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","171 patients",,,"SCIP-INF-1 " "131327","GRITMAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "131327","GRITMAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "131327","GRITMAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","62 patients",,,"PN-5C " "131327","GRITMAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "131327","GRITMAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "131327","GRITMAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "131327","GRITMAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","44 patients",,,"PN-6 " "131327","GRITMAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "131327","GRITMAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","45 patients",,,"PN-7 " "131327","GRITMAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","61 patients",,,"PN-2 " "131327","GRITMAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "131327","GRITMAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "131327","GRITMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "131327","GRITMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","115 patients",,,"SCIP-VTE-1 " "131327","GRITMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","208 patients",,,"SCIP-INF-6 " "131327","GRITMAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","66 patients",,,"PN-3B " "131327","GRITMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","171 patients",,,"SCIP-INF-2 " "131327","GRITMAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "131327","GRITMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","115 patients",,,"SCIP-VTE-2 " "131327","GRITMAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","171 patients",,,"SCIP-INF-3 " "131327","GRITMAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "140001","GRAHAM HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","105 patients",,,"SCIP-VTE-2 " "140001","GRAHAM HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "140001","GRAHAM HOSPITAL ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","44 patients",,,"PN-6 " "140001","GRAHAM HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","144 patients",,,"SCIP-INF-2 " "140001","GRAHAM HOSPITAL ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","82 patients",,,"PN-2 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","70 patients",,,"HF-2 " "140001","GRAHAM HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","139 patients",,,"SCIP-INF-1 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140001","GRAHAM HOSPITAL ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","46 patients",,,"PN-7 " "140001","GRAHAM HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","227 patients",,,"SCIP-INF-6 " "140001","GRAHAM HOSPITAL ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","61 patients",,,"PN-3B " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "140001","GRAHAM HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","136 patients",,,"SCIP-INF-3 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","17 patients","1 ","1","HF-3 " "140001","GRAHAM HOSPITAL ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","73 patients",,,"PN-5C " "140001","GRAHAM HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","32 patients",,,"SCIP-CARD-2 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","38 patients",,,"HF-1 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140001","GRAHAM HOSPITAL ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","20 patients","1 ","1","PN-4 " "140001","GRAHAM HOSPITAL ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "140001","GRAHAM HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","105 patients",,,"SCIP-VTE-1 " "140002","ALTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","240 patients",,,"SCIP-INF-1 " "140002","ALTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","148 patients",,,"HF-1 " "140002","ALTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","96 patients",,,"PN-4 " "140002","ALTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","228 patients",,,"SCIP-INF-3 " "140002","ALTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140002","ALTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","6 patients","1 ","1","AMI-8A " "140002","ALTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","74 patients",,,"AMI-2 " "140002","ALTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "140002","ALTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","42 patients",,,"SCIP-CARD-2 " "140002","ALTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","230 patients",,,"PN-5C " "140002","ALTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","159 patients",,,"SCIP-VTE-2 " "140002","ALTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "140002","ALTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","87 patients",,,"AMI-1 " "140002","ALTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","159 patients",,,"SCIP-VTE-1 " "140002","ALTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","141 patients",,,"PN-7 " "140002","ALTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","83 patients",,,"AMI-5 " "140002","ALTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","59 patients",,,"HF-3 " "140002","ALTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "140002","ALTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","241 patients",,,"SCIP-INF-2 " "140002","ALTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","160 patients",,,"PN-6 " "140002","ALTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","340 patients",,,"SCIP-INF-6 " "140002","ALTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","227 patients",,,"PN-3B " "140002","ALTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","222 patients",,,"PN-2 " "140002","ALTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "140002","ALTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","196 patients",,,"HF-2 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","677 patients","2 ","2","SCIP-INF-1 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","685 patients","2 ","2","SCIP-INF-2 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","139 patients","2 ","2","HF-3 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","327 patients",,,"AMI-5 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","503 patients","2 ","2","HF-2 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","97 patients","2 ","2","SCIP-CARD-2 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","320 patients",,,"AMI-2 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","625 patients","2 ","2","SCIP-INF-3 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","866 patients","2 ","2","SCIP-INF-6 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","159 patients","2 ","2","PN-3B " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","80 patients",,,"AMI-3 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","129 patients","2 ","2","PN-6 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","314 patients",,,"AMI-1 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"AMI-4 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","58 patients",,,"AMI-8A " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","176 patients","2 ","2","SCIP-INF-4 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","353 patients","2 ","2","SCIP-VTE-1 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","197 patients","2 ","2","PN-2 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","353 patients","2 ","2","SCIP-VTE-2 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","208 patients","2 ","2","PN-5C " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","141 patients","2 ","2","PN-7 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","75 patients","2 ","2","PN-4 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","403 patients","2 ","2","HF-1 " "140007","PROVENA ST JOSEPH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","HF-4 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","80 patients",,,"HF-3 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","308 patients",,,"HF-2 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","132 patients",,,"AMI-5 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","51 patients","2 ","2","PN-6 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","109 patients","2 ","2","PN-2 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","54 patients","2 ","2","SCIP-INF-4 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","73 patients","2 ","2","SCIP-CARD-2 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","311 patients","2 ","2","SCIP-INF-2 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","222 patients","2 ","2","SCIP-VTE-1 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","73 patients","2 ","2","PN-7 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","104 patients","2 ","2","PN-5C " "140008","GOTTLIEB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","300 patients","2 ","2","SCIP-INF-3 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","19 patients","1 ","1","AMI-8A " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","156 patients",,,"AMI-1 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","253 patients",,,"HF-1 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients","2 ","2","PN-4 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","129 patients",,,"AMI-2 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","309 patients","2 ","2","SCIP-INF-1 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","445 patients","2 ","2","SCIP-INF-6 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","222 patients","2 ","2","SCIP-VTE-2 " "140008","GOTTLIEB MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","66 patients","2 ","2","PN-3B " "140010","EVANSTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","226 patients","2 ","2","HF-3 " "140010","EVANSTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","369 patients","2 ","2","PN-5C " "140010","EVANSTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","80 patients","2 ","2","HF-4 " "140010","EVANSTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","61 patients",,,"AMI-8A " "140010","EVANSTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140010","EVANSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1940 patients","2 ","2","SCIP-INF-6 " "140010","EVANSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1532 patients","2 ","2","SCIP-INF-2 " "140010","EVANSTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"AMI-4 " "140010","EVANSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1521 patients","2 ","2","SCIP-INF-1 " "140010","EVANSTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","237 patients","2 ","2","SCIP-CARD-2 " "140010","EVANSTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","386 patients",,,"AMI-2 " "140010","EVANSTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","736 patients","2 ","2","SCIP-VTE-2 " "140010","EVANSTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","369 patients",,,"PN-7 " "140010","EVANSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","1475 patients","2 ","2","SCIP-INF-3 " "140010","EVANSTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","490 patients","2 ","2","PN-2 " "140010","EVANSTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","866 patients","2 ","2","HF-2 " "140010","EVANSTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","401 patients",,,"AMI-1 " "140010","EVANSTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","170 patients","2 ","2","PN-6 " "140010","EVANSTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","42 patients",,,"AMI-3 " "140010","EVANSTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","405 patients","2 ","2","PN-3B " "140010","EVANSTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","605 patients","2 ","2","HF-1 " "140010","EVANSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","202 patients","2 ","2","SCIP-INF-4 " "140010","EVANSTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients","2 ","2","PN-4 " "140010","EVANSTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","403 patients",,,"AMI-5 " "140010","EVANSTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","736 patients","2 ","2","SCIP-VTE-1 " "140011","HERRIN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","182 patients",,,"HF-2 " "140011","HERRIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140011","HERRIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","198 patients",,,"SCIP-VTE-1 " "140011","HERRIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","198 patients",,,"SCIP-VTE-2 " "140011","HERRIN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140011","HERRIN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","114 patients",,,"PN-7 " "140011","HERRIN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140011","HERRIN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","162 patients",,,"PN-2 " "140011","HERRIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","208 patients",,,"SCIP-INF-1 " "140011","HERRIN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","93 patients",,,"PN-4 " "140011","HERRIN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "140011","HERRIN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","132 patients",,,"HF-1 " "140011","HERRIN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","81%","27 patients",,,"AMI-1 " "140011","HERRIN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","55 patients",,,"HF-3 " "140011","HERRIN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","98 patients",,,"PN-6 " "140011","HERRIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","193 patients",,,"SCIP-INF-3 " "140011","HERRIN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "140011","HERRIN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "140011","HERRIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","282 patients",,,"SCIP-INF-6 " "140011","HERRIN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","17 patients","1 ","1","AMI-2 " "140011","HERRIN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","44 patients",,,"SCIP-CARD-2 " "140011","HERRIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","207 patients",,,"SCIP-INF-2 " "140011","HERRIN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","159 patients",,,"PN-3B " "140011","HERRIN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "140011","HERRIN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","166 patients",,,"PN-5C " "140012","KATHERINE SHAW BETHEA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","223 patients",,,"SCIP-INF-2 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","44 patients",,,"HF-3 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "140012","KATHERINE SHAW BETHEA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","221 patients",,,"SCIP-INF-1 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","41 patients",,,"PN-6 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","122 patients",,,"SCIP-VTE-2 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","198 patients",,,"SCIP-INF-3 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","122 patients",,,"SCIP-VTE-1 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","49 patients",,,"SCIP-CARD-2 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-8A " "140012","KATHERINE SHAW BETHEA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","76 patients",,,"PN-5C " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","63 patients",,,"PN-2 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","62 patients",,,"AMI-2 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","69 patients",,,"AMI-5 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","77 patients",,,"AMI-1 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","49 patients",,,"PN-7 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","117 patients",,,"HF-2 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","313 patients",,,"SCIP-INF-6 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","95 patients",,,"HF-1 " "140012","KATHERINE SHAW BETHEA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","77 patients",,,"PN-3B " "140013","PROCTOR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","136 patients",,,"PN-6 " "140013","PROCTOR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "140013","PROCTOR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","172 patients",,,"PN-5C " "140013","PROCTOR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","45 patients",,,"HF-3 " "140013","PROCTOR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","195 patients",,,"PN-3B " "140013","PROCTOR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","70 patients",,,"AMI-2 " "140013","PROCTOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","551 patients","2 ","2","SCIP-INF-3 " "140013","PROCTOR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","19 patients","1 ","1","AMI-8A " "140013","PROCTOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","62 patients","2 ","2","SCIP-INF-4 " "140013","PROCTOR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "140013","PROCTOR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140013","PROCTOR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","187 patients",,,"PN-2 " "140013","PROCTOR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "140013","PROCTOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","695 patients","2 ","2","SCIP-INF-6 " "140013","PROCTOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","191 patients","2 ","2","SCIP-VTE-1 " "140013","PROCTOR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","116 patients",,,"HF-1 " "140013","PROCTOR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","176 patients",,,"HF-2 " "140013","PROCTOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","191 patients","2 ","2","SCIP-VTE-2 " "140013","PROCTOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","565 patients","2 ","2","SCIP-INF-2 " "140013","PROCTOR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","83 patients",,,"AMI-5 " "140013","PROCTOR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","123 patients","2 ","2","SCIP-CARD-2 " "140013","PROCTOR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","116 patients",,,"PN-7 " "140013","PROCTOR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "140013","PROCTOR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","78 patients",,,"AMI-1 " "140013","PROCTOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","555 patients","2 ","2","SCIP-INF-1 " "140015","BLESSING HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","458 patients",,,"SCIP-INF-3 " "140015","BLESSING HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","198 patients",,,"AMI-1 " "140015","BLESSING HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","96 patients",,,"HF-3 " "140015","BLESSING HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","220 patients",,,"AMI-2 " "140015","BLESSING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","315 patients",,,"SCIP-VTE-2 " "140015","BLESSING HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","231 patients",,,"HF-1 " "140015","BLESSING HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","357 patients",,,"HF-2 " "140015","BLESSING HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","408 patients",,,"PN-5C " "140015","BLESSING HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","777 patients",,,"SCIP-INF-6 " "140015","BLESSING HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","134 patients",,,"PN-4 " "140015","BLESSING HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","208 patients",,,"PN-6 " "140015","BLESSING HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "140015","BLESSING HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","492 patients",,,"SCIP-INF-1 " "140015","BLESSING HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","40 patients",,,"AMI-3 " "140015","BLESSING HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","191 patients",,,"AMI-5 " "140015","BLESSING HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","510 patients",,,"SCIP-INF-2 " "140015","BLESSING HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","24 patients","1 ","1","AMI-8A " "140015","BLESSING HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140015","BLESSING HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","393 patients",,,"PN-3B " "140015","BLESSING HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"AMI-4 " "140015","BLESSING HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","108 patients",,,"SCIP-INF-4 " "140015","BLESSING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","315 patients",,,"SCIP-VTE-1 " "140015","BLESSING HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","405 patients",,,"PN-2 " "140015","BLESSING HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","131 patients",,,"SCIP-CARD-2 " "140015","BLESSING HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","270 patients",,,"PN-7 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","84 patients",,,"PN-7 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","28 patients","2 ","2","SCIP-INF-4 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","127 patients",,,"HF-4 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","155 patients","2 ","2","SCIP-INF-2 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","158 patients",,,"HF-3 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","88 patients",,,"PN-6 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","136 patients","2 ","2","SCIP-VTE-1 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","136 patients","2 ","2","SCIP-VTE-2 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","105 patients",,,"AMI-1 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","114 patients",,,"AMI-2 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","157 patients","2 ","2","SCIP-INF-1 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","139 patients","2 ","2","SCIP-INF-3 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","33 patients","2 ","2","SCIP-CARD-2 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","275 patients","2 ","2","SCIP-INF-6 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","100 patients",,,"AMI-5 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","299 patients",,,"HF-1 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","30 patients",,,"AMI-3 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","85 patients",,,"PN-2 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","328 patients",,,"HF-2 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","170 patients",,,"PN-3B " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","140 patients",,,"PN-5C " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","97 patients",,,"PN-4 " "140018","MT SINAI HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","12 patients","1 ","1","AMI-8A " "140019","SHELBY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "140019","SHELBY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","82 patients",,,"HF-2 " "140019","SHELBY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "140019","SHELBY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "140019","SHELBY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140019","SHELBY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "140019","SHELBY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "140019","SHELBY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140019","SHELBY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "140019","SHELBY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "140019","SHELBY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140019","SHELBY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "140019","SHELBY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "140019","SHELBY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","87 patients",,,"PN-2 " "140019","SHELBY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","50 patients",,,"PN-7 " "140019","SHELBY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "140019","SHELBY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "140019","SHELBY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","PN-4 " "140019","SHELBY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","18 patients","1 ","1","HF-3 " "140019","SHELBY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","40 patients",,,"PN-6 " "140019","SHELBY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "140019","SHELBY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","65 patients",,,"PN-5C " "140019","SHELBY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "140019","SHELBY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","34 patients",,,"PN-3B " "140019","SHELBY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","21 patients","1 ","1","HF-1 " "140026","ST MARYS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140026","ST MARYS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","21 patients","1 ","1","AMI-5 " "140026","ST MARYS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "140026","ST MARYS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","107 patients",,,"HF-2 " "140026","ST MARYS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140026","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","118 patients","2 ","2","SCIP-INF-3 " "140026","ST MARYS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140026","ST MARYS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","22 patients","1 ","1","AMI-1 " "140026","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","98 patients","2 ","2","SCIP-VTE-1 " "140026","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","175 patients","2 ","2","SCIP-INF-6 " "140026","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","28 patients",,,"SCIP-CARD-2 " "140026","ST MARYS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","HF-4 " "140026","ST MARYS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","62 patients","2 ","2","PN-6 " "140026","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","97 patients","2 ","2","SCIP-VTE-2 " "140026","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140026","ST MARYS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","36 patients","2 ","2","PN-4 " "140026","ST MARYS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "140026","ST MARYS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","18 patients","1 ","1","AMI-2 " "140026","ST MARYS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","73 patients",,,"HF-1 " "140026","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","123 patients","2 ","2","SCIP-INF-1 " "140026","ST MARYS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","118 patients","2 ","2","PN-2 " "140026","ST MARYS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","86 patients","2 ","2","PN-7 " "140026","ST MARYS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","84 patients","2 ","2","PN-3B " "140026","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","122 patients","2 ","2","SCIP-INF-2 " "140026","ST MARYS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","101 patients","2 ","2","PN-5C " "140029","COPLEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","91 patients",,,"PN-3B " "140029","COPLEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","154 patients",,,"PN-5C " "140029","COPLEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"AMI-3 " "140029","COPLEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","31 patients",,,"AMI-8A " "140029","COPLEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"AMI-4 " "140029","COPLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","725 patients","2 ","2","SCIP-INF-6 " "140029","COPLEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","104 patients",,,"PN-7 " "140029","COPLEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","106 patients",,,"PN-6 " "140029","COPLEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","132 patients",,,"AMI-2 " "140029","COPLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","570 patients","2 ","2","SCIP-INF-1 " "140029","COPLEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","145 patients",,,"PN-2 " "140029","COPLEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","211 patients",,,"HF-2 " "140029","COPLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","541 patients","2 ","2","SCIP-INF-3 " "140029","COPLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","225 patients","2 ","2","SCIP-VTE-1 " "140029","COPLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","225 patients","2 ","2","SCIP-VTE-2 " "140029","COPLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","576 patients","2 ","2","SCIP-INF-2 " "140029","COPLEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"HF-3 " "140029","COPLEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "140029","COPLEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140029","COPLEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","123 patients",,,"AMI-5 " "140029","COPLEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","137 patients",,,"AMI-1 " "140029","COPLEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","155 patients",,,"HF-1 " "140029","COPLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","117 patients","2 ","2","SCIP-INF-4 " "140029","COPLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","112 patients","2 ","2","SCIP-CARD-2 " "140029","COPLEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"PN-4 " "140030","SHERMAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","166 patients",,,"AMI-1 " "140030","SHERMAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","119 patients",,,"SCIP-CARD-2 " "140030","SHERMAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","67 patients",,,"HF-3 " "140030","SHERMAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","60 patients",,,"AMI-4 " "140030","SHERMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","500 patients",,,"SCIP-INF-3 " "140030","SHERMAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","71 patients",,,"PN-4 " "140030","SHERMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","541 patients",,,"SCIP-INF-2 " "140030","SHERMAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","222 patients",,,"PN-5C " "140030","SHERMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","541 patients",,,"SCIP-INF-1 " "140030","SHERMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","847 patients",,,"SCIP-INF-6 " "140030","SHERMAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","183 patients",,,"AMI-2 " "140030","SHERMAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"AMI-3 " "140030","SHERMAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","360 patients",,,"SCIP-VTE-2 " "140030","SHERMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","136 patients",,,"SCIP-INF-4 " "140030","SHERMAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","153 patients",,,"PN-6 " "140030","SHERMAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","207 patients",,,"HF-1 " "140030","SHERMAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","212 patients",,,"PN-3B " "140030","SHERMAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","44 patients",,,"AMI-8A " "140030","SHERMAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","177 patients",,,"AMI-5 " "140030","SHERMAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","127 patients",,,"PN-7 " "140030","SHERMAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140030","SHERMAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","360 patients",,,"SCIP-VTE-1 " "140030","SHERMAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","275 patients",,,"HF-2 " "140030","SHERMAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","46 patients",,,"HF-4 " "140030","SHERMAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","178 patients",,,"PN-2 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","149 patients",,,"PN-3B " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","171 patients",,,"PN-2 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","42 patients",,,"HF-3 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","413 patients",,,"SCIP-VTE-1 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","21 patients","1 ","1","AMI-1 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","89 patients",,,"PN-6 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","689 patients",,,"SCIP-INF-2 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","155 patients",,,"PN-5C " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","169 patients",,,"HF-1 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"HF-4 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","687 patients",,,"SCIP-INF-1 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","227 patients",,,"HF-2 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","413 patients",,,"SCIP-VTE-2 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","898 patients",,,"SCIP-INF-6 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","40 patients",,,"PN-4 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","664 patients",,,"SCIP-INF-3 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","107 patients",,,"PN-7 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","133 patients",,,"SCIP-CARD-2 " "140032","ST ANTHONYS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140033","VISTA MEDICAL CENTER WEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "140033","VISTA MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "140033","VISTA MEDICAL CENTER WEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "140033","VISTA MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "140033","VISTA MEDICAL CENTER WEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "140033","VISTA MEDICAL CENTER WEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "140033","VISTA MEDICAL CENTER WEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "140033","VISTA MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "140033","VISTA MEDICAL CENTER WEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "140033","VISTA MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "140033","VISTA MEDICAL CENTER WEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "140033","VISTA MEDICAL CENTER WEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "140033","VISTA MEDICAL CENTER WEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "140033","VISTA MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "140033","VISTA MEDICAL CENTER WEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "140033","VISTA MEDICAL CENTER WEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "140033","VISTA MEDICAL CENTER WEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "140033","VISTA MEDICAL CENTER WEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "140033","VISTA MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "140033","VISTA MEDICAL CENTER WEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "140033","VISTA MEDICAL CENTER WEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "140033","VISTA MEDICAL CENTER WEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "140033","VISTA MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "140033","VISTA MEDICAL CENTER WEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "140033","VISTA MEDICAL CENTER WEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "140034","ST MARYS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140034","ST MARYS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "140034","ST MARYS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","28 patients",,,"AMI-2 " "140034","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","114 patients",,,"SCIP-INF-2 " "140034","ST MARYS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","66 patients",,,"PN-3B " "140034","ST MARYS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","167 patients",,,"PN-5C " "140034","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","98 patients",,,"SCIP-INF-3 " "140034","ST MARYS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140034","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","109 patients",,,"SCIP-VTE-2 " "140034","ST MARYS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","125 patients",,,"PN-7 " "140034","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","109 patients",,,"SCIP-VTE-1 " "140034","ST MARYS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","71 patients",,,"PN-6 " "140034","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","199 patients",,,"SCIP-INF-6 " "140034","ST MARYS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "140034","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140034","ST MARYS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","65 patients",,,"HF-3 " "140034","ST MARYS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","166 patients",,,"HF-1 " "140034","ST MARYS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","42 patients",,,"AMI-1 " "140034","ST MARYS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","35 patients",,,"AMI-5 " "140034","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","28 patients",,,"SCIP-CARD-2 " "140034","ST MARYS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "140034","ST MARYS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "140034","ST MARYS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","213 patients",,,"HF-2 " "140034","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","115 patients",,,"SCIP-INF-1 " "140034","ST MARYS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","140 patients",,,"PN-2 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","33 patients",,,"AMI-5 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","151 patients",,,"SCIP-INF-1 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","61 patients",,,"PN-6 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","174 patients","2 ","2","SCIP-VTE-1 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","32 patients",,,"AMI-1 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","63 patients",,,"PN-2 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","57%","7 patients","1 ","1","AMI-8A " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","94 patients","2 ","2","SCIP-CARD-2 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","61 patients",,,"PN-7 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","174 patients","2 ","2","SCIP-VTE-2 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","119 patients",,,"HF-4 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","33 patients",,,"AMI-2 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","77 patients",,,"PN-5C " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","146 patients",,,"SCIP-INF-3 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","337 patients",,,"HF-2 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","152 patients",,,"SCIP-INF-2 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","327 patients",,,"HF-1 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","240 patients","2 ","2","SCIP-INF-6 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","77 patients",,,"PN-3B " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","182 patients",,,"HF-3 " "14003F","JESSE BROWN VA MEDICAL CENTER - VA CHICAGO H","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "140040","GALESBURG COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","132 patients","2 ","2","SCIP-VTE-1 " "140040","GALESBURG COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","57 patients",,,"HF-1 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "140040","GALESBURG COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","164 patients","2 ","2","SCIP-INF-1 " "140040","GALESBURG COTTAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","65 patients",,,"PN-6 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140040","GALESBURG COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","165 patients","2 ","2","SCIP-INF-2 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "140040","GALESBURG COTTAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","98 patients",,,"PN-7 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140040","GALESBURG COTTAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "140040","GALESBURG COTTAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "140040","GALESBURG COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","131 patients","2 ","2","SCIP-VTE-2 " "140040","GALESBURG COTTAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","121 patients",,,"PN-3B " "140040","GALESBURG COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","154 patients","2 ","2","SCIP-INF-3 " "140040","GALESBURG COTTAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","114 patients",,,"PN-5C " "140040","GALESBURG COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","40 patients","2 ","2","SCIP-CARD-2 " "140040","GALESBURG COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","249 patients","2 ","2","SCIP-INF-6 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "140040","GALESBURG COTTAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","105 patients",,,"PN-2 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "140040","GALESBURG COTTAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","101 patients",,,"HF-2 " "140043","CGH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "140043","CGH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","151 patients",,,"HF-1 " "140043","CGH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","60 patients",,,"PN-6 " "140043","CGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","305 patients","2 ","2","SCIP-INF-2 " "140043","CGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140043","CGH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","197 patients",,,"HF-2 " "140043","CGH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","84%","19 patients","1 ","1","HF-4 " "140043","CGH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","79 patients",,,"PN-7 " "140043","CGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","419 patients","2 ","2","SCIP-INF-6 " "140043","CGH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","120 patients",,,"PN-2 " "140043","CGH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","31%","13 patients","1 ","1","AMI-8A " "140043","CGH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140043","CGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","236 patients","2 ","2","SCIP-VTE-1 " "140043","CGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","59 patients","2 ","2","SCIP-CARD-2 " "140043","CGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","300 patients","2 ","2","SCIP-INF-3 " "140043","CGH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","126 patients",,,"PN-3B " "140043","CGH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"PN-4 " "140043","CGH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","AMI-3 " "140043","CGH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","35 patients",,,"AMI-2 " "140043","CGH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","128 patients",,,"PN-5C " "140043","CGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","304 patients","2 ","2","SCIP-INF-1 " "140043","CGH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","44 patients",,,"HF-3 " "140043","CGH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "140043","CGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","234 patients","2 ","2","SCIP-VTE-2 " "140043","CGH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","44 patients",,,"AMI-1 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","266 patients",,,"SCIP-VTE-1 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"AMI-4 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","107 patients",,,"AMI-1 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","103 patients",,,"SCIP-CARD-2 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","105 patients",,,"PN-7 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","148 patients",,,"HF-1 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","122 patients",,,"PN-3B " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","181 patients",,,"HF-2 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","20 patients","1 ","1","AMI-8A " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","40 patients",,,"AMI-3 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","153 patients",,,"PN-2 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","697 patients",,,"SCIP-INF-6 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","67 patients",,,"HF-3 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","172 patients",,,"AMI-5 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","540 patients",,,"SCIP-INF-1 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","99 patients",,,"PN-6 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","539 patients",,,"SCIP-INF-2 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"PN-4 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","517 patients",,,"SCIP-INF-3 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","266 patients",,,"SCIP-VTE-2 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","172 patients",,,"AMI-2 " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","154 patients",,,"PN-5C " "140046","GOOD SAMARITAN REGIONAL HLTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","47 patients",,,"SCIP-INF-4 " "140048","ADVOCATE TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140048","ADVOCATE TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","253 patients","2 ","2","SCIP-INF-1 " "140048","ADVOCATE TRINITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","158 patients",,,"HF-3 " "140048","ADVOCATE TRINITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","141 patients",,,"PN-7 " "140048","ADVOCATE TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","198 patients","2 ","2","SCIP-VTE-2 " "140048","ADVOCATE TRINITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","13 patients","1 ","1","AMI-8A " "140048","ADVOCATE TRINITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","412 patients",,,"HF-1 " "140048","ADVOCATE TRINITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","140 patients",,,"AMI-1 " "140048","ADVOCATE TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","58 patients","2 ","2","SCIP-CARD-2 " "140048","ADVOCATE TRINITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140048","ADVOCATE TRINITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","68 patients",,,"AMI-5 " "140048","ADVOCATE TRINITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","463 patients",,,"HF-2 " "140048","ADVOCATE TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","398 patients","2 ","2","SCIP-INF-6 " "140048","ADVOCATE TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","253 patients","2 ","2","SCIP-INF-2 " "140048","ADVOCATE TRINITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","259 patients",,,"PN-5C " "140048","ADVOCATE TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","198 patients","2 ","2","SCIP-VTE-1 " "140048","ADVOCATE TRINITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","199 patients",,,"PN-2 " "140048","ADVOCATE TRINITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","174 patients",,,"PN-6 " "140048","ADVOCATE TRINITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "140048","ADVOCATE TRINITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","67 patients",,,"AMI-2 " "140048","ADVOCATE TRINITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","228 patients",,,"PN-3B " "140048","ADVOCATE TRINITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"HF-4 " "140048","ADVOCATE TRINITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","94 patients",,,"PN-4 " "140048","ADVOCATE TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","238 patients","2 ","2","SCIP-INF-3 " "140048","ADVOCATE TRINITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "140049","WEST SUBURBAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","83 patients","2 ","2","PN-7 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","72 patients",,,"AMI-2 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","71 patients",,,"AMI-5 " "140049","WEST SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","34 patients","2 ","2","SCIP-INF-4 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","136 patients","2 ","2","HF-3 " "140049","WEST SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","431 patients","2 ","2","SCIP-INF-6 " "140049","WEST SUBURBAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","164 patients","2 ","2","PN-5C " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"AMI-4 " "140049","WEST SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","300 patients","2 ","2","SCIP-INF-2 " "140049","WEST SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","294 patients","2 ","2","SCIP-INF-1 " "140049","WEST SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","215 patients","2 ","2","SCIP-VTE-2 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","16 patients","1 ","1","AMI-8A " "140049","WEST SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","215 patients","2 ","2","SCIP-VTE-1 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "140049","WEST SUBURBAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","182 patients","2 ","2","PN-3B " "140049","WEST SUBURBAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","118 patients","2 ","2","PN-6 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","24 patients","1 ","1","AMI-3 " "140049","WEST SUBURBAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","73 patients","2 ","2","PN-4 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","76 patients",,,"AMI-1 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","288 patients","2 ","2","HF-1 " "140049","WEST SUBURBAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","100 patients","2 ","2","PN-2 " "140049","WEST SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","287 patients","2 ","2","SCIP-INF-3 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","317 patients","2 ","2","HF-2 " "140049","WEST SUBURBAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","99 patients","2 ","2","HF-4 " "140049","WEST SUBURBAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","66 patients","2 ","2","SCIP-CARD-2 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","51 patients","2 ","2","SCIP-VTE-1 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","33 patients",,,"PN-6 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","24 patients","1 ","1","PN-3B " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","60 patients",,,"PN-2 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","53 patients",,,"PN-5C " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","72 patients","2 ","2","SCIP-INF-6 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"HF-4 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","49 patients",,,"SCIP-INF-3 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","50 patients",,,"SCIP-INF-2 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","103 patients",,,"HF-2 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","80 patients",,,"HF-1 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","48 patients","2 ","2","SCIP-CARD-2 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","50 patients",,,"SCIP-INF-1 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"HF-3 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","54 patients",,,"PN-7 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","51 patients","2 ","2","SCIP-VTE-2 " "14004F","VA ILLIANA HEALTHCARE SYSTEM - DANVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "140051","SKOKIE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","341 patients",,,"HF-2 " "140051","SKOKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","332 patients","2 ","2","SCIP-INF-1 " "140051","SKOKIE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","25 patients",,,"PN-4 " "140051","SKOKIE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","169 patients","2 ","2","SCIP-VTE-2 " "140051","SKOKIE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","228 patients",,,"HF-1 " "140051","SKOKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","489 patients","2 ","2","SCIP-INF-6 " "140051","SKOKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","71 patients","2 ","2","SCIP-INF-4 " "140051","SKOKIE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","22 patients","1 ","1","AMI-3 " "140051","SKOKIE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","131 patients",,,"PN-7 " "140051","SKOKIE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","222 patients",,,"PN-2 " "140051","SKOKIE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140051","SKOKIE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","26 patients",,,"AMI-8A " "140051","SKOKIE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","99 patients",,,"PN-3B " "140051","SKOKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","320 patients","2 ","2","SCIP-INF-3 " "140051","SKOKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","331 patients","2 ","2","SCIP-INF-2 " "140051","SKOKIE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","93 patients",,,"HF-3 " "140051","SKOKIE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","108 patients",,,"PN-6 " "140051","SKOKIE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","83 patients","2 ","2","SCIP-CARD-2 " "140051","SKOKIE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1 ","1","HF-4 " "140051","SKOKIE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","112 patients",,,"AMI-2 " "140051","SKOKIE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","125 patients",,,"AMI-1 " "140051","SKOKIE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","169 patients","2 ","2","SCIP-VTE-1 " "140051","SKOKIE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","189 patients",,,"PN-5C " "140051","SKOKIE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","25 patients",,,"AMI-4 " "140051","SKOKIE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","112 patients",,,"AMI-5 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "140052","SAINT ANTHONY'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","232 patients","2 ","2","SCIP-INF-1 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","43 patients",,,"AMI-2 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","94 patients",,,"HF-1 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","43 patients",,,"AMI-1 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","135 patients",,,"HF-2 " "140052","SAINT ANTHONY'S HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","138 patients",,,"PN-2 " "140052","SAINT ANTHONY'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","228 patients","2 ","2","SCIP-INF-3 " "140052","SAINT ANTHONY'S HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","95 patients",,,"PN-6 " "140052","SAINT ANTHONY'S HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","49 patients",,,"SCIP-CARD-2 " "140052","SAINT ANTHONY'S HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","119 patients","2 ","2","SCIP-VTE-2 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","41 patients",,,"AMI-5 " "140052","SAINT ANTHONY'S HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","92 patients",,,"PN-7 " "140052","SAINT ANTHONY'S HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","119 patients","2 ","2","SCIP-VTE-1 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "140052","SAINT ANTHONY'S HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "140052","SAINT ANTHONY'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","230 patients","2 ","2","SCIP-INF-2 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140052","SAINT ANTHONY'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","290 patients","2 ","2","SCIP-INF-6 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"HF-3 " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "140052","SAINT ANTHONY'S HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","151 patients",,,"PN-5C " "140052","SAINT ANTHONY'S HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "140052","SAINT ANTHONY'S HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "140052","SAINT ANTHONY'S HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","138 patients",,,"PN-3B " "140053","ST JOHNS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","247 patients","2 ","2","HF-1 " "140053","ST JOHNS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","175 patients","2 ","2","SCIP-INF-4 " "140053","ST JOHNS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","37 patients",,,"AMI-8A " "140053","ST JOHNS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","65 patients","2 ","2","PN-6 " "140053","ST JOHNS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","292 patients","2 ","2","HF-2 " "140053","ST JOHNS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","66 patients","2 ","2","PN-3B " "140053","ST JOHNS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","499 patients",,,"AMI-5 " "140053","ST JOHNS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","143 patients","2 ","2","SCIP-CARD-2 " "140053","ST JOHNS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","91 patients","2 ","2","PN-5C " "140053","ST JOHNS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","HF-4 " "140053","ST JOHNS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","536 patients",,,"AMI-2 " "140053","ST JOHNS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","526 patients","2 ","2","SCIP-INF-2 " "140053","ST JOHNS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","75 patients","2 ","2","PN-4 " "140053","ST JOHNS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","480 patients","2 ","2","SCIP-INF-3 " "140053","ST JOHNS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","213 patients","2 ","2","SCIP-VTE-1 " "140053","ST JOHNS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","514 patients","2 ","2","SCIP-INF-1 " "140053","ST JOHNS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","119 patients","2 ","2","HF-3 " "140053","ST JOHNS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","129 patients","2 ","2","PN-2 " "140053","ST JOHNS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","178 patients",,,"AMI-1 " "140053","ST JOHNS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","88 patients","2 ","2","PN-7 " "140053","ST JOHNS HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","52 patients",,,"CAC-1 " "140053","ST JOHNS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","717 patients","2 ","2","SCIP-INF-6 " "140053","ST JOHNS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140053","ST JOHNS HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","25%","51 patients",,,"CAC-3 " "140053","ST JOHNS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","108 patients",,,"AMI-3 " "140053","ST JOHNS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","213 patients","2 ","2","SCIP-VTE-2 " "140053","ST JOHNS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","221 patients",,,"AMI-4 " "140053","ST JOHNS HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","52 patients",,,"CAC-2 " "140054","MACNEAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"PN-4 " "140054","MACNEAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","472 patients",,,"HF-2 " "140054","MACNEAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","445 patients","2 ","2","SCIP-INF-3 " "140054","MACNEAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","174 patients",,,"PN-6 " "140054","MACNEAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "140054","MACNEAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","190 patients",,,"AMI-5 " "140054","MACNEAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","170 patients",,,"HF-3 " "140054","MACNEAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","670 patients","2 ","2","SCIP-INF-6 " "140054","MACNEAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","372 patients",,,"HF-1 " "140054","MACNEAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","191 patients",,,"AMI-1 " "140054","MACNEAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","282 patients","2 ","2","SCIP-VTE-1 " "140054","MACNEAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "140054","MACNEAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","484 patients","2 ","2","SCIP-INF-1 " "140054","MACNEAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","499 patients","2 ","2","SCIP-INF-2 " "140054","MACNEAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","128 patients","2 ","2","SCIP-CARD-2 " "140054","MACNEAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","45 patients",,,"AMI-8A " "140054","MACNEAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","190 patients",,,"PN-7 " "140054","MACNEAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","164 patients",,,"AMI-2 " "140054","MACNEAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140054","MACNEAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","72 patients","2 ","2","SCIP-INF-4 " "140054","MACNEAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"AMI-4 " "140054","MACNEAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","256 patients",,,"PN-2 " "140054","MACNEAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","282 patients","2 ","2","SCIP-VTE-2 " "140054","MACNEAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","290 patients",,,"PN-5C " "140054","MACNEAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","318 patients",,,"PN-3B " "140058","PASSAVANT AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","67 patients","2 ","2","HF-1 " "140058","PASSAVANT AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","148 patients","2 ","2","PN-2 " "140058","PASSAVANT AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","133 patients","2 ","2","PN-6 " "140058","PASSAVANT AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140058","PASSAVANT AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","106 patients","2 ","2","HF-2 " "140058","PASSAVANT AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","118 patients","2 ","2","SCIP-VTE-2 " "140058","PASSAVANT AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","64 patients","2 ","2","PN-4 " "140058","PASSAVANT AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140058","PASSAVANT AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","233 patients","2 ","2","SCIP-INF-1 " "140058","PASSAVANT AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "140058","PASSAVANT AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","228 patients","2 ","2","SCIP-INF-2 " "140058","PASSAVANT AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1,2 ","12","HF-3 " "140058","PASSAVANT AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "140058","PASSAVANT AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1,2 ","12","HF-4 " "140058","PASSAVANT AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","87 patients","2 ","2","PN-7 " "140058","PASSAVANT AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","304 patients","2 ","2","SCIP-INF-6 " "140058","PASSAVANT AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "140058","PASSAVANT AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","222 patients","2 ","2","SCIP-INF-3 " "140058","PASSAVANT AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1 ","1","AMI-2 " "140058","PASSAVANT AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1 ","1","AMI-1 " "140058","PASSAVANT AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","118 patients","2 ","2","SCIP-VTE-1 " "140058","PASSAVANT AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","216 patients","2 ","2","PN-3B " "140058","PASSAVANT AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","203 patients","2 ","2","PN-5C " "140058","PASSAVANT AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140058","PASSAVANT AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","42 patients","2 ","2","SCIP-CARD-2 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "140059","JERSEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","63 patients",,,"PN-7 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","HF-4 " "140059","JERSEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","98 patients",,,"PN-5C " "140059","JERSEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","21 patients","1 ","1","HF-3 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","60 patients",,,"HF-1 " "140059","JERSEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","16 patients","1 ","1","SCIP-VTE-1 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140059","JERSEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","65 patients",,,"PN-6 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","22 patients","1 ","1","AMI-1 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","98 patients",,,"HF-2 " "140059","JERSEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","94 patients",,,"PN-2 " "140059","JERSEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","29%","7 patients","1 ","1","SCIP-CARD-2 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "140059","JERSEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","32 patients",,,"SCIP-INF-2 " "140059","JERSEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","108 patients",,,"PN-3B " "140059","JERSEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","45 patients",,,"SCIP-INF-6 " "140059","JERSEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","31 patients",,,"SCIP-INF-3 " "140059","JERSEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140059","JERSEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","32 patients",,,"SCIP-INF-1 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140059","JERSEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","16 patients","1 ","1","SCIP-VTE-2 " "140059","JERSEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1 ","1","AMI-2 " "140062","PALOS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","289 patients","2 ","2","HF-2 " "140062","PALOS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","275 patients","2 ","2","AMI-1 " "140062","PALOS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","168 patients","2 ","2","PN-2 " "140062","PALOS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","142 patients","2 ","2","PN-5C " "140062","PALOS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","HF-4 " "140062","PALOS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","206 patients","2 ","2","HF-1 " "140062","PALOS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","621 patients","2 ","2","SCIP-INF-6 " "140062","PALOS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","74 patients","2 ","2","SCIP-CARD-2 " "140062","PALOS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","157 patients","2 ","2","PN-3B " "140062","PALOS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","104 patients","2 ","2","PN-7 " "140062","PALOS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","421 patients","2 ","2","SCIP-INF-2 " "140062","PALOS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","37 patients","2 ","2","PN-4 " "140062","PALOS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","50 patients","2 ","2","HF-3 " "140062","PALOS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140062","PALOS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","268 patients","2 ","2","SCIP-VTE-1 " "140062","PALOS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","130 patients","2 ","2","SCIP-INF-4 " "140062","PALOS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","105 patients","2 ","2","PN-6 " "140062","PALOS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","399 patients","2 ","2","SCIP-INF-3 " "140062","PALOS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","268 patients","2 ","2","SCIP-VTE-2 " "140062","PALOS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","415 patients","2 ","2","SCIP-INF-1 " "140062","PALOS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","27 patients","2 ","2","AMI-3 " "140062","PALOS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","235 patients","2 ","2","AMI-2 " "140062","PALOS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","60 patients","2 ","2","AMI-8A " "140062","PALOS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","77 patients","2 ","2","AMI-4 " "140062","PALOS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","232 patients","2 ","2","AMI-5 " "140063","RUSH OAK PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","136 patients",,,"SCIP-VTE-2 " "140063","RUSH OAK PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","75 patients",,,"HF-3 " "140063","RUSH OAK PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140063","RUSH OAK PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","283 patients",,,"SCIP-INF-6 " "140063","RUSH OAK PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","154 patients",,,"SCIP-INF-2 " "140063","RUSH OAK PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","33 patients",,,"AMI-1 " "140063","RUSH OAK PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "140063","RUSH OAK PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","138 patients",,,"SCIP-VTE-1 " "140063","RUSH OAK PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","98 patients",,,"PN-2 " "140063","RUSH OAK PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "140063","RUSH OAK PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","209 patients",,,"HF-2 " "140063","RUSH OAK PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","66 patients",,,"PN-7 " "140063","RUSH OAK PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "140063","RUSH OAK PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "140063","RUSH OAK PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","168 patients",,,"HF-1 " "140063","RUSH OAK PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "140063","RUSH OAK PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "140063","RUSH OAK PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","80 patients",,,"PN-6 " "140063","RUSH OAK PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","120 patients",,,"PN-5C " "140063","RUSH OAK PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "140063","RUSH OAK PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","149 patients",,,"SCIP-INF-3 " "140063","RUSH OAK PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","153 patients",,,"SCIP-INF-1 " "140063","RUSH OAK PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","28 patients",,,"AMI-2 " "140063","RUSH OAK PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","47 patients",,,"SCIP-CARD-2 " "140063","RUSH OAK PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","73 patients",,,"PN-3B " "140064","ST MARY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","35 patients",,,"AMI-1 " "140064","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140064","ST MARY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","21 patients","1 ","1","AMI-2 " "140064","ST MARY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","69 patients",,,"HF-3 " "140064","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","236 patients",,,"SCIP-VTE-1 " "140064","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","244 patients",,,"SCIP-INF-3 " "140064","ST MARY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "140064","ST MARY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "140064","ST MARY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","210 patients",,,"PN-5C " "140064","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","40 patients",,,"SCIP-CARD-2 " "140064","ST MARY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","168 patients",,,"PN-2 " "140064","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","258 patients",,,"SCIP-INF-1 " "140064","ST MARY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","119 patients",,,"HF-1 " "140064","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","381 patients",,,"SCIP-INF-6 " "140064","ST MARY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","24 patients","1 ","1","AMI-5 " "140064","ST MARY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","113 patients",,,"PN-6 " "140064","ST MARY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","167 patients",,,"PN-3B " "140064","ST MARY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140064","ST MARY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","160 patients",,,"HF-2 " "140064","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","236 patients",,,"SCIP-VTE-2 " "140064","ST MARY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "140064","ST MARY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140064","ST MARY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","116 patients",,,"PN-7 " "140064","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","258 patients",,,"SCIP-INF-2 " "140064","ST MARY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","47 patients",,,"PN-4 " "140065","LA GRANGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","74 patients","2 ","2","SCIP-INF-4 " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","26 patients",,,"AMI-8A " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","331 patients",,,"HF-2 " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"AMI-3 " "140065","LA GRANGE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","161 patients",,,"PN-7 " "140065","LA GRANGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","302 patients","2 ","2","SCIP-INF-2 " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","246 patients",,,"HF-1 " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"HF-4 " "140065","LA GRANGE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","287 patients",,,"PN-5C " "140065","LA GRANGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","300 patients","2 ","2","SCIP-INF-1 " "140065","LA GRANGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","282 patients","2 ","2","SCIP-INF-3 " "140065","LA GRANGE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","252 patients",,,"PN-2 " "140065","LA GRANGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","67 patients","2 ","2","SCIP-CARD-2 " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","73 patients",,,"HF-3 " "140065","LA GRANGE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","253 patients",,,"PN-3B " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","131 patients",,,"AMI-1 " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","107 patients",,,"AMI-5 " "140065","LA GRANGE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"PN-4 " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","104 patients",,,"AMI-2 " "140065","LA GRANGE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","152 patients",,,"PN-6 " "140065","LA GRANGE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"AMI-4 " "140065","LA GRANGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","431 patients","2 ","2","SCIP-INF-6 " "140065","LA GRANGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","203 patients","2 ","2","SCIP-VTE-1 " "140065","LA GRANGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","203 patients","2 ","2","SCIP-VTE-2 " "140067","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","392 patients",,,"PN-5C " "140067","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","254 patients",,,"PN-6 " "140067","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","381 patients","2 ","2","SCIP-INF-4 " "140067","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1862 patients","2 ","2","SCIP-INF-6 " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","467 patients",,,"HF-2 " "140067","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","1457 patients","2 ","2","SCIP-INF-1 " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"HF-4 " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","226 patients",,,"AMI-1 " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","497 patients",,,"AMI-5 " "140067","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","198 patients",,,"PN-4 " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","535 patients",,,"AMI-2 " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","242 patients",,,"AMI-4 " "140067","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1478 patients","2 ","2","SCIP-INF-2 " "140067","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","582 patients","2 ","2","SCIP-VTE-1 " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","85 patients",,,"AMI-3 " "140067","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","302 patients",,,"PN-3B " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","67 patients",,,"AMI-8A " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","157 patients",,,"HF-3 " "140067","SAINT FRANCIS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","386 patients",,,"HF-1 " "140067","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","582 patients","2 ","2","SCIP-VTE-2 " "140067","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","261 patients","2 ","2","SCIP-CARD-2 " "140067","SAINT FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","1406 patients","2 ","2","SCIP-INF-3 " "140067","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","303 patients",,,"PN-7 " "140067","SAINT FRANCIS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","415 patients",,,"PN-2 " "140068","ROSELAND COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","31%","86 patients","2 ","2","PN-2 " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","65%","98 patients","2 ","2","HF-3 " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","99 patients","2 ","2","HF-4 " "140068","ROSELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","3%","37 patients",,,"SCIP-VTE-1 " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "140068","ROSELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","60%","10 patients","1 ","1","SCIP-INF-2 " "140068","ROSELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "140068","ROSELAND COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","35%","80 patients","2 ","2","PN-7 " "140068","ROSELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","62%","69 patients",,,"SCIP-INF-6 " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","8 patients","1 ","1","AMI-2 " "140068","ROSELAND COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","140 patients","2 ","2","PN-5C " "140068","ROSELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","5%","22 patients","1 ","1","SCIP-VTE-2 " "140068","ROSELAND COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","72 patients","2 ","2","PN-4 " "140068","ROSELAND COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","102 patients","2 ","2","PN-3B " "140068","ROSELAND COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","61%","109 patients","2 ","2","PN-6 " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","69%","16 patients","1 ","1","AMI-1 " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","230 patients","2 ","2","HF-1 " "140068","ROSELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","60%","10 patients","1 ","1","SCIP-INF-1 " "140068","ROSELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","9 patients","1 ","1","SCIP-INF-3 " "140068","ROSELAND COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","252 patients","2 ","2","HF-2 " "140068","ROSELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1 ","1","SCIP-CARD-2 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","31 patients",,,"SCIP-INF-2 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","170 patients","2 ","2","HF-1 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","25 patients",,,"PN-6 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","29 patients",,,"SCIP-VTE-2 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"PN-4 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","74 patients","2 ","2","HF-3 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","66 patients",,,"SCIP-INF-6 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","22 patients","1 ","1","PN-7 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","30 patients",,,"SCIP-INF-1 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","29 patients",,,"SCIP-VTE-1 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","183 patients","2 ","2","HF-2 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1 ","1","AMI-2 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","45 patients",,,"PN-5C " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","77 patients","2 ","2","HF-4 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","30 patients",,,"SCIP-INF-3 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","74%","38 patients",,,"PN-3B " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140077","TOUCHETTE REGIONAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","24 patients","1 ","1","PN-2 " "14007F","HINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","218 patients",,,"SCIP-INF-1 " "14007F","HINES VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "14007F","HINES VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "14007F","HINES VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","36 patients",,,"AMI-2 " "14007F","HINES VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","239 patients",,,"HF-1 " "14007F","HINES VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "14007F","HINES VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","58 patients",,,"PN-6 " "14007F","HINES VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","121 patients",,,"PN-2 " "14007F","HINES VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","113 patients",,,"PN-3B " "14007F","HINES VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "14007F","HINES VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","97 patients",,,"PN-7 " "14007F","HINES VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","99 patients",,,"HF-3 " "14007F","HINES VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","261 patients",,,"HF-2 " "14007F","HINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","211 patients",,,"SCIP-INF-3 " "14007F","HINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","130 patients","2 ","2","SCIP-INF-4 " "14007F","HINES VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "14007F","HINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","118 patients","2 ","2","SCIP-VTE-1 " "14007F","HINES VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"PN-4 " "14007F","HINES VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","103 patients",,,"PN-5C " "14007F","HINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","190 patients","2 ","2","SCIP-CARD-2 " "14007F","HINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","336 patients","2 ","2","SCIP-INF-6 " "14007F","HINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","118 patients","2 ","2","SCIP-VTE-2 " "14007F","HINES VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-8A " "14007F","HINES VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "14007F","HINES VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","222 patients",,,"SCIP-INF-2 " "140080","RHC ST FRANCIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","401 patients",,,"PN-3B " "140080","RHC ST FRANCIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"AMI-3 " "140080","RHC ST FRANCIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","309 patients",,,"PN-2 " "140080","RHC ST FRANCIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","158 patients",,,"PN-6 " "140080","RHC ST FRANCIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","39 patients",,,"AMI-4 " "140080","RHC ST FRANCIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","384 patients",,,"PN-5C " "140080","RHC ST FRANCIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","111 patients",,,"AMI-5 " "140080","RHC ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","325 patients","2 ","2","SCIP-INF-3 " "140080","RHC ST FRANCIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","118 patients",,,"AMI-2 " "140080","RHC ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","76 patients","2 ","2","SCIP-CARD-2 " "140080","RHC ST FRANCIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140080","RHC ST FRANCIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","198 patients",,,"HF-1 " "140080","RHC ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","357 patients","2 ","2","SCIP-VTE-2 " "140080","RHC ST FRANCIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","294 patients",,,"HF-2 " "140080","RHC ST FRANCIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "140080","RHC ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","541 patients","2 ","2","SCIP-INF-6 " "140080","RHC ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","343 patients","2 ","2","SCIP-INF-2 " "140080","RHC ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","357 patients","2 ","2","SCIP-VTE-1 " "140080","RHC ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","346 patients","2 ","2","SCIP-INF-1 " "140080","RHC ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","44 patients","2 ","2","SCIP-INF-4 " "140080","RHC ST FRANCIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "140080","RHC ST FRANCIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","94 patients",,,"HF-3 " "140080","RHC ST FRANCIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","226 patients",,,"PN-7 " "140080","RHC ST FRANCIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","128 patients",,,"AMI-1 " "140080","RHC ST FRANCIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","19 patients","1 ","1","AMI-8A " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","185 patients","2 ","2","SCIP-VTE-2 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","40 patients",,,"AMI-4 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","244 patients","2 ","2","SCIP-INF-2 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","93 patients",,,"AMI-2 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","61 patients",,,"PN-4 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","65 patients",,,"HF-4 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","203 patients",,,"PN-2 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","137 patients",,,"PN-7 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","92 patients",,,"HF-3 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","200 patients",,,"PN-5C " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","99 patients",,,"AMI-5 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","239 patients",,,"PN-3B " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","274 patients",,,"HF-2 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","241 patients","2 ","2","SCIP-INF-1 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","11 patients","1 ","1","AMI-8A " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","69 patients","2 ","2","SCIP-CARD-2 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","383 patients","2 ","2","SCIP-INF-6 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","185 patients","2 ","2","SCIP-VTE-1 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","53%","15 patients","1,2 ","12","SCIP-INF-4 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","52 patients",,,"PN-6 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","217 patients","2 ","2","SCIP-INF-3 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","96 patients",,,"AMI-1 " "140082","VHS ACQUISTION DBA LOUIS A WEISS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","198 patients",,,"HF-1 " "140083","LORETTO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "140083","LORETTO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","92 patients",,,"PN-5C " "140083","LORETTO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","44 patients","2 ","2","HF-4 " "140083","LORETTO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","96 patients","2 ","2","HF-1 " "140083","LORETTO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "140083","LORETTO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-7A " "140083","LORETTO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","153 patients","2 ","2","HF-2 " "140083","LORETTO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140083","LORETTO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140083","LORETTO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","6 patients","1 ","1","SCIP-INF-1 " "140083","LORETTO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","19 patients","1 ","1","AMI-1 " "140083","LORETTO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "140083","LORETTO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","10 patients","1 ","1","SCIP-VTE-2 " "140083","LORETTO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "140083","LORETTO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"PN-4 " "140083","LORETTO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-2 " "140083","LORETTO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","95 patients",,,"PN-3B " "140083","LORETTO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "140083","LORETTO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "140083","LORETTO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","36 patients",,,"PN-7 " "140083","LORETTO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","55 patients","2 ","2","HF-3 " "140083","LORETTO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","22 patients","1 ","1","SCIP-INF-6 " "140083","LORETTO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","55%","11 patients","1 ","1","SCIP-VTE-1 " "140083","LORETTO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","47 patients",,,"PN-2 " "140083","LORETTO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","39 patients",,,"PN-6 " "140084","VISTA MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","263 patients","2 ","2","SCIP-INF-2 " "140084","VISTA MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","139 patients","2 ","2","SCIP-VTE-1 " "140084","VISTA MEDICAL CENTER EAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"AMI-4 " "140084","VISTA MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","266 patients","2 ","2","SCIP-INF-1 " "140084","VISTA MEDICAL CENTER EAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","208 patients",,,"PN-5C " "140084","VISTA MEDICAL CENTER EAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","145 patients",,,"PN-7 " "140084","VISTA MEDICAL CENTER EAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","142 patients",,,"AMI-1 " "140084","VISTA MEDICAL CENTER EAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","100 patients",,,"PN-4 " "140084","VISTA MEDICAL CENTER EAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","101 patients",,,"HF-4 " "140084","VISTA MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","49 patients","2 ","2","SCIP-INF-4 " "140084","VISTA MEDICAL CENTER EAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","136 patients",,,"AMI-2 " "140084","VISTA MEDICAL CENTER EAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","146 patients",,,"AMI-5 " "140084","VISTA MEDICAL CENTER EAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","319 patients",,,"HF-1 " "140084","VISTA MEDICAL CENTER EAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","30 patients",,,"AMI-3 " "140084","VISTA MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","250 patients","2 ","2","SCIP-INF-3 " "140084","VISTA MEDICAL CENTER EAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","96 patients",,,"PN-6 " "140084","VISTA MEDICAL CENTER EAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","151 patients",,,"HF-3 " "140084","VISTA MEDICAL CENTER EAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","385 patients",,,"HF-2 " "140084","VISTA MEDICAL CENTER EAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","139 patients",,,"PN-3B " "140084","VISTA MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","382 patients","2 ","2","SCIP-INF-6 " "140084","VISTA MEDICAL CENTER EAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140084","VISTA MEDICAL CENTER EAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","163 patients",,,"PN-2 " "140084","VISTA MEDICAL CENTER EAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","63%","19 patients","1 ","1","AMI-8A " "140084","VISTA MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","139 patients","2 ","2","SCIP-VTE-2 " "140084","VISTA MEDICAL CENTER EAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","52 patients","2 ","2","SCIP-CARD-2 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients","2 ","2","HF-4 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","103 patients","2 ","2","SCIP-INF-4 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","43 patients","2 ","2","PN-4 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","570 patients","2 ","2","SCIP-INF-6 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","271 patients","2 ","2","CAC-2 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","45 patients","2 ","2","PN-5C " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","158 patients","2 ","2","HF-3 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","364 patients","2 ","2","SCIP-INF-1 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","144 patients","2 ","2","AMI-2 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","275 patients","2 ","2","CAC-1 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","88 patients","2 ","2","SCIP-CARD-2 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","148 patients","2 ","2","AMI-5 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","226 patients","2 ","2","SCIP-VTE-2 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","103 patients","2 ","2","AMI-1 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","53 patients","2 ","2","PN-3B " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","22 patients","1,2 ","12","PN-6 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","15 patients","1,2 ","12","AMI-8A " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","63 patients","2 ","2","AMI-4 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","226 patients","2 ","2","SCIP-VTE-1 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","287 patients","2 ","2","HF-2 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","351 patients","2 ","2","SCIP-INF-3 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients","2 ","2","AMI-3 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","275 patients","2 ","2","HF-1 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","10%","273 patients","2 ","2","CAC-3 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","68 patients","2 ","2","PN-7 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","375 patients","2 ","2","SCIP-INF-2 " "140088","THE UNIVERSITY OF CHICAGO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","83 patients","2 ","2","PN-2 " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "140089","MC DONOUGH DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","20 patients","1 ","1","PN-4 " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140089","MC DONOUGH DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","68 patients",,,"PN-7 " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140089","MC DONOUGH DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140089","MC DONOUGH DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","110 patients",,,"PN-2 " "140089","MC DONOUGH DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","101 patients",,,"SCIP-INF-3 " "140089","MC DONOUGH DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","158 patients",,,"SCIP-INF-6 " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","53 patients",,,"HF-1 " "140089","MC DONOUGH DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","103 patients",,,"SCIP-INF-2 " "140089","MC DONOUGH DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","74 patients",,,"PN-6 " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1 ","1","AMI-1 " "140089","MC DONOUGH DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "140089","MC DONOUGH DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","64 patients",,,"SCIP-VTE-1 " "140089","MC DONOUGH DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","88 patients",,,"PN-5C " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","27 patients",,,"HF-3 " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","97 patients",,,"HF-2 " "140089","MC DONOUGH DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","102 patients",,,"SCIP-INF-1 " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "140089","MC DONOUGH DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","64 patients",,,"SCIP-VTE-2 " "140089","MC DONOUGH DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","20 patients","1 ","1","PN-3B " "140089","MC DONOUGH DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "14008F","MARION IL VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","92 patients",,,"PN-5C " "14008F","MARION IL VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "14008F","MARION IL VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","69 patients",,,"HF-3 " "14008F","MARION IL VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "14008F","MARION IL VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "14008F","MARION IL VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "14008F","MARION IL VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "14008F","MARION IL VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "14008F","MARION IL VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","84 patients",,,"PN-7 " "14008F","MARION IL VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "14008F","MARION IL VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "14008F","MARION IL VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "14008F","MARION IL VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","75 patients",,,"PN-6 " "14008F","MARION IL VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "14008F","MARION IL VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "14008F","MARION IL VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "14008F","MARION IL VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "14008F","MARION IL VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","95 patients",,,"PN-2 " "14008F","MARION IL VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","181 patients",,,"HF-1 " "14008F","MARION IL VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","193 patients",,,"HF-2 " "14008F","MARION IL VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "14008F","MARION IL VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "14008F","MARION IL VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","84 patients",,,"PN-3B " "14008F","MARION IL VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "14008F","MARION IL VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "140091","CARLE FOUNDATION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","148 patients","2 ","2","AMI-1 " "140091","CARLE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","464 patients","2 ","2","SCIP-INF-1 " "140091","CARLE FOUNDATION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","93 patients","2 ","2","PN-7 " "140091","CARLE FOUNDATION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","133 patients","2 ","2","PN-2 " "140091","CARLE FOUNDATION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","223 patients","2 ","2","HF-1 " "140091","CARLE FOUNDATION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","57 patients","2 ","2","AMI-3 " "140091","CARLE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","117 patients","2 ","2","SCIP-CARD-2 " "140091","CARLE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","487 patients","2 ","2","SCIP-INF-2 " "140091","CARLE FOUNDATION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140091","CARLE FOUNDATION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","113 patients","2 ","2","PN-5C " "140091","CARLE FOUNDATION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","91 patients","2 ","2","AMI-4 " "140091","CARLE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","182 patients","2 ","2","SCIP-VTE-1 " "140091","CARLE FOUNDATION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","269 patients","2 ","2","AMI-2 " "140091","CARLE FOUNDATION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","HF-4 " "140091","CARLE FOUNDATION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","70 patients","2 ","2","PN-6 " "140091","CARLE FOUNDATION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","295 patients","2 ","2","HF-2 " "140091","CARLE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","677 patients","2 ","2","SCIP-INF-6 " "140091","CARLE FOUNDATION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","263 patients","2 ","2","AMI-5 " "140091","CARLE FOUNDATION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","106 patients","2 ","2","HF-3 " "140091","CARLE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","449 patients","2 ","2","SCIP-INF-3 " "140091","CARLE FOUNDATION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "140091","CARLE FOUNDATION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","30 patients","2 ","2","AMI-8A " "140091","CARLE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","182 patients","2 ","2","SCIP-VTE-2 " "140091","CARLE FOUNDATION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","126 patients","2 ","2","PN-3B " "140091","CARLE FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","154 patients","2 ","2","SCIP-INF-4 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","145 patients","2 ","2","SCIP-VTE-2 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","180 patients",,,"PN-7 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","213 patients",,,"HF-1 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","54 patients",,,"AMI-2 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","130 patients",,,"PN-4 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","178 patients","2 ","2","SCIP-INF-2 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","178 patients","2 ","2","SCIP-INF-1 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","257 patients",,,"PN-2 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","28 patients",,,"SCIP-CARD-2 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","216 patients",,,"PN-3B " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","242 patients",,,"PN-5C " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","74 patients",,,"AMI-1 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","145 patients","2 ","2","SCIP-VTE-1 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","277 patients",,,"HF-2 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","57 patients",,,"AMI-5 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","164 patients","2 ","2","SCIP-INF-3 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","75 patients",,,"HF-3 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","176 patients",,,"PN-6 " "140093","PROVENA UNITED SAMARITANS MEDCTR-LOGAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","280 patients","2 ","2","SCIP-INF-6 " "140095","SAINT ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","55 patients","2 ","2","SCIP-VTE-2 " "140095","SAINT ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","29 patients","2 ","2","SCIP-INF-2 " "140095","SAINT ANTHONY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","155 patients",,,"HF-1 " "140095","SAINT ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "140095","SAINT ANTHONY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","24 patients","1 ","1","AMI-2 " "140095","SAINT ANTHONY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","76 patients",,,"PN-7 " "140095","SAINT ANTHONY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","6 patients","1 ","1","AMI-7A " "140095","SAINT ANTHONY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "140095","SAINT ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","27 patients","2 ","2","SCIP-INF-3 " "140095","SAINT ANTHONY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","24 patients","1 ","1","AMI-5 " "140095","SAINT ANTHONY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","66 patients",,,"PN-6 " "140095","SAINT ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","56 patients","2 ","2","SCIP-VTE-1 " "140095","SAINT ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","72%","29 patients","2 ","2","SCIP-INF-1 " "140095","SAINT ANTHONY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"HF-4 " "140095","SAINT ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","98 patients","2 ","2","SCIP-INF-6 " "140095","SAINT ANTHONY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","124 patients",,,"PN-5C " "140095","SAINT ANTHONY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140095","SAINT ANTHONY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","36 patients",,,"PN-4 " "140095","SAINT ANTHONY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","124 patients",,,"PN-3B " "140095","SAINT ANTHONY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","38 patients",,,"AMI-1 " "140095","SAINT ANTHONY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","10 patients","1 ","1","AMI-3 " "140095","SAINT ANTHONY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","177 patients",,,"HF-2 " "140095","SAINT ANTHONY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","90 patients",,,"PN-2 " "140095","SAINT ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140095","SAINT ANTHONY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","87 patients",,,"HF-3 " "140100","MIDWESTERN REGION MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1,3 ","13","HF-1 " "140100","MIDWESTERN REGION MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","13 patients","1 ","1","SCIP-CARD-2 " "140100","MIDWESTERN REGION MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "140100","MIDWESTERN REGION MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1 ","1","PN-3B " "140100","MIDWESTERN REGION MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","137 patients","2 ","2","SCIP-INF-6 " "140100","MIDWESTERN REGION MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","35 patients","2 ","2","SCIP-INF-1 " "140100","MIDWESTERN REGION MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140100","MIDWESTERN REGION MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "140100","MIDWESTERN REGION MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","16 patients","1 ","1","PN-4 " "140100","MIDWESTERN REGION MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","28 patients","2 ","2","SCIP-INF-3 " "140100","MIDWESTERN REGION MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","5 patients","1,3 ","13","PN-5C " "140100","MIDWESTERN REGION MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","8%","13 patients","1 ","1","PN-7 " "140100","MIDWESTERN REGION MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","3 patients","1,3 ","13","HF-2 " "140100","MIDWESTERN REGION MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","31 patients","2 ","2","SCIP-INF-2 " "140100","MIDWESTERN REGION MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "140100","MIDWESTERN REGION MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "140100","MIDWESTERN REGION MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "140100","MIDWESTERN REGION MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","2 patients","1 ","1","PN-6 " "140100","MIDWESTERN REGION MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "140100","MIDWESTERN REGION MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","124 patients","2 ","2","SCIP-VTE-2 " "140100","MIDWESTERN REGION MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "140100","MIDWESTERN REGION MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","8 patients","1 ","1","PN-2 " "140100","MIDWESTERN REGION MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "140100","MIDWESTERN REGION MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","124 patients","2 ","2","SCIP-VTE-1 " "140100","MIDWESTERN REGION MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","149 patients",,,"SCIP-VTE-2 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","16 patients","1 ","1","AMI-8A " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","57 patients",,,"AMI-2 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","61 patients",,,"PN-4 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","150 patients",,,"HF-1 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","184 patients",,,"HF-2 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","56 patients",,,"AMI-5 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","207 patients",,,"SCIP-INF-3 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","156 patients",,,"PN-3B " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","314 patients",,,"SCIP-INF-6 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","123 patients",,,"PN-7 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","149 patients",,,"SCIP-VTE-1 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","156 patients",,,"PN-2 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","217 patients",,,"SCIP-INF-2 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","217 patients",,,"SCIP-INF-1 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","100 patients",,,"PN-6 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","55 patients",,,"HF-3 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","67 patients",,,"AMI-1 " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","164 patients",,,"PN-5C " "140101","MORRIS HOSPITAL & HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","20 patients","1 ","1","SCIP-CARD-2 " "140103","ST BERNARD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","137 patients","2 ","2","PN-2 " "140103","ST BERNARD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "140103","ST BERNARD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "140103","ST BERNARD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","108 patients","2 ","2","PN-4 " "140103","ST BERNARD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","39 patients","2 ","2","SCIP-VTE-2 " "140103","ST BERNARD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","285 patients","2 ","2","PN-3B " "140103","ST BERNARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","26 patients","2 ","2","SCIP-INF-2 " "140103","ST BERNARD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","123 patients",,,"PN-7 " "140103","ST BERNARD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","24 patients","1 ","1","AMI-2 " "140103","ST BERNARD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","162 patients","2 ","2","PN-6 " "140103","ST BERNARD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","39 patients","2 ","2","SCIP-VTE-1 " "140103","ST BERNARD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","331 patients","2 ","2","HF-1 " "140103","ST BERNARD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","394 patients","2 ","2","HF-2 " "140103","ST BERNARD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","307 patients","2 ","2","PN-5C " "140103","ST BERNARD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","45 patients",,,"AMI-1 " "140103","ST BERNARD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","146 patients","2 ","2","HF-4 " "140103","ST BERNARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","22 patients","1,2 ","12","SCIP-INF-3 " "140103","ST BERNARD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140103","ST BERNARD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","24 patients","1 ","1","AMI-5 " "140103","ST BERNARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140103","ST BERNARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","92 patients","2 ","2","SCIP-INF-6 " "140103","ST BERNARD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140103","ST BERNARD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","110 patients","2 ","2","HF-3 " "140103","ST BERNARD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "140103","ST BERNARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","26 patients","2 ","2","SCIP-INF-1 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","97 patients",,,"SCIP-VTE-2 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","98 patients",,,"PN-6 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","121 patients",,,"SCIP-INF-1 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","134 patients",,,"PN-3B " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","16 patients","1 ","1","SCIP-CARD-2 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","97 patients",,,"SCIP-VTE-1 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","88 patients",,,"PN-7 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","124 patients",,,"SCIP-INF-2 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","131 patients",,,"PN-2 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"PN-4 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","81 patients","2 ","2","HF-2 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","211 patients",,,"SCIP-INF-6 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1,2 ","12","HF-3 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","64 patients","2 ","2","HF-1 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","HF-4 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","114 patients",,,"SCIP-INF-3 " "140110","OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","145 patients",,,"PN-5C " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","689 patients","2 ","2","SCIP-INF-6 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","23 patients","1 ","1","AMI-8A " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","115 patients",,,"PN-5C " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","105 patients",,,"AMI-1 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","63 patients",,,"PN-6 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","510 patients","2 ","2","SCIP-INF-1 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-7A " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","502 patients","2 ","2","SCIP-INF-3 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","250 patients",,,"HF-1 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","270 patients","2 ","2","SCIP-VTE-2 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","110 patients",,,"PN-3B " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","35 patients",,,"AMI-3 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","514 patients","2 ","2","SCIP-INF-2 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","270 patients","2 ","2","SCIP-VTE-1 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","102 patients",,,"PN-7 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","139 patients",,,"PN-2 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","90 patients",,,"HF-3 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","111 patients","2 ","2","SCIP-INF-4 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","184 patients",,,"AMI-5 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","97 patients","2 ","2","SCIP-CARD-2 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","191 patients",,,"AMI-2 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","319 patients",,,"HF-2 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"AMI-4 " "140113","PROVENA COVENANT MEDICAL CENTER- URBANA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "140114","SWEDISH COVENANT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","411 patients","2 ","2","HF-1 " "140114","SWEDISH COVENANT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","239 patients",,,"AMI-2 " "140114","SWEDISH COVENANT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","HF-4 " "140114","SWEDISH COVENANT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"AMI-3 " "140114","SWEDISH COVENANT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","355 patients",,,"PN-3B " "140114","SWEDISH COVENANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","78 patients","2 ","2","SCIP-INF-4 " "140114","SWEDISH COVENANT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140114","SWEDISH COVENANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","285 patients","2 ","2","SCIP-INF-2 " "140114","SWEDISH COVENANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","285 patients","2 ","2","SCIP-INF-1 " "140114","SWEDISH COVENANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","430 patients","2 ","2","SCIP-INF-6 " "140114","SWEDISH COVENANT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","141 patients","2 ","2","SCIP-VTE-2 " "140114","SWEDISH COVENANT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","142 patients","2 ","2","SCIP-VTE-1 " "140114","SWEDISH COVENANT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","281 patients",,,"PN-7 " "140114","SWEDISH COVENANT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","203 patients","2 ","2","HF-3 " "140114","SWEDISH COVENANT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","254 patients",,,"AMI-1 " "140114","SWEDISH COVENANT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","79 patients",,,"PN-4 " "140114","SWEDISH COVENANT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","189 patients",,,"PN-6 " "140114","SWEDISH COVENANT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","41 patients",,,"AMI-8A " "140114","SWEDISH COVENANT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","71 patients","2 ","2","SCIP-CARD-2 " "140114","SWEDISH COVENANT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","65 patients",,,"AMI-4 " "140114","SWEDISH COVENANT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","387 patients",,,"PN-2 " "140114","SWEDISH COVENANT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","231 patients",,,"AMI-5 " "140114","SWEDISH COVENANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","267 patients","2 ","2","SCIP-INF-3 " "140114","SWEDISH COVENANT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","572 patients","2 ","2","HF-2 " "140114","SWEDISH COVENANT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","345 patients",,,"PN-5C " "140115","THOREK MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","30 patients",,,"HF-4 " "140115","THOREK MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","83 patients",,,"PN-7 " "140115","THOREK MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","83 patients",,,"PN-3B " "140115","THOREK MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","20 patients","1 ","1","PN-4 " "140115","THOREK MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140115","THOREK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","50 patients",,,"SCIP-VTE-2 " "140115","THOREK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","37 patients",,,"SCIP-INF-3 " "140115","THOREK MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","18 patients","1 ","1","PN-6 " "140115","THOREK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","42 patients",,,"SCIP-INF-1 " "140115","THOREK MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","88 patients",,,"PN-2 " "140115","THOREK MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","AMI-4 " "140115","THOREK MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","68%","19 patients","1 ","1","AMI-2 " "140115","THOREK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","16 patients","1 ","1","SCIP-CARD-2 " "140115","THOREK MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","148 patients",,,"HF-2 " "140115","THOREK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","50 patients",,,"SCIP-VTE-1 " "140115","THOREK MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","37 patients",,,"HF-3 " "140115","THOREK MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","29 patients",,,"AMI-1 " "140115","THOREK MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","58%","19 patients","1 ","1","AMI-5 " "140115","THOREK MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140115","THOREK MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","91 patients",,,"PN-5C " "140115","THOREK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","106 patients",,,"SCIP-INF-6 " "140115","THOREK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140115","THOREK MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "140115","THOREK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","42 patients",,,"SCIP-INF-2 " "140115","THOREK MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","112 patients",,,"HF-1 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","59 patients",,,"HF-4 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","294 patients",,,"AMI-5 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","39 patients",,,"AMI-3 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","113 patients",,,"HF-3 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","142 patients",,,"PN-7 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","46 patients",,,"AMI-8A " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","219 patients",,,"AMI-1 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","103 patients",,,"AMI-4 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","250 patients",,,"PN-5C " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","307 patients",,,"HF-1 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","245 patients",,,"PN-3B " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","227 patients","2 ","2","SCIP-VTE-2 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","140 patients","2 ","2","SCIP-INF-4 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","214 patients",,,"PN-2 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","128 patients",,,"PN-6 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","509 patients","2 ","2","SCIP-INF-1 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","96 patients",,,"PN-4 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","384 patients",,,"HF-2 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","690 patients","2 ","2","SCIP-INF-6 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","280 patients",,,"AMI-2 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","516 patients","2 ","2","SCIP-INF-2 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","112 patients","2 ","2","SCIP-CARD-2 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","227 patients","2 ","2","SCIP-VTE-1 " "140116","NORTHERN ILLINOIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","488 patients","2 ","2","SCIP-INF-3 " "140117","RESURRECTION MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","246 patients",,,"PN-7 " "140117","RESURRECTION MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "140117","RESURRECTION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","423 patients","2 ","2","SCIP-INF-1 " "140117","RESURRECTION MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","253 patients",,,"AMI-5 " "140117","RESURRECTION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","241 patients","2 ","2","SCIP-VTE-2 " "140117","RESURRECTION MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","69 patients",,,"AMI-4 " "140117","RESURRECTION MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","339 patients",,,"AMI-1 " "140117","RESURRECTION MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","305 patients",,,"AMI-2 " "140117","RESURRECTION MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","629 patients",,,"HF-2 " "140117","RESURRECTION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","241 patients","2 ","2","SCIP-VTE-1 " "140117","RESURRECTION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","122 patients","2 ","2","SCIP-INF-4 " "140117","RESURRECTION MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","298 patients",,,"PN-3B " "140117","RESURRECTION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","427 patients","2 ","2","SCIP-INF-2 " "140117","RESURRECTION MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140117","RESURRECTION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","401 patients","2 ","2","SCIP-INF-3 " "140117","RESURRECTION MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","91 patients","2 ","2","SCIP-CARD-2 " "140117","RESURRECTION MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","176 patients",,,"PN-6 " "140117","RESURRECTION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","627 patients","2 ","2","SCIP-INF-6 " "140117","RESURRECTION MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","36 patients",,,"AMI-3 " "140117","RESURRECTION MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","122 patients",,,"HF-3 " "140117","RESURRECTION MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","47 patients",,,"AMI-8A " "140117","RESURRECTION MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","433 patients",,,"HF-1 " "140117","RESURRECTION MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","326 patients",,,"PN-5C " "140117","RESURRECTION MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","380 patients",,,"PN-2 " "140117","RESURRECTION MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"PN-4 " "140118","METROSOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","174 patients","2 ","2","SCIP-VTE-2 " "140118","METROSOUTH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","135 patients","2 ","2","PN-3B " "140118","METROSOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","336 patients","2 ","2","SCIP-INF-1 " "140118","METROSOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","336 patients","2 ","2","SCIP-INF-2 " "140118","METROSOUTH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","233 patients","2 ","2","HF-3 " "140118","METROSOUTH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","456 patients","2 ","2","HF-1 " "140118","METROSOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","174 patients","2 ","2","SCIP-VTE-1 " "140118","METROSOUTH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","96 patients","2 ","2","PN-6 " "140118","METROSOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","300 patients","2 ","2","SCIP-INF-3 " "140118","METROSOUTH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","99 patients","2 ","2","HF-4 " "140118","METROSOUTH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","158 patients","2 ","2","PN-5C " "140118","METROSOUTH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","121 patients","2 ","2","AMI-1 " "140118","METROSOUTH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","56 patients","2 ","2","PN-4 " "140118","METROSOUTH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","31 patients","2 ","2","AMI-3 " "140118","METROSOUTH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","61%","28 patients","2 ","2","AMI-8A " "140118","METROSOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","454 patients","2 ","2","SCIP-INF-6 " "140118","METROSOUTH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","110 patients","2 ","2","PN-7 " "140118","METROSOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","78 patients","2 ","2","SCIP-CARD-2 " "140118","METROSOUTH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","43 patients","2 ","2","AMI-4 " "140118","METROSOUTH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","513 patients","2 ","2","HF-2 " "140118","METROSOUTH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","112 patients","2 ","2","AMI-2 " "140118","METROSOUTH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","115 patients","2 ","2","AMI-5 " "140118","METROSOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","62%","77 patients","2 ","2","SCIP-INF-4 " "140118","METROSOUTH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","154 patients","2 ","2","PN-2 " "140118","METROSOUTH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","14 patients","1,2 ","12","AMI-8A " "140119","RUSH UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","77 patients","2 ","2","PN-2 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","231 patients","2 ","2","SCIP-VTE-2 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","265 patients","2 ","2","HF-1 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","45 patients","2 ","2","PN-6 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","293 patients","2 ","2","HF-2 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients","2 ","2","AMI-3 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","119 patients","2 ","2","SCIP-INF-4 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","HF-4 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","114 patients","2 ","2","PN-5C " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","119 patients","2 ","2","HF-3 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","231 patients","2 ","2","SCIP-VTE-1 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","110 patients","2 ","2","PN-3B " "140119","RUSH UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","416 patients","2 ","2","SCIP-INF-1 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","401 patients","2 ","2","SCIP-INF-3 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","656 patients","2 ","2","SCIP-INF-6 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","132 patients","2 ","2","AMI-2 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","94 patients","2 ","2","AMI-1 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","63 patients","2 ","2","PN-7 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","422 patients","2 ","2","SCIP-INF-2 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","129 patients","2 ","2","AMI-5 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","AMI-4 " "140119","RUSH UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","89 patients","2 ","2","SCIP-CARD-2 " "140120","PEKIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140120","PEKIN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "140120","PEKIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","205 patients",,,"SCIP-INF-3 " "140120","PEKIN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","129 patients",,,"HF-2 " "140120","PEKIN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140120","PEKIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","160 patients",,,"SCIP-VTE-1 " "140120","PEKIN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","98 patients",,,"PN-7 " "140120","PEKIN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","158 patients",,,"PN-2 " "140120","PEKIN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","89 patients",,,"HF-1 " "140120","PEKIN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140120","PEKIN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "140120","PEKIN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","189 patients",,,"PN-5C " "140120","PEKIN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "140120","PEKIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","40 patients",,,"SCIP-CARD-2 " "140120","PEKIN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "140120","PEKIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","160 patients",,,"SCIP-VTE-2 " "140120","PEKIN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","26 patients",,,"AMI-1 " "140120","PEKIN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "140120","PEKIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","214 patients",,,"SCIP-INF-1 " "140120","PEKIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","217 patients",,,"SCIP-INF-2 " "140120","PEKIN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "140120","PEKIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","339 patients",,,"SCIP-INF-6 " "140120","PEKIN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","48 patients",,,"HF-3 " "140120","PEKIN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","123 patients",,,"PN-6 " "140120","PEKIN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","185 patients",,,"PN-3B " "140122","HINSDALE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","128 patients",,,"AMI-5 " "140122","HINSDALE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","237 patients",,,"PN-2 " "140122","HINSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","68 patients","2 ","2","SCIP-INF-4 " "140122","HINSDALE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","136 patients",,,"PN-7 " "140122","HINSDALE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","169 patients",,,"HF-1 " "140122","HINSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","307 patients","2 ","2","SCIP-INF-2 " "140122","HINSDALE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","230 patients",,,"HF-2 " "140122","HINSDALE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","178 patients","2 ","2","SCIP-VTE-2 " "140122","HINSDALE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","75 patients","2 ","2","SCIP-CARD-2 " "140122","HINSDALE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","29 patients",,,"PN-4 " "140122","HINSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","290 patients","2 ","2","SCIP-INF-3 " "140122","HINSDALE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","104 patients",,,"PN-6 " "140122","HINSDALE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","223 patients",,,"PN-5C " "140122","HINSDALE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","13 patients","1 ","1","AMI-8A " "140122","HINSDALE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","32 patients",,,"AMI-4 " "140122","HINSDALE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","178 patients","2 ","2","SCIP-VTE-1 " "140122","HINSDALE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","79 patients",,,"HF-3 " "140122","HINSDALE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","121 patients",,,"AMI-2 " "140122","HINSDALE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","244 patients",,,"PN-3B " "140122","HINSDALE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","AMI-3 " "140122","HINSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","431 patients","2 ","2","SCIP-INF-6 " "140122","HINSDALE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "140122","HINSDALE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140122","HINSDALE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","119 patients",,,"AMI-1 " "140122","HINSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","307 patients","2 ","2","SCIP-INF-1 " "140124","JOHN H STROGER JR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","26%","23 patients","1,2 ","12","AMI-8A " "140124","JOHN H STROGER JR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","55%","155 patients","2 ","2","PN-6 " "140124","JOHN H STROGER JR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","72%","90 patients","2 ","2","HF-4 " "140124","JOHN H STROGER JR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","169 patients","2 ","2","AMI-1 " "140124","JOHN H STROGER JR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","97 patients","2 ","2","SCIP-INF-4 " "140124","JOHN H STROGER JR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","130 patients","2 ","2","PN-3B " "140124","JOHN H STROGER JR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","279 patients","2 ","2","SCIP-VTE-2 " "140124","JOHN H STROGER JR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","182 patients","2 ","2","AMI-5 " "140124","JOHN H STROGER JR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","301 patients","2 ","2","HF-1 " "140124","JOHN H STROGER JR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","31 patients","2 ","2","AMI-3 " "140124","JOHN H STROGER JR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","253 patients","2 ","2","SCIP-INF-3 " "140124","JOHN H STROGER JR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","266 patients","2 ","2","SCIP-INF-2 " "140124","JOHN H STROGER JR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","79%","90 patients","2 ","2","AMI-4 " "140124","JOHN H STROGER JR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","264 patients","2 ","2","SCIP-INF-1 " "140124","JOHN H STROGER JR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","69%","118 patients","2 ","2","PN-4 " "140124","JOHN H STROGER JR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","71 patients","2 ","2","SCIP-CARD-2 " "140124","JOHN H STROGER JR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","58%","53 patients","2 ","2","PN-2 " "140124","JOHN H STROGER JR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","121 patients","2 ","2","HF-3 " "140124","JOHN H STROGER JR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","79 patients","2 ","2","PN-7 " "140124","JOHN H STROGER JR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140124","JOHN H STROGER JR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","52%","215 patients","2 ","2","PN-5C " "140124","JOHN H STROGER JR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","193 patients","2 ","2","AMI-2 " "140124","JOHN H STROGER JR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","279 patients","2 ","2","SCIP-VTE-1 " "140124","JOHN H STROGER JR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","533 patients","2 ","2","SCIP-INF-6 " "140124","JOHN H STROGER JR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","310 patients","2 ","2","HF-2 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","22 patients","1 ","1","PN-6 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"AMI-4 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","112 patients","2 ","2","SCIP-VTE-2 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","88 patients",,,"AMI-1 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","59 patients",,,"PN-7 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1,2 ","12","SCIP-CARD-2 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","164 patients",,,"HF-1 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","72 patients",,,"AMI-5 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","68 patients",,,"PN-2 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"HF-3 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","192 patients",,,"HF-2 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","214 patients","2 ","2","SCIP-INF-6 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","112 patients","2 ","2","SCIP-VTE-1 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","49 patients",,,"HF-4 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","56 patients",,,"PN-5C " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","73 patients",,,"AMI-2 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","157 patients","2 ","2","SCIP-INF-2 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-8A " "140125","GATEWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","104 patients",,,"PN-3B " "140125","GATEWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","152 patients","2 ","2","SCIP-INF-3 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140125","GATEWAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","155 patients","2 ","2","SCIP-INF-1 " "140127","BROMENN HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","152 patients",,,"AMI-5 " "140127","BROMENN HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","195 patients",,,"PN-5C " "140127","BROMENN HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","53 patients",,,"AMI-4 " "140127","BROMENN HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","377 patients","2 ","2","SCIP-VTE-1 " "140127","BROMENN HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","143 patients",,,"HF-1 " "140127","BROMENN HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","74 patients",,,"HF-3 " "140127","BROMENN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","79 patients","2 ","2","SCIP-INF-4 " "140127","BROMENN HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","138 patients",,,"AMI-2 " "140127","BROMENN HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","111 patients",,,"PN-6 " "140127","BROMENN HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","196 patients",,,"HF-2 " "140127","BROMENN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","702 patients","2 ","2","SCIP-INF-1 " "140127","BROMENN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","953 patients","2 ","2","SCIP-INF-6 " "140127","BROMENN HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","377 patients","2 ","2","SCIP-VTE-2 " "140127","BROMENN HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","34 patients",,,"PN-4 " "140127","BROMENN HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","30 patients",,,"AMI-3 " "140127","BROMENN HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","101 patients","2 ","2","SCIP-CARD-2 " "140127","BROMENN HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","28 patients",,,"AMI-8A " "140127","BROMENN HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","135 patients",,,"AMI-1 " "140127","BROMENN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","708 patients","2 ","2","SCIP-INF-2 " "140127","BROMENN HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","193 patients",,,"PN-3B " "140127","BROMENN HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","107 patients",,,"PN-7 " "140127","BROMENN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","662 patients","2 ","2","SCIP-INF-3 " "140127","BROMENN HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","166 patients",,,"PN-2 " "140127","BROMENN HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140127","BROMENN HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "140130","LAKE FOREST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "140130","LAKE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","93 patients",,,"SCIP-CARD-2 " "140130","LAKE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","604 patients",,,"SCIP-INF-3 " "140130","LAKE FOREST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","157 patients",,,"PN-3B " "140130","LAKE FOREST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","46 patients",,,"AMI-2 " "140130","LAKE FOREST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140130","LAKE FOREST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","93 patients",,,"PN-7 " "140130","LAKE FOREST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"PN-4 " "140130","LAKE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","403 patients",,,"SCIP-VTE-1 " "140130","LAKE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","618 patients",,,"SCIP-INF-2 " "140130","LAKE FOREST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","89 patients",,,"PN-5C " "140130","LAKE FOREST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","193 patients",,,"HF-2 " "140130","LAKE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","403 patients",,,"SCIP-VTE-2 " "140130","LAKE FOREST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","60 patients",,,"AMI-1 " "140130","LAKE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","850 patients",,,"SCIP-INF-6 " "140130","LAKE FOREST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","157 patients",,,"HF-1 " "140130","LAKE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","614 patients",,,"SCIP-INF-1 " "140130","LAKE FOREST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","49 patients",,,"HF-3 " "140130","LAKE FOREST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "140130","LAKE FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140130","LAKE FOREST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","121 patients",,,"PN-2 " "140130","LAKE FOREST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "140130","LAKE FOREST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","48 patients",,,"AMI-5 " "140130","LAKE FOREST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","107 patients",,,"PN-6 " "140130","LAKE FOREST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","10 patients","1 ","1","AMI-8A " "140133","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140133","HOLY CROSS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "140133","HOLY CROSS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","60 patients","2 ","2","PN-4 " "140133","HOLY CROSS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","73 patients","2 ","2","PN-7 " "140133","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","139 patients","2 ","2","SCIP-INF-2 " "140133","HOLY CROSS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","91 patients","2 ","2","PN-2 " "140133","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","134 patients","2 ","2","SCIP-VTE-1 " "140133","HOLY CROSS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","86 patients","2 ","2","AMI-2 " "140133","HOLY CROSS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","77 patients","2 ","2","AMI-5 " "140133","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","138 patients","2 ","2","SCIP-INF-1 " "140133","HOLY CROSS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","122 patients","2 ","2","PN-5C " "140133","HOLY CROSS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","41 patients","2 ","2","AMI-4 " "140133","HOLY CROSS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","108 patients","2 ","2","PN-3B " "140133","HOLY CROSS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","63 patients","2 ","2","PN-6 " "140133","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","251 patients","2 ","2","SCIP-INF-6 " "140133","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","137 patients","2 ","2","SCIP-INF-3 " "140133","HOLY CROSS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","45%","285 patients","2 ","2","HF-1 " "140133","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","28 patients","2 ","2","SCIP-CARD-2 " "140133","HOLY CROSS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","307 patients","2 ","2","HF-2 " "140133","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","134 patients","2 ","2","SCIP-VTE-2 " "140133","HOLY CROSS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","7%","14 patients","1,2 ","12","AMI-8A " "140133","HOLY CROSS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","68%","22 patients","1,2 ","12","AMI-3 " "140133","HOLY CROSS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","156 patients","2 ","2","HF-3 " "140133","HOLY CROSS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","101 patients","2 ","2","HF-4 " "140133","HOLY CROSS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","124 patients","2 ","2","AMI-1 " "140135","DECATUR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","869 patients","2 ","2","SCIP-INF-6 " "140135","DECATUR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","405 patients","2 ","2","SCIP-VTE-1 " "140135","DECATUR MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "140135","DECATUR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","99 patients","2 ","2","SCIP-INF-4 " "140135","DECATUR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","612 patients","2 ","2","SCIP-INF-2 " "140135","DECATUR MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","198 patients",,,"PN-7 " "140135","DECATUR MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","60 patients",,,"AMI-3 " "140135","DECATUR MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","33 patients",,,"AMI-8A " "140135","DECATUR MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","271 patients",,,"PN-2 " "140135","DECATUR MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","282 patients",,,"PN-5C " "140135","DECATUR MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140135","DECATUR MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","377 patients",,,"HF-2 " "140135","DECATUR MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","231 patients",,,"AMI-2 " "140135","DECATUR MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","246 patients",,,"AMI-5 " "140135","DECATUR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","608 patients","2 ","2","SCIP-INF-1 " "140135","DECATUR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","128 patients","2 ","2","SCIP-CARD-2 " "140135","DECATUR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","591 patients","2 ","2","SCIP-INF-3 " "140135","DECATUR MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","285 patients",,,"HF-1 " "140135","DECATUR MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"AMI-4 " "140135","DECATUR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","405 patients","2 ","2","SCIP-VTE-2 " "140135","DECATUR MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","277 patients",,,"PN-3B " "140135","DECATUR MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","190 patients",,,"PN-6 " "140135","DECATUR MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","192 patients",,,"AMI-1 " "140135","DECATUR MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"PN-4 " "140135","DECATUR MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","141 patients",,,"HF-3 " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "140137","GREENVILLE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","60 patients",,,"PN-5C " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","43 patients",,,"HF-2 " "140137","GREENVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "140137","GREENVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","64%","11 patients","1 ","1","SCIP-INF-2 " "140137","GREENVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","11 patients","1 ","1","SCIP-VTE-2 " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "140137","GREENVILLE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","83 patients",,,"PN-3B " "140137","GREENVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","11 patients","1 ","1","SCIP-VTE-1 " "140137","GREENVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","11 patients","1 ","1","SCIP-INF-3 " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","24 patients","1 ","1","HF-1 " "140137","GREENVILLE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","48 patients",,,"PN-6 " "140137","GREENVILLE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","43 patients",,,"PN-7 " "140137","GREENVILLE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","PN-4 " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "140137","GREENVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","11 patients","1 ","1","SCIP-INF-1 " "140137","GREENVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140137","GREENVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","13 patients","1 ","1","SCIP-INF-6 " "140137","GREENVILLE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "140137","GREENVILLE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","76 patients",,,"PN-2 " "140143","ST MARGARETS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "140143","ST MARGARETS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1,2 ","12","HF-4 " "140143","ST MARGARETS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","209 patients",,,"SCIP-INF-2 " "140143","ST MARGARETS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","61 patients",,,"PN-6 " "140143","ST MARGARETS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1,2 ","12","HF-3 " "140143","ST MARGARETS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "140143","ST MARGARETS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","108 patients",,,"PN-2 " "140143","ST MARGARETS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","116 patients","2 ","2","HF-2 " "140143","ST MARGARETS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","102 patients",,,"SCIP-VTE-1 " "140143","ST MARGARETS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","67 patients",,,"PN-7 " "140143","ST MARGARETS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "140143","ST MARGARETS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140143","ST MARGARETS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","286 patients",,,"SCIP-INF-6 " "140143","ST MARGARETS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","43 patients",,,"SCIP-CARD-2 " "140143","ST MARGARETS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","209 patients",,,"SCIP-INF-1 " "140143","ST MARGARETS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","102 patients",,,"SCIP-VTE-2 " "140143","ST MARGARETS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","23 patients","1 ","1","PN-4 " "140143","ST MARGARETS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","67 patients","2 ","2","HF-1 " "140143","ST MARGARETS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "140143","ST MARGARETS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","130 patients",,,"PN-5C " "140143","ST MARGARETS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "140143","ST MARGARETS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","196 patients",,,"SCIP-INF-3 " "140143","ST MARGARETS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","82 patients",,,"PN-3B " "140143","ST MARGARETS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "140143","ST MARGARETS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "140145","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","61 patients",,,"SCIP-INF-3 " "140145","ST JOSEPHS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","67 patients",,,"PN-5C " "140145","ST JOSEPHS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","52 patients",,,"PN-6 " "140145","ST JOSEPHS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "140145","ST JOSEPHS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "140145","ST JOSEPHS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","37 patients",,,"HF-1 " "140145","ST JOSEPHS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","67 patients",,,"PN-2 " "140145","ST JOSEPHS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "140145","ST JOSEPHS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","13 patients","1 ","1","AMI-1 " "140145","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","55 patients",,,"SCIP-VTE-2 " "140145","ST JOSEPHS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140145","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","100 patients",,,"SCIP-INF-6 " "140145","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140145","ST JOSEPHS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","64 patients",,,"HF-2 " "140145","ST JOSEPHS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","25 patients",,,"PN-4 " "140145","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","61 patients",,,"SCIP-INF-2 " "140145","ST JOSEPHS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","50 patients",,,"PN-7 " "140145","ST JOSEPHS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140145","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","61 patients",,,"SCIP-INF-1 " "140145","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","55 patients",,,"SCIP-VTE-1 " "140145","ST JOSEPHS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","52 patients",,,"PN-3B " "140145","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","14 patients","1 ","1","SCIP-CARD-2 " "140145","ST JOSEPHS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140145","ST JOSEPHS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "140145","ST JOSEPHS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","5 patients","1 ","1","AMI-5 " "140147","RICHLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","9 patients","1 ","1","SCIP-CARD-2 " "140147","RICHLAND MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","69 patients",,,"PN-7 " "140147","RICHLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140147","RICHLAND MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","114 patients",,,"PN-2 " "140147","RICHLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","48 patients",,,"SCIP-VTE-2 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","23 patients","1 ","1","HF-3 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","86 patients",,,"HF-2 " "140147","RICHLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","64%","84 patients",,,"SCIP-INF-3 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140147","RICHLAND MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","65 patients",,,"PN-6 " "140147","RICHLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","116 patients",,,"SCIP-INF-6 " "140147","RICHLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","82 patients",,,"SCIP-INF-2 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","HF-4 " "140147","RICHLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","92 patients",,,"SCIP-INF-1 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1 ","1","AMI-1 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","45%","49 patients",,,"HF-1 " "140147","RICHLAND MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","52%","27 patients",,,"PN-4 " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140147","RICHLAND MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","103 patients",,,"PN-5C " "140147","RICHLAND MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140147","RICHLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","48 patients",,,"SCIP-VTE-1 " "140147","RICHLAND MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","85 patients",,,"PN-3B " "140148","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1723 patients","2 ","2","SCIP-INF-6 " "140148","MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","187 patients",,,"HF-3 " "140148","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","181 patients",,,"AMI-4 " "140148","MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","98 patients",,,"HF-4 " "140148","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","301 patients",,,"AMI-1 " "140148","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","492 patients",,,"AMI-5 " "140148","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1461 patients","2 ","2","SCIP-INF-1 " "140148","MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","392 patients",,,"PN-3B " "140148","MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","282 patients",,,"PN-6 " "140148","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140148","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","40 patients",,,"AMI-8A " "140148","MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","536 patients",,,"HF-2 " "140148","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1419 patients","2 ","2","SCIP-INF-3 " "140148","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","366 patients","2 ","2","SCIP-CARD-2 " "140148","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","490 patients",,,"AMI-2 " "140148","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","305 patients","2 ","2","SCIP-INF-4 " "140148","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1476 patients","2 ","2","SCIP-INF-2 " "140148","MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","350 patients",,,"PN-7 " "140148","MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","477 patients",,,"PN-5C " "140148","MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","203 patients",,,"PN-4 " "140148","MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","496 patients",,,"PN-2 " "140148","MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","418 patients",,,"HF-1 " "140148","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","492 patients","2 ","2","SCIP-VTE-2 " "140148","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","71 patients",,,"AMI-3 " "140148","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","493 patients","2 ","2","SCIP-VTE-1 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","55 patients","2 ","2","PN-6 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","AMI-4 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","70 patients","2 ","2","AMI-2 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","12 patients","1,2 ","12","AMI-8A " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","132 patients","2 ","2","HF-3 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","27%","248 patients","2 ","2","HF-1 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","297 patients","2 ","2","SCIP-INF-1 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","HF-4 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","259 patients","2 ","2","SCIP-VTE-1 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1,2 ","12","AMI-3 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","54 patients","2 ","2","PN-4 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","269 patients","2 ","2","HF-2 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","115 patients","2 ","2","PN-3B " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","65 patients","2 ","2","AMI-5 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","437 patients","2 ","2","SCIP-INF-6 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","276 patients","2 ","2","SCIP-INF-3 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","69 patients","2 ","2","PN-2 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","259 patients","2 ","2","SCIP-VTE-2 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","53 patients","2 ","2","AMI-1 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","133 patients","2 ","2","PN-5C " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","70 patients","2 ","2","PN-7 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","299 patients","2 ","2","SCIP-INF-2 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","78 patients","2 ","2","SCIP-CARD-2 " "140150","UNIVERSITY OF ILLINOIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","57 patients","2 ","2","SCIP-INF-4 " "140151","SACRED HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "140151","SACRED HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "140151","SACRED HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","38%","8 patients","1 ","1","PN-5C " "140151","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","42%","26 patients",,,"SCIP-INF-1 " "140151","SACRED HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1,3 ","13","AMI-1 " "140151","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","31 patients",,,"SCIP-VTE-2 " "140151","SACRED HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","53%","19 patients","1,2 ","12","HF-3 " "140151","SACRED HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","6 patients","1 ","1","PN-6 " "140151","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","68 patients",,,"SCIP-INF-6 " "140151","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","33 patients",,,"SCIP-VTE-1 " "140151","SACRED HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","3 patients","1 ","1","PN-7 " "140151","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","6 patients","1 ","1","SCIP-CARD-2 " "140151","SACRED HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","26%","119 patients","2 ","2","HF-1 " "140151","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140151","SACRED HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","127 patients","2 ","2","HF-2 " "140151","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","24 patients","1 ","1","SCIP-INF-3 " "140151","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","71%","21 patients","1 ","1","SCIP-INF-2 " "140151","SACRED HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "140151","SACRED HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "140151","SACRED HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","43%","14 patients","1,2 ","12","HF-4 " "140151","SACRED HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "140151","SACRED HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1 ","1","PN-2 " "140151","SACRED HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "140151","SACRED HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "140151","SACRED HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "140155","PROVENA ST MARYS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","176 patients","2 ","2","PN-3B " "140155","PROVENA ST MARYS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","135 patients",,,"HF-1 " "140155","PROVENA ST MARYS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "140155","PROVENA ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","246 patients","2 ","2","SCIP-INF-1 " "140155","PROVENA ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","246 patients","2 ","2","SCIP-INF-2 " "140155","PROVENA ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140155","PROVENA ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","380 patients","2 ","2","SCIP-INF-6 " "140155","PROVENA ST MARYS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","10 patients","1 ","1","AMI-8A " "140155","PROVENA ST MARYS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","164 patients",,,"HF-2 " "140155","PROVENA ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","239 patients","2 ","2","SCIP-INF-3 " "140155","PROVENA ST MARYS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","124 patients","2 ","2","PN-7 " "140155","PROVENA ST MARYS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","196 patients","2 ","2","PN-5C " "140155","PROVENA ST MARYS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140155","PROVENA ST MARYS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients","2 ","2","PN-4 " "140155","PROVENA ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","166 patients","2 ","2","SCIP-VTE-1 " "140155","PROVENA ST MARYS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","39 patients",,,"AMI-2 " "140155","PROVENA ST MARYS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "140155","PROVENA ST MARYS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "140155","PROVENA ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","33 patients","2 ","2","SCIP-CARD-2 " "140155","PROVENA ST MARYS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","46 patients",,,"AMI-1 " "140155","PROVENA ST MARYS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","147 patients","2 ","2","PN-2 " "140155","PROVENA ST MARYS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "140155","PROVENA ST MARYS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","109 patients","2 ","2","PN-6 " "140155","PROVENA ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","166 patients","2 ","2","SCIP-VTE-2 " "140155","PROVENA ST MARYS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","74 patients",,,"HF-3 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","140 patients",,,"AMI-2 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","155 patients",,,"AMI-1 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","87 patients",,,"SCIP-INF-4 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","603 patients",,,"SCIP-INF-6 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","251 patients",,,"SCIP-VTE-2 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","121 patients","2 ","2","HF-4 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","155 patients","2 ","2","PN-5C " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","413 patients",,,"SCIP-INF-1 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","58%","95 patients",,,"SCIP-CARD-2 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","379 patients",,,"SCIP-INF-3 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","163 patients","2 ","2","PN-2 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","144 patients",,,"AMI-5 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","38%","128 patients","2 ","2","PN-7 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","474 patients","2 ","2","HF-2 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","411 patients","2 ","2","HF-1 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","55%","20 patients","1 ","1","AMI-8A " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","80 patients","2 ","2","PN-4 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","256 patients",,,"SCIP-VTE-1 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","48 patients",,,"AMI-3 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","61 patients",,,"AMI-4 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","390 patients",,,"SCIP-INF-2 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","69 patients","2 ","2","PN-6 " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","154 patients","2 ","2","PN-3B " "140158","MERCY HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","234 patients","2 ","2","HF-3 " "140160","FHN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "140160","FHN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","108 patients",,,"HF-1 " "140160","FHN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","422 patients","2 ","2","SCIP-INF-6 " "140160","FHN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","65 patients",,,"AMI-1 " "140160","FHN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","182 patients",,,"PN-2 " "140160","FHN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","149 patients",,,"HF-2 " "140160","FHN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","259 patients","2 ","2","SCIP-INF-3 " "140160","FHN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","119 patients",,,"PN-7 " "140160","FHN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","52 patients",,,"AMI-2 " "140160","FHN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140160","FHN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140160","FHN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","58 patients",,,"HF-3 " "140160","FHN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","99 patients",,,"PN-6 " "140160","FHN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","175 patients","2 ","2","SCIP-VTE-2 " "140160","FHN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","176 patients",,,"PN-3B " "140160","FHN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","155 patients",,,"PN-5C " "140160","FHN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "140160","FHN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","56 patients",,,"AMI-5 " "140160","FHN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","70 patients","2 ","2","SCIP-CARD-2 " "140160","FHN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","271 patients","2 ","2","SCIP-INF-1 " "140160","FHN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","175 patients","2 ","2","SCIP-VTE-1 " "140160","FHN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "140160","FHN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","271 patients","2 ","2","SCIP-INF-2 " "140160","FHN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-8A " "140160","FHN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "140161","SAINT JAMES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","49 patients",,,"HF-2 " "140161","SAINT JAMES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "140161","SAINT JAMES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","139 patients",,,"SCIP-INF-3 " "140161","SAINT JAMES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140161","SAINT JAMES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","74 patients",,,"SCIP-VTE-2 " "140161","SAINT JAMES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140161","SAINT JAMES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","38 patients",,,"HF-1 " "140161","SAINT JAMES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "140161","SAINT JAMES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","37 patients",,,"PN-7 " "140161","SAINT JAMES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","74 patients",,,"SCIP-VTE-1 " "140161","SAINT JAMES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "140161","SAINT JAMES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","141 patients",,,"SCIP-INF-1 " "140161","SAINT JAMES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140161","SAINT JAMES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","66 patients",,,"PN-5C " "140161","SAINT JAMES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","142 patients",,,"SCIP-INF-2 " "140161","SAINT JAMES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "140161","SAINT JAMES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","61 patients",,,"PN-2 " "140161","SAINT JAMES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140161","SAINT JAMES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","44 patients",,,"PN-6 " "140161","SAINT JAMES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "140161","SAINT JAMES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","23 patients","1 ","1","SCIP-CARD-2 " "140161","SAINT JAMES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","62 patients",,,"PN-3B " "140161","SAINT JAMES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","179 patients",,,"SCIP-INF-6 " "140161","SAINT JAMES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "140161","SAINT JAMES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","PN-4 " "140162","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"AMI-4 " "140162","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","156 patients",,,"HF-2 " "140162","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","115 patients",,,"PN-2 " "140162","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","51 patients",,,"SCIP-INF-4 " "140162","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","20 patients","1 ","1","AMI-8A " "140162","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","451 patients",,,"SCIP-INF-3 " "140162","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","93 patients",,,"AMI-1 " "140162","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","232 patients",,,"SCIP-VTE-2 " "140162","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","122 patients",,,"HF-1 " "140162","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","HF-4 " "140162","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","70 patients",,,"PN-6 " "140162","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","466 patients",,,"SCIP-INF-1 " "140162","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","104 patients",,,"SCIP-CARD-2 " "140162","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","127 patients",,,"AMI-5 " "140162","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","232 patients",,,"SCIP-VTE-1 " "140162","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","48 patients",,,"HF-3 " "140162","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"AMI-3 " "140162","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","469 patients",,,"SCIP-INF-2 " "140162","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","55 patients",,,"PN-4 " "140162","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","123 patients",,,"AMI-2 " "140162","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","62 patients",,,"PN-3B " "140162","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140162","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","105 patients",,,"PN-5C " "140162","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","89 patients",,,"PN-7 " "140162","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","680 patients",,,"SCIP-INF-6 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","157 patients","2 ","2","SCIP-INF-4 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","106 patients",,,"PN-7 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","21 patients","1 ","1","AMI-8A " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","178 patients",,,"SCIP-CARD-2 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","74 patients",,,"HF-3 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","361 patients","2 ","2","SCIP-VTE-1 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","654 patients","2 ","2","SCIP-INF-1 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","945 patients","2 ","2","SCIP-INF-6 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","129 patients",,,"PN-5C " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","51 patients",,,"AMI-3 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","193 patients",,,"HF-2 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","93 patients",,,"PN-3B " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","139 patients",,,"AMI-4 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","100 patients",,,"AMI-1 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","69 patients",,,"PN-4 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","170 patients",,,"HF-1 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","269 patients",,,"AMI-2 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","629 patients","2 ","2","SCIP-INF-3 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","657 patients","2 ","2","SCIP-INF-2 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","70 patients",,,"PN-6 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","248 patients",,,"AMI-5 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","144 patients",,,"PN-2 " "140164","MEMORIAL HOSPITAL OF CARBONDALE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","361 patients","2 ","2","SCIP-VTE-2 " "140166","ST MARYS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","61 patients","2 ","2","PN-4 " "140166","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","42 patients","2 ","2","SCIP-CARD-2 " "140166","ST MARYS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","55 patients","2 ","2","HF-3 " "140166","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","243 patients","2 ","2","SCIP-INF-3 " "140166","ST MARYS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "140166","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","256 patients","2 ","2","SCIP-INF-1 " "140166","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","356 patients","2 ","2","SCIP-INF-6 " "140166","ST MARYS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","127 patients","2 ","2","PN-3B " "140166","ST MARYS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","97 patients","2 ","2","PN-7 " "140166","ST MARYS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","233 patients","2 ","2","HF-2 " "140166","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","159 patients","2 ","2","SCIP-VTE-2 " "140166","ST MARYS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","115 patients","2 ","2","PN-2 " "140166","ST MARYS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140166","ST MARYS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","HF-4 " "140166","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","162 patients","2 ","2","SCIP-VTE-1 " "140166","ST MARYS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","107 patients","2 ","2","PN-6 " "140166","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140166","ST MARYS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","136 patients","2 ","2","PN-5C " "140166","ST MARYS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140166","ST MARYS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "140166","ST MARYS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","18 patients","1 ","1","AMI-2 " "140166","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","256 patients","2 ","2","SCIP-INF-2 " "140166","ST MARYS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","18 patients","1 ","1","AMI-5 " "140166","ST MARYS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","27 patients",,,"AMI-1 " "140166","ST MARYS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","174 patients","2 ","2","HF-1 " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","87 patients",,,"HF-1 " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "140167","IROQUOIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","44 patients",,,"SCIP-INF-2 " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","21 patients","1 ","1","AMI-5 " "140167","IROQUOIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","58 patients",,,"SCIP-INF-6 " "140167","IROQUOIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","57%","23 patients","1 ","1","SCIP-VTE-1 " "140167","IROQUOIS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","78 patients",,,"PN-7 " "140167","IROQUOIS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","134 patients",,,"PN-3B " "140167","IROQUOIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","64%","44 patients",,,"SCIP-INF-3 " "140167","IROQUOIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140167","IROQUOIS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"PN-4 " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","137 patients",,,"HF-2 " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","AMI-4 " "140167","IROQUOIS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","141 patients",,,"PN-5C " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","22 patients","1 ","1","AMI-2 " "140167","IROQUOIS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","109 patients",,,"PN-2 " "140167","IROQUOIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","45 patients",,,"SCIP-INF-1 " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","31 patients",,,"HF-3 " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "140167","IROQUOIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","8 patients","1 ","1","SCIP-CARD-2 " "140167","IROQUOIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","23 patients","1 ","1","SCIP-VTE-2 " "140167","IROQUOIS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","77 patients",,,"PN-6 " "140167","IROQUOIS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","264 patients",,,"AMI-1 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","258 patients",,,"AMI-2 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","90 patients","2 ","2","PN-6 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","151 patients","2 ","2","PN-2 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","269 patients","2 ","2","HF-3 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","83 patients","2 ","2","PN-4 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","381 patients","2 ","2","SCIP-INF-3 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","30 patients",,,"AMI-8A " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","618 patients","2 ","2","HF-1 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","429 patients","2 ","2","SCIP-INF-1 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","244 patients","2 ","2","SCIP-VTE-1 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","145 patients","2 ","2","HF-4 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","626 patients","2 ","2","SCIP-INF-6 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","115 patients","2 ","2","PN-7 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","119 patients","2 ","2","SCIP-INF-4 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"AMI-4 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","434 patients","2 ","2","SCIP-INF-2 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","126 patients","2 ","2","SCIP-CARD-2 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","181 patients","2 ","2","PN-5C " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","232 patients",,,"AMI-5 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","244 patients","2 ","2","SCIP-VTE-2 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","163 patients","2 ","2","PN-3B " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","743 patients","2 ","2","HF-2 " "140172","ST JAMES HOSP & HLTH CTR-OLYMPIA FLDS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","54 patients",,,"AMI-3 " "140174","PROVENA MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","165 patients","2 ","2","PN-2 " "140174","PROVENA MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","148 patients",,,"AMI-5 " "140174","PROVENA MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","229 patients",,,"HF-2 " "140174","PROVENA MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","133 patients",,,"AMI-1 " "140174","PROVENA MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","352 patients","2 ","2","SCIP-INF-2 " "140174","PROVENA MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","179 patients","2 ","2","PN-5C " "140174","PROVENA MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","32 patients",,,"HF-4 " "140174","PROVENA MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","61 patients",,,"HF-3 " "140174","PROVENA MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","AMI-3 " "140174","PROVENA MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","164 patients","2 ","2","SCIP-VTE-1 " "140174","PROVENA MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","312 patients","2 ","2","SCIP-INF-3 " "140174","PROVENA MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","51 patients",,,"AMI-4 " "140174","PROVENA MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","172 patients","2 ","2","PN-3B " "140174","PROVENA MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","171 patients",,,"HF-1 " "140174","PROVENA MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","126 patients","2 ","2","SCIP-INF-4 " "140174","PROVENA MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","146 patients",,,"AMI-2 " "140174","PROVENA MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140174","PROVENA MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","19%","77 patients","2 ","2","SCIP-CARD-2 " "140174","PROVENA MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","112 patients","2 ","2","PN-7 " "140174","PROVENA MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","353 patients","2 ","2","SCIP-INF-1 " "140174","PROVENA MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","164 patients","2 ","2","SCIP-VTE-2 " "140174","PROVENA MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","38 patients",,,"AMI-8A " "140174","PROVENA MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","98 patients","2 ","2","PN-6 " "140174","PROVENA MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","64 patients","2 ","2","PN-4 " "140174","PROVENA MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","516 patients","2 ","2","SCIP-INF-6 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","65 patients","2 ","2","SCIP-CARD-2 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"HF-3 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","586 patients","2 ","2","SCIP-INF-6 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","140 patients",,,"PN-2 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","447 patients","2 ","2","SCIP-INF-3 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","238 patients","2 ","2","SCIP-VTE-2 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","147 patients",,,"PN-3B " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","238 patients","2 ","2","SCIP-VTE-1 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","81 patients",,,"PN-6 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","160 patients",,,"PN-5C " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","67 patients",,,"AMI-1 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","92 patients",,,"PN-7 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","454 patients","2 ","2","SCIP-INF-1 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","21 patients","1 ","1","HF-4 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","26 patients",,,"AMI-2 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","23 patients","1 ","1","AMI-5 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","129 patients",,,"HF-1 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","456 patients","2 ","2","SCIP-INF-2 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","183 patients",,,"HF-2 " "140176","CENTEGRA MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","50 patients",,,"PN-4 " "140177","JACKSON PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","79 patients",,,"HF-3 " "140177","JACKSON PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "140177","JACKSON PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","9 patients","1 ","1","SCIP-INF-1 " "140177","JACKSON PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"HF-4 " "140177","JACKSON PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140177","JACKSON PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","6 patients","1 ","1","SCIP-INF-2 " "140177","JACKSON PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","269 patients",,,"HF-1 " "140177","JACKSON PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","37 patients",,,"SCIP-INF-6 " "140177","JACKSON PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","33 patients","2 ","2","PN-7 " "140177","JACKSON PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1 ","1","SCIP-VTE-2 " "140177","JACKSON PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","42 patients","2 ","2","PN-4 " "140177","JACKSON PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "140177","JACKSON PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","296 patients",,,"HF-2 " "140177","JACKSON PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","7 patients","1 ","1","SCIP-INF-3 " "140177","JACKSON PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "140177","JACKSON PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","124 patients","2 ","2","PN-5C " "140177","JACKSON PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","111 patients","2 ","2","PN-3B " "140177","JACKSON PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "140177","JACKSON PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140177","JACKSON PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","21 patients","1 ","1","AMI-1 " "140177","JACKSON PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "140177","JACKSON PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","24%","104 patients","2 ","2","PN-6 " "140177","JACKSON PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","41 patients","2 ","2","PN-2 " "140177","JACKSON PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140177","JACKSON PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","19 patients","1 ","1","SCIP-VTE-1 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","35 patients",,,"AMI-8A " "140179","LITTLE COMPANY OF MARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","253 patients","2 ","2","SCIP-INF-2 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","337 patients","2 ","2","HF-2 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","HF-4 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","74 patients",,,"AMI-5 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","132 patients","2 ","2","PN-3B " "140179","LITTLE COMPANY OF MARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","458 patients","2 ","2","SCIP-INF-6 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","239 patients","2 ","2","SCIP-VTE-2 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","254 patients","2 ","2","SCIP-INF-1 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","59 patients","2 ","2","SCIP-CARD-2 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","86 patients","2 ","2","PN-6 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","239 patients","2 ","2","SCIP-VTE-1 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","98 patients",,,"AMI-1 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","228 patients","2 ","2","SCIP-INF-3 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","88 patients","2 ","2","PN-7 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","69 patients",,,"AMI-2 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","130 patients","2 ","2","PN-2 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","90 patients","2 ","2","HF-3 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","270 patients","2 ","2","HF-1 " "140179","LITTLE COMPANY OF MARY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","121 patients","2 ","2","PN-5C " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","228 patients","2 ","2","SCIP-VTE-1 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","300 patients",,,"PN-3B " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","407 patients",,,"HF-2 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","149 patients",,,"AMI-1 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","519 patients","2 ","2","SCIP-INF-6 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","354 patients","2 ","2","SCIP-INF-1 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","360 patients","2 ","2","SCIP-INF-2 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","157 patients",,,"HF-3 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","228 patients","2 ","2","SCIP-VTE-2 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","19 patients","1 ","1","AMI-8A " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","357 patients",,,"HF-1 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","151 patients",,,"AMI-2 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","185 patients",,,"PN-6 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","329 patients","2 ","2","SCIP-INF-3 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","145 patients",,,"AMI-5 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","96 patients",,,"PN-4 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"AMI-4 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","167 patients",,,"PN-2 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","263 patients",,,"PN-5C " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","154 patients",,,"PN-7 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"HF-4 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","67 patients","2 ","2","SCIP-INF-4 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","67 patients","2 ","2","SCIP-CARD-2 " "140180","ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "140181","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140181","SOUTH SHORE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","231 patients",,,"HF-1 " "140181","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","40%","43 patients",,,"SCIP-VTE-1 " "140181","SOUTH SHORE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","68 patients",,,"HF-3 " "140181","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","55%","31 patients",,,"SCIP-VTE-2 " "140181","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","81%","36 patients",,,"SCIP-INF-2 " "140181","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","79%","68 patients",,,"SCIP-INF-6 " "140181","SOUTH SHORE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","126 patients",,,"PN-5C " "140181","SOUTH SHORE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","61%","49 patients",,,"PN-6 " "140181","SOUTH SHORE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","116 patients",,,"PN-3B " "140181","SOUTH SHORE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","25 patients",,,"AMI-2 " "140181","SOUTH SHORE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","47 patients",,,"HF-4 " "140181","SOUTH SHORE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","84%","45 patients",,,"AMI-1 " "140181","SOUTH SHORE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140181","SOUTH SHORE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","306 patients",,,"HF-2 " "140181","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","36 patients",,,"SCIP-INF-3 " "140181","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","36 patients",,,"SCIP-INF-1 " "140181","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "140181","SOUTH SHORE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","42 patients",,,"PN-4 " "140181","SOUTH SHORE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "140181","SOUTH SHORE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","84%","25 patients",,,"AMI-5 " "140181","SOUTH SHORE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","5%","98 patients",,,"PN-2 " "140181","SOUTH SHORE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "140181","SOUTH SHORE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","3%","74 patients",,,"PN-7 " "140181","SOUTH SHORE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","102 patients","2 ","2","HF-3 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","87 patients","2 ","2","PN-7 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","296 patients","2 ","2","HF-2 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","244 patients","2 ","2","HF-1 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","74 patients","2 ","2","SCIP-INF-4 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","243 patients","2 ","2","SCIP-VTE-2 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","111 patients","2 ","2","PN-2 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","155 patients","2 ","2","PN-3B " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","108 patients","2 ","2","PN-5C " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","365 patients","2 ","2","SCIP-INF-2 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","148 patients",,,"AMI-2 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"AMI-4 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","364 patients","2 ","2","SCIP-INF-1 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","55 patients","2 ","2","PN-4 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","85 patients","2 ","2","SCIP-CARD-2 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","339 patients","2 ","2","SCIP-INF-3 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","108 patients",,,"AMI-5 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","243 patients","2 ","2","SCIP-VTE-1 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","114 patients",,,"AMI-1 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","73 patients","2 ","2","PN-6 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","12 patients","1 ","1","AMI-8A " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","62 patients","2 ","2","HF-4 " "140182","ADVOCATE ILLINOIS MASONIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","538 patients","2 ","2","SCIP-INF-6 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","179 patients",,,"HF-2 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","68 patients",,,"AMI-1 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","192 patients","2 ","2","SCIP-VTE-2 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","161 patients",,,"PN-2 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","56 patients",,,"HF-3 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","62 patients","2 ","2","SCIP-CARD-2 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","137 patients",,,"HF-1 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"AMI-3 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","84 patients",,,"PN-6 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","62 patients","2 ","2","SCIP-INF-4 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"PN-4 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","192 patients","2 ","2","SCIP-VTE-1 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","402 patients","2 ","2","SCIP-INF-6 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","102 patients",,,"PN-7 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","133 patients",,,"PN-3B " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","240 patients","2 ","2","SCIP-INF-1 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","206 patients","2 ","2","SCIP-INF-3 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","244 patients","2 ","2","SCIP-INF-2 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","96 patients",,,"AMI-5 " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","7 patients","1 ","1","AMI-8A " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","146 patients",,,"PN-5C " "140184","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","92 patients",,,"AMI-2 " "140185","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","360 patients",,,"PN-5C " "140185","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","237 patients",,,"PN-7 " "140185","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","378 patients",,,"PN-3B " "140185","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","149 patients",,,"PN-4 " "140185","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","224 patients","2 ","2","SCIP-VTE-2 " "140185","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","180 patients",,,"AMI-5 " "140185","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","418 patients","2 ","2","SCIP-INF-1 " "140185","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140185","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","115 patients","2 ","2","SCIP-INF-4 " "140185","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","600 patients",,,"HF-2 " "140185","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","203 patients",,,"PN-6 " "140185","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","188 patients",,,"AMI-1 " "140185","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","628 patients","2 ","2","SCIP-INF-6 " "140185","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","38 patients",,,"AMI-8A " "140185","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "140185","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","304 patients",,,"PN-2 " "140185","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"AMI-3 " "140185","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","505 patients",,,"HF-1 " "140185","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","176 patients",,,"AMI-2 " "140185","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","152 patients",,,"HF-3 " "140185","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","393 patients","2 ","2","SCIP-INF-3 " "140185","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","420 patients","2 ","2","SCIP-INF-2 " "140185","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"HF-4 " "140185","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","110 patients","2 ","2","SCIP-CARD-2 " "140185","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","224 patients","2 ","2","SCIP-VTE-1 " "140186","RIVERSIDE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","228 patients","2 ","2","PN-5C " "140186","RIVERSIDE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","235 patients","2 ","2","PN-2 " "140186","RIVERSIDE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","203 patients","2 ","2","HF-1 " "140186","RIVERSIDE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","58 patients","2 ","2","PN-4 " "140186","RIVERSIDE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","18 patients","1,2 ","12","AMI-8A " "140186","RIVERSIDE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","118 patients","2 ","2","HF-3 " "140186","RIVERSIDE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","153 patients","2 ","2","PN-7 " "140186","RIVERSIDE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1,2 ","12","AMI-3 " "140186","RIVERSIDE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","218 patients","2 ","2","PN-3B " "140186","RIVERSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","168 patients","2 ","2","SCIP-VTE-1 " "140186","RIVERSIDE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","HF-4 " "140186","RIVERSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","370 patients","2 ","2","SCIP-INF-3 " "140186","RIVERSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","99 patients","2 ","2","SCIP-CARD-2 " "140186","RIVERSIDE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","82 patients","2 ","2","AMI-1 " "140186","RIVERSIDE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","AMI-4 " "140186","RIVERSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","565 patients","2 ","2","SCIP-INF-6 " "140186","RIVERSIDE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140186","RIVERSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","168 patients","2 ","2","SCIP-VTE-2 " "140186","RIVERSIDE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","80 patients","2 ","2","AMI-5 " "140186","RIVERSIDE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","109 patients","2 ","2","PN-6 " "140186","RIVERSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","399 patients","2 ","2","SCIP-INF-1 " "140186","RIVERSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","409 patients","2 ","2","SCIP-INF-2 " "140186","RIVERSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","131 patients","2 ","2","SCIP-INF-4 " "140186","RIVERSIDE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","85 patients","2 ","2","AMI-2 " "140186","RIVERSIDE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","281 patients","2 ","2","HF-2 " "140187","ST ELIZABETH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","286 patients",,,"AMI-2 " "140187","ST ELIZABETH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140187","ST ELIZABETH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","287 patients",,,"AMI-5 " "140187","ST ELIZABETH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","291 patients",,,"PN-3B " "140187","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","276 patients","2 ","2","SCIP-INF-3 " "140187","ST ELIZABETH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","207 patients",,,"AMI-1 " "140187","ST ELIZABETH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","135 patients",,,"PN-4 " "140187","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","230 patients","2 ","2","SCIP-VTE-1 " "140187","ST ELIZABETH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","191 patients",,,"PN-6 " "140187","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","135 patients",,,"SCIP-CARD-2 " "140187","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","579 patients","2 ","2","SCIP-INF-6 " "140187","ST ELIZABETH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","300 patients",,,"PN-2 " "140187","ST ELIZABETH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","40 patients",,,"AMI-8A " "140187","ST ELIZABETH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","405 patients",,,"HF-2 " "140187","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","230 patients","2 ","2","SCIP-VTE-2 " "140187","ST ELIZABETH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","213 patients",,,"PN-7 " "140187","ST ELIZABETH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","47 patients",,,"AMI-3 " "140187","ST ELIZABETH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","74 patients",,,"HF-4 " "140187","ST ELIZABETH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","334 patients",,,"HF-1 " "140187","ST ELIZABETH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","139 patients",,,"HF-3 " "140187","ST ELIZABETH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","342 patients",,,"PN-5C " "140187","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","318 patients","2 ","2","SCIP-INF-2 " "140187","ST ELIZABETH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","97 patients",,,"AMI-4 " "140187","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","133 patients","2 ","2","SCIP-INF-4 " "140187","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","321 patients","2 ","2","SCIP-INF-1 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","224 patients",,,"HF-2 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","245 patients",,,"PN-5C " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","195 patients",,,"SCIP-VTE-2 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","117 patients",,,"PN-3B " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","161 patients",,,"PN-7 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","31 patients",,,"AMI-2 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","208 patients",,,"PN-2 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","328 patients",,,"SCIP-INF-1 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","146 patients",,,"HF-1 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","139 patients",,,"PN-6 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","311 patients",,,"SCIP-INF-3 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","196 patients",,,"SCIP-VTE-1 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","57 patients",,,"SCIP-CARD-2 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","333 patients",,,"SCIP-INF-2 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","65 patients",,,"HF-3 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","462 patients",,,"SCIP-INF-6 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","108 patients",,,"PN-4 " "140189","SARAH BUSH LINCOLN HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","43 patients",,,"AMI-1 " "140191","INGALLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","358 patients","2 ","2","SCIP-INF-2 " "140191","INGALLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","357 patients","2 ","2","SCIP-INF-1 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","182 patients","2 ","2","AMI-2 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","191 patients","2 ","2","AMI-1 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","301 patients","2 ","2","HF-2 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","59 patients","2 ","2","HF-4 " "140191","INGALLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","184 patients","2 ","2","SCIP-VTE-2 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140191","INGALLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","60 patients","2 ","2","SCIP-INF-4 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","183 patients","2 ","2","AMI-5 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","251 patients","2 ","2","HF-1 " "140191","INGALLS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","99 patients","2 ","2","PN-6 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","57%","21 patients","1,2 ","12","AMI-8A " "140191","INGALLS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","98 patients","2 ","2","HF-3 " "140191","INGALLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","184 patients","2 ","2","SCIP-VTE-1 " "140191","INGALLS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","109 patients","2 ","2","PN-2 " "140191","INGALLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","81 patients","2 ","2","SCIP-CARD-2 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","36 patients","2 ","2","AMI-3 " "140191","INGALLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","341 patients","2 ","2","SCIP-INF-3 " "140191","INGALLS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","55 patients","2 ","2","PN-4 " "140191","INGALLS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","155 patients","2 ","2","PN-5C " "140191","INGALLS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","96 patients","2 ","2","PN-7 " "140191","INGALLS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","476 patients","2 ","2","SCIP-INF-6 " "140191","INGALLS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","67 patients","2 ","2","AMI-4 " "140191","INGALLS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","123 patients","2 ","2","PN-3B " "140197","METHODIST HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","62%","8 patients","1 ","1","SCIP-INF-1 " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","HF-3 " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140197","METHODIST HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","9 patients","1 ","1","SCIP-INF-2 " "140197","METHODIST HOSPITAL OF CHICAGO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","137 patients",,,"PN-5C " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "140197","METHODIST HOSPITAL OF CHICAGO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","18 patients","1 ","1","PN-6 " "140197","METHODIST HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "140197","METHODIST HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","15 patients","1 ","1","SCIP-VTE-2 " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","24 patients","1 ","1","HF-4 " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "140197","METHODIST HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","63 patients",,,"HF-2 " "140197","METHODIST HOSPITAL OF CHICAGO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","97 patients",,,"PN-2 " "140197","METHODIST HOSPITAL OF CHICAGO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","88 patients",,,"PN-4 " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","8%","13 patients","1 ","1","HF-1 " "140197","METHODIST HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","15 patients","1 ","1","SCIP-VTE-1 " "140197","METHODIST HOSPITAL OF CHICAGO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "140197","METHODIST HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1 ","1","SCIP-INF-3 " "140197","METHODIST HOSPITAL OF CHICAGO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","79 patients",,,"PN-7 " "140197","METHODIST HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","26 patients",,,"SCIP-INF-6 " "140197","METHODIST HOSPITAL OF CHICAGO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","111 patients",,,"PN-3B " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","31 patients","2 ","2","AMI-8A " "140200","ELMHURST MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","234 patients","2 ","2","PN-5C " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","141 patients","2 ","2","HF-3 " "140200","ELMHURST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","87 patients","2 ","2","SCIP-INF-4 " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140200","ELMHURST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","530 patients","2 ","2","SCIP-INF-6 " "140200","ELMHURST MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","211 patients","2 ","2","PN-3B " "140200","ELMHURST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","231 patients","2 ","2","SCIP-VTE-1 " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","218 patients","2 ","2","AMI-1 " "140200","ELMHURST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","353 patients","2 ","2","SCIP-INF-3 " "140200","ELMHURST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","81 patients","2 ","2","SCIP-CARD-2 " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients","2 ","2","AMI-3 " "140200","ELMHURST MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","161 patients","2 ","2","PN-7 " "140200","ELMHURST MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","241 patients","2 ","2","PN-2 " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","61 patients","2 ","2","AMI-4 " "140200","ELMHURST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","231 patients","2 ","2","SCIP-VTE-2 " "140200","ELMHURST MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","126 patients","2 ","2","PN-6 " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","424 patients","2 ","2","HF-2 " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","213 patients","2 ","2","AMI-2 " "140200","ELMHURST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","377 patients","2 ","2","SCIP-INF-2 " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","HF-4 " "140200","ELMHURST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","372 patients","2 ","2","SCIP-INF-1 " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","205 patients","2 ","2","AMI-5 " "140200","ELMHURST MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients","2 ","2","PN-4 " "140200","ELMHURST MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","321 patients","2 ","2","HF-1 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","395 patients","2 ","2","SCIP-INF-1 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","50 patients","2 ","2","AMI-8A " "140202","ADVOCATE CONDELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","122 patients","2 ","2","SCIP-INF-4 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","144 patients","2 ","2","PN-5C " "140202","ADVOCATE CONDELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","398 patients","2 ","2","SCIP-INF-2 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","381 patients","2 ","2","HF-2 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","200 patients","2 ","2","AMI-1 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","85 patients","2 ","2","SCIP-CARD-2 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","167 patients","2 ","2","AMI-5 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","195 patients","2 ","2","AMI-2 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","204 patients","2 ","2","SCIP-VTE-2 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","104 patients","2 ","2","HF-3 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","345 patients","2 ","2","SCIP-INF-3 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","72 patients","2 ","2","AMI-4 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","125 patients","2 ","2","PN-2 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","204 patients","2 ","2","SCIP-VTE-1 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","90 patients","2 ","2","PN-7 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","90 patients","2 ","2","PN-6 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","584 patients","2 ","2","SCIP-INF-6 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140202","ADVOCATE CONDELL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","50 patients","2 ","2","PN-4 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","133 patients","2 ","2","PN-3B " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","33 patients","2 ","2","AMI-3 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients","2 ","2","HF-4 " "140202","ADVOCATE CONDELL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","297 patients","2 ","2","HF-1 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","41%","44 patients","2 ","2","SCIP-VTE-2 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","110 patients","2 ","2","SCIP-INF-6 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","29 patients",,,"AMI-2 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","39%","61 patients",,,"PN-7 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","42 patients","2 ","2","SCIP-INF-2 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","31 patients",,,"AMI-5 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","169 patients","2 ","2","PN-5C " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","AMI-3 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","53%","47 patients","2 ","2","SCIP-VTE-1 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","49 patients",,,"AMI-1 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","88 patients",,,"HF-3 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","60%","42 patients","2 ","2","SCIP-INF-3 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","54 patients","2 ","2","PN-4 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","185 patients",,,"HF-2 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","157 patients","2 ","2","PN-3B " "140206","NORWEGIAN-AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","44 patients","2 ","2","SCIP-INF-1 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","37 patients",,,"HF-4 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","5 patients","1 ","1","AMI-8A " "140206","NORWEGIAN-AMERICAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","105 patients","2 ","2","PN-6 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","59 patients","2 ","2","PN-2 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","164 patients",,,"HF-1 " "140206","NORWEGIAN-AMERICAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","100 patients","2 ","2","PN-7 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","493 patients","2 ","2","SCIP-INF-3 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","775 patients","2 ","2","SCIP-INF-6 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","118 patients","2 ","2","AMI-4 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","268 patients","2 ","2","AMI-2 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","74 patients","2 ","2","PN-3B " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","173 patients","2 ","2","SCIP-INF-4 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","529 patients","2 ","2","SCIP-INF-2 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients","2 ","2","AMI-3 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","271 patients","2 ","2","HF-1 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","153 patients","2 ","2","PN-2 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","73 patients","2 ","2","PN-6 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","518 patients","2 ","2","SCIP-INF-1 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","47 patients","2 ","2","PN-4 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","343 patients","2 ","2","HF-2 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","261 patients","2 ","2","SCIP-VTE-2 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","111 patients","2 ","2","HF-3 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","HF-4 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","160 patients","2 ","2","SCIP-CARD-2 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","261 patients","2 ","2","SCIP-VTE-1 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","247 patients","2 ","2","AMI-5 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","198 patients","2 ","2","AMI-1 " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","51 patients","2 ","2","AMI-8A " "140208","ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","120 patients","2 ","2","PN-5C " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","267 patients",,,"PN-2 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","129 patients","2 ","2","SCIP-INF-4 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","217 patients",,,"AMI-2 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"AMI-3 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","253 patients","2 ","2","SCIP-VTE-2 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","191 patients",,,"AMI-5 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"AMI-4 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","220 patients",,,"PN-5C " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","25 patients",,,"AMI-8A " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","101 patients",,,"HF-3 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"HF-4 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","258 patients",,,"HF-1 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","117 patients",,,"AMI-1 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","134 patients",,,"PN-6 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","168 patients",,,"PN-7 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","688 patients","2 ","2","SCIP-INF-3 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","255 patients","2 ","2","SCIP-VTE-1 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","714 patients","2 ","2","SCIP-INF-1 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"PN-4 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","149 patients","2 ","2","SCIP-CARD-2 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","727 patients","2 ","2","SCIP-INF-2 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","888 patients","2 ","2","SCIP-INF-6 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","315 patients",,,"HF-2 " "140209","METHODIST MEDICAL CENTER OF ILLINOIS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","185 patients",,,"PN-3B " "140210","HARRISBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","18 patients","1 ","1","SCIP-INF-2 " "140210","HARRISBURG MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140210","HARRISBURG MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "140210","HARRISBURG MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140210","HARRISBURG MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","139 patients","2 ","2","PN-5C " "140210","HARRISBURG MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","91 patients","2 ","2","PN-6 " "140210","HARRISBURG MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","13 patients","1 ","1","AMI-1 " "140210","HARRISBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","31%","29 patients",,,"SCIP-VTE-2 " "140210","HARRISBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140210","HARRISBURG MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","109 patients",,,"HF-2 " "140210","HARRISBURG MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "140210","HARRISBURG MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","86 patients",,,"HF-1 " "140210","HARRISBURG MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "140210","HARRISBURG MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","107 patients",,,"PN-7 " "140210","HARRISBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","80%","50 patients",,,"SCIP-INF-6 " "140210","HARRISBURG MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","141 patients","2 ","2","PN-2 " "140210","HARRISBURG MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","95 patients","2 ","2","PN-3B " "140210","HARRISBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "140210","HARRISBURG MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140210","HARRISBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","34%","29 patients",,,"SCIP-VTE-1 " "140210","HARRISBURG MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "140210","HARRISBURG MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","49 patients","2 ","2","PN-4 " "140210","HARRISBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","18 patients","1 ","1","SCIP-INF-3 " "140210","HARRISBURG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","18 patients","1 ","1","SCIP-INF-1 " "140210","HARRISBURG MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","21 patients","1 ","1","HF-4 " "140211","DELNOR COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"HF-3 " "140211","DELNOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","436 patients","2 ","2","SCIP-INF-6 " "140211","DELNOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","279 patients","2 ","2","SCIP-INF-2 " "140211","DELNOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","225 patients","2 ","2","SCIP-VTE-2 " "140211","DELNOR COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","205 patients","2 ","2","PN-5C " "140211","DELNOR COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","101 patients","2 ","2","PN-3B " "140211","DELNOR COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "140211","DELNOR COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140211","DELNOR COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","118 patients",,,"AMI-2 " "140211","DELNOR COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","121 patients",,,"HF-1 " "140211","DELNOR COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "140211","DELNOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","278 patients","2 ","2","SCIP-INF-1 " "140211","DELNOR COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","56 patients","2 ","2","PN-4 " "140211","DELNOR COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"AMI-4 " "140211","DELNOR COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","36 patients",,,"AMI-8A " "140211","DELNOR COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","195 patients","2 ","2","PN-2 " "140211","DELNOR COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","119 patients",,,"AMI-5 " "140211","DELNOR COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","141 patients",,,"AMI-1 " "140211","DELNOR COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","124 patients","2 ","2","PN-7 " "140211","DELNOR COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","180 patients",,,"HF-2 " "140211","DELNOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","270 patients","2 ","2","SCIP-INF-3 " "140211","DELNOR COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","130 patients","2 ","2","PN-6 " "140211","DELNOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140211","DELNOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","226 patients","2 ","2","SCIP-VTE-1 " "140211","DELNOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","53 patients","2 ","2","SCIP-CARD-2 " "140213","SILVER CROSS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","455 patients",,,"HF-2 " "140213","SILVER CROSS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","33 patients",,,"AMI-3 " "140213","SILVER CROSS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","255 patients",,,"PN-3B " "140213","SILVER CROSS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "140213","SILVER CROSS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","135 patients",,,"PN-4 " "140213","SILVER CROSS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","206 patients",,,"PN-6 " "140213","SILVER CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","613 patients","2 ","2","SCIP-INF-6 " "140213","SILVER CROSS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140213","SILVER CROSS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","192 patients",,,"PN-7 " "140213","SILVER CROSS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","265 patients",,,"PN-2 " "140213","SILVER CROSS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"HF-4 " "140213","SILVER CROSS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","162 patients",,,"AMI-5 " "140213","SILVER CROSS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","358 patients",,,"HF-1 " "140213","SILVER CROSS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","149 patients",,,"HF-3 " "140213","SILVER CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","453 patients","2 ","2","SCIP-INF-2 " "140213","SILVER CROSS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","37 patients",,,"AMI-8A " "140213","SILVER CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","452 patients","2 ","2","SCIP-INF-1 " "140213","SILVER CROSS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","57 patients","2 ","2","SCIP-CARD-2 " "140213","SILVER CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","413 patients","2 ","2","SCIP-INF-3 " "140213","SILVER CROSS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","343 patients",,,"PN-5C " "140213","SILVER CROSS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","152 patients",,,"AMI-2 " "140213","SILVER CROSS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","187 patients",,,"AMI-1 " "140213","SILVER CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","259 patients","2 ","2","SCIP-VTE-1 " "140213","SILVER CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140213","SILVER CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","259 patients","2 ","2","SCIP-VTE-2 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","101 patients","2 ","2","PN-6 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","116 patients","2 ","2","PN-7 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","46 patients",,,"HF-4 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","255 patients","2 ","2","SCIP-VTE-2 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","503 patients","2 ","2","SCIP-INF-6 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","33 patients",,,"AMI-8A " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","313 patients","2 ","2","SCIP-INF-2 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","255 patients","2 ","2","SCIP-VTE-1 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","311 patients","2 ","2","SCIP-INF-1 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","164 patients","2 ","2","PN-2 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","41 patients","2 ","2","SCIP-INF-4 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","129 patients",,,"AMI-5 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","215 patients",,,"HF-2 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","67 patients",,,"HF-3 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","87 patients","2 ","2","SCIP-CARD-2 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","172 patients","2 ","2","PN-5C " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"AMI-4 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","160 patients",,,"HF-1 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","56 patients","2 ","2","PN-4 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","134 patients",,,"AMI-2 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","16 patients","1 ","1","AMI-3 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","137 patients",,,"AMI-1 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","287 patients","2 ","2","SCIP-INF-3 " "140217","PROVENA - SAINT JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","155 patients","2 ","2","PN-3B " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","256 patients",,,"AMI-5 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","54 patients",,,"AMI-3 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","270 patients",,,"PN-5C " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","449 patients","2 ","2","SCIP-INF-1 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","254 patients",,,"AMI-2 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","60 patients",,,"PN-4 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","459 patients","2 ","2","SCIP-INF-2 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","266 patients",,,"PN-3B " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","474 patients",,,"HF-2 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","171 patients",,,"HF-3 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","656 patients","2 ","2","SCIP-INF-6 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","56 patients",,,"AMI-8A " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","261 patients","2 ","2","SCIP-VTE-2 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","329 patients",,,"PN-2 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","120 patients","2 ","2","SCIP-CARD-2 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","112 patients","2 ","2","SCIP-INF-4 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","223 patients",,,"PN-7 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","318 patients",,,"HF-1 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","262 patients","2 ","2","SCIP-VTE-1 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","244 patients",,,"AMI-1 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","109 patients",,,"PN-6 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","415 patients","2 ","2","SCIP-INF-3 " "140223","ADVOCATE LUTHERAN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"AMI-4 " "140224","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","9 patients","1 ","1","AMI-8A " "140224","SAINT JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","HF-4 " "140224","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","64 patients",,,"AMI-5 " "140224","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","428 patients","2 ","2","SCIP-INF-2 " "140224","SAINT JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","114 patients",,,"PN-3B " "140224","SAINT JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","57 patients",,,"PN-6 " "140224","SAINT JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","79 patients","2 ","2","HF-3 " "140224","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","69 patients",,,"AMI-2 " "140224","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","82 patients","2 ","2","SCIP-INF-4 " "140224","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","245 patients","2 ","2","SCIP-VTE-2 " "140224","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","AMI-3 " "140224","SAINT JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","228 patients","2 ","2","HF-1 " "140224","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","245 patients","2 ","2","SCIP-VTE-1 " "140224","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","427 patients","2 ","2","SCIP-INF-1 " "140224","SAINT JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","99 patients",,,"PN-7 " "140224","SAINT JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","131 patients",,,"PN-2 " "140224","SAINT JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "140224","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140224","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "140224","SAINT JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","315 patients","2 ","2","HF-2 " "140224","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","410 patients","2 ","2","SCIP-INF-3 " "140224","SAINT JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","119 patients",,,"PN-5C " "140224","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","579 patients","2 ","2","SCIP-INF-6 " "140224","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","60 patients",,,"AMI-1 " "140224","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","63%","93 patients","2 ","2","SCIP-CARD-2 " "140228","SWEDISH AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","894 patients","2 ","2","SCIP-INF-1 " "140228","SWEDISH AMERICAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","185 patients",,,"PN-7 " "140228","SWEDISH AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","397 patients","2 ","2","SCIP-VTE-2 " "140228","SWEDISH AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","216 patients","2 ","2","SCIP-INF-4 " "140228","SWEDISH AMERICAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","116 patients",,,"PN-4 " "140228","SWEDISH AMERICAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"AMI-4 " "140228","SWEDISH AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","834 patients","2 ","2","SCIP-INF-3 " "140228","SWEDISH AMERICAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"HF-4 " "140228","SWEDISH AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","905 patients","2 ","2","SCIP-INF-2 " "140228","SWEDISH AMERICAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","44 patients",,,"AMI-8A " "140228","SWEDISH AMERICAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","233 patients",,,"PN-3B " "140228","SWEDISH AMERICAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","224 patients",,,"AMI-2 " "140228","SWEDISH AMERICAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","202 patients",,,"AMI-1 " "140228","SWEDISH AMERICAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","163 patients",,,"PN-6 " "140228","SWEDISH AMERICAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","369 patients",,,"HF-1 " "140228","SWEDISH AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1153 patients","2 ","2","SCIP-INF-6 " "140228","SWEDISH AMERICAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","157 patients",,,"HF-3 " "140228","SWEDISH AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","171 patients","2 ","2","SCIP-CARD-2 " "140228","SWEDISH AMERICAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"AMI-3 " "140228","SWEDISH AMERICAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","397 patients","2 ","2","SCIP-VTE-1 " "140228","SWEDISH AMERICAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","461 patients",,,"HF-2 " "140228","SWEDISH AMERICAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","251 patients",,,"PN-5C " "140228","SWEDISH AMERICAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","223 patients",,,"AMI-5 " "140228","SWEDISH AMERICAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","207 patients",,,"PN-2 " "140228","SWEDISH AMERICAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "140231","EDWARD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "140231","EDWARD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","771 patients",,,"SCIP-VTE-1 " "140231","EDWARD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","363 patients",,,"PN-3B " "140231","EDWARD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","210 patients",,,"PN-7 " "140231","EDWARD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","280 patients",,,"SCIP-CARD-2 " "140231","EDWARD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","249 patients",,,"PN-6 " "140231","EDWARD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","771 patients",,,"SCIP-VTE-2 " "140231","EDWARD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","400 patients",,,"HF-2 " "140231","EDWARD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","104 patients",,,"HF-3 " "140231","EDWARD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","55 patients",,,"AMI-8A " "140231","EDWARD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","193 patients",,,"AMI-5 " "140231","EDWARD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","348 patients",,,"HF-1 " "140231","EDWARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1203 patients",,,"SCIP-INF-2 " "140231","EDWARD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"AMI-4 " "140231","EDWARD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","229 patients",,,"AMI-2 " "140231","EDWARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","202 patients",,,"SCIP-INF-4 " "140231","EDWARD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140231","EDWARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1792 patients",,,"SCIP-INF-6 " "140231","EDWARD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","368 patients",,,"PN-5C " "140231","EDWARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1190 patients",,,"SCIP-INF-1 " "140231","EDWARD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"PN-4 " "140231","EDWARD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","315 patients",,,"PN-2 " "140231","EDWARD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","228 patients",,,"AMI-1 " "140231","EDWARD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"AMI-3 " "140231","EDWARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1103 patients",,,"SCIP-INF-3 " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","338 patients",,,"AMI-2 " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","97 patients",,,"HF-3 " "140233","SAINT ANTHONY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","83 patients",,,"PN-6 " "140233","SAINT ANTHONY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","126 patients",,,"PN-7 " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"AMI-4 " "140233","SAINT ANTHONY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","214 patients",,,"PN-2 " "140233","SAINT ANTHONY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1002 patients","2 ","2","SCIP-INF-1 " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","52 patients",,,"AMI-8A " "140233","SAINT ANTHONY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","387 patients","2 ","2","SCIP-VTE-1 " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","65 patients",,,"AMI-3 " "140233","SAINT ANTHONY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","204 patients",,,"PN-5C " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","289 patients",,,"HF-2 " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"HF-4 " "140233","SAINT ANTHONY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","186 patients","2 ","2","SCIP-INF-4 " "140233","SAINT ANTHONY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","230 patients","2 ","2","SCIP-CARD-2 " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","222 patients",,,"HF-1 " "140233","SAINT ANTHONY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1008 patients","2 ","2","SCIP-INF-2 " "140233","SAINT ANTHONY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","175 patients",,,"PN-3B " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","324 patients",,,"AMI-5 " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","247 patients",,,"AMI-1 " "140233","SAINT ANTHONY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1241 patients","2 ","2","SCIP-INF-6 " "140233","SAINT ANTHONY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140233","SAINT ANTHONY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","966 patients","2 ","2","SCIP-INF-3 " "140233","SAINT ANTHONY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","39 patients",,,"PN-4 " "140233","SAINT ANTHONY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","387 patients","2 ","2","SCIP-VTE-2 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","100 patients","2 ","2","HF-2 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","103 patients",,,"PN-3B " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","72 patients",,,"PN-6 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","114 patients",,,"PN-2 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","68 patients",,,"PN-7 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1,2 ","12","HF-4 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","239 patients",,,"SCIP-INF-1 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","238 patients",,,"SCIP-INF-3 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","73 patients","2 ","2","HF-1 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1,2 ","12","HF-3 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","272 patients",,,"SCIP-INF-6 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","115 patients",,,"PN-5C " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","55 patients",,,"SCIP-CARD-2 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","241 patients",,,"SCIP-INF-2 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","113 patients",,,"SCIP-VTE-1 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","113 patients",,,"SCIP-VTE-2 " "140234","ILLINOIS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "140239","ROCKFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","319 patients","2 ","2","SCIP-VTE-2 " "140239","ROCKFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","640 patients","2 ","2","SCIP-INF-2 " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","157 patients",,,"AMI-1 " "140239","ROCKFORD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","284 patients",,,"PN-2 " "140239","ROCKFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1086 patients","2 ","2","SCIP-INF-6 " "140239","ROCKFORD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","291 patients",,,"PN-3B " "140239","ROCKFORD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","196 patients",,,"PN-7 " "140239","ROCKFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","620 patients","2 ","2","SCIP-INF-1 " "140239","ROCKFORD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","334 patients",,,"PN-5C " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"HF-4 " "140239","ROCKFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","593 patients","2 ","2","SCIP-INF-3 " "140239","ROCKFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","176 patients","2 ","2","SCIP-INF-4 " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","302 patients",,,"HF-2 " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","86 patients",,,"AMI-4 " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","41 patients",,,"AMI-3 " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","33 patients",,,"AMI-8A " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","101 patients",,,"HF-3 " "140239","ROCKFORD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","168 patients",,,"PN-6 " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","217 patients",,,"AMI-5 " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","211 patients",,,"AMI-2 " "140239","ROCKFORD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","218 patients",,,"HF-1 " "140239","ROCKFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","197 patients",,,"SCIP-CARD-2 " "140239","ROCKFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","324 patients","2 ","2","SCIP-VTE-1 " "140239","ROCKFORD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"PN-4 " "140240","WESTLAKE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","79 patients",,,"PN-3B " "140240","WESTLAKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","31 patients","2 ","2","SCIP-CARD-2 " "140240","WESTLAKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","82 patients","2 ","2","SCIP-VTE-2 " "140240","WESTLAKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","18 patients","1,2 ","12","SCIP-INF-4 " "140240","WESTLAKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","188 patients","2 ","2","SCIP-INF-6 " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","67 patients",,,"HF-3 " "140240","WESTLAKE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","25 patients",,,"PN-4 " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","205 patients",,,"HF-2 " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","162 patients",,,"HF-1 " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "140240","WESTLAKE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","44 patients",,,"PN-6 " "140240","WESTLAKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","82 patients","2 ","2","SCIP-VTE-1 " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","31 patients",,,"AMI-2 " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","6 patients","1 ","1","AMI-8A " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","AMI-4 " "140240","WESTLAKE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","72 patients",,,"PN-5C " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140240","WESTLAKE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","47 patients",,,"PN-7 " "140240","WESTLAKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","107 patients","2 ","2","SCIP-INF-1 " "140240","WESTLAKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","88 patients","2 ","2","SCIP-INF-3 " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","32 patients",,,"AMI-5 " "140240","WESTLAKE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","62 patients",,,"PN-2 " "140240","WESTLAKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","104 patients","2 ","2","SCIP-INF-2 " "140240","WESTLAKE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","175 patients",,,"AMI-5 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140242","CENTRAL DUPAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","122 patients","2 ","2","SCIP-INF-4 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","105 patients",,,"HF-3 " "140242","CENTRAL DUPAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","221 patients",,,"PN-2 " "140242","CENTRAL DUPAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","554 patients","2 ","2","SCIP-INF-6 " "140242","CENTRAL DUPAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","389 patients","2 ","2","SCIP-INF-1 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","171 patients",,,"AMI-2 " "140242","CENTRAL DUPAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","142 patients",,,"PN-7 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","420 patients",,,"HF-2 " "140242","CENTRAL DUPAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","139 patients",,,"PN-3B " "140242","CENTRAL DUPAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","395 patients","2 ","2","SCIP-INF-2 " "140242","CENTRAL DUPAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","155 patients",,,"PN-6 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","53 patients",,,"AMI-8A " "140242","CENTRAL DUPAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","179 patients",,,"AMI-1 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "140242","CENTRAL DUPAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","359 patients","2 ","2","SCIP-INF-3 " "140242","CENTRAL DUPAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","246 patients",,,"PN-5C " "140242","CENTRAL DUPAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","318 patients",,,"HF-1 " "140242","CENTRAL DUPAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","95 patients","2 ","2","SCIP-CARD-2 " "140242","CENTRAL DUPAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","185 patients","2 ","2","SCIP-VTE-1 " "140242","CENTRAL DUPAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","185 patients","2 ","2","SCIP-VTE-2 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "140242","CENTRAL DUPAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"AMI-3 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","88 patients","2 ","2","PN-7 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","85 patients",,,"AMI-2 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","198 patients","2 ","2","SCIP-VTE-2 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","56 patients","2 ","2","PN-4 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","269 patients","2 ","2","SCIP-INF-3 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","283 patients","2 ","2","SCIP-INF-1 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","HF-4 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","6 patients","1 ","1","AMI-8A " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","406 patients","2 ","2","SCIP-INF-6 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","87 patients","2 ","2","HF-3 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","198 patients","2 ","2","SCIP-VTE-1 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","312 patients","2 ","2","HF-2 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","132 patients","2 ","2","PN-3B " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","258 patients","2 ","2","HF-1 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","121 patients","2 ","2","PN-2 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","126 patients",,,"AMI-1 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","283 patients","2 ","2","SCIP-INF-2 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients","2 ","2","SCIP-CARD-2 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","85 patients",,,"AMI-5 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","97 patients","2 ","2","PN-6 " "140250","ADVOCATE SOUTH SUBURBAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","155 patients","2 ","2","PN-5C " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","114 patients",,,"HF-3 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","131 patients",,,"PN-6 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","408 patients","2 ","2","SCIP-INF-6 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"PN-4 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","267 patients",,,"HF-1 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","155 patients","2 ","2","SCIP-INF-3 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","177 patients",,,"PN-3B " "140251","OUR LADY OF THE RESURRECTION MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","227 patients",,,"PN-2 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","237 patients",,,"PN-5C " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"AMI-4 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","122 patients",,,"AMI-5 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","147 patients",,,"AMI-1 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","130 patients",,,"AMI-2 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","226 patients","2 ","2","SCIP-VTE-1 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","226 patients","2 ","2","SCIP-VTE-2 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","173 patients","2 ","2","SCIP-INF-2 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","21 patients","1 ","1","AMI-8A " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"HF-4 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","41 patients",,,"SCIP-CARD-2 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","155 patients",,,"PN-7 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","175 patients","2 ","2","SCIP-INF-1 " "140251","OUR LADY OF THE RESURRECTION MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","472 patients",,,"HF-2 " "140252","NORTHWEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","464 patients","2 ","2","SCIP-INF-3 " "140252","NORTHWEST COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","146 patients","2 ","2","PN-5C " "140252","NORTHWEST COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","124 patients","2 ","2","PN-2 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","305 patients","2 ","2","HF-2 " "140252","NORTHWEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","243 patients","2 ","2","SCIP-VTE-2 " "140252","NORTHWEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","697 patients","2 ","2","SCIP-INF-6 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","371 patients",,,"AMI-5 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140252","NORTHWEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","495 patients","2 ","2","SCIP-INF-1 " "140252","NORTHWEST COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","69 patients","2 ","2","PN-6 " "140252","NORTHWEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","243 patients","2 ","2","SCIP-VTE-1 " "140252","NORTHWEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","145 patients","2 ","2","SCIP-INF-4 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","30 patients","2 ","2","HF-4 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","396 patients",,,"AMI-1 " "140252","NORTHWEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","121 patients","2 ","2","SCIP-CARD-2 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","175 patients","2 ","2","HF-1 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","68 patients",,,"AMI-8A " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"AMI-4 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","337 patients",,,"AMI-2 " "140252","NORTHWEST COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","130 patients","2 ","2","PN-3B " "140252","NORTHWEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","498 patients","2 ","2","SCIP-INF-2 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","55 patients","2 ","2","HF-3 " "140252","NORTHWEST COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","72 patients","2 ","2","PN-7 " "140252","NORTHWEST COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","54 patients",,,"AMI-3 " "140252","NORTHWEST COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","28 patients","2 ","2","PN-4 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","211 patients",,,"AMI-2 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"AMI-4 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","215 patients",,,"AMI-5 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","657 patients","2 ","2","SCIP-INF-6 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","478 patients","2 ","2","SCIP-INF-2 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","54 patients",,,"AMI-8A " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"PN-4 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","246 patients","2 ","2","SCIP-VTE-2 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","319 patients",,,"PN-5C " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","246 patients",,,"PN-7 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","316 patients",,,"PN-3B " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","407 patients","2 ","2","SCIP-INF-3 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","247 patients","2 ","2","SCIP-VTE-1 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","142 patients",,,"HF-3 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","147 patients","2 ","2","SCIP-CARD-2 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","408 patients",,,"HF-1 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","150 patients","2 ","2","SCIP-INF-4 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","208 patients",,,"AMI-1 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","163 patients",,,"PN-6 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","41 patients",,,"AMI-3 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","527 patients",,,"HF-2 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","409 patients",,,"PN-2 " "140258","ALEXIAN BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","466 patients","2 ","2","SCIP-INF-1 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","310 patients","2 ","2","SCIP-INF-2 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","205 patients","2 ","2","SCIP-VTE-2 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","117 patients",,,"AMI-5 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","205 patients","2 ","2","SCIP-VTE-1 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","425 patients","2 ","2","SCIP-INF-6 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"HF-4 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","57 patients",,,"PN-7 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","309 patients","2 ","2","SCIP-INF-1 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","75 patients",,,"AMI-3 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","42 patients",,,"HF-3 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","303 patients","2 ","2","SCIP-INF-3 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","61 patients",,,"PN-6 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","125 patients",,,"AMI-1 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","36 patients",,,"AMI-8A " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","115 patients",,,"PN-5C " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","174 patients",,,"HF-2 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","108 patients",,,"HF-1 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","106 patients",,,"PN-2 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","123 patients",,,"PN-3B " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","125 patients",,,"AMI-2 " "140275","GENESIS MEDICAL CENTER ILLINI CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","64 patients","2 ","2","SCIP-CARD-2 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1,2 ","12","AMI-3 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","216 patients","2 ","2","SCIP-VTE-2 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","133 patients","2 ","2","AMI-2 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","236 patients","2 ","2","PN-3B " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","218 patients","2 ","2","SCIP-VTE-1 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","118 patients","2 ","2","SCIP-CARD-2 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","262 patients","2 ","2","HF-3 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","22 patients","1,2 ","12","AMI-8A " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","103 patients","2 ","2","HF-4 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","139 patients","2 ","2","AMI-5 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","137 patients","2 ","2","SCIP-INF-4 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","AMI-4 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","140 patients","2 ","2","AMI-1 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","357 patients","2 ","2","SCIP-INF-3 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","208 patients","2 ","2","PN-5C " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","590 patients","2 ","2","SCIP-INF-6 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","562 patients","2 ","2","HF-2 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","145 patients","2 ","2","PN-2 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","369 patients","2 ","2","SCIP-INF-1 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","377 patients","2 ","2","SCIP-INF-2 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","107 patients","2 ","2","PN-7 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","42 patients","2 ","2","PN-4 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","506 patients","2 ","2","HF-1 " "140276","LOYOLA UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","90 patients","2 ","2","PN-6 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","358 patients","2 ","2","SCIP-INF-2 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","88 patients","2 ","2","HF-3 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","102 patients","2 ","2","SCIP-CARD-2 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","139 patients","2 ","2","PN-2 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","116 patients",,,"AMI-4 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","339 patients","2 ","2","SCIP-INF-3 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","95 patients","2 ","2","PN-7 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","58 patients",,,"AMI-3 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","221 patients","2 ","2","HF-1 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","350 patients","2 ","2","SCIP-INF-1 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","132 patients","2 ","2","PN-3B " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","50 patients","2 ","2","HF-4 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","180 patients","2 ","2","SCIP-VTE-2 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","256 patients",,,"AMI-1 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","135 patients","2 ","2","PN-5C " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","290 patients","2 ","2","HF-2 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","181 patients","2 ","2","SCIP-VTE-1 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","47 patients","2 ","2","PN-4 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","81 patients","2 ","2","PN-6 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","372 patients",,,"AMI-2 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","338 patients",,,"AMI-5 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","37 patients",,,"AMI-8A " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","119 patients","2 ","2","SCIP-INF-4 " "140280","TRINITY MEDICAL CENTER - 7TH STREET CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","517 patients","2 ","2","SCIP-INF-6 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","115 patients","2 ","2","HF-4 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","184 patients","2 ","2","PN-6 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","313 patients","2 ","2","HF-3 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","240 patients","2 ","2","PN-7 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","152 patients","2 ","2","SCIP-INF-4 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","290 patients","2 ","2","AMI-5 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","311 patients","2 ","2","PN-2 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","247 patients","2 ","2","AMI-2 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","256 patients","2 ","2","SCIP-VTE-2 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","83 patients","2 ","2","AMI-4 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","367 patients","2 ","2","PN-5C " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","52 patients","2 ","2","AMI-3 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","725 patients","2 ","2","HF-1 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","269 patients","2 ","2","AMI-1 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","437 patients","2 ","2","SCIP-INF-2 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","256 patients","2 ","2","SCIP-VTE-1 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","111 patients","2 ","2","SCIP-CARD-2 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","816 patients","2 ","2","HF-2 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","407 patients","2 ","2","PN-3B " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","45 patients","2 ","2","AMI-8A " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","433 patients","2 ","2","SCIP-INF-1 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","705 patients","2 ","2","SCIP-INF-6 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","147 patients","2 ","2","PN-4 " "140281","NORTHWESTERN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","421 patients","2 ","2","SCIP-INF-3 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","104 patients","2 ","2","PN-6 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","82 patients",,,"HF-1 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","341 patients",,,"SCIP-INF-6 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","103 patients","2 ","2","PN-3B " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","215 patients",,,"SCIP-INF-3 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","226 patients",,,"SCIP-INF-2 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","79 patients","2 ","2","PN-7 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","106 patients",,,"HF-2 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","53 patients",,,"SCIP-CARD-2 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","225 patients",,,"SCIP-INF-1 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","23 patients","1 ","1","HF-3 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","112 patients","2 ","2","PN-2 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","148 patients",,,"SCIP-VTE-1 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","134 patients","2 ","2","PN-5C " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","44 patients","2 ","2","PN-4 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "140286","KISHWAUKEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","147 patients",,,"SCIP-VTE-2 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","97 patients","2 ","2","SCIP-CARD-2 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","125 patients",,,"HF-3 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","453 patients","2 ","2","SCIP-INF-2 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","59 patients",,,"AMI-8A " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","418 patients","2 ","2","SCIP-INF-3 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"AMI-4 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","216 patients",,,"AMI-1 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","233 patients","2 ","2","SCIP-VTE-1 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","279 patients","2 ","2","PN-2 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","259 patients","2 ","2","PN-5C " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","137 patients","2 ","2","SCIP-INF-4 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","205 patients",,,"AMI-5 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","412 patients",,,"HF-2 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","440 patients","2 ","2","SCIP-INF-1 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"AMI-3 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","233 patients","2 ","2","SCIP-VTE-2 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","72 patients","2 ","2","PN-4 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","294 patients",,,"HF-1 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","174 patients","2 ","2","PN-7 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","208 patients","2 ","2","PN-3B " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","626 patients","2 ","2","SCIP-INF-6 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","187 patients",,,"AMI-2 " "140288","ADVOCATE GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","150 patients","2 ","2","PN-6 " "140289","ANDERSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","146 patients",,,"HF-1 " "140289","ANDERSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","PN-4 " "140289","ANDERSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","AMI-3 " "140289","ANDERSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","83 patients",,,"AMI-5 " "140289","ANDERSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","154 patients","2 ","2","PN-2 " "140289","ANDERSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "140289","ANDERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","302 patients","2 ","2","SCIP-VTE-2 " "140289","ANDERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","353 patients","2 ","2","SCIP-INF-3 " "140289","ANDERSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140289","ANDERSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","109 patients",,,"AMI-1 " "140289","ANDERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","379 patients","2 ","2","SCIP-INF-2 " "140289","ANDERSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","200 patients","2 ","2","PN-3B " "140289","ANDERSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","80 patients",,,"AMI-2 " "140289","ANDERSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "140289","ANDERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","512 patients","2 ","2","SCIP-INF-6 " "140289","ANDERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "140289","ANDERSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","113 patients","2 ","2","PN-6 " "140289","ANDERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","302 patients","2 ","2","SCIP-VTE-1 " "140289","ANDERSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","75 patients","2 ","2","SCIP-CARD-2 " "140289","ANDERSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","58 patients",,,"HF-3 " "140289","ANDERSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","108 patients","2 ","2","PN-7 " "140289","ANDERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","374 patients","2 ","2","SCIP-INF-1 " "140289","ANDERSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","187 patients","2 ","2","PN-5C " "140289","ANDERSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "140289","ANDERSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","197 patients",,,"HF-2 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","49 patients",,,"AMI-4 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","99 patients",,,"HF-3 " "140290","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","228 patients","2 ","2","SCIP-VTE-2 " "140290","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","439 patients","2 ","2","SCIP-INF-6 " "140290","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","258 patients",,,"PN-5C " "140290","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","31 patients",,,"AMI-8A " "140290","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","284 patients","2 ","2","SCIP-INF-2 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","AMI-3 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","367 patients",,,"HF-2 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140290","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","344 patients",,,"PN-2 " "140290","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","60 patients","2 ","2","SCIP-CARD-2 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","145 patients",,,"AMI-2 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","259 patients",,,"HF-1 " "140290","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"PN-4 " "140290","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","228 patients","2 ","2","SCIP-VTE-1 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","165 patients",,,"AMI-1 " "140290","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140290","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","137 patients",,,"PN-6 " "140290","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","309 patients",,,"PN-3B " "140290","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","282 patients","2 ","2","SCIP-INF-1 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","152 patients",,,"AMI-5 " "140290","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","269 patients","2 ","2","SCIP-INF-3 " "140290","ST ALEXIUS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "140290","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","235 patients",,,"PN-7 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","389 patients","2 ","2","SCIP-INF-3 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","147 patients",,,"AMI-5 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","HF-4 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","123 patients",,,"PN-6 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","271 patients","2 ","2","HF-2 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","110 patients","2 ","2","SCIP-CARD-2 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","153 patients",,,"AMI-2 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","206 patients","2 ","2","SCIP-VTE-2 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","AMI-3 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","43 patients",,,"AMI-8A " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","206 patients","2 ","2","HF-1 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","247 patients",,,"PN-2 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","421 patients","2 ","2","SCIP-INF-1 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","291 patients",,,"PN-3B " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","584 patients","2 ","2","SCIP-INF-6 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","122 patients","2 ","2","SCIP-INF-4 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","214 patients",,,"PN-5C " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","206 patients","2 ","2","SCIP-VTE-1 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","165 patients",,,"AMI-1 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","163 patients",,,"PN-7 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","428 patients","2 ","2","SCIP-INF-2 " "140291","ADVOCATE GOOD SHEPHERD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","69 patients","2 ","2","HF-3 " "140292","ADVENTIST GLENOAKS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","27%","62 patients",,,"HF-1 " "140292","ADVENTIST GLENOAKS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "140292","ADVENTIST GLENOAKS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","41 patients",,,"SCIP-VTE-1 " "140292","ADVENTIST GLENOAKS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","29 patients",,,"SCIP-INF-1 " "140292","ADVENTIST GLENOAKS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140292","ADVENTIST GLENOAKS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "140292","ADVENTIST GLENOAKS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","96 patients",,,"HF-2 " "140292","ADVENTIST GLENOAKS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","8 patients","1 ","1","SCIP-CARD-2 " "140292","ADVENTIST GLENOAKS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","42 patients",,,"AMI-1 " "140292","ADVENTIST GLENOAKS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","30 patients",,,"AMI-5 " "140292","ADVENTIST GLENOAKS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","48 patients",,,"PN-5C " "140292","ADVENTIST GLENOAKS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","23 patients","1 ","1","HF-4 " "140292","ADVENTIST GLENOAKS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","66 patients",,,"PN-7 " "140292","ADVENTIST GLENOAKS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","26 patients",,,"SCIP-INF-3 " "140292","ADVENTIST GLENOAKS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","40 patients",,,"SCIP-VTE-2 " "140292","ADVENTIST GLENOAKS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","77 patients",,,"SCIP-INF-6 " "140292","ADVENTIST GLENOAKS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1 ","1","PN-4 " "140292","ADVENTIST GLENOAKS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","66 patients",,,"PN-2 " "140292","ADVENTIST GLENOAKS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "140292","ADVENTIST GLENOAKS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","29 patients",,,"SCIP-INF-2 " "140292","ADVENTIST GLENOAKS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","13 patients","1 ","1","AMI-8A " "140292","ADVENTIST GLENOAKS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","26 patients",,,"PN-6 " "140292","ADVENTIST GLENOAKS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","32 patients",,,"AMI-2 " "140292","ADVENTIST GLENOAKS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","101 patients",,,"PN-3B " "140292","ADVENTIST GLENOAKS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "140294","CROSSROADS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","41 patients","2 ","2","SCIP-VTE-2 " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "140294","CROSSROADS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","106 patients","2 ","2","SCIP-INF-1 " "140294","CROSSROADS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","97 patients","2 ","2","SCIP-INF-3 " "140294","CROSSROADS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140294","CROSSROADS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","49 patients",,,"PN-6 " "140294","CROSSROADS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","136 patients","2 ","2","SCIP-INF-6 " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","38 patients",,,"HF-1 " "140294","CROSSROADS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "140294","CROSSROADS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","68 patients",,,"PN-7 " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "140294","CROSSROADS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","75 patients",,,"PN-3B " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","46 patients",,,"HF-2 " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140294","CROSSROADS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","87 patients",,,"PN-2 " "140294","CROSSROADS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","26 patients","2 ","2","SCIP-CARD-2 " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1 ","1","AMI-1 " "140294","CROSSROADS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","86 patients",,,"PN-5C " "140294","CROSSROADS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","107 patients","2 ","2","SCIP-INF-2 " "140294","CROSSROADS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "140294","CROSSROADS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","41 patients","2 ","2","SCIP-VTE-1 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","134 patients","2 ","2","HF-3 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","57 patients","2 ","2","SCIP-INF-1 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1,2 ","12","AMI-5 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","286 patients","2 ","2","HF-2 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","117 patients","2 ","2","HF-4 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","76 patients","2 ","2","PN-7 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","AMI-3 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,2 ","12","AMI-2 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","176 patients","2 ","2","PN-3B " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "140300","PROVIDENT HOSPITAL OF CHICAGO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","119 patients","2 ","2","PN-4 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","37 patients","2 ","2","SCIP-VTE-2 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","37 patients","2 ","2","SCIP-VTE-1 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","50 patients","2 ","2","SCIP-INF-3 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","180 patients","2 ","2","PN-5C " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","281 patients","2 ","2","HF-1 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","AMI-4 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1,2 ","12","AMI-1 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","57 patients","2 ","2","SCIP-INF-2 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","84%","77 patients","2 ","2","SCIP-INF-6 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","53 patients","2 ","2","PN-2 " "140300","PROVIDENT HOSPITAL OF CHICAGO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","147 patients","2 ","2","PN-6 " "140301","OAK FOREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","15 patients","1,2 ","12","SCIP-VTE-2 " "140301","OAK FOREST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","6 patients","1 ","1","PN-2 " "140301","OAK FOREST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "140301","OAK FOREST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "140301","OAK FOREST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","168 patients",,,"HF-2 " "140301","OAK FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","22 patients","1,2 ","12","SCIP-INF-6 " "140301","OAK FOREST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","47 patients",,,"PN-5C " "140301","OAK FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140301","OAK FOREST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","58 patients",,,"PN-6 " "140301","OAK FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,2 ","12","SCIP-INF-3 " "140301","OAK FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,2 ","12","SCIP-INF-2 " "140301","OAK FOREST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "140301","OAK FOREST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","166 patients",,,"HF-1 " "140301","OAK FOREST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "140301","OAK FOREST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"HF-4 " "140301","OAK FOREST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","82 patients",,,"HF-3 " "140301","OAK FOREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,2 ","12","SCIP-INF-1 " "140301","OAK FOREST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140301","OAK FOREST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "140301","OAK FOREST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","33 patients",,,"PN-4 " "140301","OAK FOREST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "140301","OAK FOREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","15 patients","1,2 ","12","SCIP-VTE-1 " "140301","OAK FOREST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","63 patients",,,"PN-3B " "140301","OAK FOREST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","16 patients","1 ","1","PN-7 " "140301","OAK FOREST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","87 patients","2 ","2","SCIP-VTE-2 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","2,3 ","23","PN-2 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","23 patients","1,2 ","12","SCIP-CARD-2 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","126 patients","2 ","2","SCIP-INF-1 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","87 patients","2 ","2","SCIP-VTE-1 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","126 patients","2 ","2","SCIP-INF-2 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","80%","205 patients","2 ","2","SCIP-INF-6 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","125 patients","2 ","2","SCIP-INF-3 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "140303","THSC LLC NEUROLOGIC AND ORTHOPEDIC INST OF CHGO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","57 patients","3 ","3","PN-5C " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","35 patients",,,"SCIP-INF-2 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","110 patients",,,"HF-2 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","56 patients",,,"AMI-5 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","31 patients",,,"PN-4 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","73 patients",,,"PN-2 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","65%","34 patients",,,"SCIP-INF-3 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","43 patients",,,"PN-6 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","63 patients",,,"PN-7 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","70 patients",,,"AMI-1 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","38%","88 patients",,,"HF-1 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1 ","1","SCIP-CARD-2 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","62 patients",,,"SCIP-VTE-2 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","58 patients",,,"AMI-2 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","63 patients",,,"SCIP-VTE-1 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"AMI-4 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","23 patients","1 ","1","AMI-8A " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","34 patients",,,"SCIP-INF-1 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","38 patients",,,"HF-3 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","103 patients",,,"SCIP-INF-6 " "140304","ADVENTIST BOLINGBROOK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","106 patients",,,"PN-3B " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","23 patients","1 ","1","PN-7 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","59 patients",,,"HF-2 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","84 patients",,,"PN-3B " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","63 patients",,,"PN-6 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"HF-3 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","50 patients",,,"HF-1 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","26 patients",,,"PN-2 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","86 patients",,,"PN-5C " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "14034F","NORTH CHICAGO VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","65%","17 patients","1 ","1","PN-6 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","55%","11 patients","1 ","1","PN-4 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","9%","11 patients","1 ","1","HF-2 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","10 patients","1 ","1","PN-7 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","33 patients",,,"PN-2 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","4 patients","1 ","1","HF-1 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "141300","THOMAS H BOYD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","23 patients","1 ","1","PN-5C " "141301","JOHN & MARY KIRBY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","15 patients","1 ","1","PN-6 " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1,3 ","13","HF-1 " "141301","JOHN & MARY KIRBY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1,3 ","13","HF-3 " "141301","JOHN & MARY KIRBY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","23 patients","1 ","1","PN-5C " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","8 patients","1,3 ","13","HF-2 " "141301","JOHN & MARY KIRBY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141301","JOHN & MARY KIRBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141301","JOHN & MARY KIRBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141301","JOHN & MARY KIRBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141301","JOHN & MARY KIRBY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","39 patients",,,"PN-7 " "141301","JOHN & MARY KIRBY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141301","JOHN & MARY KIRBY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","14 patients","1 ","1","PN-4 " "141301","JOHN & MARY KIRBY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","52 patients",,,"PN-2 " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141301","JOHN & MARY KIRBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141301","JOHN & MARY KIRBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141301","JOHN & MARY KIRBY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","37 patients",,,"PN-3B " "141301","JOHN & MARY KIRBY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141302","MIDWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141302","MIDWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141302","MIDWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","11 patients","1,3 ","13","PN-2 " "141302","MIDWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1,3 ","13","PN-7 " "141302","MIDWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141302","MIDWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","7 patients","1,3 ","13","HF-2 " "141302","MIDWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141302","MIDWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141302","MIDWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141302","MIDWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141302","MIDWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141302","MIDWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141302","MIDWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "141302","MIDWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1,3 ","13","PN-3B " "141302","MIDWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141302","MIDWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1,3 ","13","PN-6 " "141302","MIDWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,3 ","13","PN-4 " "141302","MIDWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1,3 ","13","PN-5C " "141302","MIDWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "141302","MIDWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141302","MIDWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","6 patients","1,3 ","13","HF-1 " "141302","MIDWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141302","MIDWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141302","MIDWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141302","MIDWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141303","DR JOHN WARNER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "141303","DR JOHN WARNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141303","DR JOHN WARNER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141303","DR JOHN WARNER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "141303","DR JOHN WARNER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141303","DR JOHN WARNER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141303","DR JOHN WARNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141303","DR JOHN WARNER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "141303","DR JOHN WARNER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "141303","DR JOHN WARNER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141303","DR JOHN WARNER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "141303","DR JOHN WARNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141303","DR JOHN WARNER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "141303","DR JOHN WARNER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "141303","DR JOHN WARNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141303","DR JOHN WARNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141303","DR JOHN WARNER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141303","DR JOHN WARNER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "141303","DR JOHN WARNER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141303","DR JOHN WARNER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141303","DR JOHN WARNER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "141303","DR JOHN WARNER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141303","DR JOHN WARNER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141303","DR JOHN WARNER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "141303","DR JOHN WARNER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141306","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","11 patients","1 ","1","PN-6 " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1,2 ","12","AMI-1 " "141306","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141306","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","15 patients","1 ","1","PN-5C " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","20%","10 patients","1,3 ","13","HF-2 " "141306","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","18%","11 patients","1 ","1","SCIP-VTE-1 " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1,2 ","12","AMI-2 " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "141306","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","8 patients","1 ","1","PN-3B " "141306","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-2 " "141306","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","11%","9 patients","1,3 ","13","HF-1 " "141306","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1 ","1","SCIP-INF-3 " "141306","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","9%","11 patients","1 ","1","SCIP-VTE-2 " "141306","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","12 patients","1 ","1","PN-7 " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1,2 ","12","AMI-5 " "141306","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","10 patients","1 ","1","PN-2 " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "141306","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1 ","1","SCIP-INF-6 " "141306","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","20%","5 patients","1 ","1","PN-4 " "141306","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,2 ","12","AMI-3 " "141306","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","3 patients","1 ","1","SCIP-INF-1 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","31 patients",,,"PN-2 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","21 patients","1 ","1","PN-3B " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","11 patients","1 ","1","PN-6 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1,3 ","13","HF-1 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","9 patients","1,3 ","13","HF-2 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","16 patients","1 ","1","PN-7 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","31 patients",,,"PN-5C " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","1 patients","1,3 ","13","SCIP-INF-6 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","HF-3 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "141307","PINCKNEYVILLE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "141309","EUREKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141309","EUREKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "141309","EUREKA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","15 patients","1 ","1","PN-6 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141309","EUREKA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","19 patients","1 ","1","PN-2 " "141309","EUREKA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "141309","EUREKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,3 ","13","SCIP-VTE-1 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","16 patients","1 ","1","HF-2 " "141309","EUREKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,3 ","13","SCIP-VTE-2 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141309","EUREKA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","31 patients",,,"PN-3B " "141309","EUREKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141309","EUREKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141309","EUREKA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","16 patients","1 ","1","PN-7 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","10 patients","1 ","1","HF-1 " "141309","EUREKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-1 " "141309","EUREKA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "141309","EUREKA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","29 patients",,,"PN-5C " "141309","EUREKA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "141309","EUREKA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "141310","MENDOTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "141310","MENDOTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","21 patients","1 ","1","SCIP-INF-6 " "141310","MENDOTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "141310","MENDOTA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","21 patients","1 ","1","PN-7 " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","26 patients",,,"HF-1 " "141310","MENDOTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","11 patients","1 ","1","SCIP-VTE-2 " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","36 patients",,,"HF-2 " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141310","MENDOTA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "141310","MENDOTA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","37 patients",,,"PN-5C " "141310","MENDOTA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","42 patients",,,"PN-2 " "141310","MENDOTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","5 patients","1 ","1","SCIP-INF-3 " "141310","MENDOTA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","21 patients","1 ","1","PN-6 " "141310","MENDOTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141310","MENDOTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","11 patients","1 ","1","SCIP-VTE-1 " "141310","MENDOTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","40%","5 patients","1 ","1","SCIP-INF-2 " "141310","MENDOTA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","39 patients",,,"PN-3B " "141310","MENDOTA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141311","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","25 patients",,,"SCIP-INF-1 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","52 patients",,,"PN-2 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141311","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","22 patients","1 ","1","SCIP-VTE-1 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","25 patients",,,"SCIP-INF-2 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","23 patients","1 ","1","SCIP-INF-3 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients",,,"SCIP-INF-6 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1,3 ","13","AMI-1 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","AMI-3 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","36 patients",,,"HF-1 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","22 patients","1 ","1","SCIP-VTE-2 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","16 patients","1 ","1","HF-3 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","46 patients",,,"PN-5C " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","43 patients",,,"PN-7 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","52 patients",,,"HF-2 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","32 patients",,,"PN-6 " "141311","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","43 patients",,,"PN-3B " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141311","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","22 patients","1,3 ","13","HF-2 " "141312","ROCHELLE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","23 patients","1,3 ","13","PN-5C " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "141312","ROCHELLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","23 patients","1,2 ","12","SCIP-VTE-2 " "141312","ROCHELLE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","24 patients","1,3 ","13","PN-3B " "141312","ROCHELLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","31 patients","2 ","2","SCIP-INF-6 " "141312","ROCHELLE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","20 patients","1,3 ","13","PN-6 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "141312","ROCHELLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141312","ROCHELLE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","26 patients",,,"PN-7 " "141312","ROCHELLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","23 patients","1,2 ","12","SCIP-VTE-1 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141312","ROCHELLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","8 patients","1,2 ","12","SCIP-INF-1 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141312","ROCHELLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","8 patients","1,2 ","12","SCIP-INF-3 " "141312","ROCHELLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1,2 ","12","SCIP-INF-2 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "141312","ROCHELLE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","20 patients","1,3 ","13","PN-2 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1,3 ","13","AMI-2 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","38%","8 patients","1,3 ","13","HF-3 " "141312","ROCHELLE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1,3 ","13","PN-4 " "141312","ROCHELLE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","17 patients","1,3 ","13","HF-1 " "141312","ROCHELLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "141313","MASON DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1 ","1","SCIP-VTE-2 " "141313","MASON DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "141313","MASON DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","12 patients","1 ","1","SCIP-INF-2 " "141313","MASON DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","32 patients",,,"PN-2 " "141313","MASON DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","12 patients","1 ","1","SCIP-INF-3 " "141313","MASON DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","12 patients","1 ","1","SCIP-INF-1 " "141313","MASON DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141313","MASON DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "141313","MASON DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","34 patients",,,"PN-5C " "141313","MASON DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141313","MASON DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141313","MASON DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "141313","MASON DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1 ","1","SCIP-VTE-1 " "141313","MASON DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","25 patients",,,"HF-2 " "141313","MASON DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1 ","1","PN-3B " "141313","MASON DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "141313","MASON DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "141313","MASON DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","27 patients",,,"PN-7 " "141313","MASON DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "141313","MASON DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "141313","MASON DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141313","MASON DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","16 patients","1 ","1","HF-1 " "141313","MASON DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141313","MASON DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141313","MASON DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","22 patients","1 ","1","PN-6 " "141315","ILLINI COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141315","ILLINI COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","32 patients",,,"PN-7 " "141315","ILLINI COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","33 patients",,,"PN-6 " "141315","ILLINI COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141315","ILLINI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","3 patients","1,3 ","13","SCIP-VTE-1 " "141315","ILLINI COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "141315","ILLINI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141315","ILLINI COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","21 patients","1 ","1","HF-1 " "141315","ILLINI COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","36 patients",,,"HF-2 " "141315","ILLINI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "141315","ILLINI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141315","ILLINI COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "141315","ILLINI COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "141315","ILLINI COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141315","ILLINI COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "141315","ILLINI COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","48 patients",,,"PN-5C " "141315","ILLINI COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "141315","ILLINI COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "141315","ILLINI COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "141315","ILLINI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "141315","ILLINI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "141315","ILLINI COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1 ","1","PN-3B " "141315","ILLINI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "141315","ILLINI COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","53 patients",,,"PN-2 " "141315","ILLINI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","27 patients",,,"HF-2 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","PN-4 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","62%","34 patients",,,"PN-3B " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","37%","30 patients",,,"PN-2 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","18 patients","1 ","1","HF-1 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","19 patients","1 ","1","PN-5C " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","30 patients",,,"PN-6 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "141316","HOOPESTON COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","39%","18 patients","1 ","1","PN-7 " "141317","GIBSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","96 patients","2 ","2","SCIP-INF-2 " "141317","GIBSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","69%","118 patients","2 ","2","SCIP-INF-6 " "141317","GIBSON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","28 patients","2 ","2","PN-5C " "141317","GIBSON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","31 patients","2 ","2","PN-2 " "141317","GIBSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "141317","GIBSON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","15 patients","1,2 ","12","HF-1 " "141317","GIBSON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141317","GIBSON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "141317","GIBSON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141317","GIBSON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2 ","12","HF-4 " "141317","GIBSON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141317","GIBSON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "141317","GIBSON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1,2 ","12","PN-4 " "141317","GIBSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1,2 ","12","SCIP-CARD-2 " "141317","GIBSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","58 patients","2 ","2","SCIP-VTE-2 " "141317","GIBSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","95 patients","2 ","2","SCIP-INF-1 " "141317","GIBSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","93 patients","2 ","2","SCIP-INF-3 " "141317","GIBSON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1,2 ","12","HF-3 " "141317","GIBSON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","18 patients","1 ","1","PN-7 " "141317","GIBSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","58 patients","2 ","2","SCIP-VTE-1 " "141317","GIBSON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","23 patients","1,2 ","12","PN-6 " "141317","GIBSON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "141317","GIBSON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "141317","GIBSON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","27 patients","2 ","2","PN-3B " "141317","GIBSON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","25 patients","2 ","2","HF-2 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1 ","1","SCIP-VTE-2 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","6 patients","1 ","1","SCIP-INF-2 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","78%","9 patients","1 ","1","AMI-5 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","9 patients","1 ","1","AMI-2 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","22 patients","1 ","1","HF-2 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1 ","1","PN-4 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","14 patients","1 ","1","HF-1 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","16 patients","1 ","1","PN-7 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "141318","OSF HOLY FAMILY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1 ","1","SCIP-INF-6 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","6 patients","1 ","1","SCIP-INF-3 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","24 patients","1 ","1","PN-5C " "141318","OSF HOLY FAMILY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","6 patients","1 ","1","SCIP-INF-1 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","19 patients","1 ","1","PN-3B " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1 ","1","AMI-1 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1 ","1","SCIP-VTE-1 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "141318","OSF HOLY FAMILY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","26 patients",,,"PN-2 " "141319","HAMMOND HENRY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141319","HAMMOND HENRY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "141319","HAMMOND HENRY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "141319","HAMMOND HENRY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141319","HAMMOND HENRY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "141319","HAMMOND HENRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "141319","HAMMOND HENRY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141319","HAMMOND HENRY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "141319","HAMMOND HENRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","58 patients","2 ","2","SCIP-INF-2 " "141319","HAMMOND HENRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","56 patients","2 ","2","SCIP-INF-3 " "141319","HAMMOND HENRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","114 patients","2 ","2","SCIP-INF-6 " "141319","HAMMOND HENRY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141319","HAMMOND HENRY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "141319","HAMMOND HENRY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "141319","HAMMOND HENRY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","39 patients","2 ","2","SCIP-VTE-2 " "141319","HAMMOND HENRY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "141319","HAMMOND HENRY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "141319","HAMMOND HENRY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","39 patients","2 ","2","SCIP-VTE-1 " "141319","HAMMOND HENRY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "141319","HAMMOND HENRY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "141319","HAMMOND HENRY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141319","HAMMOND HENRY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141319","HAMMOND HENRY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","58 patients","2 ","2","SCIP-INF-1 " "141319","HAMMOND HENRY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141319","HAMMOND HENRY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141320","PARIS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","22 patients","1 ","1","PN-3B " "141320","PARIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","9 patients","1 ","1","SCIP-VTE-2 " "141320","PARIS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","25 patients",,,"HF-1 " "141320","PARIS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","24 patients","1 ","1","PN-6 " "141320","PARIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141320","PARIS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","45 patients",,,"PN-2 " "141320","PARIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "141320","PARIS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "141320","PARIS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "141320","PARIS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1 ","1","AMI-1 " "141320","PARIS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","37 patients",,,"HF-2 " "141320","PARIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","56%","9 patients","1 ","1","SCIP-VTE-1 " "141320","PARIS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "141320","PARIS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "141320","PARIS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "141320","PARIS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1 ","1","AMI-2 " "141320","PARIS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","HF-3 " "141320","PARIS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","35 patients",,,"PN-7 " "141320","PARIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","5 patients","1 ","1","SCIP-INF-3 " "141320","PARIS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","43 patients",,,"PN-5C " "141320","PARIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","6 patients","1 ","1","SCIP-INF-2 " "141320","PARIS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "141320","PARIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-1 " "141320","PARIS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "141320","PARIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","33 patients",,,"SCIP-INF-1 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1 ","1","SCIP-CARD-2 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","29 patients",,,"SCIP-VTE-2 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","38 patients",,,"PN-6 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","73 patients",,,"PN-3B " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","71%","7 patients","1 ","1","AMI-5 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","63 patients",,,"PN-5C " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","70 patients",,,"PN-2 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","27 patients",,,"HF-2 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","67 patients",,,"SCIP-INF-6 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","14 patients","1 ","1","HF-1 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","34 patients",,,"SCIP-INF-2 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","8 patients","1 ","1","AMI-1 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","29 patients",,,"SCIP-VTE-1 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","41 patients",,,"PN-7 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "141322","ABRAHAM LINCOLN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","31 patients",,,"SCIP-INF-3 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1 ","1","AMI-5 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","3 patients","1,3 ","13","SCIP-INF-6 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","24 patients","1,2 ","12","PN-7 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","22 patients","1 ","1","HF-2 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","26 patients","2 ","2","PN-4 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","2 patients","1,3 ","13","SCIP-INF-1 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1,2 ","12","PN-3B " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","6%","16 patients","1 ","1","HF-1 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","35 patients","2 ","2","PN-2 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","43 patients","2 ","2","PN-5C " "141324","FERRELL HOSPITAL COMMUNITY FOUNDATIONS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","39 patients","2 ","2","PN-6 " "141325","KEWANEE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","PN-4 " "141325","KEWANEE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "141325","KEWANEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","28 patients",,,"SCIP-INF-2 " "141325","KEWANEE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","33 patients",,,"PN-6 " "141325","KEWANEE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "141325","KEWANEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","28 patients",,,"SCIP-INF-1 " "141325","KEWANEE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141325","KEWANEE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "141325","KEWANEE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","58 patients",,,"PN-5C " "141325","KEWANEE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "141325","KEWANEE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "141325","KEWANEE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","56 patients",,,"HF-2 " "141325","KEWANEE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","17 patients","1 ","1","SCIP-VTE-1 " "141325","KEWANEE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","47 patients",,,"PN-3B " "141325","KEWANEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141325","KEWANEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","28 patients",,,"SCIP-INF-3 " "141325","KEWANEE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","17 patients","1 ","1","SCIP-VTE-2 " "141325","KEWANEE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "141325","KEWANEE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","34 patients",,,"HF-1 " "141325","KEWANEE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","49 patients",,,"PN-2 " "141325","KEWANEE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "141325","KEWANEE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "141325","KEWANEE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "141325","KEWANEE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","38 patients",,,"PN-7 " "141325","KEWANEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","32 patients",,,"SCIP-INF-6 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","54 patients",,,"HF-2 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","11 patients","1 ","1","PN-3B " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","31 patients",,,"HF-1 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","40 patients",,,"PN-2 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","41 patients",,,"PN-5C " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","26 patients",,,"PN-6 " "141326","HAMILTON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","28 patients",,,"PN-7 " "141327","WABASH GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","30 patients",,,"PN-6 " "141327","WABASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141327","WABASH GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","30 patients",,,"HF-1 " "141327","WABASH GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "141327","WABASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","49 patients",,,"SCIP-VTE-1 " "141327","WABASH GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141327","WABASH GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","PN-4 " "141327","WABASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","54 patients",,,"SCIP-INF-3 " "141327","WABASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","10 patients","1 ","1","SCIP-CARD-2 " "141327","WABASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","55 patients",,,"SCIP-INF-2 " "141327","WABASH GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "141327","WABASH GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141327","WABASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","63 patients",,,"SCIP-INF-6 " "141327","WABASH GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","51 patients",,,"HF-2 " "141327","WABASH GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141327","WABASH GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","39 patients",,,"PN-5C " "141327","WABASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","54 patients",,,"SCIP-INF-1 " "141327","WABASH GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "141327","WABASH GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","36 patients",,,"PN-3B " "141327","WABASH GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","54 patients",,,"PN-2 " "141327","WABASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","49 patients",,,"SCIP-VTE-2 " "141327","WABASH GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","36 patients",,,"PN-7 " "141327","WABASH GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "141327","WABASH GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141327","WABASH GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","32 patients",,,"HF-1 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","37 patients",,,"PN-7 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141328","HARDIN COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","58 patients",,,"PN-5C " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","53 patients",,,"PN-3B " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","37 patients",,,"HF-2 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","55 patients",,,"PN-2 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141328","HARDIN COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141328","HARDIN COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","33 patients",,,"PN-6 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "141330","HOPEDALE MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141330","HOPEDALE MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141330","HOPEDALE MEDICAL COMPLEX","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "141330","HOPEDALE MEDICAL COMPLEX","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "141330","HOPEDALE MEDICAL COMPLEX","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "141330","HOPEDALE MEDICAL COMPLEX","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141330","HOPEDALE MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141330","HOPEDALE MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141330","HOPEDALE MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141330","HOPEDALE MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141330","HOPEDALE MEDICAL COMPLEX","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "141330","HOPEDALE MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141330","HOPEDALE MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "141330","HOPEDALE MEDICAL COMPLEX","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "141330","HOPEDALE MEDICAL COMPLEX","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "141331","MARSHALL BROWNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141331","MARSHALL BROWNING HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","15 patients","1 ","1","PN-6 " "141331","MARSHALL BROWNING HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","29 patients",,,"HF-2 " "141331","MARSHALL BROWNING HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","22 patients","1 ","1","PN-7 " "141331","MARSHALL BROWNING HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141331","MARSHALL BROWNING HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","21 patients","1 ","1","PN-3B " "141331","MARSHALL BROWNING HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","8 patients","1 ","1","HF-3 " "141331","MARSHALL BROWNING HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "141331","MARSHALL BROWNING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141331","MARSHALL BROWNING HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","26 patients",,,"PN-2 " "141331","MARSHALL BROWNING HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","PN-4 " "141331","MARSHALL BROWNING HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "141331","MARSHALL BROWNING HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1 ","1","HF-4 " "141331","MARSHALL BROWNING HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "141331","MARSHALL BROWNING HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "141331","MARSHALL BROWNING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141331","MARSHALL BROWNING HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","27 patients",,,"PN-5C " "141331","MARSHALL BROWNING HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "141331","MARSHALL BROWNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141331","MARSHALL BROWNING HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "141331","MARSHALL BROWNING HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","23 patients","1 ","1","HF-1 " "141331","MARSHALL BROWNING HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "141331","MARSHALL BROWNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141331","MARSHALL BROWNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141331","MARSHALL BROWNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141332","HILLSBORO AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","40 patients",,,"PN-6 " "141332","HILLSBORO AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141332","HILLSBORO AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "141332","HILLSBORO AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","70%","10 patients","1 ","1","AMI-5 " "141332","HILLSBORO AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "141332","HILLSBORO AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","41 patients",,,"PN-7 " "141332","HILLSBORO AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","62 patients",,,"PN-5C " "141332","HILLSBORO AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141332","HILLSBORO AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "141332","HILLSBORO AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "141332","HILLSBORO AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "141332","HILLSBORO AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141332","HILLSBORO AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","22 patients","1 ","1","HF-2 " "141332","HILLSBORO AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","56%","9 patients","1 ","1","AMI-2 " "141332","HILLSBORO AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "141332","HILLSBORO AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1 ","1","AMI-1 " "141332","HILLSBORO AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","26 patients",,,"PN-3B " "141332","HILLSBORO AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","13 patients","1 ","1","HF-1 " "141332","HILLSBORO AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141332","HILLSBORO AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "141332","HILLSBORO AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141332","HILLSBORO AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141332","HILLSBORO AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141332","HILLSBORO AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","66 patients",,,"PN-2 " "141332","HILLSBORO AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","2 patients","1,3 ","13","SCIP-INF-3 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","25 patients",,,"PN-3B " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","22 patients","1 ","1","PN-6 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","22 patients","1 ","1","PN-5C " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","14 patients","1 ","1","HF-2 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","28 patients",,,"PN-2 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","8 patients","1 ","1","HF-1 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","2 patients","1,3 ","13","SCIP-INF-6 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141333","SARAH D CULBERTSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","17 patients","1 ","1","PN-7 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","35 patients",,,"PN-7 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","31 patients",,,"HF-2 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1 ","1","PN-5C " "141334","ST JOSEPH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","48 patients",,,"PN-2 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","26 patients",,,"HF-1 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1,3 ","13","SCIP-VTE-1 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "141334","ST JOSEPH MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","49 patients",,,"PN-3B " "141334","ST JOSEPH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1 ","1","AMI-1 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1,3 ","13","SCIP-VTE-2 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","10 patients","1,3 ","13","SCIP-INF-6 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "141334","ST JOSEPH MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","27 patients",,,"PN-6 " "141335","MERCY HARVARD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","20 patients","1 ","1","PN-2 " "141335","MERCY HARVARD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "141335","MERCY HARVARD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","17 patients","1 ","1","PN-3B " "141335","MERCY HARVARD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141335","MERCY HARVARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","18 patients","1 ","1","SCIP-INF-3 " "141335","MERCY HARVARD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","31 patients",,,"HF-2 " "141335","MERCY HARVARD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "141335","MERCY HARVARD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "141335","MERCY HARVARD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","14 patients","1 ","1","SCIP-VTE-1 " "141335","MERCY HARVARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-2 " "141335","MERCY HARVARD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","25 patients",,,"HF-1 " "141335","MERCY HARVARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141335","MERCY HARVARD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141335","MERCY HARVARD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "141335","MERCY HARVARD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141335","MERCY HARVARD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","11 patients","1 ","1","PN-7 " "141335","MERCY HARVARD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","19 patients","1 ","1","PN-6 " "141335","MERCY HARVARD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141335","MERCY HARVARD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "141335","MERCY HARVARD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "141335","MERCY HARVARD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "141335","MERCY HARVARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","39 patients",,,"SCIP-INF-6 " "141335","MERCY HARVARD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","14 patients","1 ","1","SCIP-VTE-2 " "141335","MERCY HARVARD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","24 patients","1 ","1","PN-5C " "141335","MERCY HARVARD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","18 patients","1 ","1","SCIP-INF-1 " "141336","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "141336","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141336","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141336","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","16 patients","1 ","1","SCIP-VTE-1 " "141336","ST JOSEPH'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","47 patients",,,"HF-2 " "141336","ST JOSEPH'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","30 patients",,,"PN-6 " "141336","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","16 patients","1 ","1","SCIP-VTE-2 " "141336","ST JOSEPH'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "141336","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,3 ","13","AMI-1 " "141336","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-2 " "141336","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141336","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141336","ST JOSEPH'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","17 patients","1 ","1","HF-3 " "141336","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "141336","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","18 patients","1 ","1","SCIP-INF-3 " "141336","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients",,,"SCIP-INF-6 " "141336","ST JOSEPH'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","43 patients",,,"PN-2 " "141336","ST JOSEPH'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","23 patients","1 ","1","HF-1 " "141336","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "141336","ST JOSEPH'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","44 patients",,,"PN-5C " "141336","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","20 patients","1 ","1","SCIP-INF-1 " "141336","ST JOSEPH'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","21 patients","1 ","1","PN-3B " "141336","ST JOSEPH'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "141336","ST JOSEPH'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","23 patients","1 ","1","PN-7 " "141336","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1,3 ","13","AMI-5 " "141337","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "141337","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","61%","71 patients",,,"SCIP-INF-6 " "141337","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","6 patients","1 ","1","SCIP-CARD-2 " "141337","PERRY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","33 patients",,,"HF-1 " "141337","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","21%","43 patients",,,"SCIP-VTE-1 " "141337","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1,3 ","13","AMI-1 " "141337","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","21%","43 patients",,,"SCIP-VTE-2 " "141337","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "141337","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","31 patients",,,"PN-6 " "141337","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141337","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","33 patients",,,"SCIP-INF-1 " "141337","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","69%","32 patients",,,"SCIP-INF-3 " "141337","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","33 patients",,,"SCIP-INF-2 " "141337","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","64 patients",,,"PN-5C " "141337","PERRY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "141337","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141337","PERRY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","54 patients",,,"HF-2 " "141337","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","49 patients",,,"PN-7 " "141337","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141337","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141337","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","83 patients",,,"PN-2 " "141337","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","28 patients",,,"PN-3B " "141337","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "141337","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "141337","PERRY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "141338","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","39 patients",,,"PN-2 " "141338","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141338","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","PN-4 " "141338","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","16 patients","1 ","1","SCIP-VTE-2 " "141338","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "141338","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "141338","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","31 patients",,,"HF-2 " "141338","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","HF-4 " "141338","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "141338","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","27 patients",,,"HF-1 " "141338","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","16 patients","1 ","1","SCIP-VTE-1 " "141338","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141338","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "141338","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","27 patients",,,"PN-6 " "141338","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","23 patients","1 ","1","SCIP-INF-6 " "141338","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","41 patients",,,"PN-5C " "141338","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141338","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141338","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "141338","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "141338","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","16 patients","1 ","1","SCIP-INF-3 " "141338","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","16 patients","1 ","1","SCIP-INF-1 " "141338","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1 ","1","PN-3B " "141338","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","16 patients","1 ","1","SCIP-INF-2 " "141338","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","27 patients",,,"PN-7 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","79 patients",,,"HF-2 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","13 patients","1 ","1","SCIP-VTE-1 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","100 patients",,,"PN-7 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","156 patients",,,"PN-2 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","37 patients",,,"SCIP-INF-3 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","128 patients",,,"PN-5C " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","HF-3 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","36 patients",,,"SCIP-INF-6 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","103 patients",,,"PN-3B " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","58 patients",,,"HF-1 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","38 patients",,,"SCIP-INF-1 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","13 patients","1 ","1","SCIP-VTE-2 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","38 patients",,,"SCIP-INF-2 " "141339","TAYLORVILLE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","52 patients",,,"PN-6 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","27 patients",,,"SCIP-INF-1 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","30 patients",,,"SCIP-VTE-2 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141340","VALLEY WEST COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","28 patients",,,"PN-6 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","37 patients",,,"PN-5C " "141340","VALLEY WEST COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","37 patients",,,"PN-3B " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","28 patients",,,"HF-1 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141340","VALLEY WEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","30 patients",,,"SCIP-VTE-1 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","33 patients",,,"PN-2 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","56 patients",,,"SCIP-INF-6 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","11 patients","1 ","1","HF-3 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","27 patients",,,"SCIP-INF-2 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","35 patients",,,"HF-2 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","21 patients","1 ","1","PN-7 " "141340","VALLEY WEST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","26 patients",,,"SCIP-INF-3 " "141341","PANA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141341","PANA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","35 patients",,,"PN-2 " "141341","PANA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "141341","PANA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","25 patients",,,"PN-6 " "141341","PANA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","25 patients",,,"PN-7 " "141341","PANA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","17 patients","1 ","1","HF-1 " "141341","PANA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "141341","PANA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141341","PANA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141341","PANA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141341","PANA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "141341","PANA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141341","PANA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141341","PANA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141341","PANA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","29 patients",,,"HF-2 " "141341","PANA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "141341","PANA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141341","PANA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141341","PANA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "141341","PANA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "141341","PANA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "141341","PANA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1,3 ","13","PN-5C " "141341","PANA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "141341","PANA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","30 patients",,,"PN-3B " "141341","PANA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141342","UNION COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,2,3 ","123","SCIP-INF-2 " "141342","UNION COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","42 patients",,,"PN-7 " "141342","UNION COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141342","UNION COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","47 patients",,,"PN-3B " "141342","UNION COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","53 patients",,,"PN-2 " "141342","UNION COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,2,3 ","123","SCIP-INF-6 " "141342","UNION COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "141342","UNION COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,2,3 ","123","SCIP-INF-3 " "141342","UNION COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "141342","UNION COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "141342","UNION COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","45 patients",,,"HF-2 " "141342","UNION COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","50 patients",,,"PN-5C " "141342","UNION COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "141342","UNION COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141342","UNION COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141342","UNION COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,2,3 ","123","SCIP-INF-1 " "141342","UNION COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141342","UNION COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,2,3 ","123","SCIP-VTE-1 " "141342","UNION COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "141342","UNION COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "141342","UNION COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "141342","UNION COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","24 patients","1 ","1","PN-6 " "141342","UNION COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "141342","UNION COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,2,3 ","123","SCIP-VTE-2 " "141342","UNION COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","31 patients",,,"HF-1 " "141343","CRAWFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","84 patients",,,"SCIP-INF-6 " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","40 patients","2 ","2","HF-2 " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "141343","CRAWFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","67 patients",,,"SCIP-INF-1 " "141343","CRAWFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","68 patients",,,"SCIP-INF-2 " "141343","CRAWFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","56%","64 patients",,,"SCIP-INF-3 " "141343","CRAWFORD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","34 patients",,,"PN-7 " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1,2 ","12","HF-3 " "141343","CRAWFORD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","47 patients",,,"PN-3B " "141343","CRAWFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","64%","47 patients",,,"SCIP-VTE-2 " "141343","CRAWFORD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","20 patients","1,3 ","13","PN-5C " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "141343","CRAWFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","66%","47 patients",,,"SCIP-VTE-1 " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","78%","9 patients","1 ","1","AMI-5 " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","HF-4 " "141343","CRAWFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141343","CRAWFORD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","33 patients",,,"PN-6 " "141343","CRAWFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141343","CRAWFORD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1 ","1","PN-4 " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","32 patients","2 ","2","HF-1 " "141343","CRAWFORD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","45 patients",,,"PN-2 " "141343","CRAWFORD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","22 patients","1 ","1","HF-1 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","26 patients","2 ","2","PN-6 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","34 patients",,,"HF-2 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","46 patients","2 ","2","PN-5C " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","30 patients",,,"PN-7 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","49 patients","2 ","2","PN-2 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","PN-4 " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","28 patients","2 ","2","PN-3B " "141344","LAWRENCE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141345","SALEM TOWNSHIP HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","14%","7 patients","1 ","1","SCIP-INF-1 " "141345","SALEM TOWNSHIP HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","25 patients",,,"PN-6 " "141345","SALEM TOWNSHIP HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "141345","SALEM TOWNSHIP HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","10 patients","1 ","1","PN-4 " "141345","SALEM TOWNSHIP HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","15 patients","1 ","1","PN-5C " "141345","SALEM TOWNSHIP HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141345","SALEM TOWNSHIP HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "141345","SALEM TOWNSHIP HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","22 patients","1 ","1","SCIP-VTE-1 " "141345","SALEM TOWNSHIP HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","HF-4 " "141345","SALEM TOWNSHIP HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","37%","35 patients",,,"HF-1 " "141345","SALEM TOWNSHIP HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","45%","20 patients","1 ","1","PN-7 " "141345","SALEM TOWNSHIP HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141345","SALEM TOWNSHIP HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1 ","1","SCIP-INF-6 " "141345","SALEM TOWNSHIP HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141345","SALEM TOWNSHIP HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141345","SALEM TOWNSHIP HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "141345","SALEM TOWNSHIP HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "141345","SALEM TOWNSHIP HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "141345","SALEM TOWNSHIP HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "141345","SALEM TOWNSHIP HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","26%","57 patients",,,"HF-2 " "141345","SALEM TOWNSHIP HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","22 patients","1 ","1","SCIP-VTE-2 " "141345","SALEM TOWNSHIP HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","7 patients","1 ","1","SCIP-INF-3 " "141345","SALEM TOWNSHIP HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","29 patients",,,"PN-2 " "141345","SALEM TOWNSHIP HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","20 patients","1 ","1","PN-3B " "141345","SALEM TOWNSHIP HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","57%","7 patients","1 ","1","SCIP-INF-2 " "141347","CARLINVILLE AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141347","CARLINVILLE AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "141347","CARLINVILLE AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "141347","CARLINVILLE AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","30 patients",,,"PN-5C " "141347","CARLINVILLE AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141347","CARLINVILLE AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "141347","CARLINVILLE AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "141347","CARLINVILLE AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "141347","CARLINVILLE AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","59%","22 patients","1 ","1","PN-6 " "141347","CARLINVILLE AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141347","CARLINVILLE AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "141347","CARLINVILLE AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "141347","CARLINVILLE AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141347","CARLINVILLE AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "141347","CARLINVILLE AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141347","CARLINVILLE AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1 ","1","PN-3B " "141347","CARLINVILLE AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","34 patients",,,"PN-2 " "141347","CARLINVILLE AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "141347","CARLINVILLE AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141347","CARLINVILLE AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141347","CARLINVILLE AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","19 patients","1 ","1","PN-7 " "141347","CARLINVILLE AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","21 patients","1 ","1","HF-1 " "141347","CARLINVILLE AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141347","CARLINVILLE AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "141347","CARLINVILLE AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","40 patients",,,"HF-2 " "141348","RED BUD REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141348","RED BUD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","19 patients","1,2 ","12","SCIP-VTE-1 " "141348","RED BUD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","19 patients","1,2 ","12","SCIP-VTE-2 " "141348","RED BUD REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","33 patients",,,"PN-6 " "141348","RED BUD REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1,3 ","13","AMI-5 " "141348","RED BUD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","33 patients","2 ","2","SCIP-INF-1 " "141348","RED BUD REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","42 patients",,,"HF-2 " "141348","RED BUD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","33 patients","2 ","2","SCIP-INF-2 " "141348","RED BUD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "141348","RED BUD REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","66 patients",,,"PN-3B " "141348","RED BUD REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "141348","RED BUD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","44 patients","2 ","2","SCIP-INF-6 " "141348","RED BUD REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","58 patients",,,"PN-5C " "141348","RED BUD REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1,3 ","13","AMI-2 " "141348","RED BUD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "141348","RED BUD REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141348","RED BUD REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "141348","RED BUD REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","24 patients","1 ","1","HF-1 " "141348","RED BUD REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,3 ","13","AMI-3 " "141348","RED BUD REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","56 patients",,,"PN-2 " "141348","RED BUD REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "141348","RED BUD REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","25 patients",,,"PN-7 " "141348","RED BUD REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141348","RED BUD REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "141348","RED BUD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","33 patients","2 ","2","SCIP-INF-3 " "141349","SPARTA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","14 patients","1 ","1","PN-3B " "141349","SPARTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "141349","SPARTA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "141349","SPARTA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "141349","SPARTA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141349","SPARTA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","39 patients",,,"HF-2 " "141349","SPARTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "141349","SPARTA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "141349","SPARTA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","48 patients",,,"PN-2 " "141349","SPARTA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","26 patients",,,"HF-1 " "141349","SPARTA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141349","SPARTA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","25 patients",,,"PN-6 " "141349","SPARTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "141349","SPARTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "141349","SPARTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "141349","SPARTA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","44 patients",,,"PN-5C " "141349","SPARTA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "141349","SPARTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141349","SPARTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "141349","SPARTA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "141349","SPARTA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "141349","SPARTA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141349","SPARTA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141349","SPARTA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","39 patients",,,"PN-7 " "141349","SPARTA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "141350","ST FRANCIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "141350","ST FRANCIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","54 patients",,,"PN-7 " "141350","ST FRANCIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","66 patients",,,"HF-2 " "141350","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","78 patients",,,"SCIP-INF-6 " "141350","ST FRANCIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "141350","ST FRANCIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "141350","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","67 patients",,,"SCIP-INF-1 " "141350","ST FRANCIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "141350","ST FRANCIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141350","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","55 patients",,,"SCIP-VTE-2 " "141350","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "141350","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "141350","ST FRANCIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "141350","ST FRANCIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141350","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","69 patients",,,"SCIP-INF-2 " "141350","ST FRANCIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","50 patients",,,"PN-6 " "141350","ST FRANCIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141350","ST FRANCIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","41 patients",,,"HF-1 " "141350","ST FRANCIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","80 patients",,,"PN-5C " "141350","ST FRANCIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141350","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","55 patients",,,"SCIP-VTE-1 " "141350","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","66 patients",,,"SCIP-INF-3 " "141350","ST FRANCIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","72 patients",,,"PN-3B " "141350","ST FRANCIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "141350","ST FRANCIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","79 patients",,,"PN-2 " "141351","CLAY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "141351","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "141351","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "141351","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "141351","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients",,,"SCIP-INF-3 " "141351","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","6 patients","1 ","1","SCIP-VTE-1 " "141351","CLAY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "141351","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1 ","1","SCIP-INF-1 " "141351","CLAY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "141351","CLAY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","21 patients","1 ","1","PN-7 " "141351","CLAY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "141351","CLAY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","58 patients",,,"PN-3B " "141351","CLAY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "141351","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-2 " "141351","CLAY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "141351","CLAY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","50 patients",,,"PN-5C " "141351","CLAY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","40 patients",,,"PN-2 " "141351","CLAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","6 patients","1 ","1","SCIP-VTE-2 " "141351","CLAY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","54 patients",,,"HF-2 " "141351","CLAY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","38 patients",,,"HF-1 " "141351","CLAY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "141351","CLAY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","38 patients",,,"PN-6 " "141351","CLAY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "141351","CLAY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "141351","CLAY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "150001","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "150001","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "150001","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","45 patients",,,"PN-7 " "150001","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","84 patients",,,"PN-2 " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","103 patients",,,"HF-2 " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","68 patients",,,"HF-1 " "150001","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","99 patients",,,"SCIP-VTE-2 " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "150001","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","69 patients",,,"PN-6 " "150001","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","84 patients",,,"PN-5C " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "150001","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","133 patients",,,"SCIP-INF-3 " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"HF-3 " "150001","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","138 patients",,,"SCIP-INF-1 " "150001","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","139 patients",,,"SCIP-INF-2 " "150001","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150001","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","83 patients",,,"PN-3B " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150001","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","197 patients",,,"SCIP-INF-6 " "150001","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150001","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","99 patients",,,"SCIP-VTE-1 " "150002","METHODIST HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","299 patients","2 ","2","SCIP-INF-1 " "150002","METHODIST HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","282 patients","2 ","2","SCIP-INF-3 " "150002","METHODIST HOSPITALS, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "150002","METHODIST HOSPITALS, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","80 patients","2 ","2","SCIP-CARD-2 " "150002","METHODIST HOSPITALS, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","134 patients","2 ","2","HF-3 " "150002","METHODIST HOSPITALS, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","81 patients","2 ","2","PN-7 " "150002","METHODIST HOSPITALS, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","119 patients","2 ","2","PN-5C " "150002","METHODIST HOSPITALS, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","73 patients","2 ","2","AMI-4 " "150002","METHODIST HOSPITALS, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","62 patients","2 ","2","PN-6 " "150002","METHODIST HOSPITALS, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","201 patients","2 ","2","AMI-5 " "150002","METHODIST HOSPITALS, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","205 patients","2 ","2","SCIP-VTE-1 " "150002","METHODIST HOSPITALS, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","37 patients","2 ","2","PN-4 " "150002","METHODIST HOSPITALS, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","89 patients","2 ","2","PN-3B " "150002","METHODIST HOSPITALS, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","44%","32 patients","2 ","2","AMI-8A " "150002","METHODIST HOSPITALS, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","66 patients","2 ","2","HF-4 " "150002","METHODIST HOSPITALS, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","115 patients","2 ","2","PN-2 " "150002","METHODIST HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","75 patients","2 ","2","SCIP-INF-4 " "150002","METHODIST HOSPITALS, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","197 patients","2 ","2","SCIP-VTE-2 " "150002","METHODIST HOSPITALS, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","47 patients","2 ","2","AMI-3 " "150002","METHODIST HOSPITALS, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","298 patients","2 ","2","HF-2 " "150002","METHODIST HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","300 patients","2 ","2","SCIP-INF-2 " "150002","METHODIST HOSPITALS, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","185 patients","2 ","2","AMI-2 " "150002","METHODIST HOSPITALS, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","240 patients","2 ","2","HF-1 " "150002","METHODIST HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","452 patients","2 ","2","SCIP-INF-6 " "150002","METHODIST HOSPITALS, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","212 patients","2 ","2","AMI-1 " "150003","ST ELIZABETH CENTRAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","331 patients","2 ","2","SCIP-INF-2 " "150003","ST ELIZABETH CENTRAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "150003","ST ELIZABETH CENTRAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","305 patients","2 ","2","SCIP-INF-3 " "150003","ST ELIZABETH CENTRAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","144 patients",,,"PN-5C " "150003","ST ELIZABETH CENTRAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","61 patients",,,"AMI-3 " "150003","ST ELIZABETH CENTRAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","121 patients",,,"AMI-4 " "150003","ST ELIZABETH CENTRAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","192 patients",,,"AMI-1 " "150003","ST ELIZABETH CENTRAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","47 patients",,,"AMI-8A " "150003","ST ELIZABETH CENTRAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","125 patients",,,"PN-2 " "150003","ST ELIZABETH CENTRAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","117 patients","2 ","2","SCIP-VTE-2 " "150003","ST ELIZABETH CENTRAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","274 patients",,,"AMI-5 " "150003","ST ELIZABETH CENTRAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","83 patients",,,"HF-3 " "150003","ST ELIZABETH CENTRAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150003","ST ELIZABETH CENTRAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","171 patients",,,"HF-1 " "150003","ST ELIZABETH CENTRAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "150003","ST ELIZABETH CENTRAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","87 patients",,,"PN-7 " "150003","ST ELIZABETH CENTRAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","325 patients","2 ","2","SCIP-INF-1 " "150003","ST ELIZABETH CENTRAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","299 patients",,,"AMI-2 " "150003","ST ELIZABETH CENTRAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","253 patients",,,"HF-2 " "150003","ST ELIZABETH CENTRAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","69 patients","2 ","2","SCIP-CARD-2 " "150003","ST ELIZABETH CENTRAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","117 patients","2 ","2","SCIP-VTE-1 " "150003","ST ELIZABETH CENTRAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","74 patients","2 ","2","SCIP-INF-4 " "150003","ST ELIZABETH CENTRAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","423 patients","2 ","2","SCIP-INF-6 " "150003","ST ELIZABETH CENTRAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","147 patients",,,"PN-3B " "150003","ST ELIZABETH CENTRAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","61 patients",,,"PN-6 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","187 patients","2 ","2","PN-5C " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","305 patients","2 ","2","SCIP-INF-1 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","76 patients",,,"SCIP-CARD-2 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","193 patients","2 ","2","PN-3B " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","119 patients","2 ","2","PN-2 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"AMI-4 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","41 patients",,,"AMI-3 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","249 patients","2 ","2","HF-1 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","99 patients","2 ","2","PN-7 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","195 patients",,,"AMI-5 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","193 patients","2 ","2","SCIP-VTE-2 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","292 patients","2 ","2","SCIP-INF-3 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","165 patients",,,"AMI-1 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","310 patients","2 ","2","SCIP-INF-2 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","289 patients","2 ","2","HF-2 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","186 patients",,,"AMI-2 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","36 patients",,,"AMI-8A " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","94 patients","2 ","2","HF-3 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","195 patients","2 ","2","SCIP-VTE-1 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","93 patients","2 ","2","SCIP-INF-4 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","PN-4 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","490 patients","2 ","2","SCIP-INF-6 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","105 patients","2 ","2","PN-6 " "150004","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","87 patients","2 ","2","HF-4 " "150005","HENDRICKS REGIONAL HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "150005","HENDRICKS REGIONAL HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","111 patients",,,"HF-1 " "150005","HENDRICKS REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150005","HENDRICKS REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","200 patients",,,"SCIP-INF-3 " "150005","HENDRICKS REGIONAL HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","73 patients",,,"HF-3 " "150005","HENDRICKS REGIONAL HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","161 patients",,,"SCIP-VTE-2 " "150005","HENDRICKS REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","207 patients",,,"SCIP-INF-1 " "150005","HENDRICKS REGIONAL HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","HF-4 " "150005","HENDRICKS REGIONAL HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","161 patients",,,"SCIP-VTE-1 " "150005","HENDRICKS REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","210 patients",,,"SCIP-INF-2 " "150005","HENDRICKS REGIONAL HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","71 patients",,,"AMI-5 " "150005","HENDRICKS REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","341 patients",,,"SCIP-INF-6 " "150005","HENDRICKS REGIONAL HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "150005","HENDRICKS REGIONAL HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150005","HENDRICKS REGIONAL HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","109 patients",,,"PN-7 " "150005","HENDRICKS REGIONAL HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","49 patients",,,"SCIP-CARD-2 " "150005","HENDRICKS REGIONAL HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","37 patients",,,"PN-4 " "150005","HENDRICKS REGIONAL HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","102 patients",,,"PN-3B " "150005","HENDRICKS REGIONAL HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","73 patients",,,"AMI-2 " "150005","HENDRICKS REGIONAL HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "150005","HENDRICKS REGIONAL HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","121 patients",,,"PN-6 " "150005","HENDRICKS REGIONAL HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","150 patients",,,"PN-2 " "150005","HENDRICKS REGIONAL HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","152 patients",,,"PN-5C " "150005","HENDRICKS REGIONAL HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","156 patients",,,"HF-2 " "150005","HENDRICKS REGIONAL HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","89 patients",,,"AMI-1 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","175 patients",,,"SCIP-VTE-2 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","219 patients",,,"HF-2 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","438 patients",,,"SCIP-INF-6 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","11 patients","1 ","1","AMI-8A " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","121 patients",,,"PN-3B " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","62 patients",,,"SCIP-CARD-2 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","175 patients",,,"SCIP-VTE-1 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","61 patients",,,"AMI-2 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","322 patients",,,"SCIP-INF-1 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","307 patients",,,"SCIP-INF-3 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","67 patients",,,"AMI-1 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","139 patients",,,"PN-2 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","54 patients",,,"PN-6 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","324 patients",,,"SCIP-INF-2 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","86 patients",,,"PN-7 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","92 patients",,,"HF-3 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","135 patients",,,"PN-5C " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","49 patients",,,"SCIP-INF-4 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","167 patients",,,"HF-1 " "150006","LAPORTE HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","52 patients",,,"AMI-5 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","154 patients",,,"HF-2 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","36 patients",,,"HF-3 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","37 patients",,,"SCIP-CARD-2 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","33 patients",,,"SCIP-INF-4 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","77 patients",,,"AMI-5 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","106 patients",,,"HF-1 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","86 patients","2 ","2","PN-4 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","84 patients",,,"AMI-1 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"AMI-3 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","142 patients","2 ","2","PN-3B " "150007","HOWARD REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","96 patients",,,"SCIP-VTE-2 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","173 patients",,,"SCIP-INF-2 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","132 patients","2 ","2","PN-6 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","24 patients","1 ","1","AMI-8A " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","76 patients",,,"AMI-2 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","172 patients",,,"SCIP-INF-1 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","63%","166 patients",,,"SCIP-INF-3 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","186 patients","2 ","2","PN-5C " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150007","HOWARD REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","272 patients",,,"SCIP-INF-6 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","167 patients","2 ","2","PN-2 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","121 patients","2 ","2","PN-7 " "150007","HOWARD REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","97 patients",,,"SCIP-VTE-1 " "150008","ST CATHERINE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","215 patients",,,"SCIP-INF-2 " "150008","ST CATHERINE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","346 patients",,,"SCIP-INF-6 " "150008","ST CATHERINE HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","152 patients",,,"SCIP-VTE-1 " "150008","ST CATHERINE HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"HF-4 " "150008","ST CATHERINE HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","48 patients",,,"AMI-1 " "150008","ST CATHERINE HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","343 patients",,,"HF-1 " "150008","ST CATHERINE HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","89 patients",,,"PN-6 " "150008","ST CATHERINE HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "150008","ST CATHERINE HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","37 patients",,,"SCIP-CARD-2 " "150008","ST CATHERINE HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","136 patients",,,"PN-5C " "150008","ST CATHERINE HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","152 patients",,,"SCIP-VTE-2 " "150008","ST CATHERINE HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","402 patients",,,"HF-2 " "150008","ST CATHERINE HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","114 patients",,,"HF-3 " "150008","ST CATHERINE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","214 patients",,,"SCIP-INF-1 " "150008","ST CATHERINE HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","54%","13 patients","1 ","1","AMI-8A " "150008","ST CATHERINE HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","98 patients",,,"PN-3B " "150008","ST CATHERINE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","206 patients",,,"SCIP-INF-3 " "150008","ST CATHERINE HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","59 patients",,,"PN-4 " "150008","ST CATHERINE HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","45 patients",,,"AMI-5 " "150008","ST CATHERINE HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "150008","ST CATHERINE HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","48 patients",,,"AMI-2 " "150008","ST CATHERINE HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","92 patients",,,"PN-2 " "150008","ST CATHERINE HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","78 patients",,,"PN-7 " "150008","ST CATHERINE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","42 patients",,,"SCIP-INF-4 " "150008","ST CATHERINE HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "150009","CLARK MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","215 patients","2 ","2","PN-5C " "150009","CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","411 patients","2 ","2","SCIP-INF-2 " "150009","CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","585 patients","2 ","2","SCIP-INF-6 " "150009","CLARK MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","203 patients","2 ","2","PN-2 " "150009","CLARK MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","96 patients",,,"HF-3 " "150009","CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","281 patients","2 ","2","SCIP-VTE-2 " "150009","CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "150009","CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","282 patients","2 ","2","SCIP-VTE-1 " "150009","CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","202 patients",,,"AMI-2 " "150009","CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","396 patients","2 ","2","SCIP-INF-3 " "150009","CLARK MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","113 patients","2 ","2","PN-4 " "150009","CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","68 patients","2 ","2","SCIP-CARD-2 " "150009","CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","203 patients",,,"AMI-5 " "150009","CLARK MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","143 patients","2 ","2","PN-6 " "150009","CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "150009","CLARK MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "150009","CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","208 patients",,,"AMI-1 " "150009","CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","42 patients",,,"AMI-8A " "150009","CLARK MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","250 patients",,,"HF-1 " "150009","CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","101 patients",,,"AMI-4 " "150009","CLARK MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","319 patients",,,"HF-2 " "150009","CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","410 patients","2 ","2","SCIP-INF-1 " "150009","CLARK MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","146 patients","2 ","2","PN-7 " "150009","CLARK MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","209 patients","2 ","2","PN-3B " "150009","CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","41 patients",,,"AMI-3 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","123 patients",,,"PN-3B " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","122 patients",,,"PN-5C " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"HF-3 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","157 patients",,,"SCIP-VTE-1 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","45 patients",,,"PN-4 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","113 patients",,,"PN-2 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","156 patients",,,"SCIP-VTE-2 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","273 patients",,,"SCIP-INF-1 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","363 patients",,,"SCIP-INF-6 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","102 patients",,,"PN-7 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","271 patients",,,"SCIP-INF-2 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","81 patients",,,"PN-6 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","32 patients",,,"SCIP-CARD-2 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","86 patients",,,"HF-1 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","264 patients",,,"SCIP-INF-3 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","111 patients",,,"HF-2 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150010","ST JOSEPH HOSPITAL & HEALTH CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "150011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","343 patients",,,"SCIP-INF-3 " "150011","MARION GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "150011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","70 patients",,,"SCIP-CARD-2 " "150011","MARION GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","60 patients",,,"PN-4 " "150011","MARION GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "150011","MARION GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "150011","MARION GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","33 patients",,,"AMI-1 " "150011","MARION GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","118 patients",,,"PN-3B " "150011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","354 patients",,,"SCIP-INF-2 " "150011","MARION GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","130 patients",,,"HF-1 " "150011","MARION GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","102 patients",,,"PN-7 " "150011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","485 patients",,,"SCIP-INF-6 " "150011","MARION GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","157 patients",,,"PN-5C " "150011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","357 patients",,,"SCIP-INF-1 " "150011","MARION GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","142 patients",,,"PN-2 " "150011","MARION GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150011","MARION GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","124 patients",,,"PN-6 " "150011","MARION GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","25 patients",,,"AMI-2 " "150011","MARION GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150011","MARION GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","61 patients",,,"HF-3 " "150011","MARION GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","183 patients",,,"HF-2 " "150011","MARION GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"HF-4 " "150011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","296 patients",,,"SCIP-VTE-1 " "150011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","293 patients",,,"SCIP-VTE-2 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","170 patients","2 ","2","SCIP-VTE-2 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","317 patients",,,"PN-5C " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","146 patients","2 ","2","SCIP-INF-4 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","500 patients","2 ","2","SCIP-INF-1 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","256 patients",,,"PN-2 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients","2 ","2","HF-4 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","316 patients","2 ","2","HF-2 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","170 patients","2 ","2","SCIP-VTE-1 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","159 patients",,,"PN-6 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","36 patients",,,"AMI-8A " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","174 patients",,,"PN-3B " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","AMI-3 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","244 patients",,,"AMI-2 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","198 patients",,,"PN-7 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","98 patients",,,"AMI-4 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","97 patients","2 ","2","SCIP-CARD-2 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","663 patients","2 ","2","SCIP-INF-6 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","497 patients","2 ","2","SCIP-INF-2 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","184 patients",,,"AMI-1 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","75 patients","2 ","2","HF-3 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","250 patients","2 ","2","HF-1 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","114 patients",,,"PN-4 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","489 patients","2 ","2","SCIP-INF-3 " "150012","SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","224 patients",,,"AMI-5 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","14 patients","1 ","1","AMI-8A " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","52 patients",,,"SCIP-CARD-2 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","99 patients",,,"HF-3 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","112 patients",,,"PN-2 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","40 patients",,,"SCIP-INF-4 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","362 patients",,,"SCIP-INF-6 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","242 patients",,,"SCIP-INF-1 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","133 patients",,,"AMI-1 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","245 patients",,,"SCIP-INF-2 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","140 patients",,,"SCIP-VTE-2 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","217 patients",,,"HF-1 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","117 patients",,,"AMI-2 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"AMI-4 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","227 patients",,,"SCIP-INF-3 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","120 patients",,,"AMI-5 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","125 patients",,,"PN-3B " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","100 patients",,,"PN-6 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"HF-4 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","141 patients",,,"SCIP-VTE-1 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","92 patients",,,"PN-7 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","125 patients",,,"PN-5C " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"AMI-3 " "150015","ST ANTHONY MEMORIAL HEALTH CENTERS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","266 patients",,,"HF-2 " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","30 patients",,,"AMI-8A " "150017","LUTHERAN HOSPITAL OF INDIANA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","122 patients",,,"PN-4 " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","572 patients",,,"HF-2 " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","121 patients",,,"AMI-3 " "150017","LUTHERAN HOSPITAL OF INDIANA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","289 patients",,,"PN-2 " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","566 patients",,,"AMI-5 " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","236 patients",,,"AMI-1 " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","569 patients",,,"AMI-2 " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","422 patients",,,"HF-1 " "150017","LUTHERAN HOSPITAL OF INDIANA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","256 patients",,,"PN-5C " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","95 patients",,,"HF-4 " "150017","LUTHERAN HOSPITAL OF INDIANA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","601 patients",,,"SCIP-INF-3 " "150017","LUTHERAN HOSPITAL OF INDIANA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","672 patients",,,"SCIP-INF-1 " "150017","LUTHERAN HOSPITAL OF INDIANA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","123 patients",,,"PN-6 " "150017","LUTHERAN HOSPITAL OF INDIANA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","696 patients",,,"SCIP-INF-2 " "150017","LUTHERAN HOSPITAL OF INDIANA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","250 patients",,,"PN-3B " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","244 patients",,,"AMI-4 " "150017","LUTHERAN HOSPITAL OF INDIANA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","292 patients",,,"SCIP-INF-4 " "150017","LUTHERAN HOSPITAL OF INDIANA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1471 patients",,,"SCIP-INF-6 " "150017","LUTHERAN HOSPITAL OF INDIANA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","551 patients",,,"SCIP-VTE-1 " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150017","LUTHERAN HOSPITAL OF INDIANA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","550 patients",,,"SCIP-VTE-2 " "150017","LUTHERAN HOSPITAL OF INDIANA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","210 patients",,,"PN-7 " "150017","LUTHERAN HOSPITAL OF INDIANA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","147 patients",,,"HF-3 " "150017","LUTHERAN HOSPITAL OF INDIANA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","273 patients",,,"SCIP-CARD-2 " "150018","ELKHART GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","231 patients",,,"PN-5C " "150018","ELKHART GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","270 patients",,,"AMI-5 " "150018","ELKHART GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","155 patients",,,"HF-3 " "150018","ELKHART GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","169 patients",,,"PN-2 " "150018","ELKHART GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","282 patients",,,"AMI-2 " "150018","ELKHART GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","49 patients",,,"AMI-3 " "150018","ELKHART GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","408 patients",,,"HF-2 " "150018","ELKHART GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","198 patients",,,"PN-3B " "150018","ELKHART GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","86 patients",,,"PN-4 " "150018","ELKHART GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","222 patients","2 ","2","SCIP-INF-4 " "150018","ELKHART GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","267 patients",,,"AMI-1 " "150018","ELKHART GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","626 patients","2 ","2","SCIP-INF-1 " "150018","ELKHART GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "150018","ELKHART GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","42%","318 patients",,,"HF-1 " "150018","ELKHART GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","851 patients","2 ","2","SCIP-INF-6 " "150018","ELKHART GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","135 patients",,,"PN-7 " "150018","ELKHART GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","69 patients",,,"HF-4 " "150018","ELKHART GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","110 patients",,,"AMI-4 " "150018","ELKHART GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","620 patients","2 ","2","SCIP-INF-3 " "150018","ELKHART GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","96 patients","2 ","2","SCIP-CARD-2 " "150018","ELKHART GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","57 patients",,,"AMI-8A " "150018","ELKHART GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","659 patients","2 ","2","SCIP-INF-2 " "150018","ELKHART GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","235 patients","2 ","2","SCIP-VTE-1 " "150018","ELKHART GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","233 patients","2 ","2","SCIP-VTE-2 " "150018","ELKHART GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","135 patients",,,"PN-6 " "150021","PARKVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150021","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","172 patients","2 ","2","SCIP-INF-4 " "150021","PARKVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","80 patients","2 ","2","PN-3B " "150021","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","234 patients","2 ","2","SCIP-VTE-1 " "150021","PARKVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","469 patients",,,"AMI-2 " "150021","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","516 patients","2 ","2","SCIP-INF-3 " "150021","PARKVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","225 patients","2 ","2","HF-1 " "150021","PARKVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","74 patients",,,"AMI-3 " "150021","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","555 patients","2 ","2","SCIP-INF-2 " "150021","PARKVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","62 patients","2 ","2","PN-4 " "150021","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","723 patients","2 ","2","SCIP-INF-6 " "150021","PARKVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients","2 ","2","HF-4 " "150021","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","232 patients","2 ","2","SCIP-VTE-2 " "150021","PARKVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","475 patients",,,"AMI-5 " "150021","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","542 patients","2 ","2","SCIP-INF-1 " "150021","PARKVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","119 patients","2 ","2","PN-2 " "150021","PARKVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","66 patients",,,"AMI-8A " "150021","PARKVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","229 patients",,,"AMI-1 " "150021","PARKVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","298 patients","2 ","2","HF-2 " "150021","PARKVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","103 patients","2 ","2","PN-5C " "150021","PARKVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","78 patients","2 ","2","PN-6 " "150021","PARKVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","88 patients","2 ","2","HF-3 " "150021","PARKVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","88 patients","2 ","2","PN-7 " "150021","PARKVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","228 patients",,,"AMI-4 " "150021","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","136 patients","2 ","2","SCIP-CARD-2 " "150022","ST CLARE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","40 patients",,,"PN-7 " "150022","ST CLARE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","45 patients",,,"PN-3B " "150022","ST CLARE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "150022","ST CLARE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "150022","ST CLARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","150 patients",,,"SCIP-INF-2 " "150022","ST CLARE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "150022","ST CLARE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","23 patients","1 ","1","HF-3 " "150022","ST CLARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","149 patients",,,"SCIP-INF-3 " "150022","ST CLARE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1 ","1","AMI-1 " "150022","ST CLARE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","74 patients",,,"HF-2 " "150022","ST CLARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","162 patients",,,"SCIP-INF-6 " "150022","ST CLARE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "150022","ST CLARE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","78 patients",,,"PN-5C " "150022","ST CLARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","19 patients","1 ","1","SCIP-CARD-2 " "150022","ST CLARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","151 patients",,,"SCIP-INF-1 " "150022","ST CLARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150022","ST CLARE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150022","ST CLARE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "150022","ST CLARE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","57 patients",,,"PN-2 " "150022","ST CLARE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","57 patients",,,"PN-6 " "150022","ST CLARE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150022","ST CLARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","73 patients",,,"SCIP-VTE-1 " "150022","ST CLARE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "150022","ST CLARE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","54 patients",,,"HF-1 " "150022","ST CLARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","73 patients",,,"SCIP-VTE-2 " "150023","UNION HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","170 patients",,,"HF-3 " "150023","UNION HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","325 patients",,,"AMI-2 " "150023","UNION HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","342 patients",,,"PN-7 " "150023","UNION HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","459 patients",,,"PN-2 " "150023","UNION HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","495 patients",,,"PN-5C " "150023","UNION HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","204 patients",,,"SCIP-INF-4 " "150023","UNION HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","681 patients",,,"SCIP-INF-3 " "150023","UNION HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","562 patients",,,"HF-2 " "150023","UNION HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","331 patients",,,"AMI-5 " "150023","UNION HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","231 patients",,,"SCIP-CARD-2 " "150023","UNION HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "150023","UNION HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","47 patients",,,"AMI-8A " "150023","UNION HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","204 patients",,,"PN-4 " "150023","UNION HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","109 patients",,,"AMI-3 " "150023","UNION HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","521 patients",,,"SCIP-VTE-2 " "150023","UNION HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","307 patients",,,"PN-6 " "150023","UNION HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","769 patients",,,"SCIP-INF-1 " "150023","UNION HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","269 patients",,,"AMI-1 " "150023","UNION HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1240 patients",,,"SCIP-INF-6 " "150023","UNION HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","766 patients",,,"SCIP-INF-2 " "150023","UNION HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","425 patients",,,"HF-1 " "150023","UNION HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","521 patients",,,"SCIP-VTE-1 " "150023","UNION HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","262 patients",,,"PN-3B " "150023","UNION HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","117 patients",,,"AMI-4 " "150023","UNION HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","44 patients","2 ","2","AMI-3 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","206 patients","2 ","2","AMI-5 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","213 patients","2 ","2","AMI-2 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","217 patients","2 ","2","SCIP-INF-3 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","74 patients","2 ","2","PN-2 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","120 patients","2 ","2","PN-3B " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","185 patients","2 ","2","SCIP-VTE-1 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","22 patients","1,2 ","12","SCIP-CARD-2 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","407 patients","2 ","2","HF-1 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","83 patients","2 ","2","PN-6 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","223 patients","2 ","2","AMI-1 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","185 patients","2 ","2","SCIP-VTE-2 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","80 patients","2 ","2","PN-7 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","86 patients","2 ","2","PN-4 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","316 patients","2 ","2","SCIP-INF-6 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","453 patients","2 ","2","HF-2 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","16 patients","1,2 ","12","AMI-8A " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","218 patients","2 ","2","SCIP-INF-1 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","134 patients","2 ","2","PN-5C " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","221 patients","2 ","2","SCIP-INF-2 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","219 patients","2 ","2","HF-3 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","223 patients","2 ","2","HF-4 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","111 patients","2 ","2","AMI-4 " "150024","WILLIAM N WISHARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "150026","GOSHEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150026","GOSHEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","231 patients","2 ","2","SCIP-VTE-1 " "150026","GOSHEN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","121 patients",,,"PN-2 " "150026","GOSHEN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","127 patients",,,"HF-2 " "150026","GOSHEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","376 patients","2 ","2","SCIP-INF-3 " "150026","GOSHEN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "150026","GOSHEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","231 patients","2 ","2","SCIP-VTE-2 " "150026","GOSHEN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","116 patients",,,"PN-5C " "150026","GOSHEN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "150026","GOSHEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","60 patients",,,"SCIP-CARD-2 " "150026","GOSHEN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","45 patients",,,"AMI-5 " "150026","GOSHEN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","93 patients",,,"PN-6 " "150026","GOSHEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","580 patients","2 ","2","SCIP-INF-6 " "150026","GOSHEN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","89 patients",,,"PN-3B " "150026","GOSHEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","386 patients","2 ","2","SCIP-INF-1 " "150026","GOSHEN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","47 patients",,,"AMI-2 " "150026","GOSHEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","388 patients","2 ","2","SCIP-INF-2 " "150026","GOSHEN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "150026","GOSHEN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","75 patients",,,"PN-7 " "150026","GOSHEN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "150026","GOSHEN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","52 patients",,,"AMI-1 " "150026","GOSHEN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","88 patients",,,"HF-1 " "150026","GOSHEN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","5 patients","1 ","1","AMI-8A " "150026","GOSHEN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"HF-3 " "150026","GOSHEN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","123 patients",,,"PN-2 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","288 patients",,,"SCIP-INF-3 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","90 patients",,,"SCIP-CARD-2 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","98 patients",,,"PN-6 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","83 patients",,,"HF-2 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"HF-3 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","143 patients",,,"SCIP-VTE-2 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","349 patients",,,"SCIP-INF-6 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","122 patients",,,"PN-3B " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","73 patients",,,"PN-7 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","148 patients",,,"PN-5C " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","57 patients",,,"HF-1 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","290 patients",,,"SCIP-INF-2 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","290 patients",,,"SCIP-INF-1 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","143 patients",,,"SCIP-VTE-1 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "150030","HENRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","97 patients","2 ","2","SCIP-CARD-2 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","33 patients",,,"HF-4 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","72 patients","2 ","2","PN-4 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","119 patients","2 ","2","PN-7 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","98 patients","2 ","2","PN-3B " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","86 patients",,,"HF-1 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","65%","77 patients","2 ","2","PN-6 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","545 patients","2 ","2","SCIP-INF-6 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","186 patients","2 ","2","PN-2 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","298 patients","2 ","2","SCIP-INF-3 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","48 patients",,,"HF-3 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","196 patients",,,"HF-2 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","27 patients",,,"AMI-2 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","331 patients","2 ","2","SCIP-INF-2 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","245 patients","2 ","2","SCIP-VTE-2 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","31 patients",,,"AMI-1 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","115 patients","2 ","2","PN-5C " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","247 patients","2 ","2","SCIP-VTE-1 " "150033","ST FRANCIS HOSPITAL AND HEALTH CENTERS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","330 patients","2 ","2","SCIP-INF-1 " "150034","ST MARY MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","108 patients","2 ","2","HF-3 " "150034","ST MARY MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","103 patients","2 ","2","PN-2 " "150034","ST MARY MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","248 patients","2 ","2","HF-1 " "150034","ST MARY MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","51 patients",,,"AMI-4 " "150034","ST MARY MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","114 patients",,,"AMI-5 " "150034","ST MARY MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","AMI-3 " "150034","ST MARY MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150034","ST MARY MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","110 patients",,,"AMI-2 " "150034","ST MARY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","196 patients","2 ","2","SCIP-VTE-2 " "150034","ST MARY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","338 patients","2 ","2","SCIP-INF-3 " "150034","ST MARY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","531 patients","2 ","2","SCIP-INF-6 " "150034","ST MARY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","364 patients","2 ","2","SCIP-INF-2 " "150034","ST MARY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","93 patients","2 ","2","SCIP-INF-4 " "150034","ST MARY MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","HF-4 " "150034","ST MARY MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","97 patients","2 ","2","PN-3B " "150034","ST MARY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","199 patients","2 ","2","SCIP-VTE-1 " "150034","ST MARY MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","69 patients","2 ","2","PN-7 " "150034","ST MARY MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","102 patients",,,"AMI-1 " "150034","ST MARY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","63 patients","2 ","2","SCIP-CARD-2 " "150034","ST MARY MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","45%","33 patients",,,"AMI-8A " "150034","ST MARY MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","24 patients","1,2 ","12","PN-4 " "150034","ST MARY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","359 patients","2 ","2","SCIP-INF-1 " "150034","ST MARY MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","60 patients","2 ","2","PN-6 " "150034","ST MARY MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","124 patients","2 ","2","PN-5C " "150034","ST MARY MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","284 patients","2 ","2","HF-2 " "150035","PORTER, VALPARAISO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","148 patients",,,"PN-6 " "150035","PORTER, VALPARAISO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","679 patients","2 ","2","SCIP-INF-2 " "150035","PORTER, VALPARAISO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","906 patients","2 ","2","SCIP-INF-6 " "150035","PORTER, VALPARAISO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150035","PORTER, VALPARAISO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "150035","PORTER, VALPARAISO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","171 patients",,,"AMI-2 " "150035","PORTER, VALPARAISO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","353 patients",,,"HF-2 " "150035","PORTER, VALPARAISO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "150035","PORTER, VALPARAISO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","256 patients",,,"PN-5C " "150035","PORTER, VALPARAISO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","112 patients",,,"HF-3 " "150035","PORTER, VALPARAISO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","142 patients",,,"SCIP-CARD-2 " "150035","PORTER, VALPARAISO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","37 patients",,,"AMI-8A " "150035","PORTER, VALPARAISO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"AMI-4 " "150035","PORTER, VALPARAISO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","677 patients","2 ","2","SCIP-INF-1 " "150035","PORTER, VALPARAISO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","85 patients",,,"PN-4 " "150035","PORTER, VALPARAISO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","203 patients",,,"PN-7 " "150035","PORTER, VALPARAISO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","147 patients",,,"AMI-1 " "150035","PORTER, VALPARAISO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","285 patients",,,"HF-1 " "150035","PORTER, VALPARAISO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","240 patients",,,"PN-3B " "150035","PORTER, VALPARAISO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","253 patients","2 ","2","SCIP-VTE-1 " "150035","PORTER, VALPARAISO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","657 patients","2 ","2","SCIP-INF-3 " "150035","PORTER, VALPARAISO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","175 patients",,,"AMI-5 " "150035","PORTER, VALPARAISO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","279 patients",,,"PN-2 " "150035","PORTER, VALPARAISO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","113 patients","2 ","2","SCIP-INF-4 " "150035","PORTER, VALPARAISO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","253 patients","2 ","2","SCIP-VTE-2 " "150037","HANCOCK REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "150037","HANCOCK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","228 patients","2 ","2","SCIP-INF-2 " "150037","HANCOCK REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "150037","HANCOCK REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","26 patients",,,"AMI-5 " "150037","HANCOCK REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","132 patients","2 ","2","PN-5C " "150037","HANCOCK REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","24 patients","1 ","1","AMI-2 " "150037","HANCOCK REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","31 patients",,,"HF-3 " "150037","HANCOCK REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","108 patients","2 ","2","PN-3B " "150037","HANCOCK REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","92 patients",,,"HF-1 " "150037","HANCOCK REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "150037","HANCOCK REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","117 patients","2 ","2","PN-2 " "150037","HANCOCK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","218 patients","2 ","2","SCIP-INF-3 " "150037","HANCOCK REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150037","HANCOCK REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","72 patients","2 ","2","PN-6 " "150037","HANCOCK REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","PN-4 " "150037","HANCOCK REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "150037","HANCOCK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150037","HANCOCK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","321 patients","2 ","2","SCIP-INF-6 " "150037","HANCOCK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","228 patients","2 ","2","SCIP-INF-1 " "150037","HANCOCK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","50 patients","2 ","2","SCIP-CARD-2 " "150037","HANCOCK REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","133 patients",,,"HF-2 " "150037","HANCOCK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","157 patients","2 ","2","SCIP-VTE-1 " "150037","HANCOCK REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","27 patients",,,"AMI-1 " "150037","HANCOCK REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","84 patients","2 ","2","PN-7 " "150037","HANCOCK REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","156 patients","2 ","2","SCIP-VTE-2 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","42 patients",,,"SCIP-INF-1 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","44 patients",,,"PN-7 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","43 patients",,,"SCIP-VTE-2 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","42 patients",,,"SCIP-INF-3 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","72 patients",,,"HF-2 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","5 patients","1 ","1","SCIP-CARD-2 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","39 patients",,,"PN-6 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","44 patients",,,"SCIP-VTE-1 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","77 patients",,,"SCIP-INF-6 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","52 patients",,,"HF-1 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","66 patients",,,"PN-5C " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","60 patients",,,"PN-2 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","PN-4 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","53 patients",,,"PN-3B " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150038","MORGAN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","42 patients",,,"SCIP-INF-2 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","438 patients","2 ","2","SCIP-INF-6 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","AMI-3 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","323 patients",,,"HF-2 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","116 patients",,,"AMI-1 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","111 patients",,,"PN-7 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","289 patients",,,"HF-1 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","104 patients",,,"PN-5C " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","191 patients","2 ","2","SCIP-VTE-2 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","106 patients",,,"PN-2 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","78 patients",,,"PN-3B " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","309 patients",,,"SCIP-INF-3 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","78 patients",,,"PN-6 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","126 patients",,,"HF-3 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","320 patients",,,"SCIP-INF-2 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","231 patients","2 ","2","SCIP-CARD-2 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","111 patients","2 ","2","SCIP-INF-4 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","14 patients","1 ","1","AMI-8A " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","119 patients",,,"AMI-2 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","191 patients","2 ","2","SCIP-VTE-1 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","112 patients",,,"AMI-5 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","88 patients",,,"HF-4 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","88 patients",,,"PN-4 " "15003F","INDIANAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","317 patients",,,"SCIP-INF-1 " "150042","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","80 patients",,,"PN-4 " "150042","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","112 patients",,,"PN-6 " "150042","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","104 patients",,,"HF-3 " "150042","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","168 patients",,,"PN-5C " "150042","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "150042","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","419 patients",,,"SCIP-INF-3 " "150042","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","38 patients",,,"AMI-8A " "150042","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","443 patients",,,"SCIP-INF-1 " "150042","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","268 patients",,,"HF-2 " "150042","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","144 patients",,,"AMI-5 " "150042","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","114 patients",,,"PN-7 " "150042","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","95 patients",,,"PN-3B " "150042","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","89 patients",,,"SCIP-CARD-2 " "150042","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","189 patients",,,"SCIP-VTE-2 " "150042","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"AMI-4 " "150042","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","154 patients",,,"PN-2 " "150042","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","151 patients",,,"AMI-2 " "150042","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","189 patients",,,"SCIP-VTE-1 " "150042","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","447 patients",,,"SCIP-INF-2 " "150042","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","127 patients",,,"AMI-1 " "150042","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","195 patients",,,"HF-1 " "150042","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","75 patients",,,"SCIP-INF-4 " "150042","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","40 patients",,,"AMI-3 " "150042","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150042","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","629 patients",,,"SCIP-INF-6 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","145 patients",,,"AMI-4 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","323 patients",,,"AMI-2 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","52 patients",,,"AMI-8A " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","254 patients",,,"SCIP-VTE-2 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","148 patients",,,"PN-4 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","168 patients",,,"SCIP-INF-4 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","438 patients",,,"SCIP-INF-1 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","259 patients",,,"HF-1 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","329 patients",,,"PN-3B " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","394 patients",,,"SCIP-INF-3 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","295 patients",,,"AMI-5 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","261 patients",,,"PN-7 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","258 patients",,,"SCIP-VTE-1 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","310 patients",,,"PN-2 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","270 patients",,,"AMI-1 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","446 patients",,,"SCIP-INF-2 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","781 patients",,,"SCIP-INF-6 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","159 patients",,,"PN-6 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","88 patients",,,"HF-3 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","340 patients",,,"HF-2 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","64 patients",,,"AMI-3 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","138 patients",,,"SCIP-CARD-2 " "150044","FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","314 patients",,,"PN-5C " "150045","DEKALB MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","67 patients",,,"SCIP-INF-6 " "150045","DEKALB MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","40 patients",,,"SCIP-VTE-1 " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","47 patients",,,"HF-1 " "150045","DEKALB MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","37 patients",,,"PN-4 " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "150045","DEKALB MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","40 patients",,,"SCIP-VTE-2 " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","68 patients",,,"HF-2 " "150045","DEKALB MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150045","DEKALB MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","70 patients",,,"PN-2 " "150045","DEKALB MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","84 patients",,,"PN-5C " "150045","DEKALB MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","29 patients",,,"SCIP-INF-3 " "150045","DEKALB MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","86 patients",,,"PN-6 " "150045","DEKALB MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","31 patients",,,"SCIP-INF-1 " "150045","DEKALB MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","55 patients",,,"PN-7 " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","17 patients","1 ","1","HF-3 " "150045","DEKALB MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "150045","DEKALB MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","65 patients",,,"PN-3B " "150045","DEKALB MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "150045","DEKALB MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","31 patients",,,"SCIP-INF-2 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","94 patients",,,"PN-5C " "150046","TERRE HAUTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","81 patients","2 ","2","SCIP-CARD-2 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","201 patients",,,"HF-1 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"AMI-4 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","95 patients",,,"PN-2 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","88 patients",,,"PN-3B " "150046","TERRE HAUTE REGIONAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","31 patients",,,"CAC-1 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","48 patients",,,"PN-6 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","123 patients",,,"AMI-5 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","71 patients",,,"AMI-1 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","222 patients","2 ","2","SCIP-INF-3 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"PN-4 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","48 patients",,,"HF-3 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","16 patients","1 ","1","AMI-8A " "150046","TERRE HAUTE REGIONAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","97%","31 patients",,,"CAC-2 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","83 patients",,,"PN-7 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","180 patients","2 ","2","SCIP-VTE-2 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","261 patients","2 ","2","SCIP-INF-1 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"HF-4 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","264 patients","2 ","2","SCIP-INF-2 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","122 patients",,,"AMI-2 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150046","TERRE HAUTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","180 patients","2 ","2","SCIP-VTE-1 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","402 patients","2 ","2","SCIP-INF-6 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","49 patients","2 ","2","SCIP-INF-4 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","247 patients",,,"HF-2 " "150046","TERRE HAUTE REGIONAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","72%","29 patients",,,"CAC-3 " "150047","ST JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","59 patients",,,"PN-5C " "150047","ST JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","32 patients",,,"PN-7 " "150047","ST JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","6 patients","1 ","1","AMI-8A " "150047","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","98 patients",,,"SCIP-INF-2 " "150047","ST JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","66 patients",,,"HF-3 " "150047","ST JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "150047","ST JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","98 patients",,,"AMI-2 " "150047","ST JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","45 patients",,,"PN-6 " "150047","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","34 patients",,,"SCIP-INF-4 " "150047","ST JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","41 patients",,,"PN-2 " "150047","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","173 patients",,,"SCIP-INF-6 " "150047","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","56 patients",,,"SCIP-VTE-1 " "150047","ST JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","93 patients",,,"AMI-5 " "150047","ST JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","46 patients",,,"AMI-1 " "150047","ST JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","168 patients",,,"HF-1 " "150047","ST JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","210 patients",,,"HF-2 " "150047","ST JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150047","ST JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "150047","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","22 patients","1 ","1","SCIP-CARD-2 " "150047","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","100 patients",,,"SCIP-INF-1 " "150047","ST JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "150047","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","56 patients",,,"SCIP-VTE-2 " "150047","ST JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","45 patients",,,"PN-3B " "150047","ST JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"AMI-4 " "150047","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","90 patients",,,"SCIP-INF-3 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","756 patients",,,"SCIP-INF-6 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","38 patients",,,"AMI-8A " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","145 patients",,,"SCIP-CARD-2 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","285 patients",,,"HF-1 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","497 patients",,,"SCIP-INF-2 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","131 patients",,,"SCIP-INF-4 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","251 patients",,,"PN-6 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","426 patients",,,"PN-2 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","293 patients",,,"AMI-1 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","86 patients",,,"HF-3 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","362 patients",,,"AMI-5 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","410 patients",,,"PN-5C " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","173 patients",,,"PN-4 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"HF-4 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","397 patients",,,"PN-3B " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","392 patients",,,"HF-2 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","127 patients",,,"AMI-4 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","261 patients",,,"SCIP-VTE-1 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","261 patients",,,"SCIP-VTE-2 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","79 patients",,,"AMI-3 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","342 patients",,,"AMI-2 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","448 patients",,,"SCIP-INF-3 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","289 patients",,,"PN-7 " "150048","REID HOSPITAL & HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","491 patients",,,"SCIP-INF-1 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","96 patients",,,"HF-2 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","HF-4 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","39 patients",,,"PN-2 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","41 patients",,,"PN-6 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","49 patients",,,"PN-5C " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","25 patients",,,"HF-3 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","31 patients",,,"PN-7 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","93 patients",,,"HF-1 " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","40 patients",,,"PN-3B " "15004F","VA N. INDIANA HEALTHCARE SYSTEM - MARION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150051","BLOOMINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1223 patients",,,"SCIP-INF-6 " "150051","BLOOMINGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","346 patients",,,"AMI-5 " "150051","BLOOMINGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","158 patients",,,"PN-6 " "150051","BLOOMINGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","60 patients",,,"AMI-8A " "150051","BLOOMINGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","216 patients",,,"PN-3B " "150051","BLOOMINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","97 patients",,,"SCIP-INF-4 " "150051","BLOOMINGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","92 patients",,,"HF-3 " "150051","BLOOMINGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","329 patients",,,"AMI-2 " "150051","BLOOMINGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","130 patients",,,"AMI-4 " "150051","BLOOMINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","828 patients",,,"SCIP-INF-2 " "150051","BLOOMINGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","58 patients",,,"AMI-3 " "150051","BLOOMINGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","195 patients",,,"HF-1 " "150051","BLOOMINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","790 patients",,,"SCIP-INF-3 " "150051","BLOOMINGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","245 patients",,,"AMI-1 " "150051","BLOOMINGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","248 patients",,,"HF-2 " "150051","BLOOMINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","458 patients",,,"SCIP-VTE-2 " "150051","BLOOMINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","825 patients",,,"SCIP-INF-1 " "150051","BLOOMINGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","252 patients",,,"PN-2 " "150051","BLOOMINGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","109 patients",,,"PN-4 " "150051","BLOOMINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","460 patients",,,"SCIP-VTE-1 " "150051","BLOOMINGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150051","BLOOMINGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "150051","BLOOMINGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","188 patients",,,"PN-7 " "150051","BLOOMINGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","190 patients",,,"SCIP-CARD-2 " "150051","BLOOMINGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","214 patients",,,"PN-5C " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","727 patients","2 ","2","HF-1 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","165 patients","2 ","2","PN-2 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","209 patients","2 ","2","AMI-4 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","67 patients","2 ","2","AMI-3 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","270 patients","2 ","2","SCIP-VTE-1 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","400 patients","2 ","2","SCIP-INF-1 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","269 patients","2 ","2","SCIP-VTE-2 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","76 patients","2 ","2","AMI-8A " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","402 patients","2 ","2","SCIP-INF-2 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","342 patients","2 ","2","SCIP-INF-3 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","119 patients","2 ","2","PN-4 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","414 patients","2 ","2","AMI-2 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","163 patients","2 ","2","PN-3B " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","94 patients","2 ","2","SCIP-CARD-2 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","177 patients","2 ","2","PN-5C " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","83 patients","2 ","2","PN-6 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","82 patients","2 ","2","PN-7 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","222 patients","2 ","2","HF-4 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","852 patients","2 ","2","HF-2 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","274 patients","2 ","2","HF-3 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","126 patients","2 ","2","SCIP-INF-4 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","685 patients","2 ","2","SCIP-INF-6 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","344 patients","2 ","2","AMI-5 " "150056","CLARIAN HEALTH PARTNERS INC D/B/A METHODIST IU RIL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","318 patients","2 ","2","AMI-1 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","388 patients","2 ","2","SCIP-INF-3 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","32 patients",,,"PN-3B " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","59 patients",,,"PN-6 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","400 patients","2 ","2","SCIP-INF-1 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","17 patients","1 ","1","HF-2 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","226 patients","2 ","2","SCIP-VTE-2 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","64 patients",,,"PN-5C " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","52 patients",,,"PN-2 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","549 patients","2 ","2","SCIP-INF-6 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","226 patients","2 ","2","SCIP-VTE-1 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","398 patients","2 ","2","SCIP-INF-2 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","12 patients","1 ","1","HF-1 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","PN-4 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","72 patients","2 ","2","SCIP-CARD-2 " "150057","ST FRANCIS HOSPITAL MOORESVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","42 patients",,,"PN-7 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","189 patients","2 ","2","SCIP-INF-4 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","258 patients",,,"AMI-1 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","624 patients","2 ","2","SCIP-INF-2 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","380 patients",,,"HF-2 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","43 patients",,,"AMI-3 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","57 patients",,,"AMI-8A " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","616 patients","2 ","2","SCIP-INF-1 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","75 patients",,,"PN-4 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","228 patients","2 ","2","SCIP-VTE-2 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","225 patients",,,"PN-2 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","116 patients","2 ","2","SCIP-CARD-2 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","293 patients",,,"HF-1 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","240 patients",,,"PN-5C " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","593 patients","2 ","2","SCIP-INF-3 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","125 patients",,,"AMI-4 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","229 patients","2 ","2","SCIP-VTE-1 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","274 patients",,,"AMI-5 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","171 patients",,,"PN-6 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","282 patients",,,"AMI-2 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","167 patients",,,"PN-7 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","96 patients",,,"HF-3 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","807 patients","2 ","2","SCIP-INF-6 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"HF-4 " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","167 patients",,,"PN-3B " "150058","MEMORIAL HOSPITAL OF SOUTH BEND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150059","RIVERVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","124 patients",,,"PN-2 " "150059","RIVERVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","36 patients",,,"PN-4 " "150059","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","212 patients",,,"SCIP-VTE-1 " "150059","RIVERVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"HF-3 " "150059","RIVERVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","30 patients",,,"AMI-8A " "150059","RIVERVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150059","RIVERVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","132 patients",,,"HF-2 " "150059","RIVERVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "150059","RIVERVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "150059","RIVERVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","78 patients",,,"PN-6 " "150059","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","414 patients",,,"SCIP-INF-1 " "150059","RIVERVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","87 patients",,,"HF-1 " "150059","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","212 patients",,,"SCIP-VTE-2 " "150059","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","41 patients",,,"SCIP-INF-4 " "150059","RIVERVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","123 patients",,,"PN-5C " "150059","RIVERVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "150059","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","551 patients",,,"SCIP-INF-6 " "150059","RIVERVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","103 patients",,,"AMI-5 " "150059","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","403 patients",,,"SCIP-INF-3 " "150059","RIVERVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","89 patients",,,"PN-7 " "150059","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","416 patients",,,"SCIP-INF-2 " "150059","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","85 patients",,,"SCIP-CARD-2 " "150059","RIVERVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","100 patients",,,"AMI-1 " "150059","RIVERVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","109 patients",,,"AMI-2 " "150059","RIVERVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","119 patients",,,"PN-3B " "150061","DAVIESS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","10 patients","1 ","1","SCIP-CARD-2 " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "150061","DAVIESS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","55%","67 patients",,,"SCIP-VTE-2 " "150061","DAVIESS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","141 patients",,,"PN-2 " "150061","DAVIESS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","49 patients",,,"PN-4 " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "150061","DAVIESS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","114 patients",,,"PN-6 " "150061","DAVIESS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150061","DAVIESS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","67 patients",,,"SCIP-VTE-1 " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","31 patients",,,"HF-1 " "150061","DAVIESS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","106 patients",,,"PN-7 " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "150061","DAVIESS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","110 patients",,,"SCIP-INF-3 " "150061","DAVIESS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","117 patients",,,"SCIP-INF-1 " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "150061","DAVIESS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","156 patients",,,"PN-5C " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","42 patients",,,"HF-2 " "150061","DAVIESS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","142 patients",,,"SCIP-INF-6 " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150061","DAVIESS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","114 patients",,,"SCIP-INF-2 " "150061","DAVIESS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","162 patients",,,"PN-3B " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150061","DAVIESS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","89 patients",,,"PN-6 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","113 patients",,,"PN-2 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","120 patients",,,"SCIP-INF-3 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","45%","75 patients",,,"HF-1 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","21 patients","1 ","1","SCIP-CARD-2 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","53%","17 patients","1 ","1","HF-4 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","58%","69 patients",,,"SCIP-VTE-2 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","120 patients",,,"SCIP-INF-2 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","43 patients",,,"PN-4 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","24 patients","1 ","1","HF-3 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","66%","71 patients",,,"SCIP-VTE-1 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","14 patients","1 ","1","AMI-2 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","66 patients",,,"PN-3B " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","109 patients",,,"PN-5C " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","124 patients",,,"SCIP-INF-1 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","98 patients",,,"PN-7 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","146 patients",,,"SCIP-INF-6 " "150064","FAYETTE REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","101 patients",,,"HF-2 " "150065","SCHNECK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "150065","SCHNECK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","32 patients",,,"SCIP-CARD-2 " "150065","SCHNECK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150065","SCHNECK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","173 patients",,,"PN-5C " "150065","SCHNECK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","133 patients",,,"SCIP-VTE-1 " "150065","SCHNECK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","98 patients",,,"PN-7 " "150065","SCHNECK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150065","SCHNECK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","122 patients",,,"PN-3B " "150065","SCHNECK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","84 patients",,,"HF-2 " "150065","SCHNECK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150065","SCHNECK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","172 patients",,,"SCIP-INF-1 " "150065","SCHNECK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "150065","SCHNECK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"HF-3 " "150065","SCHNECK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "150065","SCHNECK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","95 patients",,,"PN-6 " "150065","SCHNECK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "150065","SCHNECK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "150065","SCHNECK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","164 patients",,,"SCIP-INF-3 " "150065","SCHNECK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"PN-4 " "150065","SCHNECK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","172 patients",,,"SCIP-INF-2 " "150065","SCHNECK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "150065","SCHNECK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","154 patients",,,"PN-2 " "150065","SCHNECK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","241 patients",,,"SCIP-INF-6 " "150065","SCHNECK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","133 patients",,,"SCIP-VTE-2 " "150065","SCHNECK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","61 patients",,,"HF-1 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","178 patients",,,"HF-2 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","28 patients",,,"AMI-1 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","113 patients",,,"SCIP-INF-1 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","117 patients",,,"PN-6 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","35 patients",,,"HF-3 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","109 patients",,,"SCIP-INF-3 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","187 patients",,,"SCIP-INF-6 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","140 patients",,,"PN-2 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","107 patients",,,"PN-3B " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","87 patients",,,"PN-4 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","157 patients",,,"PN-5C " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","144 patients",,,"HF-1 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","103 patients",,,"SCIP-VTE-2 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","115 patients",,,"PN-7 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","112 patients",,,"SCIP-INF-2 " "150069","KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","103 patients",,,"SCIP-VTE-1 " "150072","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","59 patients",,,"HF-1 " "150072","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","76 patients",,,"HF-2 " "150072","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150072","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "150072","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","144 patients",,,"SCIP-INF-6 " "150072","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "150072","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","86 patients",,,"PN-6 " "150072","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "150072","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "150072","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","107 patients",,,"SCIP-INF-3 " "150072","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"HF-3 " "150072","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "150072","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150072","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "150072","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150072","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","76 patients",,,"PN-3B " "150072","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","109 patients",,,"SCIP-INF-2 " "150072","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "150072","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","53 patients",,,"SCIP-VTE-1 " "150072","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","113 patients",,,"PN-5C " "150072","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "150072","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","101 patients",,,"PN-2 " "150072","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","109 patients",,,"SCIP-INF-1 " "150072","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","78 patients",,,"PN-7 " "150072","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","53 patients",,,"SCIP-VTE-2 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","272 patients","2 ","2","SCIP-INF-1 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","38 patients","2 ","2","SCIP-CARD-2 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","179 patients","2 ","2","SCIP-VTE-1 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","79 patients","2 ","2","PN-6 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"AMI-4 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","152 patients",,,"AMI-1 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","28 patients",,,"AMI-8A " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","139 patients",,,"AMI-2 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","107 patients",,,"HF-3 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","232 patients",,,"HF-1 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","41 patients",,,"AMI-3 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","141 patients","2 ","2","PN-3B " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","157 patients","2 ","2","PN-5C " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","179 patients","2 ","2","SCIP-VTE-2 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","138 patients",,,"AMI-5 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"HF-4 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients","2 ","2","PN-4 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","418 patients","2 ","2","SCIP-INF-6 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","269 patients","2 ","2","SCIP-INF-2 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","109 patients","2 ","2","PN-2 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","78 patients","2 ","2","PN-7 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","309 patients",,,"HF-2 " "150074","COMMUNITY HOSPITALS OF INDIANA INC (EAST)","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","261 patients","2 ","2","SCIP-INF-3 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","25 patients",,,"SCIP-CARD-2 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","119 patients",,,"SCIP-INF-2 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","50 patients",,,"PN-6 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","72 patients",,,"PN-2 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","68 patients",,,"PN-3B " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","118 patients",,,"SCIP-INF-1 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","84 patients",,,"SCIP-VTE-1 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","42 patients",,,"HF-2 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","78 patients",,,"PN-5C " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","83 patients",,,"SCIP-VTE-2 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","113 patients",,,"SCIP-INF-3 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","162 patients",,,"SCIP-INF-6 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","45 patients",,,"PN-7 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "150075","BLUFFTON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","31 patients",,,"HF-1 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","35 patients",,,"PN-6 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","85 patients",,,"HF-2 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","88 patients",,,"PN-5C " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","135 patients",,,"SCIP-INF-1 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","129 patients",,,"SCIP-INF-3 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","93 patients",,,"PN-2 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"PN-4 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","68 patients",,,"PN-3B " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","53 patients",,,"HF-1 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","68 patients",,,"PN-7 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"HF-3 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","187 patients",,,"SCIP-INF-6 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","134 patients",,,"SCIP-INF-2 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","83 patients",,,"SCIP-VTE-2 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","83 patients",,,"SCIP-VTE-1 " "150076","SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1 ","1","SCIP-CARD-2 " "150082","DEACONESS HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","61 patients",,,"AMI-8A " "150082","DEACONESS HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","450 patients",,,"AMI-2 " "150082","DEACONESS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","181 patients","2 ","2","SCIP-INF-4 " "150082","DEACONESS HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","439 patients","2 ","2","SCIP-VTE-2 " "150082","DEACONESS HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","299 patients","2 ","2","SCIP-CARD-2 " "150082","DEACONESS HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","568 patients",,,"PN-5C " "150082","DEACONESS HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","456 patients",,,"AMI-5 " "150082","DEACONESS HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","220 patients",,,"HF-3 " "150082","DEACONESS HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","441 patients","2 ","2","SCIP-VTE-1 " "150082","DEACONESS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1244 patients","2 ","2","SCIP-INF-2 " "150082","DEACONESS HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","650 patients",,,"PN-2 " "150082","DEACONESS HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","239 patients",,,"PN-3B " "150082","DEACONESS HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","310 patients",,,"AMI-1 " "150082","DEACONESS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","1161 patients","2 ","2","SCIP-INF-3 " "150082","DEACONESS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1603 patients","2 ","2","SCIP-INF-6 " "150082","DEACONESS HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","89 patients",,,"AMI-3 " "150082","DEACONESS HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","177 patients",,,"AMI-4 " "150082","DEACONESS HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","496 patients",,,"HF-1 " "150082","DEACONESS HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","461 patients",,,"PN-7 " "150082","DEACONESS HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","335 patients",,,"PN-4 " "150082","DEACONESS HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","146 patients",,,"HF-4 " "150082","DEACONESS HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150082","DEACONESS HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","340 patients",,,"PN-6 " "150082","DEACONESS HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","687 patients",,,"HF-2 " "150082","DEACONESS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","1231 patients","2 ","2","SCIP-INF-1 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","498 patients","2 ","2","SCIP-INF-2 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","302 patients",,,"PN-5C " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","142 patients","2 ","2","SCIP-CARD-2 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","388 patients",,,"AMI-5 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","803 patients",,,"HF-2 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","83 patients",,,"AMI-3 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","392 patients",,,"AMI-2 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","114 patients",,,"AMI-4 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","125 patients",,,"HF-4 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","348 patients",,,"PN-2 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","608 patients",,,"HF-1 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","296 patients",,,"HF-3 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","211 patients","2 ","2","SCIP-VTE-2 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","176 patients","2 ","2","SCIP-INF-4 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","276 patients",,,"PN-7 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","279 patients",,,"PN-3B " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","44 patients",,,"AMI-8A " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","731 patients","2 ","2","SCIP-INF-6 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","211 patients","2 ","2","SCIP-VTE-1 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","287 patients",,,"AMI-1 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","142 patients",,,"PN-4 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","170 patients",,,"PN-6 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","478 patients","2 ","2","SCIP-INF-3 " "150084","ST VINCENT HOSPITAL & HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","487 patients","2 ","2","SCIP-INF-1 " "150086","DEARBORN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","137 patients",,,"SCIP-VTE-2 " "150086","DEARBORN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150086","DEARBORN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","111 patients",,,"PN-6 " "150086","DEARBORN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150086","DEARBORN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","98 patients",,,"HF-2 " "150086","DEARBORN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","158 patients",,,"PN-3B " "150086","DEARBORN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","77 patients",,,"HF-1 " "150086","DEARBORN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "150086","DEARBORN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","187 patients",,,"SCIP-INF-2 " "150086","DEARBORN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "150086","DEARBORN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","49 patients",,,"AMI-1 " "150086","DEARBORN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","132 patients",,,"PN-2 " "150086","DEARBORN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "150086","DEARBORN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","137 patients",,,"SCIP-VTE-1 " "150086","DEARBORN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","96 patients",,,"PN-7 " "150086","DEARBORN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"HF-3 " "150086","DEARBORN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","82 patients",,,"PN-4 " "150086","DEARBORN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1 ","1","AMI-2 " "150086","DEARBORN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","187 patients",,,"SCIP-INF-1 " "150086","DEARBORN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","265 patients",,,"SCIP-INF-6 " "150086","DEARBORN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "150086","DEARBORN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","30 patients",,,"SCIP-CARD-2 " "150086","DEARBORN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","172 patients",,,"SCIP-INF-3 " "150086","DEARBORN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","25 patients",,,"AMI-5 " "150086","DEARBORN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","172 patients",,,"PN-5C " "150088","SAINT JOHN'S HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","49 patients","2 ","2","PN-4 " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "150088","SAINT JOHN'S HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","29 patients","2 ","2","SCIP-CARD-2 " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","143 patients","2 ","2","HF-1 " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","28 patients","2 ","2","HF-4 " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","56 patients","2 ","2","AMI-5 " "150088","SAINT JOHN'S HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","63 patients","2 ","2","PN-6 " "150088","SAINT JOHN'S HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","118 patients","2 ","2","SCIP-VTE-2 " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1,2 ","12","AMI-3 " "150088","SAINT JOHN'S HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150088","SAINT JOHN'S HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","103 patients","2 ","2","PN-7 " "150088","SAINT JOHN'S HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","334 patients","2 ","2","SCIP-INF-6 " "150088","SAINT JOHN'S HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","221 patients","2 ","2","SCIP-INF-3 " "150088","SAINT JOHN'S HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","107 patients","2 ","2","PN-3B " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","76 patients","2 ","2","AMI-1 " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","193 patients","2 ","2","HF-2 " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1,2 ","12","AMI-4 " "150088","SAINT JOHN'S HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","226 patients","2 ","2","SCIP-INF-2 " "150088","SAINT JOHN'S HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","122 patients","2 ","2","PN-5C " "150088","SAINT JOHN'S HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","226 patients","2 ","2","SCIP-INF-1 " "150088","SAINT JOHN'S HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","118 patients","2 ","2","SCIP-VTE-1 " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","66 patients","2 ","2","HF-3 " "150088","SAINT JOHN'S HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","155 patients","2 ","2","PN-2 " "150088","SAINT JOHN'S HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","56 patients","2 ","2","AMI-2 " "150089","BALL MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","233 patients",,,"PN-6 " "150089","BALL MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","334 patients",,,"PN-5C " "150089","BALL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","844 patients","2 ","2","SCIP-INF-2 " "150089","BALL MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","151 patients","2 ","2","HF-3 " "150089","BALL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","395 patients","2 ","2","SCIP-VTE-1 " "150089","BALL MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","357 patients",,,"PN-2 " "150089","BALL MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","340 patients",,,"AMI-5 " "150089","BALL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","395 patients","2 ","2","SCIP-VTE-2 " "150089","BALL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","782 patients","2 ","2","SCIP-INF-3 " "150089","BALL MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","348 patients",,,"AMI-2 " "150089","BALL MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","239 patients",,,"AMI-1 " "150089","BALL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1034 patients","2 ","2","SCIP-INF-6 " "150089","BALL MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","50 patients",,,"AMI-8A " "150089","BALL MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","164 patients",,,"PN-4 " "150089","BALL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","828 patients","2 ","2","SCIP-INF-1 " "150089","BALL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","152 patients","2 ","2","SCIP-INF-4 " "150089","BALL MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","148 patients",,,"AMI-4 " "150089","BALL MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","70 patients",,,"AMI-3 " "150089","BALL MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","251 patients",,,"PN-7 " "150089","BALL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","171 patients","2 ","2","SCIP-CARD-2 " "150089","BALL MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","413 patients","2 ","2","HF-2 " "150089","BALL MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","366 patients",,,"PN-3B " "150089","BALL MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150089","BALL MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","286 patients","2 ","2","HF-1 " "150089","BALL MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","71 patients","2 ","2","HF-4 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"AMI-4 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","196 patients","2 ","2","SCIP-VTE-1 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","183 patients",,,"PN-3B " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","255 patients",,,"HF-2 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","219 patients","2 ","2","SCIP-INF-1 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","38 patients","2 ","2","SCIP-INF-4 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","207 patients","2 ","2","SCIP-INF-3 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","63 patients",,,"HF-3 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","91 patients",,,"AMI-5 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","209 patients",,,"HF-1 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","342 patients","2 ","2","SCIP-INF-6 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","196 patients","2 ","2","SCIP-VTE-2 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","47 patients","2 ","2","SCIP-CARD-2 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","157 patients",,,"PN-5C " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","104 patients",,,"AMI-1 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","98 patients",,,"PN-7 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","55%","20 patients","1 ","1","AMI-8A " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","91 patients",,,"PN-6 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","222 patients","2 ","2","SCIP-INF-2 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","135 patients",,,"PN-2 " "150090","ST MARGARET MERCY HEALTHCARE CENTERS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","96 patients",,,"AMI-2 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","48 patients",,,"PN-7 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","39 patients",,,"HF-1 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","59 patients",,,"PN-2 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","109 patients",,,"SCIP-INF-2 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","120 patients",,,"SCIP-INF-6 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","108 patients",,,"SCIP-INF-3 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","62 patients",,,"HF-2 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","64 patients",,,"PN-5C " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","73 patients",,,"SCIP-VTE-1 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "150091","PARKVIEW HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","109 patients",,,"SCIP-INF-1 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","73 patients",,,"SCIP-VTE-2 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","56 patients",,,"PN-6 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "150091","PARKVIEW HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","12 patients","1 ","1","SCIP-CARD-2 " "150091","PARKVIEW HUNTINGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","42 patients",,,"PN-3B " "150091","PARKVIEW HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150097","MAJOR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","67 patients",,,"HF-2 " "150097","MAJOR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "150097","MAJOR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "150097","MAJOR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150097","MAJOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","38 patients",,,"SCIP-VTE-1 " "150097","MAJOR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","60 patients",,,"HF-1 " "150097","MAJOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150097","MAJOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","58 patients",,,"SCIP-INF-3 " "150097","MAJOR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "150097","MAJOR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150097","MAJOR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","86 patients",,,"PN-6 " "150097","MAJOR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"PN-4 " "150097","MAJOR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","62%","8 patients","1 ","1","AMI-2 " "150097","MAJOR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","13 patients","1 ","1","SCIP-CARD-2 " "150097","MAJOR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","133 patients",,,"PN-3B " "150097","MAJOR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","134 patients",,,"PN-2 " "150097","MAJOR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "150097","MAJOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","63 patients",,,"SCIP-INF-2 " "150097","MAJOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","37 patients",,,"SCIP-VTE-2 " "150097","MAJOR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","132 patients",,,"PN-5C " "150097","MAJOR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","96 patients",,,"PN-7 " "150097","MAJOR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "150097","MAJOR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "150097","MAJOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","62 patients",,,"SCIP-INF-1 " "150097","MAJOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","91 patients",,,"SCIP-INF-6 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"AMI-4 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","194 patients","2 ","2","SCIP-INF-4 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","271 patients",,,"HF-1 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","313 patients",,,"AMI-2 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","403 patients","2 ","2","SCIP-VTE-2 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","404 patients","2 ","2","SCIP-VTE-1 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","181 patients",,,"PN-7 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1125 patients","2 ","2","SCIP-INF-2 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","237 patients",,,"AMI-1 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","136 patients",,,"PN-6 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","151 patients",,,"PN-4 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","298 patients",,,"AMI-5 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","256 patients",,,"PN-5C " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1408 patients","2 ","2","SCIP-INF-6 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","1071 patients","2 ","2","SCIP-INF-3 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","347 patients",,,"HF-2 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","77 patients",,,"AMI-3 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","223 patients","2 ","2","SCIP-CARD-2 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","150 patients",,,"HF-3 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","55 patients",,,"AMI-8A " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","195 patients",,,"PN-3B " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","224 patients",,,"PN-2 " "150100","ST MARY'S MEDICAL CENTER OF EVANSVILLE INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","1108 patients","2 ","2","SCIP-INF-1 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","27 patients",,,"HF-1 " "150101","PARKVIEW WHITLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","64 patients",,,"SCIP-INF-6 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "150101","PARKVIEW WHITLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","48 patients",,,"SCIP-INF-2 " "150101","PARKVIEW WHITLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","44 patients",,,"HF-2 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150101","PARKVIEW WHITLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","44 patients",,,"SCIP-INF-3 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150101","PARKVIEW WHITLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","48 patients",,,"SCIP-INF-1 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "150101","PARKVIEW WHITLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","47 patients",,,"SCIP-VTE-1 " "150101","PARKVIEW WHITLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "150101","PARKVIEW WHITLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","58 patients",,,"PN-6 " "150101","PARKVIEW WHITLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "150101","PARKVIEW WHITLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","35 patients",,,"PN-7 " "150101","PARKVIEW WHITLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","47 patients",,,"SCIP-VTE-2 " "150101","PARKVIEW WHITLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "150101","PARKVIEW WHITLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","46 patients",,,"PN-3B " "150101","PARKVIEW WHITLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","65 patients",,,"PN-5C " "150101","PARKVIEW WHITLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","64 patients",,,"PN-2 " "150102","STARKE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150102","STARKE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","25%","4 patients","1 ","1","AMI-2 " "150102","STARKE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","32 patients",,,"PN-6 " "150102","STARKE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150102","STARKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","9 patients","1 ","1","SCIP-VTE-2 " "150102","STARKE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150102","STARKE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","57%","7 patients","1 ","1","AMI-1 " "150102","STARKE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","40%","5 patients","1 ","1","AMI-5 " "150102","STARKE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "150102","STARKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1 ","1","SCIP-INF-3 " "150102","STARKE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","31 patients",,,"HF-2 " "150102","STARKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","6 patients","1 ","1","SCIP-INF-1 " "150102","STARKE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","31 patients",,,"PN-2 " "150102","STARKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","9 patients","1 ","1","SCIP-VTE-1 " "150102","STARKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150102","STARKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","11 patients","1 ","1","SCIP-INF-6 " "150102","STARKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "150102","STARKE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","45 patients",,,"PN-3B " "150102","STARKE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "150102","STARKE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","25 patients",,,"HF-1 " "150102","STARKE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "150102","STARKE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "150102","STARKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-2 " "150102","STARKE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","50 patients",,,"PN-5C " "150102","STARKE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","27 patients",,,"PN-7 " "150104","WITHAM HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","77 patients",,,"SCIP-INF-3 " "150104","WITHAM HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","43 patients",,,"PN-6 " "150104","WITHAM HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","48 patients",,,"HF-1 " "150104","WITHAM HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1,3 ","13","AMI-1 " "150104","WITHAM HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,3 ","13","AMI-4 " "150104","WITHAM HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","69 patients",,,"HF-2 " "150104","WITHAM HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","50 patients",,,"PN-5C " "150104","WITHAM HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","64 patients",,,"SCIP-VTE-2 " "150104","WITHAM HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,3 ","13","AMI-3 " "150104","WITHAM HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","2 patients","1,3 ","13","AMI-8A " "150104","WITHAM HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","47 patients",,,"PN-7 " "150104","WITHAM HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "150104","WITHAM HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","81 patients",,,"SCIP-INF-2 " "150104","WITHAM HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","122 patients",,,"SCIP-INF-6 " "150104","WITHAM HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","HF-4 " "150104","WITHAM HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","26 patients",,,"SCIP-CARD-2 " "150104","WITHAM HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","81 patients",,,"SCIP-INF-1 " "150104","WITHAM HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","64 patients",,,"SCIP-VTE-1 " "150104","WITHAM HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","64 patients",,,"PN-2 " "150104","WITHAM HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "150104","WITHAM HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1,3 ","13","AMI-5 " "150104","WITHAM HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","HF-3 " "150104","WITHAM HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1,3 ","13","AMI-2 " "150104","WITHAM HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150104","WITHAM HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","69 patients",,,"PN-3B " "150109","LAFAYETTE HOME HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","501 patients","2 ","2","SCIP-INF-1 " "150109","LAFAYETTE HOME HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","486 patients","2 ","2","SCIP-INF-3 " "150109","LAFAYETTE HOME HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","18 patients","1 ","1","AMI-1 " "150109","LAFAYETTE HOME HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","709 patients","2 ","2","SCIP-INF-6 " "150109","LAFAYETTE HOME HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "150109","LAFAYETTE HOME HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","67 patients",,,"PN-7 " "150109","LAFAYETTE HOME HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","66 patients",,,"HF-2 " "150109","LAFAYETTE HOME HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","83 patients",,,"PN-3B " "150109","LAFAYETTE HOME HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "150109","LAFAYETTE HOME HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","497 patients","2 ","2","SCIP-INF-2 " "150109","LAFAYETTE HOME HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "150109","LAFAYETTE HOME HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","362 patients","2 ","2","SCIP-VTE-1 " "150109","LAFAYETTE HOME HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150109","LAFAYETTE HOME HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","96 patients",,,"PN-2 " "150109","LAFAYETTE HOME HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1 ","1","HF-3 " "150109","LAFAYETTE HOME HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","61 patients",,,"PN-6 " "150109","LAFAYETTE HOME HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","359 patients","2 ","2","SCIP-VTE-2 " "150109","LAFAYETTE HOME HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150109","LAFAYETTE HOME HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "150109","LAFAYETTE HOME HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "150109","LAFAYETTE HOME HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","65 patients",,,"PN-4 " "150109","LAFAYETTE HOME HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150109","LAFAYETTE HOME HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","100 patients",,,"PN-5C " "150109","LAFAYETTE HOME HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","42 patients",,,"HF-1 " "150109","LAFAYETTE HOME HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","74 patients","2 ","2","SCIP-CARD-2 " "150112","COLUMBUS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","126 patients",,,"SCIP-CARD-2 " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","3 ","3","HF-4 " "150112","COLUMBUS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","523 patients","3 ","3","SCIP-INF-6 " "150112","COLUMBUS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","35 patients","3 ","3","SCIP-INF-4 " "150112","COLUMBUS REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","143 patients",,,"PN-7 " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","114 patients","3 ","3","AMI-2 " "150112","COLUMBUS REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","116 patients","3 ","3","PN-6 " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "150112","COLUMBUS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","324 patients","3 ","3","SCIP-INF-3 " "150112","COLUMBUS REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","141 patients","3 ","3","PN-5C " "150112","COLUMBUS REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","88 patients","3 ","3","PN-4 " "150112","COLUMBUS REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","141 patients","3 ","3","PN-2 " "150112","COLUMBUS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","362 patients","3 ","3","SCIP-INF-2 " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","139 patients","3 ","3","HF-1 " "150112","COLUMBUS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","112 patients","3 ","3","SCIP-VTE-1 " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","97 patients","3 ","3","AMI-1 " "150112","COLUMBUS REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","131 patients","3 ","3","PN-3B " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","3 ","3","AMI-4 " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1,3 ","13","AMI-3 " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","188 patients","3 ","3","HF-2 " "150112","COLUMBUS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","361 patients","3 ","3","SCIP-INF-1 " "150112","COLUMBUS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","112 patients","3 ","3","SCIP-VTE-2 " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","67 patients","3 ","3","HF-3 " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","20 patients","1,3 ","13","AMI-8A " "150112","COLUMBUS REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","109 patients","3 ","3","AMI-5 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","260 patients",,,"HF-2 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","455 patients",,,"SCIP-INF-6 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","144 patients","2 ","2","PN-2 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","371 patients",,,"SCIP-INF-3 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","22 patients","1 ","1","AMI-1 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","55 patients",,,"SCIP-CARD-2 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","95 patients","2 ","2","PN-6 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","200 patients",,,"HF-1 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","375 patients",,,"SCIP-INF-2 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","68 patients","2 ","2","PN-3B " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","151 patients",,,"SCIP-VTE-2 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","376 patients",,,"SCIP-INF-1 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","151 patients",,,"SCIP-VTE-1 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients","2 ","2","PN-4 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","147 patients","2 ","2","PN-5C " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","102 patients","2 ","2","PN-7 " "150113","COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","85 patients",,,"HF-3 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","70 patients","2 ","2","SCIP-CARD-2 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","177 patients","2 ","2","PN-2 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","475 patients","2 ","2","SCIP-INF-3 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","215 patients",,,"HF-2 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","159 patients",,,"HF-1 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","194 patients","2 ","2","SCIP-VTE-2 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","618 patients","2 ","2","SCIP-INF-6 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","129 patients",,,"PN-7 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"AMI-4 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","156 patients","2 ","2","PN-3B " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","PN-4 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","105 patients","2 ","2","PN-6 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","495 patients","2 ","2","SCIP-INF-2 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","119 patients",,,"AMI-5 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","194 patients","2 ","2","SCIP-VTE-1 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","494 patients","2 ","2","SCIP-INF-1 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","81 patients",,,"HF-3 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","AMI-3 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","123 patients",,,"AMI-2 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","101 patients",,,"AMI-1 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","176 patients","2 ","2","PN-5C " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "150115","MEMORIAL HOSPITAL AND HEALTH CARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","22 patients","1 ","1","AMI-8A " "150125","COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","260 patients","2 ","2","HF-1 " "150125","COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","136 patients",,,"AMI-1 " "150125","COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","122 patients",,,"AMI-2 " "150125","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","687 patients","2 ","2","SCIP-INF-6 " "150125","COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","172 patients","2 ","2","PN-5C " "150125","COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","318 patients","2 ","2","HF-2 " "150125","COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","126 patients","2 ","2","PN-2 " "150125","COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","13 patients","1 ","1","AMI-3 " "150125","COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","154 patients","2 ","2","PN-3B " "150125","COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","43 patients","2 ","2","PN-4 " "150125","COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","93 patients","2 ","2","PN-6 " "150125","COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"AMI-4 " "150125","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","156 patients","2 ","2","SCIP-INF-4 " "150125","COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","105 patients",,,"AMI-5 " "150125","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","499 patients","2 ","2","SCIP-INF-2 " "150125","COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","93 patients","2 ","2","PN-7 " "150125","COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","33 patients",,,"AMI-8A " "150125","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","493 patients","2 ","2","SCIP-INF-1 " "150125","COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","92 patients","2 ","2","HF-3 " "150125","COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","HF-4 " "150125","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","268 patients","2 ","2","SCIP-VTE-2 " "150125","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","268 patients","2 ","2","SCIP-VTE-1 " "150125","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","463 patients","2 ","2","SCIP-INF-3 " "150125","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","121 patients","2 ","2","SCIP-CARD-2 " "150125","COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150126","ST ANTHONY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","396 patients",,,"SCIP-VTE-1 " "150126","ST ANTHONY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","169 patients","2 ","2","PN-2 " "150126","ST ANTHONY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","395 patients",,,"SCIP-VTE-2 " "150126","ST ANTHONY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","129 patients","2 ","2","PN-3B " "150126","ST ANTHONY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","43%","35 patients",,,"AMI-8A " "150126","ST ANTHONY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","465 patients",,,"SCIP-INF-3 " "150126","ST ANTHONY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","124 patients",,,"AMI-5 " "150126","ST ANTHONY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","121 patients",,,"AMI-2 " "150126","ST ANTHONY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","737 patients",,,"SCIP-INF-6 " "150126","ST ANTHONY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","185 patients","2 ","2","PN-5C " "150126","ST ANTHONY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","229 patients","2 ","2","HF-1 " "150126","ST ANTHONY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","473 patients",,,"SCIP-INF-1 " "150126","ST ANTHONY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"AMI-4 " "150126","ST ANTHONY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","285 patients","2 ","2","HF-2 " "150126","ST ANTHONY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","105 patients",,,"SCIP-CARD-2 " "150126","ST ANTHONY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","144 patients",,,"AMI-1 " "150126","ST ANTHONY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","78%","58 patients",,,"SCIP-INF-4 " "150126","ST ANTHONY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","HF-4 " "150126","ST ANTHONY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","120 patients","2 ","2","PN-7 " "150126","ST ANTHONY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150126","ST ANTHONY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","112 patients","2 ","2","PN-6 " "150126","ST ANTHONY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","26 patients",,,"AMI-3 " "150126","ST ANTHONY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","71 patients","2 ","2","PN-4 " "150126","ST ANTHONY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","476 patients",,,"SCIP-INF-2 " "150126","ST ANTHONY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","85 patients","2 ","2","HF-3 " "150128","COMMUNITY HOSPITAL SOUTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","PN-4 " "150128","COMMUNITY HOSPITAL SOUTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","115 patients",,,"AMI-1 " "150128","COMMUNITY HOSPITAL SOUTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","172 patients",,,"HF-1 " "150128","COMMUNITY HOSPITAL SOUTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150128","COMMUNITY HOSPITAL SOUTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"AMI-4 " "150128","COMMUNITY HOSPITAL SOUTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","32 patients",,,"AMI-3 " "150128","COMMUNITY HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150128","COMMUNITY HOSPITAL SOUTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","77 patients",,,"HF-3 " "150128","COMMUNITY HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","54 patients","2 ","2","SCIP-CARD-2 " "150128","COMMUNITY HOSPITAL SOUTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","158 patients",,,"AMI-2 " "150128","COMMUNITY HOSPITAL SOUTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "150128","COMMUNITY HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","309 patients","2 ","2","SCIP-INF-2 " "150128","COMMUNITY HOSPITAL SOUTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","132 patients","2 ","2","PN-5C " "150128","COMMUNITY HOSPITAL SOUTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","35 patients",,,"AMI-8A " "150128","COMMUNITY HOSPITAL SOUTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","239 patients",,,"HF-2 " "150128","COMMUNITY HOSPITAL SOUTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","79 patients","2 ","2","PN-6 " "150128","COMMUNITY HOSPITAL SOUTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","132 patients","2 ","2","PN-2 " "150128","COMMUNITY HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","198 patients","2 ","2","SCIP-VTE-1 " "150128","COMMUNITY HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","194 patients","2 ","2","SCIP-VTE-2 " "150128","COMMUNITY HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","307 patients","2 ","2","SCIP-INF-1 " "150128","COMMUNITY HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","289 patients","2 ","2","SCIP-INF-3 " "150128","COMMUNITY HOSPITAL SOUTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","157 patients",,,"AMI-5 " "150128","COMMUNITY HOSPITAL SOUTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","128 patients","2 ","2","PN-3B " "150128","COMMUNITY HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","458 patients","2 ","2","SCIP-INF-6 " "150128","COMMUNITY HOSPITAL SOUTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","81 patients","2 ","2","PN-7 " "150129","WESTVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","91 patients",,,"SCIP-INF-2 " "150129","WESTVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "150129","WESTVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "150129","WESTVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "150129","WESTVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","56 patients",,,"SCIP-VTE-1 " "150129","WESTVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","53 patients",,,"PN-6 " "150129","WESTVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","15 patients","1 ","1","SCIP-CARD-2 " "150129","WESTVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","90 patients",,,"SCIP-INF-3 " "150129","WESTVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","126 patients",,,"SCIP-INF-6 " "150129","WESTVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "150129","WESTVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","56 patients","2 ","2","HF-1 " "150129","WESTVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150129","WESTVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","94 patients",,,"PN-5C " "150129","WESTVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","15 patients","1,2 ","12","HF-3 " "150129","WESTVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","72 patients",,,"PN-3B " "150129","WESTVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","56 patients",,,"SCIP-VTE-2 " "150129","WESTVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","39 patients",,,"PN-4 " "150129","WESTVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1,2 ","12","HF-4 " "150129","WESTVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","43 patients",,,"PN-7 " "150129","WESTVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "150129","WESTVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "150129","WESTVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","93 patients",,,"SCIP-INF-1 " "150129","WESTVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","70 patients","2 ","2","HF-2 " "150129","WESTVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "150129","WESTVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","60 patients",,,"PN-2 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","80 patients",,,"PN-7 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","93 patients",,,"PN-6 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","54 patients",,,"HF-1 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","194 patients",,,"SCIP-INF-1 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","124 patients",,,"SCIP-VTE-2 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","131 patients",,,"PN-3B " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","129 patients",,,"PN-5C " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","188 patients",,,"SCIP-INF-3 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","124 patients",,,"SCIP-VTE-1 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","29 patients",,,"SCIP-CARD-2 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","100 patients",,,"PN-2 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","193 patients",,,"SCIP-INF-2 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","86 patients",,,"HF-2 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","290 patients",,,"SCIP-INF-6 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","31 patients",,,"HF-3 " "150133","KOSCIUSKO COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "150146","PARKVIEW NOBLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","90 patients",,,"PN-5C " "150146","PARKVIEW NOBLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150146","PARKVIEW NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","66 patients",,,"SCIP-INF-2 " "150146","PARKVIEW NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","37 patients",,,"SCIP-VTE-1 " "150146","PARKVIEW NOBLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "150146","PARKVIEW NOBLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "150146","PARKVIEW NOBLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","53 patients",,,"PN-6 " "150146","PARKVIEW NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","66 patients",,,"SCIP-INF-1 " "150146","PARKVIEW NOBLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","57 patients",,,"PN-3B " "150146","PARKVIEW NOBLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "150146","PARKVIEW NOBLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","61 patients",,,"HF-2 " "150146","PARKVIEW NOBLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150146","PARKVIEW NOBLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","36 patients",,,"HF-1 " "150146","PARKVIEW NOBLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "150146","PARKVIEW NOBLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "150146","PARKVIEW NOBLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","80 patients",,,"PN-2 " "150146","PARKVIEW NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","99 patients",,,"SCIP-INF-6 " "150146","PARKVIEW NOBLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","49 patients",,,"PN-7 " "150146","PARKVIEW NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150146","PARKVIEW NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","36 patients",,,"SCIP-VTE-2 " "150146","PARKVIEW NOBLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","15 patients","1 ","1","HF-3 " "150146","PARKVIEW NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "150146","PARKVIEW NOBLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "150146","PARKVIEW NOBLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "150146","PARKVIEW NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","65 patients",,,"SCIP-INF-3 " "150149","WOMEN'S HOSPITAL THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "150149","WOMEN'S HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","192 patients","2 ","2","SCIP-INF-3 " "150149","WOMEN'S HOSPITAL THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "150149","WOMEN'S HOSPITAL THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "150149","WOMEN'S HOSPITAL THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "150149","WOMEN'S HOSPITAL THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "150149","WOMEN'S HOSPITAL THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150149","WOMEN'S HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150149","WOMEN'S HOSPITAL THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "150149","WOMEN'S HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","193 patients","2 ","2","SCIP-INF-1 " "150149","WOMEN'S HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","195 patients","2 ","2","SCIP-INF-2 " "150149","WOMEN'S HOSPITAL THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","104 patients","2 ","2","SCIP-VTE-1 " "150149","WOMEN'S HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","269 patients","2 ","2","SCIP-INF-6 " "150149","WOMEN'S HOSPITAL THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150149","WOMEN'S HOSPITAL THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "150149","WOMEN'S HOSPITAL THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150149","WOMEN'S HOSPITAL THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150149","WOMEN'S HOSPITAL THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "150149","WOMEN'S HOSPITAL THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","104 patients","2 ","2","SCIP-VTE-2 " "150149","WOMEN'S HOSPITAL THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "150149","WOMEN'S HOSPITAL THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "150149","WOMEN'S HOSPITAL THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1,2 ","12","SCIP-CARD-2 " "150149","WOMEN'S HOSPITAL THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150149","WOMEN'S HOSPITAL THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "150149","WOMEN'S HOSPITAL THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150150","DUPONT HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","546 patients",,,"SCIP-INF-1 " "150150","DUPONT HOSPITAL LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","69 patients",,,"SCIP-CARD-2 " "150150","DUPONT HOSPITAL LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","54 patients",,,"PN-6 " "150150","DUPONT HOSPITAL LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","66 patients",,,"PN-3B " "150150","DUPONT HOSPITAL LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150150","DUPONT HOSPITAL LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","39 patients",,,"PN-7 " "150150","DUPONT HOSPITAL LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "150150","DUPONT HOSPITAL LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "150150","DUPONT HOSPITAL LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150150","DUPONT HOSPITAL LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "150150","DUPONT HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150150","DUPONT HOSPITAL LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "150150","DUPONT HOSPITAL LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "150150","DUPONT HOSPITAL LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","33 patients",,,"HF-1 " "150150","DUPONT HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","549 patients",,,"SCIP-INF-2 " "150150","DUPONT HOSPITAL LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "150150","DUPONT HOSPITAL LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","35 patients",,,"PN-2 " "150150","DUPONT HOSPITAL LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","42 patients",,,"HF-2 " "150150","DUPONT HOSPITAL LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "150150","DUPONT HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","709 patients",,,"SCIP-INF-6 " "150150","DUPONT HOSPITAL LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "150150","DUPONT HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","532 patients",,,"SCIP-INF-3 " "150150","DUPONT HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","252 patients",,,"SCIP-VTE-2 " "150150","DUPONT HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","252 patients",,,"SCIP-VTE-1 " "150150","DUPONT HOSPITAL LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","53 patients",,,"PN-5C " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","44%","9 patients","1 ","1","PN-7 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","95 patients","2 ","2","SCIP-CARD-2 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","168 patients",,,"HF-3 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","2 ","2","SCIP-VTE-1 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","408 patients",,,"AMI-4 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","2 ","2","SCIP-VTE-2 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","324 patients",,,"HF-1 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","262 patients","2 ","2","SCIP-INF-4 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","236 patients","2 ","2","SCIP-INF-2 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","133 patients",,,"AMI-1 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","233 patients","2 ","2","SCIP-INF-1 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1085 patients",,,"AMI-5 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","224 patients","2 ","2","SCIP-INF-3 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","369 patients",,,"HF-2 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1138 patients",,,"AMI-2 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","3 patients","1 ","1","PN-6 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","20 patients","1 ","1","AMI-8A " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1 ","1","PN-5C " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","236 patients",,,"AMI-3 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","329 patients","2 ","2","SCIP-INF-6 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150153","ST VINCENT HEART CENTER OF INDIANA LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","42%","12 patients","1 ","1","PN-2 " "150154","INDIANA HEART HOSPITAL, THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","72 patients",,,"AMI-3 " "150154","INDIANA HEART HOSPITAL, THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","3 patients","1 ","1","PN-6 " "150154","INDIANA HEART HOSPITAL, THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "150154","INDIANA HEART HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","551 patients","2 ","2","SCIP-INF-2 " "150154","INDIANA HEART HOSPITAL, THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"HF-4 " "150154","INDIANA HEART HOSPITAL, THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","306 patients",,,"AMI-5 " "150154","INDIANA HEART HOSPITAL, THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150154","INDIANA HEART HOSPITAL, THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","361 patients",,,"HF-2 " "150154","INDIANA HEART HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","682 patients","2 ","2","SCIP-INF-6 " "150154","INDIANA HEART HOSPITAL, THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","290 patients",,,"HF-1 " "150154","INDIANA HEART HOSPITAL, THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","54 patients",,,"AMI-8A " "150154","INDIANA HEART HOSPITAL, THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","12 patients","1 ","1","PN-2 " "150154","INDIANA HEART HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","47%","19 patients","1,2 ","12","SCIP-VTE-2 " "150154","INDIANA HEART HOSPITAL, THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients",,,"PN-5C " "150154","INDIANA HEART HOSPITAL, THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","144 patients",,,"AMI-1 " "150154","INDIANA HEART HOSPITAL, THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "150154","INDIANA HEART HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","532 patients","2 ","2","SCIP-INF-1 " "150154","INDIANA HEART HOSPITAL, THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "150154","INDIANA HEART HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","20 patients","1,2 ","12","SCIP-VTE-1 " "150154","INDIANA HEART HOSPITAL, THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","163 patients","2 ","2","SCIP-CARD-2 " "150154","INDIANA HEART HOSPITAL, THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","342 patients",,,"AMI-2 " "150154","INDIANA HEART HOSPITAL, THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","142 patients",,,"AMI-4 " "150154","INDIANA HEART HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","506 patients","2 ","2","SCIP-INF-3 " "150154","INDIANA HEART HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","463 patients","2 ","2","SCIP-INF-4 " "150154","INDIANA HEART HOSPITAL, THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","127 patients",,,"HF-3 " "150157","ST VINCENT CARMEL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","51 patients",,,"PN-6 " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","27 patients",,,"HF-2 " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150157","ST VINCENT CARMEL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","85 patients",,,"PN-5C " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "150157","ST VINCENT CARMEL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","39 patients",,,"PN-7 " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","17 patients","1 ","1","HF-1 " "150157","ST VINCENT CARMEL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","64 patients",,,"PN-2 " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "150157","ST VINCENT CARMEL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","231 patients","2 ","2","SCIP-INF-3 " "150157","ST VINCENT CARMEL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","308 patients","2 ","2","SCIP-INF-6 " "150157","ST VINCENT CARMEL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","137 patients","2 ","2","SCIP-VTE-2 " "150157","ST VINCENT CARMEL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","232 patients","2 ","2","SCIP-INF-1 " "150157","ST VINCENT CARMEL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","31 patients","2 ","2","SCIP-CARD-2 " "150157","ST VINCENT CARMEL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150157","ST VINCENT CARMEL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","81 patients",,,"PN-3B " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "150157","ST VINCENT CARMEL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "150157","ST VINCENT CARMEL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","139 patients","2 ","2","SCIP-VTE-1 " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "150157","ST VINCENT CARMEL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "150157","ST VINCENT CARMEL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","233 patients","2 ","2","SCIP-INF-2 " "150158","CLARIAN WEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","142 patients","2 ","2","PN-2 " "150158","CLARIAN WEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","58 patients","2 ","2","AMI-1 " "150158","CLARIAN WEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","130 patients","2 ","2","PN-3B " "150158","CLARIAN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","124 patients","2 ","2","SCIP-VTE-1 " "150158","CLARIAN WEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2 ","12","AMI-3 " "150158","CLARIAN WEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","50 patients","2 ","2","AMI-2 " "150158","CLARIAN WEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","90 patients","2 ","2","PN-6 " "150158","CLARIAN WEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","99 patients","2 ","2","HF-1 " "150158","CLARIAN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","124 patients","2 ","2","SCIP-VTE-2 " "150158","CLARIAN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150158","CLARIAN WEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,2 ","12","HF-4 " "150158","CLARIAN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","266 patients","2 ","2","SCIP-INF-6 " "150158","CLARIAN WEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-8A " "150158","CLARIAN WEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1,2 ","12","AMI-4 " "150158","CLARIAN WEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","41 patients","2 ","2","HF-3 " "150158","CLARIAN WEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","93 patients","2 ","2","PN-7 " "150158","CLARIAN WEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "150158","CLARIAN WEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","57 patients","2 ","2","AMI-5 " "150158","CLARIAN WEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","127 patients","2 ","2","HF-2 " "150158","CLARIAN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","167 patients","2 ","2","SCIP-INF-1 " "150158","CLARIAN WEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","51 patients","2 ","2","PN-4 " "150158","CLARIAN WEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","123 patients","2 ","2","PN-5C " "150158","CLARIAN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","150 patients","2 ","2","SCIP-INF-3 " "150158","CLARIAN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","166 patients","2 ","2","SCIP-INF-2 " "150158","CLARIAN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","20 patients","1,2 ","12","SCIP-CARD-2 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","173 patients","2 ","2","SCIP-INF-1 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","173 patients","2 ","2","SCIP-INF-3 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","173 patients","2 ","2","SCIP-INF-2 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","71 patients","2 ","2","SCIP-VTE-2 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","56 patients","2 ","2","SCIP-CARD-2 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","203 patients","2 ","2","SCIP-INF-6 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","71 patients","2 ","2","SCIP-VTE-1 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "150160","INDIANA ORTHOPAEDIC HOSPITAL LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "150161","CLARIAN NORTH MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","53 patients","2 ","2","CAC-1 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","5 patients","1,2 ","12","AMI-8A " "150161","CLARIAN NORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients","2 ","2","SCIP-CARD-2 " "150161","CLARIAN NORTH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","38 patients","2 ","2","PN-6 " "150161","CLARIAN NORTH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","45 patients","2 ","2","PN-2 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","56 patients","2 ","2","HF-2 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","AMI-3 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","HF-4 " "150161","CLARIAN NORTH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","49 patients","2 ","2","PN-3B " "150161","CLARIAN NORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150161","CLARIAN NORTH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","11 patients","1,2 ","12","PN-4 " "150161","CLARIAN NORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","312 patients","2 ","2","SCIP-INF-6 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","22 patients","1,2 ","12","AMI-5 " "150161","CLARIAN NORTH MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","53 patients","2 ","2","CAC-2 " "150161","CLARIAN NORTH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","34 patients","2 ","2","PN-7 " "150161","CLARIAN NORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","240 patients","2 ","2","SCIP-INF-2 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","49 patients","2 ","2","HF-1 " "150161","CLARIAN NORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","233 patients","2 ","2","SCIP-INF-3 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","23 patients","1,2 ","12","AMI-2 " "150161","CLARIAN NORTH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","58 patients","2 ","2","PN-5C " "150161","CLARIAN NORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","131 patients","2 ","2","SCIP-VTE-2 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1,2 ","12","HF-3 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1,2 ","12","AMI-1 " "150161","CLARIAN NORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","131 patients","2 ","2","SCIP-VTE-1 " "150161","CLARIAN NORTH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","AMI-4 " "150161","CLARIAN NORTH MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","15%","54 patients","2 ","2","CAC-3 " "150161","CLARIAN NORTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","240 patients","2 ","2","SCIP-INF-1 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","599 patients",,,"AMI-2 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","511 patients","2 ","2","SCIP-INF-3 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","539 patients","2 ","2","SCIP-INF-2 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","56 patients","2 ","2","PN-4 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","90 patients",,,"HF-4 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","417 patients",,,"HF-1 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","111 patients","2 ","2","PN-6 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","77 patients",,,"AMI-8A " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","138 patients","2 ","2","SCIP-CARD-2 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","141 patients","2 ","2","PN-2 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","404 patients","2 ","2","SCIP-INF-4 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","600 patients",,,"AMI-5 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","100 patients",,,"PN-7 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","137 patients","2 ","2","SCIP-VTE-2 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","142 patients",,,"HF-3 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","102 patients","2 ","2","PN-3B " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","85 patients",,,"AMI-3 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","137 patients","2 ","2","SCIP-VTE-1 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","358 patients",,,"AMI-1 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","529 patients","2 ","2","SCIP-INF-1 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","119 patients","2 ","2","PN-5C " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","790 patients","2 ","2","SCIP-INF-6 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","249 patients",,,"AMI-4 " "150162","ST FRANCIS HOSPITAL AND HEALTH CENTERS-INDIANAPOLI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","487 patients",,,"HF-2 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","17%","6 patients","1 ","1","SCIP-INF-2 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","HF-4 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","53 patients",,,"PN-2 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","18 patients","1 ","1","SCIP-VTE-2 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1 ","1","SCIP-INF-3 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","62 patients",,,"HF-2 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","46 patients",,,"PN-3B " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","52 patients",,,"PN-7 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","61 patients",,,"PN-6 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1 ","1","AMI-1 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","14 patients","1 ","1","HF-3 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","19 patients","1 ","1","SCIP-VTE-1 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","49 patients",,,"HF-1 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","26 patients",,,"SCIP-INF-6 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","43%","7 patients","1 ","1","SCIP-INF-1 " "150163","SAINT CATHERINE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","18 patients","1,3 ","13","PN-5C " "150164","MONROE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","43 patients",,,"PN-2 " "150164","MONROE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","45 patients",,,"HF-2 " "150164","MONROE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150164","MONROE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "150164","MONROE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","45 patients",,,"SCIP-VTE-1 " "150164","MONROE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","HF-3 " "150164","MONROE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","31 patients",,,"HF-1 " "150164","MONROE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","30 patients",,,"PN-7 " "150164","MONROE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150164","MONROE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "150164","MONROE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","110 patients",,,"SCIP-INF-2 " "150164","MONROE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","24 patients","1 ","1","PN-4 " "150164","MONROE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","45 patients",,,"SCIP-VTE-2 " "150164","MONROE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","58 patients",,,"PN-5C " "150164","MONROE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","18 patients","1 ","1","PN-6 " "150164","MONROE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","108 patients",,,"SCIP-INF-3 " "150164","MONROE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150164","MONROE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","65%","109 patients",,,"SCIP-INF-1 " "150164","MONROE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "150164","MONROE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "150164","MONROE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "150164","MONROE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150164","MONROE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","154 patients",,,"SCIP-INF-6 " "150164","MONROE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","46 patients",,,"PN-3B " "150164","MONROE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","64 patients",,,"SCIP-INF-3 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","73%","37 patients",,,"SCIP-INF-4 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","15 patients","1,3 ","13","AMI-1 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1,3 ","13","AMI-3 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","31 patients",,,"SCIP-VTE-2 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","68 patients",,,"SCIP-INF-2 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","90 patients",,,"SCIP-INF-6 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1 ","1","PN-7 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","52 patients",,,"HF-1 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","19 patients","1 ","1","PN-5C " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","HF-3 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1,3 ","13","AMI-2 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","20 patients","1 ","1","PN-2 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","57%","7 patients","1 ","1","SCIP-CARD-2 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","67 patients",,,"SCIP-INF-1 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","31 patients",,,"SCIP-VTE-1 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","57 patients",,,"HF-2 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","40%","15 patients","1 ","1","PN-6 " "150165","FRANCISCAN PHYSICIANS HOSPITAL LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1,3 ","13","AMI-5 " "150166","PINNACLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150166","PINNACLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","19 patients","1 ","1","HF-1 " "150166","PINNACLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "150166","PINNACLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","11 patients","1 ","1","SCIP-INF-2 " "150166","PINNACLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150166","PINNACLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150166","PINNACLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150166","PINNACLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "150166","PINNACLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","10 patients","1 ","1","SCIP-VTE-1 " "150166","PINNACLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150166","PINNACLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","64%","11 patients","1 ","1","SCIP-INF-3 " "150166","PINNACLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "150166","PINNACLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1 ","1","HF-4 " "150166","PINNACLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "150166","PINNACLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","10 patients","1 ","1","SCIP-VTE-2 " "150166","PINNACLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150166","PINNACLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "150166","PINNACLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","11 patients","1 ","1","PN-2 " "150166","PINNACLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","81%","26 patients",,,"SCIP-INF-6 " "150166","PINNACLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","22 patients","1 ","1","HF-2 " "150166","PINNACLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","12 patients","1 ","1","SCIP-INF-1 " "150166","PINNACLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150166","PINNACLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "150166","PINNACLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1 ","1","PN-7 " "150166","PINNACLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","12 patients","1 ","1","PN-6 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","59 patients","2 ","2","SCIP-VTE-2 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","192 patients","2 ","2","SCIP-INF-3 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","252 patients","2 ","2","SCIP-INF-6 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","37 patients","2 ","2","SCIP-CARD-2 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","192 patients","2 ","2","SCIP-INF-2 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","59 patients","2 ","2","SCIP-VTE-1 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","192 patients","2 ","2","SCIP-INF-1 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "150167","ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","765 patients",,,"SCIP-INF-3 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","271 patients",,,"SCIP-VTE-1 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","792 patients",,,"SCIP-INF-1 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","911 patients",,,"SCIP-INF-6 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","796 patients",,,"SCIP-INF-2 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","271 patients",,,"SCIP-VTE-2 " "150168","THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","164 patients",,,"SCIP-CARD-2 " "150169","COMMUNITY HOSPITAL NORTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "150169","COMMUNITY HOSPITAL NORTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","76 patients","2 ","2","PN-7 " "150169","COMMUNITY HOSPITAL NORTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "150169","COMMUNITY HOSPITAL NORTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","125 patients",,,"HF-2 " "150169","COMMUNITY HOSPITAL NORTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "150169","COMMUNITY HOSPITAL NORTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","232 patients","2 ","2","SCIP-VTE-2 " "150169","COMMUNITY HOSPITAL NORTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","233 patients","2 ","2","SCIP-VTE-1 " "150169","COMMUNITY HOSPITAL NORTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","31 patients",,,"HF-3 " "150169","COMMUNITY HOSPITAL NORTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","72 patients","2 ","2","PN-6 " "150169","COMMUNITY HOSPITAL NORTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients","2 ","2","PN-4 " "150169","COMMUNITY HOSPITAL NORTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","13 patients","1 ","1","AMI-1 " "150169","COMMUNITY HOSPITAL NORTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","456 patients","2 ","2","SCIP-INF-6 " "150169","COMMUNITY HOSPITAL NORTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","134 patients","2 ","2","PN-3B " "150169","COMMUNITY HOSPITAL NORTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "150169","COMMUNITY HOSPITAL NORTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","328 patients","2 ","2","SCIP-INF-1 " "150169","COMMUNITY HOSPITAL NORTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","134 patients","2 ","2","PN-5C " "150169","COMMUNITY HOSPITAL NORTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "150169","COMMUNITY HOSPITAL NORTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","118 patients","2 ","2","PN-2 " "150169","COMMUNITY HOSPITAL NORTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","81 patients",,,"HF-1 " "150169","COMMUNITY HOSPITAL NORTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "150169","COMMUNITY HOSPITAL NORTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "150169","COMMUNITY HOSPITAL NORTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","296 patients","2 ","2","SCIP-INF-3 " "150169","COMMUNITY HOSPITAL NORTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","327 patients","2 ","2","SCIP-INF-2 " "150169","COMMUNITY HOSPITAL NORTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","38 patients","2 ","2","SCIP-CARD-2 " "150169","COMMUNITY HOSPITAL NORTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "150170","SURGICAL HOSPITAL OF MUNSTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "150170","SURGICAL HOSPITAL OF MUNSTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","62%","8 patients","1,3 ","13","SCIP-INF-2 " "150170","SURGICAL HOSPITAL OF MUNSTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1,3 ","13","SCIP-INF-6 " "150170","SURGICAL HOSPITAL OF MUNSTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "150170","SURGICAL HOSPITAL OF MUNSTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150170","SURGICAL HOSPITAL OF MUNSTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","9 patients","1,3 ","13","SCIP-INF-3 " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "150170","SURGICAL HOSPITAL OF MUNSTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","9 patients","1,3 ","13","SCIP-INF-1 " "150170","SURGICAL HOSPITAL OF MUNSTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "150170","SURGICAL HOSPITAL OF MUNSTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "150170","SURGICAL HOSPITAL OF MUNSTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150170","SURGICAL HOSPITAL OF MUNSTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "150170","SURGICAL HOSPITAL OF MUNSTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "150170","SURGICAL HOSPITAL OF MUNSTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "150170","SURGICAL HOSPITAL OF MUNSTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "150170","SURGICAL HOSPITAL OF MUNSTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150172","PHYSICIANS' MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "150172","PHYSICIANS' MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "150173","CLARIAN-ARNETT HEALTH SYSTEM INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "150175","THE HEART HOSPITAL AT DEACONESS GATEWAY LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","5 patients","1,3 ","13","PN-3B " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,3 ","13","SCIP-VTE-1 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","33 patients","3 ","3","SCIP-INF-1 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","33 patients","3 ","3","SCIP-INF-2 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","6 patients","1,3 ","13","PN-2 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","11 patients","1,3 ","13","HF-2 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","33 patients","3 ","3","SCIP-INF-3 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,3 ","13","SCIP-VTE-2 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","3 patients","1 ","1","PN-7 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,3 ","13","PN-5C " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1,3 ","13","HF-1 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","34 patients","3 ","3","SCIP-INF-6 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","2 patients","1,3 ","13","PN-6 " "151300","COMMUNITY HOSPITAL OF BREMEN INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","75 patients",,,"PN-5C " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1 ","1","SCIP-INF-6 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","46 patients",,,"PN-7 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","HF-4 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","59%","29 patients",,,"PN-4 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","4 patients","1 ","1","SCIP-VTE-2 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","HF-3 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1 ","1","SCIP-INF-3 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","57 patients",,,"PN-3B " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","37%","35 patients",,,"HF-1 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","53 patients",,,"PN-6 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","46 patients",,,"HF-2 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","4 patients","1 ","1","SCIP-VTE-1 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","67 patients",,,"PN-2 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","33%","3 patients","1 ","1","SCIP-INF-1 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "151301","ST VINCENT RANDOLPH HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-2 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","31 patients",,,"PN-2 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","15%","13 patients","1 ","1","HF-1 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","50 patients",,,"PN-5C " "151303","ST VINCENT JENNINGS HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","13 patients","1 ","1","PN-6 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","17 patients","1 ","1","PN-7 " "151303","ST VINCENT JENNINGS HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","28 patients",,,"PN-3B " "151303","ST VINCENT JENNINGS HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","20 patients","1 ","1","HF-2 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","37 patients",,,"HF-1 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","71 patients",,,"HF-2 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1,3 ","13","AMI-1 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1 ","1","SCIP-INF-3 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","1 patients","1 ","1","SCIP-INF-1 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1 ","1","SCIP-INF-2 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1 ","1","SCIP-VTE-1 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","5 patients","1 ","1","PN-5C " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","77 patients",,,"PN-2 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1 ","1","SCIP-VTE-2 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","41 patients",,,"PN-7 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","23 patients","1 ","1","HF-3 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","19 patients","1 ","1","SCIP-INF-6 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","42 patients",,,"PN-6 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "151307","ST VINCENT WILLIAMSPORT HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","68 patients",,,"PN-3B " "151308","ST VINCENT MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "151308","ST VINCENT MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","37 patients","3 ","3","PN-2 " "151308","ST VINCENT MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","42 patients","3 ","3","PN-3B " "151308","ST VINCENT MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","17%","12 patients","1,3 ","13","HF-1 " "151308","ST VINCENT MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "151308","ST VINCENT MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151308","ST VINCENT MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1,3 ","13","SCIP-VTE-1 " "151308","ST VINCENT MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","33 patients",,,"PN-7 " "151308","ST VINCENT MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151308","ST VINCENT MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "151308","ST VINCENT MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "151308","ST VINCENT MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","54 patients","3 ","3","PN-5C " "151308","ST VINCENT MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1,3 ","13","SCIP-INF-2 " "151308","ST VINCENT MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,3 ","13","SCIP-INF-3 " "151308","ST VINCENT MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1,3 ","13","SCIP-INF-6 " "151308","ST VINCENT MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "151308","ST VINCENT MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,3 ","13","PN-4 " "151308","ST VINCENT MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151308","ST VINCENT MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","65%","23 patients","1,3 ","13","HF-2 " "151308","ST VINCENT MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "151308","ST VINCENT MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","47 patients","3 ","3","PN-6 " "151308","ST VINCENT MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "151308","ST VINCENT MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-1 " "151308","ST VINCENT MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "151308","ST VINCENT MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1,3 ","13","SCIP-VTE-2 " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151309","ST VINCENT CLAY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","55%","11 patients","1 ","1","SCIP-INF-3 " "151309","ST VINCENT CLAY HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","23 patients","1 ","1","PN-5C " "151309","ST VINCENT CLAY HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "151309","ST VINCENT CLAY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","26 patients",,,"SCIP-INF-6 " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "151309","ST VINCENT CLAY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","17 patients","1 ","1","HF-1 " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "151309","ST VINCENT CLAY HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","22 patients","1 ","1","PN-3B " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "151309","ST VINCENT CLAY HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","17 patients","1 ","1","PN-2 " "151309","ST VINCENT CLAY HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","16 patients","1 ","1","PN-7 " "151309","ST VINCENT CLAY HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "151309","ST VINCENT CLAY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","15 patients","1 ","1","SCIP-VTE-1 " "151309","ST VINCENT CLAY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","13 patients","1 ","1","SCIP-INF-2 " "151309","ST VINCENT CLAY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","15 patients","1 ","1","SCIP-VTE-2 " "151309","ST VINCENT CLAY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","42%","12 patients","1 ","1","SCIP-INF-1 " "151309","ST VINCENT CLAY HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","34 patients",,,"HF-2 " "151309","ST VINCENT CLAY HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "151310","WABASH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","32 patients",,,"SCIP-VTE-1 " "151310","WABASH COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "151310","WABASH COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151310","WABASH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","60%","15 patients","1 ","1","SCIP-INF-3 " "151310","WABASH COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "151310","WABASH COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "151310","WABASH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151310","WABASH COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","43 patients",,,"PN-5C " "151310","WABASH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","40 patients",,,"SCIP-INF-6 " "151310","WABASH COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","39 patients",,,"PN-3B " "151310","WABASH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "151310","WABASH COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151310","WABASH COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "151310","WABASH COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "151310","WABASH COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "151310","WABASH COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","49 patients",,,"PN-2 " "151310","WABASH COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "151310","WABASH COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","10 patients","1 ","1","HF-1 " "151310","WABASH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","20 patients","1 ","1","SCIP-INF-1 " "151310","WABASH COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","28 patients",,,"HF-2 " "151310","WABASH COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "151310","WABASH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-2 " "151310","WABASH COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","33 patients",,,"PN-7 " "151310","WABASH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","32 patients",,,"SCIP-VTE-2 " "151310","WABASH COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","40 patients",,,"PN-6 " "151311","TIPTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","46 patients",,,"PN-2 " "151311","TIPTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "151311","TIPTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "151311","TIPTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","76 patients",,,"SCIP-VTE-1 " "151311","TIPTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","34 patients",,,"PN-3B " "151311","TIPTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","31 patients",,,"HF-1 " "151311","TIPTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","37 patients",,,"PN-5C " "151311","TIPTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "151311","TIPTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","29 patients",,,"PN-7 " "151311","TIPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151311","TIPTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","27 patients",,,"PN-6 " "151311","TIPTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","76 patients",,,"SCIP-VTE-2 " "151311","TIPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","102 patients",,,"SCIP-INF-1 " "151311","TIPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","101 patients",,,"SCIP-INF-2 " "151311","TIPTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "151311","TIPTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151311","TIPTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151311","TIPTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","22 patients","1 ","1","SCIP-CARD-2 " "151311","TIPTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","46 patients",,,"HF-2 " "151311","TIPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","100 patients",,,"SCIP-INF-3 " "151311","TIPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","131 patients",,,"SCIP-INF-6 " "151311","TIPTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "151311","TIPTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "151311","TIPTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "151311","TIPTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","38 patients",,,"HF-1 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","55 patients",,,"HF-2 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","15 patients","1 ","1","SCIP-INF-1 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","18 patients","1 ","1","SCIP-INF-6 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","36 patients",,,"PN-7 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","22 patients","1 ","1","PN-4 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","69 patients",,,"PN-3B " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","69 patients",,,"PN-5C " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","71%","14 patients","1 ","1","SCIP-INF-2 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","HF-4 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","64 patients",,,"PN-2 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","13 patients","1 ","1","SCIP-INF-3 " "151312","WHITE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","64 patients",,,"PN-6 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","14 patients","1,3 ","13","SCIP-INF-2 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","14 patients","1,3 ","13","SCIP-VTE-1 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients","3 ","3","SCIP-INF-6 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","52 patients",,,"PN-5C " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","12 patients","1,3 ","13","SCIP-INF-3 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","14 patients","1,3 ","13","SCIP-INF-1 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","38 patients",,,"PN-3B " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","34 patients",,,"HF-1 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","30 patients",,,"PN-7 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","14 patients","1,3 ","13","SCIP-VTE-2 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","44 patients",,,"PN-2 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","45 patients",,,"PN-6 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","44 patients",,,"HF-2 " "151315","CAMERON MEMORIAL COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","26 patients",,,"SCIP-VTE-2 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","37 patients",,,"PN-2 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","22 patients","1 ","1","PN-7 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","16 patients","1 ","1","HF-1 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","39 patients",,,"PN-6 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","41 patients",,,"SCIP-INF-1 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","42 patients",,,"SCIP-INF-2 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","46 patients",,,"SCIP-INF-6 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","24 patients","1 ","1","HF-2 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","21 patients","1 ","1","PN-4 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","26 patients",,,"SCIP-VTE-1 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","40 patients",,,"SCIP-INF-3 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","45 patients",,,"PN-5C " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","39 patients",,,"PN-3B " "151316","ST VINCENT FRANKFORT HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "151317","GREENE COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "151317","GREENE COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "151317","GREENE COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "151317","GREENE COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151317","GREENE COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","31 patients",,,"PN-3B " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","54 patients",,,"HF-1 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","18 patients","1 ","1","HF-3 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "151317","GREENE COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","34 patients",,,"PN-7 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","76 patients",,,"HF-2 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151317","GREENE COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","41 patients",,,"PN-5C " "151317","GREENE COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "151317","GREENE COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "151317","GREENE COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151317","GREENE COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","27 patients",,,"PN-6 " "151317","GREENE COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "151317","GREENE COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","HF-4 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151317","GREENE COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","36 patients",,,"PN-2 " "151317","GREENE COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151318","DUKES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "151318","DUKES MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","49 patients",,,"PN-6 " "151318","DUKES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","18 patients","1 ","1","SCIP-VTE-1 " "151318","DUKES MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "151318","DUKES MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "151318","DUKES MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "151318","DUKES MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","39 patients",,,"PN-7 " "151318","DUKES MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "151318","DUKES MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "151318","DUKES MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","68 patients",,,"PN-3B " "151318","DUKES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","18 patients","1 ","1","SCIP-VTE-2 " "151318","DUKES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","16 patients","1 ","1","SCIP-INF-1 " "151318","DUKES MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","35 patients",,,"HF-1 " "151318","DUKES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","38 patients",,,"SCIP-INF-6 " "151318","DUKES MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "151318","DUKES MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "151318","DUKES MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","60 patients",,,"PN-2 " "151318","DUKES MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","75 patients",,,"PN-5C " "151318","DUKES MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","47 patients",,,"HF-2 " "151318","DUKES MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "151318","DUKES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","16 patients","1 ","1","SCIP-INF-2 " "151318","DUKES MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151318","DUKES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "151318","DUKES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","15 patients","1 ","1","SCIP-INF-3 " "151318","DUKES MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "151319","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151319","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "151319","GIBSON GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","38 patients",,,"PN-2 " "151319","GIBSON GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "151319","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "151319","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "151319","GIBSON GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","29 patients",,,"PN-6 " "151319","GIBSON GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","48 patients",,,"PN-5C " "151319","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "151319","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "151319","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "151319","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "151319","GIBSON GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "151319","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "151319","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151319","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "151319","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "151319","GIBSON GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","49 patients",,,"PN-3B " "151319","GIBSON GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","29 patients",,,"PN-7 " "151319","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "151319","GIBSON GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","11 patients","1 ","1","HF-1 " "151319","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "151319","GIBSON GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","21 patients","1 ","1","HF-2 " "151319","GIBSON GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "151319","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151320","JAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","7%","14 patients","1 ","1","SCIP-VTE-2 " "151320","JAY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","47 patients",,,"PN-6 " "151320","JAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","10 patients","1 ","1","SCIP-INF-3 " "151320","JAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","10 patients","1 ","1","SCIP-INF-1 " "151320","JAY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","11 patients","1 ","1","HF-3 " "151320","JAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "151320","JAY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","27 patients",,,"HF-2 " "151320","JAY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","15 patients","1 ","1","PN-4 " "151320","JAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151320","JAY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "151320","JAY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "151320","JAY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151320","JAY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "151320","JAY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","37 patients",,,"PN-3B " "151320","JAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","11 patients","1 ","1","SCIP-INF-2 " "151320","JAY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "151320","JAY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","62 patients",,,"PN-2 " "151320","JAY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "151320","JAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","17 patients","1 ","1","SCIP-INF-6 " "151320","JAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","14%","14 patients","1 ","1","SCIP-VTE-1 " "151320","JAY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","47%","17 patients","1 ","1","HF-1 " "151320","JAY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","40 patients",,,"PN-7 " "151320","JAY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "151320","JAY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","25%","4 patients","1 ","1","AMI-1 " "151320","JAY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","56 patients",,,"PN-5C " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","34 patients",,,"HF-2 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","45 patients",,,"PN-2 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1 ","1","PN-4 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1 ","1","AMI-1 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","43 patients",,,"PN-3B " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","50 patients",,,"PN-5C " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","29 patients",,,"PN-6 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","11 patients","1 ","1","HF-3 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","31 patients",,,"HF-1 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","31 patients",,,"PN-7 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","HF-4 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151322","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "151323","PARKVIEW LAGRANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","27 patients",,,"SCIP-INF-2 " "151323","PARKVIEW LAGRANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","39 patients",,,"SCIP-INF-6 " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151323","PARKVIEW LAGRANGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "151323","PARKVIEW LAGRANGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","32 patients",,,"PN-3B " "151323","PARKVIEW LAGRANGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","19 patients","1 ","1","SCIP-VTE-2 " "151323","PARKVIEW LAGRANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","27 patients",,,"SCIP-INF-1 " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "151323","PARKVIEW LAGRANGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","41 patients",,,"HF-2 " "151323","PARKVIEW LAGRANGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "151323","PARKVIEW LAGRANGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","19 patients","1 ","1","SCIP-VTE-1 " "151323","PARKVIEW LAGRANGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","46 patients",,,"PN-5C " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "151323","PARKVIEW LAGRANGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","40 patients",,,"PN-6 " "151323","PARKVIEW LAGRANGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","36 patients",,,"HF-1 " "151323","PARKVIEW LAGRANGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","37 patients",,,"PN-2 " "151323","PARKVIEW LAGRANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "151323","PARKVIEW LAGRANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","25 patients",,,"SCIP-INF-3 " "151324","JASPER COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","36 patients",,,"PN-2 " "151324","JASPER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","23 patients","1 ","1","SCIP-INF-3 " "151324","JASPER COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "151324","JASPER COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "151324","JASPER COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151324","JASPER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "151324","JASPER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","78%","27 patients",,,"SCIP-INF-2 " "151324","JASPER COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "151324","JASPER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151324","JASPER COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "151324","JASPER COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","49 patients",,,"HF-2 " "151324","JASPER COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","40%","5 patients","1 ","1","HF-3 " "151324","JASPER COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "151324","JASPER COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151324","JASPER COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","46 patients",,,"PN-5C " "151324","JASPER COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151324","JASPER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "151324","JASPER COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","25 patients",,,"HF-1 " "151324","JASPER COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","25 patients",,,"PN-7 " "151324","JASPER COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "151324","JASPER COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","39 patients",,,"PN-3B " "151324","JASPER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151324","JASPER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","25 patients",,,"SCIP-INF-1 " "151324","JASPER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","29 patients",,,"SCIP-INF-6 " "151324","JASPER COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","31 patients",,,"PN-6 " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "151325","ST MARY'S WARRICK HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "151325","ST MARY'S WARRICK HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","52 patients",,,"PN-6 " "151325","ST MARY'S WARRICK HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151325","ST MARY'S WARRICK HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","66 patients",,,"PN-3B " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "151325","ST MARY'S WARRICK HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "151325","ST MARY'S WARRICK HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","62 patients",,,"PN-2 " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "151325","ST MARY'S WARRICK HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "151325","ST MARY'S WARRICK HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","42 patients",,,"PN-7 " "151325","ST MARY'S WARRICK HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151325","ST MARY'S WARRICK HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","PN-4 " "151325","ST MARY'S WARRICK HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "151325","ST MARY'S WARRICK HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "151325","ST MARY'S WARRICK HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","38 patients",,,"HF-2 " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","19 patients","1 ","1","HF-1 " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "151325","ST MARY'S WARRICK HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "151325","ST MARY'S WARRICK HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","30 patients","3 ","3","PN-5C " "151326","UNION HOSPITAL CLINTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","54 patients",,,"PN-6 " "151326","UNION HOSPITAL CLINTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","42 patients",,,"HF-2 " "151326","UNION HOSPITAL CLINTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","62 patients",,,"PN-2 " "151326","UNION HOSPITAL CLINTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"PN-4 " "151326","UNION HOSPITAL CLINTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","43 patients",,,"PN-3B " "151326","UNION HOSPITAL CLINTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","25 patients",,,"SCIP-INF-6 " "151326","UNION HOSPITAL CLINTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "151326","UNION HOSPITAL CLINTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","30 patients",,,"HF-1 " "151326","UNION HOSPITAL CLINTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "151326","UNION HOSPITAL CLINTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","11 patients","1 ","1","SCIP-VTE-2 " "151326","UNION HOSPITAL CLINTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","17 patients","1 ","1","SCIP-INF-2 " "151326","UNION HOSPITAL CLINTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","17 patients","1 ","1","SCIP-INF-1 " "151326","UNION HOSPITAL CLINTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "151326","UNION HOSPITAL CLINTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "151326","UNION HOSPITAL CLINTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151326","UNION HOSPITAL CLINTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","16 patients","1 ","1","SCIP-INF-3 " "151326","UNION HOSPITAL CLINTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "151326","UNION HOSPITAL CLINTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "151326","UNION HOSPITAL CLINTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","11 patients","1 ","1","SCIP-VTE-1 " "151326","UNION HOSPITAL CLINTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "151326","UNION HOSPITAL CLINTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","77 patients",,,"PN-5C " "151326","UNION HOSPITAL CLINTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","5 patients","1 ","1","SCIP-CARD-2 " "151326","UNION HOSPITAL CLINTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","59 patients",,,"PN-7 " "151326","UNION HOSPITAL CLINTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "151326","UNION HOSPITAL CLINTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","30 patients",,,"HF-1 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","14 patients","1 ","1","SCIP-VTE-2 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","15 patients","1 ","1","SCIP-VTE-1 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","17 patients","1 ","1","PN-4 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","73%","11 patients","1 ","1","AMI-1 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","73%","11 patients","1 ","1","AMI-5 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","59 patients",,,"PN-5C " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","54%","71 patients",,,"HF-2 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","17 patients","1 ","1","SCIP-INF-1 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","42 patients",,,"PN-6 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","54 patients",,,"PN-3B " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","49 patients",,,"PN-2 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","17 patients","1 ","1","SCIP-INF-2 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","16 patients","1 ","1","SCIP-INF-3 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","32 patients",,,"SCIP-INF-6 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","31 patients",,,"PN-7 " "151327","SULLIVAN COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","52 patients",,,"SCIP-VTE-2 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151328","BEDFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","82 patients",,,"SCIP-INF-3 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","52 patients",,,"SCIP-VTE-1 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","127 patients",,,"SCIP-INF-6 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "151328","BEDFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","66 patients",,,"PN-5C " "151328","BEDFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","88 patients",,,"SCIP-INF-2 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","40 patients",,,"HF-1 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","54 patients",,,"PN-6 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","22 patients","1 ","1","AMI-1 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","73 patients",,,"PN-2 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","68 patients",,,"PN-3B " "151328","BEDFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","88 patients",,,"SCIP-INF-1 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","8 patients","1 ","1","SCIP-CARD-2 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","54 patients",,,"PN-7 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","60 patients",,,"HF-2 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "151328","BEDFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","110 patients",,,"PN-2 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","29 patients",,,"HF-1 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","121 patients",,,"SCIP-INF-3 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","102 patients",,,"PN-5C " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","42 patients",,,"PN-4 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","80 patients",,,"SCIP-VTE-2 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","124 patients",,,"SCIP-INF-1 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","18 patients","1 ","1","SCIP-CARD-2 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","64 patients",,,"PN-6 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","80 patients",,,"SCIP-VTE-1 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","124 patients",,,"SCIP-INF-2 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","72 patients",,,"PN-7 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","111 patients",,,"PN-3B " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","173 patients",,,"SCIP-INF-6 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","50 patients",,,"HF-2 " "151329","MARGARET MARY COMMUNITY HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "151330","ADAMS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "151330","ADAMS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","63 patients",,,"PN-7 " "151330","ADAMS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "151330","ADAMS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","87 patients",,,"PN-3B " "151330","ADAMS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151330","ADAMS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","43 patients",,,"HF-1 " "151330","ADAMS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "151330","ADAMS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","10 patients","1 ","1","AMI-2 " "151330","ADAMS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","92 patients",,,"PN-6 " "151330","ADAMS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","95 patients",,,"PN-5C " "151330","ADAMS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "151330","ADAMS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","65 patients",,,"HF-2 " "151330","ADAMS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "151330","ADAMS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "151330","ADAMS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","112 patients",,,"PN-2 " "151330","ADAMS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","HF-3 " "151330","ADAMS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "151330","ADAMS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","22 patients","1 ","1","SCIP-INF-3 " "151330","ADAMS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151330","ADAMS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","64%","22 patients","1 ","1","SCIP-INF-2 " "151330","ADAMS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "151330","ADAMS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","42%","24 patients","1 ","1","SCIP-INF-1 " "151330","ADAMS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "151330","ADAMS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","77%","47 patients",,,"SCIP-INF-6 " "151330","ADAMS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","73%","11 patients","1 ","1","AMI-5 " "151331","HARRISON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","27 patients",,,"SCIP-VTE-1 " "151331","HARRISON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","54 patients",,,"PN-7 " "151331","HARRISON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","71 patients",,,"PN-5C " "151331","HARRISON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","26 patients",,,"SCIP-INF-2 " "151331","HARRISON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "151331","HARRISON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "151331","HARRISON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "151331","HARRISON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","57 patients",,,"PN-6 " "151331","HARRISON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "151331","HARRISON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","29 patients",,,"HF-1 " "151331","HARRISON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","41 patients",,,"PN-3B " "151331","HARRISON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "151331","HARRISON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","26 patients",,,"SCIP-INF-1 " "151331","HARRISON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "151331","HARRISON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","26 patients",,,"SCIP-INF-3 " "151331","HARRISON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151331","HARRISON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","27 patients",,,"SCIP-VTE-2 " "151331","HARRISON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "151331","HARRISON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","87 patients",,,"PN-2 " "151331","HARRISON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","31 patients",,,"PN-4 " "151331","HARRISON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "151331","HARRISON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "151331","HARRISON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","49 patients",,,"SCIP-INF-6 " "151331","HARRISON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","46 patients",,,"HF-2 " "151331","HARRISON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","10 patients","1 ","1","AMI-1 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","32 patients",,,"PN-2 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","73%","30 patients",,,"PN-3B " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","31 patients",,,"PN-5C " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","75 patients",,,"HF-2 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","99 patients",,,"SCIP-VTE-2 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","52 patients",,,"HF-1 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","172 patients",,,"SCIP-INF-2 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","213 patients",,,"SCIP-INF-6 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","24 patients","1 ","1","PN-7 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","172 patients",,,"SCIP-INF-1 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","168 patients",,,"SCIP-INF-3 " "151332","DECATUR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","99 patients",,,"SCIP-VTE-1 " "151333","PUTNAM COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","47 patients",,,"PN-7 " "151333","PUTNAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","49 patients",,,"SCIP-INF-6 " "151333","PUTNAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","36 patients",,,"SCIP-VTE-2 " "151333","PUTNAM COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","83 patients",,,"PN-2 " "151333","PUTNAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","28 patients",,,"SCIP-INF-2 " "151333","PUTNAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151333","PUTNAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","27 patients",,,"SCIP-INF-1 " "151333","PUTNAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","26 patients",,,"SCIP-INF-3 " "151333","PUTNAM COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "151333","PUTNAM COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "151333","PUTNAM COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151333","PUTNAM COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","25 patients",,,"HF-2 " "151333","PUTNAM COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "151333","PUTNAM COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","60 patients",,,"PN-6 " "151333","PUTNAM COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "151333","PUTNAM COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "151333","PUTNAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "151333","PUTNAM COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "151333","PUTNAM COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "151333","PUTNAM COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","82 patients",,,"PN-5C " "151333","PUTNAM COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","68 patients",,,"PN-3B " "151333","PUTNAM COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "151333","PUTNAM COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","18 patients","1 ","1","HF-1 " "151333","PUTNAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","36 patients",,,"SCIP-VTE-1 " "151333","PUTNAM COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","22 patients","1 ","1","PN-4 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","13 patients","1,3 ","13","SCIP-INF-6 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","62 patients",,,"PN-7 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","4 patients","1,3 ","13","SCIP-VTE-2 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","113 patients",,,"PN-5C " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","42 patients",,,"PN-4 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-2 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","5 patients","1 ","1","AMI-5 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","62%","8 patients","1 ","1","AMI-1 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","79 patients",,,"PN-2 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","111 patients",,,"PN-6 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","68%","104 patients",,,"PN-3B " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","33 patients",,,"HF-1 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","28 patients",,,"HF-2 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","40%","5 patients","1,3 ","13","SCIP-VTE-1 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","16 patients","1 ","1","HF-3 " "151334","SCOTT COUNTY MEMORIAL HOSPITAL AKA SCOTT MEMORIAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "151335","DUNN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","25 patients",,,"SCIP-INF-3 " "151335","DUNN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "151335","DUNN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","53 patients",,,"SCIP-INF-6 " "151335","DUNN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","36 patients",,,"HF-1 " "151335","DUNN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "151335","DUNN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","55 patients",,,"PN-3B " "151335","DUNN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","88 patients",,,"AMI-1 " "151335","DUNN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","10 patients","1 ","1","AMI-8A " "151335","DUNN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","54 patients",,,"PN-5C " "151335","DUNN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","105 patients",,,"AMI-2 " "151335","DUNN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "151335","DUNN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","27 patients",,,"SCIP-INF-2 " "151335","DUNN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","25 patients",,,"SCIP-VTE-2 " "151335","DUNN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","61 patients",,,"HF-2 " "151335","DUNN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"AMI-4 " "151335","DUNN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "151335","DUNN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","39 patients",,,"PN-6 " "151335","DUNN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","108 patients",,,"AMI-5 " "151335","DUNN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","54 patients",,,"PN-2 " "151335","DUNN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","43 patients",,,"PN-7 " "151335","DUNN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","25 patients",,,"SCIP-INF-1 " "151335","DUNN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "151335","DUNN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "151335","DUNN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","25 patients",,,"SCIP-VTE-1 " "151335","DUNN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","213 patients",,,"SCIP-INF-3 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","64 patients",,,"PN-7 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","44 patients",,,"AMI-2 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","70 patients",,,"HF-2 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","50 patients",,,"HF-1 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","91 patients",,,"PN-5C " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","97 patients",,,"PN-3B " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","40 patients",,,"SCIP-CARD-2 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","222 patients",,,"SCIP-INF-2 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","120 patients",,,"SCIP-VTE-2 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","22 patients","1 ","1","AMI-8A " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","120 patients",,,"SCIP-VTE-1 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","268 patients",,,"SCIP-INF-6 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","49 patients",,,"PN-6 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","220 patients",,,"SCIP-INF-1 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","43 patients",,,"AMI-5 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","48 patients",,,"AMI-1 " "160001","MARSHALLTOWN MEDICAL & SURGICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","103 patients",,,"PN-2 " "160005","ST ANTHONY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","56 patients","2 ","2","SCIP-CARD-2 " "160005","ST ANTHONY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","247 patients","2 ","2","SCIP-INF-1 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","48 patients",,,"HF-2 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","35 patients",,,"HF-1 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "160005","ST ANTHONY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","232 patients","2 ","2","SCIP-VTE-1 " "160005","ST ANTHONY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1,2 ","12","PN-4 " "160005","ST ANTHONY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","59 patients","2 ","2","PN-5C " "160005","ST ANTHONY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","68 patients","2 ","2","PN-2 " "160005","ST ANTHONY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","243 patients","2 ","2","SCIP-INF-3 " "160005","ST ANTHONY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","22 patients","1,2 ","12","PN-3B " "160005","ST ANTHONY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","232 patients","2 ","2","SCIP-VTE-2 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "160005","ST ANTHONY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","250 patients","2 ","2","SCIP-INF-2 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "160005","ST ANTHONY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","36 patients","2 ","2","PN-6 " "160005","ST ANTHONY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "160005","ST ANTHONY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","317 patients","2 ","2","SCIP-INF-6 " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160005","ST ANTHONY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "160005","ST ANTHONY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","51 patients",,,"PN-7 " "160008","KEOKUK AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "160008","KEOKUK AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","59 patients",,,"SCIP-INF-6 " "160008","KEOKUK AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","73%","11 patients","1 ","1","AMI-1 " "160008","KEOKUK AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","62%","8 patients","1 ","1","AMI-2 " "160008","KEOKUK AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","25 patients",,,"SCIP-INF-3 " "160008","KEOKUK AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "160008","KEOKUK AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","39 patients",,,"SCIP-VTE-1 " "160008","KEOKUK AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","28 patients",,,"PN-4 " "160008","KEOKUK AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","39 patients",,,"SCIP-VTE-2 " "160008","KEOKUK AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","35 patients",,,"PN-3B " "160008","KEOKUK AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","80 patients",,,"HF-1 " "160008","KEOKUK AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","6 patients","1 ","1","SCIP-CARD-2 " "160008","KEOKUK AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160008","KEOKUK AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","66 patients",,,"PN-6 " "160008","KEOKUK AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","18 patients","1 ","1","HF-3 " "160008","KEOKUK AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","26 patients",,,"SCIP-INF-2 " "160008","KEOKUK AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "160008","KEOKUK AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","61 patients",,,"PN-7 " "160008","KEOKUK AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "160008","KEOKUK AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160008","KEOKUK AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","102 patients",,,"HF-2 " "160008","KEOKUK AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","27 patients",,,"SCIP-INF-1 " "160008","KEOKUK AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","83 patients",,,"PN-2 " "160008","KEOKUK AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "160008","KEOKUK AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","73 patients",,,"PN-5C " "160013","UNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "160013","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "160013","UNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","84 patients",,,"PN-2 " "160013","UNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","48 patients",,,"PN-7 " "160013","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","64 patients","2 ","2","SCIP-INF-2 " "160013","UNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","41 patients",,,"HF-2 " "160013","UNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "160013","UNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "160013","UNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "160013","UNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","34 patients",,,"HF-1 " "160013","UNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","HF-3 " "160013","UNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"PN-4 " "160013","UNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "160013","UNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","66 patients",,,"PN-6 " "160013","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","105 patients","2 ","2","SCIP-INF-6 " "160013","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","52 patients","2 ","2","SCIP-INF-3 " "160013","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","56 patients","2 ","2","SCIP-INF-1 " "160013","UNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "160013","UNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "160013","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","65 patients","2 ","2","SCIP-VTE-1 " "160013","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160013","UNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","81 patients",,,"PN-5C " "160013","UNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","65 patients",,,"PN-3B " "160013","UNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160013","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","65 patients","2 ","2","SCIP-VTE-2 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","63 patients",,,"HF-3 " "160016","TRINITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","386 patients","2 ","2","SCIP-INF-6 " "160016","TRINITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","268 patients","2 ","2","SCIP-INF-3 " "160016","TRINITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","273 patients","2 ","2","SCIP-INF-1 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","156 patients",,,"HF-1 " "160016","TRINITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","138 patients","2 ","2","SCIP-VTE-2 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","169 patients",,,"AMI-2 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"AMI-3 " "160016","TRINITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","68 patients","2 ","2","SCIP-CARD-2 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","19 patients","1 ","1","AMI-8A " "160016","TRINITY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","258 patients",,,"PN-2 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","167 patients",,,"AMI-5 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "160016","TRINITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","80 patients","2 ","2","SCIP-INF-4 " "160016","TRINITY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","161 patients",,,"PN-7 " "160016","TRINITY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","140 patients",,,"PN-6 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "160016","TRINITY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","239 patients",,,"PN-5C " "160016","TRINITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","277 patients","2 ","2","SCIP-INF-2 " "160016","TRINITY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","138 patients","2 ","2","SCIP-VTE-1 " "160016","TRINITY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","81 patients",,,"PN-4 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","89 patients",,,"AMI-1 " "160016","TRINITY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","209 patients",,,"HF-2 " "160016","TRINITY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","266 patients",,,"PN-3B " "160024","IOWA LUTHERAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","174 patients","2 ","2","HF-2 " "160024","IOWA LUTHERAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","128 patients","2 ","2","AMI-1 " "160024","IOWA LUTHERAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","113 patients","2 ","2","PN-2 " "160024","IOWA LUTHERAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","76 patients","2 ","2","PN-7 " "160024","IOWA LUTHERAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","139 patients","2 ","2","HF-1 " "160024","IOWA LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","447 patients","2 ","2","SCIP-INF-6 " "160024","IOWA LUTHERAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","109 patients","2 ","2","AMI-2 " "160024","IOWA LUTHERAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","84 patients","2 ","2","PN-3B " "160024","IOWA LUTHERAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","HF-4 " "160024","IOWA LUTHERAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","63 patients","2 ","2","HF-3 " "160024","IOWA LUTHERAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "160024","IOWA LUTHERAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","114 patients","2 ","2","PN-5C " "160024","IOWA LUTHERAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","45 patients","2 ","2","AMI-4 " "160024","IOWA LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","73%","94 patients","2 ","2","SCIP-INF-4 " "160024","IOWA LUTHERAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","27 patients","2 ","2","AMI-8A " "160024","IOWA LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","268 patients","2 ","2","SCIP-INF-3 " "160024","IOWA LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","57 patients","2 ","2","SCIP-CARD-2 " "160024","IOWA LUTHERAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1,2 ","12","AMI-3 " "160024","IOWA LUTHERAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","PN-4 " "160024","IOWA LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","310 patients","2 ","2","SCIP-INF-1 " "160024","IOWA LUTHERAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","87 patients","2 ","2","PN-6 " "160024","IOWA LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","317 patients","2 ","2","SCIP-INF-2 " "160024","IOWA LUTHERAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","111 patients","2 ","2","AMI-5 " "160024","IOWA LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","178 patients","2 ","2","SCIP-VTE-1 " "160024","IOWA LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","177 patients","2 ","2","SCIP-VTE-2 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","583 patients","2 ","2","SCIP-INF-2 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","80 patients",,,"AMI-2 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","560 patients","2 ","2","SCIP-INF-3 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","104 patients",,,"PN-2 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","580 patients","2 ","2","SCIP-INF-1 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","277 patients","2 ","2","SCIP-VTE-1 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","88 patients",,,"AMI-1 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"HF-3 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","66 patients",,,"AMI-5 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","76 patients",,,"PN-7 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160028","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","118 patients",,,"PN-5C " "160028","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","277 patients","2 ","2","SCIP-VTE-2 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","103 patients",,,"HF-2 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","791 patients","2 ","2","SCIP-INF-6 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","74 patients",,,"PN-6 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","24 patients","1 ","1","AMI-8A " "160028","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","121 patients",,,"PN-3B " "160028","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","122 patients","2 ","2","SCIP-CARD-2 " "160028","ALEGENT HEALTH MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","81 patients",,,"HF-1 " "160029","MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","97 patients",,,"PN-6 " "160029","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","98 patients",,,"SCIP-INF-4 " "160029","MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","188 patients",,,"AMI-2 " "160029","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","882 patients",,,"SCIP-INF-2 " "160029","MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","189 patients",,,"HF-2 " "160029","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","504 patients",,,"SCIP-VTE-1 " "160029","MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "160029","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1193 patients",,,"SCIP-INF-6 " "160029","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","884 patients",,,"SCIP-INF-1 " "160029","MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","159 patients",,,"PN-2 " "160029","MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","AMI-3 " "160029","MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","56 patients",,,"HF-3 " "160029","MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","202 patients",,,"AMI-5 " "160029","MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","130 patients",,,"PN-5C " "160029","MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "160029","MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","29 patients",,,"AMI-8A " "160029","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","184 patients",,,"SCIP-CARD-2 " "160029","MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","146 patients",,,"PN-3B " "160029","MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "160029","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","504 patients",,,"SCIP-VTE-2 " "160029","MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160029","MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","96 patients",,,"PN-7 " "160029","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","856 patients",,,"SCIP-INF-3 " "160029","MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","96 patients",,,"AMI-1 " "160029","MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","158 patients",,,"HF-1 " "160030","MARY GREELEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","144 patients",,,"PN-5C " "160030","MARY GREELEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "160030","MARY GREELEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","205 patients",,,"HF-2 " "160030","MARY GREELEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","131 patients",,,"PN-7 " "160030","MARY GREELEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","93 patients",,,"PN-6 " "160030","MARY GREELEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160030","MARY GREELEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","95 patients",,,"HF-3 " "160030","MARY GREELEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","507 patients",,,"SCIP-INF-1 " "160030","MARY GREELEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","728 patients",,,"SCIP-INF-6 " "160030","MARY GREELEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","492 patients",,,"SCIP-INF-3 " "160030","MARY GREELEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","362 patients",,,"SCIP-VTE-1 " "160030","MARY GREELEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "160030","MARY GREELEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","84 patients",,,"AMI-2 " "160030","MARY GREELEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","89 patients",,,"AMI-5 " "160030","MARY GREELEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","72 patients",,,"AMI-1 " "160030","MARY GREELEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","181 patients",,,"PN-2 " "160030","MARY GREELEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "160030","MARY GREELEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","20 patients","1 ","1","AMI-8A " "160030","MARY GREELEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","362 patients",,,"SCIP-VTE-2 " "160030","MARY GREELEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","88 patients",,,"SCIP-CARD-2 " "160030","MARY GREELEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","507 patients",,,"SCIP-INF-2 " "160030","MARY GREELEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160030","MARY GREELEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","172 patients",,,"HF-1 " "160030","MARY GREELEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "160030","MARY GREELEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","123 patients",,,"PN-3B " "160032","SKIFF MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "160032","SKIFF MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","31 patients",,,"PN-7 " "160032","SKIFF MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","30 patients",,,"PN-6 " "160032","SKIFF MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "160032","SKIFF MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","14 patients","1 ","1","HF-3 " "160032","SKIFF MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "160032","SKIFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","32 patients",,,"SCIP-CARD-2 " "160032","SKIFF MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","40 patients",,,"PN-5C " "160032","SKIFF MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160032","SKIFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","77 patients",,,"SCIP-INF-1 " "160032","SKIFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","33 patients",,,"SCIP-VTE-1 " "160032","SKIFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","77 patients",,,"SCIP-INF-2 " "160032","SKIFF MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "160032","SKIFF MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","36 patients",,,"PN-2 " "160032","SKIFF MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1 ","1","PN-3B " "160032","SKIFF MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","47 patients",,,"HF-2 " "160032","SKIFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","100 patients",,,"SCIP-INF-6 " "160032","SKIFF MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "160032","SKIFF MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","32 patients",,,"HF-1 " "160032","SKIFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","76 patients",,,"SCIP-INF-3 " "160032","SKIFF MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","10 patients","1 ","1","AMI-1 " "160032","SKIFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","33 patients",,,"SCIP-VTE-2 " "160032","SKIFF MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "160032","SKIFF MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160032","SKIFF MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","40 patients","2 ","2","AMI-8A " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","HF-4 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","67 patients","2 ","2","PN-6 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","149 patients","2 ","2","PN-2 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","279 patients","2 ","2","AMI-2 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","133 patients","2 ","2","HF-3 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","64 patients","2 ","2","AMI-3 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","510 patients","2 ","2","SCIP-INF-2 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","104 patients","2 ","2","PN-7 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","312 patients","2 ","2","HF-2 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","508 patients","2 ","2","SCIP-INF-1 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","72 patients","2 ","2","AMI-4 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","158 patients","2 ","2","PN-5C " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","153 patients","2 ","2","AMI-1 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","155 patients","2 ","2","SCIP-INF-4 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","110 patients","2 ","2","SCIP-CARD-2 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","63 patients","2 ","2","PN-4 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","292 patients","2 ","2","AMI-5 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","247 patients","2 ","2","HF-1 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","136 patients","2 ","2","PN-3B " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","667 patients","2 ","2","SCIP-INF-6 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","241 patients","2 ","2","SCIP-VTE-1 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","241 patients","2 ","2","SCIP-VTE-2 " "160033","GENESIS MEDICAL CENTER-DAVENPORT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","480 patients","2 ","2","SCIP-INF-3 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","44 patients",,,"HF-2 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","41 patients",,,"PN-3B " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"PN-4 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","83 patients","2 ","2","SCIP-VTE-2 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","128 patients","2 ","2","SCIP-INF-6 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","83 patients","2 ","2","SCIP-VTE-1 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","68 patients",,,"SCIP-INF-2 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","39 patients",,,"HF-1 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","63 patients","2 ","2","SCIP-CARD-2 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","25 patients",,,"PN-7 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","26 patients",,,"PN-6 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","46 patients",,,"PN-2 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","38 patients",,,"PN-5C " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","66 patients",,,"SCIP-INF-3 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","67 patients",,,"SCIP-INF-1 " "16003F","VA CENTRAL IOWA HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "160040","SARTORI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","110 patients",,,"SCIP-VTE-2 " "160040","SARTORI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","86 patients",,,"SCIP-INF-3 " "160040","SARTORI MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","46 patients",,,"PN-2 " "160040","SARTORI MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","42 patients",,,"PN-3B " "160040","SARTORI MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","12 patients","1 ","1","HF-1 " "160040","SARTORI MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","46 patients",,,"PN-5C " "160040","SARTORI MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "160040","SARTORI MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "160040","SARTORI MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "160040","SARTORI MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","30 patients",,,"PN-6 " "160040","SARTORI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","87 patients",,,"SCIP-INF-2 " "160040","SARTORI MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "160040","SARTORI MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "160040","SARTORI MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "160040","SARTORI MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1,3 ","13","AMI-1 " "160040","SARTORI MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "160040","SARTORI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","17 patients","1 ","1","SCIP-CARD-2 " "160040","SARTORI MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "160040","SARTORI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","87 patients",,,"SCIP-INF-1 " "160040","SARTORI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160040","SARTORI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","132 patients",,,"SCIP-INF-6 " "160040","SARTORI MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "160040","SARTORI MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","35 patients",,,"PN-7 " "160040","SARTORI MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","26 patients",,,"HF-2 " "160040","SARTORI MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","110 patients",,,"SCIP-VTE-1 " "160045","ST LUKES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","43 patients","2 ","2","AMI-8A " "160045","ST LUKES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","79 patients","2 ","2","PN-3B " "160045","ST LUKES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","43 patients","2 ","2","PN-4 " "160045","ST LUKES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","HF-4 " "160045","ST LUKES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","90 patients","2 ","2","AMI-4 " "160045","ST LUKES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","26 patients","2 ","2","AMI-3 " "160045","ST LUKES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","236 patients","2 ","2","HF-2 " "160045","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","374 patients","2 ","2","SCIP-INF-2 " "160045","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","112 patients","2 ","2","SCIP-CARD-2 " "160045","ST LUKES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients","2 ","2","HF-3 " "160045","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","489 patients","2 ","2","SCIP-INF-6 " "160045","ST LUKES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","117 patients","2 ","2","PN-2 " "160045","ST LUKES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","60 patients","2 ","2","PN-6 " "160045","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","141 patients","2 ","2","SCIP-VTE-2 " "160045","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","366 patients","2 ","2","SCIP-INF-1 " "160045","ST LUKES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","232 patients","2 ","2","AMI-2 " "160045","ST LUKES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","74 patients","2 ","2","PN-7 " "160045","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","141 patients","2 ","2","SCIP-VTE-1 " "160045","ST LUKES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","196 patients","2 ","2","HF-1 " "160045","ST LUKES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","88 patients","2 ","2","PN-5C " "160045","ST LUKES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","218 patients","2 ","2","AMI-5 " "160045","ST LUKES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "160045","ST LUKES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","191 patients","2 ","2","AMI-1 " "160045","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","129 patients","2 ","2","SCIP-INF-4 " "160045","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","288 patients","2 ","2","SCIP-INF-3 " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"AMI-4 " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"HF-3 " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","88 patients",,,"HF-1 " "160047","JENNIE EDMUNDSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","180 patients",,,"PN-2 " "160047","JENNIE EDMUNDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","311 patients",,,"SCIP-INF-2 " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","122 patients",,,"AMI-1 " "160047","JENNIE EDMUNDSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","97 patients",,,"PN-6 " "160047","JENNIE EDMUNDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160047","JENNIE EDMUNDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","419 patients",,,"SCIP-INF-6 " "160047","JENNIE EDMUNDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","310 patients",,,"SCIP-INF-3 " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "160047","JENNIE EDMUNDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","312 patients",,,"SCIP-INF-1 " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","18 patients","1 ","1","AMI-8A " "160047","JENNIE EDMUNDSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","216 patients",,,"SCIP-VTE-2 " "160047","JENNIE EDMUNDSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","216 patients",,,"SCIP-VTE-1 " "160047","JENNIE EDMUNDSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","67 patients",,,"PN-4 " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","108 patients",,,"AMI-2 " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "160047","JENNIE EDMUNDSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","209 patients",,,"PN-5C " "160047","JENNIE EDMUNDSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","135 patients",,,"PN-7 " "160047","JENNIE EDMUNDSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","64 patients",,,"SCIP-CARD-2 " "160047","JENNIE EDMUNDSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","202 patients",,,"PN-3B " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","111 patients",,,"HF-2 " "160047","JENNIE EDMUNDSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","109 patients",,,"AMI-5 " "16004F","IOWA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","176 patients",,,"SCIP-INF-1 " "16004F","IOWA CITY VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","34 patients",,,"PN-7 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "16004F","IOWA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","179 patients",,,"SCIP-INF-2 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","28 patients",,,"AMI-1 " "16004F","IOWA CITY VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","43 patients",,,"PN-5C " "16004F","IOWA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","128 patients","2 ","2","SCIP-CARD-2 " "16004F","IOWA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "16004F","IOWA CITY VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","26 patients",,,"AMI-2 " "16004F","IOWA CITY VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","29 patients",,,"PN-6 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"HF-3 " "16004F","IOWA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","150 patients","2 ","2","SCIP-VTE-1 " "16004F","IOWA CITY VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","33 patients",,,"PN-3B " "16004F","IOWA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","268 patients","2 ","2","SCIP-INF-6 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-8A " "16004F","IOWA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","150 patients","2 ","2","SCIP-VTE-2 " "16004F","IOWA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","175 patients",,,"SCIP-INF-3 " "16004F","IOWA CITY VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","48 patients",,,"PN-2 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","107 patients",,,"HF-2 " "16004F","IOWA CITY VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","101 patients",,,"HF-1 " "160057","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","319 patients","2 ","2","SCIP-VTE-2 " "160057","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","139 patients",,,"PN-2 " "160057","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","59 patients",,,"PN-4 " "160057","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160057","GREAT RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","109 patients",,,"HF-2 " "160057","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","110 patients",,,"SCIP-CARD-2 " "160057","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","143 patients",,,"PN-5C " "160057","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "160057","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","99 patients",,,"PN-7 " "160057","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","407 patients","2 ","2","SCIP-INF-1 " "160057","GREAT RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","20 patients","1 ","1","HF-4 " "160057","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","105 patients",,,"AMI-1 " "160057","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","85 patients",,,"AMI-5 " "160057","GREAT RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"HF-3 " "160057","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","589 patients","2 ","2","SCIP-INF-6 " "160057","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","389 patients","2 ","2","SCIP-INF-3 " "160057","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","127 patients",,,"PN-3B " "160057","GREAT RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","71 patients",,,"HF-1 " "160057","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160057","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","407 patients","2 ","2","SCIP-INF-2 " "160057","GREAT RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","319 patients","2 ","2","SCIP-VTE-1 " "160057","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","34 patients",,,"AMI-4 " "160057","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","9 patients","1 ","1","AMI-8A " "160057","GREAT RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","103 patients",,,"PN-6 " "160057","GREAT RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","89 patients",,,"AMI-2 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","262 patients","2 ","2","SCIP-VTE-1 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","40%","100 patients","2 ","2","SCIP-CARD-2 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","204 patients","2 ","2","AMI-2 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","66 patients","2 ","2","PN-2 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","64 patients","2 ","2","PN-3B " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","68 patients","2 ","2","PN-5C " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","246 patients","2 ","2","HF-1 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","262 patients","2 ","2","SCIP-VTE-2 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","73 patients","2 ","2","HF-4 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","52 patients","2 ","2","AMI-3 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","218 patients","2 ","2","AMI-5 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","382 patients","2 ","2","SCIP-INF-1 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","40 patients","2 ","2","PN-6 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","271 patients","2 ","2","HF-2 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","391 patients","2 ","2","SCIP-INF-2 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","121 patients","2 ","2","SCIP-INF-4 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","84 patients","2 ","2","AMI-4 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","15 patients","1,2 ","12","AMI-8A " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","130 patients","2 ","2","HF-3 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","61 patients","2 ","2","AMI-1 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","363 patients","2 ","2","SCIP-INF-3 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","62 patients","2 ","2","PN-7 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","59 patients","2 ","2","PN-4 " "160058","UNIVERSITY OF IOWA HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","639 patients","2 ","2","SCIP-INF-6 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","88 patients",,,"PN-4 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","152 patients","2 ","2","SCIP-CARD-2 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","472 patients","2 ","2","SCIP-INF-1 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","287 patients",,,"AMI-5 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","22 patients","1 ","1","AMI-8A " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","181 patients",,,"PN-3B " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","182 patients",,,"AMI-1 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","324 patients",,,"HF-2 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","456 patients","2 ","2","SCIP-INF-3 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","267 patients",,,"AMI-2 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","148 patients","2 ","2","SCIP-INF-4 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","208 patients","2 ","2","SCIP-VTE-2 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","658 patients","2 ","2","SCIP-INF-6 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","109 patients",,,"HF-3 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","179 patients",,,"PN-5C " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","67 patients",,,"AMI-3 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","140 patients",,,"PN-6 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","155 patients",,,"PN-7 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","220 patients",,,"HF-1 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","220 patients",,,"PN-2 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","478 patients","2 ","2","SCIP-INF-2 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","208 patients","2 ","2","SCIP-VTE-1 " "160064","MERCY MEDICAL CENTER-NORTH IOWA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"AMI-4 " "160067","COVENANT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160067","COVENANT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","47 patients",,,"AMI-5 " "160067","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","307 patients",,,"SCIP-VTE-2 " "160067","COVENANT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","90 patients",,,"HF-1 " "160067","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","364 patients",,,"SCIP-INF-1 " "160067","COVENANT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","45%","11 patients","1 ","1","AMI-8A " "160067","COVENANT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","52 patients",,,"PN-4 " "160067","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","309 patients",,,"SCIP-VTE-1 " "160067","COVENANT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","48 patients",,,"AMI-2 " "160067","COVENANT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","144 patients",,,"HF-2 " "160067","COVENANT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","93 patients",,,"PN-7 " "160067","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160067","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","351 patients",,,"SCIP-INF-3 " "160067","COVENANT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "160067","COVENANT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "160067","COVENANT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","118 patients",,,"PN-3B " "160067","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","508 patients",,,"SCIP-INF-6 " "160067","COVENANT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "160067","COVENANT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "160067","COVENANT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients",,,"HF-3 " "160067","COVENANT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","83 patients",,,"PN-6 " "160067","COVENANT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","151 patients",,,"PN-2 " "160067","COVENANT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","118 patients",,,"PN-5C " "160067","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","362 patients",,,"SCIP-INF-2 " "160067","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","61 patients",,,"SCIP-CARD-2 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","415 patients","2 ","2","SCIP-INF-2 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","210 patients","2 ","2","SCIP-VTE-2 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","145 patients",,,"PN-5C " "160069","MERCY MEDICAL CENTER-DUBUQUE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","405 patients","2 ","2","SCIP-INF-1 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","221 patients",,,"AMI-5 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","176 patients",,,"HF-2 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","22 patients","1 ","1","AMI-3 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","32 patients",,,"HF-3 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"AMI-4 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","242 patients",,,"AMI-2 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","132 patients",,,"PN-3B " "160069","MERCY MEDICAL CENTER-DUBUQUE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","103 patients","2 ","2","SCIP-INF-4 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","HF-4 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","147 patients",,,"HF-1 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","112 patients","2 ","2","SCIP-CARD-2 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","210 patients",,,"PN-2 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","562 patients","2 ","2","SCIP-INF-6 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","211 patients","2 ","2","SCIP-VTE-1 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","33 patients",,,"AMI-8A " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160069","MERCY MEDICAL CENTER-DUBUQUE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","101 patients",,,"PN-6 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","391 patients","2 ","2","SCIP-INF-3 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","128 patients",,,"PN-7 " "160069","MERCY MEDICAL CENTER-DUBUQUE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","155 patients",,,"AMI-1 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","378 patients","2 ","2","SCIP-INF-6 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","235 patients","2 ","2","SCIP-INF-3 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","266 patients","2 ","2","SCIP-INF-2 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","96 patients","2 ","2","PN-3B " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","214 patients","2 ","2","HF-2 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","78 patients","2 ","2","PN-7 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"AMI-4 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","163 patients",,,"AMI-5 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","266 patients","2 ","2","SCIP-INF-1 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","49 patients","2 ","2","HF-3 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1,2 ","12","HF-4 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","149 patients","2 ","2","SCIP-VTE-2 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","64 patients","2 ","2","PN-6 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","113 patients","2 ","2","PN-2 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","56 patients","2 ","2","SCIP-CARD-2 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","44 patients","2 ","2","PN-4 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","173 patients",,,"AMI-1 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","111 patients","2 ","2","PN-5C " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","40 patients",,,"AMI-8A " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","156 patients",,,"AMI-2 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","149 patients","2 ","2","SCIP-VTE-1 " "160079","MERCY MEDICAL CENTER - CEDAR RAPIDS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","156 patients","2 ","2","HF-1 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","128 patients",,,"AMI-1 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","103 patients",,,"AMI-5 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","29%","14 patients","1 ","1","AMI-8A " "160080","MERCY MEDICAL CENTER-CLINTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","126 patients",,,"PN-6 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","14 patients","1 ","1","AMI-3 " "160080","MERCY MEDICAL CENTER-CLINTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","246 patients",,,"SCIP-INF-6 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","103 patients",,,"AMI-2 " "160080","MERCY MEDICAL CENTER-CLINTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","156 patients",,,"PN-7 " "160080","MERCY MEDICAL CENTER-CLINTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","189 patients",,,"PN-5C " "160080","MERCY MEDICAL CENTER-CLINTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","44 patients",,,"SCIP-CARD-2 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","43 patients",,,"HF-3 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","75%","4 patients","1 ","1","AMI-7A " "160080","MERCY MEDICAL CENTER-CLINTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","218 patients",,,"PN-2 " "160080","MERCY MEDICAL CENTER-CLINTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","139 patients",,,"PN-3B " "160080","MERCY MEDICAL CENTER-CLINTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","84 patients",,,"PN-4 " "160080","MERCY MEDICAL CENTER-CLINTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","138 patients",,,"SCIP-VTE-1 " "160080","MERCY MEDICAL CENTER-CLINTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","138 patients",,,"SCIP-VTE-2 " "160080","MERCY MEDICAL CENTER-CLINTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","146 patients",,,"SCIP-INF-2 " "160080","MERCY MEDICAL CENTER-CLINTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160080","MERCY MEDICAL CENTER-CLINTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","147 patients",,,"SCIP-INF-1 " "160080","MERCY MEDICAL CENTER-CLINTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","138 patients",,,"SCIP-INF-3 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","211 patients",,,"HF-2 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","152 patients",,,"HF-1 " "160080","MERCY MEDICAL CENTER-CLINTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"AMI-4 " "160082","IOWA METHODIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","69 patients","2 ","2","PN-6 " "160082","IOWA METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","447 patients","2 ","2","SCIP-INF-1 " "160082","IOWA METHODIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","70 patients","2 ","2","PN-7 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "160082","IOWA METHODIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","62 patients","2 ","2","HF-3 " "160082","IOWA METHODIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","110 patients","2 ","2","PN-5C " "160082","IOWA METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","74%","131 patients","2 ","2","SCIP-INF-4 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","111 patients","2 ","2","AMI-4 " "160082","IOWA METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","454 patients","2 ","2","SCIP-INF-2 " "160082","IOWA METHODIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","38 patients","2 ","2","PN-4 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","252 patients","2 ","2","AMI-5 " "160082","IOWA METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","425 patients","2 ","2","SCIP-INF-3 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","39 patients","2 ","2","HF-4 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","125 patients","2 ","2","AMI-1 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","39 patients","2 ","2","AMI-3 " "160082","IOWA METHODIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","80 patients","2 ","2","PN-3B " "160082","IOWA METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","635 patients","2 ","2","SCIP-INF-6 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","207 patients","2 ","2","HF-1 " "160082","IOWA METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","85 patients","2 ","2","SCIP-CARD-2 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","255 patients","2 ","2","HF-2 " "160082","IOWA METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","214 patients","2 ","2","SCIP-VTE-2 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","35 patients","2 ","2","AMI-8A " "160082","IOWA METHODIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","214 patients","2 ","2","SCIP-VTE-1 " "160082","IOWA METHODIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","255 patients","2 ","2","AMI-2 " "160082","IOWA METHODIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","112 patients","2 ","2","PN-2 " "160083","MERCY MEDICAL CENTER-DES MOINES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","796 patients","2 ","2","SCIP-INF-6 " "160083","MERCY MEDICAL CENTER-DES MOINES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","136 patients","2 ","2","SCIP-CARD-2 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","151 patients",,,"HF-3 " "160083","MERCY MEDICAL CENTER-DES MOINES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","502 patients",,,"PN-2 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","88 patients",,,"HF-4 " "160083","MERCY MEDICAL CENTER-DES MOINES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","531 patients","2 ","2","SCIP-INF-1 " "160083","MERCY MEDICAL CENTER-DES MOINES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","453 patients","2 ","2","SCIP-INF-3 " "160083","MERCY MEDICAL CENTER-DES MOINES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","532 patients",,,"PN-5C " "160083","MERCY MEDICAL CENTER-DES MOINES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","336 patients",,,"PN-6 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","522 patients",,,"AMI-2 " "160083","MERCY MEDICAL CENTER-DES MOINES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","177 patients","2 ","2","SCIP-INF-4 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","472 patients",,,"HF-1 " "160083","MERCY MEDICAL CENTER-DES MOINES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","535 patients","2 ","2","SCIP-INF-2 " "160083","MERCY MEDICAL CENTER-DES MOINES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","250 patients",,,"PN-4 " "160083","MERCY MEDICAL CENTER-DES MOINES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","382 patients",,,"PN-7 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160083","MERCY MEDICAL CENTER-DES MOINES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","279 patients","2 ","2","SCIP-VTE-2 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","101 patients",,,"AMI-8A " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","482 patients",,,"AMI-5 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","296 patients",,,"AMI-1 " "160083","MERCY MEDICAL CENTER-DES MOINES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","279 patients","2 ","2","SCIP-VTE-1 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","598 patients",,,"HF-2 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","74 patients",,,"AMI-3 " "160083","MERCY MEDICAL CENTER-DES MOINES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","211 patients",,,"AMI-4 " "160083","MERCY MEDICAL CENTER-DES MOINES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","586 patients",,,"PN-3B " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","HF-3 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","247 patients",,,"SCIP-INF-6 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","189 patients",,,"SCIP-INF-2 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","119 patients",,,"SCIP-VTE-1 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "160089","OTTUMWA REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","148 patients",,,"PN-2 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","30 patients",,,"AMI-2 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","33 patients",,,"AMI-5 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","71 patients",,,"HF-1 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","188 patients",,,"SCIP-INF-1 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","127 patients",,,"PN-5C " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","97 patients",,,"HF-2 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","173 patients",,,"SCIP-INF-3 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","33 patients",,,"SCIP-CARD-2 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","130 patients",,,"PN-3B " "160089","OTTUMWA REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","91 patients",,,"PN-6 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","41 patients",,,"AMI-1 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160089","OTTUMWA REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","119 patients",,,"SCIP-VTE-2 " "160089","OTTUMWA REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","95 patients",,,"PN-7 " "160101","BROADLAWNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","47 patients",,,"SCIP-INF-3 " "160101","BROADLAWNS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "160101","BROADLAWNS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160101","BROADLAWNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160101","BROADLAWNS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","86 patients",,,"PN-3B " "160101","BROADLAWNS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "160101","BROADLAWNS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","63 patients",,,"HF-2 " "160101","BROADLAWNS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","88 patients",,,"PN-5C " "160101","BROADLAWNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","47 patients",,,"SCIP-INF-2 " "160101","BROADLAWNS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "160101","BROADLAWNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","58 patients",,,"SCIP-VTE-1 " "160101","BROADLAWNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","78 patients",,,"SCIP-INF-6 " "160101","BROADLAWNS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "160101","BROADLAWNS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "160101","BROADLAWNS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "160101","BROADLAWNS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","9 patients","1 ","1","PN-2 " "160101","BROADLAWNS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","44 patients",,,"HF-4 " "160101","BROADLAWNS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","34 patients",,,"PN-7 " "160101","BROADLAWNS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","75 patients",,,"PN-6 " "160101","BROADLAWNS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","59 patients",,,"HF-1 " "160101","BROADLAWNS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","72 patients",,,"PN-4 " "160101","BROADLAWNS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"HF-3 " "160101","BROADLAWNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","58 patients",,,"SCIP-VTE-2 " "160101","BROADLAWNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","77%","48 patients",,,"SCIP-INF-1 " "160101","BROADLAWNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","6 patients","1 ","1","SCIP-CARD-2 " "160104","TRINITY AT TERRACE PARK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "160104","TRINITY AT TERRACE PARK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","9 patients","1,2 ","12","HF-3 " "160104","TRINITY AT TERRACE PARK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","42 patients",,,"AMI-1 " "160104","TRINITY AT TERRACE PARK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","57%","7 patients","1 ","1","AMI-8A " "160104","TRINITY AT TERRACE PARK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","273 patients","2 ","2","SCIP-INF-6 " "160104","TRINITY AT TERRACE PARK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients","2 ","2","HF-2 " "160104","TRINITY AT TERRACE PARK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","177 patients","2 ","2","SCIP-INF-3 " "160104","TRINITY AT TERRACE PARK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "160104","TRINITY AT TERRACE PARK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","37 patients","2 ","2","HF-1 " "160104","TRINITY AT TERRACE PARK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","180 patients","2 ","2","SCIP-INF-2 " "160104","TRINITY AT TERRACE PARK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","44 patients",,,"AMI-2 " "160104","TRINITY AT TERRACE PARK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","47 patients","2 ","2","PN-7 " "160104","TRINITY AT TERRACE PARK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","68 patients","2 ","2","PN-3B " "160104","TRINITY AT TERRACE PARK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","43 patients","2 ","2","SCIP-CARD-2 " "160104","TRINITY AT TERRACE PARK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","61 patients","2 ","2","PN-5C " "160104","TRINITY AT TERRACE PARK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","101 patients","2 ","2","SCIP-VTE-2 " "160104","TRINITY AT TERRACE PARK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","101 patients","2 ","2","SCIP-VTE-1 " "160104","TRINITY AT TERRACE PARK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","71 patients","2 ","2","PN-2 " "160104","TRINITY AT TERRACE PARK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","39 patients",,,"AMI-5 " "160104","TRINITY AT TERRACE PARK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","51 patients","2 ","2","PN-6 " "160104","TRINITY AT TERRACE PARK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160104","TRINITY AT TERRACE PARK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","HF-4 " "160104","TRINITY AT TERRACE PARK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160104","TRINITY AT TERRACE PARK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","180 patients","2 ","2","SCIP-INF-1 " "160104","TRINITY AT TERRACE PARK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1,2 ","12","PN-4 " "160110","ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","106 patients","2 ","2","PN-7 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","226 patients","2 ","2","AMI-2 " "160110","ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","356 patients","2 ","2","SCIP-INF-2 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","74 patients","2 ","2","AMI-4 " "160110","ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "160110","ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","178 patients","2 ","2","SCIP-VTE-1 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","161 patients","2 ","2","AMI-1 " "160110","ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","172 patients","2 ","2","PN-2 " "160110","ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","344 patients","2 ","2","SCIP-INF-1 " "160110","ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","100 patients","2 ","2","SCIP-CARD-2 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","198 patients","2 ","2","HF-1 " "160110","ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","90 patients","2 ","2","PN-6 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","205 patients","2 ","2","AMI-5 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","102 patients","2 ","2","HF-3 " "160110","ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","178 patients","2 ","2","SCIP-VTE-2 " "160110","ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","152 patients","2 ","2","PN-3B " "160110","ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","105 patients","2 ","2","SCIP-INF-4 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","40 patients","2 ","2","AMI-3 " "160110","ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","332 patients","2 ","2","SCIP-INF-3 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "160110","ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","495 patients","2 ","2","SCIP-INF-6 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","HF-4 " "160110","ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","151 patients","2 ","2","PN-5C " "160110","ALLEN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","264 patients","2 ","2","HF-2 " "160110","ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","32 patients","2 ","2","AMI-8A " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "160112","SPENCER MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","127 patients","2 ","2","SCIP-INF-3 " "160112","SPENCER MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","50 patients",,,"PN-6 " "160112","SPENCER MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients","2 ","2","SCIP-CARD-2 " "160112","SPENCER MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","63 patients",,,"PN-7 " "160112","SPENCER MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","89 patients",,,"PN-5C " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","HF-3 " "160112","SPENCER MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","73 patients",,,"PN-3B " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "160112","SPENCER MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","133 patients","2 ","2","SCIP-INF-2 " "160112","SPENCER MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","202 patients","2 ","2","SCIP-INF-6 " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "160112","SPENCER MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","96 patients","2 ","2","SCIP-VTE-1 " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "160112","SPENCER MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","96 patients","2 ","2","SCIP-VTE-2 " "160112","SPENCER MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","46 patients",,,"HF-2 " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "160112","SPENCER MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","132 patients","2 ","2","SCIP-INF-1 " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "160112","SPENCER MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","100 patients",,,"PN-2 " "160112","SPENCER MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","29 patients",,,"HF-1 " "160112","SPENCER MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160117","THE FINLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "160117","THE FINLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","33 patients",,,"AMI-1 " "160117","THE FINLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","162 patients","2 ","2","SCIP-VTE-1 " "160117","THE FINLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","85 patients","2 ","2","PN-7 " "160117","THE FINLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160117","THE FINLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","218 patients","2 ","2","SCIP-INF-1 " "160117","THE FINLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","31 patients","2 ","2","SCIP-CARD-2 " "160117","THE FINLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","218 patients","2 ","2","SCIP-INF-2 " "160117","THE FINLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","87 patients",,,"HF-2 " "160117","THE FINLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients",,,"HF-3 " "160117","THE FINLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","59 patients",,,"HF-1 " "160117","THE FINLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","162 patients","2 ","2","SCIP-VTE-2 " "160117","THE FINLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","90 patients","2 ","2","PN-5C " "160117","THE FINLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "160117","THE FINLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160117","THE FINLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","114 patients","2 ","2","PN-2 " "160117","THE FINLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","329 patients","2 ","2","SCIP-INF-6 " "160117","THE FINLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","102 patients","2 ","2","PN-3B " "160117","THE FINLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "160117","THE FINLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "160117","THE FINLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","212 patients","2 ","2","SCIP-INF-3 " "160117","THE FINLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "160117","THE FINLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "160117","THE FINLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients","2 ","2","PN-4 " "160117","THE FINLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","47 patients","2 ","2","PN-6 " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "160122","FORT MADISON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","85 patients",,,"PN-2 " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "160122","FORT MADISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","23 patients","1 ","1","SCIP-CARD-2 " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "160122","FORT MADISON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","74 patients",,,"PN-5C " "160122","FORT MADISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","139 patients",,,"SCIP-INF-6 " "160122","FORT MADISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160122","FORT MADISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","106 patients",,,"SCIP-INF-3 " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "160122","FORT MADISON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","57 patients",,,"PN-7 " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","34 patients",,,"HF-1 " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "160122","FORT MADISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","107 patients",,,"SCIP-INF-2 " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "160122","FORT MADISON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","61 patients",,,"PN-3B " "160122","FORT MADISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","107 patients",,,"SCIP-INF-1 " "160122","FORT MADISON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "160122","FORT MADISON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","52 patients",,,"PN-6 " "160122","FORT MADISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","51 patients",,,"SCIP-VTE-2 " "160122","FORT MADISON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","57 patients",,,"HF-2 " "160122","FORT MADISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","51 patients",,,"SCIP-VTE-1 " "160124","LAKES REGIONAL HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","60 patients",,,"PN-3B " "160124","LAKES REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","13 patients","1 ","1","SCIP-CARD-2 " "160124","LAKES REGIONAL HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","17 patients","1 ","1","HF-1 " "160124","LAKES REGIONAL HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "160124","LAKES REGIONAL HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","90 patients",,,"PN-5C " "160124","LAKES REGIONAL HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "160124","LAKES REGIONAL HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","28 patients",,,"HF-2 " "160124","LAKES REGIONAL HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "160124","LAKES REGIONAL HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "160124","LAKES REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "160124","LAKES REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","86 patients",,,"SCIP-INF-2 " "160124","LAKES REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","85 patients",,,"SCIP-INF-3 " "160124","LAKES REGIONAL HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "160124","LAKES REGIONAL HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","69 patients",,,"PN-6 " "160124","LAKES REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","105 patients",,,"SCIP-INF-6 " "160124","LAKES REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","52 patients",,,"SCIP-VTE-1 " "160124","LAKES REGIONAL HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","10 patients","1 ","1","HF-3 " "160124","LAKES REGIONAL HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "160124","LAKES REGIONAL HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "160124","LAKES REGIONAL HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","89 patients",,,"PN-2 " "160124","LAKES REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","52 patients",,,"SCIP-VTE-2 " "160124","LAKES REGIONAL HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","65 patients",,,"PN-7 " "160124","LAKES REGIONAL HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "160124","LAKES REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","86 patients",,,"SCIP-INF-1 " "160124","LAKES REGIONAL HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "160146","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","91 patients","2 ","2","SCIP-CARD-2 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","654 patients","2 ","2","SCIP-INF-6 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","488 patients","2 ","2","SCIP-INF-1 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","266 patients","2 ","2","SCIP-VTE-1 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","126 patients",,,"PN-6 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","266 patients","2 ","2","SCIP-VTE-2 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","140 patients",,,"PN-3B " "160146","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","195 patients",,,"PN-5C " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "160146","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","491 patients","2 ","2","SCIP-INF-2 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","163 patients",,,"PN-2 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "160146","ST LUKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","415 patients","2 ","2","SCIP-INF-3 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","131 patients",,,"PN-7 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","26 patients",,,"AMI-1 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","107 patients",,,"HF-2 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"PN-4 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","81 patients",,,"HF-1 " "160146","ST LUKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","19 patients","1 ","1","AMI-2 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1,3 ","13","AMI-1 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","41 patients",,,"PN-6 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","67 patients","2 ","2","SCIP-INF-3 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","70 patients","2 ","2","SCIP-VTE-2 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","11 patients","1 ","1","HF-3 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1,3 ","13","AMI-5 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","159 patients","2 ","2","SCIP-INF-6 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","51 patients",,,"PN-3B " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","54 patients",,,"HF-2 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","42 patients",,,"PN-7 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","67 patients",,,"PN-5C " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "160147","GRINNELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","70 patients","2 ","2","SCIP-VTE-1 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","73 patients",,,"PN-2 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","26 patients","2 ","2","SCIP-CARD-2 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","69 patients","2 ","2","SCIP-INF-2 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","28 patients",,,"HF-1 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1,3 ","13","AMI-2 " "160147","GRINNELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","68 patients","2 ","2","SCIP-INF-1 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","124 patients","2 ","2","PN-6 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","183 patients","2 ","2","PN-7 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","166 patients","2 ","2","PN-3B " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","221 patients",,,"HF-1 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","270 patients","2 ","2","SCIP-VTE-1 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","270 patients","2 ","2","SCIP-VTE-2 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","60 patients","2 ","2","AMI-3 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","31 patients","2 ","2","AMI-8A " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","269 patients",,,"HF-2 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","217 patients","2 ","2","PN-5C " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","271 patients","2 ","2","PN-2 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","499 patients","2 ","2","SCIP-INF-2 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","482 patients","2 ","2","SCIP-INF-1 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","445 patients","2 ","2","SCIP-INF-3 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","121 patients","2 ","2","PN-4 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","153 patients","2 ","2","SCIP-CARD-2 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","356 patients","2 ","2","AMI-5 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","357 patients","2 ","2","AMI-2 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","112 patients","2 ","2","SCIP-INF-4 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","200 patients","2 ","2","AMI-1 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","736 patients","2 ","2","SCIP-INF-6 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","127 patients","2 ","2","AMI-4 " "160153","MERCY MEDICAL CENTER-SIOUX CITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","90 patients",,,"HF-3 " "161300","BAUM HARMON MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161300","BAUM HARMON MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161300","BAUM HARMON MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161300","BAUM HARMON MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients",,,"HF-1 " "161300","BAUM HARMON MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1 ","1","PN-6 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161300","BAUM HARMON MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "161300","BAUM HARMON MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161300","BAUM HARMON MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1 ","1","HF-2 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "161300","BAUM HARMON MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","9 patients","1 ","1","PN-5C " "161300","BAUM HARMON MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161300","BAUM HARMON MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1 ","1","PN-3B " "161300","BAUM HARMON MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161300","BAUM HARMON MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","6 patients","1 ","1","PN-7 " "161300","BAUM HARMON MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","4 patients","1 ","1","PN-2 " "161300","BAUM HARMON MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161301","BELMOND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161301","BELMOND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","13 patients","1,3 ","13","PN-6 " "161301","BELMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161301","BELMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161301","BELMOND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1,3 ","13","PN-3B " "161301","BELMOND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","8 patients","1,3 ","13","HF-2 " "161301","BELMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161301","BELMOND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1 ","1","PN-7 " "161301","BELMOND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "161301","BELMOND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161301","BELMOND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","13 patients","1,3 ","13","PN-2 " "161301","BELMOND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161301","BELMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161301","BELMOND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1,3 ","13","PN-4 " "161301","BELMOND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","6 patients","1,3 ","13","HF-1 " "161301","BELMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161301","BELMOND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161301","BELMOND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "161301","BELMOND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161301","BELMOND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","16 patients","1,3 ","13","PN-5C " "161301","BELMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161301","BELMOND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161301","BELMOND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "161301","BELMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161301","BELMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161302","WRIGHT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "161302","WRIGHT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161302","WRIGHT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161302","WRIGHT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","16 patients","1,3 ","13","PN-6 " "161302","WRIGHT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161302","WRIGHT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "161302","WRIGHT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","282 patients",,,"SCIP-INF-1 " "161302","WRIGHT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161302","WRIGHT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161302","WRIGHT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "161302","WRIGHT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161302","WRIGHT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161302","WRIGHT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","280 patients",,,"SCIP-INF-3 " "161302","WRIGHT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161302","WRIGHT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","14 patients","1,3 ","13","PN-3B " "161302","WRIGHT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","10 patients","1 ","1","PN-7 " "161302","WRIGHT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","261 patients",,,"SCIP-INF-6 " "161302","WRIGHT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "161302","WRIGHT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "161302","WRIGHT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","122 patients",,,"SCIP-VTE-2 " "161302","WRIGHT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,3 ","13","PN-4 " "161302","WRIGHT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","18 patients","1,3 ","13","PN-2 " "161302","WRIGHT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161302","WRIGHT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","122 patients",,,"SCIP-VTE-1 " "161302","WRIGHT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","281 patients",,,"SCIP-INF-2 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","35 patients",,,"SCIP-INF-1 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1,3 ","13","PN-6 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1,3 ","13","PN-5C " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","35 patients",,,"SCIP-INF-2 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1,3 ","13","PN-3B " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","35 patients",,,"SCIP-INF-6 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","8 patients","1 ","1","SCIP-VTE-2 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1 ","1","HF-1 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","8 patients","1 ","1","SCIP-VTE-1 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","9 patients","1 ","1","HF-2 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","35 patients",,,"SCIP-INF-3 " "161303","GRUNDY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","12 patients","1,3 ","13","PN-2 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-1 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1 ","1","SCIP-VTE-1 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1 ","1","PN-6 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","14 patients","1 ","1","PN-2 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","11 patients","1 ","1","HF-1 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1 ","1","SCIP-VTE-2 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","16 patients","1 ","1","HF-2 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1 ","1","SCIP-INF-6 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161304","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1 ","1","SCIP-INF-3 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-2 " "161304","ALEGENT HEALTH MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161304","ALEGENT HEALTH MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","19 patients","1 ","1","PN-5C " "161306","JONES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161306","JONES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "161306","JONES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161306","JONES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161306","JONES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","7 patients","1 ","1","HF-1 " "161306","JONES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","30 patients",,,"PN-3B " "161306","JONES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","9 patients","1 ","1","HF-2 " "161306","JONES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161306","JONES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161306","JONES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161306","JONES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161306","JONES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "161306","JONES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161306","JONES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","18 patients","1 ","1","PN-7 " "161306","JONES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161306","JONES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","27 patients",,,"PN-2 " "161306","JONES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161306","JONES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161306","JONES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","21 patients","1 ","1","PN-6 " "161306","JONES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161306","JONES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161306","JONES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "161306","JONES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","32 patients",,,"PN-5C " "161306","JONES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161306","JONES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","28 patients","3 ","3","PN-2 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1,3 ","13","PN-3B " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1,3 ","13","HF-3 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","12 patients","1,3 ","13","HF-1 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","12 patients","1,3 ","13","PN-6 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","16 patients","1,3 ","13","HF-2 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","48%","27 patients",,,"PN-7 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1,3 ","13","PN-4 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161307","HANCOCK COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","32 patients","3 ","3","PN-5C " "161308","FRANKLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161308","FRANKLIN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","10 patients","1 ","1","PN-5C " "161308","FRANKLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161308","FRANKLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161308","FRANKLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161308","FRANKLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161308","FRANKLIN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "161308","FRANKLIN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "161308","FRANKLIN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "161308","FRANKLIN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","9 patients","1 ","1","PN-6 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161308","FRANKLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1 ","1","HF-2 " "161308","FRANKLIN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","12 patients","1 ","1","PN-2 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","4 patients","1 ","1","HF-1 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","25%","4 patients","1 ","1","HF-3 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "161308","FRANKLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161308","FRANKLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161308","FRANKLIN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","20 patients","1 ","1","PN-6 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","60 patients",,,"PN-2 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,2 ","12","HF-3 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","49 patients",,,"PN-5C " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","34 patients",,,"PN-3B " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","46 patients",,,"PN-7 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","7 patients","1,2 ","12","HF-1 " "161309","ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","17 patients","1,2 ","12","HF-2 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "161310","ADAIR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161311","HAWARDEN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1 ","1","PN-6 " "161311","HAWARDEN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1 ","1","PN-2 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161311","HAWARDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "161311","HAWARDEN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1 ","1","PN-5C " "161311","HAWARDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161311","HAWARDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161311","HAWARDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161311","HAWARDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1,3 ","13","HF-1 " "161311","HAWARDEN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "161311","HAWARDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","3 patients","1,3 ","13","HF-2 " "161311","HAWARDEN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "161311","HAWARDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161311","HAWARDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161311","HAWARDEN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","5 patients","1 ","1","PN-7 " "161311","HAWARDEN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","20 patients","1 ","1","PN-5C " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1 ","1","HF-2 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1 ","1","PN-3B " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1 ","1","HF-1 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","22 patients","1 ","1","PN-2 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","9 patients","1 ","1","PN-7 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","15 patients","1 ","1","PN-6 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161312","GUTTENBERG MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "161313","GENESIS MEDICAL CENTER-DEWITT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "161313","GENESIS MEDICAL CENTER-DEWITT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,3 ","13","HF-2 " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1,3 ","13","HF-1 " "161313","GENESIS MEDICAL CENTER-DEWITT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1 ","1","PN-5C " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161313","GENESIS MEDICAL CENTER-DEWITT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "161313","GENESIS MEDICAL CENTER-DEWITT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161313","GENESIS MEDICAL CENTER-DEWITT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161313","GENESIS MEDICAL CENTER-DEWITT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","13 patients","1 ","1","PN-6 " "161313","GENESIS MEDICAL CENTER-DEWITT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161313","GENESIS MEDICAL CENTER-DEWITT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161313","GENESIS MEDICAL CENTER-DEWITT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","17 patients","1 ","1","PN-2 " "161313","GENESIS MEDICAL CENTER-DEWITT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1 ","1","PN-3B " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161313","GENESIS MEDICAL CENTER-DEWITT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "161313","GENESIS MEDICAL CENTER-DEWITT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161313","GENESIS MEDICAL CENTER-DEWITT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","11 patients","1 ","1","PN-7 " "161313","GENESIS MEDICAL CENTER-DEWITT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161316","PALMER LUTHERAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161316","PALMER LUTHERAN HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","11 patients","1 ","1","PN-7 " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "161316","PALMER LUTHERAN HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","17 patients","1 ","1","PN-3B " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","13 patients","1 ","1","HF-2 " "161316","PALMER LUTHERAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161316","PALMER LUTHERAN HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "161316","PALMER LUTHERAN HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,3 ","13","AMI-1 " "161316","PALMER LUTHERAN HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","20 patients","1 ","1","PN-5C " "161316","PALMER LUTHERAN HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "161316","PALMER LUTHERAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161316","PALMER LUTHERAN HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","14 patients","1 ","1","PN-6 " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","9 patients","1 ","1","HF-1 " "161316","PALMER LUTHERAN HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "161316","PALMER LUTHERAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161316","PALMER LUTHERAN HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","26 patients",,,"PN-2 " "161316","PALMER LUTHERAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161316","PALMER LUTHERAN HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "161317","MARENGO MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161317","MARENGO MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161317","MARENGO MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161317","MARENGO MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,3 ","13","PN-3B " "161317","MARENGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161317","MARENGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161317","MARENGO MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","6 patients","1,3 ","13","PN-6 " "161317","MARENGO MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "161317","MARENGO MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "161317","MARENGO MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "161317","MARENGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161317","MARENGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161317","MARENGO MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1,3 ","13","PN-7 " "161317","MARENGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161317","MARENGO MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "161317","MARENGO MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161317","MARENGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161317","MARENGO MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "161317","MARENGO MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,3 ","13","PN-5C " "161317","MARENGO MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161317","MARENGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161317","MARENGO MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161317","MARENGO MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","7 patients","1,3 ","13","PN-2 " "161317","MARENGO MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161317","MARENGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161318","VETERANS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "161318","VETERANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161318","VETERANS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","13 patients","1,3 ","13","PN-7 " "161318","VETERANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","9 patients","1,3 ","13","SCIP-VTE-2 " "161318","VETERANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","18 patients","1,3 ","13","SCIP-INF-3 " "161318","VETERANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","20 patients","1,3 ","13","SCIP-INF-6 " "161318","VETERANS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","32 patients","3 ","3","PN-2 " "161318","VETERANS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161318","VETERANS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","29 patients","3 ","3","PN-5C " "161318","VETERANS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161318","VETERANS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","18 patients","1,3 ","13","HF-2 " "161318","VETERANS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","14 patients","1,3 ","13","PN-3B " "161318","VETERANS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","10 patients","1,3 ","13","HF-3 " "161318","VETERANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","42%","19 patients","1,3 ","13","SCIP-INF-1 " "161318","VETERANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161318","VETERANS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "161318","VETERANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","9 patients","1,3 ","13","SCIP-VTE-1 " "161318","VETERANS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161318","VETERANS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "161318","VETERANS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1,3 ","13","PN-4 " "161318","VETERANS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161318","VETERANS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "161318","VETERANS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","15 patients","1,3 ","13","HF-1 " "161318","VETERANS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","20 patients","1,3 ","13","PN-6 " "161318","VETERANS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","19 patients","1,3 ","13","SCIP-INF-2 " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","5 patients","1,3 ","13","HF-2 " "161319","CENTRAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161319","CENTRAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161319","CENTRAL COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "161319","CENTRAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161319","CENTRAL COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","10 patients","1 ","1","PN-2 " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "161319","CENTRAL COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1 ","1","PN-7 " "161319","CENTRAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161319","CENTRAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161319","CENTRAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161319","CENTRAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "161319","CENTRAL COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "161319","CENTRAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161319","CENTRAL COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1 ","1","PN-5C " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161319","CENTRAL COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1 ","1","PN-6 " "161319","CENTRAL COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","4 patients","1,3 ","13","HF-1 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161321","SANFORD HOSPITAL ROCK RAPIDS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1 ","1","PN-5C " "161321","SANFORD HOSPITAL ROCK RAPIDS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","75%","4 patients","1,3 ","13","SCIP-INF-6 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","5 patients","1 ","1","HF-4 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","9 patients","1 ","1","HF-1 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,3 ","13","SCIP-VTE-1 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","4 patients","1 ","1","PN-7 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1,3 ","13","SCIP-VTE-2 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","9 patients","1 ","1","PN-2 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","HF-3 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "161321","SANFORD HOSPITAL ROCK RAPIDS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","11 patients","1 ","1","HF-2 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161321","SANFORD HOSPITAL ROCK RAPIDS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "161322","DALLAS COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","9 patients","1 ","1","PN-3B " "161322","DALLAS COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "161322","DALLAS COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","14 patients","1 ","1","PN-6 " "161322","DALLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161322","DALLAS COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","5 patients","1 ","1","HF-1 " "161322","DALLAS COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161322","DALLAS COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161322","DALLAS COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161322","DALLAS COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161322","DALLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161322","DALLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161322","DALLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161322","DALLAS COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","57%","7 patients","1 ","1","HF-2 " "161322","DALLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161322","DALLAS COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161322","DALLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161322","DALLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161322","DALLAS COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161322","DALLAS COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161322","DALLAS COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","18 patients","1 ","1","PN-2 " "161322","DALLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161322","DALLAS COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161322","DALLAS COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1 ","1","PN-5C " "161322","DALLAS COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","13 patients","1 ","1","PN-7 " "161322","DALLAS COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "161325","GREENE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161325","GREENE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","20%","5 patients","1,3 ","13","SCIP-INF-1 " "161325","GREENE COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","15 patients","1 ","1","PN-5C " "161325","GREENE COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161325","GREENE COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161325","GREENE COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","56%","16 patients","1 ","1","PN-6 " "161325","GREENE COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","43%","7 patients","1 ","1","HF-2 " "161325","GREENE COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","22 patients","1 ","1","PN-2 " "161325","GREENE COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","16 patients","1 ","1","PN-3B " "161325","GREENE COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "161325","GREENE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","4 patients","1,3 ","13","SCIP-VTE-1 " "161325","GREENE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","4 patients","1,3 ","13","SCIP-VTE-2 " "161325","GREENE COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","14 patients","1 ","1","PN-7 " "161325","GREENE COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161325","GREENE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161325","GREENE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","7 patients","1,3 ","13","SCIP-INF-6 " "161325","GREENE COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "161325","GREENE COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161325","GREENE COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161325","GREENE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","60%","5 patients","1,3 ","13","SCIP-INF-3 " "161325","GREENE COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","7 patients","1 ","1","HF-1 " "161325","GREENE COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161325","GREENE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1,3 ","13","SCIP-INF-2 " "161325","GREENE COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "161325","GREENE COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","10 patients","1 ","1","HF-1 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","22 patients","1 ","1","HF-2 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","23 patients","1 ","1","PN-7 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","41 patients",,,"PN-2 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","29 patients",,,"PN-5C " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "161326","MADISON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "161327","DAVIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161327","DAVIS COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","40%","30 patients",,,"HF-2 " "161327","DAVIS COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","32 patients",,,"PN-6 " "161327","DAVIS COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","34 patients",,,"PN-7 " "161327","DAVIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","9 patients","1 ","1","SCIP-INF-3 " "161327","DAVIS COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","HF-3 " "161327","DAVIS COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161327","DAVIS COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161327","DAVIS COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","41 patients",,,"PN-5C " "161327","DAVIS COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","HF-4 " "161327","DAVIS COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161327","DAVIS COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","33 patients",,,"PN-2 " "161327","DAVIS COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","PN-4 " "161327","DAVIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","15 patients","1 ","1","SCIP-INF-6 " "161327","DAVIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","10 patients","1 ","1","SCIP-VTE-2 " "161327","DAVIS COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","11%","18 patients","1 ","1","HF-1 " "161327","DAVIS COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161327","DAVIS COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","24 patients","1 ","1","PN-3B " "161327","DAVIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","10 patients","1 ","1","SCIP-VTE-1 " "161327","DAVIS COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161327","DAVIS COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161327","DAVIS COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161327","DAVIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","10 patients","1 ","1","SCIP-INF-1 " "161327","DAVIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161327","DAVIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","10 patients","1 ","1","SCIP-INF-2 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","11 patients","1 ","1","PN-5C " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","7 patients","1 ","1","PN-7 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","40%","10 patients","1,3 ","13","HF-2 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","6 patients","1 ","1","PN-6 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","12 patients","1 ","1","PN-2 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1 ","1","PN-3B " "161328","REGIONAL HEALTH SERVICES OF HOWARD COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","5 patients","1,3 ","13","HF-1 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1 ","1","PN-3B " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","10 patients","1,3 ","13","HF-2 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","30 patients",,,"PN-2 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","21 patients","1 ","1","PN-7 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","HF-3 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","65%","23 patients","1 ","1","PN-6 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161329","JACKSON COUNTY REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","27 patients",,,"PN-5C " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","14 patients","1 ","1","HF-2 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1 ","1","PN-6 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","12 patients","1 ","1","PN-2 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","9 patients","1 ","1","HF-1 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","8 patients","1 ","1","PN-5C " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "161330","AUDUBON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","17 patients","1 ","1","PN-5C " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","17 patients","1 ","1","PN-2 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1 ","1","PN-3B " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","10 patients","1 ","1","HF-1 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","57%","14 patients","1 ","1","HF-2 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1 ","1","PN-6 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "161331","MERCY MEDICAL CENTER-NEW HAMPTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","11 patients","1 ","1","PN-7 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1,3 ","13","AMI-7A " "161332","MANNING REGIONAL HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","15 patients","1 ","1","PN-2 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","6 patients","1 ","1","PN-6 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","7 patients","1,3 ","13","HF-2 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","2 patients","1,3 ","13","AMI-2 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","9 patients","1 ","1","PN-3B " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161332","MANNING REGIONAL HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","9 patients","1 ","1","PN-7 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1,3 ","13","AMI-5 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1 ","1","PN-5C " "161332","MANNING REGIONAL HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "161332","MANNING REGIONAL HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "161333","STORY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161333","STORY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161333","STORY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161333","STORY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161333","STORY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "161333","STORY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "161333","STORY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161333","STORY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","9 patients","1,3 ","13","PN-2 " "161333","STORY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161333","STORY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161333","STORY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161333","STORY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161333","STORY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161333","STORY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161333","STORY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","9 patients","1 ","1","PN-7 " "161333","STORY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161333","STORY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1,3 ","13","PN-4 " "161333","STORY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161333","STORY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "161333","STORY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161333","STORY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161333","STORY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,3 ","13","PN-3B " "161333","STORY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1,3 ","13","PN-6 " "161333","STORY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "161333","STORY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1,3 ","13","PN-5C " "161335","BUCHANAN COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","18 patients","1 ","1","PN-7 " "161335","BUCHANAN COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","13 patients","1 ","1","PN-6 " "161335","BUCHANAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","12 patients","1 ","1","HF-1 " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","13 patients","1 ","1","HF-2 " "161335","BUCHANAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161335","BUCHANAN COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","16 patients","1 ","1","PN-5C " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "161335","BUCHANAN COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "161335","BUCHANAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161335","BUCHANAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161335","BUCHANAN COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","23 patients","1 ","1","PN-2 " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161335","BUCHANAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161335","BUCHANAN COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","19 patients","1 ","1","PN-3B " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161335","BUCHANAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161335","BUCHANAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161335","BUCHANAN COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "161335","BUCHANAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161336","HEGG MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","10 patients","1 ","1","PN-7 " "161336","HEGG MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "161336","HEGG MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1 ","1","PN-6 " "161336","HEGG MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161336","HEGG MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","4 patients","1 ","1","HF-1 " "161336","HEGG MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","10 patients","1 ","1","HF-2 " "161336","HEGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161336","HEGG MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161336","HEGG MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1 ","1","PN-5C " "161336","HEGG MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "161336","HEGG MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161336","HEGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161336","HEGG MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161336","HEGG MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","18 patients","1 ","1","PN-2 " "161336","HEGG MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "161336","HEGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161336","HEGG MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161336","HEGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161336","HEGG MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161336","HEGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161336","HEGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161336","HEGG MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161336","HEGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161336","HEGG MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161336","HEGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161337","VAN BUREN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","26 patients",,,"PN-7 " "161337","VAN BUREN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","8 patients","1 ","1","PN-5C " "161337","VAN BUREN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","42 patients",,,"PN-2 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","9 patients","1 ","1","HF-1 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161337","VAN BUREN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161337","VAN BUREN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","31 patients",,,"HF-2 " "161337","VAN BUREN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","28 patients",,,"PN-3B " "161337","VAN BUREN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161337","VAN BUREN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161337","VAN BUREN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","PN-4 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161337","VAN BUREN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "161337","VAN BUREN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","20 patients","1 ","1","PN-6 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","7 patients","1 ","1","HF-3 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161337","VAN BUREN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161337","VAN BUREN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "161337","VAN BUREN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "161337","VAN BUREN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161337","VAN BUREN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","26 patients",,,"PN-2 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","22 patients","1 ","1","HF-2 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","7 patients","1 ","1","SCIP-INF-2 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","11 patients","1 ","1","PN-7 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","24 patients","1 ","1","PN-5C " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","19 patients","1 ","1","PN-3B " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","7 patients","1 ","1","SCIP-INF-1 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","19 patients","1 ","1","SCIP-INF-6 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","16 patients","1 ","1","SCIP-VTE-2 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","16 patients","1 ","1","SCIP-VTE-1 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","7 patients","1 ","1","SCIP-INF-3 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","13 patients","1 ","1","HF-1 " "161338","MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","11 patients","1 ","1","PN-6 " "161339","WAVERLY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","38 patients",,,"PN-7 " "161339","WAVERLY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","30 patients",,,"SCIP-INF-2 " "161339","WAVERLY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","37 patients",,,"SCIP-INF-6 " "161339","WAVERLY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161339","WAVERLY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","27 patients",,,"SCIP-INF-1 " "161339","WAVERLY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "161339","WAVERLY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "161339","WAVERLY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","14 patients","1 ","1","SCIP-VTE-2 " "161339","WAVERLY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161339","WAVERLY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "161339","WAVERLY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","52 patients",,,"PN-5C " "161339","WAVERLY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","14 patients","1 ","1","SCIP-VTE-1 " "161339","WAVERLY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161339","WAVERLY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "161339","WAVERLY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","37 patients",,,"PN-6 " "161339","WAVERLY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","26 patients",,,"SCIP-INF-3 " "161339","WAVERLY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","47 patients",,,"PN-3B " "161339","WAVERLY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","16 patients","1 ","1","HF-1 " "161339","WAVERLY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161339","WAVERLY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","53 patients",,,"PN-2 " "161339","WAVERLY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","25 patients",,,"HF-2 " "161339","WAVERLY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "161339","WAVERLY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "161339","WAVERLY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "161339","WAVERLY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "161340","DECATUR COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161340","DECATUR COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161340","DECATUR COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161340","DECATUR COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161340","DECATUR COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161340","DECATUR COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","3 patients","1 ","1","PN-7 " "161340","DECATUR COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161340","DECATUR COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161340","DECATUR COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161340","DECATUR COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","4 patients","1 ","1","PN-4 " "161340","DECATUR COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","8 patients","1,2 ","12","HF-1 " "161340","DECATUR COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","7 patients","1 ","1","PN-5C " "161340","DECATUR COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","40%","10 patients","1,2 ","12","HF-2 " "161340","DECATUR COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161340","DECATUR COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161340","DECATUR COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","9 patients","1 ","1","PN-2 " "161340","DECATUR COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "161340","DECATUR COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161340","DECATUR COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161340","DECATUR COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161340","DECATUR COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161340","DECATUR COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","HF-3 " "161340","DECATUR COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161340","DECATUR COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "161340","DECATUR COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","33%","3 patients","1 ","1","PN-6 " "161341","LUCAS COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","16 patients","1 ","1","SCIP-INF-2 " "161341","LUCAS COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "161341","LUCAS COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","53%","30 patients",,,"PN-2 " "161341","LUCAS COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161341","LUCAS COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","HF-4 " "161341","LUCAS COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","13 patients","1 ","1","PN-3B " "161341","LUCAS COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161341","LUCAS COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161341","LUCAS COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161341","LUCAS COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","18 patients","1 ","1","PN-7 " "161341","LUCAS COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","5 patients","1 ","1","PN-4 " "161341","LUCAS COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161341","LUCAS COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","22 patients","1 ","1","SCIP-INF-6 " "161341","LUCAS COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","3 patients","1 ","1","SCIP-CARD-2 " "161341","LUCAS COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","16 patients","1 ","1","SCIP-INF-1 " "161341","LUCAS COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161341","LUCAS COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","13 patients","1 ","1","HF-2 " "161341","LUCAS COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","12 patients","1 ","1","SCIP-VTE-2 " "161341","LUCAS COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","38%","13 patients","1 ","1","SCIP-INF-3 " "161341","LUCAS COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161341","LUCAS COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients",,,"PN-5C " "161341","LUCAS COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","20 patients","1 ","1","PN-6 " "161341","LUCAS COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","12 patients","1 ","1","SCIP-VTE-1 " "161341","LUCAS COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161341","LUCAS COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","10 patients","1 ","1","HF-1 " "161342","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","67%","3 patients","1,3 ","13","SCIP-INF-6 " "161342","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","2 patients","1,3 ","13","SCIP-INF-3 " "161342","MONROE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","4 patients","1,3 ","13","HF-3 " "161342","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","3 patients","1,3 ","13","SCIP-VTE-1 " "161342","MONROE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161342","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","3 patients","1,3 ","13","SCIP-VTE-2 " "161342","MONROE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161342","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161342","MONROE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161342","MONROE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","PN-4 " "161342","MONROE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "161342","MONROE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","8 patients","1 ","1","PN-6 " "161342","MONROE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","16 patients","1 ","1","PN-3B " "161342","MONROE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1,3 ","13","HF-1 " "161342","MONROE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","32 patients",,,"PN-2 " "161342","MONROE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161342","MONROE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","18 patients","1 ","1","PN-7 " "161342","MONROE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161342","MONROE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161342","MONROE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","56%","9 patients","1,3 ","13","HF-2 " "161342","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "161342","MONROE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","18 patients","1 ","1","PN-5C " "161342","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161342","MONROE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161342","MONROE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-2 " "161343","REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161343","REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161343","REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","31 patients","2 ","2","PN-3B " "161343","REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161343","REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161343","REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161343","REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161343","REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161343","REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","PN-4 " "161343","REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161343","REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161343","REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161343","REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161343","REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","38 patients","2 ","2","PN-5C " "161343","REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","35 patients","2 ","2","PN-6 " "161343","REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","21 patients","1 ","1","HF-2 " "161343","REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","22 patients","1 ","1","PN-7 " "161343","REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161343","REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","35 patients","2 ","2","PN-2 " "161343","REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161343","REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161343","REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "161343","REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161343","REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","16 patients","1 ","1","HF-1 " "161343","REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","6 patients","1 ","1","HF-4 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,2,3 ","123","AMI-5 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,2,3 ","123","AMI-2 " "161344","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","10 patients","1 ","1","SCIP-VTE-1 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,2,3 ","123","AMI-1 " "161344","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","56%","18 patients","1 ","1","SCIP-INF-1 " "161344","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","17 patients","1 ","1","SCIP-INF-3 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","38%","8 patients","1 ","1","HF-3 " "161344","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","22 patients","1,2 ","12","PN-6 " "161344","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","39 patients",,,"HF-2 " "161344","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients",,,"SCIP-INF-6 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","AMI-4 " "161344","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1,2 ","12","PN-3B " "161344","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","11%","9 patients","1,2 ","12","PN-4 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "161344","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","49%","43 patients","2 ","2","PN-2 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "161344","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161344","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","9 patients","1 ","1","SCIP-VTE-2 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","17 patients","1 ","1","HF-1 " "161344","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "161344","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","17 patients","1 ","1","SCIP-INF-2 " "161344","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","48%","25 patients",,,"PN-7 " "161344","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","40 patients","2 ","2","PN-5C " "161345","OSCEOLA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1,3 ","13","PN-2 " "161345","OSCEOLA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161345","OSCEOLA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","9 patients","1,3 ","13","PN-5C " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","8 patients","1,3 ","13","HF-2 " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "161345","OSCEOLA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","7 patients","1,3 ","13","SCIP-VTE-2 " "161345","OSCEOLA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1,3 ","13","SCIP-INF-3 " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","7 patients","1,3 ","13","HF-1 " "161345","OSCEOLA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","7 patients","1,3 ","13","SCIP-VTE-1 " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161345","OSCEOLA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-2 " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161345","OSCEOLA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-1 " "161345","OSCEOLA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "161345","OSCEOLA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161345","OSCEOLA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","8 patients","1,3 ","13","SCIP-INF-6 " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161345","OSCEOLA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1,3 ","13","PN-6 " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161345","OSCEOLA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "161345","OSCEOLA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1 ","1","PN-7 " "161345","OSCEOLA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1,3 ","13","HF-1 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1 ","1","SCIP-INF-3 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","4 patients","1,3 ","13","HF-2 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","25 patients",,,"PN-5C " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","8 patients","1 ","1","SCIP-INF-6 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","17 patients","1 ","1","PN-7 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","20 patients","1 ","1","PN-6 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","17 patients","1 ","1","PN-3B " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","33 patients",,,"PN-2 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-2 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-1 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","7 patients","1 ","1","SCIP-VTE-1 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","7 patients","1 ","1","SCIP-VTE-2 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "161346","SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1 ","1","PN-5C " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1 ","1","PN-3B " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","6 patients","1,3 ","13","HF-1 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","18 patients","1 ","1","PN-2 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","8 patients","1,3 ","13","HF-2 " "161348","CLARKE COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","PN-4 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","42 patients",,,"PN-2 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","31 patients",,,"HF-2 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1 ","1","PN-3B " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1,3 ","13","SCIP-VTE-2 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1,3 ","13","SCIP-INF-1 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","28 patients",,,"PN-6 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1,3 ","13","SCIP-INF-2 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","18 patients","1 ","1","HF-1 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","46 patients",,,"PN-5C " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","5 patients","1,3 ","13","SCIP-INF-3 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,3 ","13","SCIP-VTE-1 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","27 patients",,,"PN-7 " "161350","STEWART MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161351","AVERA HOLY FAMILY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","HF-3 " "161351","AVERA HOLY FAMILY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","22 patients","1 ","1","PN-6 " "161351","AVERA HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,3 ","13","SCIP-VTE-2 " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","18 patients","1 ","1","HF-1 " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161351","AVERA HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,3 ","13","SCIP-VTE-1 " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161351","AVERA HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161351","AVERA HOLY FAMILY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","18 patients","1 ","1","PN-7 " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "161351","AVERA HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "161351","AVERA HOLY FAMILY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","21 patients","1 ","1","PN-3B " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","36 patients",,,"HF-2 " "161351","AVERA HOLY FAMILY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","31 patients",,,"PN-2 " "161351","AVERA HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "161351","AVERA HOLY FAMILY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","35 patients",,,"PN-5C " "161351","AVERA HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "161351","AVERA HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161351","AVERA HOLY FAMILY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161351","AVERA HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "161352","CLARINDA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161352","CLARINDA REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","39 patients",,,"PN-5C " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161352","CLARINDA REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","14%","7 patients","1 ","1","PN-4 " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1 ","1","HF-1 " "161352","CLARINDA REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","18 patients","1 ","1","PN-7 " "161352","CLARINDA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161352","CLARINDA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","7 patients","1 ","1","HF-2 " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161352","CLARINDA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161352","CLARINDA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161352","CLARINDA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161352","CLARINDA REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","37 patients",,,"PN-2 " "161352","CLARINDA REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","15 patients","1 ","1","PN-6 " "161352","CLARINDA REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","24 patients","1 ","1","PN-3B " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "161352","CLARINDA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161352","CLARINDA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "161352","CLARINDA REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161353","KOSSUTH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","11 patients","1 ","1","PN-7 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","16 patients","1 ","1","PN-2 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","20 patients","1 ","1","HF-2 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","12 patients","1 ","1","HF-1 " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161353","KOSSUTH REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161353","KOSSUTH REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1 ","1","PN-3B " "161353","KOSSUTH REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1,3 ","13","PN-5C " "161354","HORN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "161354","HORN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161354","HORN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161354","HORN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161354","HORN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161354","HORN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","22%","18 patients","1,2 ","12","HF-1 " "161354","HORN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "161354","HORN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161354","HORN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161354","HORN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161354","HORN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161354","HORN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161354","HORN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161354","HORN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161354","HORN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161354","HORN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2 ","12","HF-4 " "161354","HORN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "161354","HORN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","52%","23 patients","1,2 ","12","HF-2 " "161354","HORN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161354","HORN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "161354","HORN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "161354","HORN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161354","HORN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "161354","HORN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161354","HORN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","HF-3 " "161355","KNOXVILLE HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161355","KNOXVILLE HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","6 patients","1,3 ","13","SCIP-INF-2 " "161355","KNOXVILLE HOSPITAL & CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","62%","13 patients","1,3 ","13","PN-3B " "161355","KNOXVILLE HOSPITAL & CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","14 patients","1,3 ","13","PN-6 " "161355","KNOXVILLE HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-1 " "161355","KNOXVILLE HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161355","KNOXVILLE HOSPITAL & CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","19 patients","1,3 ","13","PN-2 " "161355","KNOXVILLE HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","5 patients","1,3 ","13","SCIP-INF-3 " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","24%","25 patients","3 ","3","HF-1 " "161355","KNOXVILLE HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","10 patients","1,3 ","13","SCIP-INF-6 " "161355","KNOXVILLE HOSPITAL & CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","17 patients","1,3 ","13","PN-5C " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,3 ","13","HF-4 " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","36 patients","3 ","3","HF-2 " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1,3 ","13","HF-3 " "161355","KNOXVILLE HOSPITAL & CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,3 ","13","PN-4 " "161355","KNOXVILLE HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,3 ","13","SCIP-CARD-2 " "161355","KNOXVILLE HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "161355","KNOXVILLE HOSPITAL & CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161355","KNOXVILLE HOSPITAL & CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","14 patients","1 ","1","PN-7 " "161356","HENRY COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161356","HENRY COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","20 patients","1 ","1","PN-3B " "161356","HENRY COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","30 patients",,,"PN-6 " "161356","HENRY COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161356","HENRY COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","40 patients",,,"SCIP-INF-6 " "161356","HENRY COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","22 patients","1 ","1","PN-7 " "161356","HENRY COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","19 patients","1 ","1","SCIP-INF-1 " "161356","HENRY COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "161356","HENRY COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","19 patients","1 ","1","SCIP-INF-3 " "161356","HENRY COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","8 patients","1 ","1","AMI-1 " "161356","HENRY COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "161356","HENRY COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161356","HENRY COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","15 patients","1 ","1","HF-1 " "161356","HENRY COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161356","HENRY COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","19 patients","1 ","1","SCIP-INF-2 " "161356","HENRY COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161356","HENRY COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","19 patients","1 ","1","PN-5C " "161356","HENRY COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "161356","HENRY COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "161356","HENRY COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161356","HENRY COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "161356","HENRY COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","27 patients",,,"HF-2 " "161356","HENRY COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161356","HENRY COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","40 patients",,,"PN-2 " "161356","HENRY COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "161357","PALO ALTO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161357","PALO ALTO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161357","PALO ALTO COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161357","PALO ALTO COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161357","PALO ALTO COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161357","PALO ALTO COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","21 patients","1 ","1","PN-3B " "161357","PALO ALTO COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","43 patients",,,"PN-5C " "161357","PALO ALTO COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "161357","PALO ALTO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161357","PALO ALTO COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","46 patients",,,"PN-2 " "161357","PALO ALTO COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161357","PALO ALTO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161357","PALO ALTO COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","34 patients",,,"PN-6 " "161357","PALO ALTO COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "161357","PALO ALTO COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "161357","PALO ALTO COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161357","PALO ALTO COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "161357","PALO ALTO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161357","PALO ALTO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161357","PALO ALTO COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","32 patients",,,"PN-7 " "161357","PALO ALTO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161357","PALO ALTO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161357","PALO ALTO COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "161357","PALO ALTO COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161357","PALO ALTO COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161358","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161358","WAYNE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","19 patients","1,2 ","12","PN-5C " "161358","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,3 ","13","SCIP-VTE-1 " "161358","WAYNE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,3 ","13","HF-3 " "161358","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "161358","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161358","WAYNE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","PN-4 " "161358","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","2 patients","1,3 ","13","SCIP-INF-6 " "161358","WAYNE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","7 patients","1,2 ","12","PN-3B " "161358","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161358","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161358","WAYNE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","15 patients","1,2 ","12","PN-6 " "161358","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161358","WAYNE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","17 patients","1,2 ","12","PN-2 " "161358","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161358","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161358","WAYNE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","13 patients","1,3 ","13","HF-1 " "161358","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "161358","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "161358","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161358","WAYNE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","9 patients","1 ","1","PN-7 " "161358","WAYNE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","13 patients","1,3 ","13","HF-2 " "161358","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "161358","WAYNE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "161358","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1,3 ","13","SCIP-VTE-2 " "161359","BURGESS HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "161359","BURGESS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161359","BURGESS HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161359","BURGESS HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","35 patients",,,"PN-3B " "161359","BURGESS HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161359","BURGESS HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161359","BURGESS HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161359","BURGESS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161359","BURGESS HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161359","BURGESS HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "161359","BURGESS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161359","BURGESS HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161359","BURGESS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161359","BURGESS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161359","BURGESS HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161359","BURGESS HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161359","BURGESS HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","63 patients",,,"PN-7 " "161359","BURGESS HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","38 patients",,,"PN-6 " "161359","BURGESS HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","58 patients",,,"PN-5C " "161359","BURGESS HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","PN-4 " "161359","BURGESS HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "161359","BURGESS HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","37 patients",,,"HF-2 " "161359","BURGESS HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","24 patients","1 ","1","HF-1 " "161359","BURGESS HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","85 patients",,,"PN-2 " "161359","BURGESS HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","40 patients",,,"PN-5C " "161360","ORANGE CITY AREA HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","37 patients",,,"SCIP-INF-6 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","33 patients",,,"PN-7 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","PN-4 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","42 patients",,,"PN-2 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","32 patients",,,"PN-6 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","18 patients","1 ","1","SCIP-VTE-2 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","18 patients","1 ","1","SCIP-VTE-1 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","72%","25 patients",,,"PN-3B " "161360","ORANGE CITY AREA HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","38 patients",,,"SCIP-INF-2 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","14 patients","1 ","1","HF-1 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161360","ORANGE CITY AREA HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","20 patients","1 ","1","HF-2 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","38 patients",,,"SCIP-INF-1 " "161360","ORANGE CITY AREA HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","38 patients",,,"SCIP-INF-3 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","79 patients",,,"PN-5C " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","24 patients","1 ","1","SCIP-INF-3 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","28 patients",,,"SCIP-INF-6 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","19 patients","1 ","1","SCIP-VTE-1 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","68 patients",,,"HF-2 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","24 patients","1 ","1","SCIP-INF-1 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","43 patients",,,"HF-1 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","19 patients","1 ","1","SCIP-VTE-2 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","54 patients",,,"PN-6 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","52 patients",,,"PN-7 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","24 patients","1 ","1","SCIP-INF-2 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","58 patients",,,"PN-2 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","35 patients",,,"PN-3B " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "161361","HAMILTON COUNTY PUBLIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","31 patients",,,"PN-7 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","49 patients",,,"PN-2 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1 ","1","PN-3B " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "161362","CHEROKEE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","20 patients","1 ","1","PN-6 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","16 patients","1 ","1","PN-4 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","47 patients",,,"HF-2 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","8 patients","1 ","1","SCIP-INF-3 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","20 patients","1 ","1","PN-6 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","28 patients",,,"HF-1 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","50 patients",,,"PN-2 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","36 patients",,,"PN-5C " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","23 patients","1 ","1","SCIP-INF-6 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","15 patients","1 ","1","SCIP-VTE-2 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","8 patients","1 ","1","SCIP-INF-1 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","17 patients","1 ","1","PN-3B " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","62%","8 patients","1 ","1","SCIP-INF-2 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","15 patients","1 ","1","SCIP-VTE-1 " "161363","MONTGOMERY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "161364","JEFFERSON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","21 patients","1 ","1","SCIP-VTE-1 " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "161364","JEFFERSON COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "161364","JEFFERSON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","22 patients","1 ","1","SCIP-INF-1 " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "161364","JEFFERSON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","22 patients","1 ","1","SCIP-INF-2 " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "161364","JEFFERSON COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","31 patients",,,"PN-2 " "161364","JEFFERSON COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","20 patients","1 ","1","PN-3B " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "161364","JEFFERSON COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","22 patients","1 ","1","PN-7 " "161364","JEFFERSON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161364","JEFFERSON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","21 patients","1 ","1","SCIP-VTE-2 " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "161364","JEFFERSON COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","19 patients","1 ","1","PN-6 " "161364","JEFFERSON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161364","JEFFERSON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1 ","1","SCIP-INF-6 " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "161364","JEFFERSON COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","18 patients","1 ","1","PN-5C " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "161364","JEFFERSON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "161364","JEFFERSON COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "161365","GREATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","25 patients",,,"SCIP-INF-3 " "161365","GREATER COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","9 patients","1 ","1","PN-3B " "161365","GREATER COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","34 patients",,,"HF-2 " "161365","GREATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","25 patients",,,"SCIP-INF-1 " "161365","GREATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","30 patients",,,"SCIP-VTE-2 " "161365","GREATER COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","21 patients","1 ","1","PN-7 " "161365","GREATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161365","GREATER COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "161365","GREATER COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","23 patients","1 ","1","HF-1 " "161365","GREATER COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","35 patients",,,"PN-5C " "161365","GREATER COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","17 patients","1 ","1","AMI-1 " "161365","GREATER COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161365","GREATER COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "161365","GREATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","48 patients",,,"SCIP-INF-6 " "161365","GREATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161365","GREATER COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "161365","GREATER COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","HF-3 " "161365","GREATER COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "161365","GREATER COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "161365","GREATER COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","26 patients",,,"PN-2 " "161365","GREATER COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","33 patients",,,"PN-6 " "161365","GREATER COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "161365","GREATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","32 patients",,,"SCIP-VTE-1 " "161365","GREATER COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "161365","GREATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","25 patients",,,"SCIP-INF-2 " "161366","SHENANDOAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161366","SHENANDOAH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","22 patients","1 ","1","PN-6 " "161366","SHENANDOAH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","PN-4 " "161366","SHENANDOAH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "161366","SHENANDOAH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161366","SHENANDOAH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","49 patients",,,"PN-5C " "161366","SHENANDOAH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161366","SHENANDOAH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","12 patients","1 ","1","HF-1 " "161366","SHENANDOAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "161366","SHENANDOAH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "161366","SHENANDOAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","10 patients","1 ","1","SCIP-INF-3 " "161366","SHENANDOAH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "161366","SHENANDOAH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","50 patients",,,"PN-2 " "161366","SHENANDOAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-2 " "161366","SHENANDOAH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","20 patients","1 ","1","HF-2 " "161366","SHENANDOAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1 ","1","SCIP-VTE-2 " "161366","SHENANDOAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "161366","SHENANDOAH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","31 patients",,,"PN-7 " "161366","SHENANDOAH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161366","SHENANDOAH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161366","SHENANDOAH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","18 patients","1 ","1","PN-3B " "161366","SHENANDOAH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161366","SHENANDOAH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161366","SHENANDOAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1 ","1","SCIP-VTE-1 " "161366","SHENANDOAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","64%","11 patients","1 ","1","SCIP-INF-1 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "161367","PELLA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","64 patients",,,"SCIP-INF-3 " "161367","PELLA REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","43 patients",,,"PN-6 " "161367","PELLA REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","22 patients","1 ","1","PN-7 " "161367","PELLA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","11 patients","1 ","1","SCIP-CARD-2 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161367","PELLA REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","46 patients",,,"PN-5C " "161367","PELLA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","96 patients",,,"SCIP-INF-6 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","29 patients",,,"HF-1 " "161367","PELLA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "161367","PELLA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","45 patients",,,"SCIP-VTE-2 " "161367","PELLA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","65 patients",,,"SCIP-INF-2 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161367","PELLA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","45 patients",,,"SCIP-VTE-1 " "161367","PELLA REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","40 patients",,,"PN-3B " "161367","PELLA REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "161367","PELLA REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","41 patients",,,"PN-2 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","AMI-3 " "161367","PELLA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","64 patients",,,"SCIP-INF-1 " "161367","PELLA REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","46 patients",,,"HF-2 " "161367","PELLA REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","PN-4 " "161368","FLOYD VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","24 patients","1 ","1","PN-3B " "161368","FLOYD VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "161368","FLOYD VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161368","FLOYD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","40 patients",,,"SCIP-INF-2 " "161368","FLOYD VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","37 patients",,,"PN-5C " "161368","FLOYD VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","23 patients","1 ","1","PN-6 " "161368","FLOYD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","57 patients",,,"SCIP-INF-6 " "161368","FLOYD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","39 patients",,,"SCIP-INF-1 " "161368","FLOYD VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "161368","FLOYD VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "161368","FLOYD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","34 patients",,,"SCIP-VTE-2 " "161368","FLOYD VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161368","FLOYD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161368","FLOYD VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "161368","FLOYD VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "161368","FLOYD VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "161368","FLOYD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","34 patients",,,"SCIP-VTE-1 " "161368","FLOYD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161368","FLOYD VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","33 patients",,,"PN-2 " "161368","FLOYD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","38 patients",,,"SCIP-INF-3 " "161368","FLOYD VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "161368","FLOYD VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","28 patients",,,"HF-2 " "161368","FLOYD VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","18 patients","1 ","1","HF-1 " "161368","FLOYD VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","23 patients","1 ","1","PN-7 " "161368","FLOYD VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","17 patients","1,3 ","13","PN-3B " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","PN-4 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","23 patients","1,3 ","13","PN-2 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","20 patients","1,3 ","13","HF-1 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","57%","28 patients","3 ","3","HF-2 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","28 patients","3 ","3","PN-5C " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","16 patients","1,3 ","13","PN-6 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1,3 ","13","HF-3 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","18 patients","1 ","1","PN-7 " "161369","CRAWFORD COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161371","WINNESHIEK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161371","WINNESHIEK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161371","WINNESHIEK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "161371","WINNESHIEK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "161371","WINNESHIEK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,3 ","13","PN-4 " "161371","WINNESHIEK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","62 patients","3 ","3","PN-3B " "161371","WINNESHIEK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161371","WINNESHIEK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161371","WINNESHIEK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161371","WINNESHIEK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161371","WINNESHIEK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161371","WINNESHIEK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients","3 ","3","PN-5C " "161371","WINNESHIEK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "161371","WINNESHIEK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161371","WINNESHIEK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161371","WINNESHIEK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "161371","WINNESHIEK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "161371","WINNESHIEK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161371","WINNESHIEK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","33 patients","3 ","3","PN-6 " "161371","WINNESHIEK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161371","WINNESHIEK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,3 ","13","HF-3 " "161371","WINNESHIEK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","55 patients","3 ","3","PN-2 " "161371","WINNESHIEK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","16 patients","1,3 ","13","HF-1 " "161371","WINNESHIEK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","22 patients","1,3 ","13","HF-2 " "161371","WINNESHIEK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","43 patients",,,"PN-7 " "161372","BOONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","38 patients",,,"SCIP-INF-3 " "161372","BOONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","29 patients",,,"SCIP-VTE-1 " "161372","BOONE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "161372","BOONE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161372","BOONE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","19 patients","1 ","1","HF-1 " "161372","BOONE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","46 patients",,,"PN-7 " "161372","BOONE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1 ","1","PN-4 " "161372","BOONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","42 patients",,,"SCIP-INF-2 " "161372","BOONE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","42 patients",,,"PN-3B " "161372","BOONE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","53 patients",,,"PN-6 " "161372","BOONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","59 patients",,,"SCIP-INF-6 " "161372","BOONE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "161372","BOONE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","76 patients",,,"PN-5C " "161372","BOONE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "161372","BOONE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","HF-4 " "161372","BOONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","29 patients",,,"SCIP-VTE-2 " "161372","BOONE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","38 patients",,,"HF-2 " "161372","BOONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","42 patients",,,"SCIP-INF-1 " "161372","BOONE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "161372","BOONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,3 ","13","SCIP-CARD-2 " "161372","BOONE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "161372","BOONE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "161372","BOONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161372","BOONE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","73 patients",,,"PN-2 " "161372","BOONE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","13 patients","1 ","1","HF-2 " "161373","RINGGOLD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "161373","RINGGOLD COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1 ","1","PN-3B " "161373","RINGGOLD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161373","RINGGOLD COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1 ","1","PN-5C " "161373","RINGGOLD COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161373","RINGGOLD COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","11 patients","1 ","1","PN-2 " "161373","RINGGOLD COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","56%","9 patients","1 ","1","PN-6 " "161373","RINGGOLD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161373","RINGGOLD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161373","RINGGOLD COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "161373","RINGGOLD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161373","RINGGOLD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161373","RINGGOLD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161373","RINGGOLD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161373","RINGGOLD COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1 ","1","PN-7 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","10 patients","1 ","1","HF-1 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161373","RINGGOLD COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161374","MYRTUE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "161374","MYRTUE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161374","MYRTUE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161374","MYRTUE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161374","MYRTUE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161374","MYRTUE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161374","MYRTUE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","48 patients",,,"PN-7 " "161374","MYRTUE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","66 patients",,,"PN-2 " "161374","MYRTUE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161374","MYRTUE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "161374","MYRTUE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "161374","MYRTUE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","61 patients",,,"PN-5C " "161374","MYRTUE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "161374","MYRTUE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","47 patients",,,"PN-6 " "161374","MYRTUE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "161374","MYRTUE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","52 patients",,,"PN-3B " "161374","MYRTUE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","15 patients","1 ","1","HF-1 " "161374","MYRTUE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","37 patients",,,"HF-2 " "161374","MYRTUE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "161374","MYRTUE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-1 " "161374","MYRTUE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "161374","MYRTUE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","1 patients","1,3 ","13","SCIP-INF-3 " "161374","MYRTUE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "161374","MYRTUE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "161374","MYRTUE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","40 patients",,,"PN-3B " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","77%","43 patients","2 ","2","SCIP-INF-2 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","19 patients","1 ","1","HF-1 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients",,,"PN-6 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","43 patients","2 ","2","SCIP-INF-3 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","47 patients",,,"PN-2 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","30 patients",,,"PN-7 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","PN-4 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","35 patients",,,"HF-2 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","60 patients","2 ","2","SCIP-INF-6 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","44 patients","2 ","2","SCIP-INF-1 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","26 patients","2 ","2","SCIP-VTE-1 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","25 patients","2 ","2","SCIP-VTE-2 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "161375","BUENA VISTA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","48 patients",,,"PN-5C " "161376","CASS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","37 patients",,,"PN-7 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","11 patients","1 ","1","SCIP-INF-2 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-1 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","49 patients",,,"PN-5C " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","20 patients","1 ","1","HF-1 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","8 patients","1 ","1","SCIP-VTE-2 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","11 patients","1 ","1","SCIP-INF-3 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","32 patients",,,"PN-6 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161376","CASS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","18 patients","1 ","1","PN-3B " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","55 patients",,,"HF-2 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","17 patients","1 ","1","SCIP-INF-6 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,3 ","13","AMI-1 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","8 patients","1 ","1","SCIP-VTE-1 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","51 patients",,,"PN-2 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "161376","CASS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","34 patients",,,"PN-6 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","33 patients",,,"HF-2 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","33 patients",,,"SCIP-INF-1 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","32 patients",,,"SCIP-INF-3 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","46 patients",,,"PN-5C " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1 ","1","AMI-1 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","23 patients","1 ","1","HF-1 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","18 patients","1 ","1","SCIP-VTE-1 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","33 patients",,,"PN-3B " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","33 patients",,,"SCIP-INF-2 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","25 patients",,,"PN-7 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","13 patients","1 ","1","PN-4 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","41 patients",,,"SCIP-INF-6 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","18 patients","1 ","1","SCIP-VTE-2 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","50 patients",,,"PN-2 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "161377","MERCY MEDICAL CENTER-CENTERVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","6 patients","1,3 ","13","PN-2 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1,3 ","13","PN-7 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,3 ","13","PN-6 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "161378","MERCY MEDICAL CENTER-DYERSVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161379","MAHASKA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1 ","1","SCIP-CARD-2 " "161379","MAHASKA COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","53 patients",,,"PN-3B " "161379","MAHASKA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","63 patients",,,"SCIP-INF-6 " "161379","MAHASKA COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "161379","MAHASKA COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","17 patients","1 ","1","PN-4 " "161379","MAHASKA COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","62 patients",,,"PN-2 " "161379","MAHASKA COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","50 patients",,,"PN-6 " "161379","MAHASKA COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "161379","MAHASKA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","25 patients",,,"SCIP-VTE-1 " "161379","MAHASKA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","35 patients",,,"SCIP-INF-1 " "161379","MAHASKA COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "161379","MAHASKA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","35 patients",,,"SCIP-INF-2 " "161379","MAHASKA COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","61%","18 patients","1 ","1","HF-3 " "161379","MAHASKA COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","65 patients",,,"HF-2 " "161379","MAHASKA COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "161379","MAHASKA COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "161379","MAHASKA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","25 patients",,,"SCIP-VTE-2 " "161379","MAHASKA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","34 patients",,,"SCIP-INF-3 " "161379","MAHASKA COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "161379","MAHASKA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "161379","MAHASKA COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","36 patients",,,"HF-1 " "161379","MAHASKA COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "161379","MAHASKA COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "161379","MAHASKA COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","48 patients",,,"PN-5C " "161379","MAHASKA COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","33 patients",,,"PN-7 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","18 patients","1 ","1","PN-6 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","39%","18 patients","1 ","1","HF-2 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","10 patients","1 ","1","HF-1 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","49 patients",,,"PN-2 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","37 patients",,,"PN-5C " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","28 patients",,,"PN-7 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","14 patients","1 ","1","PN-3B " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "161380","ELLSWORTH MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "161381","SANFORD SHELDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "161381","SANFORD SHELDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "161381","SANFORD SHELDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","22 patients","1 ","1","HF-1 " "161381","SANFORD SHELDON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","26 patients",,,"PN-6 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","32 patients",,,"HF-2 " "161381","SANFORD SHELDON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","20 patients","1 ","1","PN-3B " "161381","SANFORD SHELDON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","18 patients","1 ","1","PN-7 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "161381","SANFORD SHELDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "161381","SANFORD SHELDON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "161381","SANFORD SHELDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "161381","SANFORD SHELDON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","40 patients",,,"PN-5C " "161381","SANFORD SHELDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "161381","SANFORD SHELDON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","40 patients",,,"PN-2 " "161381","SANFORD SHELDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "161381","SANFORD SHELDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "161381","SANFORD SHELDON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170001","NEWMAN REGIONAL HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "170001","NEWMAN REGIONAL HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","52%","25 patients",,,"SCIP-CARD-2 " "170001","NEWMAN REGIONAL HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","30 patients",,,"HF-3 " "170001","NEWMAN REGIONAL HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "170001","NEWMAN REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170001","NEWMAN REGIONAL HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "170001","NEWMAN REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","219 patients",,,"SCIP-INF-6 " "170001","NEWMAN REGIONAL HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","57 patients",,,"PN-3B " "170001","NEWMAN REGIONAL HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170001","NEWMAN REGIONAL HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","59%","117 patients",,,"SCIP-VTE-2 " "170001","NEWMAN REGIONAL HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "170001","NEWMAN REGIONAL HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","79 patients",,,"PN-5C " "170001","NEWMAN REGIONAL HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "170001","NEWMAN REGIONAL HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","75 patients",,,"PN-2 " "170001","NEWMAN REGIONAL HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","56 patients",,,"PN-7 " "170001","NEWMAN REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","156 patients",,,"SCIP-INF-1 " "170001","NEWMAN REGIONAL HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "170001","NEWMAN REGIONAL HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170001","NEWMAN REGIONAL HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","64 patients",,,"HF-1 " "170001","NEWMAN REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","154 patients",,,"SCIP-INF-2 " "170001","NEWMAN REGIONAL HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","68 patients",,,"PN-6 " "170001","NEWMAN REGIONAL HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","117 patients",,,"SCIP-VTE-1 " "170001","NEWMAN REGIONAL HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","149 patients",,,"SCIP-INF-3 " "170001","NEWMAN REGIONAL HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","88 patients",,,"HF-2 " "170001","NEWMAN REGIONAL HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","133 patients",,,"PN-5C " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","258 patients",,,"SCIP-INF-6 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","129 patients",,,"SCIP-VTE-2 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","158 patients",,,"SCIP-INF-1 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","70 patients",,,"HF-1 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","141 patients",,,"SCIP-INF-3 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","158 patients",,,"SCIP-INF-2 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","37 patients",,,"HF-3 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","AMI-3 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","83%","6 patients","1 ","1","AMI-7A " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","37 patients",,,"SCIP-CARD-2 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","53 patients",,,"AMI-2 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","128 patients",,,"PN-2 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","65 patients",,,"AMI-1 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","119 patients",,,"PN-3B " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","8 patients","1 ","1","AMI-8A " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","132 patients",,,"SCIP-VTE-1 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","76 patients",,,"PN-6 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","89 patients",,,"PN-7 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","100 patients",,,"HF-2 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","52 patients",,,"AMI-5 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170006","MT CARMEL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "170009","SAINT JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170009","SAINT JOHN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "170009","SAINT JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","26 patients",,,"SCIP-INF-1 " "170009","SAINT JOHN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "170009","SAINT JOHN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","69 patients",,,"PN-3B " "170009","SAINT JOHN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","37 patients",,,"SCIP-VTE-2 " "170009","SAINT JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","26 patients",,,"SCIP-INF-3 " "170009","SAINT JOHN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "170009","SAINT JOHN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","41 patients",,,"PN-2 " "170009","SAINT JOHN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170009","SAINT JOHN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","38 patients",,,"HF-1 " "170009","SAINT JOHN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","50 patients",,,"HF-2 " "170009","SAINT JOHN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "170009","SAINT JOHN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "170009","SAINT JOHN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "170009","SAINT JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","66 patients",,,"SCIP-INF-6 " "170009","SAINT JOHN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "170009","SAINT JOHN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","37 patients",,,"SCIP-VTE-1 " "170009","SAINT JOHN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170009","SAINT JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","26 patients",,,"SCIP-INF-2 " "170009","SAINT JOHN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170009","SAINT JOHN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","36 patients",,,"PN-7 " "170009","SAINT JOHN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","52 patients",,,"PN-6 " "170009","SAINT JOHN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients",,,"HF-3 " "170009","SAINT JOHN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","46 patients",,,"PN-5C " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","46 patients",,,"HF-2 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","62 patients","2 ","2","SCIP-INF-2 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1,2 ","12","PN-4 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","14 patients","1,2 ","12","PN-6 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","31 patients","2 ","2","PN-7 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","25 patients","2 ","2","PN-3B " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","31 patients",,,"HF-1 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","80 patients","2 ","2","SCIP-INF-6 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","63 patients","2 ","2","SCIP-INF-1 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","60 patients","2 ","2","SCIP-INF-3 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","38 patients","2 ","2","PN-2 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1 ","1","AMI-1 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1,2 ","12","SCIP-CARD-2 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","50 patients","2 ","2","SCIP-VTE-2 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","24 patients","1,2 ","12","PN-5C " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "170010","MERCY HOSPITAL OF KANSAS INDEPENDENCE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","50 patients","2 ","2","SCIP-VTE-1 " "170012","SALINA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","350 patients","2 ","2","SCIP-VTE-2 " "170012","SALINA REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","108 patients",,,"AMI-1 " "170012","SALINA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","523 patients","2 ","2","SCIP-INF-1 " "170012","SALINA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","353 patients","2 ","2","SCIP-VTE-1 " "170012","SALINA REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","159 patients",,,"PN-5C " "170012","SALINA REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","HF-3 " "170012","SALINA REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","15 patients","1 ","1","AMI-7A " "170012","SALINA REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","119 patients",,,"PN-3B " "170012","SALINA REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","25 patients",,,"AMI-3 " "170012","SALINA REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","61 patients",,,"AMI-4 " "170012","SALINA REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","78 patients",,,"PN-4 " "170012","SALINA REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","15 patients","1 ","1","HF-4 " "170012","SALINA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","501 patients","2 ","2","SCIP-INF-3 " "170012","SALINA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","522 patients","2 ","2","SCIP-INF-2 " "170012","SALINA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","154 patients",,,"SCIP-CARD-2 " "170012","SALINA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","117 patients","2 ","2","SCIP-INF-4 " "170012","SALINA REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","36%","11 patients","1 ","1","AMI-8A " "170012","SALINA REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","89 patients",,,"HF-2 " "170012","SALINA REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","153 patients",,,"AMI-2 " "170012","SALINA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","829 patients","2 ","2","SCIP-INF-6 " "170012","SALINA REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","97 patients",,,"PN-6 " "170012","SALINA REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","132 patients",,,"PN-7 " "170012","SALINA REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","169 patients",,,"PN-2 " "170012","SALINA REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","63 patients",,,"HF-1 " "170012","SALINA REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","153 patients",,,"AMI-5 " "170013","HAYS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","150 patients","2 ","2","PN-2 " "170013","HAYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","73 patients","2 ","2","SCIP-CARD-2 " "170013","HAYS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","117 patients",,,"HF-1 " "170013","HAYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","239 patients","2 ","2","SCIP-VTE-2 " "170013","HAYS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","62 patients","2 ","2","PN-3B " "170013","HAYS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","56 patients","2 ","2","PN-6 " "170013","HAYS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","65 patients",,,"AMI-1 " "170013","HAYS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","PN-4 " "170013","HAYS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"AMI-4 " "170013","HAYS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "170013","HAYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","376 patients","2 ","2","SCIP-INF-2 " "170013","HAYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","239 patients","2 ","2","SCIP-VTE-1 " "170013","HAYS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","151 patients",,,"HF-2 " "170013","HAYS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170013","HAYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","554 patients","2 ","2","SCIP-INF-6 " "170013","HAYS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","198 patients",,,"AMI-2 " "170013","HAYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","96 patients","2 ","2","SCIP-INF-4 " "170013","HAYS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","201 patients",,,"AMI-5 " "170013","HAYS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","95 patients","2 ","2","PN-7 " "170013","HAYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","345 patients","2 ","2","SCIP-INF-3 " "170013","HAYS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","72 patients","2 ","2","PN-5C " "170013","HAYS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","7 patients","1 ","1","AMI-8A " "170013","HAYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","370 patients","2 ","2","SCIP-INF-1 " "170013","HAYS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","42 patients",,,"AMI-3 " "170013","HAYS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","63 patients",,,"HF-3 " "170014","RANSOM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","58 patients",,,"SCIP-VTE-1 " "170014","RANSOM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","11 patients","1 ","1","SCIP-CARD-2 " "170014","RANSOM MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","33 patients",,,"HF-2 " "170014","RANSOM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","91 patients",,,"SCIP-INF-2 " "170014","RANSOM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","92 patients",,,"SCIP-INF-1 " "170014","RANSOM MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "170014","RANSOM MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "170014","RANSOM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","58 patients",,,"SCIP-VTE-2 " "170014","RANSOM MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","60 patients",,,"PN-3B " "170014","RANSOM MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "170014","RANSOM MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","80 patients",,,"PN-5C " "170014","RANSOM MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","80 patients",,,"PN-2 " "170014","RANSOM MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170014","RANSOM MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","56 patients",,,"PN-6 " "170014","RANSOM MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170014","RANSOM MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "170014","RANSOM MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","51 patients",,,"PN-7 " "170014","RANSOM MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "170014","RANSOM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170014","RANSOM MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "170014","RANSOM MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "170014","RANSOM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","122 patients",,,"SCIP-INF-6 " "170014","RANSOM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","89 patients",,,"SCIP-INF-3 " "170014","RANSOM MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","20 patients","1 ","1","HF-1 " "170014","RANSOM MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1 ","1","AMI-1 " "170016","ST FRANCIS HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","270 patients",,,"PN-2 " "170016","ST FRANCIS HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","40 patients",,,"AMI-8A " "170016","ST FRANCIS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1093 patients","2 ","2","SCIP-INF-6 " "170016","ST FRANCIS HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170016","ST FRANCIS HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","46 patients",,,"HF-4 " "170016","ST FRANCIS HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","166 patients",,,"AMI-1 " "170016","ST FRANCIS HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","187 patients",,,"PN-6 " "170016","ST FRANCIS HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","224 patients",,,"HF-2 " "170016","ST FRANCIS HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","143 patients",,,"PN-3B " "170016","ST FRANCIS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","864 patients","2 ","2","SCIP-INF-2 " "170016","ST FRANCIS HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","199 patients",,,"PN-7 " "170016","ST FRANCIS HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","275 patients",,,"PN-5C " "170016","ST FRANCIS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","847 patients","2 ","2","SCIP-INF-1 " "170016","ST FRANCIS HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","224 patients",,,"AMI-2 " "170016","ST FRANCIS HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","171 patients",,,"HF-1 " "170016","ST FRANCIS HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","75 patients",,,"HF-3 " "170016","ST FRANCIS HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","103 patients",,,"PN-4 " "170016","ST FRANCIS HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","45 patients",,,"AMI-3 " "170016","ST FRANCIS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","105 patients","2 ","2","SCIP-INF-4 " "170016","ST FRANCIS HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","359 patients","2 ","2","SCIP-VTE-2 " "170016","ST FRANCIS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","815 patients","2 ","2","SCIP-INF-3 " "170016","ST FRANCIS HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"AMI-4 " "170016","ST FRANCIS HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","214 patients",,,"AMI-5 " "170016","ST FRANCIS HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","158 patients","2 ","2","SCIP-CARD-2 " "170016","ST FRANCIS HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","359 patients","2 ","2","SCIP-VTE-1 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","70 patients",,,"SCIP-VTE-2 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","70 patients",,,"SCIP-VTE-1 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","103 patients",,,"SCIP-INF-2 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","37 patients",,,"PN-3B " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","46 patients",,,"PN-6 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","96 patients",,,"SCIP-INF-3 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","51 patients",,,"HF-1 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","74 patients",,,"HF-2 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","53 patients",,,"PN-2 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","39 patients",,,"PN-7 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","14 patients","1 ","1","HF-3 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","149 patients",,,"SCIP-INF-6 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","62 patients",,,"PN-5C " "170017","SUSAN B ALLEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","101 patients",,,"SCIP-INF-1 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","189 patients",,,"PN-5C " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","613 patients",,,"SCIP-INF-1 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","595 patients",,,"SCIP-INF-3 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","58 patients",,,"HF-3 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","273 patients",,,"SCIP-VTE-1 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","30 patients",,,"AMI-8A " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","175 patients",,,"HF-2 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","130 patients",,,"SCIP-CARD-2 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"PN-4 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","270 patients",,,"SCIP-VTE-2 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","152 patients",,,"PN-7 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","78%","143 patients",,,"SCIP-INF-4 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","123 patients",,,"PN-6 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","224 patients",,,"PN-2 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","130 patients",,,"PN-3B " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","136 patients",,,"AMI-5 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","121 patients",,,"HF-1 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","134 patients",,,"AMI-1 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"AMI-4 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"AMI-3 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","871 patients",,,"SCIP-INF-6 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","615 patients",,,"SCIP-INF-2 " "170020","PROMISE REGIONAL MEDICAL CENTER HUTCHINSON INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","171 patients",,,"AMI-2 " "170023","ST CATHERINE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","47 patients",,,"PN-6 " "170023","ST CATHERINE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","27 patients",,,"HF-2 " "170023","ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","203 patients",,,"SCIP-INF-1 " "170023","ST CATHERINE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "170023","ST CATHERINE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","23 patients","1 ","1","HF-1 " "170023","ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","203 patients",,,"SCIP-INF-3 " "170023","ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170023","ST CATHERINE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","60 patients",,,"PN-3B " "170023","ST CATHERINE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "170023","ST CATHERINE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "170023","ST CATHERINE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170023","ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","206 patients",,,"SCIP-INF-2 " "170023","ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","306 patients",,,"SCIP-INF-6 " "170023","ST CATHERINE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "170023","ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","167 patients",,,"SCIP-VTE-1 " "170023","ST CATHERINE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "170023","ST CATHERINE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","HF-3 " "170023","ST CATHERINE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","65 patients",,,"PN-5C " "170023","ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","167 patients",,,"SCIP-VTE-2 " "170023","ST CATHERINE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","40 patients",,,"PN-2 " "170023","ST CATHERINE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "170023","ST CATHERINE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170023","ST CATHERINE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170023","ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","23 patients","1 ","1","SCIP-CARD-2 " "170023","ST CATHERINE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","43 patients",,,"PN-7 " "170027","PRATT REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","49 patients","2 ","2","PN-2 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","23 patients","1 ","1","HF-1 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "170027","PRATT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","106 patients","2 ","2","SCIP-VTE-1 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","HF-3 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "170027","PRATT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","163 patients","2 ","2","SCIP-INF-3 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","HF-4 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "170027","PRATT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","214 patients","2 ","2","SCIP-INF-6 " "170027","PRATT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","168 patients","2 ","2","SCIP-INF-2 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","31 patients",,,"HF-2 " "170027","PRATT REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","56%","43 patients","2 ","2","PN-7 " "170027","PRATT REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","46 patients","2 ","2","PN-5C " "170027","PRATT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170027","PRATT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","168 patients","2 ","2","SCIP-INF-1 " "170027","PRATT REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "170027","PRATT REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","32 patients","2 ","2","PN-6 " "170027","PRATT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","25 patients","2 ","2","SCIP-CARD-2 " "170027","PRATT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","106 patients","2 ","2","SCIP-VTE-2 " "170027","PRATT REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","58%","12 patients","1,2 ","12","PN-4 " "170027","PRATT REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","21 patients","1,2 ","12","PN-3B " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "170033","CENTRAL KANSAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","83 patients","2 ","2","SCIP-INF-3 " "170033","CENTRAL KANSAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","68 patients","2 ","2","SCIP-VTE-1 " "170033","CENTRAL KANSAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","15 patients","1 ","1","PN-4 " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "170033","CENTRAL KANSAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","38 patients",,,"PN-3B " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "170033","CENTRAL KANSAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","125 patients","2 ","2","SCIP-INF-6 " "170033","CENTRAL KANSAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","68 patients","2 ","2","SCIP-VTE-2 " "170033","CENTRAL KANSAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","89 patients","2 ","2","SCIP-INF-1 " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","24 patients","1 ","1","HF-2 " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "170033","CENTRAL KANSAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170033","CENTRAL KANSAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","85 patients","2 ","2","SCIP-INF-2 " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "170033","CENTRAL KANSAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","54 patients",,,"PN-5C " "170033","CENTRAL KANSAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1,2 ","12","SCIP-CARD-2 " "170033","CENTRAL KANSAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","13 patients","1 ","1","HF-1 " "170033","CENTRAL KANSAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","38 patients",,,"PN-2 " "170033","CENTRAL KANSAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","37 patients",,,"PN-6 " "170033","CENTRAL KANSAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","32 patients",,,"PN-7 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "170039","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","4 patients","1,2 ","12","SCIP-CARD-2 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "170039","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1,2 ","12","SCIP-INF-3 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "170039","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","6 patients","1,2 ","12","SCIP-VTE-2 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "170039","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","14 patients","1,2 ","12","SCIP-INF-6 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "170039","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","55%","11 patients","1 ","1","PN-4 " "170039","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","47 patients",,,"PN-2 " "170039","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","8 patients","1,2 ","12","SCIP-INF-2 " "170039","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","6 patients","1,2 ","12","SCIP-VTE-1 " "170039","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients",,,"PN-6 " "170039","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","26 patients",,,"PN-7 " "170039","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","37 patients",,,"PN-5C " "170039","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","12 patients","1 ","1","PN-3B " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2 ","12","HF-4 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,2,3 ","123","AMI-5 " "170039","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","9%","11 patients","1,2 ","12","HF-1 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","20%","25 patients","2 ","2","HF-2 " "170039","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "170039","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","57%","7 patients","1,2 ","12","SCIP-INF-1 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","256 patients","2 ","2","PN-5C " "170040","UNIVERSITY OF KANSAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","617 patients","2 ","2","SCIP-INF-6 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","21 patients","1,2 ","12","AMI-8A " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","82 patients","2 ","2","AMI-4 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","72 patients","2 ","2","HF-4 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","143 patients","2 ","2","HF-3 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","184 patients","2 ","2","PN-7 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","401 patients","2 ","2","SCIP-INF-2 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","295 patients","2 ","2","SCIP-VTE-2 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","317 patients","2 ","2","HF-2 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","126 patients","2 ","2","SCIP-INF-4 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","112 patients","2 ","2","AMI-1 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","393 patients","2 ","2","SCIP-INF-1 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","245 patients","2 ","2","PN-3B " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","295 patients","2 ","2","HF-1 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","360 patients","2 ","2","SCIP-INF-3 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","53 patients","2 ","2","AMI-3 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","188 patients","2 ","2","PN-2 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","203 patients","2 ","2","AMI-2 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","124 patients","2 ","2","PN-4 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","203 patients","2 ","2","AMI-5 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","101 patients","2 ","2","PN-6 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","93 patients","2 ","2","SCIP-CARD-2 " "170040","UNIVERSITY OF KANSAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","295 patients","2 ","2","SCIP-VTE-1 " "170049","OLATHE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","111 patients","2 ","2","SCIP-INF-4 " "170049","OLATHE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","263 patients",,,"HF-2 " "170049","OLATHE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","364 patients","2 ","2","SCIP-VTE-1 " "170049","OLATHE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1023 patients","2 ","2","SCIP-INF-6 " "170049","OLATHE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","203 patients",,,"HF-1 " "170049","OLATHE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients",,,"AMI-3 " "170049","OLATHE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"AMI-4 " "170049","OLATHE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "170049","OLATHE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","116 patients",,,"PN-3B " "170049","OLATHE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","98 patients",,,"PN-6 " "170049","OLATHE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","153 patients",,,"PN-5C " "170049","OLATHE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","48 patients",,,"AMI-8A " "170049","OLATHE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","132 patients",,,"PN-7 " "170049","OLATHE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","155 patients",,,"AMI-1 " "170049","OLATHE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","713 patients","2 ","2","SCIP-INF-1 " "170049","OLATHE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","717 patients","2 ","2","SCIP-INF-2 " "170049","OLATHE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170049","OLATHE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","201 patients",,,"AMI-2 " "170049","OLATHE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","148 patients","2 ","2","SCIP-CARD-2 " "170049","OLATHE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","84 patients",,,"HF-3 " "170049","OLATHE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"PN-4 " "170049","OLATHE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","173 patients",,,"AMI-5 " "170049","OLATHE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","364 patients","2 ","2","SCIP-VTE-2 " "170049","OLATHE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","671 patients","2 ","2","SCIP-INF-3 " "170049","OLATHE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","175 patients",,,"PN-2 " "170058","MERCY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","31 patients","2 ","2","SCIP-VTE-1 " "170058","MERCY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170058","MERCY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","41 patients",,,"HF-1 " "170058","MERCY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","78 patients","2 ","2","SCIP-INF-2 " "170058","MERCY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","78 patients","2 ","2","SCIP-INF-1 " "170058","MERCY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","PN-4 " "170058","MERCY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "170058","MERCY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","56 patients","2 ","2","PN-3B " "170058","MERCY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","8 patients","1,2 ","12","SCIP-CARD-2 " "170058","MERCY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170058","MERCY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "170058","MERCY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170058","MERCY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","58 patients",,,"HF-2 " "170058","MERCY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","103 patients","2 ","2","SCIP-INF-6 " "170058","MERCY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","59 patients","2 ","2","PN-7 " "170058","MERCY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","83 patients","2 ","2","PN-2 " "170058","MERCY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "170058","MERCY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "170058","MERCY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","73 patients","2 ","2","SCIP-INF-3 " "170058","MERCY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","31 patients","2 ","2","SCIP-VTE-2 " "170058","MERCY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170058","MERCY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","16 patients","1 ","1","HF-3 " "170058","MERCY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","86 patients","2 ","2","PN-5C " "170058","MERCY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "170058","MERCY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","58 patients","2 ","2","PN-6 " "170068","SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","100 patients",,,"SCIP-INF-6 " "170068","SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170068","SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "170068","SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","57%","7 patients","1 ","1","AMI-1 " "170068","SOUTHWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","31 patients",,,"PN-5C " "170068","SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","57 patients",,,"SCIP-INF-2 " "170068","SOUTHWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","17 patients","1 ","1","PN-3B " "170068","SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","66 patients",,,"SCIP-VTE-2 " "170068","SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1 ","1","AMI-5 " "170068","SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","54 patients",,,"SCIP-INF-3 " "170068","SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170068","SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170068","SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170068","SOUTHWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","23 patients","1 ","1","PN-6 " "170068","SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "170068","SOUTHWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","37 patients",,,"HF-1 " "170068","SOUTHWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","50 patients",,,"HF-2 " "170068","SOUTHWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","23 patients","1 ","1","PN-7 " "170068","SOUTHWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "170068","SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","66 patients",,,"SCIP-VTE-1 " "170068","SOUTHWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","58%","24 patients","1 ","1","PN-2 " "170068","SOUTHWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "170068","SOUTHWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "170068","SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","56 patients",,,"SCIP-INF-1 " "170068","SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","111 patients",,,"PN-5C " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","46 patients",,,"PN-6 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","46 patients","2 ","2","SCIP-VTE-1 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients",,,"HF-3 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","54 patients","2 ","2","SCIP-INF-6 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","39 patients",,,"SCIP-INF-2 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1,2 ","12","SCIP-CARD-2 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","56 patients",,,"PN-7 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","46 patients","2 ","2","SCIP-VTE-2 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","62 patients",,,"PN-2 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","99 patients",,,"HF-2 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","84 patients",,,"HF-1 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","39 patients",,,"SCIP-INF-3 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","39 patients",,,"SCIP-INF-1 " "17006F","VA EASTERN KANSAS HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","100 patients",,,"PN-3B " "170074","GEARY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","54 patients",,,"PN-2 " "170074","GEARY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1 ","1","AMI-1 " "170074","GEARY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","48 patients",,,"SCIP-VTE-1 " "170074","GEARY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","60 patients",,,"SCIP-INF-1 " "170074","GEARY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","46 patients",,,"HF-1 " "170074","GEARY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","60 patients",,,"HF-2 " "170074","GEARY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","PN-4 " "170074","GEARY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","25 patients",,,"HF-3 " "170074","GEARY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","27 patients",,,"PN-3B " "170074","GEARY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","66 patients",,,"PN-5C " "170074","GEARY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170074","GEARY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "170074","GEARY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170074","GEARY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170074","GEARY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","10 patients","1 ","1","SCIP-CARD-2 " "170074","GEARY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170074","GEARY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","AMI-3 " "170074","GEARY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","48 patients",,,"SCIP-VTE-2 " "170074","GEARY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","57 patients",,,"SCIP-INF-3 " "170074","GEARY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "170074","GEARY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","48 patients",,,"PN-7 " "170074","GEARY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "170074","GEARY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","27 patients",,,"PN-6 " "170074","GEARY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","60 patients",,,"SCIP-INF-2 " "170074","GEARY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","84 patients",,,"SCIP-INF-6 " "170075","MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "170075","MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "170075","MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "170075","MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","11 patients","1 ","1","HF-1 " "170075","MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","23 patients","1 ","1","HF-2 " "170075","MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "170075","MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "170075","MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "170075","MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","21 patients","1 ","1","PN-2 " "170075","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "170075","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "170075","MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "170075","MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","10 patients","1 ","1","PN-6 " "170075","MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "170075","MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","10 patients","1 ","1","PN-5C " "170075","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "170075","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "170075","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "170075","MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "170075","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "170075","MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "170075","MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","14 patients","1 ","1","PN-7 " "170075","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "170075","MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "170075","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "170086","STORMONT-VAIL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","951 patients","2 ","2","SCIP-INF-2 " "170086","STORMONT-VAIL HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","45 patients",,,"AMI-3 " "170086","STORMONT-VAIL HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","286 patients",,,"PN-3B " "170086","STORMONT-VAIL HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","251 patients",,,"AMI-5 " "170086","STORMONT-VAIL HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","88 patients",,,"AMI-4 " "170086","STORMONT-VAIL HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","165 patients",,,"AMI-1 " "170086","STORMONT-VAIL HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","185 patients","2 ","2","SCIP-CARD-2 " "170086","STORMONT-VAIL HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "170086","STORMONT-VAIL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","391 patients","2 ","2","SCIP-VTE-1 " "170086","STORMONT-VAIL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","865 patients","2 ","2","SCIP-INF-3 " "170086","STORMONT-VAIL HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","91 patients",,,"HF-3 " "170086","STORMONT-VAIL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","391 patients","2 ","2","SCIP-VTE-2 " "170086","STORMONT-VAIL HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","195 patients",,,"HF-1 " "170086","STORMONT-VAIL HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","43 patients",,,"AMI-8A " "170086","STORMONT-VAIL HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","300 patients",,,"PN-2 " "170086","STORMONT-VAIL HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","248 patients",,,"AMI-2 " "170086","STORMONT-VAIL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","174 patients","2 ","2","SCIP-INF-4 " "170086","STORMONT-VAIL HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","285 patients",,,"PN-5C " "170086","STORMONT-VAIL HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","291 patients",,,"HF-2 " "170086","STORMONT-VAIL HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","221 patients",,,"PN-7 " "170086","STORMONT-VAIL HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170086","STORMONT-VAIL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1224 patients","2 ","2","SCIP-INF-6 " "170086","STORMONT-VAIL HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","178 patients",,,"PN-6 " "170086","STORMONT-VAIL HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","148 patients",,,"PN-4 " "170086","STORMONT-VAIL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","913 patients","2 ","2","SCIP-INF-1 " "17008F","WICHITA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","34 patients",,,"SCIP-INF-3 " "17008F","WICHITA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","50 patients","2 ","2","SCIP-VTE-1 " "17008F","WICHITA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1,2 ","12","SCIP-CARD-2 " "17008F","WICHITA VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "17008F","WICHITA VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "17008F","WICHITA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","67 patients","2 ","2","SCIP-INF-6 " "17008F","WICHITA VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "17008F","WICHITA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","50 patients","2 ","2","SCIP-VTE-2 " "17008F","WICHITA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "17008F","WICHITA VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","30 patients",,,"PN-6 " "17008F","WICHITA VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "17008F","WICHITA VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","52 patients",,,"HF-1 " "17008F","WICHITA VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "17008F","WICHITA VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","56 patients",,,"PN-3B " "17008F","WICHITA VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "17008F","WICHITA VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","55 patients",,,"PN-5C " "17008F","WICHITA VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "17008F","WICHITA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","38 patients",,,"SCIP-INF-1 " "17008F","WICHITA VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "17008F","WICHITA VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","45 patients",,,"PN-2 " "17008F","WICHITA VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "17008F","WICHITA VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "17008F","WICHITA VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","58 patients",,,"PN-7 " "17008F","WICHITA VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","63 patients",,,"HF-2 " "17008F","WICHITA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","38 patients",,,"SCIP-INF-2 " "170094","COFFEY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","35%","52 patients",,,"HF-2 " "170094","COFFEY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "170094","COFFEY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","12 patients","1 ","1","PN-4 " "170094","COFFEY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","38 patients",,,"PN-2 " "170094","COFFEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","9 patients","1 ","1","SCIP-INF-2 " "170094","COFFEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","3 patients","1 ","1","SCIP-VTE-2 " "170094","COFFEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","8 patients","1 ","1","SCIP-INF-3 " "170094","COFFEY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","HF-4 " "170094","COFFEY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "170094","COFFEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","71%","14 patients","1 ","1","SCIP-INF-6 " "170094","COFFEY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170094","COFFEY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "170094","COFFEY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","6 patients","1 ","1","HF-3 " "170094","COFFEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","40%","5 patients","1 ","1","SCIP-CARD-2 " "170094","COFFEY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","32 patients",,,"PN-7 " "170094","COFFEY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "170094","COFFEY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170094","COFFEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170094","COFFEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","60%","10 patients","1 ","1","SCIP-INF-1 " "170094","COFFEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","3 patients","1 ","1","SCIP-VTE-1 " "170094","COFFEY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","27%","37 patients",,,"HF-1 " "170094","COFFEY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","42 patients",,,"PN-5C " "170094","COFFEY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","36 patients",,,"PN-6 " "170094","COFFEY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "170094","COFFEY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170103","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","363 patients","2 ","2","SCIP-INF-2 " "170103","NEWTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","125 patients","2 ","2","PN-2 " "170103","NEWTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","88 patients","2 ","2","PN-7 " "170103","NEWTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","79 patients","2 ","2","PN-6 " "170103","NEWTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","82 patients",,,"HF-2 " "170103","NEWTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","74 patients","2 ","2","PN-3B " "170103","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","520 patients","2 ","2","SCIP-INF-6 " "170103","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","351 patients","2 ","2","SCIP-INF-3 " "170103","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","243 patients","2 ","2","SCIP-VTE-1 " "170103","NEWTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "170103","NEWTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","17 patients","1,2 ","12","AMI-5 " "170103","NEWTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","60%","10 patients","1 ","1","HF-4 " "170103","NEWTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "170103","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","370 patients","2 ","2","SCIP-INF-1 " "170103","NEWTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","19 patients","1,2 ","12","AMI-2 " "170103","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","75 patients","2 ","2","SCIP-CARD-2 " "170103","NEWTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","68%","22 patients","1,2 ","12","AMI-1 " "170103","NEWTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "170103","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170103","NEWTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","48 patients",,,"HF-1 " "170103","NEWTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "170103","NEWTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","120 patients","2 ","2","PN-5C " "170103","NEWTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "170103","NEWTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","235 patients","2 ","2","SCIP-VTE-2 " "170103","NEWTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","42 patients","2 ","2","PN-4 " "170104","SHAWNEE MISSION MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","254 patients",,,"PN-6 " "170104","SHAWNEE MISSION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","537 patients","2 ","2","SCIP-VTE-2 " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170104","SHAWNEE MISSION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1014 patients","2 ","2","SCIP-INF-2 " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","193 patients",,,"AMI-5 " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","60 patients",,,"AMI-8A " "170104","SHAWNEE MISSION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","537 patients","2 ","2","SCIP-VTE-1 " "170104","SHAWNEE MISSION MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","218 patients",,,"PN-3B " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","223 patients",,,"AMI-2 " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","418 patients",,,"HF-2 " "170104","SHAWNEE MISSION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1009 patients","2 ","2","SCIP-INF-1 " "170104","SHAWNEE MISSION MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","83 patients",,,"PN-4 " "170104","SHAWNEE MISSION MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","308 patients",,,"PN-5C " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","128 patients",,,"HF-3 " "170104","SHAWNEE MISSION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1230 patients","2 ","2","SCIP-INF-6 " "170104","SHAWNEE MISSION MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","180 patients",,,"PN-7 " "170104","SHAWNEE MISSION MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","158 patients","2 ","2","SCIP-CARD-2 " "170104","SHAWNEE MISSION MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","262 patients",,,"PN-2 " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","203 patients",,,"AMI-1 " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"AMI-4 " "170104","SHAWNEE MISSION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","979 patients","2 ","2","SCIP-INF-3 " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","333 patients",,,"HF-1 " "170104","SHAWNEE MISSION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","113 patients","2 ","2","SCIP-INF-4 " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "170104","SHAWNEE MISSION MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "170105","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","37 patients",,,"PN-7 " "170105","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","23 patients","1 ","1","SCIP-VTE-1 " "170105","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "170105","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "170105","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","44 patients",,,"PN-2 " "170105","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "170105","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","46 patients",,,"PN-5C " "170105","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "170105","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","25 patients",,,"HF-2 " "170105","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "170105","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","27 patients",,,"PN-6 " "170105","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","35 patients",,,"SCIP-INF-6 " "170105","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-2 " "170105","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "170105","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","47%","19 patients","1 ","1","HF-1 " "170105","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "170105","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170105","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","64%","11 patients","1 ","1","SCIP-INF-1 " "170105","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "170105","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "170105","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1 ","1","PN-4 " "170105","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","23 patients","1 ","1","SCIP-VTE-2 " "170105","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","27 patients",,,"PN-3B " "170105","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "170105","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","9 patients","1 ","1","SCIP-INF-3 " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "170109","MIAMI COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","29 patients",,,"SCIP-CARD-2 " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","9 patients","1 ","1","HF-1 " "170109","MIAMI COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","90 patients",,,"SCIP-INF-1 " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","13 patients","1 ","1","HF-2 " "170109","MIAMI COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","41 patients",,,"SCIP-VTE-2 " "170109","MIAMI COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "170109","MIAMI COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","28 patients",,,"PN-6 " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","HF-3 " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "170109","MIAMI COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","91 patients",,,"SCIP-INF-2 " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "170109","MIAMI COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","24 patients","1 ","1","PN-2 " "170109","MIAMI COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","88 patients",,,"SCIP-INF-3 " "170109","MIAMI COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","41 patients",,,"SCIP-VTE-1 " "170109","MIAMI COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "170109","MIAMI COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","13 patients","1 ","1","PN-7 " "170109","MIAMI COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170109","MIAMI COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","117 patients",,,"SCIP-INF-6 " "170109","MIAMI COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","21 patients","1 ","1","PN-3B " "170109","MIAMI COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","30 patients",,,"PN-5C " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","11 patients","1 ","1","PN-6 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","17%","6 patients","1 ","1","HF-1 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","7 patients","1 ","1","SCIP-VTE-1 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","50%","6 patients","1 ","1","SCIP-INF-2 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","60%","5 patients","1 ","1","SCIP-INF-1 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","71%","14 patients","1 ","1","SCIP-INF-6 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","6 patients","1 ","1","SCIP-VTE-2 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","9 patients","1 ","1","HF-2 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1 ","1","PN-3B " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","15 patients","1 ","1","PN-5C " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","6 patients","1 ","1","PN-7 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","20%","15 patients","1 ","1","PN-2 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170110","BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "170120","LABETTE HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "170120","LABETTE HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","61 patients",,,"PN-7 " "170120","LABETTE HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","39 patients",,,"HF-1 " "170120","LABETTE HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "170120","LABETTE HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170120","LABETTE HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","433 patients",,,"SCIP-INF-2 " "170120","LABETTE HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170120","LABETTE HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","419 patients",,,"SCIP-INF-3 " "170120","LABETTE HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170120","LABETTE HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","70 patients",,,"SCIP-CARD-2 " "170120","LABETTE HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "170120","LABETTE HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170120","LABETTE HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","53 patients",,,"HF-2 " "170120","LABETTE HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","57 patients",,,"PN-6 " "170120","LABETTE HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "170120","LABETTE HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","478 patients",,,"SCIP-INF-6 " "170120","LABETTE HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","39 patients",,,"PN-4 " "170120","LABETTE HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "170120","LABETTE HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","87 patients",,,"PN-3B " "170120","LABETTE HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","153 patients",,,"SCIP-VTE-1 " "170120","LABETTE HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","91 patients",,,"PN-5C " "170120","LABETTE HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "170120","LABETTE HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","153 patients",,,"SCIP-VTE-2 " "170120","LABETTE HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","433 patients",,,"SCIP-INF-1 " "170120","LABETTE HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","78 patients",,,"PN-2 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","875 patients","2 ","2","SCIP-INF-6 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","119 patients","2 ","2","SCIP-CARD-2 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","333 patients","2 ","2","HF-2 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","165 patients","2 ","2","SCIP-INF-4 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","313 patients","2 ","2","AMI-2 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","271 patients","2 ","2","AMI-1 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","49 patients","2 ","2","AMI-3 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","527 patients","2 ","2","SCIP-INF-3 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","327 patients","2 ","2","SCIP-VTE-2 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","136 patients","2 ","2","PN-2 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","162 patients","2 ","2","PN-5C " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","107 patients","2 ","2","HF-3 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","287 patients","2 ","2","AMI-5 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","276 patients","2 ","2","HF-1 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","HF-4 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","83 patients","2 ","2","PN-4 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","558 patients","2 ","2","SCIP-INF-2 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","120 patients","2 ","2","AMI-4 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","155 patients","2 ","2","PN-3B " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","555 patients","2 ","2","SCIP-INF-1 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","54 patients","2 ","2","AMI-8A " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","330 patients","2 ","2","SCIP-VTE-1 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","59 patients","2 ","2","PN-6 " "170122","VIA CHRISTI REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","104 patients","2 ","2","PN-7 " "170123","WESLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","58 patients",,,"AMI-3 " "170123","WESLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","246 patients",,,"AMI-1 " "170123","WESLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","207 patients",,,"HF-1 " "170123","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","858 patients","2 ","2","SCIP-INF-6 " "170123","WESLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","107 patients","2 ","2","PN-4 " "170123","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","564 patients","2 ","2","SCIP-INF-1 " "170123","WESLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","176 patients","2 ","2","PN-3B " "170123","WESLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","81 patients",,,"HF-3 " "170123","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","376 patients","2 ","2","SCIP-VTE-1 " "170123","WESLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","231 patients",,,"PN-7 " "170123","WESLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","230 patients","2 ","2","PN-2 " "170123","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","169 patients","2 ","2","SCIP-INF-4 " "170123","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","569 patients","2 ","2","SCIP-INF-2 " "170123","WESLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","274 patients",,,"AMI-5 " "170123","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","503 patients","2 ","2","SCIP-INF-3 " "170123","WESLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","175 patients","2 ","2","PN-5C " "170123","WESLEY MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","83 patients",,,"CAC-1 " "170123","WESLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","266 patients",,,"HF-2 " "170123","WESLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","66 patients",,,"AMI-8A " "170123","WESLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "170123","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","376 patients","2 ","2","SCIP-VTE-2 " "170123","WESLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170123","WESLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","348 patients",,,"AMI-2 " "170123","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","88 patients","2 ","2","SCIP-CARD-2 " "170123","WESLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","103 patients","2 ","2","PN-6 " "170123","WESLEY MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","53%","83 patients",,,"CAC-3 " "170123","WESLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","149 patients",,,"AMI-4 " "170123","WESLEY MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","82 patients",,,"CAC-2 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","31 patients",,,"HF-1 " "170133","CUSHING MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","19 patients","1 ","1","PN-7 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "170133","CUSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","26 patients",,,"SCIP-INF-2 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "170133","CUSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","26 patients",,,"SCIP-INF-1 " "170133","CUSHING MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","27 patients",,,"PN-6 " "170133","CUSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1 ","1","SCIP-CARD-2 " "170133","CUSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","13 patients","1 ","1","SCIP-VTE-2 " "170133","CUSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","31 patients",,,"SCIP-INF-6 " "170133","CUSHING MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","23 patients","1 ","1","PN-2 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "170133","CUSHING MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","29 patients",,,"PN-5C " "170133","CUSHING MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1 ","1","PN-3B " "170133","CUSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "170133","CUSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","24 patients","1 ","1","SCIP-INF-3 " "170133","CUSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","13 patients","1 ","1","SCIP-VTE-1 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","39 patients",,,"HF-2 " "170133","CUSHING MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "170133","CUSHING MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "170133","CUSHING MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","66 patients",,,"AMI-5 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","109 patients",,,"HF-1 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"HF-3 " "170137","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","152 patients",,,"PN-2 " "170137","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","281 patients",,,"SCIP-VTE-2 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","86 patients",,,"AMI-1 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","76 patients",,,"AMI-2 " "170137","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","133 patients",,,"PN-5C " "170137","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","422 patients",,,"SCIP-INF-2 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","144 patients",,,"HF-2 " "170137","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170137","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","587 patients",,,"SCIP-INF-6 " "170137","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","101 patients",,,"PN-7 " "170137","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","401 patients",,,"SCIP-INF-3 " "170137","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","88 patients",,,"PN-6 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "170137","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","422 patients",,,"SCIP-INF-1 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","33 patients",,,"AMI-4 " "170137","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","54 patients",,,"PN-4 " "170137","LAWRENCE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","23 patients","1 ","1","AMI-8A " "170137","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","281 patients",,,"SCIP-VTE-1 " "170137","LAWRENCE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","118 patients",,,"PN-3B " "170137","LAWRENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","68 patients",,,"SCIP-CARD-2 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","89 patients",,,"HF-2 " "170142","MERCY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","273 patients","2 ","2","SCIP-VTE-1 " "170142","MERCY REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","82 patients","2 ","2","PN-2 " "170142","MERCY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","487 patients","2 ","2","SCIP-INF-2 " "170142","MERCY REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","55 patients",,,"PN-7 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "170142","MERCY REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","PN-4 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","60 patients",,,"AMI-2 " "170142","MERCY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","83 patients","2 ","2","SCIP-CARD-2 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","70 patients",,,"HF-1 " "170142","MERCY REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","76 patients","2 ","2","PN-3B " "170142","MERCY REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","95 patients","2 ","2","PN-5C " "170142","MERCY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","42 patients",,,"HF-3 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "170142","MERCY REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","11 patients","1 ","1","AMI-8A " "170142","MERCY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","264 patients","2 ","2","SCIP-VTE-2 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","50 patients",,,"AMI-5 " "170142","MERCY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","690 patients","2 ","2","SCIP-INF-6 " "170142","MERCY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","466 patients","2 ","2","SCIP-INF-3 " "170142","MERCY REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","55 patients","2 ","2","PN-6 " "170142","MERCY REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","486 patients","2 ","2","SCIP-INF-1 " "170142","MERCY REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","44 patients",,,"AMI-1 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","26 patients",,,"HF-4 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","137 patients",,,"PN-2 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","49 patients",,,"SCIP-INF-3 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","76 patients",,,"HF-1 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","51 patients",,,"SCIP-INF-1 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","17 patients","1 ","1","SCIP-CARD-2 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","121 patients",,,"HF-2 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","88 patients",,,"PN-7 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","52 patients",,,"SCIP-INF-2 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","55%","38 patients",,,"HF-3 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","11 patients","1 ","1","AMI-2 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","71 patients",,,"PN-3B " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","14 patients","1 ","1","AMI-1 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","66%","44 patients",,,"PN-4 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","12 patients","1 ","1","AMI-5 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","63%","68 patients",,,"SCIP-VTE-1 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","140 patients",,,"PN-5C " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","68 patients",,,"SCIP-VTE-2 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","78 patients",,,"PN-6 " "170145","COFFEYVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","131 patients",,,"SCIP-INF-6 " "170146","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","196 patients",,,"PN-5C " "170146","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"AMI-4 " "170146","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","204 patients","2 ","2","SCIP-VTE-1 " "170146","PROVIDENCE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"HF-4 " "170146","PROVIDENCE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","271 patients",,,"HF-1 " "170146","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","204 patients","2 ","2","SCIP-VTE-2 " "170146","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","447 patients","2 ","2","SCIP-INF-2 " "170146","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","424 patients","2 ","2","SCIP-INF-3 " "170146","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","39 patients",,,"AMI-3 " "170146","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","619 patients","2 ","2","SCIP-INF-6 " "170146","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","107 patients",,,"PN-6 " "170146","PROVIDENCE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","326 patients",,,"HF-2 " "170146","PROVIDENCE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","161 patients",,,"HF-3 " "170146","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","444 patients","2 ","2","SCIP-INF-1 " "170146","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","191 patients",,,"PN-3B " "170146","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","96 patients","2 ","2","SCIP-CARD-2 " "170146","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","131 patients",,,"PN-7 " "170146","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170146","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","169 patients",,,"AMI-1 " "170146","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"PN-4 " "170146","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","175 patients",,,"AMI-2 " "170146","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","175 patients",,,"AMI-5 " "170146","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","177 patients",,,"PN-2 " "170146","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","31 patients",,,"AMI-8A " "170146","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","80 patients","2 ","2","SCIP-INF-4 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","13 patients","1 ","1","SCIP-INF-1 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","9 patients","1 ","1","AMI-5 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","58%","33 patients",,,"HF-2 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","22 patients","1 ","1","PN-6 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","8 patients","1 ","1","SCIP-VTE-1 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","9 patients","1 ","1","PN-3B " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","8 patients","1 ","1","SCIP-VTE-2 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","13 patients","1 ","1","SCIP-INF-3 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1 ","1","AMI-1 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","44 patients",,,"PN-5C " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","29 patients",,,"PN-7 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","9 patients","1 ","1","AMI-2 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","56 patients",,,"SCIP-INF-6 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","77%","13 patients","1 ","1","SCIP-INF-2 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","22 patients","1 ","1","HF-1 " "170150","SOUTH CENTRAL KS REGIONAL MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","33 patients",,,"PN-2 " "170166","MORTON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "170166","MORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "170166","MORTON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "170166","MORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "170166","MORTON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "170166","MORTON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","PN-4 " "170166","MORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "170166","MORTON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "170166","MORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "170166","MORTON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "170166","MORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "170166","MORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "170166","MORTON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","12 patients","1 ","1","PN-3B " "170166","MORTON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","37%","27 patients",,,"HF-1 " "170166","MORTON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","33%","15 patients","1 ","1","PN-6 " "170166","MORTON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","27 patients",,,"PN-5C " "170166","MORTON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "170166","MORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "170166","MORTON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","51%","47 patients",,,"HF-2 " "170166","MORTON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "170166","MORTON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "170166","MORTON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "170166","MORTON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","22 patients","1 ","1","PN-7 " "170166","MORTON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","34 patients",,,"PN-2 " "170166","MORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","20 patients","1 ","1","AMI-5 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","56 patients",,,"PN-6 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","78 patients",,,"PN-2 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","28 patients",,,"AMI-1 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170175","WESTERN PLAINS MEDICAL COMPLEX","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","73 patients",,,"PN-5C " "170175","WESTERN PLAINS MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","187 patients","2 ","2","SCIP-INF-2 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1,2 ","12","SCIP-CARD-2 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","51 patients",,,"HF-2 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","7 patients","1 ","1","AMI-8A " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","51 patients",,,"PN-7 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","76 patients",,,"PN-3B " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","35 patients",,,"HF-1 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","244 patients","2 ","2","SCIP-INF-6 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","183 patients","2 ","2","SCIP-INF-1 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","114 patients","2 ","2","SCIP-VTE-2 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","172 patients","2 ","2","SCIP-INF-3 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","115 patients","2 ","2","SCIP-VTE-1 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "170175","WESTERN PLAINS MEDICAL COMPLEX","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","29 patients",,,"AMI-2 " "170176","OVERLAND PARK REG MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","94 patients",,,"AMI-1 " "170176","OVERLAND PARK REG MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","136 patients",,,"PN-3B " "170176","OVERLAND PARK REG MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","89 patients",,,"PN-6 " "170176","OVERLAND PARK REG MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","93 patients",,,"PN-7 " "170176","OVERLAND PARK REG MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "170176","OVERLAND PARK REG MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "170176","OVERLAND PARK REG MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","602 patients","2 ","2","SCIP-INF-6 " "170176","OVERLAND PARK REG MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "170176","OVERLAND PARK REG MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","374 patients","2 ","2","SCIP-INF-3 " "170176","OVERLAND PARK REG MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","240 patients","2 ","2","SCIP-VTE-2 " "170176","OVERLAND PARK REG MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","141 patients",,,"HF-2 " "170176","OVERLAND PARK REG MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","240 patients","2 ","2","SCIP-VTE-1 " "170176","OVERLAND PARK REG MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170176","OVERLAND PARK REG MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"AMI-4 " "170176","OVERLAND PARK REG MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","97 patients",,,"AMI-5 " "170176","OVERLAND PARK REG MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","21 patients","1 ","1","AMI-8A " "170176","OVERLAND PARK REG MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","84 patients","2 ","2","SCIP-INF-4 " "170176","OVERLAND PARK REG MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","130 patients",,,"PN-5C " "170176","OVERLAND PARK REG MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"HF-3 " "170176","OVERLAND PARK REG MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","102 patients",,,"AMI-2 " "170176","OVERLAND PARK REG MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","402 patients","2 ","2","SCIP-INF-1 " "170176","OVERLAND PARK REG MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","114 patients",,,"HF-1 " "170176","OVERLAND PARK REG MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","150 patients",,,"PN-2 " "170176","OVERLAND PARK REG MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","73 patients","2 ","2","SCIP-CARD-2 " "170176","OVERLAND PARK REG MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","406 patients","2 ","2","SCIP-INF-2 " "170182","MENORAH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","94 patients",,,"PN-5C " "170182","MENORAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","296 patients","2 ","2","SCIP-INF-3 " "170182","MENORAH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","38 patients",,,"AMI-1 " "170182","MENORAH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170182","MENORAH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","73 patients",,,"PN-7 " "170182","MENORAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","63 patients","2 ","2","SCIP-CARD-2 " "170182","MENORAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","223 patients","2 ","2","SCIP-VTE-1 " "170182","MENORAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","502 patients","2 ","2","SCIP-INF-6 " "170182","MENORAH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "170182","MENORAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","42 patients","2 ","2","SCIP-INF-4 " "170182","MENORAH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "170182","MENORAH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","68 patients",,,"PN-6 " "170182","MENORAH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","120 patients",,,"HF-1 " "170182","MENORAH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","52 patients",,,"HF-3 " "170182","MENORAH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "170182","MENORAH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","108 patients",,,"PN-2 " "170182","MENORAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","310 patients","2 ","2","SCIP-INF-1 " "170182","MENORAH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "170182","MENORAH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","162 patients",,,"HF-2 " "170182","MENORAH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","95 patients",,,"PN-3B " "170182","MENORAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","223 patients","2 ","2","SCIP-VTE-2 " "170182","MENORAH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "170182","MENORAH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","33 patients",,,"AMI-2 " "170182","MENORAH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","315 patients","2 ","2","SCIP-INF-2 " "170182","MENORAH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","8 patients","1 ","1","AMI-8A " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "170183","KANSAS SURGERY & RECOVERY CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","158 patients","2 ","2","SCIP-INF-2 " "170183","KANSAS SURGERY & RECOVERY CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "170183","KANSAS SURGERY & RECOVERY CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "170183","KANSAS SURGERY & RECOVERY CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","74 patients","2 ","2","SCIP-VTE-2 " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "170183","KANSAS SURGERY & RECOVERY CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","179 patients","2 ","2","SCIP-INF-6 " "170183","KANSAS SURGERY & RECOVERY CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "170183","KANSAS SURGERY & RECOVERY CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "170183","KANSAS SURGERY & RECOVERY CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "170183","KANSAS SURGERY & RECOVERY CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","158 patients","2 ","2","SCIP-INF-1 " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "170183","KANSAS SURGERY & RECOVERY CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "170183","KANSAS SURGERY & RECOVERY CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","158 patients","2 ","2","SCIP-INF-3 " "170183","KANSAS SURGERY & RECOVERY CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "170183","KANSAS SURGERY & RECOVERY CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","19 patients","1,2 ","12","SCIP-CARD-2 " "170183","KANSAS SURGERY & RECOVERY CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","74 patients","2 ","2","SCIP-VTE-1 " "170183","KANSAS SURGERY & RECOVERY CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "170185","SAINT LUKE'S SOUTH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","82 patients",,,"PN-2 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","61 patients",,,"PN-7 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","77 patients",,,"AMI-2 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","55 patients",,,"PN-6 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","69 patients",,,"SCIP-CARD-2 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","74 patients",,,"AMI-5 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","78 patients",,,"PN-5C " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","92 patients",,,"HF-1 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","110 patients",,,"HF-2 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","669 patients","2 ","2","SCIP-INF-6 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","540 patients","2 ","2","SCIP-INF-1 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170185","SAINT LUKE'S SOUTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","212 patients","2 ","2","SCIP-VTE-1 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","527 patients","2 ","2","SCIP-INF-3 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","74 patients",,,"AMI-1 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","540 patients","2 ","2","SCIP-INF-2 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","74 patients",,,"PN-3B " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","HF-3 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","PN-4 " "170185","SAINT LUKE'S SOUTH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","21 patients","1 ","1","AMI-8A " "170185","SAINT LUKE'S SOUTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","212 patients","2 ","2","SCIP-VTE-2 " "170186","KANSAS HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","AMI-3 " "170186","KANSAS HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "170186","KANSAS HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "170186","KANSAS HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "170186","KANSAS HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "170186","KANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","252 patients","2 ","2","SCIP-INF-4 " "170186","KANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","88 patients","2 ","2","SCIP-CARD-2 " "170186","KANSAS HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","59 patients",,,"HF-3 " "170186","KANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","325 patients","2 ","2","SCIP-INF-2 " "170186","KANSAS HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","30 patients",,,"AMI-1 " "170186","KANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","315 patients","2 ","2","SCIP-INF-1 " "170186","KANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","18 patients","1,2 ","12","SCIP-VTE-2 " "170186","KANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","391 patients","2 ","2","SCIP-INF-6 " "170186","KANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","281 patients","2 ","2","SCIP-INF-3 " "170186","KANSAS HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","18 patients","1,2 ","12","SCIP-VTE-1 " "170186","KANSAS HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","213 patients",,,"AMI-2 " "170186","KANSAS HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","202 patients",,,"AMI-5 " "170186","KANSAS HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","3 patients","1,3 ","13","PN-7 " "170186","KANSAS HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","129 patients",,,"HF-2 " "170186","KANSAS HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","119 patients",,,"HF-1 " "170186","KANSAS HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "170186","KANSAS HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-8A " "170186","KANSAS HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","85 patients",,,"AMI-4 " "170186","KANSAS HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "170186","KANSAS HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","6 patients","1,3 ","13","PN-2 " "170187","SALINA SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "170187","SALINA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170187","SALINA SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "170187","SALINA SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "170187","SALINA SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "170187","SALINA SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "170187","SALINA SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "170187","SALINA SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "170187","SALINA SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "170187","SALINA SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "170187","SALINA SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "170187","SALINA SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170187","SALINA SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "170187","SALINA SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "170187","SALINA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","507 patients",,,"SCIP-INF-1 " "170187","SALINA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","69 patients",,,"SCIP-CARD-2 " "170187","SALINA SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "170187","SALINA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","502 patients",,,"SCIP-INF-2 " "170187","SALINA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","129 patients",,,"SCIP-VTE-1 " "170187","SALINA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","498 patients",,,"SCIP-INF-3 " "170187","SALINA SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "170187","SALINA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","542 patients",,,"SCIP-INF-6 " "170187","SALINA SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "170187","SALINA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","129 patients",,,"SCIP-VTE-2 " "170187","SALINA SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","62 patients","2 ","2","SCIP-VTE-2 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","196 patients","2 ","2","SCIP-INF-6 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","62 patients","2 ","2","SCIP-VTE-1 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","53%","144 patients","2 ","2","SCIP-INF-1 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","144 patients","2 ","2","SCIP-INF-3 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","144 patients","2 ","2","SCIP-INF-2 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "170188","KANSAS CITY ORTHOPAEDIC INSTITUTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","25 patients","2 ","2","SCIP-VTE-1 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","204 patients","2 ","2","SCIP-INF-6 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","180 patients","2 ","2","SCIP-INF-2 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","194 patients","2 ","2","SCIP-INF-1 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","25 patients","2 ","2","SCIP-VTE-2 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","181 patients","2 ","2","SCIP-INF-3 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "170190","MANHATTAN SURGICAL HOSPITAL LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "170191","GREAT BEND REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "170191","GREAT BEND REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "170191","GREAT BEND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","118 patients","2 ","2","SCIP-VTE-2 " "170191","GREAT BEND REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "170191","GREAT BEND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "170191","GREAT BEND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","248 patients","2 ","2","SCIP-INF-1 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "170191","GREAT BEND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","120 patients","2 ","2","SCIP-VTE-1 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "170191","GREAT BEND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","269 patients","2 ","2","SCIP-INF-6 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "170191","GREAT BEND REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "170191","GREAT BEND REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "170191","GREAT BEND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","21 patients","1 ","1","SCIP-CARD-2 " "170191","GREAT BEND REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "170191","GREAT BEND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","248 patients","2 ","2","SCIP-INF-2 " "170191","GREAT BEND REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "170191","GREAT BEND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","44%","248 patients","2 ","2","SCIP-INF-3 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","104 patients",,,"AMI-5 " "170192","GALICHIA HEART HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","214 patients","2 ","2","SCIP-INF-2 " "170192","GALICHIA HEART HOSPITAL LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","86 patients",,,"PN-5C " "170192","GALICHIA HEART HOSPITAL LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","78 patients",,,"PN-3B " "170192","GALICHIA HEART HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","210 patients","2 ","2","SCIP-INF-4 " "170192","GALICHIA HEART HOSPITAL LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","47 patients",,,"SCIP-CARD-2 " "170192","GALICHIA HEART HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","195 patients","2 ","2","SCIP-INF-3 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","118 patients",,,"AMI-2 " "170192","GALICHIA HEART HOSPITAL LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","98 patients",,,"PN-2 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "170192","GALICHIA HEART HOSPITAL LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","22 patients","1 ","1","AMI-3 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","27 patients",,,"AMI-8A " "170192","GALICHIA HEART HOSPITAL LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","60 patients",,,"PN-7 " "170192","GALICHIA HEART HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","329 patients","2 ","2","SCIP-INF-6 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","225 patients",,,"HF-1 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","58 patients",,,"AMI-1 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","258 patients",,,"HF-2 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "170192","GALICHIA HEART HOSPITAL LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","58 patients",,,"PN-6 " "170192","GALICHIA HEART HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","68%","34 patients","2 ","2","SCIP-VTE-1 " "170192","GALICHIA HEART HOSPITAL LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "170192","GALICHIA HEART HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","34 patients","2 ","2","SCIP-VTE-2 " "170192","GALICHIA HEART HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","209 patients","2 ","2","SCIP-INF-1 " "170192","GALICHIA HEART HOSPITAL LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","68 patients",,,"HF-3 " "170194","DOCTORS HOSPITAL LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "170194","DOCTORS HOSPITAL LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "170194","DOCTORS HOSPITAL LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "170194","DOCTORS HOSPITAL LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "170194","DOCTORS HOSPITAL LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "170194","DOCTORS HOSPITAL LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "170194","DOCTORS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170194","DOCTORS HOSPITAL LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "170194","DOCTORS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","23 patients","1 ","1","SCIP-INF-2 " "170194","DOCTORS HOSPITAL LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "170194","DOCTORS HOSPITAL LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "170194","DOCTORS HOSPITAL LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "170194","DOCTORS HOSPITAL LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "170194","DOCTORS HOSPITAL LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170194","DOCTORS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","23 patients","1 ","1","SCIP-INF-3 " "170194","DOCTORS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients",,,"SCIP-INF-6 " "170194","DOCTORS HOSPITAL LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "170194","DOCTORS HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","8 patients","1 ","1","SCIP-VTE-2 " "170194","DOCTORS HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","28 patients",,,"SCIP-INF-1 " "170194","DOCTORS HOSPITAL LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "170194","DOCTORS HOSPITAL LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "170194","DOCTORS HOSPITAL LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "170194","DOCTORS HOSPITAL LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "170194","DOCTORS HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","8 patients","1 ","1","SCIP-VTE-1 " "170194","DOCTORS HOSPITAL LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","87 patients",,,"SCIP-INF-2 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","108 patients",,,"SCIP-INF-6 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","87 patients",,,"SCIP-INF-1 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","75 patients",,,"SCIP-INF-3 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","37 patients",,,"SCIP-VTE-1 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","37 patients",,,"SCIP-VTE-2 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "170195","HEARTLAND SURGICAL SPEC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "170196","KANSAS SPINE HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","42 patients",,,"SCIP-VTE-1 " "170196","KANSAS SPINE HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170196","KANSAS SPINE HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","63%","67 patients",,,"SCIP-INF-1 " "170196","KANSAS SPINE HOSPITAL LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "170196","KANSAS SPINE HOSPITAL LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "170196","KANSAS SPINE HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","68 patients",,,"SCIP-INF-2 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "170196","KANSAS SPINE HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","42 patients",,,"SCIP-VTE-2 " "170196","KANSAS SPINE HOSPITAL LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "170196","KANSAS SPINE HOSPITAL LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "170196","KANSAS SPINE HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","3%","60 patients",,,"SCIP-INF-3 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "170196","KANSAS SPINE HOSPITAL LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "170196","KANSAS SPINE HOSPITAL LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","20%","5 patients","1 ","1","SCIP-CARD-2 " "170196","KANSAS SPINE HOSPITAL LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "170196","KANSAS SPINE HOSPITAL LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "170196","KANSAS SPINE HOSPITAL LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "170196","KANSAS SPINE HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","84 patients",,,"SCIP-INF-6 " "170197","KANSAS MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","102 patients","2 ","2","SCIP-VTE-2 " "170197","KANSAS MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","405 patients","2 ","2","SCIP-INF-6 " "170197","KANSAS MEDICAL CENTER LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","17 patients","1,2 ","12","PN-5C " "170197","KANSAS MEDICAL CENTER LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","24 patients","1,2 ","12","PN-2 " "170197","KANSAS MEDICAL CENTER LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","91 patients","2 ","2","HF-2 " "170197","KANSAS MEDICAL CENTER LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1,2 ","12","AMI-4 " "170197","KANSAS MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","271 patients","2 ","2","SCIP-INF-3 " "170197","KANSAS MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","156 patients","2 ","2","SCIP-INF-4 " "170197","KANSAS MEDICAL CENTER LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1,2 ","12","HF-4 " "170197","KANSAS MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","283 patients","2 ","2","SCIP-INF-2 " "170197","KANSAS MEDICAL CENTER LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","9 patients","1,2 ","12","AMI-8A " "170197","KANSAS MEDICAL CENTER LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1,2 ","12","PN-3B " "170197","KANSAS MEDICAL CENTER LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients","2 ","2","HF-3 " "170197","KANSAS MEDICAL CENTER LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "170197","KANSAS MEDICAL CENTER LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","68 patients","2 ","2","HF-1 " "170197","KANSAS MEDICAL CENTER LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","PN-4 " "170197","KANSAS MEDICAL CENTER LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1,2 ","12","AMI-3 " "170197","KANSAS MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","71 patients","2 ","2","SCIP-CARD-2 " "170197","KANSAS MEDICAL CENTER LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","21 patients","1 ","1","PN-7 " "170197","KANSAS MEDICAL CENTER LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1,2 ","12","AMI-1 " "170197","KANSAS MEDICAL CENTER LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","10 patients","1,2 ","12","PN-6 " "170197","KANSAS MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","281 patients","2 ","2","SCIP-INF-1 " "170197","KANSAS MEDICAL CENTER LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","66 patients","2 ","2","AMI-5 " "170197","KANSAS MEDICAL CENTER LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","65 patients","2 ","2","AMI-2 " "170197","KANSAS MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","102 patients","2 ","2","SCIP-VTE-1 " "170198","SUMMIT SURGICAL LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "170198","SUMMIT SURGICAL LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "170198","SUMMIT SURGICAL LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "170198","SUMMIT SURGICAL LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "170198","SUMMIT SURGICAL LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "170198","SUMMIT SURGICAL LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","61 patients",,,"SCIP-VTE-2 " "170198","SUMMIT SURGICAL LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "170198","SUMMIT SURGICAL LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "170198","SUMMIT SURGICAL LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","256 patients",,,"SCIP-INF-6 " "170198","SUMMIT SURGICAL LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "170198","SUMMIT SURGICAL LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","178 patients",,,"SCIP-INF-3 " "170198","SUMMIT SURGICAL LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "170198","SUMMIT SURGICAL LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "170198","SUMMIT SURGICAL LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "170198","SUMMIT SURGICAL LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "170198","SUMMIT SURGICAL LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "170198","SUMMIT SURGICAL LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","180 patients",,,"SCIP-INF-1 " "170198","SUMMIT SURGICAL LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "170198","SUMMIT SURGICAL LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "170198","SUMMIT SURGICAL LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "170198","SUMMIT SURGICAL LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "170198","SUMMIT SURGICAL LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","61 patients",,,"SCIP-VTE-1 " "170198","SUMMIT SURGICAL LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "170198","SUMMIT SURGICAL LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "170198","SUMMIT SURGICAL LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","178 patients",,,"SCIP-INF-2 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1 ","1","PN-5C " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1 ","1","PN-7 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1 ","1","PN-2 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","5 patients","1 ","1","PN-6 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "171300","GRISELL MEMORIAL HOSPITAL DISTRICT #1","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171302","OSWEGO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171302","OSWEGO COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "171302","OSWEGO COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171302","OSWEGO COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171302","OSWEGO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171302","OSWEGO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171302","OSWEGO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171302","OSWEGO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171302","OSWEGO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171302","OSWEGO COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,3 ","13","PN-2 " "171302","OSWEGO COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "171302","OSWEGO COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171302","OSWEGO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171302","OSWEGO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171302","OSWEGO COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171304","ASHLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171304","ASHLAND HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","7 patients","1,3 ","13","PN-6 " "171304","ASHLAND HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171304","ASHLAND HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "171304","ASHLAND HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "171304","ASHLAND HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1,3 ","13","HF-1 " "171304","ASHLAND HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "171304","ASHLAND HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "171304","ASHLAND HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171304","ASHLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171304","ASHLAND HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1,3 ","13","PN-5C " "171304","ASHLAND HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171304","ASHLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171304","ASHLAND HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "171304","ASHLAND HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "171304","ASHLAND HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","15 patients","1,3 ","13","PN-2 " "171304","ASHLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171304","ASHLAND HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171304","ASHLAND HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","4 patients","1,3 ","13","HF-2 " "171304","ASHLAND HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "171304","ASHLAND HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "171304","ASHLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171304","ASHLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171304","ASHLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171304","ASHLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171306","WICHITA COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "171306","WICHITA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171306","WICHITA COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171306","WICHITA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171306","WICHITA COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "171306","WICHITA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171306","WICHITA COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "171306","WICHITA COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171306","WICHITA COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171306","WICHITA COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171306","WICHITA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171306","WICHITA COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171306","WICHITA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171306","WICHITA COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "171306","WICHITA COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171306","WICHITA COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171306","WICHITA COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171306","WICHITA COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171306","WICHITA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171306","WICHITA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171306","WICHITA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171306","WICHITA COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171306","WICHITA COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "171306","WICHITA COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "171306","WICHITA COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171309","JEWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171309","JEWELL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "171309","JEWELL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171309","JEWELL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171309","JEWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171309","JEWELL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171309","JEWELL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "171309","JEWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171309","JEWELL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171309","JEWELL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171309","JEWELL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "171309","JEWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171309","JEWELL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171309","JEWELL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "171309","JEWELL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171309","JEWELL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171309","JEWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171309","JEWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171309","JEWELL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "171309","JEWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171309","JEWELL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171309","JEWELL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171309","JEWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171309","JEWELL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "171309","JEWELL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171310","CHEYENNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171310","CHEYENNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171310","CHEYENNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171310","CHEYENNE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","HF-3 " "171310","CHEYENNE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","3 patients","1 ","1","HF-1 " "171310","CHEYENNE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1 ","1","PN-3B " "171310","CHEYENNE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "171310","CHEYENNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171310","CHEYENNE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "171310","CHEYENNE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","13 patients","1 ","1","PN-5C " "171310","CHEYENNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171310","CHEYENNE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171310","CHEYENNE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","11 patients","1 ","1","PN-7 " "171310","CHEYENNE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "171310","CHEYENNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171310","CHEYENNE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171310","CHEYENNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171310","CHEYENNE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","8 patients","1 ","1","HF-2 " "171310","CHEYENNE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","20 patients","1 ","1","PN-6 " "171310","CHEYENNE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","47%","19 patients","1 ","1","PN-2 " "171310","CHEYENNE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171310","CHEYENNE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "171310","CHEYENNE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "171310","CHEYENNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171310","CHEYENNE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171312","COMANCHE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171312","COMANCHE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171312","COMANCHE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171312","COMANCHE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171312","COMANCHE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171312","COMANCHE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171312","COMANCHE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171312","COMANCHE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171312","COMANCHE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","5 patients","1,3 ","13","PN-6 " "171312","COMANCHE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171312","COMANCHE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","7 patients","1 ","1","PN-7 " "171312","COMANCHE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171312","COMANCHE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171312","COMANCHE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171312","COMANCHE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "171312","COMANCHE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171312","COMANCHE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171312","COMANCHE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","6 patients","1,3 ","13","PN-2 " "171312","COMANCHE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171312","COMANCHE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","PN-4 " "171312","COMANCHE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171312","COMANCHE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171312","COMANCHE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171312","COMANCHE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "171312","COMANCHE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171313","KEARNY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171313","KEARNY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1,3 ","13","AMI-5 " "171313","KEARNY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171313","KEARNY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171313","KEARNY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","12 patients","1 ","1","PN-7 " "171313","KEARNY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171313","KEARNY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "171313","KEARNY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171313","KEARNY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171313","KEARNY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "171313","KEARNY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171313","KEARNY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","12 patients","1 ","1","HF-2 " "171313","KEARNY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171313","KEARNY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "171313","KEARNY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "171313","KEARNY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "171313","KEARNY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171313","KEARNY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171313","KEARNY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1 ","1","PN-5C " "171313","KEARNY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "171313","KEARNY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171313","KEARNY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171313","KEARNY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","9 patients","1 ","1","HF-1 " "171313","KEARNY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "171313","KEARNY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","17 patients","1 ","1","PN-2 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171314","JEFFERSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","19 patients","1 ","1","PN-7 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","7 patients","1 ","1","HF-1 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1 ","1","PN-5C " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","27 patients",,,"PN-2 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","11 patients","1 ","1","HF-2 " "171315","NEMAHA VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171316","ANDERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171316","ANDERSON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171316","ANDERSON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1 ","1","PN-5C " "171316","ANDERSON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171316","ANDERSON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171316","ANDERSON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "171316","ANDERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171316","ANDERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171316","ANDERSON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1 ","1","PN-6 " "171316","ANDERSON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "171316","ANDERSON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","HF-3 " "171316","ANDERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171316","ANDERSON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "171316","ANDERSON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "171316","ANDERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171316","ANDERSON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "171316","ANDERSON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1 ","1","HF-2 " "171316","ANDERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171316","ANDERSON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","4 patients","1 ","1","HF-1 " "171316","ANDERSON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","14 patients","1 ","1","PN-2 " "171316","ANDERSON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","7 patients","1 ","1","PN-3B " "171316","ANDERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171316","ANDERSON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171316","ANDERSON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "171316","ANDERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171317","EDWARDS COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "171317","EDWARDS COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171317","EDWARDS COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1 ","1","PN-5C " "171317","EDWARDS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171317","EDWARDS COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1 ","1","PN-7 " "171317","EDWARDS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171317","EDWARDS COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "171317","EDWARDS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171317","EDWARDS COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "171317","EDWARDS COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","3 patients","1,3 ","13","HF-2 " "171317","EDWARDS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171317","EDWARDS COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","8 patients","1 ","1","PN-2 " "171317","EDWARDS COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171317","EDWARDS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171317","EDWARDS COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","4 patients","1 ","1","PN-6 " "171317","EDWARDS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171317","EDWARDS COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171317","EDWARDS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171317","EDWARDS COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,3 ","13","HF-1 " "171317","EDWARDS COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171317","EDWARDS COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171317","EDWARDS COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171317","EDWARDS COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171317","EDWARDS COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171317","EDWARDS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171318","SEDAN CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171318","SEDAN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171318","SEDAN CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1,3 ","13","PN-6 " "171318","SEDAN CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "171318","SEDAN CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "171318","SEDAN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171318","SEDAN CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","5 patients","1,3 ","13","PN-7 " "171318","SEDAN CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1,3 ","13","PN-5C " "171318","SEDAN CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171318","SEDAN CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171318","SEDAN CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171318","SEDAN CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "171318","SEDAN CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171318","SEDAN CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","7 patients","1,3 ","13","PN-2 " "171318","SEDAN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171318","SEDAN CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","3 patients","1,3 ","13","HF-2 " "171318","SEDAN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171318","SEDAN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171318","SEDAN CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "171318","SEDAN CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "171318","SEDAN CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171318","SEDAN CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171318","SEDAN CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,3 ","13","PN-3B " "171318","SEDAN CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1,3 ","13","PN-4 " "171318","SEDAN CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171319","HOLTON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "171319","HOLTON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","13 patients","1 ","1","PN-7 " "171319","HOLTON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "171319","HOLTON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171319","HOLTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171319","HOLTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171319","HOLTON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","24 patients","1 ","1","PN-2 " "171319","HOLTON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171319","HOLTON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171319","HOLTON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171319","HOLTON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171319","HOLTON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "171319","HOLTON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","40%","10 patients","1 ","1","HF-2 " "171319","HOLTON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","4 patients","1 ","1","HF-1 " "171319","HOLTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171319","HOLTON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "171319","HOLTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171319","HOLTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171319","HOLTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171319","HOLTON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","17 patients","1 ","1","PN-5C " "171319","HOLTON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171319","HOLTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171319","HOLTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171319","HOLTON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","14 patients","1 ","1","PN-6 " "171319","HOLTON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171321","MEADE DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","54%","26 patients",,,"PN-6 " "171321","MEADE DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","38 patients",,,"PN-5C " "171321","MEADE DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171321","MEADE DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","49 patients",,,"PN-2 " "171321","MEADE DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171321","MEADE DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "171321","MEADE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","28 patients","3 ","3","SCIP-INF-1 " "171321","MEADE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","28 patients","3 ","3","SCIP-INF-3 " "171321","MEADE DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","6 patients","1 ","1","HF-1 " "171321","MEADE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","7 patients","1,3 ","13","SCIP-VTE-1 " "171321","MEADE DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "171321","MEADE DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171321","MEADE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171321","MEADE DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","13 patients","1 ","1","HF-2 " "171321","MEADE DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171321","MEADE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","7 patients","1,3 ","13","SCIP-VTE-2 " "171321","MEADE DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "171321","MEADE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","28 patients","3 ","3","SCIP-INF-2 " "171321","MEADE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171321","MEADE DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171321","MEADE DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","33 patients",,,"PN-7 " "171321","MEADE DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171321","MEADE DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171321","MEADE DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "171321","MEADE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","31 patients","3 ","3","SCIP-INF-6 " "171322","HAMILTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171322","HAMILTON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171322","HAMILTON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1 ","1","PN-6 " "171322","HAMILTON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171322","HAMILTON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "171322","HAMILTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171322","HAMILTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171322","HAMILTON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","4 patients","1,3 ","13","HF-2 " "171322","HAMILTON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1 ","1","PN-7 " "171322","HAMILTON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "171322","HAMILTON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171322","HAMILTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171322","HAMILTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171322","HAMILTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171322","HAMILTON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171322","HAMILTON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171322","HAMILTON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","29%","7 patients","1 ","1","PN-2 " "171322","HAMILTON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171322","HAMILTON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","3 patients","1,3 ","13","HF-1 " "171322","HAMILTON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1 ","1","PN-5C " "171322","HAMILTON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171322","HAMILTON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "171322","HAMILTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171322","HAMILTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171322","HAMILTON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171325","GRAHAM COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171325","GRAHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171325","GRAHAM COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171325","GRAHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171325","GRAHAM COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171325","GRAHAM COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","4 patients","1,3 ","13","PN-4 " "171325","GRAHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171325","GRAHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171325","GRAHAM COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1,3 ","13","PN-6 " "171325","GRAHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171325","GRAHAM COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","5 patients","1,3 ","13","PN-7 " "171325","GRAHAM COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "171325","GRAHAM COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171325","GRAHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171325","GRAHAM COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171325","GRAHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171325","GRAHAM COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171325","GRAHAM COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171325","GRAHAM COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","7 patients","1,3 ","13","HF-1 " "171325","GRAHAM COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","8 patients","1,3 ","13","PN-2 " "171325","GRAHAM COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","9 patients","1,3 ","13","PN-5C " "171325","GRAHAM COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,3 ","13","HF-4 " "171325","GRAHAM COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171325","GRAHAM COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","47%","15 patients","1,3 ","13","HF-2 " "171325","GRAHAM COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","43 patients","2 ","2","PN-5C " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1,2 ","12","PN-4 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","17 patients","1,2 ","12","PN-3B " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,2,3 ","123","AMI-5 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,2 ","12","HF-3 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","30 patients","2 ","2","HF-2 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","39 patients",,,"PN-7 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","17 patients","1,2 ","12","HF-1 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","61 patients","2 ","2","PN-2 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1,2 ","12","HF-4 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,2,3 ","123","AMI-2 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","19 patients","1,2 ","12","PN-6 " "171327","ELLSWORTH COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1,2,3 ","123","AMI-1 " "171328","OTTAWA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171328","OTTAWA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171328","OTTAWA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171328","OTTAWA COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","53%","15 patients","1,2,3 ","123","PN-2 " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171328","OTTAWA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171328","OTTAWA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171328","OTTAWA COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2,3 ","123","PN-4 " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171328","OTTAWA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171328","OTTAWA COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","44%","18 patients","1,2 ","12","PN-7 " "171328","OTTAWA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171328","OTTAWA COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "171328","OTTAWA COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","6 patients","1,2,3 ","123","PN-6 " "171328","OTTAWA COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171328","OTTAWA COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","11 patients","1,2,3 ","123","PN-5C " "171328","OTTAWA COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171331","KIOWA DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171331","KIOWA DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171331","KIOWA DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171331","KIOWA DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "171331","KIOWA DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171331","KIOWA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171331","KIOWA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171331","KIOWA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171331","KIOWA DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","5 patients","1 ","1","PN-6 " "171331","KIOWA DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","17%","6 patients","1 ","1","PN-2 " "171331","KIOWA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171331","KIOWA DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171331","KIOWA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171331","KIOWA DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","4 patients","1 ","1","PN-5C " "171331","KIOWA DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171331","KIOWA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171331","KIOWA DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171331","KIOWA DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171331","KIOWA DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171331","KIOWA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171331","KIOWA DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1 ","1","PN-3B " "171331","KIOWA DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171331","KIOWA DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171331","KIOWA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171331","KIOWA DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","25%","4 patients","1 ","1","PN-7 " "171333","CLARA BARTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","57%","7 patients","1 ","1","SCIP-VTE-1 " "171333","CLARA BARTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","18%","11 patients","1 ","1","PN-7 " "171333","CLARA BARTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","7 patients","1 ","1","SCIP-VTE-2 " "171333","CLARA BARTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171333","CLARA BARTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","15 patients","1 ","1","SCIP-INF-6 " "171333","CLARA BARTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "171333","CLARA BARTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171333","CLARA BARTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1 ","1","SCIP-INF-3 " "171333","CLARA BARTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171333","CLARA BARTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","11 patients","1,3 ","13","PN-6 " "171333","CLARA BARTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,3 ","13","HF-4 " "171333","CLARA BARTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171333","CLARA BARTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","36%","11 patients","1,3 ","13","HF-2 " "171333","CLARA BARTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","5 patients","1,3 ","13","HF-1 " "171333","CLARA BARTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171333","CLARA BARTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","44%","9 patients","1 ","1","SCIP-INF-1 " "171333","CLARA BARTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171333","CLARA BARTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171333","CLARA BARTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1,3 ","13","PN-5C " "171333","CLARA BARTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1 ","1","SCIP-INF-2 " "171333","CLARA BARTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","20%","5 patients","1,3 ","13","PN-4 " "171333","CLARA BARTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,3 ","13","PN-3B " "171333","CLARA BARTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171333","CLARA BARTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","23%","13 patients","1,3 ","13","PN-2 " "171333","CLARA BARTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,3 ","13","PN-3B " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1,3 ","13","PN-6 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","7 patients","1,3 ","13","PN-5C " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","8 patients","1 ","1","PN-7 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","58%","12 patients","1,3 ","13","PN-2 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171336","NESS COUNTY HOSPITAL DISTRICT #2","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171337","WAMEGO CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "171337","WAMEGO CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171337","WAMEGO CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "171337","WAMEGO CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","15 patients","1 ","1","HF-1 " "171337","WAMEGO CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","21 patients","1 ","1","HF-2 " "171337","WAMEGO CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171337","WAMEGO CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "171337","WAMEGO CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171337","WAMEGO CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "171337","WAMEGO CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171337","WAMEGO CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "171337","WAMEGO CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171337","WAMEGO CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171337","WAMEGO CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","12 patients","1 ","1","PN-7 " "171337","WAMEGO CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "171337","WAMEGO CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171337","WAMEGO CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "171337","WAMEGO CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1 ","1","PN-5C " "171337","WAMEGO CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","PN-4 " "171337","WAMEGO CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "171337","WAMEGO CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","23 patients","1 ","1","PN-2 " "171337","WAMEGO CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "171337","WAMEGO CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "171337","WAMEGO CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171337","WAMEGO CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "171338","SABETHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "171338","SABETHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,3 ","13","SCIP-VTE-1 " "171338","SABETHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171338","SABETHA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1 ","1","PN-5C " "171338","SABETHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171338","SABETHA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "171338","SABETHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1 ","1","HF-1 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171338","SABETHA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","9 patients","1 ","1","HF-2 " "171338","SABETHA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","7 patients","1 ","1","PN-7 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "171338","SABETHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "171338","SABETHA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","38%","8 patients","1 ","1","PN-2 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "171338","SABETHA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "171338","SABETHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1,3 ","13","SCIP-VTE-2 " "171338","SABETHA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "171338","SABETHA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1 ","1","PN-6 " "171338","SABETHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "171339","GREENWOOD COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","27%","11 patients","1,3 ","13","HF-1 " "171339","GREENWOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171339","GREENWOOD COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "171339","GREENWOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171339","GREENWOOD COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","24 patients","1,3 ","13","PN-2 " "171339","GREENWOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171339","GREENWOOD COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,3 ","13","PN-4 " "171339","GREENWOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171339","GREENWOOD COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "171339","GREENWOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171339","GREENWOOD COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","19 patients","1 ","1","PN-7 " "171339","GREENWOOD COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171339","GREENWOOD COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171339","GREENWOOD COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "171339","GREENWOOD COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","16 patients","1,3 ","13","PN-6 " "171339","GREENWOOD COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1,3 ","13","PN-3B " "171339","GREENWOOD COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","31 patients","3 ","3","PN-5C " "171339","GREENWOOD COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "171339","GREENWOOD COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","14%","22 patients","1,3 ","13","HF-2 " "171339","GREENWOOD COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "171339","GREENWOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171339","GREENWOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171339","GREENWOOD COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171339","GREENWOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171339","GREENWOOD COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171340","HERINGTON MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171340","HERINGTON MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "171340","HERINGTON MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "171340","HERINGTON MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171340","HERINGTON MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171340","HERINGTON MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171340","HERINGTON MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171340","HERINGTON MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171340","HERINGTON MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "171340","HERINGTON MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171340","HERINGTON MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "171340","HERINGTON MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171340","HERINGTON MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171340","HERINGTON MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171340","HERINGTON MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171341","HIAWATHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","26 patients","3 ","3","SCIP-INF-1 " "171341","HIAWATHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","19 patients","1,3 ","13","SCIP-VTE-2 " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","8 patients","1,3 ","13","HF-3 " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1,3 ","13","HF-4 " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","29 patients","3 ","3","HF-2 " "171341","HIAWATHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171341","HIAWATHA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","23 patients","1,3 ","13","PN-2 " "171341","HIAWATHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","19 patients","1,3 ","13","SCIP-VTE-1 " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171341","HIAWATHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171341","HIAWATHA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients","3 ","3","PN-5C " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","16 patients","1,3 ","13","HF-1 " "171341","HIAWATHA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","21 patients","1,3 ","13","PN-6 " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "171341","HIAWATHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","28 patients","3 ","3","SCIP-INF-6 " "171341","HIAWATHA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","38%","8 patients","1,3 ","13","PN-4 " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1,3 ","13","AMI-7A " "171341","HIAWATHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","26 patients","3 ","3","SCIP-INF-2 " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "171341","HIAWATHA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1,3 ","13","PN-3B " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171341","HIAWATHA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "171341","HIAWATHA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","26 patients",,,"PN-7 " "171341","HIAWATHA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","26 patients","3 ","3","SCIP-INF-3 " "171344","WILSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "171344","WILSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171344","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171344","WILSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "171344","WILSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,3 ","13","PN-3B " "171344","WILSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "171344","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171344","WILSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "171344","WILSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171344","WILSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","4 patients","1,3 ","13","PN-4 " "171344","WILSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171344","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171344","WILSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171344","WILSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","6 patients","1,3 ","13","PN-7 " "171344","WILSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","14%","7 patients","1,3 ","13","PN-6 " "171344","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171344","WILSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","20%","10 patients","1,3 ","13","PN-2 " "171344","WILSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171344","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171344","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171344","WILSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","6 patients","1,3 ","13","PN-5C " "171344","WILSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171344","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171344","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171344","WILSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171347","SHERIDAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171347","SHERIDAN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","10 patients","1 ","1","PN-5C " "171347","SHERIDAN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171347","SHERIDAN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171347","SHERIDAN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1 ","1","PN-3B " "171347","SHERIDAN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171347","SHERIDAN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171347","SHERIDAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171347","SHERIDAN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","22%","9 patients","1 ","1","PN-2 " "171347","SHERIDAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171347","SHERIDAN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171347","SHERIDAN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171347","SHERIDAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171347","SHERIDAN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171347","SHERIDAN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171347","SHERIDAN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","6 patients","1 ","1","PN-6 " "171347","SHERIDAN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171347","SHERIDAN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","6 patients","1 ","1","PN-7 " "171347","SHERIDAN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171347","SHERIDAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171347","SHERIDAN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171347","SHERIDAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171347","SHERIDAN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "171347","SHERIDAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171347","SHERIDAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171348","NORTON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171348","NORTON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171348","NORTON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","20%","5 patients","1,2,3 ","123","PN-4 " "171348","NORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171348","NORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171348","NORTON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171348","NORTON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171348","NORTON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171348","NORTON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171348","NORTON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171348","NORTON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171348","NORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171348","NORTON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171348","NORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171348","NORTON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,2,3 ","123","PN-3B " "171348","NORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171348","NORTON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","46%","13 patients","1,2,3 ","123","PN-6 " "171348","NORTON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","5 patients","1,2,3 ","123","PN-7 " "171348","NORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171348","NORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171348","NORTON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171348","NORTON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1,2,3 ","123","PN-5C " "171348","NORTON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171348","NORTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171348","NORTON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","12 patients","1,2,3 ","123","PN-2 " "171349","CLOUD COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "171349","CLOUD COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171349","CLOUD COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","35 patients",,,"PN-5C " "171349","CLOUD COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "171349","CLOUD COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1 ","1","PN-3B " "171349","CLOUD COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "171349","CLOUD COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","57%","61 patients",,,"HF-2 " "171349","CLOUD COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "171349","CLOUD COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","67%","3 patients","1,3 ","13","SCIP-INF-6 " "171349","CLOUD COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171349","CLOUD COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171349","CLOUD COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","38 patients",,,"HF-1 " "171349","CLOUD COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","15 patients","1 ","1","PN-6 " "171349","CLOUD COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "171349","CLOUD COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "171349","CLOUD COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171349","CLOUD COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "171349","CLOUD COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "171349","CLOUD COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1,3 ","13","SCIP-CARD-2 " "171349","CLOUD COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1 ","1","PN-4 " "171349","CLOUD COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1 ","1","HF-4 " "171349","CLOUD COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "171349","CLOUD COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","22 patients","1 ","1","PN-7 " "171349","CLOUD COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","39 patients",,,"PN-2 " "171349","CLOUD COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-2 " "171350","RUSSELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171350","RUSSELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171350","RUSSELL REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "171350","RUSSELL REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "171350","RUSSELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171350","RUSSELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171350","RUSSELL REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","45%","11 patients","1 ","1","PN-2 " "171350","RUSSELL REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1 ","1","PN-5C " "171350","RUSSELL REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1 ","1","PN-7 " "171350","RUSSELL REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1 ","1","PN-6 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171350","RUSSELL REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171350","RUSSELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171350","RUSSELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171350","RUSSELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171350","RUSSELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171350","RUSSELL REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171351","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","9 patients","1 ","1","PN-5C " "171351","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "171351","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171351","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171351","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171351","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171351","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "171351","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,3 ","13","HF-2 " "171351","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171351","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients",,,"PN-6 " "171351","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171351","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "171351","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171351","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1 ","1","PN-7 " "171351","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171351","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "171351","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "171351","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171351","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","9 patients","1 ","1","PN-2 " "171351","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171351","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171351","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "171351","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "171351","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "171351","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171353","PHILLIPS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171353","PHILLIPS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "171353","PHILLIPS COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "171353","PHILLIPS COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","5 patients","1 ","1","PN-6 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171353","PHILLIPS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "171353","PHILLIPS COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "171353","PHILLIPS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "171353","PHILLIPS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171353","PHILLIPS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","5 patients","1,3 ","13","HF-2 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171353","PHILLIPS COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","10 patients","1 ","1","PN-7 " "171353","PHILLIPS COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1 ","1","PN-5C " "171353","PHILLIPS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171353","PHILLIPS COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","25 patients",,,"PN-2 " "171353","PHILLIPS COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "171353","PHILLIPS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","14 patients","1,2 ","12","PN-5C " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","22%","9 patients","1 ","1","HF-1 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1 ","1","HF-4 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1,2 ","12","PN-4 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","21 patients","1 ","1","HF-2 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","11 patients","1,2 ","12","PN-6 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","18%","28 patients","2 ","2","PN-2 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","24%","17 patients","1,2 ","12","PN-7 " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,2 ","12","PN-3B " "171354","COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","9%","11 patients","1,2 ","12","HF-1 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,2 ","12","HF-4 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","33 patients","2 ","2","HF-2 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","6 patients","1,2 ","12","PN-4 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","18 patients","1,2 ","12","PN-6 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","5 patients","1,2 ","12","PN-3B " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","42 patients","2 ","2","PN-2 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","21 patients","1,2 ","12","PN-5C " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","22 patients","1 ","1","PN-7 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","9 patients","1,2 ","12","HF-3 " "171355","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171356","ST LUKE HOSPITAL & LIVING CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1 ","1","PN-6 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","10 patients","1 ","1","HF-2 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1 ","1","PN-5C " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","4 patients","1 ","1","PN-2 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","7 patients","1 ","1","HF-1 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1 ","1","PN-7 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171356","ST LUKE HOSPITAL & LIVING CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","57%","14 patients","1 ","1","HF-2 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171357","HILLSBORO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "171357","HILLSBORO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171357","HILLSBORO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "171357","HILLSBORO COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","2 patients","1 ","1","PN-3B " "171357","HILLSBORO COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","44%","9 patients","1 ","1","PN-2 " "171357","HILLSBORO COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1 ","1","PN-5C " "171357","HILLSBORO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "171357","HILLSBORO COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","20%","5 patients","1 ","1","PN-7 " "171357","HILLSBORO COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "171357","HILLSBORO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171357","HILLSBORO COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1 ","1","PN-6 " "171357","HILLSBORO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","12%","8 patients","1 ","1","HF-1 " "171357","HILLSBORO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171357","HILLSBORO COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171357","HILLSBORO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171358","LINDSBORG COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1,3 ","13","PN-6 " "171358","LINDSBORG COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","17 patients","1,3 ","13","PN-2 " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "171358","LINDSBORG COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,3 ","13","PN-4 " "171358","LINDSBORG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171358","LINDSBORG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "171358","LINDSBORG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171358","LINDSBORG COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1,3 ","13","PN-5C " "171358","LINDSBORG COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","13 patients","1 ","1","PN-7 " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171358","LINDSBORG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171358","LINDSBORG COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,3 ","13","PN-3B " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "171358","LINDSBORG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171358","LINDSBORG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "171358","LINDSBORG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171358","LINDSBORG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171358","LINDSBORG COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","5 patients","1,3 ","13","HF-2 " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171359","GREELEY COUNTY HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","47%","17 patients","1,3 ","13","PN-2 " "171359","GREELEY COUNTY HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,3 ","13","PN-4 " "171359","GREELEY COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171359","GREELEY COUNTY HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","14 patients","1,3 ","13","PN-6 " "171359","GREELEY COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "171359","GREELEY COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171359","GREELEY COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171359","GREELEY COUNTY HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,3 ","13","PN-3B " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171359","GREELEY COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171359","GREELEY COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171359","GREELEY COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171359","GREELEY COUNTY HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","16 patients","1,3 ","13","PN-5C " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","17%","6 patients","1,3 ","13","HF-1 " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","13 patients","1,3 ","13","HF-2 " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171359","GREELEY COUNTY HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171359","GREELEY COUNTY HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","10 patients","1 ","1","PN-7 " "171359","GREELEY COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171361","REPUBLIC COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","20 patients","1,3 ","13","SCIP-INF-6 " "171361","REPUBLIC COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,2,3 ","123","AMI-2 " "171361","REPUBLIC COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","19 patients","1,3 ","13","SCIP-INF-2 " "171361","REPUBLIC COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,2,3 ","123","AMI-1 " "171361","REPUBLIC COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171361","REPUBLIC COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171361","REPUBLIC COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "171361","REPUBLIC COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","18 patients","1,3 ","13","SCIP-VTE-2 " "171361","REPUBLIC COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2,3 ","123","PN-4 " "171361","REPUBLIC COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","18 patients","1,3 ","13","SCIP-VTE-1 " "171361","REPUBLIC COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171361","REPUBLIC COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","20 patients","1,3 ","13","SCIP-INF-1 " "171361","REPUBLIC COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","47%","19 patients","1,2,3 ","123","PN-2 " "171361","REPUBLIC COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","14 patients","1,2,3 ","123","PN-5C " "171361","REPUBLIC COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1,2,3 ","123","AMI-5 " "171361","REPUBLIC COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","56%","9 patients","1,2,3 ","123","PN-6 " "171361","REPUBLIC COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171361","REPUBLIC COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","42%","19 patients","1,3 ","13","SCIP-INF-3 " "171361","REPUBLIC COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171361","REPUBLIC COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,2,3 ","123","PN-3B " "171361","REPUBLIC COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171361","REPUBLIC COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","19 patients","1,2 ","12","PN-7 " "171361","REPUBLIC COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "171361","REPUBLIC COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171361","REPUBLIC COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,3 ","13","PN-6 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1,3 ","13","PN-5C " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","2 patients","1,3 ","13","PN-2 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171364","OSBORNE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","43%","14 patients","1,3 ","13","HF-2 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "171366","HARPER HOSPITAL DISTRICT NO 5","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","7 patients","1,3 ","13","PN-4 " "171366","HARPER HOSPITAL DISTRICT NO 5","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-1 " "171366","HARPER HOSPITAL DISTRICT NO 5","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "171366","HARPER HOSPITAL DISTRICT NO 5","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1,3 ","13","PN-5C " "171366","HARPER HOSPITAL DISTRICT NO 5","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "171366","HARPER HOSPITAL DISTRICT NO 5","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","53%","19 patients","1,3 ","13","PN-6 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171366","HARPER HOSPITAL DISTRICT NO 5","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "171366","HARPER HOSPITAL DISTRICT NO 5","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171366","HARPER HOSPITAL DISTRICT NO 5","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171366","HARPER HOSPITAL DISTRICT NO 5","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","44%","16 patients","1 ","1","PN-7 " "171366","HARPER HOSPITAL DISTRICT NO 5","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","16 patients","1,3 ","13","PN-2 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "171366","HARPER HOSPITAL DISTRICT NO 5","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "171366","HARPER HOSPITAL DISTRICT NO 5","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "171366","HARPER HOSPITAL DISTRICT NO 5","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1,3 ","13","PN-3B " "171366","HARPER HOSPITAL DISTRICT NO 5","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171369","HODGEMAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171369","HODGEMAN COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","15 patients","1 ","1","PN-7 " "171369","HODGEMAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171369","HODGEMAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171369","HODGEMAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171369","HODGEMAN COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","13 patients","1,3 ","13","PN-6 " "171369","HODGEMAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171369","HODGEMAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171369","HODGEMAN COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1,3 ","13","PN-5C " "171369","HODGEMAN COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","17 patients","1,3 ","13","PN-2 " "171369","HODGEMAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171369","HODGEMAN COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1,3 ","13","PN-4 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171369","HODGEMAN COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "171369","HODGEMAN COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171369","HODGEMAN COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "171370","GOODLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171370","GOODLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","27 patients",,,"PN-2 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","5 patients","1 ","1","PN-4 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","54%","13 patients","1 ","1","HF-2 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","9 patients","1 ","1","PN-5C " "171370","GOODLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","15 patients","1 ","1","PN-7 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","17 patients","1 ","1","PN-6 " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171370","GOODLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","9 patients","1 ","1","HF-1 " "171371","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1,3 ","13","PN-3B " "171371","CLAY COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171371","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171371","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171371","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","0%","2 patients","1,3 ","13","PN-5C " "171371","CLAY COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "171371","CLAY COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","38%","8 patients","1,3 ","13","HF-2 " "171371","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,3 ","13","PN-4 " "171371","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171371","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171371","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171371","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171371","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","25 patients","3 ","3","PN-2 " "171371","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171371","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171371","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171371","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171371","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","6 patients","1,3 ","13","PN-6 " "171371","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171371","CLAY COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1,3 ","13","HF-1 " "171371","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","15 patients","1,3 ","13","PN-7 " "171371","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171371","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171371","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171371","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171372","SCOTT COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "171372","SCOTT COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171372","SCOTT COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "171372","SCOTT COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "171372","SCOTT COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171372","SCOTT COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171372","SCOTT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171372","SCOTT COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "171372","SCOTT COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "171372","SCOTT COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171372","SCOTT COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "171372","SCOTT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171372","SCOTT COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "171372","SCOTT COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "171372","SCOTT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171372","SCOTT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171372","SCOTT COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171372","SCOTT COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171372","SCOTT COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "171372","SCOTT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171372","SCOTT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171372","SCOTT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171372","SCOTT COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "171372","SCOTT COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171372","SCOTT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171373","ALLEN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "171373","ALLEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1 ","1","SCIP-INF-3 " "171373","ALLEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "171373","ALLEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","10 patients","1 ","1","SCIP-VTE-2 " "171373","ALLEN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "171373","ALLEN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171373","ALLEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "171373","ALLEN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "171373","ALLEN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","20 patients","1 ","1","HF-1 " "171373","ALLEN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","36 patients",,,"HF-2 " "171373","ALLEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1 ","1","SCIP-INF-6 " "171373","ALLEN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","55 patients",,,"PN-2 " "171373","ALLEN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171373","ALLEN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","66 patients",,,"PN-5C " "171373","ALLEN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","33 patients",,,"PN-6 " "171373","ALLEN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "171373","ALLEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "171373","ALLEN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","34 patients",,,"PN-7 " "171373","ALLEN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "171373","ALLEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","10 patients","1 ","1","SCIP-VTE-1 " "171373","ALLEN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171373","ALLEN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","29 patients",,,"PN-3B " "171373","ALLEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-2 " "171373","ALLEN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "171373","ALLEN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171374","FREDONIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171374","FREDONIA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","40%","15 patients","1,3 ","13","PN-6 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171374","FREDONIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171374","FREDONIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","22%","23 patients","1,3 ","13","HF-2 " "171374","FREDONIA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","36%","33 patients",,,"PN-7 " "171374","FREDONIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171374","FREDONIA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","77%","13 patients","1,3 ","13","PN-5C " "171374","FREDONIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171374","FREDONIA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "171374","FREDONIA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171374","FREDONIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171374","FREDONIA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1,3 ","13","PN-4 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "171374","FREDONIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171374","FREDONIA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","32%","38 patients","3 ","3","PN-2 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171374","FREDONIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","19%","16 patients","1,3 ","13","HF-1 " "171374","FREDONIA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","HF-4 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","34 patients",,,"HF-2 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","8 patients","1 ","1","SCIP-INF-3 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients",,,"PN-3B " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","21 patients","1 ","1","SCIP-INF-6 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","9 patients","1 ","1","SCIP-INF-2 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","52 patients",,,"PN-2 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","18 patients","1 ","1","HF-1 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","43%","14 patients","1 ","1","PN-4 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","13 patients","1 ","1","SCIP-VTE-1 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","13 patients","1 ","1","SCIP-VTE-2 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","9 patients","1 ","1","SCIP-INF-1 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","44 patients",,,"PN-5C " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","38 patients",,,"PN-7 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","46%","28 patients",,,"PN-6 " "171375","MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "171376","GIRARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","40%","5 patients","1,3 ","13","SCIP-INF-3 " "171376","GIRARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,3 ","13","SCIP-VTE-1 " "171376","GIRARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171376","GIRARD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171376","GIRARD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","33 patients",,,"HF-2 " "171376","GIRARD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "171376","GIRARD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "171376","GIRARD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","31 patients",,,"PN-7 " "171376","GIRARD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "171376","GIRARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171376","GIRARD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171376","GIRARD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","PN-4 " "171376","GIRARD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "171376","GIRARD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171376","GIRARD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","37 patients",,,"PN-6 " "171376","GIRARD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","20 patients","1 ","1","HF-1 " "171376","GIRARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "171376","GIRARD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "171376","GIRARD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","50 patients",,,"PN-3B " "171376","GIRARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","6 patients","1,3 ","13","SCIP-INF-1 " "171376","GIRARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "171376","GIRARD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","20 patients","1,3 ","13","PN-5C " "171376","GIRARD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","44 patients",,,"PN-2 " "171376","GIRARD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171376","GIRARD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1,3 ","13","SCIP-INF-2 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","5 patients","1 ","1","HF-1 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","3 patients","1 ","1","HF-3 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","60%","10 patients","1 ","1","PN-5C " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","2 patients","1 ","1","PN-3B " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","16 patients","1 ","1","PN-2 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","12%","16 patients","1 ","1","HF-2 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","8 patients","1 ","1","PN-6 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","14 patients","1 ","1","PN-7 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1 ","1","AMI-1 " "171377","SMITH COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "171378","KINGMAN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "171378","KINGMAN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","34 patients",,,"PN-6 " "171378","KINGMAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "171378","KINGMAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1 ","1","SCIP-INF-6 " "171378","KINGMAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","4 patients","1 ","1","SCIP-INF-1 " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1 ","1","HF-1 " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171378","KINGMAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1 ","1","SCIP-VTE-2 " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "171378","KINGMAN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","12 patients","1 ","1","PN-3B " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","10 patients","1 ","1","HF-2 " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171378","KINGMAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "171378","KINGMAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","4 patients","1 ","1","SCIP-INF-2 " "171378","KINGMAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171378","KINGMAN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","42 patients",,,"PN-2 " "171378","KINGMAN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "171378","KINGMAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","3 patients","1 ","1","SCIP-VTE-1 " "171378","KINGMAN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","26 patients",,,"PN-7 " "171378","KINGMAN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","31 patients",,,"PN-5C " "171379","MORRIS COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "171379","MORRIS COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","22%","9 patients","1 ","1","PN-4 " "171379","MORRIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171379","MORRIS COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","HF-4 " "171379","MORRIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171379","MORRIS COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "171379","MORRIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171379","MORRIS COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "171379","MORRIS COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171379","MORRIS COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","19 patients","1 ","1","PN-7 " "171379","MORRIS COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "171379","MORRIS COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","17 patients","1 ","1","PN-6 " "171379","MORRIS COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","26%","35 patients",,,"HF-2 " "171379","MORRIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171379","MORRIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171379","MORRIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171379","MORRIS COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","31 patients",,,"PN-2 " "171379","MORRIS COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1 ","1","PN-3B " "171379","MORRIS COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","5%","22 patients","1 ","1","HF-1 " "171379","MORRIS COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","25 patients",,,"PN-5C " "171379","MORRIS COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "171379","MORRIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171379","MORRIS COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171379","MORRIS COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171379","MORRIS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","64 patients",,,"SCIP-INF-6 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","60 patients","2 ","2","PN-7 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","32 patients",,,"SCIP-VTE-2 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","32 patients",,,"SCIP-INF-2 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","8 patients","1 ","1","AMI-2 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","37 patients","2 ","2","PN-4 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","112 patients","2 ","2","PN-5C " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","53 patients","2 ","2","PN-6 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","32 patients",,,"SCIP-VTE-1 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","32 patients",,,"SCIP-INF-3 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","78 patients",,,"HF-1 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","93 patients",,,"HF-2 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","6 patients","1 ","1","AMI-5 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","30 patients",,,"HF-3 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","32 patients",,,"SCIP-INF-1 " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","74 patients","2 ","2","PN-3B " "171380","NEOSHO MEMORIAL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","74 patients","2 ","2","PN-2 " "171381","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,3 ","13","AMI-2 " "171381","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","25 patients",,,"PN-7 " "171381","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","11 patients","1 ","1","HF-3 " "171381","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","69%","13 patients","1 ","1","PN-3B " "171381","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","22 patients","1 ","1","PN-5C " "171381","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "171381","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","17 patients","1 ","1","HF-1 " "171381","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","14%","7 patients","1 ","1","HF-4 " "171381","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "171381","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "171381","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171381","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "171381","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "171381","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","PN-4 " "171381","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "171381","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "171381","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171381","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "171381","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","40 patients",,,"HF-2 " "171381","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171381","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "171381","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","37 patients",,,"PN-2 " "171381","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","31 patients",,,"PN-6 " "171381","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171381","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","71%","7 patients","1,3 ","13","AMI-5 " "171382","ATCHISON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","22 patients","1,3 ","13","HF-2 " "171382","ATCHISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","23 patients","1,3 ","13","SCIP-INF-2 " "171382","ATCHISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "171382","ATCHISON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","22 patients","1,3 ","13","PN-3B " "171382","ATCHISON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171382","ATCHISON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","11 patients","1,3 ","13","SCIP-VTE-2 " "171382","ATCHISON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1,3 ","13","HF-3 " "171382","ATCHISON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","11 patients","1,3 ","13","SCIP-VTE-1 " "171382","ATCHISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","23 patients","1,3 ","13","SCIP-INF-3 " "171382","ATCHISON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","21 patients","1,3 ","13","PN-5C " "171382","ATCHISON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","29 patients","3 ","3","PN-2 " "171382","ATCHISON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","8 patients","1,3 ","13","PN-7 " "171382","ATCHISON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,3 ","13","PN-4 " "171382","ATCHISON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "171382","ATCHISON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "171382","ATCHISON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "171382","ATCHISON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "171382","ATCHISON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "171382","ATCHISON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","15 patients","1,3 ","13","HF-1 " "171382","ATCHISON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1,3 ","13","PN-6 " "171382","ATCHISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","23 patients","1,3 ","13","SCIP-INF-1 " "171382","ATCHISON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "171382","ATCHISON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "171382","ATCHISON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "171382","ATCHISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","24 patients","1,3 ","13","SCIP-INF-6 " "171383","WILLIAM NEWTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","86 patients",,,"SCIP-INF-6 " "171383","WILLIAM NEWTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","29 patients",,,"PN-7 " "171383","WILLIAM NEWTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "171383","WILLIAM NEWTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "171383","WILLIAM NEWTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","66 patients",,,"SCIP-INF-1 " "171383","WILLIAM NEWTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","33 patients",,,"SCIP-VTE-2 " "171383","WILLIAM NEWTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "171383","WILLIAM NEWTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","67 patients",,,"SCIP-INF-2 " "171383","WILLIAM NEWTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "171383","WILLIAM NEWTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","HF-3 " "171383","WILLIAM NEWTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","25 patients",,,"HF-2 " "171383","WILLIAM NEWTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "171383","WILLIAM NEWTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "171383","WILLIAM NEWTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","62 patients",,,"PN-2 " "171383","WILLIAM NEWTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","33 patients",,,"SCIP-VTE-1 " "171383","WILLIAM NEWTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "171383","WILLIAM NEWTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","61 patients",,,"PN-5C " "171383","WILLIAM NEWTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "171383","WILLIAM NEWTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "171383","WILLIAM NEWTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "171383","WILLIAM NEWTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","65 patients",,,"SCIP-INF-3 " "171383","WILLIAM NEWTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","38 patients",,,"PN-3B " "171383","WILLIAM NEWTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","64%","11 patients","1 ","1","PN-4 " "171383","WILLIAM NEWTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","30 patients",,,"PN-6 " "171383","WILLIAM NEWTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","14 patients","1 ","1","HF-1 " "180001","ST ELIZABETH FT THOMAS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","146 patients","2 ","2","SCIP-VTE-2 " "180001","ST ELIZABETH FT THOMAS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","168 patients","2 ","2","SCIP-INF-1 " "180001","ST ELIZABETH FT THOMAS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "180001","ST ELIZABETH FT THOMAS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","108 patients","2 ","2","PN-6 " "180001","ST ELIZABETH FT THOMAS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","167 patients","2 ","2","HF-1 " "180001","ST ELIZABETH FT THOMAS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","52 patients","2 ","2","HF-3 " "180001","ST ELIZABETH FT THOMAS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","42 patients","2 ","2","HF-4 " "180001","ST ELIZABETH FT THOMAS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","70 patients",,,"AMI-5 " "180001","ST ELIZABETH FT THOMAS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","77 patients","2 ","2","PN-4 " "180001","ST ELIZABETH FT THOMAS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","84 patients","2 ","2","PN-7 " "180001","ST ELIZABETH FT THOMAS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","36 patients","2 ","2","SCIP-CARD-2 " "180001","ST ELIZABETH FT THOMAS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","156 patients","2 ","2","PN-5C " "180001","ST ELIZABETH FT THOMAS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","217 patients","2 ","2","HF-2 " "180001","ST ELIZABETH FT THOMAS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","319 patients","2 ","2","SCIP-INF-6 " "180001","ST ELIZABETH FT THOMAS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180001","ST ELIZABETH FT THOMAS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","146 patients","2 ","2","SCIP-VTE-1 " "180001","ST ELIZABETH FT THOMAS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180001","ST ELIZABETH FT THOMAS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","169 patients","2 ","2","SCIP-INF-2 " "180001","ST ELIZABETH FT THOMAS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","46 patients","2 ","2","PN-3B " "180001","ST ELIZABETH FT THOMAS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","140 patients","2 ","2","PN-2 " "180001","ST ELIZABETH FT THOMAS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "180001","ST ELIZABETH FT THOMAS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","66 patients",,,"AMI-2 " "180001","ST ELIZABETH FT THOMAS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","69%","156 patients","2 ","2","SCIP-INF-3 " "180001","ST ELIZABETH FT THOMAS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","122 patients",,,"AMI-1 " "180001","ST ELIZABETH FT THOMAS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180002","WHITESBURG ARH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","138 patients",,,"PN-2 " "180002","WHITESBURG ARH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","111 patients",,,"PN-7 " "180002","WHITESBURG ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","32 patients",,,"SCIP-INF-3 " "180002","WHITESBURG ARH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","135 patients",,,"PN-6 " "180002","WHITESBURG ARH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","11 patients","1 ","1","AMI-2 " "180002","WHITESBURG ARH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","24 patients","1 ","1","AMI-1 " "180002","WHITESBURG ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","43 patients",,,"SCIP-VTE-2 " "180002","WHITESBURG ARH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "180002","WHITESBURG ARH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180002","WHITESBURG ARH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","107 patients",,,"PN-3B " "180002","WHITESBURG ARH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "180002","WHITESBURG ARH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "180002","WHITESBURG ARH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","178 patients",,,"PN-5C " "180002","WHITESBURG ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","33 patients",,,"SCIP-INF-2 " "180002","WHITESBURG ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","43 patients",,,"SCIP-VTE-1 " "180002","WHITESBURG ARH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","189 patients",,,"HF-1 " "180002","WHITESBURG ARH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "180002","WHITESBURG ARH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "180002","WHITESBURG ARH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "180002","WHITESBURG ARH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","208 patients",,,"HF-2 " "180002","WHITESBURG ARH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"PN-4 " "180002","WHITESBURG ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","33 patients",,,"SCIP-INF-1 " "180002","WHITESBURG ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180002","WHITESBURG ARH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180002","WHITESBURG ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","74 patients",,,"SCIP-INF-6 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","55 patients",,,"HF-1 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","122 patients",,,"SCIP-INF-6 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","74 patients",,,"PN-3B " "180004","MUHLENBERG COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","153 patients",,,"PN-6 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","170 patients",,,"PN-2 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","74 patients",,,"SCIP-VTE-2 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1 ","1","AMI-1 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","80 patients",,,"PN-4 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","73 patients",,,"HF-2 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","70%","53 patients",,,"SCIP-INF-1 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","74 patients",,,"SCIP-VTE-1 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180004","MUHLENBERG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","19 patients","1 ","1","SCIP-CARD-2 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","47 patients",,,"SCIP-INF-2 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","46 patients",,,"SCIP-INF-3 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","134 patients",,,"PN-7 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","195 patients",,,"PN-5C " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "180004","MUHLENBERG COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","27 patients",,,"HF-3 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","48 patients",,,"SCIP-INF-3 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","194 patients",,,"HF-2 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","142 patients",,,"PN-6 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","185 patients",,,"PN-2 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","43 patients",,,"SCIP-VTE-2 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","49 patients",,,"SCIP-INF-2 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","54 patients",,,"HF-3 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","17 patients","1 ","1","AMI-5 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","44 patients",,,"SCIP-VTE-1 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","102 patients",,,"PN-4 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","240 patients",,,"PN-5C " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","7 patients","1 ","1","SCIP-CARD-2 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","169 patients",,,"PN-3B " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","49 patients",,,"SCIP-INF-1 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","137 patients",,,"PN-7 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","161 patients",,,"HF-1 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","101 patients",,,"SCIP-INF-6 " "180005","HIGHLANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","14 patients","1 ","1","AMI-2 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","117 patients","2 ","2","SCIP-CARD-2 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","178 patients","2 ","2","HF-4 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","334 patients","2 ","2","AMI-4 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","224 patients","2 ","2","SCIP-VTE-1 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","432 patients","2 ","2","SCIP-INF-1 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","434 patients","2 ","2","SCIP-INF-2 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","744 patients","2 ","2","SCIP-INF-6 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","148 patients","2 ","2","SCIP-INF-4 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","276 patients","2 ","2","PN-3B " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","721 patients","2 ","2","AMI-5 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","335 patients","2 ","2","PN-7 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","698 patients","2 ","2","AMI-2 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","290 patients","2 ","2","PN-4 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","224 patients","2 ","2","SCIP-VTE-2 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","866 patients","2 ","2","HF-2 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","413 patients","2 ","2","SCIP-INF-3 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","732 patients","2 ","2","HF-1 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","351 patients","2 ","2","PN-5C " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","403 patients","2 ","2","AMI-1 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","155 patients","2 ","2","AMI-3 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","257 patients","2 ","2","HF-3 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","260 patients","2 ","2","PN-6 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","439 patients","2 ","2","PN-2 " "180009","KING'S DAUGHTERS' MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","72 patients","2 ","2","AMI-8A " "180010","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","1025 patients","2 ","2","SCIP-INF-3 " "180010","SAINT JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","327 patients","2 ","2","PN-2 " "180010","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1124 patients","2 ","2","SCIP-INF-2 " "180010","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","721 patients","2 ","2","AMI-2 " "180010","SAINT JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","87 patients","2 ","2","HF-4 " "180010","SAINT JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","149 patients","2 ","2","PN-3B " "180010","SAINT JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","262 patients",,,"PN-7 " "180010","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1087 patients","2 ","2","SCIP-INF-1 " "180010","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","140 patients","2 ","2","AMI-3 " "180010","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","321 patients","2 ","2","SCIP-CARD-2 " "180010","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","667 patients","2 ","2","SCIP-VTE-1 " "180010","SAINT JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","153 patients","2 ","2","PN-6 " "180010","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","376 patients","2 ","2","AMI-4 " "180010","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1,2 ","12","AMI-7A " "180010","SAINT JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","429 patients","2 ","2","HF-2 " "180010","SAINT JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","119 patients","2 ","2","PN-4 " "180010","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","667 patients","2 ","2","SCIP-VTE-2 " "180010","SAINT JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","247 patients","2 ","2","PN-5C " "180010","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","290 patients","2 ","2","AMI-1 " "180010","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","812 patients","2 ","2","SCIP-INF-4 " "180010","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","649 patients","2 ","2","AMI-5 " "180010","SAINT JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","46 patients","2 ","2","AMI-8A " "180010","SAINT JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","360 patients","2 ","2","HF-1 " "180010","SAINT JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","138 patients","2 ","2","HF-3 " "180010","SAINT JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","2065 patients","2 ","2","SCIP-INF-6 " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","265 patients",,,"HF-1 " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","292 patients",,,"HF-2 " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","152 patients",,,"AMI-4 " "180011","SAINT JOSEPH HOSPITAL LONDON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","254 patients","2 ","2","SCIP-INF-2 " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","186 patients",,,"AMI-1 " "180011","SAINT JOSEPH HOSPITAL LONDON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","383 patients","2 ","2","SCIP-INF-6 " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","39 patients",,,"AMI-3 " "180011","SAINT JOSEPH HOSPITAL LONDON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","159 patients",,,"PN-3B " "180011","SAINT JOSEPH HOSPITAL LONDON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","113 patients",,,"PN-7 " "180011","SAINT JOSEPH HOSPITAL LONDON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","119 patients",,,"PN-2 " "180011","SAINT JOSEPH HOSPITAL LONDON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"PN-4 " "180011","SAINT JOSEPH HOSPITAL LONDON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","153 patients",,,"PN-5C " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "180011","SAINT JOSEPH HOSPITAL LONDON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","256 patients","2 ","2","SCIP-INF-1 " "180011","SAINT JOSEPH HOSPITAL LONDON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","212 patients","2 ","2","SCIP-INF-3 " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","67 patients",,,"HF-3 " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","254 patients",,,"AMI-5 " "180011","SAINT JOSEPH HOSPITAL LONDON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","104 patients","2 ","2","SCIP-VTE-2 " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","36 patients",,,"AMI-8A " "180011","SAINT JOSEPH HOSPITAL LONDON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","61 patients","2 ","2","SCIP-CARD-2 " "180011","SAINT JOSEPH HOSPITAL LONDON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","108 patients","2 ","2","SCIP-INF-4 " "180011","SAINT JOSEPH HOSPITAL LONDON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","115 patients",,,"PN-6 " "180011","SAINT JOSEPH HOSPITAL LONDON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","104 patients","2 ","2","SCIP-VTE-1 " "180011","SAINT JOSEPH HOSPITAL LONDON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","258 patients",,,"AMI-2 " "180012","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","51%","381 patients","2 ","2","SCIP-INF-3 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","148 patients",,,"HF-3 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-8A " "180012","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","127 patients","2 ","2","PN-5C " "180012","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","80 patients","2 ","2","PN-7 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","488 patients",,,"HF-2 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","409 patients",,,"HF-1 " "180012","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","220 patients","2 ","2","SCIP-VTE-2 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","113 patients",,,"HF-4 " "180012","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","81 patients","2 ","2","SCIP-INF-4 " "180012","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","82 patients","2 ","2","PN-6 " "180012","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","571 patients","2 ","2","SCIP-INF-6 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","127 patients",,,"AMI-4 " "180012","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","223 patients","2 ","2","SCIP-VTE-1 " "180012","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","77 patients","2 ","2","PN-3B " "180012","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","262 patients",,,"AMI-2 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","59 patients",,,"AMI-3 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","251 patients",,,"AMI-5 " "180012","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","108 patients","2 ","2","SCIP-CARD-2 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","68%","34 patients",,,"AMI-7A " "180012","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","124 patients","2 ","2","PN-2 " "180012","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","402 patients","2 ","2","SCIP-INF-1 " "180012","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","285 patients",,,"AMI-1 " "180012","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","406 patients","2 ","2","SCIP-INF-2 " "180012","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","PN-4 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","911 patients",,,"SCIP-INF-1 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","481 patients",,,"HF-1 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","296 patients",,,"AMI-5 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","262 patients",,,"PN-3B " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","919 patients",,,"SCIP-INF-2 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","60 patients",,,"AMI-8A " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","210 patients",,,"PN-4 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","183 patients",,,"HF-3 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","234 patients",,,"PN-6 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","435 patients",,,"SCIP-VTE-1 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","197 patients",,,"SCIP-CARD-2 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1382 patients",,,"SCIP-INF-6 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","213 patients",,,"SCIP-INF-4 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","584 patients",,,"HF-2 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","59 patients",,,"AMI-3 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","133 patients",,,"HF-4 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","887 patients",,,"SCIP-INF-3 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","366 patients",,,"PN-5C " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","288 patients",,,"AMI-2 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","304 patients",,,"PN-7 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","393 patients",,,"PN-2 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","434 patients",,,"SCIP-VTE-2 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","166 patients",,,"AMI-4 " "180013","THE MEDICAL CENTER AT BOWLING GREEN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","225 patients",,,"AMI-1 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","98 patients",,,"HF-1 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","14 patients","1 ","1","AMI-5 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","71 patients",,,"PN-3B " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","84 patients",,,"SCIP-INF-1 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","92 patients",,,"PN-5C " "180016","JEWISH HOSPITAL - SHELBYVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","60 patients",,,"SCIP-VTE-2 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","137 patients",,,"SCIP-INF-6 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","127 patients",,,"HF-2 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","97 patients",,,"PN-2 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","88 patients",,,"SCIP-INF-2 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","67 patients",,,"PN-7 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","60 patients",,,"SCIP-VTE-1 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","68 patients",,,"PN-6 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","28 patients",,,"AMI-1 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","29 patients",,,"SCIP-CARD-2 " "180016","JEWISH HOSPITAL - SHELBYVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180016","JEWISH HOSPITAL - SHELBYVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","83 patients",,,"SCIP-INF-3 " "180017","T J SAMSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","241 patients","2 ","2","SCIP-INF-2 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","56 patients",,,"HF-3 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","170 patients",,,"HF-2 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","119 patients",,,"AMI-5 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","23 patients","1 ","1","AMI-3 " "180017","T J SAMSON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","146 patients","2 ","2","PN-2 " "180017","T J SAMSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","166 patients","2 ","2","SCIP-VTE-2 " "180017","T J SAMSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","241 patients","2 ","2","SCIP-INF-1 " "180017","T J SAMSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180017","T J SAMSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","238 patients","2 ","2","SCIP-INF-3 " "180017","T J SAMSON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","103 patients","2 ","2","PN-3B " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","148 patients",,,"HF-1 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","144 patients",,,"AMI-1 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "180017","T J SAMSON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","109 patients","2 ","2","PN-7 " "180017","T J SAMSON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","160 patients","2 ","2","PN-5C " "180017","T J SAMSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","77%","306 patients","2 ","2","SCIP-INF-6 " "180017","T J SAMSON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","106 patients","2 ","2","PN-6 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-7A " "180017","T J SAMSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","173 patients","2 ","2","SCIP-VTE-1 " "180017","T J SAMSON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","78 patients","2 ","2","PN-4 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","121 patients",,,"AMI-2 " "180017","T J SAMSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","58 patients","2 ","2","SCIP-CARD-2 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "180017","T J SAMSON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","18 patients","1 ","1","AMI-8A " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","95 patients","2 ","2","SCIP-INF-1 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","188 patients","2 ","2","SCIP-INF-6 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","91 patients","2 ","2","SCIP-INF-3 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","7 patients","1 ","1","CAC-2 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"HF-3 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","110 patients","2 ","2","SCIP-VTE-1 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","6 patients","1 ","1","CAC-3 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","34 patients","2 ","2","SCIP-CARD-2 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","110 patients","2 ","2","SCIP-VTE-2 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","107 patients",,,"PN-7 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","41 patients",,,"AMI-5 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","119 patients",,,"PN-2 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","7 patients","1 ","1","CAC-1 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","161 patients",,,"PN-5C " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","94 patients",,,"PN-6 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","163 patients",,,"PN-3B " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","103 patients",,,"HF-1 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","95 patients","2 ","2","SCIP-INF-2 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","39 patients",,,"AMI-2 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","76 patients",,,"PN-4 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","56 patients",,,"AMI-1 " "180018","ST CLAIRE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","125 patients",,,"HF-2 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","74 patients","2 ","2","SCIP-VTE-1 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","42 patients",,,"AMI-1 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","62 patients",,,"HF-1 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","87 patients",,,"HF-2 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","64 patients",,,"PN-7 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","12 patients","1 ","1","AMI-8A " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","54 patients","2 ","2","SCIP-INF-1 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","96 patients",,,"PN-2 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","51 patients","2 ","2","SCIP-INF-3 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","37 patients",,,"AMI-2 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1,2 ","12","SCIP-CARD-2 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","96 patients",,,"PN-3B " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","104 patients","2 ","2","SCIP-INF-6 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","74 patients","2 ","2","SCIP-VTE-2 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","54 patients","2 ","2","SCIP-INF-2 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","39 patients",,,"AMI-5 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","85 patients",,,"PN-6 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "180019","MEADOWVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","114 patients",,,"PN-5C " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","40 patients",,,"SCIP-INF-2 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","79 patients",,,"HF-1 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","36 patients",,,"SCIP-INF-3 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","19 patients","1 ","1","SCIP-VTE-2 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","19 patients","1 ","1","SCIP-VTE-1 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","127 patients",,,"PN-3B " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","14 patients","1 ","1","AMI-1 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","70%","10 patients","1 ","1","AMI-5 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1 ","1","SCIP-CARD-2 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","62 patients",,,"PN-4 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","125 patients",,,"HF-2 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","115 patients",,,"PN-2 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","46 patients",,,"HF-3 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","40 patients",,,"SCIP-INF-1 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","95 patients",,,"PN-6 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","148 patients",,,"PN-5C " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","52 patients",,,"SCIP-INF-6 " "180020","MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","101 patients",,,"PN-7 " "180021","PINEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","50 patients","2 ","2","SCIP-VTE-1 " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","142 patients",,,"HF-1 " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","24 patients","1 ","1","HF-3 " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","163 patients",,,"HF-2 " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "180021","PINEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","84 patients","2 ","2","SCIP-INF-6 " "180021","PINEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","64 patients","2 ","2","SCIP-INF-1 " "180021","PINEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","43 patients",,,"PN-4 " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "180021","PINEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","64 patients","2 ","2","SCIP-INF-2 " "180021","PINEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1,2 ","12","SCIP-CARD-2 " "180021","PINEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","61 patients",,,"PN-3B " "180021","PINEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","68 patients",,,"PN-6 " "180021","PINEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","64%","64 patients","2 ","2","SCIP-INF-3 " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180021","PINEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","70 patients",,,"PN-2 " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "180021","PINEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","57 patients",,,"PN-7 " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "180021","PINEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180021","PINEVILLE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","92 patients",,,"PN-5C " "180021","PINEVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1 ","1","AMI-5 " "180021","PINEVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","49 patients","2 ","2","SCIP-VTE-2 " "180024","SPRING VIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","52 patients",,,"PN-7 " "180024","SPRING VIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "180024","SPRING VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","140 patients",,,"SCIP-VTE-2 " "180024","SPRING VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180024","SPRING VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","140 patients",,,"SCIP-VTE-1 " "180024","SPRING VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","224 patients",,,"SCIP-INF-3 " "180024","SPRING VIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "180024","SPRING VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","229 patients",,,"SCIP-INF-1 " "180024","SPRING VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","300 patients",,,"SCIP-INF-6 " "180024","SPRING VIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "180024","SPRING VIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180024","SPRING VIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","32 patients",,,"PN-6 " "180024","SPRING VIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "180024","SPRING VIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","61 patients",,,"PN-2 " "180024","SPRING VIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "180024","SPRING VIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","76 patients",,,"PN-5C " "180024","SPRING VIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","24 patients","1 ","1","SCIP-CARD-2 " "180024","SPRING VIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "180024","SPRING VIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "180024","SPRING VIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","54 patients",,,"HF-2 " "180024","SPRING VIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","40 patients",,,"HF-1 " "180024","SPRING VIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "180024","SPRING VIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","76 patients",,,"PN-3B " "180024","SPRING VIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180024","SPRING VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","229 patients",,,"SCIP-INF-2 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","71 patients",,,"PN-6 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","47 patients",,,"HF-2 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","272 patients","2 ","2","SCIP-INF-1 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","85 patients",,,"PN-3B " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","123 patients","2 ","2","SCIP-VTE-1 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","14 patients","1 ","1","AMI-2 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","346 patients","2 ","2","SCIP-INF-6 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","66 patients",,,"PN-7 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","86 patients",,,"PN-5C " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","92 patients",,,"PN-2 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","37 patients",,,"HF-1 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","272 patients","2 ","2","SCIP-INF-2 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","123 patients","2 ","2","SCIP-VTE-2 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","20 patients","1 ","1","AMI-1 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","268 patients","2 ","2","SCIP-INF-3 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180025","FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","54 patients",,,"SCIP-CARD-2 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","12 patients","1 ","1","HF-3 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","72%","18 patients","1 ","1","HF-4 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","185 patients",,,"SCIP-VTE-2 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","164 patients",,,"PN-5C " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","26 patients",,,"AMI-1 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","111 patients",,,"HF-2 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","114 patients",,,"PN-3B " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","301 patients",,,"SCIP-INF-6 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","104 patients",,,"HF-1 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","36 patients",,,"SCIP-CARD-2 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","186 patients",,,"SCIP-VTE-1 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","202 patients",,,"SCIP-INF-1 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","17 patients","1 ","1","AMI-5 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","151 patients",,,"PN-2 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","204 patients",,,"SCIP-INF-2 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","197 patients",,,"SCIP-INF-3 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","111 patients",,,"PN-7 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","56%","61 patients",,,"PN-4 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "180027","MURRAY-CALLOWAY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","84 patients",,,"PN-6 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","87 patients",,,"AMI-1 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","89 patients",,,"AMI-4 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","45%","11 patients","1 ","1","AMI-8A " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","91 patients","2 ","2","PN-5C " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","87 patients","2 ","2","SCIP-INF-4 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","70 patients","2 ","2","PN-6 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","68 patients","2 ","2","PN-4 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","117 patients","2 ","2","SCIP-VTE-1 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","76 patients","2 ","2","SCIP-CARD-2 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","203 patients","2 ","2","SCIP-INF-2 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","71 patients","2 ","2","PN-7 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","115 patients","2 ","2","SCIP-VTE-2 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","165 patients",,,"AMI-5 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","166 patients",,,"AMI-2 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","237 patients",,,"HF-1 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","61 patients",,,"HF-3 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","204 patients","2 ","2","SCIP-INF-1 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","186 patients","2 ","2","SCIP-INF-3 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","277 patients",,,"HF-2 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","325 patients","2 ","2","SCIP-INF-6 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","35 patients",,,"AMI-3 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","75 patients","2 ","2","PN-2 " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","54 patients","2 ","2","PN-3B " "180029","HAZARD ARH REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","49 patients",,,"HF-4 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","84 patients","2 ","2","HF-3 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","97 patients","2 ","2","PN-7 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","199 patients","2 ","2","AMI-1 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","134 patients","2 ","2","AMI-4 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","78 patients","2 ","2","AMI-3 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","PN-4 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","224 patients","2 ","2","SCIP-VTE-2 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","279 patients","2 ","2","AMI-5 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","311 patients","2 ","2","HF-2 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","465 patients","2 ","2","SCIP-INF-3 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","69 patients","2 ","2","PN-6 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","224 patients","2 ","2","SCIP-VTE-1 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","122 patients","2 ","2","PN-2 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","79 patients","2 ","2","PN-3B " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","710 patients","2 ","2","SCIP-INF-6 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","121 patients","2 ","2","SCIP-CARD-2 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","493 patients","2 ","2","SCIP-INF-1 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","47 patients","2 ","2","AMI-8A " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","HF-4 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","287 patients","2 ","2","AMI-2 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","498 patients","2 ","2","SCIP-INF-2 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","262 patients","2 ","2","HF-1 " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","123 patients","2 ","2","PN-5C " "180035","ST ELIZABETH MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","157 patients","2 ","2","SCIP-INF-4 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","271 patients",,,"PN-5C " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","149 patients",,,"PN-4 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","227 patients",,,"SCIP-VTE-2 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","79 patients",,,"SCIP-CARD-2 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","599 patients",,,"SCIP-INF-6 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","245 patients",,,"PN-3B " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","227 patients",,,"SCIP-VTE-1 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","258 patients",,,"HF-2 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","190 patients",,,"PN-6 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","198 patients",,,"PN-7 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","235 patients",,,"PN-2 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","383 patients",,,"SCIP-INF-3 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","423 patients",,,"SCIP-INF-2 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","422 patients",,,"SCIP-INF-1 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","47 patients",,,"HF-3 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","67 patients",,,"AMI-1 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","237 patients",,,"HF-1 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","44 patients",,,"AMI-5 " "180036","OUR LADY OF BELLEFONTE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","41 patients",,,"AMI-2 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","283 patients",,,"PN-7 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","342 patients","2 ","2","SCIP-VTE-1 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","139 patients",,,"PN-6 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","306 patients",,,"AMI-1 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","436 patients",,,"PN-5C " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","158 patients",,,"AMI-4 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","339 patients","2 ","2","SCIP-VTE-2 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","570 patients",,,"HF-2 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1061 patients","2 ","2","SCIP-INF-6 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","844 patients","2 ","2","SCIP-INF-2 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","340 patients",,,"PN-3B " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","808 patients","2 ","2","SCIP-INF-3 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","210 patients",,,"PN-4 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","104 patients",,,"AMI-3 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","344 patients",,,"PN-2 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","321 patients",,,"AMI-2 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","177 patients","2 ","2","SCIP-CARD-2 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","278 patients",,,"AMI-5 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","33 patients",,,"AMI-8A " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"HF-4 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","500 patients",,,"HF-1 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","836 patients","2 ","2","SCIP-INF-1 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","227 patients","2 ","2","SCIP-INF-4 " "180038","OWENSBORO MEDICAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","218 patients",,,"HF-3 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","587 patients",,,"PN-7 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","758 patients","2 ","2","SCIP-INF-1 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","203 patients",,,"AMI-3 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","814 patients",,,"PN-3B " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","798 patients",,,"PN-2 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","388 patients",,,"HF-3 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","548 patients",,,"PN-4 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","835 patients",,,"PN-5C " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","962 patients",,,"AMI-5 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","953 patients",,,"AMI-2 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","432 patients","2 ","2","SCIP-VTE-1 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1185 patients","2 ","2","SCIP-INF-6 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","1038 patients",,,"HF-1 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","432 patients",,,"AMI-4 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","206 patients","2 ","2","SCIP-CARD-2 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","321 patients",,,"HF-4 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","431 patients","2 ","2","SCIP-VTE-2 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","162 patients","2 ","2","SCIP-INF-4 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","765 patients","2 ","2","SCIP-INF-2 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","15 patients","1 ","1","AMI-8A " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","438 patients",,,"AMI-1 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","1264 patients",,,"HF-2 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","681 patients","2 ","2","SCIP-INF-3 " "180040","JEWISH HOSPITAL & ST MARY'S HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","490 patients",,,"PN-6 " "180043","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","122 patients",,,"PN-3B " "180043","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"PN-4 " "180043","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","87 patients",,,"PN-2 " "180043","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","33 patients",,,"SCIP-VTE-2 " "180043","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "180043","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "180043","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "180043","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"HF-3 " "180043","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","8 patients","1 ","1","SCIP-INF-3 " "180043","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "180043","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","120 patients",,,"HF-1 " "180043","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180043","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","140 patients",,,"PN-5C " "180043","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","33 patients",,,"SCIP-VTE-1 " "180043","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","16 patients","1 ","1","AMI-2 " "180043","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","132 patients",,,"PN-6 " "180043","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","67 patients",,,"PN-7 " "180043","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","32 patients",,,"AMI-1 " "180043","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180043","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","9 patients","1 ","1","SCIP-INF-2 " "180043","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "180043","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","8 patients","1 ","1","SCIP-INF-1 " "180043","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180043","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","140 patients",,,"HF-2 " "180043","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","46 patients",,,"SCIP-INF-6 " "180044","PIKEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","103 patients",,,"SCIP-INF-4 " "180044","PIKEVILLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","232 patients",,,"PN-2 " "180044","PIKEVILLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"AMI-4 " "180044","PIKEVILLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","137 patients",,,"AMI-1 " "180044","PIKEVILLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"HF-4 " "180044","PIKEVILLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","179 patients",,,"PN-7 " "180044","PIKEVILLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","122 patients",,,"PN-4 " "180044","PIKEVILLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","233 patients",,,"PN-3B " "180044","PIKEVILLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","30 patients",,,"AMI-8A " "180044","PIKEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","503 patients",,,"SCIP-INF-2 " "180044","PIKEVILLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","49 patients",,,"AMI-3 " "180044","PIKEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","286 patients",,,"SCIP-VTE-2 " "180044","PIKEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","718 patients",,,"SCIP-INF-6 " "180044","PIKEVILLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180044","PIKEVILLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","273 patients",,,"HF-2 " "180044","PIKEVILLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","137 patients",,,"PN-6 " "180044","PIKEVILLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","247 patients",,,"PN-5C " "180044","PIKEVILLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","171 patients",,,"AMI-2 " "180044","PIKEVILLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","241 patients",,,"HF-1 " "180044","PIKEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","494 patients",,,"SCIP-INF-1 " "180044","PIKEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","132 patients",,,"SCIP-CARD-2 " "180044","PIKEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","286 patients",,,"SCIP-VTE-1 " "180044","PIKEVILLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","79 patients",,,"HF-3 " "180044","PIKEVILLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","173 patients",,,"AMI-5 " "180044","PIKEVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","475 patients",,,"SCIP-INF-3 " "180045","ST ELIZABETH FLORENCE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","74 patients","2 ","2","PN-7 " "180045","ST ELIZABETH FLORENCE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","152 patients","2 ","2","SCIP-INF-1 " "180045","ST ELIZABETH FLORENCE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","155 patients",,,"HF-1 " "180045","ST ELIZABETH FLORENCE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","104 patients",,,"AMI-1 " "180045","ST ELIZABETH FLORENCE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","112 patients","2 ","2","PN-2 " "180045","ST ELIZABETH FLORENCE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180045","ST ELIZABETH FLORENCE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","286 patients","2 ","2","SCIP-INF-6 " "180045","ST ELIZABETH FLORENCE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","129 patients","2 ","2","PN-5C " "180045","ST ELIZABETH FLORENCE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","AMI-3 " "180045","ST ELIZABETH FLORENCE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","153 patients","2 ","2","SCIP-INF-2 " "180045","ST ELIZABETH FLORENCE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients","2 ","2","PN-4 " "180045","ST ELIZABETH FLORENCE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","60 patients",,,"AMI-2 " "180045","ST ELIZABETH FLORENCE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","69 patients","2 ","2","PN-3B " "180045","ST ELIZABETH FLORENCE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","15 patients","1,2 ","12","SCIP-CARD-2 " "180045","ST ELIZABETH FLORENCE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180045","ST ELIZABETH FLORENCE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"AMI-4 " "180045","ST ELIZABETH FLORENCE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","134 patients","2 ","2","SCIP-VTE-2 " "180045","ST ELIZABETH FLORENCE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180045","ST ELIZABETH FLORENCE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","145 patients","2 ","2","SCIP-INF-3 " "180045","ST ELIZABETH FLORENCE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "180045","ST ELIZABETH FLORENCE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","90 patients","2 ","2","PN-6 " "180045","ST ELIZABETH FLORENCE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","68 patients",,,"AMI-5 " "180045","ST ELIZABETH FLORENCE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","199 patients",,,"HF-2 " "180045","ST ELIZABETH FLORENCE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","64 patients",,,"HF-3 " "180045","ST ELIZABETH FLORENCE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","134 patients","2 ","2","SCIP-VTE-1 " "180046","BOURBON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","31 patients",,,"PN-2 " "180046","BOURBON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "180046","BOURBON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","28 patients",,,"PN-5C " "180046","BOURBON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180046","BOURBON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180046","BOURBON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "180046","BOURBON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "180046","BOURBON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "180046","BOURBON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "180046","BOURBON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "180046","BOURBON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","6 patients","1 ","1","AMI-1 " "180046","BOURBON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180046","BOURBON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "180046","BOURBON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","46 patients",,,"HF-2 " "180046","BOURBON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","22 patients","1 ","1","PN-7 " "180046","BOURBON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","10 patients","1 ","1","SCIP-VTE-2 " "180046","BOURBON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","35 patients",,,"HF-1 " "180046","BOURBON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","10 patients","1 ","1","SCIP-VTE-1 " "180046","BOURBON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","22 patients","1 ","1","PN-6 " "180046","BOURBON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","16 patients","1 ","1","SCIP-INF-6 " "180046","BOURBON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "180046","BOURBON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","31 patients",,,"PN-3B " "180046","BOURBON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","10 patients","1 ","1","SCIP-INF-3 " "180046","BOURBON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","10 patients","1 ","1","SCIP-INF-2 " "180046","BOURBON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","10 patients","1 ","1","SCIP-INF-1 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","215 patients",,,"HF-2 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","58 patients",,,"SCIP-CARD-2 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","255 patients",,,"SCIP-INF-3 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","28 patients",,,"AMI-8A " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","83 patients",,,"AMI-2 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","253 patients",,,"PN-2 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","172 patients",,,"HF-1 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","118 patients",,,"PN-6 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","167 patients",,,"PN-3B " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","268 patients",,,"SCIP-INF-1 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","132 patients",,,"PN-4 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","210 patients",,,"SCIP-VTE-2 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","237 patients",,,"PN-5C " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","102 patients",,,"AMI-1 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","60 patients",,,"HF-3 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","268 patients",,,"SCIP-INF-2 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","80 patients",,,"AMI-5 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","436 patients",,,"SCIP-INF-6 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","167 patients",,,"PN-7 " "180048","EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","210 patients",,,"SCIP-VTE-1 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","498 patients","2 ","2","SCIP-INF-6 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","80 patients",,,"PN-6 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","390 patients","2 ","2","SCIP-INF-1 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","157 patients","2 ","2","SCIP-VTE-1 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","38 patients",,,"AMI-1 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","87 patients",,,"PN-2 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","31 patients",,,"HF-3 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","58 patients",,,"HF-1 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","377 patients","2 ","2","SCIP-INF-3 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","AMI-3 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","48 patients","2 ","2","SCIP-CARD-2 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","90 patients",,,"PN-3B " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","157 patients","2 ","2","SCIP-VTE-2 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","61 patients",,,"PN-7 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","26 patients",,,"AMI-5 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","78 patients",,,"HF-2 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","24 patients","1 ","1","AMI-2 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","392 patients","2 ","2","SCIP-INF-2 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","99 patients",,,"PN-5C " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "180049","PATTIE A CLAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","62 patients",,,"SCIP-INF-1 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","173 patients",,,"PN-3B " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","41 patients",,,"SCIP-VTE-2 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","41 patients",,,"SCIP-VTE-1 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","62 patients",,,"SCIP-INF-2 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","114 patients",,,"PN-7 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","86 patients",,,"SCIP-INF-6 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","54 patients",,,"SCIP-INF-3 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","138 patients",,,"HF-1 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","126 patients",,,"PN-4 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","170 patients",,,"HF-2 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","27 patients",,,"HF-3 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","129 patients",,,"PN-2 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","218 patients",,,"PN-5C " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180050","HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","139 patients",,,"PN-6 " "180051","JENNIE STUART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","373 patients",,,"SCIP-INF-3 " "180051","JENNIE STUART MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","AMI-3 " "180051","JENNIE STUART MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","45 patients",,,"HF-4 " "180051","JENNIE STUART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","380 patients",,,"SCIP-INF-1 " "180051","JENNIE STUART MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","215 patients",,,"SCIP-VTE-1 " "180051","JENNIE STUART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180051","JENNIE STUART MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","110 patients",,,"PN-7 " "180051","JENNIE STUART MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","152 patients",,,"HF-2 " "180051","JENNIE STUART MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","75 patients",,,"PN-4 " "180051","JENNIE STUART MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","15 patients","1 ","1","AMI-2 " "180051","JENNIE STUART MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "180051","JENNIE STUART MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","168 patients",,,"PN-5C " "180051","JENNIE STUART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","498 patients",,,"SCIP-INF-6 " "180051","JENNIE STUART MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","66 patients",,,"HF-3 " "180051","JENNIE STUART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","378 patients",,,"SCIP-INF-2 " "180051","JENNIE STUART MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180051","JENNIE STUART MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","207 patients",,,"SCIP-VTE-2 " "180051","JENNIE STUART MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","121 patients",,,"HF-1 " "180051","JENNIE STUART MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","134 patients",,,"PN-3B " "180051","JENNIE STUART MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","84%","25 patients",,,"AMI-1 " "180051","JENNIE STUART MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","54 patients",,,"SCIP-CARD-2 " "180051","JENNIE STUART MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","114 patients",,,"PN-6 " "180051","JENNIE STUART MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "180051","JENNIE STUART MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180051","JENNIE STUART MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","141 patients",,,"PN-2 " "180053","FLEMING COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","51 patients","2 ","2","PN-4 " "180053","FLEMING COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","89 patients","2 ","2","PN-2 " "180053","FLEMING COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","77 patients",,,"HF-1 " "180053","FLEMING COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","2 patients","1 ","1","AMI-1 " "180053","FLEMING COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","14 patients","1 ","1","HF-3 " "180053","FLEMING COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","2 patients","1 ","1","AMI-2 " "180053","FLEMING COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","92 patients","2 ","2","PN-6 " "180053","FLEMING COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","96 patients","2 ","2","PN-5C " "180053","FLEMING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","13 patients","1 ","1","SCIP-VTE-1 " "180053","FLEMING COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180053","FLEMING COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "180053","FLEMING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","12 patients","1 ","1","SCIP-VTE-2 " "180053","FLEMING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-2 " "180053","FLEMING COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180053","FLEMING COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "180053","FLEMING COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","68 patients","2 ","2","PN-3B " "180053","FLEMING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-1 " "180053","FLEMING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","17 patients","1 ","1","SCIP-INF-6 " "180053","FLEMING COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "180053","FLEMING COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","76 patients","2 ","2","PN-7 " "180053","FLEMING COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","98 patients",,,"HF-2 " "180053","FLEMING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180053","FLEMING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "180053","FLEMING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1 ","1","SCIP-INF-3 " "180053","FLEMING COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "180056","METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","185 patients",,,"HF-1 " "180056","METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","162 patients",,,"PN-7 " "180056","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","126 patients","2 ","2","SCIP-INF-3 " "180056","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","19 patients","1,2 ","12","SCIP-CARD-2 " "180056","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","107 patients","2 ","2","SCIP-VTE-1 " "180056","METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","157 patients",,,"PN-3B " "180056","METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","218 patients",,,"HF-2 " "180056","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","133 patients","2 ","2","SCIP-INF-1 " "180056","METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "180056","METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","168 patients",,,"PN-6 " "180056","METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "180056","METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","76%","21 patients","1 ","1","AMI-2 " "180056","METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","247 patients",,,"PN-5C " "180056","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","106 patients","2 ","2","SCIP-VTE-2 " "180056","METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","58 patients",,,"HF-3 " "180056","METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","210 patients",,,"PN-2 " "180056","METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "180056","METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","76%","21 patients","1 ","1","AMI-5 " "180056","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","132 patients","2 ","2","SCIP-INF-2 " "180056","METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180056","METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","107 patients",,,"PN-4 " "180056","METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","29 patients",,,"AMI-1 " "180056","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","221 patients","2 ","2","SCIP-INF-6 " "180056","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180056","METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "180064","SAINT JOSEPH MOUNT STERLING","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180064","SAINT JOSEPH MOUNT STERLING","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180064","SAINT JOSEPH MOUNT STERLING","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "180064","SAINT JOSEPH MOUNT STERLING","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "180064","SAINT JOSEPH MOUNT STERLING","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","62 patients",,,"PN-7 " "180064","SAINT JOSEPH MOUNT STERLING","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "180064","SAINT JOSEPH MOUNT STERLING","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "180064","SAINT JOSEPH MOUNT STERLING","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","64 patients",,,"HF-2 " "180064","SAINT JOSEPH MOUNT STERLING","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","101 patients",,,"SCIP-VTE-2 " "180064","SAINT JOSEPH MOUNT STERLING","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "180064","SAINT JOSEPH MOUNT STERLING","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","184 patients",,,"SCIP-INF-3 " "180064","SAINT JOSEPH MOUNT STERLING","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","78 patients",,,"PN-2 " "180064","SAINT JOSEPH MOUNT STERLING","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","46 patients",,,"HF-1 " "180064","SAINT JOSEPH MOUNT STERLING","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","115 patients",,,"PN-5C " "180064","SAINT JOSEPH MOUNT STERLING","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "180064","SAINT JOSEPH MOUNT STERLING","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","188 patients",,,"SCIP-INF-2 " "180064","SAINT JOSEPH MOUNT STERLING","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","187 patients",,,"SCIP-INF-1 " "180064","SAINT JOSEPH MOUNT STERLING","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "180064","SAINT JOSEPH MOUNT STERLING","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","222 patients",,,"SCIP-INF-6 " "180064","SAINT JOSEPH MOUNT STERLING","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "180064","SAINT JOSEPH MOUNT STERLING","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","101 patients",,,"SCIP-VTE-1 " "180064","SAINT JOSEPH MOUNT STERLING","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","96 patients",,,"PN-3B " "180064","SAINT JOSEPH MOUNT STERLING","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","41 patients",,,"SCIP-CARD-2 " "180064","SAINT JOSEPH MOUNT STERLING","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180064","SAINT JOSEPH MOUNT STERLING","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","89 patients",,,"PN-6 " "180066","LOGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","76%","21 patients","1 ","1","SCIP-INF-2 " "180066","LOGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180066","LOGAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","98 patients",,,"PN-4 " "180066","LOGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","39 patients",,,"SCIP-INF-6 " "180066","LOGAN MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","8 patients","1 ","1","CAC-2 " "180066","LOGAN MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","8 patients","1 ","1","CAC-1 " "180066","LOGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","25 patients",,,"SCIP-VTE-2 " "180066","LOGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","15 patients","1 ","1","SCIP-INF-3 " "180066","LOGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","25 patients",,,"SCIP-VTE-1 " "180066","LOGAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","66 patients",,,"HF-1 " "180066","LOGAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","HF-3 " "180066","LOGAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "180066","LOGAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180066","LOGAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "180066","LOGAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","95 patients",,,"HF-2 " "180066","LOGAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "180066","LOGAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "180066","LOGAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","119 patients",,,"PN-3B " "180066","LOGAN MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","63%","8 patients","1 ","1","CAC-3 " "180066","LOGAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","158 patients",,,"PN-6 " "180066","LOGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "180066","LOGAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180066","LOGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","21 patients","1 ","1","SCIP-INF-1 " "180066","LOGAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","132 patients",,,"PN-7 " "180066","LOGAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "180066","LOGAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","180 patients",,,"PN-2 " "180066","LOGAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","188 patients",,,"PN-5C " "180066","LOGAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","427 patients","2 ","2","SCIP-INF-3 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","306 patients","2 ","2","HF-1 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","350 patients","2 ","2","SCIP-VTE-1 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","108 patients","2 ","2","PN-5C " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","169 patients","2 ","2","HF-3 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","151 patients","2 ","2","AMI-4 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","278 patients","2 ","2","AMI-2 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","344 patients","2 ","2","HF-2 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","99%","83 patients","2 ","2","CAC-1 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","113 patients","2 ","2","SCIP-INF-4 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","54%","81 patients","2 ","2","CAC-3 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","11 patients","1,2 ","12","AMI-8A " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","119 patients","2 ","2","SCIP-CARD-2 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","286 patients","2 ","2","AMI-5 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","130 patients","2 ","2","AMI-1 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","49 patients","2 ","2","PN-6 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","348 patients","2 ","2","SCIP-VTE-2 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","99 patients","2 ","2","PN-2 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","447 patients","2 ","2","SCIP-INF-1 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","115 patients","2 ","2","HF-4 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","104 patients","2 ","2","PN-3B " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","83 patients","2 ","2","AMI-3 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","805 patients","2 ","2","SCIP-INF-6 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","131 patients","2 ","2","PN-4 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","449 patients","2 ","2","SCIP-INF-2 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","83 patients","2 ","2","CAC-2 " "180067","UNIVERSITY OF KENTUCKY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","106 patients","2 ","2","PN-7 " "180069","WILLIAMSON ARH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","101 patients",,,"PN-5C " "180069","WILLIAMSON ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","75 patients",,,"SCIP-INF-6 " "180069","WILLIAMSON ARH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "180069","WILLIAMSON ARH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "180069","WILLIAMSON ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","54 patients",,,"SCIP-INF-2 " "180069","WILLIAMSON ARH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180069","WILLIAMSON ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","55 patients",,,"SCIP-INF-1 " "180069","WILLIAMSON ARH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","30 patients",,,"HF-3 " "180069","WILLIAMSON ARH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "180069","WILLIAMSON ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180069","WILLIAMSON ARH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "180069","WILLIAMSON ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","50 patients",,,"SCIP-INF-3 " "180069","WILLIAMSON ARH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","83 patients",,,"PN-2 " "180069","WILLIAMSON ARH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "180069","WILLIAMSON ARH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","78 patients",,,"PN-3B " "180069","WILLIAMSON ARH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","47 patients",,,"PN-4 " "180069","WILLIAMSON ARH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","27 patients",,,"HF-4 " "180069","WILLIAMSON ARH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","61 patients",,,"PN-7 " "180069","WILLIAMSON ARH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180069","WILLIAMSON ARH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","132 patients",,,"HF-2 " "180069","WILLIAMSON ARH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","115 patients",,,"HF-1 " "180069","WILLIAMSON ARH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","89 patients",,,"PN-6 " "180069","WILLIAMSON ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","39 patients",,,"SCIP-VTE-2 " "180069","WILLIAMSON ARH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "180069","WILLIAMSON ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","69%","39 patients",,,"SCIP-VTE-1 " "18006F","LOUISVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "18006F","LOUISVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "18006F","LOUISVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "18006F","LOUISVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","193 patients",,,"HF-1 " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "18006F","LOUISVILLE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","110 patients",,,"PN-5C " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","210 patients",,,"HF-2 " "18006F","LOUISVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "18006F","LOUISVILLE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","119 patients",,,"PN-3B " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","87 patients",,,"HF-3 " "18006F","LOUISVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-8A " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","60 patients",,,"AMI-5 " "18006F","LOUISVILLE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","75 patients",,,"PN-6 " "18006F","LOUISVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "18006F","LOUISVILLE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","91 patients",,,"PN-7 " "18006F","LOUISVILLE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "18006F","LOUISVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"AMI-4 " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","59 patients",,,"AMI-2 " "18006F","LOUISVILLE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","78 patients",,,"AMI-1 " "18006F","LOUISVILLE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","119 patients",,,"PN-2 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","97 patients",,,"SCIP-INF-2 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","44 patients",,,"HF-1 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","155 patients",,,"SCIP-INF-6 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","97 patients","2 ","2","PN-4 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","93 patients",,,"SCIP-INF-1 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1 ","1","AMI-2 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","124 patients","2 ","2","PN-6 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","63 patients",,,"HF-2 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","82 patients",,,"SCIP-VTE-1 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","14 patients","1 ","1","HF-3 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","93 patients",,,"SCIP-INF-3 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","149 patients","2 ","2","PN-2 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","166 patients","2 ","2","PN-5C " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","82 patients",,,"SCIP-VTE-2 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","120 patients","2 ","2","PN-7 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "180070","TWIN LAKES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","178 patients","2 ","2","PN-3B " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","93%","72 patients",,,"CAC-3 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-1 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-2 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","21 patients","1 ","1","SCIP-VTE-1 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","21 patients","1 ","1","SCIP-VTE-2 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","72 patients",,,"CAC-2 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","197 patients",,,"PN-3B " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","120 patients",,,"PN-6 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients",,,"SCIP-INF-3 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","HF-3 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1 ","1","SCIP-INF-6 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","173 patients",,,"PN-2 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","72 patients",,,"CAC-1 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","121 patients",,,"PN-4 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","233 patients",,,"PN-5C " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","79 patients",,,"HF-1 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","104 patients",,,"HF-2 " "180078","PAUL B HALL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","158 patients",,,"PN-7 " "180079","HARRISON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "180079","HARRISON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","122 patients",,,"PN-3B " "180079","HARRISON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "180079","HARRISON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","17 patients","1 ","1","HF-3 " "180079","HARRISON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180079","HARRISON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "180079","HARRISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","10 patients","1 ","1","SCIP-CARD-2 " "180079","HARRISON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","51 patients",,,"HF-2 " "180079","HARRISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","24 patients","1 ","1","SCIP-INF-3 " "180079","HARRISON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","101 patients",,,"PN-6 " "180079","HARRISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","26 patients",,,"SCIP-VTE-2 " "180079","HARRISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180079","HARRISON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","110 patients",,,"PN-2 " "180079","HARRISON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "180079","HARRISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","63 patients",,,"SCIP-INF-6 " "180079","HARRISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","26 patients",,,"SCIP-INF-1 " "180079","HARRISON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","37 patients",,,"HF-1 " "180079","HARRISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","26 patients",,,"SCIP-VTE-1 " "180079","HARRISON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","119 patients",,,"PN-5C " "180079","HARRISON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "180079","HARRISON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180079","HARRISON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","75 patients",,,"PN-7 " "180079","HARRISON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","28 patients",,,"SCIP-INF-2 " "180079","HARRISON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "180079","HARRISON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","239 patients",,,"HF-1 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","72 patients",,,"AMI-5 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","56%","9 patients","1 ","1","AMI-8A " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","247 patients",,,"HF-2 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","173 patients",,,"PN-3B " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","AMI-3 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","99 patients",,,"HF-3 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","88 patients",,,"AMI-1 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","164 patients",,,"PN-2 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","180 patients",,,"PN-5C " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","70 patients",,,"AMI-2 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","97 patients",,,"PN-6 " "18007F","LEXINGTON-LEESTOWN VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","128 patients",,,"PN-7 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","69 patients",,,"AMI-1 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","294 patients",,,"SCIP-INF-1 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","40 patients",,,"AMI-2 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","177 patients",,,"PN-7 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","256 patients",,,"PN-3B " "180080","BAPTIST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","291 patients",,,"SCIP-INF-3 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","186 patients",,,"SCIP-VTE-2 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","264 patients",,,"PN-2 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","163 patients",,,"PN-4 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","40 patients",,,"AMI-5 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180080","BAPTIST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180080","BAPTIST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","186 patients",,,"SCIP-VTE-1 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","280 patients",,,"PN-5C " "180080","BAPTIST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","296 patients",,,"SCIP-INF-2 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","HF-3 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","158 patients",,,"HF-2 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","407 patients",,,"SCIP-INF-6 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","72 patients",,,"SCIP-CARD-2 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","124 patients",,,"HF-1 " "180080","BAPTIST REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","139 patients",,,"PN-6 " "180087","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","97 patients",,,"PN-2 " "180087","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","105 patients",,,"PN-5C " "180087","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "180087","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "180087","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180087","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","134 patients",,,"SCIP-VTE-1 " "180087","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "180087","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","127 patients",,,"SCIP-INF-3 " "180087","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","133 patients",,,"SCIP-VTE-2 " "180087","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "180087","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","72 patients",,,"PN-6 " "180087","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","73 patients",,,"PN-7 " "180087","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","16 patients","1 ","1","SCIP-CARD-2 " "180087","TAYLOR REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","63 patients",,,"HF-2 " "180087","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180087","TAYLOR REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","49%","51 patients",,,"HF-1 " "180087","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","70 patients",,,"PN-3B " "180087","TAYLOR REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","18 patients","1 ","1","HF-3 " "180087","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","135 patients",,,"SCIP-INF-2 " "180087","TAYLOR REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","18 patients","1 ","1","HF-4 " "180087","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "180087","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","135 patients",,,"SCIP-INF-1 " "180087","TAYLOR REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180087","TAYLOR REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","221 patients",,,"SCIP-INF-6 " "180087","TAYLOR REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","48 patients",,,"PN-4 " "180088","NORTON HOSPITALS, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","998 patients",,,"HF-1 " "180088","NORTON HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","2748 patients","2 ","2","SCIP-INF-2 " "180088","NORTON HOSPITALS, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","853 patients",,,"PN-3B " "180088","NORTON HOSPITALS, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","1256 patients",,,"HF-2 " "180088","NORTON HOSPITALS, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","88 patients",,,"AMI-8A " "180088","NORTON HOSPITALS, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","547 patients","2 ","2","SCIP-CARD-2 " "180088","NORTON HOSPITALS, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","686 patients",,,"AMI-2 " "180088","NORTON HOSPITALS, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","816 patients",,,"PN-5C " "180088","NORTON HOSPITALS, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","325 patients",,,"AMI-4 " "180088","NORTON HOSPITALS, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "180088","NORTON HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","613 patients","2 ","2","SCIP-INF-4 " "180088","NORTON HOSPITALS, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","383 patients",,,"HF-3 " "180088","NORTON HOSPITALS, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","516 patients",,,"PN-6 " "180088","NORTON HOSPITALS, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","162 patients",,,"AMI-3 " "180088","NORTON HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","2708 patients","2 ","2","SCIP-INF-1 " "180088","NORTON HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3801 patients","2 ","2","SCIP-INF-6 " "180088","NORTON HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","2396 patients","2 ","2","SCIP-INF-3 " "180088","NORTON HOSPITALS, INC","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","572 patients",,,"CAC-1 " "180088","NORTON HOSPITALS, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","481 patients",,,"AMI-1 " "180088","NORTON HOSPITALS, INC","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","571 patients",,,"CAC-2 " "180088","NORTON HOSPITALS, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","1316 patients","2 ","2","SCIP-VTE-1 " "180088","NORTON HOSPITALS, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","563 patients",,,"PN-7 " "180088","NORTON HOSPITALS, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","323 patients",,,"HF-4 " "180088","NORTON HOSPITALS, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","420 patients",,,"PN-4 " "180088","NORTON HOSPITALS, INC","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","88%","569 patients",,,"CAC-3 " "180088","NORTON HOSPITALS, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","1314 patients","2 ","2","SCIP-VTE-2 " "180088","NORTON HOSPITALS, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","727 patients",,,"AMI-5 " "180088","NORTON HOSPITALS, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","703 patients",,,"PN-2 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180092","CLARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","204 patients","2 ","2","SCIP-INF-6 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "180092","CLARK REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","107 patients",,,"PN-5C " "180092","CLARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","21 patients","1,2 ","12","SCIP-CARD-2 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180092","CLARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","182 patients","2 ","2","SCIP-INF-2 " "180092","CLARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","190 patients","2 ","2","SCIP-INF-1 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","15 patients","1 ","1","AMI-2 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","48 patients",,,"HF-2 " "180092","CLARK REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","95 patients",,,"PN-2 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","42 patients",,,"HF-1 " "180092","CLARK REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","65 patients",,,"PN-7 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180092","CLARK REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","41 patients",,,"PN-4 " "180092","CLARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","183 patients","2 ","2","SCIP-INF-3 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "180092","CLARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "180092","CLARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","105 patients","2 ","2","SCIP-VTE-2 " "180092","CLARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","105 patients","2 ","2","SCIP-VTE-1 " "180092","CLARK REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","73 patients",,,"PN-3B " "180092","CLARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180092","CLARK REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","94 patients",,,"PN-6 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","161 patients",,,"PN-4 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","189 patients",,,"PN-7 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","181 patients",,,"AMI-1 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","208 patients",,,"PN-3B " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","169 patients",,,"PN-6 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","499 patients","2 ","2","SCIP-INF-2 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","494 patients","2 ","2","SCIP-INF-1 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","709 patients","2 ","2","SCIP-INF-6 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","137 patients",,,"HF-3 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","104 patients","2 ","2","SCIP-CARD-2 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","249 patients",,,"HF-2 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","281 patients","2 ","2","SCIP-VTE-1 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","270 patients",,,"PN-5C " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","118 patients",,,"AMI-4 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","197 patients",,,"HF-1 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","227 patients",,,"PN-2 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","97 patients","2 ","2","SCIP-INF-4 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","280 patients","2 ","2","SCIP-VTE-2 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","222 patients",,,"AMI-5 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","42 patients",,,"AMI-8A " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","46 patients",,,"AMI-3 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","220 patients",,,"AMI-2 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","462 patients","2 ","2","SCIP-INF-3 " "180093","REGIONAL MEDICAL CENTER OF HOPKINS COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "180095","CRITTENDEN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-1 " "180095","CRITTENDEN HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","52 patients",,,"PN-6 " "180095","CRITTENDEN HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","63 patients",,,"PN-5C " "180095","CRITTENDEN HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "180095","CRITTENDEN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1 ","1","SCIP-INF-3 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1 ","1","AMI-2 " "180095","CRITTENDEN HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","61 patients",,,"PN-2 " "180095","CRITTENDEN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "180095","CRITTENDEN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180095","CRITTENDEN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","25%","4 patients","1 ","1","SCIP-VTE-2 " "180095","CRITTENDEN HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","52 patients",,,"PN-7 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180095","CRITTENDEN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","8 patients","1 ","1","SCIP-INF-6 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","37 patients",,,"HF-1 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","79%","19 patients","1 ","1","AMI-5 " "180095","CRITTENDEN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","2 patients","1 ","1","SCIP-INF-2 " "180095","CRITTENDEN HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180095","CRITTENDEN HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","67 patients",,,"HF-2 " "180095","CRITTENDEN HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","39 patients",,,"PN-3B " "180095","CRITTENDEN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","25%","4 patients","1 ","1","SCIP-VTE-1 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","67 patients","2 ","2","SCIP-INF-2 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","67 patients","2 ","2","SCIP-INF-1 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","73 patients",,,"PN-5C " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","55 patients",,,"PN-3B " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","34 patients",,,"HF-2 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180101","GEORGETOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","11 patients","1,2 ","12","SCIP-CARD-2 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","51 patients",,,"PN-7 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","64 patients","2 ","2","SCIP-VTE-1 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","30 patients",,,"HF-1 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","53 patients",,,"PN-6 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","64 patients","2 ","2","SCIP-VTE-2 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","60 patients","2 ","2","SCIP-INF-3 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","125 patients","2 ","2","SCIP-INF-6 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","57 patients",,,"PN-2 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "180101","GEORGETOWN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "180102","LOURDES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","163 patients",,,"PN-3B " "180102","LOURDES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"PN-4 " "180102","LOURDES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","217 patients",,,"PN-2 " "180102","LOURDES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","281 patients",,,"HF-2 " "180102","LOURDES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","145 patients","2 ","2","SCIP-CARD-2 " "180102","LOURDES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","466 patients","2 ","2","SCIP-VTE-1 " "180102","LOURDES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","157 patients",,,"PN-7 " "180102","LOURDES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","34 patients",,,"AMI-8A " "180102","LOURDES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","103 patients",,,"AMI-4 " "180102","LOURDES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","745 patients","2 ","2","SCIP-INF-1 " "180102","LOURDES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","959 patients","2 ","2","SCIP-INF-6 " "180102","LOURDES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","187 patients",,,"AMI-2 " "180102","LOURDES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"AMI-3 " "180102","LOURDES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180102","LOURDES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","232 patients",,,"HF-1 " "180102","LOURDES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","189 patients",,,"AMI-5 " "180102","LOURDES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","134 patients",,,"AMI-1 " "180102","LOURDES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","145 patients",,,"PN-6 " "180102","LOURDES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"HF-4 " "180102","LOURDES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","113 patients",,,"HF-3 " "180102","LOURDES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","727 patients","2 ","2","SCIP-INF-3 " "180102","LOURDES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","189 patients","2 ","2","SCIP-INF-4 " "180102","LOURDES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","750 patients","2 ","2","SCIP-INF-2 " "180102","LOURDES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","212 patients",,,"PN-5C " "180102","LOURDES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","462 patients","2 ","2","SCIP-VTE-2 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","41 patients",,,"AMI-8A " "180103","CENTRAL BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1426 patients",,,"SCIP-INF-1 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","334 patients",,,"HF-1 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","284 patients",,,"AMI-4 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","606 patients",,,"AMI-5 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"HF-4 " "180103","CENTRAL BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","842 patients",,,"SCIP-VTE-2 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","380 patients",,,"HF-2 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180103","CENTRAL BAPTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","209 patients",,,"PN-2 " "180103","CENTRAL BAPTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","150 patients",,,"PN-3B " "180103","CENTRAL BAPTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","133 patients",,,"AMI-3 " "180103","CENTRAL BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","842 patients",,,"SCIP-VTE-1 " "180103","CENTRAL BAPTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","152 patients",,,"PN-5C " "180103","CENTRAL BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","351 patients",,,"SCIP-CARD-2 " "180103","CENTRAL BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2287 patients",,,"SCIP-INF-6 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","666 patients",,,"AMI-2 " "180103","CENTRAL BAPTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","92 patients",,,"PN-4 " "180103","CENTRAL BAPTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","106 patients",,,"PN-6 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","142 patients",,,"AMI-1 " "180103","CENTRAL BAPTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","184 patients",,,"HF-3 " "180103","CENTRAL BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1347 patients",,,"SCIP-INF-3 " "180103","CENTRAL BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1443 patients",,,"SCIP-INF-2 " "180103","CENTRAL BAPTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","148 patients",,,"PN-7 " "180103","CENTRAL BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","452 patients",,,"SCIP-INF-4 " "180104","WESTERN BAPTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","149 patients",,,"PN-4 " "180104","WESTERN BAPTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","300 patients",,,"AMI-5 " "180104","WESTERN BAPTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","241 patients",,,"PN-2 " "180104","WESTERN BAPTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"HF-4 " "180104","WESTERN BAPTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","136 patients",,,"HF-3 " "180104","WESTERN BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","146 patients",,,"SCIP-CARD-2 " "180104","WESTERN BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","229 patients",,,"SCIP-INF-4 " "180104","WESTERN BAPTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","214 patients",,,"PN-3B " "180104","WESTERN BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1149 patients",,,"SCIP-INF-6 " "180104","WESTERN BAPTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","51 patients",,,"AMI-3 " "180104","WESTERN BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","464 patients",,,"SCIP-VTE-2 " "180104","WESTERN BAPTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180104","WESTERN BAPTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","184 patients",,,"PN-6 " "180104","WESTERN BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","480 patients",,,"SCIP-VTE-1 " "180104","WESTERN BAPTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","327 patients",,,"AMI-2 " "180104","WESTERN BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","648 patients",,,"SCIP-INF-3 " "180104","WESTERN BAPTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","402 patients",,,"HF-2 " "180104","WESTERN BAPTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","51 patients",,,"AMI-8A " "180104","WESTERN BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","714 patients",,,"SCIP-INF-1 " "180104","WESTERN BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","720 patients",,,"SCIP-INF-2 " "180104","WESTERN BAPTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","168 patients",,,"AMI-4 " "180104","WESTERN BAPTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","178 patients",,,"PN-7 " "180104","WESTERN BAPTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","322 patients",,,"HF-1 " "180104","WESTERN BAPTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","206 patients",,,"AMI-1 " "180104","WESTERN BAPTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","237 patients",,,"PN-5C " "180105","MONROE COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","57%","14 patients","1 ","1","AMI-5 " "180105","MONROE COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","84%","25 patients",,,"HF-4 " "180105","MONROE COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","73 patients",,,"PN-5C " "180105","MONROE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "180105","MONROE COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","47 patients",,,"PN-7 " "180105","MONROE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "180105","MONROE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "180105","MONROE COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","5 patients","1 ","1","AMI-3 " "180105","MONROE COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180105","MONROE COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","41 patients",,,"PN-6 " "180105","MONROE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "180105","MONROE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "180105","MONROE COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","86 patients",,,"HF-1 " "180105","MONROE COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","32 patients",,,"PN-3B " "180105","MONROE COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","55%","22 patients","1 ","1","HF-3 " "180105","MONROE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "180105","MONROE COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "180105","MONROE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "180105","MONROE COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","82 patients",,,"PN-2 " "180105","MONROE COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","31 patients",,,"PN-4 " "180105","MONROE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "180105","MONROE COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","68%","19 patients","1 ","1","AMI-1 " "180105","MONROE COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","55%","11 patients","1 ","1","AMI-2 " "180105","MONROE COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","105 patients",,,"HF-2 " "180105","MONROE COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "180106","CLINTON COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","19 patients","1 ","1","SCIP-INF-3 " "180106","CLINTON COUNTY HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","59 patients",,,"PN-2 " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "180106","CLINTON COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1 ","1","AMI-1 " "180106","CLINTON COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","19 patients","1 ","1","SCIP-INF-2 " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","6 patients","1 ","1","AMI-5 " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "180106","CLINTON COUNTY HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","58 patients",,,"PN-7 " "180106","CLINTON COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","81%","21 patients","1 ","1","SCIP-INF-6 " "180106","CLINTON COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1 ","1","SCIP-VTE-1 " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "180106","CLINTON COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","19 patients","1 ","1","SCIP-INF-1 " "180106","CLINTON COUNTY HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","65 patients",,,"PN-6 " "180106","CLINTON COUNTY HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","72 patients",,,"PN-5C " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","57 patients",,,"HF-2 " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180106","CLINTON COUNTY HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1 ","1","PN-3B " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","42 patients",,,"HF-1 " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180106","CLINTON COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1 ","1","SCIP-VTE-2 " "180106","CLINTON COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","3 patients","1 ","1","SCIP-CARD-2 " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "180106","CLINTON COUNTY HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "180106","CLINTON COUNTY HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","15 patients","1 ","1","HF-3 " "180115","ROCKCASTLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "180115","ROCKCASTLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","52 patients",,,"PN-7 " "180115","ROCKCASTLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "180115","ROCKCASTLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "180115","ROCKCASTLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "180115","ROCKCASTLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "180115","ROCKCASTLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "180115","ROCKCASTLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","37 patients",,,"PN-4 " "180115","ROCKCASTLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","72 patients",,,"PN-2 " "180115","ROCKCASTLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","57 patients",,,"PN-6 " "180115","ROCKCASTLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "180115","ROCKCASTLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180115","ROCKCASTLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","86 patients",,,"PN-5C " "180115","ROCKCASTLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,2 ","12","HF-3 " "180115","ROCKCASTLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","28 patients","2 ","2","HF-1 " "180115","ROCKCASTLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "180115","ROCKCASTLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "180115","ROCKCASTLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "180115","ROCKCASTLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","HF-4 " "180115","ROCKCASTLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","31 patients","2 ","2","HF-2 " "180115","ROCKCASTLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","45 patients",,,"PN-3B " "180115","ROCKCASTLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "180115","ROCKCASTLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1 ","1","AMI-1 " "180115","ROCKCASTLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180115","ROCKCASTLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "180116","JACKSON PURCHASE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","276 patients",,,"SCIP-INF-1 " "180116","JACKSON PURCHASE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","185 patients",,,"SCIP-VTE-1 " "180116","JACKSON PURCHASE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","234 patients",,,"PN-5C " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180116","JACKSON PURCHASE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","248 patients",,,"PN-2 " "180116","JACKSON PURCHASE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","276 patients",,,"SCIP-INF-2 " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "180116","JACKSON PURCHASE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","334 patients",,,"SCIP-INF-6 " "180116","JACKSON PURCHASE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","268 patients",,,"SCIP-INF-3 " "180116","JACKSON PURCHASE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","146 patients",,,"PN-6 " "180116","JACKSON PURCHASE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","114 patients",,,"PN-4 " "180116","JACKSON PURCHASE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","185 patients",,,"SCIP-VTE-2 " "180116","JACKSON PURCHASE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","76 patients",,,"HF-2 " "180116","JACKSON PURCHASE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","175 patients",,,"PN-3B " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180116","JACKSON PURCHASE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","163 patients",,,"PN-7 " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","51 patients",,,"HF-1 " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","HF-3 " "180116","JACKSON PURCHASE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "180116","JACKSON PURCHASE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","52 patients",,,"SCIP-CARD-2 " "180117","PARKWAY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "180117","PARKWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients","2 ","2","SCIP-INF-6 " "180117","PARKWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180117","PARKWAY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "180117","PARKWAY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients",,,"PN-5C " "180117","PARKWAY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "180117","PARKWAY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","46 patients",,,"PN-6 " "180117","PARKWAY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "180117","PARKWAY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "180117","PARKWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","13 patients","1,2 ","12","SCIP-VTE-2 " "180117","PARKWAY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "180117","PARKWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","13 patients","1,2 ","12","SCIP-VTE-1 " "180117","PARKWAY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","41 patients",,,"PN-7 " "180117","PARKWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","20 patients","1,2 ","12","SCIP-INF-3 " "180117","PARKWAY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "180117","PARKWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","20 patients","1,2 ","12","SCIP-INF-1 " "180117","PARKWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","20 patients","1,2 ","12","SCIP-INF-2 " "180117","PARKWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "180117","PARKWAY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "180117","PARKWAY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","34 patients",,,"PN-2 " "180117","PARKWAY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "180117","PARKWAY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","31 patients",,,"HF-2 " "180117","PARKWAY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","48 patients",,,"PN-3B " "180117","PARKWAY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "180117","PARKWAY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","20 patients","1 ","1","HF-1 " "180124","GREENVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","57 patients",,,"SCIP-CARD-2 " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "180124","GREENVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","32 patients",,,"AMI-1 " "180124","GREENVIEW REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","102 patients",,,"PN-5C " "180124","GREENVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","195 patients",,,"SCIP-VTE-1 " "180124","GREENVIEW REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","105 patients",,,"PN-2 " "180124","GREENVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","195 patients",,,"SCIP-VTE-2 " "180124","GREENVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","443 patients",,,"SCIP-INF-6 " "180124","GREENVIEW REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","64 patients",,,"PN-6 " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","88 patients",,,"HF-1 " "180124","GREENVIEW REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","83 patients",,,"PN-3B " "180124","GREENVIEW REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","45 patients",,,"PN-4 " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","32 patients",,,"AMI-5 " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"HF-3 " "180124","GREENVIEW REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","84 patients",,,"PN-7 " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","25 patients",,,"AMI-2 " "180124","GREENVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","316 patients",,,"SCIP-INF-2 " "180124","GREENVIEW REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","123 patients",,,"HF-2 " "180124","GREENVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","299 patients",,,"SCIP-INF-3 " "180124","GREENVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","314 patients",,,"SCIP-INF-1 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","155 patients","2 ","2","SCIP-INF-1 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","152 patients","2 ","2","SCIP-VTE-2 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","145 patients","2 ","2","SCIP-INF-3 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","75 patients",,,"PN-7 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","109 patients",,,"PN-5C " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","71 patients",,,"HF-1 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","74 patients",,,"PN-6 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","14 patients","1 ","1","AMI-5 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","91 patients",,,"PN-2 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","261 patients","2 ","2","SCIP-INF-6 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","32 patients","2 ","2","SCIP-CARD-2 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","157 patients","2 ","2","SCIP-INF-2 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","92 patients",,,"HF-2 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"PN-4 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","98 patients",,,"PN-3B " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","152 patients","2 ","2","SCIP-VTE-1 " "180127","FRANKFORT REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"HF-3 " "180128","THREE RIVERS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","45 patients",,,"HF-3 " "180128","THREE RIVERS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","140 patients",,,"HF-1 " "180128","THREE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","23 patients","1,2 ","12","SCIP-VTE-2 " "180128","THREE RIVERS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "180128","THREE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","78 patients","2 ","2","SCIP-INF-6 " "180128","THREE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","67 patients","2 ","2","SCIP-INF-2 " "180128","THREE RIVERS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"PN-4 " "180128","THREE RIVERS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "180128","THREE RIVERS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","69 patients",,,"PN-3B " "180128","THREE RIVERS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "180128","THREE RIVERS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "180128","THREE RIVERS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","89 patients",,,"PN-6 " "180128","THREE RIVERS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "180128","THREE RIVERS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "180128","THREE RIVERS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "180128","THREE RIVERS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","56 patients",,,"PN-7 " "180128","THREE RIVERS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","107 patients",,,"PN-5C " "180128","THREE RIVERS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","65 patients",,,"PN-2 " "180128","THREE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1,2 ","12","SCIP-CARD-2 " "180128","THREE RIVERS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "180128","THREE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","67 patients","2 ","2","SCIP-INF-3 " "180128","THREE RIVERS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","150 patients",,,"HF-2 " "180128","THREE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","23 patients","1,2 ","12","SCIP-VTE-1 " "180128","THREE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","67 patients","2 ","2","SCIP-INF-1 " "180128","THREE RIVERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180130","BAPTIST HOSPITAL EAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","786 patients",,,"HF-2 " "180130","BAPTIST HOSPITAL EAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","395 patients",,,"AMI-2 " "180130","BAPTIST HOSPITAL EAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","430 patients",,,"PN-7 " "180130","BAPTIST HOSPITAL EAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","2512 patients",,,"SCIP-INF-1 " "180130","BAPTIST HOSPITAL EAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","2385 patients",,,"SCIP-INF-3 " "180130","BAPTIST HOSPITAL EAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","301 patients",,,"SCIP-INF-4 " "180130","BAPTIST HOSPITAL EAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","589 patients",,,"PN-2 " "180130","BAPTIST HOSPITAL EAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","1356 patients",,,"SCIP-VTE-2 " "180130","BAPTIST HOSPITAL EAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","559 patients",,,"PN-5C " "180130","BAPTIST HOSPITAL EAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","111 patients",,,"AMI-4 " "180130","BAPTIST HOSPITAL EAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","582 patients",,,"HF-1 " "180130","BAPTIST HOSPITAL EAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","588 patients",,,"PN-3B " "180130","BAPTIST HOSPITAL EAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","3621 patients",,,"SCIP-INF-6 " "180130","BAPTIST HOSPITAL EAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","372 patients",,,"AMI-5 " "180130","BAPTIST HOSPITAL EAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","379 patients",,,"AMI-1 " "180130","BAPTIST HOSPITAL EAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","61 patients",,,"AMI-8A " "180130","BAPTIST HOSPITAL EAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "180130","BAPTIST HOSPITAL EAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","91 patients",,,"AMI-3 " "180130","BAPTIST HOSPITAL EAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"HF-4 " "180130","BAPTIST HOSPITAL EAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","1357 patients",,,"SCIP-VTE-1 " "180130","BAPTIST HOSPITAL EAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","379 patients",,,"PN-6 " "180130","BAPTIST HOSPITAL EAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","2525 patients",,,"SCIP-INF-2 " "180130","BAPTIST HOSPITAL EAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","504 patients",,,"SCIP-CARD-2 " "180130","BAPTIST HOSPITAL EAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","180 patients",,,"HF-3 " "180130","BAPTIST HOSPITAL EAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","168 patients",,,"PN-4 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","306 patients",,,"PN-2 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","41 patients",,,"SCIP-INF-4 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","300 patients",,,"SCIP-INF-1 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","22 patients","1 ","1","AMI-3 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","292 patients",,,"SCIP-VTE-1 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","140 patients",,,"AMI-2 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","96 patients",,,"SCIP-CARD-2 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","86 patients",,,"HF-3 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","250 patients",,,"PN-3B " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","158 patients",,,"PN-4 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","305 patients",,,"SCIP-INF-2 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","340 patients",,,"PN-5C " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","106 patients",,,"AMI-5 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","53 patients",,,"AMI-8A " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"AMI-4 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","669 patients",,,"SCIP-INF-6 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","276 patients",,,"SCIP-INF-3 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","208 patients",,,"PN-6 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","292 patients",,,"SCIP-VTE-2 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","138 patients",,,"AMI-1 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","251 patients",,,"PN-7 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","239 patients",,,"HF-2 " "180132","LAKE CUMBERLAND REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","190 patients",,,"HF-1 " "180138","BAPTIST HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","195 patients",,,"SCIP-INF-6 " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","145 patients",,,"HF-2 " "180138","BAPTIST HOSPITAL NORTHEAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","87 patients",,,"PN-6 " "180138","BAPTIST HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","96 patients",,,"SCIP-VTE-2 " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients",,,"HF-3 " "180138","BAPTIST HOSPITAL NORTHEAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","153 patients",,,"PN-5C " "180138","BAPTIST HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","104 patients",,,"SCIP-INF-3 " "180138","BAPTIST HOSPITAL NORTHEAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","152 patients",,,"PN-3B " "180138","BAPTIST HOSPITAL NORTHEAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","137 patients",,,"PN-2 " "180138","BAPTIST HOSPITAL NORTHEAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "180138","BAPTIST HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "180138","BAPTIST HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","96 patients",,,"SCIP-VTE-1 " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"HF-4 " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "180138","BAPTIST HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","111 patients",,,"SCIP-INF-2 " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","113 patients",,,"HF-1 " "180138","BAPTIST HOSPITAL NORTHEAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","34 patients",,,"AMI-1 " "180138","BAPTIST HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","109 patients",,,"SCIP-INF-1 " "180138","BAPTIST HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "180138","BAPTIST HOSPITAL NORTHEAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","107 patients",,,"PN-7 " "180139","KENTUCKY RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "180139","KENTUCKY RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","88 patients",,,"PN-7 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","119 patients",,,"HF-1 " "180139","KENTUCKY RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "180139","KENTUCKY RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","65 patients",,,"PN-6 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "180139","KENTUCKY RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","7 patients","1,2 ","12","SCIP-INF-3 " "180139","KENTUCKY RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","122 patients",,,"PN-2 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "180139","KENTUCKY RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","9 patients","1,2 ","12","SCIP-VTE-2 " "180139","KENTUCKY RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","7 patients","1,2 ","12","SCIP-INF-1 " "180139","KENTUCKY RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","96 patients",,,"PN-3B " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "180139","KENTUCKY RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","15 patients","1,2 ","12","SCIP-INF-6 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","141 patients",,,"HF-2 " "180139","KENTUCKY RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","140 patients",,,"PN-5C " "180139","KENTUCKY RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"PN-4 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "180139","KENTUCKY RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1,2 ","12","SCIP-INF-2 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "180139","KENTUCKY RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","9 patients","1,2 ","12","SCIP-VTE-1 " "180139","KENTUCKY RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"HF-3 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","90 patients",,,"AMI-2 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","75 patients",,,"HF-4 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","51 patients",,,"PN-3B " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","175 patients","2 ","2","SCIP-VTE-1 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","62 patients",,,"PN-5C " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","43 patients","2 ","2","SCIP-INF-4 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","162 patients",,,"HF-2 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","89 patients",,,"AMI-1 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","70 patients",,,"HF-3 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","266 patients","2 ","2","SCIP-INF-2 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","257 patients","2 ","2","SCIP-INF-1 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","76 patients",,,"PN-4 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","38 patients","2 ","2","SCIP-CARD-2 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","37 patients",,,"PN-6 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","378 patients","2 ","2","SCIP-INF-6 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","25 patients",,,"PN-2 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","60 patients",,,"AMI-4 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","34 patients",,,"PN-7 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","245 patients","2 ","2","SCIP-INF-3 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","174 patients","2 ","2","SCIP-VTE-2 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","146 patients",,,"HF-1 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","73 patients",,,"AMI-5 " "180141","UNIVERSITY OF LOUISVILLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","61%","23 patients","1 ","1","AMI-8A " "180143","SAINT JOSEPH EAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","568 patients","2 ","2","SCIP-INF-1 " "180143","SAINT JOSEPH EAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","762 patients","2 ","2","SCIP-INF-6 " "180143","SAINT JOSEPH EAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","67 patients",,,"AMI-1 " "180143","SAINT JOSEPH EAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "180143","SAINT JOSEPH EAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","221 patients",,,"AMI-2 " "180143","SAINT JOSEPH EAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","198 patients",,,"AMI-5 " "180143","SAINT JOSEPH EAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","54 patients",,,"PN-7 " "180143","SAINT JOSEPH EAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","559 patients","2 ","2","SCIP-INF-3 " "180143","SAINT JOSEPH EAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","570 patients","2 ","2","SCIP-INF-2 " "180143","SAINT JOSEPH EAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","360 patients","2 ","2","SCIP-VTE-2 " "180143","SAINT JOSEPH EAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","52 patients",,,"PN-4 " "180143","SAINT JOSEPH EAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","127 patients",,,"HF-2 " "180143","SAINT JOSEPH EAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "180143","SAINT JOSEPH EAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","360 patients","2 ","2","SCIP-VTE-1 " "180143","SAINT JOSEPH EAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","81 patients","2 ","2","SCIP-CARD-2 " "180143","SAINT JOSEPH EAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","115 patients",,,"HF-1 " "180143","SAINT JOSEPH EAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","59 patients",,,"PN-2 " "180143","SAINT JOSEPH EAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","55 patients",,,"PN-3B " "180143","SAINT JOSEPH EAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","61 patients",,,"PN-5C " "180143","SAINT JOSEPH EAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","44 patients",,,"HF-3 " "180143","SAINT JOSEPH EAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","15 patients","1 ","1","AMI-8A " "180143","SAINT JOSEPH EAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "180143","SAINT JOSEPH EAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","50 patients",,,"PN-6 " "180143","SAINT JOSEPH EAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","117 patients",,,"AMI-4 " "180143","SAINT JOSEPH EAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","60 patients",,,"AMI-3 " "180149","WESTLAKE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","150 patients",,,"HF-1 " "180149","WESTLAKE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "180149","WESTLAKE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "180149","WESTLAKE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "180149","WESTLAKE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","83 patients",,,"PN-5C " "180149","WESTLAKE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","19 patients","1 ","1","HF-3 " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","196 patients",,,"HF-2 " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","35 patients",,,"HF-4 " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","AMI-4 " "180149","WESTLAKE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "180149","WESTLAKE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","47 patients",,,"PN-6 " "180149","WESTLAKE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","55 patients",,,"PN-7 " "180149","WESTLAKE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","38 patients",,,"PN-4 " "180149","WESTLAKE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","66 patients",,,"PN-3B " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "180149","WESTLAKE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "180149","WESTLAKE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "180149","WESTLAKE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "180149","WESTLAKE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","72 patients",,,"PN-2 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","40 patients",,,"PN-5C " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","56 patients",,,"PN-2 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","13 patients","1 ","1","HF-2 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","36 patients",,,"PN-7 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","39 patients",,,"PN-3B " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","10 patients","1 ","1","HF-1 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","32 patients",,,"PN-6 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "181301","MARCUM AND WALLACE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","32 patients",,,"HF-1 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","44 patients",,,"PN-7 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","41 patients",,,"HF-2 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","60 patients",,,"PN-5C " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","65 patients",,,"PN-2 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","58 patients",,,"PN-3B " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","30 patients",,,"PN-6 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","17%","6 patients","1 ","1","HF-4 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","44 patients",,,"PN-4 " "181302","THE JAMES B HAGGIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181303","NICHOLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181303","NICHOLAS COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","24 patients","1 ","1","PN-7 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","7 patients","1,3 ","13","HF-1 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181303","NICHOLAS COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","22 patients","1 ","1","PN-3B " "181303","NICHOLAS COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181303","NICHOLAS COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","30 patients",,,"PN-2 " "181303","NICHOLAS COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","42 patients",,,"PN-5C " "181303","NICHOLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181303","NICHOLAS COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients",,,"PN-6 " "181303","NICHOLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181303","NICHOLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181303","NICHOLAS COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","22 patients","1 ","1","PN-4 " "181303","NICHOLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1,3 ","13","HF-3 " "181303","NICHOLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181303","NICHOLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","10 patients","1,3 ","13","HF-2 " "181303","NICHOLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181303","NICHOLAS COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181304","TRIGG COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "181304","TRIGG COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181304","TRIGG COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181304","TRIGG COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","24%","33 patients",,,"HF-2 " "181304","TRIGG COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1,2 ","12","PN-5C " "181304","TRIGG COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","PN-4 " "181304","TRIGG COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","19 patients","1,2 ","12","PN-7 " "181304","TRIGG COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181304","TRIGG COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "181304","TRIGG COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","20 patients","1,2 ","12","PN-6 " "181304","TRIGG COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181304","TRIGG COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181304","TRIGG COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181304","TRIGG COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181304","TRIGG COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181304","TRIGG COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,2 ","12","PN-3B " "181304","TRIGG COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181304","TRIGG COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181304","TRIGG COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181304","TRIGG COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181304","TRIGG COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181304","TRIGG COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","23 patients","1,2 ","12","PN-2 " "181304","TRIGG COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","22 patients","1 ","1","HF-1 " "181304","TRIGG COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181304","TRIGG COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181305","SAINT JOSEPH MARTIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "181305","SAINT JOSEPH MARTIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181305","SAINT JOSEPH MARTIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181305","SAINT JOSEPH MARTIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181305","SAINT JOSEPH MARTIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "181305","SAINT JOSEPH MARTIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181305","SAINT JOSEPH MARTIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181305","SAINT JOSEPH MARTIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181305","SAINT JOSEPH MARTIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","34 patients",,,"PN-2 " "181305","SAINT JOSEPH MARTIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","47 patients",,,"PN-6 " "181305","SAINT JOSEPH MARTIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181305","SAINT JOSEPH MARTIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181305","SAINT JOSEPH MARTIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181305","SAINT JOSEPH MARTIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181305","SAINT JOSEPH MARTIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","29 patients",,,"PN-7 " "181305","SAINT JOSEPH MARTIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","57 patients",,,"PN-3B " "181305","SAINT JOSEPH MARTIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181305","SAINT JOSEPH MARTIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181305","SAINT JOSEPH MARTIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","63 patients",,,"PN-5C " "181305","SAINT JOSEPH MARTIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181305","SAINT JOSEPH MARTIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181305","SAINT JOSEPH MARTIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181305","SAINT JOSEPH MARTIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","39 patients",,,"HF-1 " "181305","SAINT JOSEPH MARTIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","39 patients",,,"HF-2 " "181305","SAINT JOSEPH MARTIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "181306","METHODIST HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "181306","METHODIST HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181306","METHODIST HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "181306","METHODIST HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","25 patients",,,"HF-2 " "181306","METHODIST HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181306","METHODIST HOSPITAL UNION COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","52 patients",,,"PN-2 " "181306","METHODIST HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","8 patients","1 ","1","HF-3 " "181306","METHODIST HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","22 patients","1 ","1","HF-1 " "181306","METHODIST HOSPITAL UNION COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181306","METHODIST HOSPITAL UNION COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","39 patients",,,"PN-3B " "181306","METHODIST HOSPITAL UNION COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","41 patients",,,"PN-5C " "181306","METHODIST HOSPITAL UNION COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","34 patients",,,"PN-7 " "181306","METHODIST HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181306","METHODIST HOSPITAL UNION COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","47 patients",,,"PN-6 " "181306","METHODIST HOSPITAL UNION COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","PN-4 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","39 patients",,,"HF-2 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "181307","MORGAN COUNTY ARH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "181307","MORGAN COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181307","MORGAN COUNTY ARH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","47 patients",,,"PN-7 " "181307","MORGAN COUNTY ARH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","54 patients",,,"PN-2 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "181307","MORGAN COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181307","MORGAN COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","33 patients",,,"HF-1 " "181307","MORGAN COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181307","MORGAN COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "181307","MORGAN COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181307","MORGAN COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181307","MORGAN COUNTY ARH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181307","MORGAN COUNTY ARH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","69 patients",,,"PN-6 " "181307","MORGAN COUNTY ARH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","83 patients",,,"PN-5C " "181307","MORGAN COUNTY ARH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","57 patients",,,"PN-3B " "181307","MORGAN COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181308","BLUEGRASS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","9 patients","1 ","1","HF-1 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","25 patients",,,"PN-2 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","21 patients","1 ","1","PN-7 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","29 patients",,,"PN-6 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181308","BLUEGRASS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","13 patients","1 ","1","HF-2 " "181308","BLUEGRASS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","28 patients",,,"PN-3B " "181308","BLUEGRASS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","30 patients",,,"PN-5C " "181309","CASEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181309","CASEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181309","CASEY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "181309","CASEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181309","CASEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181309","CASEY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "181309","CASEY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181309","CASEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181309","CASEY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","53 patients",,,"PN-2 " "181309","CASEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181309","CASEY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","66 patients",,,"PN-5C " "181309","CASEY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","42 patients",,,"PN-7 " "181309","CASEY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181309","CASEY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "181309","CASEY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "181309","CASEY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","47 patients",,,"PN-6 " "181309","CASEY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","37 patients",,,"HF-2 " "181309","CASEY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","30 patients",,,"PN-4 " "181309","CASEY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "181309","CASEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181309","CASEY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","26 patients",,,"HF-1 " "181309","CASEY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "181309","CASEY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","31 patients",,,"PN-3B " "181309","CASEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181309","CASEY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "181310","CARROLL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "181310","CARROLL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181310","CARROLL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "181310","CARROLL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","29 patients",,,"HF-2 " "181310","CARROLL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","48 patients",,,"PN-5C " "181310","CARROLL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181310","CARROLL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "181310","CARROLL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"PN-4 " "181310","CARROLL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181310","CARROLL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "181310","CARROLL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181310","CARROLL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "181310","CARROLL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181310","CARROLL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181310","CARROLL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181310","CARROLL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181310","CARROLL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "181310","CARROLL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","31 patients",,,"PN-6 " "181310","CARROLL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "181310","CARROLL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181310","CARROLL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181310","CARROLL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","30 patients",,,"PN-7 " "181310","CARROLL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","31 patients",,,"PN-3B " "181310","CARROLL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","17 patients","1 ","1","HF-1 " "181310","CARROLL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","35 patients",,,"PN-2 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1 ","1","PN-3B " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","25 patients",,,"HF-2 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","19 patients","1 ","1","PN-7 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","20 patients","1 ","1","HF-1 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","22 patients","1 ","1","PN-6 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","25 patients",,,"PN-2 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","29 patients",,,"PN-5C " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "181311","ST ELIZABETH MEDICAL CENTER GRANT COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "181312","NEW HORIZONS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181312","NEW HORIZONS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181312","NEW HORIZONS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181312","NEW HORIZONS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","29 patients",,,"PN-2 " "181312","NEW HORIZONS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181312","NEW HORIZONS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181312","NEW HORIZONS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","19 patients","1 ","1","PN-7 " "181312","NEW HORIZONS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","HF-4 " "181312","NEW HORIZONS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181312","NEW HORIZONS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181312","NEW HORIZONS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181312","NEW HORIZONS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181312","NEW HORIZONS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","HF-3 " "181312","NEW HORIZONS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181312","NEW HORIZONS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181312","NEW HORIZONS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","35 patients",,,"PN-5C " "181312","NEW HORIZONS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "181312","NEW HORIZONS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181312","NEW HORIZONS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","23 patients","1 ","1","PN-3B " "181312","NEW HORIZONS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181312","NEW HORIZONS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181312","NEW HORIZONS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","16 patients","1 ","1","HF-1 " "181312","NEW HORIZONS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","19 patients","1 ","1","HF-2 " "181312","NEW HORIZONS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "181312","NEW HORIZONS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "181314","CAVERNA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181314","CAVERNA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","17 patients","1 ","1","PN-6 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "181314","CAVERNA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181314","CAVERNA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181314","CAVERNA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","20 patients","1 ","1","PN-5C " "181314","CAVERNA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","HF-4 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "181314","CAVERNA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "181314","CAVERNA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181314","CAVERNA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","12 patients","1 ","1","PN-7 " "181314","CAVERNA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","43%","37 patients",,,"HF-2 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","42%","19 patients","1 ","1","HF-1 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "181314","CAVERNA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","10 patients","1 ","1","PN-3B " "181314","CAVERNA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","PN-4 " "181314","CAVERNA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","18 patients","1 ","1","PN-2 " "181314","CAVERNA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181314","CAVERNA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","66 patients",,,"PN-2 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","30 patients",,,"HF-2 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","52 patients",,,"PN-3B " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","49 patients",,,"PN-6 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","71 patients",,,"PN-5C " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","23 patients","1 ","1","HF-1 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"PN-4 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","29 patients","3 ","3","SCIP-INF-6 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","42 patients",,,"PN-7 " "181315","EPHRAIM MCDOWELL FORT LOGAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181316","MARY BRECKINRIDGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","33 patients",,,"PN-4 " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","56 patients",,,"HF-2 " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","39 patients",,,"HF-1 " "181316","MARY BRECKINRIDGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","46 patients",,,"PN-6 " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181316","MARY BRECKINRIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181316","MARY BRECKINRIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181316","MARY BRECKINRIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181316","MARY BRECKINRIDGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","57 patients",,,"PN-5C " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181316","MARY BRECKINRIDGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181316","MARY BRECKINRIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181316","MARY BRECKINRIDGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","40 patients",,,"PN-7 " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "181316","MARY BRECKINRIDGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","43 patients",,,"PN-2 " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "181316","MARY BRECKINRIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181316","MARY BRECKINRIDGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181316","MARY BRECKINRIDGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181316","MARY BRECKINRIDGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","57 patients",,,"PN-3B " "181316","MARY BRECKINRIDGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181317","CUMBERLAND COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","30 patients","3 ","3","PN-5C " "181317","CUMBERLAND COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","30 patients","3 ","3","PN-2 " "181317","CUMBERLAND COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","61%","18 patients","1,3 ","13","PN-6 " "181317","CUMBERLAND COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1,3 ","13","AMI-1 " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "181317","CUMBERLAND COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","19 patients","1 ","1","PN-7 " "181317","CUMBERLAND COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","17 patients","1,3 ","13","PN-4 " "181317","CUMBERLAND COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181317","CUMBERLAND COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181317","CUMBERLAND COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181317","CUMBERLAND COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181317","CUMBERLAND COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","12 patients","1 ","1","HF-4 " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "181317","CUMBERLAND COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","7 patients","1,3 ","13","PN-3B " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","24%","46 patients",,,"HF-2 " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "181317","CUMBERLAND COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","36 patients",,,"HF-1 " "181317","CUMBERLAND COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181317","CUMBERLAND COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181318","THE MEDICAL CENTER AT FRANKLIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","49 patients",,,"PN-6 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","34 patients",,,"HF-1 " "181318","THE MEDICAL CENTER AT FRANKLIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "181318","THE MEDICAL CENTER AT FRANKLIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","75 patients",,,"PN-2 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "181318","THE MEDICAL CENTER AT FRANKLIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181318","THE MEDICAL CENTER AT FRANKLIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","49%","39 patients",,,"HF-2 " "181318","THE MEDICAL CENTER AT FRANKLIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "181318","THE MEDICAL CENTER AT FRANKLIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181318","THE MEDICAL CENTER AT FRANKLIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181318","THE MEDICAL CENTER AT FRANKLIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181318","THE MEDICAL CENTER AT FRANKLIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients",,,"PN-3B " "181318","THE MEDICAL CENTER AT FRANKLIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","64 patients",,,"PN-5C " "181318","THE MEDICAL CENTER AT FRANKLIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "181318","THE MEDICAL CENTER AT FRANKLIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","43 patients",,,"PN-7 " "181318","THE MEDICAL CENTER AT FRANKLIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181318","THE MEDICAL CENTER AT FRANKLIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","29 patients",,,"HF-2 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","20 patients","1 ","1","HF-1 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","37 patients",,,"PN-2 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","44 patients",,,"PN-5C " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","30 patients",,,"PN-7 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","15 patients","1 ","1","PN-3B " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181319","BRECKINRIDGE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","30 patients",,,"PN-6 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","53%","47 patients",,,"HF-2 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","62%","8 patients","1 ","1","HF-4 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","18%","11 patients","1,3 ","13","PN-2 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1,3 ","13","AMI-1 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1,3 ","13","PN-5C " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","33%","12 patients","1,3 ","13","PN-6 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","3 patients","1,3 ","13","AMI-2 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","HF-3 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1,3 ","13","PN-4 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","25%","8 patients","1 ","1","PN-7 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","23%","39 patients",,,"HF-1 " "181320","LIVINGSTON HOSPITAL AND HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181321","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181321","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181321","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181321","WAYNE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","HF-3 " "181321","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181321","WAYNE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","73 patients",,,"PN-2 " "181321","WAYNE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","51 patients",,,"PN-3B " "181321","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181321","WAYNE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","68 patients",,,"PN-5C " "181321","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181321","WAYNE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","59 patients",,,"PN-6 " "181321","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181321","WAYNE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "181321","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181321","WAYNE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","10 patients","1 ","1","HF-1 " "181321","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181321","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181321","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181321","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181321","WAYNE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","25 patients",,,"PN-4 " "181321","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181321","WAYNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181321","WAYNE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","56 patients",,,"PN-7 " "181321","WAYNE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","15 patients","1 ","1","HF-2 " "181321","WAYNE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181322","CALDWELL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","39 patients",,,"PN-6 " "181322","CALDWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181322","CALDWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181322","CALDWELL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181322","CALDWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181322","CALDWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181322","CALDWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181322","CALDWELL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","34 patients",,,"PN-3B " "181322","CALDWELL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181322","CALDWELL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181322","CALDWELL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "181322","CALDWELL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "181322","CALDWELL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","38 patients",,,"PN-2 " "181322","CALDWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181322","CALDWELL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","15 patients","1 ","1","HF-1 " "181322","CALDWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181322","CALDWELL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181322","CALDWELL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","26 patients",,,"HF-2 " "181322","CALDWELL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","44 patients",,,"PN-5C " "181322","CALDWELL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181322","CALDWELL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181322","CALDWELL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","34 patients",,,"PN-7 " "181322","CALDWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181322","CALDWELL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181322","CALDWELL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "181323","OHIO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181323","OHIO COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181323","OHIO COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "181323","OHIO COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","42 patients",,,"HF-2 " "181323","OHIO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","24 patients","1 ","1","SCIP-VTE-1 " "181323","OHIO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","29 patients",,,"SCIP-INF-3 " "181323","OHIO COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181323","OHIO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","29 patients",,,"SCIP-INF-1 " "181323","OHIO COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","32 patients",,,"HF-1 " "181323","OHIO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","24 patients","1 ","1","SCIP-VTE-2 " "181323","OHIO COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","53%","45 patients",,,"PN-2 " "181323","OHIO COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "181323","OHIO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","63%","30 patients",,,"SCIP-INF-2 " "181323","OHIO COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","33 patients",,,"PN-3B " "181323","OHIO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "181323","OHIO COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","52 patients",,,"PN-5C " "181323","OHIO COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "181323","OHIO COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","PN-4 " "181323","OHIO COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "181323","OHIO COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","28 patients",,,"PN-7 " "181323","OHIO COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "181323","OHIO COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","48 patients",,,"PN-6 " "181323","OHIO COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "181323","OHIO COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "181323","OHIO COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","42 patients",,,"SCIP-INF-6 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","37 patients",,,"PN-6 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","33 patients",,,"PN-7 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","23 patients","1 ","1","PN-3B " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","34%","29 patients",,,"HF-1 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","38 patients",,,"PN-2 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","10 patients","1 ","1","HF-3 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","53%","49 patients",,,"HF-2 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","48 patients",,,"PN-5C " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "181324","THE MEDICAL CENTER AT SCOTTSVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181325","JANE TODD CRAWFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181325","JANE TODD CRAWFORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","18 patients","1 ","1","PN-7 " "181325","JANE TODD CRAWFORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","21 patients","1 ","1","PN-6 " "181325","JANE TODD CRAWFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "181325","JANE TODD CRAWFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181325","JANE TODD CRAWFORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "181325","JANE TODD CRAWFORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181325","JANE TODD CRAWFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "181325","JANE TODD CRAWFORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","23 patients","1 ","1","PN-3B " "181325","JANE TODD CRAWFORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","35 patients",,,"PN-5C " "181325","JANE TODD CRAWFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181325","JANE TODD CRAWFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181325","JANE TODD CRAWFORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","28 patients",,,"PN-2 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181325","JANE TODD CRAWFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","36%","11 patients","1 ","1","HF-2 " "181325","JANE TODD CRAWFORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1 ","1","HF-1 " "181327","MARSHALL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "181327","MARSHALL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181327","MARSHALL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181327","MARSHALL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","48%","25 patients","2 ","2","PN-7 " "181327","MARSHALL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","25 patients","2 ","2","PN-5C " "181327","MARSHALL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","54%","28 patients",,,"HF-1 " "181327","MARSHALL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","23 patients","1,2 ","12","PN-6 " "181327","MARSHALL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "181327","MARSHALL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "181327","MARSHALL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181327","MARSHALL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181327","MARSHALL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181327","MARSHALL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","11 patients","1 ","1","HF-3 " "181327","MARSHALL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181327","MARSHALL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181327","MARSHALL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1 ","1","AMI-5 " "181327","MARSHALL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","54%","24 patients","1,2 ","12","PN-2 " "181327","MARSHALL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","23 patients","1,2 ","12","PN-3B " "181327","MARSHALL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","36 patients",,,"HF-2 " "181327","MARSHALL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181327","MARSHALL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181327","MARSHALL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1,2 ","12","PN-4 " "181327","MARSHALL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","4 patients","1 ","1","AMI-2 " "181327","MARSHALL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1 ","1","AMI-1 " "181327","MARSHALL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "181328","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "181328","KNOX COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "181328","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","8 patients","1 ","1","SCIP-INF-3 " "181328","KNOX COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "181328","KNOX COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "181328","KNOX COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "181328","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","38%","8 patients","1 ","1","SCIP-INF-1 " "181328","KNOX COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","39 patients",,,"HF-1 " "181328","KNOX COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","48 patients",,,"PN-3B " "181328","KNOX COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","6 patients","1 ","1","AMI-5 " "181328","KNOX COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","45 patients",,,"HF-2 " "181328","KNOX COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1 ","1","AMI-2 " "181328","KNOX COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "181328","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","38%","8 patients","1 ","1","SCIP-INF-2 " "181328","KNOX COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","60 patients",,,"PN-6 " "181328","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "181328","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","40%","10 patients","1 ","1","SCIP-VTE-2 " "181328","KNOX COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","58 patients",,,"PN-2 " "181328","KNOX COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","76 patients",,,"PN-5C " "181328","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","29%","17 patients","1 ","1","SCIP-INF-6 " "181328","KNOX COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "181328","KNOX COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","41 patients",,,"PN-7 " "181328","KNOX COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"PN-4 " "181328","KNOX COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","77%","22 patients","1 ","1","AMI-1 " "181328","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","10 patients","1 ","1","SCIP-VTE-1 " "181329","SAINT JOSEPH BEREA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","56 patients","2 ","2","SCIP-INF-6 " "181329","SAINT JOSEPH BEREA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","49 patients","2 ","2","SCIP-VTE-1 " "181329","SAINT JOSEPH BEREA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","55 patients",,,"PN-6 " "181329","SAINT JOSEPH BEREA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "181329","SAINT JOSEPH BEREA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "181329","SAINT JOSEPH BEREA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","34 patients","2 ","2","SCIP-INF-1 " "181329","SAINT JOSEPH BEREA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","34 patients","2 ","2","SCIP-INF-2 " "181329","SAINT JOSEPH BEREA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "181329","SAINT JOSEPH BEREA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "181329","SAINT JOSEPH BEREA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "181329","SAINT JOSEPH BEREA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "181329","SAINT JOSEPH BEREA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","76 patients",,,"PN-5C " "181329","SAINT JOSEPH BEREA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients",,,"HF-2 " "181329","SAINT JOSEPH BEREA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "181329","SAINT JOSEPH BEREA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","65 patients",,,"PN-2 " "181329","SAINT JOSEPH BEREA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","36 patients",,,"PN-3B " "181329","SAINT JOSEPH BEREA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","31 patients","2 ","2","SCIP-INF-3 " "181329","SAINT JOSEPH BEREA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "181329","SAINT JOSEPH BEREA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","49 patients","2 ","2","SCIP-VTE-2 " "181329","SAINT JOSEPH BEREA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "181329","SAINT JOSEPH BEREA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","43 patients",,,"HF-1 " "181329","SAINT JOSEPH BEREA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "181329","SAINT JOSEPH BEREA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","48 patients",,,"PN-7 " "181329","SAINT JOSEPH BEREA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","HF-3 " "181329","SAINT JOSEPH BEREA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "181330","RUSSELL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","47 patients",,,"PN-5C " "181330","RUSSELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181330","RUSSELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181330","RUSSELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181330","RUSSELL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "181330","RUSSELL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "181330","RUSSELL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "181330","RUSSELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181330","RUSSELL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "181330","RUSSELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181330","RUSSELL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "181330","RUSSELL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "181330","RUSSELL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "181330","RUSSELL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","74%","31 patients",,,"PN-3B " "181330","RUSSELL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "181330","RUSSELL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "181330","RUSSELL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","48 patients",,,"PN-2 " "181330","RUSSELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181330","RUSSELL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","41 patients",,,"HF-2 " "181330","RUSSELL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "181330","RUSSELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181330","RUSSELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181330","RUSSELL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","56%","32 patients",,,"PN-6 " "181330","RUSSELL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","31 patients",,,"HF-1 " "181330","RUSSELL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","34 patients",,,"PN-7 " "181331","MCDOWELL ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "181331","MCDOWELL ARH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "181331","MCDOWELL ARH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "181331","MCDOWELL ARH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "181331","MCDOWELL ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "181331","MCDOWELL ARH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "181331","MCDOWELL ARH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","56 patients",,,"HF-1 " "181331","MCDOWELL ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "181331","MCDOWELL ARH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "181331","MCDOWELL ARH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "181331","MCDOWELL ARH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "181331","MCDOWELL ARH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","37 patients",,,"PN-3B " "181331","MCDOWELL ARH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","12 patients","1 ","1","HF-3 " "181331","MCDOWELL ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "181331","MCDOWELL ARH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","32 patients",,,"PN-2 " "181331","MCDOWELL ARH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "181331","MCDOWELL ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "181331","MCDOWELL ARH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","64 patients",,,"PN-5C " "181331","MCDOWELL ARH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","47 patients",,,"PN-6 " "181331","MCDOWELL ARH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","25 patients",,,"PN-7 " "181331","MCDOWELL ARH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","59 patients",,,"HF-2 " "181331","MCDOWELL ARH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "181331","MCDOWELL ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "181331","MCDOWELL ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "181331","MCDOWELL ARH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","87 patients",,,"PN-5C " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","65 patients",,,"SCIP-INF-2 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","52 patients",,,"SCIP-VTE-1 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","65 patients",,,"SCIP-INF-1 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","124 patients",,,"SCIP-INF-6 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","18 patients","1 ","1","AMI-1 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","84 patients",,,"HF-3 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","66 patients",,,"PN-7 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","66 patients",,,"PN-2 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","56 patients",,,"PN-6 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","138 patients",,,"HF-2 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"PN-4 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","62 patients",,,"SCIP-INF-3 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","48 patients",,,"SCIP-VTE-2 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","70 patients",,,"PN-3B " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","113 patients",,,"HF-1 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "190001","WASHINGTON ST TAMMANY PARISH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","595 patients","2 ","2","SCIP-INF-6 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","278 patients","2 ","2","HF-2 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","61 patients","2 ","2","HF-4 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","23 patients","1 ","1","AMI-3 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","438 patients","2 ","2","SCIP-INF-2 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","246 patients","2 ","2","HF-1 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","219 patients","2 ","2","SCIP-VTE-1 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","66 patients","2 ","2","PN-3B " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","431 patients","2 ","2","SCIP-INF-1 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","76 patients","2 ","2","PN-6 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","86 patients","2 ","2","SCIP-CARD-2 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","81 patients","2 ","2","PN-7 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","117 patients","2 ","2","SCIP-INF-4 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","34 patients",,,"AMI-8A " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","210 patients","2 ","2","SCIP-VTE-2 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","103 patients",,,"AMI-5 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","108 patients","2 ","2","PN-2 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"AMI-4 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","106 patients","2 ","2","HF-3 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","133 patients",,,"AMI-1 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","125 patients",,,"AMI-2 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","417 patients","2 ","2","SCIP-INF-3 " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","119 patients","2 ","2","PN-5C " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "190002","LAFAYETTE GENERAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","43 patients","2 ","2","PN-4 " "190003","DAUTERIVE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","83 patients",,,"HF-2 " "190003","DAUTERIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","82 patients","2 ","2","SCIP-INF-3 " "190003","DAUTERIVE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "190003","DAUTERIVE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","35 patients",,,"AMI-2 " "190003","DAUTERIVE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190003","DAUTERIVE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "190003","DAUTERIVE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "190003","DAUTERIVE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","53 patients",,,"PN-7 " "190003","DAUTERIVE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","68 patients",,,"HF-1 " "190003","DAUTERIVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","54 patients","2 ","2","SCIP-VTE-1 " "190003","DAUTERIVE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "190003","DAUTERIVE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","79 patients",,,"PN-3B " "190003","DAUTERIVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","54 patients","2 ","2","SCIP-VTE-2 " "190003","DAUTERIVE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","7 patients","1 ","1","AMI-8A " "190003","DAUTERIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190003","DAUTERIVE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "190003","DAUTERIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","84 patients","2 ","2","SCIP-INF-1 " "190003","DAUTERIVE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","26 patients","2 ","2","SCIP-CARD-2 " "190003","DAUTERIVE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","62 patients",,,"PN-2 " "190003","DAUTERIVE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "190003","DAUTERIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","84 patients","2 ","2","SCIP-INF-2 " "190003","DAUTERIVE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","34 patients",,,"AMI-5 " "190003","DAUTERIVE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","76 patients",,,"PN-5C " "190003","DAUTERIVE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","49 patients",,,"PN-6 " "190003","DAUTERIVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","128 patients","2 ","2","SCIP-INF-6 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","130 patients","2 ","2","AMI-1 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","138 patients",,,"PN-5C " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","310 patients",,,"HF-1 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","133 patients",,,"PN-3B " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","102 patients",,,"HF-3 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","91 patients","2 ","2","AMI-4 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","115 patients",,,"PN-2 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","208 patients","2 ","2","SCIP-VTE-2 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","76 patients",,,"PN-7 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","432 patients","2 ","2","SCIP-INF-1 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","168 patients","2 ","2","AMI-5 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","66 patients",,,"SCIP-CARD-2 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients","2 ","2","AMI-3 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","40 patients",,,"PN-4 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","634 patients","2 ","2","SCIP-INF-6 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","74 patients",,,"HF-4 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","438 patients","2 ","2","SCIP-INF-2 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","212 patients","2 ","2","SCIP-VTE-1 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","413 patients","2 ","2","SCIP-INF-3 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","161 patients","2 ","2","SCIP-INF-4 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","175 patients","2 ","2","AMI-2 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","366 patients",,,"HF-2 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","68 patients",,,"PN-6 " "190004","THIBODAUX REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","16 patients","1,2 ","12","AMI-8A " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","18 patients","1 ","1","PN-2 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","757 patients","2 ","2","SCIP-INF-6 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","147 patients",,,"HF-4 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","90 patients",,,"PN-4 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","106 patients",,,"AMI-1 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","99 patients",,,"PN-5C " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","45 patients",,,"PN-7 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","499 patients","2 ","2","SCIP-INF-1 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","319 patients","2 ","2","SCIP-VTE-1 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","305 patients",,,"HF-1 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","14 patients","1 ","1","AMI-8A " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","186 patients",,,"AMI-2 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","152 patients",,,"AMI-5 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","98 patients","2 ","2","SCIP-CARD-2 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","116 patients",,,"AMI-4 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","314 patients",,,"HF-2 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","200 patients",,,"HF-3 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","60 patients",,,"PN-6 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","512 patients","2 ","2","SCIP-INF-2 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","92 patients",,,"PN-3B " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","468 patients","2 ","2","SCIP-INF-3 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"AMI-3 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","319 patients","2 ","2","SCIP-VTE-2 " "190005","CHARITY HOSPITAL & MED CENTER OF LA AT NO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","170 patients","2 ","2","SCIP-INF-4 " "190006","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","81 patients",,,"PN-5C " "190006","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","140 patients","2 ","2","SCIP-VTE-1 " "190006","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","46 patients",,,"AMI-2 " "190006","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","51 patients",,,"PN-6 " "190006","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","65 patients",,,"PN-4 " "190006","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","140 patients",,,"HF-1 " "190006","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","27 patients","2 ","2","SCIP-CARD-2 " "190006","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","61 patients",,,"HF-4 " "190006","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190006","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","12 patients","1 ","1","PN-2 " "190006","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","256 patients","2 ","2","SCIP-INF-2 " "190006","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","140 patients","2 ","2","SCIP-VTE-2 " "190006","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"AMI-4 " "190006","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","50 patients",,,"AMI-1 " "190006","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","380 patients","2 ","2","SCIP-INF-6 " "190006","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","72 patients",,,"PN-3B " "190006","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "190006","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","254 patients","2 ","2","SCIP-INF-1 " "190006","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","43 patients",,,"AMI-5 " "190006","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","247 patients","2 ","2","SCIP-INF-3 " "190006","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","146 patients",,,"HF-2 " "190006","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "190006","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190006","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","46 patients",,,"PN-7 " "190006","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","88 patients",,,"HF-3 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","127 patients",,,"SCIP-INF-6 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","30 patients",,,"AMI-1 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","11 patients","1 ","1","AMI-2 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","73%","11 patients","1 ","1","AMI-5 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","83 patients",,,"PN-6 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","141 patients",,,"PN-2 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","38 patients",,,"PN-4 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","78 patients",,,"SCIP-VTE-1 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"HF-4 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-7A " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","92 patients",,,"PN-7 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","131 patients",,,"PN-5C " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","39%","97 patients",,,"SCIP-INF-3 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","114 patients",,,"HF-2 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","78 patients",,,"SCIP-VTE-2 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","55%","103 patients",,,"SCIP-INF-2 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","43 patients",,,"HF-3 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","103 patients",,,"SCIP-INF-1 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","81 patients",,,"HF-1 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190007","NATCHITOCHES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","115 patients",,,"PN-3B " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","41 patients",,,"AMI-3 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","203 patients","2 ","2","SCIP-VTE-2 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"HF-4 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","399 patients","2 ","2","SCIP-INF-3 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","225 patients",,,"AMI-2 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","164 patients",,,"PN-2 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","48 patients",,,"AMI-8A " "190008","TERREBONNE GENERAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","183 patients",,,"PN-5C " "190008","TERREBONNE GENERAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","140 patients",,,"PN-6 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","417 patients","2 ","2","SCIP-INF-2 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","108 patients",,,"PN-7 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","125 patients",,,"HF-3 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","135 patients",,,"PN-3B " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","387 patients",,,"HF-2 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","107 patients",,,"AMI-4 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","347 patients",,,"HF-1 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","209 patients",,,"AMI-1 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","72 patients",,,"PN-4 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","496 patients","2 ","2","SCIP-INF-6 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","251 patients",,,"AMI-5 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","228 patients","2 ","2","SCIP-VTE-1 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","105 patients","2 ","2","SCIP-INF-4 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","415 patients","2 ","2","SCIP-INF-1 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","105 patients","2 ","2","SCIP-CARD-2 " "190008","TERREBONNE GENERAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190009","HUEY P LONG MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"HF-3 " "190009","HUEY P LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","44 patients",,,"SCIP-INF-3 " "190009","HUEY P LONG MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "190009","HUEY P LONG MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","44 patients",,,"PN-6 " "190009","HUEY P LONG MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients",,,"HF-2 " "190009","HUEY P LONG MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "190009","HUEY P LONG MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "190009","HUEY P LONG MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","48 patients",,,"HF-1 " "190009","HUEY P LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190009","HUEY P LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","47 patients",,,"SCIP-INF-2 " "190009","HUEY P LONG MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","54 patients",,,"PN-5C " "190009","HUEY P LONG MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "190009","HUEY P LONG MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,3 ","13","AMI-1 " "190009","HUEY P LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","46 patients",,,"SCIP-INF-1 " "190009","HUEY P LONG MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","43 patients",,,"PN-3B " "190009","HUEY P LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "190009","HUEY P LONG MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "190009","HUEY P LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","66 patients",,,"SCIP-VTE-2 " "190009","HUEY P LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","100 patients",,,"SCIP-INF-6 " "190009","HUEY P LONG MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","25 patients",,,"PN-7 " "190009","HUEY P LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","66 patients",,,"SCIP-VTE-1 " "190009","HUEY P LONG MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "190009","HUEY P LONG MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "190009","HUEY P LONG MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","AMI-4 " "190009","HUEY P LONG MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","11 patients","1 ","1","PN-2 " "190011","E A CONWAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","90 patients",,,"PN-3B " "190011","E A CONWAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","188 patients",,,"HF-2 " "190011","E A CONWAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","101 patients",,,"AMI-5 " "190011","E A CONWAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","106 patients",,,"AMI-2 " "190011","E A CONWAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","115 patients",,,"HF-3 " "190011","E A CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "190011","E A CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","239 patients",,,"SCIP-INF-1 " "190011","E A CONWAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"PN-4 " "190011","E A CONWAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"HF-4 " "190011","E A CONWAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"AMI-3 " "190011","E A CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","237 patients",,,"SCIP-INF-3 " "190011","E A CONWAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","63 patients",,,"PN-6 " "190011","E A CONWAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","22 patients","1 ","1","PN-2 " "190011","E A CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","140 patients",,,"SCIP-VTE-1 " "190011","E A CONWAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","138 patients",,,"AMI-1 " "190011","E A CONWAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","47 patients",,,"PN-7 " "190011","E A CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","140 patients",,,"SCIP-VTE-2 " "190011","E A CONWAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"AMI-4 " "190011","E A CONWAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190011","E A CONWAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","185 patients",,,"HF-1 " "190011","E A CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","241 patients",,,"SCIP-INF-2 " "190011","E A CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190011","E A CONWAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","86 patients",,,"PN-5C " "190011","E A CONWAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","38%","8 patients","1 ","1","AMI-7A " "190011","E A CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","315 patients",,,"SCIP-INF-6 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","58 patients","2 ","2","PN-4 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","116 patients","2 ","2","SCIP-INF-1 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","AMI-3 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","59%","32 patients",,,"SCIP-CARD-2 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","13 patients","1 ","1","AMI-8A " "190013","WEST CALCASIEU CAMERON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","108 patients","2 ","2","SCIP-VTE-1 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","86 patients","2 ","2","PN-7 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","118 patients","2 ","2","PN-2 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","50 patients",,,"AMI-2 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","206 patients","2 ","2","SCIP-INF-6 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","123 patients","2 ","2","PN-5C " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"AMI-4 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","127 patients",,,"HF-2 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","55 patients",,,"AMI-5 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","46 patients",,,"HF-3 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","60 patients",,,"AMI-1 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","91 patients","2 ","2","PN-6 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","108 patients","2 ","2","SCIP-VTE-2 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","113 patients","2 ","2","SCIP-INF-3 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","115 patients",,,"HF-1 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","119 patients","2 ","2","SCIP-INF-2 " "190013","WEST CALCASIEU CAMERON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","118 patients","2 ","2","PN-3B " "190014","TECHE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","76 patients",,,"PN-5C " "190014","TECHE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","47 patients",,,"PN-7 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","93 patients",,,"HF-1 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "190014","TECHE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","38 patients",,,"SCIP-INF-3 " "190014","TECHE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "190014","TECHE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","54 patients",,,"PN-2 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "190014","TECHE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","48 patients",,,"SCIP-VTE-2 " "190014","TECHE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","85%","13 patients","1 ","1","AMI-2 " "190014","TECHE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","76 patients",,,"SCIP-INF-6 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","36 patients",,,"HF-3 " "190014","TECHE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","23 patients","1 ","1","AMI-1 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190014","TECHE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","69 patients",,,"PN-3B " "190014","TECHE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","52 patients",,,"PN-6 " "190014","TECHE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","43 patients",,,"SCIP-INF-1 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","103 patients",,,"HF-2 " "190014","TECHE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","48 patients",,,"SCIP-VTE-1 " "190014","TECHE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","70%","44 patients",,,"SCIP-INF-2 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "190014","TECHE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","13 patients","1 ","1","AMI-5 " "190015","NORTH OAKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","474 patients","2 ","2","SCIP-INF-3 " "190015","NORTH OAKS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","28 patients",,,"AMI-3 " "190015","NORTH OAKS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"AMI-4 " "190015","NORTH OAKS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","281 patients",,,"PN-2 " "190015","NORTH OAKS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","47%","34 patients",,,"AMI-8A " "190015","NORTH OAKS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","180 patients",,,"PN-6 " "190015","NORTH OAKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","496 patients","2 ","2","SCIP-INF-2 " "190015","NORTH OAKS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","128 patients",,,"PN-4 " "190015","NORTH OAKS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","675 patients",,,"HF-2 " "190015","NORTH OAKS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","184 patients",,,"AMI-2 " "190015","NORTH OAKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","689 patients","2 ","2","SCIP-INF-6 " "190015","NORTH OAKS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","168 patients",,,"PN-3B " "190015","NORTH OAKS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","180 patients",,,"AMI-5 " "190015","NORTH OAKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","93 patients","2 ","2","SCIP-CARD-2 " "190015","NORTH OAKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","281 patients","2 ","2","SCIP-VTE-1 " "190015","NORTH OAKS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190015","NORTH OAKS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","332 patients",,,"PN-5C " "190015","NORTH OAKS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","225 patients",,,"PN-7 " "190015","NORTH OAKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","68%","96 patients","2 ","2","SCIP-INF-4 " "190015","NORTH OAKS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","133 patients",,,"HF-4 " "190015","NORTH OAKS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","164 patients",,,"AMI-1 " "190015","NORTH OAKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","496 patients","2 ","2","SCIP-INF-1 " "190015","NORTH OAKS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","587 patients",,,"HF-1 " "190015","NORTH OAKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","269 patients","2 ","2","SCIP-VTE-2 " "190015","NORTH OAKS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","182 patients",,,"HF-3 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","231 patients",,,"HF-1 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","102 patients",,,"PN-6 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","114 patients",,,"PN-7 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","64 patients",,,"PN-4 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","251 patients","2 ","2","SCIP-INF-1 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","374 patients","2 ","2","SCIP-INF-6 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","73 patients",,,"AMI-2 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","164 patients",,,"PN-2 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","37%","19 patients","1 ","1","AMI-8A " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","205 patients","2 ","2","SCIP-VTE-1 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","35 patients",,,"AMI-4 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","69 patients",,,"AMI-5 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","277 patients",,,"HF-2 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","73 patients",,,"AMI-1 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","73 patients",,,"HF-3 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","152 patients",,,"PN-3B " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","65 patients",,,"HF-4 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","242 patients","2 ","2","SCIP-INF-3 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","159 patients",,,"PN-5C " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","42 patients","2 ","2","SCIP-CARD-2 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","245 patients","2 ","2","SCIP-INF-2 " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190017","OPELOUSAS GENERAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","204 patients","2 ","2","SCIP-VTE-2 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","1412 patients",,,"SCIP-INF-6 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","442 patients",,,"SCIP-VTE-1 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","17 patients","1 ","1","AMI-8A " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","1022 patients",,,"SCIP-INF-2 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","227 patients",,,"PN-2 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1016 patients",,,"SCIP-INF-1 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","180 patients",,,"PN-7 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","159 patients",,,"PN-3B " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","256 patients",,,"AMI-5 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","992 patients",,,"SCIP-INF-3 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","92 patients",,,"PN-6 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","116 patients",,,"AMI-4 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","449 patients",,,"HF-2 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","190 patients",,,"SCIP-CARD-2 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","85 patients",,,"PN-4 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","47 patients",,,"AMI-3 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","244 patients",,,"AMI-2 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","185 patients",,,"PN-5C " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","159 patients",,,"HF-3 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"HF-4 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","397 patients",,,"HF-1 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","441 patients",,,"SCIP-VTE-2 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","353 patients",,,"SCIP-INF-4 " "190019","CHRISTUS ST FRANCES CABRINI HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","141 patients",,,"AMI-1 " "190020","LANE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","99 patients",,,"PN-6 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","249 patients",,,"HF-2 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","33 patients",,,"AMI-8A " "190020","LANE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","185 patients",,,"SCIP-INF-1 " "190020","LANE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","136 patients",,,"SCIP-VTE-2 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","100 patients",,,"HF-3 " "190020","LANE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","180 patients",,,"PN-5C " "190020","LANE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients",,,"AMI-3 " "190020","LANE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","131 patients",,,"PN-2 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190020","LANE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","186 patients",,,"SCIP-INF-2 " "190020","LANE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","103 patients",,,"PN-7 " "190020","LANE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190020","LANE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","145 patients",,,"PN-3B " "190020","LANE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","181 patients",,,"SCIP-INF-3 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "190020","LANE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","258 patients",,,"SCIP-INF-6 " "190020","LANE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","42 patients",,,"SCIP-CARD-2 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","106 patients",,,"AMI-1 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","96 patients",,,"AMI-2 " "190020","LANE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "190020","LANE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","138 patients",,,"SCIP-VTE-1 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","211 patients",,,"HF-1 " "190020","LANE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","94 patients",,,"AMI-5 " "190025","SAVOY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "190025","SAVOY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","82 patients","2 ","2","SCIP-INF-1 " "190025","SAVOY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","65 patients","2 ","2","SCIP-VTE-2 " "190025","SAVOY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "190025","SAVOY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","113 patients",,,"PN-3B " "190025","SAVOY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-8A " "190025","SAVOY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","102 patients",,,"HF-2 " "190025","SAVOY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","70 patients",,,"HF-1 " "190025","SAVOY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "190025","SAVOY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","77 patients","2 ","2","SCIP-INF-3 " "190025","SAVOY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190025","SAVOY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","154 patients","2 ","2","SCIP-INF-6 " "190025","SAVOY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"PN-4 " "190025","SAVOY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "190025","SAVOY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "190025","SAVOY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","83 patients","2 ","2","SCIP-INF-2 " "190025","SAVOY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "190025","SAVOY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "190025","SAVOY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","13 patients","1,2 ","12","SCIP-CARD-2 " "190025","SAVOY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","106 patients",,,"PN-5C " "190025","SAVOY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","67 patients","2 ","2","SCIP-VTE-1 " "190025","SAVOY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "190025","SAVOY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","48 patients",,,"PN-6 " "190025","SAVOY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","107 patients",,,"PN-2 " "190025","SAVOY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","77 patients",,,"PN-7 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","27 patients",,,"AMI-8A " "190026","RAPIDES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","418 patients","2 ","2","SCIP-INF-3 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","314 patients","2 ","2","HF-2 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","103 patients","2 ","2","HF-3 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","40 patients",,,"AMI-3 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients","2 ","2","HF-4 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","184 patients",,,"AMI-5 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","263 patients","2 ","2","HF-1 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","129 patients","2 ","2","PN-3B " "190026","RAPIDES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","274 patients","2 ","2","SCIP-VTE-2 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","679 patients","2 ","2","SCIP-INF-6 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","99 patients","2 ","2","SCIP-CARD-2 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","106 patients",,,"AMI-1 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","463 patients","2 ","2","SCIP-INF-1 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","101 patients",,,"AMI-4 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","275 patients","2 ","2","SCIP-VTE-1 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","77 patients","2 ","2","PN-6 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","468 patients","2 ","2","SCIP-INF-2 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","187 patients",,,"AMI-2 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","100 patients","2 ","2","PN-7 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","133 patients","2 ","2","SCIP-INF-4 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","129 patients","2 ","2","PN-2 " "190026","RAPIDES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","145 patients","2 ","2","PN-5C " "190026","RAPIDES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","76 patients","2 ","2","PN-4 " "190027","CHRISTUS ST PATRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","319 patients",,,"SCIP-INF-3 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","74 patients",,,"HF-4 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","257 patients",,,"AMI-2 " "190027","CHRISTUS ST PATRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","359 patients",,,"SCIP-INF-1 " "190027","CHRISTUS ST PATRICK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","253 patients",,,"SCIP-VTE-1 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","246 patients",,,"AMI-5 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190027","CHRISTUS ST PATRICK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","177 patients",,,"PN-3B " "190027","CHRISTUS ST PATRICK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","155 patients",,,"PN-2 " "190027","CHRISTUS ST PATRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","700 patients",,,"SCIP-INF-6 " "190027","CHRISTUS ST PATRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","369 patients",,,"SCIP-INF-2 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"AMI-4 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","38 patients",,,"AMI-8A " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","349 patients",,,"HF-2 " "190027","CHRISTUS ST PATRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","116 patients",,,"SCIP-INF-4 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","147 patients",,,"HF-3 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","169 patients",,,"AMI-1 " "190027","CHRISTUS ST PATRICK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","248 patients",,,"SCIP-VTE-2 " "190027","CHRISTUS ST PATRICK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","64 patients",,,"PN-4 " "190027","CHRISTUS ST PATRICK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","140 patients",,,"PN-7 " "190027","CHRISTUS ST PATRICK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","80 patients",,,"PN-6 " "190027","CHRISTUS ST PATRICK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","174 patients",,,"PN-5C " "190027","CHRISTUS ST PATRICK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","44%","119 patients",,,"SCIP-CARD-2 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","49 patients",,,"AMI-3 " "190027","CHRISTUS ST PATRICK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","318 patients",,,"HF-1 " "190034","ABBEVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","39 patients",,,"SCIP-INF-1 " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","120 patients",,,"HF-1 " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"HF-4 " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "190034","ABBEVILLE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","52 patients",,,"PN-5C " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "190034","ABBEVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","65 patients",,,"SCIP-INF-6 " "190034","ABBEVILLE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","34 patients",,,"PN-7 " "190034","ABBEVILLE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","23 patients","1 ","1","PN-6 " "190034","ABBEVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","37 patients",,,"SCIP-INF-2 " "190034","ABBEVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1 ","1","SCIP-CARD-2 " "190034","ABBEVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","61%","28 patients",,,"SCIP-VTE-1 " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","36 patients",,,"HF-3 " "190034","ABBEVILLE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","44 patients",,,"PN-2 " "190034","ABBEVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","36 patients",,,"SCIP-INF-3 " "190034","ABBEVILLE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","170 patients",,,"HF-2 " "190034","ABBEVILLE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "190034","ABBEVILLE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","40 patients",,,"PN-3B " "190034","ABBEVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","20 patients","1 ","1","SCIP-VTE-2 " "190034","ABBEVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","207 patients","2 ","2","AMI-1 " "190036","OCHSNER FOUNDATION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","108 patients","2 ","2","PN-2 " "190036","OCHSNER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","333 patients","2 ","2","SCIP-INF-3 " "190036","OCHSNER FOUNDATION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","68 patients","2 ","2","PN-7 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","71 patients","2 ","2","AMI-3 " "190036","OCHSNER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","404 patients","2 ","2","SCIP-INF-1 " "190036","OCHSNER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","282 patients","2 ","2","SCIP-VTE-1 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","23 patients","1,2 ","12","AMI-8A " "190036","OCHSNER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","403 patients","2 ","2","SCIP-INF-2 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "190036","OCHSNER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","281 patients","2 ","2","SCIP-VTE-2 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","57 patients","2 ","2","HF-4 " "190036","OCHSNER FOUNDATION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","69 patients","2 ","2","PN-6 " "190036","OCHSNER FOUNDATION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","130 patients","2 ","2","PN-5C " "190036","OCHSNER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","85 patients","2 ","2","SCIP-CARD-2 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","293 patients","2 ","2","HF-1 " "190036","OCHSNER FOUNDATION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","37 patients","2 ","2","PN-4 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","209 patients","2 ","2","AMI-5 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","317 patients","2 ","2","HF-2 " "190036","OCHSNER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","132 patients","2 ","2","SCIP-INF-4 " "190036","OCHSNER FOUNDATION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","128 patients","2 ","2","PN-3B " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","160 patients","2 ","2","HF-3 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","78 patients","2 ","2","AMI-4 " "190036","OCHSNER FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","601 patients","2 ","2","SCIP-INF-6 " "190036","OCHSNER FOUNDATION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","226 patients","2 ","2","AMI-2 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190037","SOUTH CAMERON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190039","WEST JEFFERSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","115 patients",,,"PN-7 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","544 patients",,,"HF-1 " "190039","WEST JEFFERSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","151 patients",,,"PN-2 " "190039","WEST JEFFERSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","89 patients","2 ","2","SCIP-INF-4 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","259 patients",,,"HF-3 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","123 patients",,,"HF-4 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","662 patients",,,"HF-2 " "190039","WEST JEFFERSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","149 patients","2 ","2","SCIP-CARD-2 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","255 patients",,,"AMI-2 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","266 patients",,,"AMI-5 " "190039","WEST JEFFERSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","552 patients","2 ","2","SCIP-INF-3 " "190039","WEST JEFFERSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","592 patients","2 ","2","SCIP-INF-2 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","49 patients",,,"AMI-8A " "190039","WEST JEFFERSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","584 patients","2 ","2","SCIP-INF-1 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","276 patients",,,"AMI-1 " "190039","WEST JEFFERSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","109 patients",,,"PN-6 " "190039","WEST JEFFERSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","83 patients",,,"PN-3B " "190039","WEST JEFFERSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","360 patients","2 ","2","SCIP-VTE-1 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","121 patients",,,"AMI-4 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","66 patients",,,"AMI-3 " "190039","WEST JEFFERSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","176 patients",,,"PN-5C " "190039","WEST JEFFERSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","81 patients",,,"PN-4 " "190039","WEST JEFFERSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","360 patients","2 ","2","SCIP-VTE-2 " "190039","WEST JEFFERSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","785 patients","2 ","2","SCIP-INF-6 " "190039","WEST JEFFERSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","317 patients",,,"HF-2 " "190040","SLIDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","274 patients","2 ","2","SCIP-INF-3 " "190040","SLIDELL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","154 patients",,,"PN-6 " "190040","SLIDELL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","152 patients",,,"PN-7 " "190040","SLIDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","65 patients",,,"SCIP-CARD-2 " "190040","SLIDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","481 patients","2 ","2","SCIP-INF-6 " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","10 patients","1 ","1","AMI-8A " "190040","SLIDELL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","187 patients",,,"PN-3B " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","60 patients",,,"AMI-2 " "190040","SLIDELL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","161 patients",,,"PN-2 " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","68 patients",,,"AMI-1 " "190040","SLIDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","278 patients","2 ","2","SCIP-INF-1 " "190040","SLIDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","215 patients","2 ","2","SCIP-VTE-2 " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190040","SLIDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","279 patients","2 ","2","SCIP-INF-2 " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","282 patients",,,"HF-1 " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","58 patients",,,"AMI-5 " "190040","SLIDELL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","95 patients",,,"PN-4 " "190040","SLIDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","216 patients","2 ","2","SCIP-VTE-1 " "190040","SLIDELL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","216 patients",,,"PN-5C " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"HF-4 " "190040","SLIDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","83 patients","2 ","2","SCIP-INF-4 " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","114 patients",,,"HF-3 " "190040","SLIDELL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","310 patients","2 ","2","HF-2 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","95 patients","2 ","2","PN-7 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","138 patients","2 ","2","HF-3 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","70 patients","2 ","2","SCIP-CARD-2 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","137 patients",,,"AMI-2 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","76 patients","2 ","2","HF-4 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","17 patients","1 ","1","AMI-8A " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","175 patients","2 ","2","PN-5C " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","413 patients","2 ","2","SCIP-INF-1 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","139 patients","2 ","2","PN-2 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","549 patients","2 ","2","SCIP-INF-6 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","80 patients","2 ","2","PN-6 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","44 patients",,,"AMI-3 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","44 patients","2 ","2","PN-4 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","96 patients",,,"AMI-1 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"AMI-4 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","139 patients",,,"AMI-5 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","131 patients","2 ","2","PN-3B " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","415 patients","2 ","2","SCIP-INF-2 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","276 patients","2 ","2","SCIP-VTE-2 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","393 patients","2 ","2","SCIP-INF-3 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","278 patients","2 ","2","SCIP-VTE-1 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","251 patients","2 ","2","HF-1 " "190041","CHRISTUS SCHUMPERT HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","53 patients","2 ","2","SCIP-INF-4 " "190044","AMERICAN LEGION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "190044","AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","141 patients",,,"SCIP-INF-1 " "190044","AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","133 patients",,,"SCIP-INF-3 " "190044","AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","216 patients",,,"SCIP-INF-6 " "190044","AMERICAN LEGION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","4 patients","1 ","1","AMI-2 " "190044","AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","86 patients",,,"SCIP-VTE-2 " "190044","AMERICAN LEGION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","93 patients",,,"PN-5C " "190044","AMERICAN LEGION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","71 patients",,,"PN-6 " "190044","AMERICAN LEGION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1 ","1","AMI-1 " "190044","AMERICAN LEGION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "190044","AMERICAN LEGION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190044","AMERICAN LEGION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","80 patients",,,"PN-7 " "190044","AMERICAN LEGION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190044","AMERICAN LEGION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "190044","AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","141 patients",,,"SCIP-INF-2 " "190044","AMERICAN LEGION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","77 patients",,,"HF-1 " "190044","AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","28 patients",,,"SCIP-CARD-2 " "190044","AMERICAN LEGION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","48 patients",,,"PN-4 " "190044","AMERICAN LEGION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","95 patients",,,"PN-2 " "190044","AMERICAN LEGION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "190044","AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","86 patients",,,"SCIP-VTE-1 " "190044","AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190044","AMERICAN LEGION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","18 patients","1 ","1","HF-3 " "190044","AMERICAN LEGION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","112 patients",,,"HF-2 " "190044","AMERICAN LEGION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","86 patients",,,"PN-3B " "190045","ST TAMMANY PARISH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","HF-4 " "190045","ST TAMMANY PARISH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"AMI-4 " "190045","ST TAMMANY PARISH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","157 patients",,,"AMI-2 " "190045","ST TAMMANY PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","100 patients","2 ","2","SCIP-INF-4 " "190045","ST TAMMANY PARISH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","119 patients","2 ","2","PN-3B " "190045","ST TAMMANY PARISH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","281 patients","2 ","2","HF-2 " "190045","ST TAMMANY PARISH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","145 patients",,,"AMI-1 " "190045","ST TAMMANY PARISH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","225 patients","2 ","2","HF-1 " "190045","ST TAMMANY PARISH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190045","ST TAMMANY PARISH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients","2 ","2","PN-4 " "190045","ST TAMMANY PARISH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","138 patients",,,"AMI-5 " "190045","ST TAMMANY PARISH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","33 patients",,,"AMI-8A " "190045","ST TAMMANY PARISH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","118 patients","2 ","2","PN-2 " "190045","ST TAMMANY PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","480 patients","2 ","2","SCIP-INF-6 " "190045","ST TAMMANY PARISH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","116 patients","2 ","2","PN-5C " "190045","ST TAMMANY PARISH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"AMI-3 " "190045","ST TAMMANY PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","312 patients","2 ","2","SCIP-INF-3 " "190045","ST TAMMANY PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","186 patients","2 ","2","SCIP-VTE-1 " "190045","ST TAMMANY PARISH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","78 patients","2 ","2","HF-3 " "190045","ST TAMMANY PARISH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","86 patients","2 ","2","PN-7 " "190045","ST TAMMANY PARISH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","66 patients","2 ","2","PN-6 " "190045","ST TAMMANY PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","339 patients","2 ","2","SCIP-INF-2 " "190045","ST TAMMANY PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","331 patients","2 ","2","SCIP-INF-1 " "190045","ST TAMMANY PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","181 patients","2 ","2","SCIP-VTE-2 " "190045","ST TAMMANY PARISH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","78 patients","2 ","2","SCIP-CARD-2 " "190046","TOURO INFIRMARY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","211 patients",,,"PN-5C " "190046","TOURO INFIRMARY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","604 patients","2 ","2","SCIP-INF-1 " "190046","TOURO INFIRMARY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","66 patients",,,"AMI-2 " "190046","TOURO INFIRMARY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","265 patients","2 ","2","SCIP-VTE-1 " "190046","TOURO INFIRMARY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","202 patients",,,"HF-3 " "190046","TOURO INFIRMARY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","19 patients","1 ","1","AMI-3 " "190046","TOURO INFIRMARY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","53 patients",,,"PN-4 " "190046","TOURO INFIRMARY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","59 patients",,,"AMI-5 " "190046","TOURO INFIRMARY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","58 patients","2 ","2","SCIP-INF-4 " "190046","TOURO INFIRMARY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","120 patients",,,"HF-4 " "190046","TOURO INFIRMARY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "190046","TOURO INFIRMARY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","810 patients","2 ","2","SCIP-INF-6 " "190046","TOURO INFIRMARY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "190046","TOURO INFIRMARY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","130 patients",,,"PN-7 " "190046","TOURO INFIRMARY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","176 patients",,,"PN-2 " "190046","TOURO INFIRMARY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","100 patients",,,"PN-6 " "190046","TOURO INFIRMARY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","264 patients","2 ","2","SCIP-VTE-2 " "190046","TOURO INFIRMARY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","474 patients",,,"HF-1 " "190046","TOURO INFIRMARY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","528 patients",,,"HF-2 " "190046","TOURO INFIRMARY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","216 patients",,,"PN-3B " "190046","TOURO INFIRMARY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","589 patients","2 ","2","SCIP-INF-3 " "190046","TOURO INFIRMARY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","76 patients",,,"AMI-1 " "190046","TOURO INFIRMARY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","47%","17 patients","1 ","1","AMI-8A " "190046","TOURO INFIRMARY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","611 patients","2 ","2","SCIP-INF-2 " "190046","TOURO INFIRMARY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","79 patients","2 ","2","SCIP-CARD-2 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","12%","8 patients","1 ","1","AMI-7A " "190050","BEAUREGARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","57 patients",,,"PN-3B " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","66 patients",,,"HF-1 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","74 patients",,,"SCIP-INF-3 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","82 patients",,,"HF-2 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","8 patients","1 ","1","SCIP-CARD-2 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","108 patients",,,"PN-5C " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","80 patients",,,"PN-2 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","64 patients",,,"PN-7 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","AMI-3 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","88 patients",,,"SCIP-INF-2 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","17 patients","1 ","1","AMI-2 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","36 patients",,,"AMI-1 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","42 patients",,,"SCIP-VTE-2 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","39 patients",,,"HF-3 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","77%","90 patients",,,"SCIP-INF-1 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190050","BEAUREGARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","42 patients",,,"SCIP-VTE-1 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","88 patients",,,"PN-6 " "190050","BEAUREGARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","127 patients",,,"SCIP-INF-6 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","94 patients",,,"HF-1 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1 ","1","AMI-2 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","29 patients",,,"HF-4 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","27 patients",,,"SCIP-CARD-2 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","69 patients",,,"SCIP-VTE-1 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","165 patients",,,"PN-2 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","26 patients",,,"AMI-1 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","186 patients",,,"SCIP-INF-6 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","154 patients",,,"SCIP-INF-3 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","156 patients",,,"SCIP-INF-2 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","118 patients",,,"PN-6 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","204 patients",,,"PN-5C " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","156 patients",,,"SCIP-INF-1 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","116 patients",,,"PN-7 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","60 patients",,,"PN-4 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","147 patients",,,"HF-2 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","69 patients",,,"SCIP-VTE-2 " "190053","JENNINGS AMERICAN LEGION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","138 patients",,,"PN-3B " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","79 patients",,,"HF-3 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"HF-4 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","75 patients",,,"AMI-5 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","AMI-3 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"AMI-4 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","184 patients",,,"PN-3B " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","115 patients",,,"SCIP-VTE-2 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","90 patients",,,"AMI-1 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","127 patients",,,"PN-7 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","161 patients",,,"PN-2 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","115 patients",,,"SCIP-VTE-1 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","106 patients",,,"PN-6 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","267 patients",,,"HF-2 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","22 patients","1 ","1","AMI-8A " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","60 patients",,,"PN-4 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","159 patients",,,"SCIP-INF-1 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","187 patients",,,"PN-5C " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","30 patients",,,"SCIP-CARD-2 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","303 patients",,,"SCIP-INF-6 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","152 patients",,,"SCIP-INF-3 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","159 patients",,,"SCIP-INF-2 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","77 patients",,,"AMI-2 " "190054","IBERIA GENERAL HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","223 patients",,,"HF-1 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","159 patients",,,"PN-3B " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","128 patients",,,"AMI-5 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","290 patients",,,"HF-2 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","21 patients","1 ","1","AMI-8A " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","67 patients",,,"AMI-1 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","194 patients",,,"PN-2 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","74 patients","2 ","2","SCIP-INF-4 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","568 patients","2 ","2","SCIP-INF-2 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","235 patients",,,"HF-1 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"HF-4 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","29 patients",,,"AMI-3 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","722 patients","2 ","2","SCIP-INF-6 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","566 patients","2 ","2","SCIP-INF-1 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","546 patients","2 ","2","SCIP-INF-3 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"AMI-4 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","89 patients","2 ","2","SCIP-CARD-2 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","143 patients",,,"PN-7 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","211 patients",,,"PN-5C " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","95 patients",,,"PN-6 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","247 patients","2 ","2","SCIP-VTE-1 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","124 patients",,,"AMI-2 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","67 patients",,,"PN-4 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","246 patients","2 ","2","SCIP-VTE-2 " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190060","LAKE CHARLES MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","84 patients",,,"HF-3 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","419 patients","2 ","2","SCIP-VTE-2 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","322 patients","2 ","2","SCIP-INF-4 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","76 patients","2 ","2","AMI-3 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","912 patients","2 ","2","SCIP-INF-1 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","126 patients","2 ","2","PN-3B " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","270 patients","2 ","2","AMI-1 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","93 patients","2 ","2","PN-7 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","934 patients","2 ","2","SCIP-INF-2 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","75 patients","2 ","2","PN-6 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","59 patients","2 ","2","HF-4 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","119 patients","2 ","2","PN-2 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","224 patients","2 ","2","SCIP-CARD-2 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","340 patients","2 ","2","HF-1 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","353 patients","2 ","2","AMI-5 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","117 patients","2 ","2","AMI-4 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","126 patients","2 ","2","PN-5C " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","40 patients","2 ","2","PN-4 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","134 patients","2 ","2","HF-3 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","64 patients","2 ","2","AMI-8A " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1287 patients","2 ","2","SCIP-INF-6 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","873 patients","2 ","2","SCIP-INF-3 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","388 patients","2 ","2","HF-2 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","346 patients","2 ","2","AMI-2 " "190064","OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","420 patients","2 ","2","SCIP-VTE-1 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","456 patients","2 ","2","HF-2 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","142 patients","2 ","2","PN-6 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","120 patients","2 ","2","HF-4 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","277 patients",,,"AMI-2 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","293 patients",,,"AMI-5 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","47 patients",,,"AMI-8A " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","144 patients","2 ","2","SCIP-INF-4 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","230 patients","2 ","2","PN-5C " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","174 patients","2 ","2","PN-7 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","109 patients","2 ","2","PN-4 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","397 patients","2 ","2","HF-1 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","60 patients",,,"AMI-3 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","231 patients","2 ","2","PN-3B " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","269 patients",,,"AMI-1 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","471 patients","2 ","2","SCIP-INF-3 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","111 patients",,,"AMI-4 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","524 patients","2 ","2","SCIP-INF-2 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","260 patients","2 ","2","SCIP-VTE-1 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","509 patients","2 ","2","SCIP-INF-1 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","682 patients","2 ","2","SCIP-INF-6 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","257 patients","2 ","2","SCIP-VTE-2 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","90 patients","2 ","2","SCIP-CARD-2 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","185 patients","2 ","2","PN-2 " "190065","BATON ROUGE GENERAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","157 patients","2 ","2","HF-3 " "190078","ACADIAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "190078","ACADIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","28 patients","2 ","2","SCIP-VTE-2 " "190078","ACADIAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","49 patients",,,"PN-5C " "190078","ACADIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","26 patients","2 ","2","SCIP-INF-3 " "190078","ACADIAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190078","ACADIAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "190078","ACADIAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","53 patients",,,"HF-1 " "190078","ACADIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","56 patients","2 ","2","SCIP-INF-6 " "190078","ACADIAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"HF-3 " "190078","ACADIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","31 patients","2 ","2","SCIP-INF-2 " "190078","ACADIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","28 patients","2 ","2","SCIP-VTE-1 " "190078","ACADIAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","34 patients",,,"PN-7 " "190078","ACADIAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "190078","ACADIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","31 patients","2 ","2","SCIP-INF-1 " "190078","ACADIAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "190078","ACADIAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","42 patients",,,"PN-3B " "190078","ACADIAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "190078","ACADIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190078","ACADIAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "190078","ACADIAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "190078","ACADIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "190078","ACADIAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","83 patients",,,"HF-2 " "190078","ACADIAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","43 patients",,,"PN-2 " "190078","ACADIAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190078","ACADIAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","38 patients",,,"PN-6 " "190079","ST CHARLES PARISH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","63%","38 patients",,,"PN-6 " "190079","ST CHARLES PARISH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","PN-4 " "190079","ST CHARLES PARISH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","42 patients",,,"PN-5C " "190079","ST CHARLES PARISH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","31 patients",,,"HF-3 " "190079","ST CHARLES PARISH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","73 patients",,,"HF-2 " "190079","ST CHARLES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190079","ST CHARLES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","11 patients","1,2 ","12","SCIP-VTE-1 " "190079","ST CHARLES PARISH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1,3 ","13","AMI-5 " "190079","ST CHARLES PARISH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "190079","ST CHARLES PARISH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","65 patients",,,"HF-1 " "190079","ST CHARLES PARISH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "190079","ST CHARLES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","55%","11 patients","1,2 ","12","SCIP-VTE-2 " "190079","ST CHARLES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","25%","16 patients","1,2 ","12","SCIP-INF-1 " "190079","ST CHARLES PARISH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "190079","ST CHARLES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1,2 ","12","SCIP-INF-2 " "190079","ST CHARLES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","2 patients","1,2 ","12","SCIP-INF-3 " "190079","ST CHARLES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","36 patients","2 ","2","SCIP-INF-6 " "190079","ST CHARLES PARISH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","22 patients","1 ","1","PN-2 " "190079","ST CHARLES PARISH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "190079","ST CHARLES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "190079","ST CHARLES PARISH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","27 patients",,,"PN-3B " "190079","ST CHARLES PARISH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","35%","20 patients","1 ","1","PN-7 " "190079","ST CHARLES PARISH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "190079","ST CHARLES PARISH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","18 patients","1 ","1","HF-4 " "190079","ST CHARLES PARISH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","21%","28 patients","2 ","2","PN-4 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","61 patients","2 ","2","HF-1 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1,2 ","12","PN-3B " "190081","WEST CARROLL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1,2,3 ","123","AMI-1 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "190081","WEST CARROLL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","84 patients","2 ","2","PN-5C " "190081","WEST CARROLL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","HF-3 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","5%","57 patients",,,"PN-7 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","27 patients","2 ","2","PN-6 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","1%","79 patients","2 ","2","PN-2 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1,2 ","12","HF-4 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1,2,3 ","123","AMI-5 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","1%","83 patients","2 ","2","HF-2 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,2,3 ","123","AMI-2 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190081","WEST CARROLL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","AMI-4 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","34 patients",,,"AMI-5 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","29 patients",,,"AMI-2 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","114 patients",,,"PN-5C " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","114 patients",,,"PN-7 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","46 patients",,,"AMI-1 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","63 patients","2 ","2","SCIP-INF-1 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","20%","5 patients","1 ","1","AMI-8A " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","82 patients","2 ","2","SCIP-VTE-1 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","62 patients","2 ","2","SCIP-INF-2 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","95 patients",,,"PN-6 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","22 patients","1,2 ","12","SCIP-CARD-2 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"HF-4 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","149 patients",,,"PN-2 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","185 patients","2 ","2","SCIP-INF-6 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","AMI-3 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","279 patients",,,"HF-2 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","58 patients","2 ","2","SCIP-INF-3 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","120 patients",,,"PN-3B " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","198 patients",,,"HF-1 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","81 patients","2 ","2","SCIP-VTE-2 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","62 patients",,,"HF-3 " "190086","NORTHERN LOUISIANA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "190088","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","59 patients",,,"PN-7 " "190088","SPRINGHILL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","57 patients",,,"HF-1 " "190088","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190088","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "190088","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "190088","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "190088","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "190088","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "190088","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "190088","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "190088","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "190088","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","73 patients",,,"PN-3B " "190088","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "190088","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","33 patients",,,"PN-4 " "190088","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","72 patients",,,"PN-5C " "190088","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "190088","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,3 ","13","SCIP-VTE-1 " "190088","SPRINGHILL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","67 patients",,,"HF-2 " "190088","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","82 patients",,,"PN-2 " "190088","SPRINGHILL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","46 patients",,,"PN-6 " "190088","SPRINGHILL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","18 patients","1 ","1","HF-3 " "190088","SPRINGHILL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","4 patients","1 ","1","AMI-2 " "190088","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "190088","SPRINGHILL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1,3 ","13","SCIP-VTE-2 " "190088","SPRINGHILL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","HF-4 " "190090","WINN PARISH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","96 patients",,,"PN-3B " "190090","WINN PARISH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "190090","WINN PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "190090","WINN PARISH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "190090","WINN PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "190090","WINN PARISH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","95 patients",,,"PN-2 " "190090","WINN PARISH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","56 patients",,,"PN-6 " "190090","WINN PARISH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1 ","1","AMI-1 " "190090","WINN PARISH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190090","WINN PARISH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "190090","WINN PARISH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "190090","WINN PARISH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","70 patients",,,"PN-7 " "190090","WINN PARISH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","56 patients",,,"HF-2 " "190090","WINN PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "190090","WINN PARISH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190090","WINN PARISH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "190090","WINN PARISH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "190090","WINN PARISH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","38 patients",,,"HF-1 " "190090","WINN PARISH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","89 patients",,,"PN-5C " "190090","WINN PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "190090","WINN PARISH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "190090","WINN PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "190090","WINN PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "190090","WINN PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "190090","WINN PARISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","23 patients","1,2 ","12","PN-2 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","196 patients","2 ","2","HF-3 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","86 patients","2 ","2","PN-3B " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","248 patients","2 ","2","SCIP-INF-3 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","203 patients","2 ","2","SCIP-VTE-2 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","188 patients","2 ","2","AMI-2 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","482 patients","2 ","2","SCIP-INF-6 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","47%","53 patients","2 ","2","PN-7 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","65%","253 patients","2 ","2","SCIP-INF-1 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","73 patients","2 ","2","PN-4 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","287 patients","2 ","2","HF-2 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","56 patients","2 ","2","PN-6 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","205 patients","2 ","2","SCIP-VTE-1 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","73 patients","2 ","2","PN-5C " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","98 patients","2 ","2","HF-4 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","281 patients","2 ","2","HF-1 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","90 patients","2 ","2","SCIP-CARD-2 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","42%","12 patients","1,2 ","12","AMI-8A " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","49 patients","2 ","2","AMI-3 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","182 patients","2 ","2","AMI-5 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","129 patients","2 ","2","AMI-1 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","114 patients","2 ","2","AMI-4 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","258 patients","2 ","2","SCIP-INF-2 " "190098","LSU HEALTH SCIENCES CENTER - SHREVEPORT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","98 patients","2 ","2","SCIP-INF-4 " "190099","AVOYELLES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","53 patients",,,"PN-7 " "190099","AVOYELLES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "190099","AVOYELLES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "190099","AVOYELLES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1 ","1","AMI-1 " "190099","AVOYELLES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","86 patients",,,"HF-1 " "190099","AVOYELLES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "190099","AVOYELLES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","81 patients",,,"PN-2 " "190099","AVOYELLES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "190099","AVOYELLES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","123 patients",,,"HF-2 " "190099","AVOYELLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190099","AVOYELLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "190099","AVOYELLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","23 patients","1 ","1","SCIP-INF-6 " "190099","AVOYELLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","19 patients","1 ","1","SCIP-VTE-1 " "190099","AVOYELLES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "190099","AVOYELLES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","65 patients",,,"PN-3B " "190099","AVOYELLES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","86 patients",,,"PN-5C " "190099","AVOYELLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "190099","AVOYELLES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190099","AVOYELLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-2 " "190099","AVOYELLES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "190099","AVOYELLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","19 patients","1 ","1","SCIP-VTE-2 " "190099","AVOYELLES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190099","AVOYELLES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","54 patients",,,"PN-6 " "190099","AVOYELLES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "190099","AVOYELLES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1 ","1","AMI-5 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","245 patients","2 ","2","SCIP-INF-3 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","208 patients",,,"PN-2 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","49 patients","2 ","2","SCIP-CARD-2 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","258 patients",,,"HF-1 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","190 patients","2 ","2","SCIP-VTE-2 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","20 patients","1 ","1","AMI-8A " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","99 patients",,,"AMI-5 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","152 patients",,,"PN-6 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","94 patients",,,"PN-4 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","191 patients","2 ","2","SCIP-VTE-1 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","73 patients","2 ","2","SCIP-INF-4 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","230 patients",,,"PN-5C " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","260 patients","2 ","2","SCIP-INF-2 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","259 patients","2 ","2","SCIP-INF-1 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","309 patients",,,"HF-2 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","156 patients",,,"PN-7 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","20 patients","1 ","1","AMI-3 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","111 patients",,,"HF-3 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","382 patients","2 ","2","SCIP-INF-6 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","130 patients",,,"PN-3B " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","104 patients",,,"AMI-2 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","95 patients",,,"AMI-1 " "190102","OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190106","OAKDALE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","93 patients",,,"PN-2 " "190106","OAKDALE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","13 patients","1 ","1","SCIP-INF-6 " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "190106","OAKDALE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190106","OAKDALE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","35 patients",,,"PN-4 " "190106","OAKDALE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","43 patients",,,"HF-1 " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "190106","OAKDALE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "190106","OAKDALE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","74 patients",,,"PN-3B " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","73 patients",,,"HF-2 " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "190106","OAKDALE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","70 patients",,,"PN-7 " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "190106","OAKDALE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-2 " "190106","OAKDALE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","30%","10 patients","1 ","1","SCIP-VTE-2 " "190106","OAKDALE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","27%","11 patients","1 ","1","SCIP-VTE-1 " "190106","OAKDALE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","49 patients",,,"PN-6 " "190106","OAKDALE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","HF-3 " "190106","OAKDALE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","5 patients","1 ","1","SCIP-INF-3 " "190106","OAKDALE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","87 patients",,,"PN-5C " "190111","WILLIS KNIGHTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","105 patients","2 ","2","SCIP-CARD-2 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","175 patients","2 ","2","AMI-1 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","249 patients","2 ","2","AMI-5 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","439 patients","2 ","2","SCIP-INF-1 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","176 patients","2 ","2","PN-2 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","451 patients","2 ","2","SCIP-INF-2 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "190111","WILLIS KNIGHTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","613 patients","2 ","2","SCIP-INF-6 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","249 patients","2 ","2","HF-1 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","144 patients","2 ","2","PN-5C " "190111","WILLIS KNIGHTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","79 patients","2 ","2","PN-6 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","267 patients","2 ","2","SCIP-VTE-1 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","51 patients","2 ","2","AMI-3 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","266 patients","2 ","2","SCIP-VTE-2 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","84 patients","2 ","2","PN-3B " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","300 patients","2 ","2","HF-2 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","266 patients","2 ","2","AMI-2 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","409 patients","2 ","2","SCIP-INF-3 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","122 patients","2 ","2","AMI-4 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","HF-4 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","75%","123 patients","2 ","2","SCIP-INF-4 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","139 patients","2 ","2","HF-3 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","111 patients","2 ","2","PN-7 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","67 patients","2 ","2","PN-4 " "190111","WILLIS KNIGHTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","35 patients","2 ","2","AMI-8A " "190114","HOMER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "190114","HOMER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "190114","HOMER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1,3 ","13","SCIP-VTE-2 " "190114","HOMER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "190114","HOMER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","95 patients",,,"PN-7 " "190114","HOMER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "190114","HOMER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","98 patients",,,"HF-2 " "190114","HOMER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","41%","37 patients",,,"PN-6 " "190114","HOMER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "190114","HOMER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","61 patients",,,"PN-4 " "190114","HOMER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "190114","HOMER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "190114","HOMER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1,3 ","13","SCIP-INF-6 " "190114","HOMER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","121 patients",,,"PN-2 " "190114","HOMER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190114","HOMER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","76 patients",,,"HF-1 " "190114","HOMER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","69 patients",,,"PN-3B " "190114","HOMER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-1 " "190114","HOMER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","32 patients",,,"HF-3 " "190114","HOMER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","3 patients","1,3 ","13","SCIP-INF-2 " "190114","HOMER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1,3 ","13","SCIP-VTE-1 " "190114","HOMER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "190114","HOMER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","38%","13 patients","1 ","1","AMI-7A " "190114","HOMER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","148 patients",,,"PN-5C " "190114","HOMER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","2 patients","1,3 ","13","SCIP-INF-3 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190115","DOCTORS HOSPITAL OF SHREVEPORT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","22%","41 patients",,,"HF-1 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190116","MOREHOUSE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","22 patients","1 ","1","PN-4 " "190116","MOREHOUSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","89 patients",,,"SCIP-INF-1 " "190116","MOREHOUSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","6 patients","1 ","1","SCIP-CARD-2 " "190116","MOREHOUSE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","68 patients",,,"PN-5C " "190116","MOREHOUSE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","29 patients",,,"PN-6 " "190116","MOREHOUSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","46 patients",,,"SCIP-VTE-1 " "190116","MOREHOUSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","55%","86 patients",,,"SCIP-INF-3 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "190116","MOREHOUSE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","49 patients",,,"PN-7 " "190116","MOREHOUSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","46 patients",,,"SCIP-VTE-2 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1 ","1","HF-4 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","68 patients",,,"HF-2 " "190116","MOREHOUSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190116","MOREHOUSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","110 patients",,,"SCIP-INF-6 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190116","MOREHOUSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","52%","89 patients",,,"SCIP-INF-2 " "190116","MOREHOUSE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","22 patients","1 ","1","PN-3B " "190116","MOREHOUSE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","63%","63 patients",,,"PN-2 " "190116","MOREHOUSE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","8 patients","1 ","1","AMI-5 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","43 patients","2 ","2","PN-7 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","74%","73 patients","2 ","2","PN-5C " "190118","DESOTO REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","15 patients","1,2 ","12","SCIP-VTE-1 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","8 patients","1,2 ","12","AMI-1 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","HF-4 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","5%","19 patients","1,2 ","12","SCIP-INF-6 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","10 patients","1,2 ","12","SCIP-INF-3 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","14 patients","1,2 ","12","SCIP-VTE-2 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","67 patients","2 ","2","HF-3 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","40%","10 patients","1,2 ","12","SCIP-INF-2 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","AMI-4 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1,2 ","12","PN-4 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","84 patients","2 ","2","HF-2 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,2 ","12","AMI-2 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","51 patients","2 ","2","PN-2 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1,2 ","12","AMI-3 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","30 patients","2 ","2","PN-3B " "190118","DESOTO REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","49%","82 patients","2 ","2","PN-6 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","65 patients","2 ","2","HF-1 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","30%","10 patients","1,2 ","12","SCIP-INF-1 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "190118","DESOTO REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,2 ","12","AMI-5 " "190122","EARL K LONG MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","71 patients",,,"HF-4 " "190122","EARL K LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","492 patients",,,"SCIP-INF-6 " "190122","EARL K LONG MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190122","EARL K LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","249 patients",,,"SCIP-INF-3 " "190122","EARL K LONG MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","6 patients","1 ","1","PN-2 " "190122","EARL K LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","290 patients",,,"SCIP-VTE-2 " "190122","EARL K LONG MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","53 patients",,,"PN-4 " "190122","EARL K LONG MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","151 patients",,,"HF-2 " "190122","EARL K LONG MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","39 patients",,,"AMI-5 " "190122","EARL K LONG MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","41 patients",,,"AMI-2 " "190122","EARL K LONG MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","147 patients",,,"HF-1 " "190122","EARL K LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","290 patients",,,"SCIP-VTE-1 " "190122","EARL K LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","251 patients",,,"SCIP-INF-2 " "190122","EARL K LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","56%","36 patients",,,"SCIP-CARD-2 " "190122","EARL K LONG MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","69 patients",,,"PN-3B " "190122","EARL K LONG MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","45 patients",,,"PN-6 " "190122","EARL K LONG MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190122","EARL K LONG MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","44 patients",,,"AMI-1 " "190122","EARL K LONG MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","87 patients",,,"HF-3 " "190122","EARL K LONG MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "190122","EARL K LONG MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"AMI-4 " "190122","EARL K LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","253 patients",,,"SCIP-INF-1 " "190122","EARL K LONG MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","30 patients",,,"PN-7 " "190122","EARL K LONG MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","71%","65 patients",,,"PN-5C " "190122","EARL K LONG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "190125","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","109 patients",,,"AMI-4 " "190125","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","80 patients",,,"AMI-3 " "190125","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","113 patients",,,"HF-4 " "190125","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","211 patients",,,"HF-3 " "190125","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","186 patients",,,"AMI-1 " "190125","ST FRANCIS MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","52 patients",,,"CAC-2 " "190125","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","293 patients","2 ","2","SCIP-VTE-2 " "190125","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","646 patients","2 ","2","SCIP-INF-6 " "190125","ST FRANCIS MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","52 patients",,,"CAC-1 " "190125","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","416 patients",,,"PN-2 " "190125","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","413 patients","2 ","2","SCIP-INF-3 " "190125","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","130 patients",,,"PN-4 " "190125","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190125","ST FRANCIS MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","69%","52 patients",,,"CAC-3 " "190125","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","653 patients",,,"HF-2 " "190125","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","301 patients",,,"PN-7 " "190125","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","21 patients","1 ","1","AMI-8A " "190125","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","293 patients","2 ","2","SCIP-VTE-1 " "190125","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","304 patients",,,"AMI-2 " "190125","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","342 patients",,,"PN-3B " "190125","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","440 patients","2 ","2","SCIP-INF-1 " "190125","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","290 patients",,,"AMI-5 " "190125","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","532 patients",,,"HF-1 " "190125","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","188 patients",,,"PN-6 " "190125","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","84 patients","2 ","2","SCIP-CARD-2 " "190125","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","339 patients",,,"PN-5C " "190125","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","133 patients","2 ","2","SCIP-INF-4 " "190125","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","445 patients","2 ","2","SCIP-INF-2 " "190128","WOMAN'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190128","WOMAN'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190128","WOMAN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","130 patients","2 ","2","SCIP-INF-3 " "190128","WOMAN'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","9 patients","1,2 ","12","SCIP-CARD-2 " "190128","WOMAN'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190128","WOMAN'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190128","WOMAN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","150 patients","2 ","2","SCIP-INF-1 " "190128","WOMAN'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190128","WOMAN'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190128","WOMAN'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190128","WOMAN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","132 patients","2 ","2","SCIP-INF-2 " "190128","WOMAN'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190128","WOMAN'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190128","WOMAN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","60 patients","2 ","2","SCIP-VTE-1 " "190128","WOMAN'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190128","WOMAN'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190128","WOMAN'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190128","WOMAN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","231 patients","2 ","2","SCIP-INF-6 " "190128","WOMAN'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190128","WOMAN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","60 patients","2 ","2","SCIP-VTE-2 " "190128","WOMAN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190128","WOMAN'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190128","WOMAN'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190128","WOMAN'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190128","WOMAN'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190133","ALLEN PARISH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "190133","ALLEN PARISH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","32%","28 patients","2 ","2","HF-2 " "190133","ALLEN PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190133","ALLEN PARISH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","20 patients","1,2 ","12","PN-7 " "190133","ALLEN PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190133","ALLEN PARISH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,2,3 ","123","AMI-2 " "190133","ALLEN PARISH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","27 patients","2 ","2","PN-5C " "190133","ALLEN PARISH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "190133","ALLEN PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190133","ALLEN PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190133","ALLEN PARISH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,2 ","12","HF-3 " "190133","ALLEN PARISH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "190133","ALLEN PARISH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","PN-4 " "190133","ALLEN PARISH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,2,3 ","123","AMI-1 " "190133","ALLEN PARISH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","19 patients","1,2 ","12","HF-1 " "190133","ALLEN PARISH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190133","ALLEN PARISH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "190133","ALLEN PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190133","ALLEN PARISH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","24 patients","1,2 ","12","PN-6 " "190133","ALLEN PARISH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","21 patients","1,2 ","12","PN-2 " "190133","ALLEN PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190133","ALLEN PARISH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1,2 ","12","HF-4 " "190133","ALLEN PARISH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "190133","ALLEN PARISH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1,2 ","12","PN-3B " "190133","ALLEN PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","59%","17 patients","1,3 ","13","AMI-2 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","133 patients",,,"SCIP-VTE-2 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","72 patients",,,"HF-1 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","77 patients",,,"HF-2 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,3 ","13","AMI-4 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,3 ","13","PN-4 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","197 patients",,,"SCIP-INF-1 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","22 patients","1 ","1","HF-3 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","76%","17 patients","1,3 ","13","AMI-5 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","24 patients","1,3 ","13","PN-5C " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","18 patients","1,3 ","13","AMI-1 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-8A " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","40 patients",,,"SCIP-CARD-2 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","193 patients",,,"SCIP-INF-3 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","20 patients","1,3 ","13","PN-6 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","133 patients",,,"SCIP-VTE-1 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","196 patients",,,"SCIP-INF-2 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","18 patients","1,3 ","13","PN-2 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","246 patients",,,"SCIP-INF-6 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","14 patients","1 ","1","PN-7 " "190135","OCHSNER BAPTIST MEDICAL CENTER LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","20 patients","1,3 ","13","PN-3B " "190140","FRANKLIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","58 patients",,,"PN-2 " "190140","FRANKLIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","87 patients",,,"HF-2 " "190140","FRANKLIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","18 patients","1 ","1","AMI-2 " "190140","FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190140","FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190140","FRANKLIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","PN-4 " "190140","FRANKLIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "190140","FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190140","FRANKLIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","17 patients","1 ","1","AMI-5 " "190140","FRANKLIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "190140","FRANKLIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","22 patients","1 ","1","PN-3B " "190140","FRANKLIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "190140","FRANKLIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "190140","FRANKLIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","38 patients",,,"PN-6 " "190140","FRANKLIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","57 patients",,,"HF-1 " "190140","FRANKLIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "190140","FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190140","FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190140","FRANKLIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","33 patients",,,"PN-7 " "190140","FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190140","FRANKLIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","70 patients",,,"PN-5C " "190140","FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190140","FRANKLIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190140","FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190140","FRANKLIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190144","MINDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","80 patients","2 ","2","SCIP-VTE-2 " "190144","MINDEN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","164 patients",,,"PN-3B " "190144","MINDEN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","143 patients",,,"PN-2 " "190144","MINDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","229 patients","2 ","2","SCIP-INF-6 " "190144","MINDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","161 patients","2 ","2","SCIP-INF-3 " "190144","MINDEN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","32 patients",,,"AMI-2 " "190144","MINDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients","2 ","2","SCIP-CARD-2 " "190144","MINDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","168 patients","2 ","2","SCIP-INF-1 " "190144","MINDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190144","MINDEN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-8A " "190144","MINDEN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","58 patients",,,"HF-3 " "190144","MINDEN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "190144","MINDEN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190144","MINDEN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","88 patients",,,"PN-7 " "190144","MINDEN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","164 patients",,,"HF-2 " "190144","MINDEN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","129 patients",,,"HF-1 " "190144","MINDEN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "190144","MINDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","168 patients","2 ","2","SCIP-INF-2 " "190144","MINDEN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","55 patients",,,"PN-6 " "190144","MINDEN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","32 patients",,,"AMI-5 " "190144","MINDEN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "190144","MINDEN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","160 patients",,,"PN-5C " "190144","MINDEN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "190144","MINDEN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "190144","MINDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","80 patients","2 ","2","SCIP-VTE-1 " "190145","LASALLE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","59 patients",,,"PN-3B " "190145","LASALLE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "190145","LASALLE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","123 patients",,,"HF-2 " "190145","LASALLE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","79 patients",,,"PN-5C " "190145","LASALLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190145","LASALLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190145","LASALLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190145","LASALLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190145","LASALLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190145","LASALLE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "190145","LASALLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190145","LASALLE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "190145","LASALLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190145","LASALLE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","41 patients",,,"PN-6 " "190145","LASALLE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","33 patients",,,"HF-4 " "190145","LASALLE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "190145","LASALLE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","31%","13 patients","1 ","1","HF-3 " "190145","LASALLE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "190145","LASALLE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","75 patients",,,"HF-1 " "190145","LASALLE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","69 patients",,,"PN-2 " "190145","LASALLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190145","LASALLE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","15 patients","1 ","1","PN-4 " "190145","LASALLE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","46 patients",,,"PN-7 " "190145","LASALLE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "190145","LASALLE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "190146","EAST JEFFERSON GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","160 patients","2 ","2","PN-2 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","95 patients","2 ","2","PN-7 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","73%","130 patients","2 ","2","SCIP-INF-4 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","228 patients","2 ","2","AMI-1 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","143 patients","2 ","2","PN-3B " "190146","EAST JEFFERSON GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","28 patients","2 ","2","PN-4 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","451 patients","2 ","2","SCIP-INF-2 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","297 patients","2 ","2","HF-2 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","617 patients","2 ","2","SCIP-INF-6 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","444 patients","2 ","2","SCIP-INF-1 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","59 patients","2 ","2","AMI-8A " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","251 patients","2 ","2","HF-1 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","116 patients","2 ","2","SCIP-CARD-2 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","86 patients","2 ","2","PN-6 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","224 patients","2 ","2","SCIP-VTE-1 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","420 patients","2 ","2","SCIP-INF-3 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","222 patients","2 ","2","SCIP-VTE-2 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","203 patients","2 ","2","AMI-2 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","HF-4 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","33 patients","2 ","2","AMI-3 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","82 patients","2 ","2","HF-3 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","54 patients","2 ","2","AMI-4 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","215 patients","2 ","2","AMI-5 " "190146","EAST JEFFERSON GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","140 patients","2 ","2","PN-5C " "190151","RICHARDSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","18 patients","1 ","1","PN-3B " "190151","RICHARDSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","30 patients",,,"PN-7 " "190151","RICHARDSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "190151","RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","55%","38 patients",,,"SCIP-INF-1 " "190151","RICHARDSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","40 patients",,,"PN-5C " "190151","RICHARDSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","25%","4 patients","1 ","1","AMI-5 " "190151","RICHARDSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "190151","RICHARDSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","26 patients",,,"PN-6 " "190151","RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","9 patients","1 ","1","SCIP-VTE-1 " "190151","RICHARDSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","63%","41 patients",,,"PN-2 " "190151","RICHARDSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "190151","RICHARDSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "190151","RICHARDSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","44 patients",,,"HF-2 " "190151","RICHARDSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "190151","RICHARDSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","15%","27 patients",,,"HF-1 " "190151","RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190151","RICHARDSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","43%","14 patients","1 ","1","PN-4 " "190151","RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","80%","44 patients",,,"SCIP-INF-6 " "190151","RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "190151","RICHARDSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190151","RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","33 patients",,,"SCIP-INF-3 " "190151","RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","33 patients",,,"SCIP-INF-2 " "190151","RICHARDSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190151","RICHARDSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "190151","RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","9 patients","1 ","1","SCIP-VTE-2 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","138 patients","2 ","2","SCIP-VTE-2 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","190 patients",,,"PN-5C " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","154 patients",,,"PN-7 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","200 patients",,,"AMI-2 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","164 patients",,,"AMI-1 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","171 patients",,,"PN-3B " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","169 patients","2 ","2","SCIP-INF-1 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","68 patients",,,"PN-4 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","263 patients",,,"HF-1 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","172 patients","2 ","2","SCIP-INF-2 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","114 patients",,,"PN-6 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","55 patients",,,"AMI-3 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","122 patients",,,"HF-3 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","182 patients",,,"AMI-5 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","30 patients",,,"AMI-8A " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","53 patients",,,"HF-4 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","217 patients",,,"PN-2 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","342 patients",,,"HF-2 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","50 patients",,,"SCIP-CARD-2 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","291 patients","2 ","2","SCIP-INF-6 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","51 patients","2 ","2","SCIP-INF-4 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","138 patients","2 ","2","SCIP-VTE-1 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","83 patients",,,"AMI-4 " "190160","GLENWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","155 patients","2 ","2","SCIP-INF-3 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1 ","1","PN-2 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2,3 ","123","AMI-3 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","HF-4 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","34 patients",,,"PN-3B " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","AMI-4 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","74 patients",,,"SCIP-INF-3 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","32 patients",,,"PN-6 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "190161","W O MOSS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","75 patients",,,"SCIP-INF-1 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","24 patients","1 ","1","SCIP-VTE-1 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","76 patients",,,"SCIP-INF-2 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","24 patients","1 ","1","SCIP-VTE-2 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","38 patients",,,"PN-5C " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1 ","1","HF-3 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","14 patients","1 ","1","PN-7 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","43 patients",,,"HF-2 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","43 patients",,,"HF-1 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","82 patients",,,"SCIP-INF-6 " "190161","W O MOSS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","21 patients","1 ","1","PN-4 " "190164","BYRD REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "190164","BYRD REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","62 patients",,,"PN-6 " "190164","BYRD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","70 patients","2 ","2","SCIP-VTE-2 " "190164","BYRD REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "190164","BYRD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","136 patients","2 ","2","SCIP-INF-6 " "190164","BYRD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","88 patients","2 ","2","SCIP-INF-2 " "190164","BYRD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","70 patients","2 ","2","SCIP-VTE-1 " "190164","BYRD REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","80 patients",,,"PN-2 " "190164","BYRD REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","181 patients",,,"HF-2 " "190164","BYRD REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","73 patients",,,"PN-7 " "190164","BYRD REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","22 patients","1 ","1","AMI-1 " "190164","BYRD REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","64 patients",,,"HF-3 " "190164","BYRD REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "190164","BYRD REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","15 patients","1 ","1","AMI-2 " "190164","BYRD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190164","BYRD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","24 patients","1,2 ","12","SCIP-CARD-2 " "190164","BYRD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","84 patients","2 ","2","SCIP-INF-3 " "190164","BYRD REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","155 patients",,,"HF-1 " "190164","BYRD REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","88 patients",,,"PN-5C " "190164","BYRD REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "190164","BYRD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","87 patients","2 ","2","SCIP-INF-1 " "190164","BYRD REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "190164","BYRD REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "190164","BYRD REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","37 patients",,,"PN-3B " "190164","BYRD REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190167","VILLE PLATTE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "190167","VILLE PLATTE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","96 patients",,,"PN-3B " "190167","VILLE PLATTE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","122 patients",,,"HF-2 " "190167","VILLE PLATTE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","31 patients",,,"HF-3 " "190167","VILLE PLATTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","22 patients","1 ","1","SCIP-VTE-2 " "190167","VILLE PLATTE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","159 patients",,,"PN-2 " "190167","VILLE PLATTE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","138 patients",,,"PN-5C " "190167","VILLE PLATTE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "190167","VILLE PLATTE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","126 patients",,,"PN-7 " "190167","VILLE PLATTE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "190167","VILLE PLATTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","39 patients",,,"SCIP-INF-6 " "190167","VILLE PLATTE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","87 patients",,,"HF-1 " "190167","VILLE PLATTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-2 " "190167","VILLE PLATTE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190167","VILLE PLATTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "190167","VILLE PLATTE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "190167","VILLE PLATTE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "190167","VILLE PLATTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","22 patients","1 ","1","SCIP-VTE-1 " "190167","VILLE PLATTE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "190167","VILLE PLATTE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190167","VILLE PLATTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-1 " "190167","VILLE PLATTE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","77 patients",,,"PN-6 " "190167","VILLE PLATTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190167","VILLE PLATTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "190167","VILLE PLATTE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","14 patients","1 ","1","AMI-5 " "190175","RIVER PARISHES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","137 patients","2 ","2","SCIP-INF-6 " "190175","RIVER PARISHES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","81 patients",,,"PN-3B " "190175","RIVER PARISHES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "190175","RIVER PARISHES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "190175","RIVER PARISHES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","97 patients",,,"PN-5C " "190175","RIVER PARISHES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190175","RIVER PARISHES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","130 patients",,,"HF-2 " "190175","RIVER PARISHES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "190175","RIVER PARISHES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","77 patients","2 ","2","SCIP-INF-2 " "190175","RIVER PARISHES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","49 patients",,,"HF-3 " "190175","RIVER PARISHES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "190175","RIVER PARISHES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","34 patients",,,"AMI-1 " "190175","RIVER PARISHES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","76 patients","2 ","2","SCIP-VTE-2 " "190175","RIVER PARISHES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190175","RIVER PARISHES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","56 patients",,,"PN-7 " "190175","RIVER PARISHES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","77 patients","2 ","2","SCIP-INF-1 " "190175","RIVER PARISHES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1,2 ","12","SCIP-CARD-2 " "190175","RIVER PARISHES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","21 patients","1 ","1","AMI-2 " "190175","RIVER PARISHES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "190175","RIVER PARISHES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","76 patients","2 ","2","SCIP-VTE-1 " "190175","RIVER PARISHES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","110 patients",,,"HF-1 " "190175","RIVER PARISHES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","56 patients",,,"PN-2 " "190175","RIVER PARISHES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","64 patients",,,"PN-6 " "190175","RIVER PARISHES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "190175","RIVER PARISHES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","76 patients","2 ","2","SCIP-INF-3 " "190176","TULANE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","349 patients",,,"HF-1 " "190176","TULANE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","71 patients",,,"PN-7 " "190176","TULANE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","206 patients",,,"HF-3 " "190176","TULANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","256 patients","2 ","2","SCIP-INF-1 " "190176","TULANE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"AMI-4 " "190176","TULANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","451 patients","2 ","2","SCIP-INF-6 " "190176","TULANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","260 patients","2 ","2","SCIP-INF-2 " "190176","TULANE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","61 patients",,,"PN-2 " "190176","TULANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","97 patients","2 ","2","SCIP-INF-4 " "190176","TULANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","241 patients","2 ","2","SCIP-INF-3 " "190176","TULANE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","174 patients",,,"AMI-2 " "190176","TULANE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "190176","TULANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","80 patients","2 ","2","SCIP-CARD-2 " "190176","TULANE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","91 patients",,,"PN-3B " "190176","TULANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","196 patients","2 ","2","SCIP-VTE-2 " "190176","TULANE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","165 patients",,,"AMI-5 " "190176","TULANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","196 patients","2 ","2","SCIP-VTE-1 " "190176","TULANE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"HF-4 " "190176","TULANE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","37 patients",,,"AMI-3 " "190176","TULANE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","48 patients",,,"PN-6 " "190176","TULANE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","37 patients",,,"AMI-8A " "190176","TULANE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","175 patients",,,"AMI-1 " "190176","TULANE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190176","TULANE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","363 patients",,,"HF-2 " "190176","TULANE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","85 patients",,,"PN-5C " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","71 patients",,,"HF-3 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","94 patients",,,"PN-6 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","11 patients","1 ","1","AMI-8A " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","523 patients",,,"SCIP-INF-6 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","145 patients",,,"PN-3B " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","363 patients",,,"SCIP-INF-1 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","70 patients",,,"SCIP-CARD-2 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","348 patients",,,"SCIP-INF-3 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","145 patients",,,"PN-2 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","106 patients",,,"SCIP-INF-4 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","87 patients",,,"AMI-2 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","142 patients",,,"PN-5C " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","99 patients",,,"PN-7 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","240 patients",,,"HF-2 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","198 patients",,,"HF-1 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","171 patients",,,"SCIP-VTE-2 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","365 patients",,,"SCIP-INF-2 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","174 patients",,,"SCIP-VTE-1 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","61 patients",,,"AMI-1 " "190177","LAKEVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","83 patients",,,"AMI-5 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","28 patients",,,"AMI-2 " "190183","LEONARD J CHABERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","156 patients",,,"SCIP-VTE-1 " "190183","LEONARD J CHABERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","298 patients",,,"SCIP-INF-6 " "190183","LEONARD J CHABERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","184 patients",,,"SCIP-INF-3 " "190183","LEONARD J CHABERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1 ","1","SCIP-CARD-2 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","39 patients",,,"HF-4 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","38 patients",,,"AMI-1 " "190183","LEONARD J CHABERT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","17 patients","1 ","1","PN-2 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","26 patients",,,"AMI-5 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","85%","13 patients","1 ","1","AMI-4 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","77 patients",,,"HF-3 " "190183","LEONARD J CHABERT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","56 patients",,,"PN-4 " "190183","LEONARD J CHABERT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","28 patients",,,"PN-7 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","123 patients",,,"HF-2 " "190183","LEONARD J CHABERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","185 patients",,,"SCIP-INF-2 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","122 patients",,,"HF-1 " "190183","LEONARD J CHABERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190183","LEONARD J CHABERT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","72 patients",,,"PN-3B " "190183","LEONARD J CHABERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","191 patients",,,"SCIP-INF-1 " "190183","LEONARD J CHABERT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","66 patients",,,"PN-5C " "190183","LEONARD J CHABERT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","53 patients",,,"PN-6 " "190183","LEONARD J CHABERT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190183","LEONARD J CHABERT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","156 patients",,,"SCIP-VTE-2 " "190184","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","10 patients","1,2 ","12","SCIP-INF-2 " "190184","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","30%","10 patients","1,2 ","12","SCIP-INF-1 " "190184","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","8%","13 patients","1,2 ","12","SCIP-VTE-2 " "190184","CITIZENS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","12 patients","1,2 ","12","PN-6 " "190184","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190184","CITIZENS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","25 patients","2 ","2","PN-5C " "190184","CITIZENS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,2 ","12","HF-3 " "190184","CITIZENS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","HF-4 " "190184","CITIZENS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","19 patients","1,2 ","12","PN-7 " "190184","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "190184","CITIZENS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "190184","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","7%","14 patients","1,2 ","12","SCIP-VTE-1 " "190184","CITIZENS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "190184","CITIZENS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "190184","CITIZENS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","23 patients","1,2 ","12","PN-2 " "190184","CITIZENS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","35%","20 patients","1,2 ","12","HF-2 " "190184","CITIZENS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "190184","CITIZENS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1,2 ","12","PN-3B " "190184","CITIZENS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "190184","CITIZENS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "190184","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","10 patients","1,2 ","12","SCIP-INF-3 " "190184","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","24 patients","1,2 ","12","SCIP-INF-6 " "190184","CITIZENS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "190184","CITIZENS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","17 patients","1,2 ","12","HF-1 " "190184","CITIZENS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,2 ","12","PN-4 " "190190","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","13 patients","1 ","1","PN-7 " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "190190","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "190190","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190190","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190190","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","44%","18 patients","1 ","1","PN-2 " "190190","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","95 patients",,,"HF-1 " "190190","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "190190","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","22 patients","1 ","1","PN-5C " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","53%","19 patients","1 ","1","HF-3 " "190190","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "190190","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","42%","19 patients","1 ","1","PN-6 " "190190","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "190190","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190190","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","42%","105 patients",,,"HF-2 " "190190","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190190","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,3 ","13","PN-7 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,3 ","13","PN-4 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,3 ","13","HF-2 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,3 ","13","PN-2 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","4 patients","1,3 ","13","PN-5C " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190199","VILLA FELICIANA MEDICAL COMPLEX","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "190199","VILLA FELICIANA MEDICAL COMPLEX","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","331 patients",,,"SCIP-INF-2 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","7 patients","1,3 ","13","HF-2 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","104 patients",,,"SCIP-VTE-1 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","408 patients",,,"SCIP-INF-6 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","14 patients","1 ","1","PN-6 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","319 patients",,,"SCIP-INF-3 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","16 patients","1 ","1","PN-5C " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","326 patients",,,"SCIP-INF-1 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1 ","1","PN-7 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","104 patients",,,"SCIP-VTE-2 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","26 patients",,,"SCIP-CARD-2 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","73%","15 patients","1 ","1","PN-3B " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1 ","1","PN-2 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "190201","WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","7 patients","1,3 ","13","HF-1 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","244 patients","2 ","2","SCIP-INF-3 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","94 patients",,,"HF-3 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","97 patients",,,"PN-4 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","237 patients",,,"HF-1 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","44 patients",,,"AMI-8A " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","176 patients",,,"PN-3B " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","54 patients",,,"AMI-4 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"AMI-3 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","129 patients",,,"AMI-5 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","247 patients","2 ","2","SCIP-INF-2 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","186 patients",,,"PN-5C " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","167 patients",,,"PN-2 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","196 patients","2 ","2","SCIP-VTE-1 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","47 patients",,,"HF-4 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","128 patients",,,"AMI-2 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","50 patients","2 ","2","SCIP-CARD-2 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","140 patients",,,"PN-7 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","385 patients","2 ","2","SCIP-INF-6 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","258 patients","2 ","2","SCIP-INF-1 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","72 patients","2 ","2","SCIP-INF-4 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","196 patients","2 ","2","SCIP-VTE-2 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","272 patients",,,"HF-2 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","151 patients",,,"PN-6 " "190202","OCHSNER MEDICAL CENTER-BATON ROUGE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","122 patients",,,"AMI-1 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","152 patients",,,"HF-1 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","174 patients",,,"PN-5C " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","82 patients",,,"PN-6 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","142 patients",,,"PN-2 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","370 patients","2 ","2","SCIP-INF-6 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","98 patients",,,"PN-7 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","190 patients",,,"PN-3B " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","49 patients",,,"AMI-1 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","258 patients","2 ","2","SCIP-INF-2 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","248 patients","2 ","2","SCIP-INF-3 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","50 patients",,,"AMI-5 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","52 patients","2 ","2","SCIP-INF-4 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","32%","19 patients","1 ","1","AMI-8A " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","202 patients","2 ","2","SCIP-VTE-1 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","202 patients","2 ","2","SCIP-VTE-2 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","253 patients","2 ","2","SCIP-INF-1 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","54 patients",,,"AMI-2 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","45 patients","2 ","2","SCIP-CARD-2 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","184 patients",,,"HF-2 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","55 patients",,,"PN-4 " "190204","NORTHSHORE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","64 patients",,,"HF-3 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","345 patients","2 ","2","SCIP-INF-6 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","155 patients","2 ","2","SCIP-INF-4 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","53 patients",,,"AMI-2 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","187 patients","2 ","2","SCIP-INF-3 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","69 patients",,,"PN-3B " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","233 patients","2 ","2","SCIP-INF-2 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","40 patients",,,"AMI-1 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","62 patients","2 ","2","SCIP-CARD-2 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","67 patients",,,"PN-5C " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","60 patients",,,"PN-2 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","228 patients","2 ","2","SCIP-INF-1 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","191 patients",,,"HF-2 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients",,,"HF-3 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","15 patients","1 ","1","AMI-8A " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","44 patients",,,"AMI-5 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","43 patients",,,"PN-7 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","91 patients","2 ","2","SCIP-VTE-2 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","158 patients",,,"HF-1 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","91 patients","2 ","2","SCIP-VTE-1 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "190205","THE REGIONAL MEDICAL CENTER OF ACADIANA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","52 patients",,,"PN-6 " "190208","EAST CARROLL PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190208","EAST CARROLL PARISH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","47 patients","2 ","2","HF-1 " "190208","EAST CARROLL PARISH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","15 patients","1,2 ","12","PN-6 " "190208","EAST CARROLL PARISH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190208","EAST CARROLL PARISH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "190208","EAST CARROLL PARISH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","9 patients","1,2 ","12","HF-4 " "190208","EAST CARROLL PARISH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","52 patients","2 ","2","HF-2 " "190208","EAST CARROLL PARISH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190208","EAST CARROLL PARISH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190208","EAST CARROLL PARISH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190208","EAST CARROLL PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190208","EAST CARROLL PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190208","EAST CARROLL PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190208","EAST CARROLL PARISH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","8%","12 patients","1,2 ","12","PN-7 " "190208","EAST CARROLL PARISH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","21%","24 patients","1,2 ","12","PN-2 " "190208","EAST CARROLL PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190208","EAST CARROLL PARISH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,2 ","12","PN-3B " "190208","EAST CARROLL PARISH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190208","EAST CARROLL PARISH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","9 patients","1,2 ","12","PN-4 " "190208","EAST CARROLL PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190208","EAST CARROLL PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190208","EAST CARROLL PARISH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","16 patients","1,2 ","12","PN-5C " "190208","EAST CARROLL PARISH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190208","EAST CARROLL PARISH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190208","EAST CARROLL PARISH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190218","SABINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190218","SABINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190218","SABINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","77%","13 patients","1 ","1","AMI-1 " "190218","SABINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190218","SABINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","24 patients","1 ","1","PN-3B " "190218","SABINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "190218","SABINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","46 patients",,,"PN-6 " "190218","SABINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","59 patients",,,"PN-2 " "190218","SABINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190218","SABINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","56%","9 patients","1 ","1","AMI-5 " "190218","SABINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "190218","SABINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "190218","SABINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190218","SABINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190218","SABINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190218","SABINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","64%","11 patients","1 ","1","AMI-2 " "190218","SABINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190218","SABINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","62 patients",,,"PN-5C " "190218","SABINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190218","SABINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","43 patients",,,"HF-2 " "190218","SABINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","40 patients",,,"PN-7 " "190218","SABINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","33 patients",,,"HF-1 " "190218","SABINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190218","SABINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "190218","SABINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","HF-4 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","159 patients","2 ","2","HF-1 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","82 patients","2 ","2","PN-3B " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","250 patients","2 ","2","SCIP-INF-3 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","93 patients",,,"AMI-5 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","268 patients","2 ","2","SCIP-INF-2 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","46 patients","2 ","2","HF-4 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","267 patients","2 ","2","SCIP-INF-1 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","64%","66 patients","2 ","2","SCIP-INF-4 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","144 patients","2 ","2","PN-2 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","25 patients",,,"AMI-8A " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","200 patients","2 ","2","SCIP-VTE-2 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","63 patients","2 ","2","HF-3 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","101 patients",,,"AMI-1 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","150 patients","2 ","2","PN-5C " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","415 patients","2 ","2","SCIP-INF-6 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","208 patients","2 ","2","SCIP-VTE-1 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","82 patients","2 ","2","PN-6 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","108 patients","2 ","2","PN-7 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","52 patients","2 ","2","PN-4 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","102 patients",,,"AMI-2 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","63 patients","2 ","2","SCIP-CARD-2 " "190236","WILLIS KNIGHTON BOSSIER HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","216 patients","2 ","2","HF-2 " "190241","PHYSICIANS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","39 patients",,,"SCIP-VTE-2 " "190241","PHYSICIANS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190241","PHYSICIANS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "190241","PHYSICIANS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190241","PHYSICIANS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190241","PHYSICIANS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190241","PHYSICIANS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190241","PHYSICIANS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","51 patients",,,"SCIP-INF-1 " "190241","PHYSICIANS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","51 patients",,,"SCIP-INF-2 " "190241","PHYSICIANS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190241","PHYSICIANS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "190241","PHYSICIANS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190241","PHYSICIANS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190241","PHYSICIANS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "190241","PHYSICIANS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","3 ","3","PN-7 " "190241","PHYSICIANS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","51 patients",,,"SCIP-INF-3 " "190241","PHYSICIANS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "190241","PHYSICIANS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190241","PHYSICIANS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","39 patients",,,"SCIP-VTE-1 " "190241","PHYSICIANS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190241","PHYSICIANS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","6 patients","1 ","1","SCIP-CARD-2 " "190241","PHYSICIANS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190241","PHYSICIANS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190241","PHYSICIANS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","73%","83 patients",,,"SCIP-INF-6 " "190241","PHYSICIANS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "190242","ST ELIZABETH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","101 patients",,,"PN-2 " "190242","ST ELIZABETH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","53 patients",,,"HF-4 " "190242","ST ELIZABETH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "190242","ST ELIZABETH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","56 patients",,,"PN-4 " "190242","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","74 patients",,,"SCIP-VTE-2 " "190242","ST ELIZABETH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","164 patients",,,"HF-1 " "190242","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","77 patients",,,"SCIP-INF-1 " "190242","ST ELIZABETH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","82 patients",,,"PN-7 " "190242","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","76 patients",,,"SCIP-INF-3 " "190242","ST ELIZABETH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","70 patients",,,"HF-3 " "190242","ST ELIZABETH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "190242","ST ELIZABETH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "190242","ST ELIZABETH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "190242","ST ELIZABETH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","190 patients",,,"HF-2 " "190242","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","77%","77 patients",,,"SCIP-INF-2 " "190242","ST ELIZABETH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "190242","ST ELIZABETH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","111 patients",,,"PN-5C " "190242","ST ELIZABETH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","98 patients",,,"PN-6 " "190242","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190242","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","75 patients",,,"SCIP-VTE-1 " "190242","ST ELIZABETH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190242","ST ELIZABETH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","AMI-4 " "190242","ST ELIZABETH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","124 patients",,,"PN-3B " "190242","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","12 patients","1 ","1","SCIP-CARD-2 " "190242","ST ELIZABETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","149 patients",,,"SCIP-INF-6 " "190245","MONROE SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "190245","MONROE SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,2,3 ","123","PN-5C " "190245","MONROE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","150 patients","2 ","2","SCIP-INF-6 " "190245","MONROE SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190245","MONROE SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "190245","MONROE SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190245","MONROE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","67 patients","2 ","2","SCIP-VTE-1 " "190245","MONROE SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1,2,3 ","123","PN-2 " "190245","MONROE SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","HF-4 " "190245","MONROE SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","1 patients","1,2,3 ","123","PN-7 " "190245","MONROE SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190245","MONROE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","126 patients","2 ","2","SCIP-INF-3 " "190245","MONROE SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190245","MONROE SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190245","MONROE SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190245","MONROE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","14 patients","1,2 ","12","SCIP-CARD-2 " "190245","MONROE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","67 patients","2 ","2","SCIP-VTE-2 " "190245","MONROE SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "190245","MONROE SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190245","MONROE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","130 patients","2 ","2","SCIP-INF-2 " "190245","MONROE SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,2,3 ","123","HF-3 " "190245","MONROE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","129 patients","2 ","2","SCIP-INF-1 " "190245","MONROE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190245","MONROE SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,2,3 ","123","HF-1 " "190245","MONROE SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,2,3 ","123","HF-2 " "190246","P & S SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","147 patients",,,"SCIP-INF-6 " "190246","P & S SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190246","P & S SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","195 patients",,,"SCIP-INF-2 " "190246","P & S SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "190246","P & S SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","28 patients",,,"SCIP-CARD-2 " "190246","P & S SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190246","P & S SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","195 patients",,,"SCIP-INF-3 " "190246","P & S SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190246","P & S SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","85 patients",,,"SCIP-VTE-1 " "190246","P & S SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190246","P & S SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190246","P & S SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190246","P & S SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190246","P & S SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,"0 patients","3 ","3","HF-2 " "190246","P & S SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "190246","P & S SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190246","P & S SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190246","P & S SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190246","P & S SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190246","P & S SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190246","P & S SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190246","P & S SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190246","P & S SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","85 patients",,,"SCIP-VTE-2 " "190246","P & S SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "190246","P & S SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","195 patients",,,"SCIP-INF-1 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","268 patients","2 ","2","SCIP-INF-2 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","59 patients",,,"PN-2 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","263 patients","2 ","2","SCIP-INF-1 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"AMI-4 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","143 patients",,,"AMI-5 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","53 patients",,,"PN-5C " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","35 patients",,,"PN-6 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","50 patients",,,"PN-3B " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","17 patients","1 ","1","PN-4 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","52 patients","2 ","2","SCIP-VTE-2 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","260 patients","2 ","2","SCIP-INF-3 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","138 patients",,,"AMI-2 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","52 patients","2 ","2","SCIP-VTE-1 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","42 patients",,,"PN-7 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","158 patients",,,"HF-2 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","99 patients",,,"AMI-1 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","270 patients","2 ","2","SCIP-INF-4 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","52 patients",,,"HF-3 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","10 patients","1 ","1","AMI-8A " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","402 patients","2 ","2","SCIP-INF-6 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","149 patients",,,"HF-1 " "190250","LOUISIANA MEDICAL CENTER AND HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","114 patients",,,"SCIP-CARD-2 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","38 patients",,,"SCIP-VTE-2 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1 ","1","SCIP-CARD-2 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-2 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","38 patients",,,"SCIP-VTE-1 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","165 patients",,,"SCIP-INF-6 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190251","SURGICAL SPECIALTY CENTER OF BATON ROUGE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "190255","PARK PLACE SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190255","PARK PLACE SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190255","PARK PLACE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","6 patients","1 ","1","SCIP-VTE-2 " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190255","PARK PLACE SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190255","PARK PLACE SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190255","PARK PLACE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","42 patients",,,"SCIP-INF-1 " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190255","PARK PLACE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190255","PARK PLACE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","42 patients",,,"SCIP-INF-2 " "190255","PARK PLACE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "190255","PARK PLACE SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190255","PARK PLACE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","36 patients",,,"SCIP-INF-6 " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190255","PARK PLACE SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190255","PARK PLACE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","6 patients","1 ","1","SCIP-VTE-1 " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190255","PARK PLACE SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190255","PARK PLACE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","42 patients",,,"SCIP-INF-3 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","39%","51 patients",,,"SCIP-INF-3 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","19 patients","1 ","1","SCIP-VTE-2 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","1 patients","1,3 ","13","PN-7 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,3 ","13","HF-2 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","66 patients",,,"SCIP-INF-6 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "190256","DOCTORS' HOSPITAL OF SLIDELL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190256","DOCTORS' HOSPITAL OF SLIDELL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","52 patients",,,"SCIP-INF-1 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","36%","53 patients",,,"SCIP-INF-2 " "190256","DOCTORS' HOSPITAL OF SLIDELL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","19 patients","1 ","1","SCIP-VTE-1 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","182 patients",,,"SCIP-INF-3 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1,3 ","13","AMI-8A " "190257","GREEN CLINIC SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","4 patients","1,3 ","13","HF-2 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","188 patients",,,"SCIP-INF-1 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "190257","GREEN CLINIC SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","1 patients","1,3 ","13","PN-7 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","5 patients","1,3 ","13","HF-1 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "190257","GREEN CLINIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","80 patients",,,"SCIP-VTE-1 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","188 patients",,,"SCIP-INF-2 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,3 ","13","HF-3 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","23 patients","1 ","1","SCIP-CARD-2 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","80 patients",,,"SCIP-VTE-2 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","218 patients",,,"SCIP-INF-6 " "190257","GREEN CLINIC SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","116 patients",,,"SCIP-INF-3 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","118 patients",,,"SCIP-INF-2 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","60 patients",,,"SCIP-VTE-2 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","60 patients",,,"SCIP-VTE-1 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","116 patients",,,"SCIP-INF-1 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190259","LAFAYETTE SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","130 patients",,,"SCIP-INF-6 " "190261","OUACHITA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190261","OUACHITA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190261","OUACHITA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","10 patients","1,2 ","12","SCIP-INF-3 " "190261","OUACHITA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","13 patients","1,2 ","12","SCIP-INF-6 " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190261","OUACHITA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","7 patients","1,2 ","12","SCIP-VTE-2 " "190261","OUACHITA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190261","OUACHITA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","10 patients","1,2 ","12","SCIP-INF-2 " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190261","OUACHITA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190261","OUACHITA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190261","OUACHITA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","57%","7 patients","1,2 ","12","SCIP-VTE-1 " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190261","OUACHITA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190261","OUACHITA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190261","OUACHITA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190261","OUACHITA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "190261","OUACHITA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","10 patients","1,2 ","12","SCIP-INF-1 " "190263","HEART HOSPITAL OF LAFAYETTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","8 patients","1 ","1","SCIP-VTE-1 " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"HF-3 " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","59 patients",,,"AMI-1 " "190263","HEART HOSPITAL OF LAFAYETTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","357 patients",,,"SCIP-INF-2 " "190263","HEART HOSPITAL OF LAFAYETTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1 ","1","PN-5C " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190263","HEART HOSPITAL OF LAFAYETTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","7 patients","1 ","1","SCIP-VTE-2 " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","19 patients","1 ","1","AMI-8A " "190263","HEART HOSPITAL OF LAFAYETTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","385 patients",,,"SCIP-INF-6 " "190263","HEART HOSPITAL OF LAFAYETTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","305 patients",,,"SCIP-INF-4 " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","194 patients",,,"AMI-5 " "190263","HEART HOSPITAL OF LAFAYETTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","11 patients","1 ","1","PN-2 " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","210 patients",,,"AMI-2 " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","106 patients",,,"AMI-4 " "190263","HEART HOSPITAL OF LAFAYETTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","102 patients",,,"SCIP-CARD-2 " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","127 patients",,,"HF-1 " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"AMI-3 " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","133 patients",,,"HF-2 " "190263","HEART HOSPITAL OF LAFAYETTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","11 patients","1 ","1","PN-3B " "190263","HEART HOSPITAL OF LAFAYETTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "190263","HEART HOSPITAL OF LAFAYETTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","323 patients",,,"SCIP-INF-3 " "190263","HEART HOSPITAL OF LAFAYETTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "190263","HEART HOSPITAL OF LAFAYETTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1 ","1","PN-6 " "190263","HEART HOSPITAL OF LAFAYETTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "190263","HEART HOSPITAL OF LAFAYETTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","328 patients",,,"SCIP-INF-1 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190266","THE NEUROMEDICAL CENTER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190267","FAIRWAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190267","FAIRWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","107 patients","2 ","2","SCIP-INF-6 " "190267","FAIRWAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190267","FAIRWAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190267","FAIRWAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190267","FAIRWAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190267","FAIRWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190267","FAIRWAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190267","FAIRWAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190267","FAIRWAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190267","FAIRWAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190267","FAIRWAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190267","FAIRWAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190267","FAIRWAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190267","FAIRWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","30 patients","2 ","2","SCIP-VTE-2 " "190267","FAIRWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","89 patients","2 ","2","SCIP-INF-1 " "190267","FAIRWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","30 patients","2 ","2","SCIP-VTE-1 " "190267","FAIRWAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190267","FAIRWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","89 patients","2 ","2","SCIP-INF-2 " "190267","FAIRWAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190267","FAIRWAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190267","FAIRWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","89 patients","2 ","2","SCIP-INF-3 " "190267","FAIRWAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190267","FAIRWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1,2 ","12","SCIP-CARD-2 " "190267","FAIRWAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","30 patients",,,"SCIP-INF-2 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","8 patients","1 ","1","SCIP-VTE-1 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","30 patients",,,"SCIP-INF-1 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","69%","26 patients",,,"SCIP-INF-6 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","30 patients",,,"SCIP-INF-3 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","8 patients","1 ","1","SCIP-VTE-2 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190268","LAFAYETTE GENERAL SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190270","SOUTHERN SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190270","SOUTHERN SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190270","SOUTHERN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","248 patients","2 ","2","SCIP-INF-6 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190270","SOUTHERN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","202 patients","2 ","2","SCIP-INF-3 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190270","SOUTHERN SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190270","SOUTHERN SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190270","SOUTHERN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190270","SOUTHERN SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190270","SOUTHERN SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190270","SOUTHERN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","134 patients","2 ","2","SCIP-VTE-1 " "190270","SOUTHERN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","134 patients","2 ","2","SCIP-VTE-2 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190270","SOUTHERN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","203 patients","2 ","2","SCIP-INF-1 " "190270","SOUTHERN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","36 patients","2 ","2","SCIP-CARD-2 " "190270","SOUTHERN SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190270","SOUTHERN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","202 patients","2 ","2","SCIP-INF-2 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","113 patients",,,"SCIP-INF-6 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","91 patients",,,"SCIP-INF-3 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","44 patients",,,"SCIP-VTE-1 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","93 patients",,,"SCIP-INF-2 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","44 patients",,,"SCIP-VTE-2 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1 ","1","SCIP-CARD-2 " "190273","GREATER BATON ROUGE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","93 patients",,,"SCIP-INF-1 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","259 patients","2 ","2","SCIP-VTE-1 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","98 patients",,,"AMI-1 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","124 patients",,,"PN-3B " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","18 patients","1 ","1","AMI-8A " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","230 patients","2 ","2","SCIP-INF-3 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"AMI-4 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","243 patients","2 ","2","SCIP-INF-1 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","117 patients",,,"HF-3 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","78%","45 patients","2 ","2","SCIP-INF-4 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","109 patients",,,"AMI-2 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","109 patients",,,"AMI-5 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","258 patients","2 ","2","SCIP-VTE-2 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","62 patients",,,"PN-6 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","58%","65 patients",,,"PN-7 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","84 patients",,,"PN-2 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","67 patients",,,"SCIP-CARD-2 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","114 patients",,,"PN-5C " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","233 patients",,,"HF-1 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"HF-4 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","242 patients","2 ","2","SCIP-INF-2 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","254 patients",,,"HF-2 " "190274","OCHSNER MEDICAL CENTER-KENNER LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","460 patients","2 ","2","SCIP-INF-6 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","63%","155 patients",,,"SCIP-INF-3 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1 ","1","SCIP-CARD-2 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","156 patients",,,"SCIP-INF-2 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","96 patients",,,"SCIP-VTE-2 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","78%","161 patients",,,"SCIP-INF-6 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","96 patients",,,"SCIP-VTE-1 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","156 patients",,,"SCIP-INF-1 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190278","SPECIALISTS HOSPITAL SHREVEPORT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","4 patients","1,3 ","13","HF-2 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","26 patients","3 ","3","SCIP-INF-2 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","20 patients","1,3 ","13","PN-2 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","45%","38 patients","3 ","3","SCIP-INF-6 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","14 patients","1 ","1","PN-7 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","8 patients","1,3 ","13","SCIP-VTE-2 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","64%","36 patients","3 ","3","SCIP-INF-1 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,3 ","13","PN-4 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","25 patients","3 ","3","SCIP-INF-3 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients","3 ","3","PN-6 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,3 ","13","HF-1 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","8 patients","1,3 ","13","SCIP-VTE-1 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "190297","DOCTORS HOSPITAL AT DEER CREEK LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","25 patients","3 ","3","PN-5C " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","9 patients","1 ","1","SCIP-INF-1 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","79 patients",,,"HF-1 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","13 patients","1,2 ","12","SCIP-VTE-2 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","59 patients",,,"PN-5C " "19043F","ALEXANDRIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","8 patients","1 ","1","SCIP-INF-3 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","13 patients","1,2 ","12","SCIP-VTE-1 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","82 patients",,,"HF-2 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "19043F","ALEXANDRIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","16 patients","1,2 ","12","SCIP-INF-6 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","51 patients",,,"PN-3B " "19043F","ALEXANDRIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","33 patients",,,"HF-3 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","40 patients",,,"PN-2 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","42 patients",,,"PN-7 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","9 patients","1 ","1","SCIP-INF-2 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","24 patients","1 ","1","PN-6 " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "19043F","ALEXANDRIA VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-8A " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","213 patients",,,"HF-1 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","117 patients",,,"HF-3 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","44 patients",,,"AMI-5 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","60 patients",,,"PN-5C " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","45 patients",,,"AMI-2 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","71 patients",,,"PN-7 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","40 patients",,,"PN-3B " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"HF-4 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","55 patients",,,"PN-6 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","233 patients",,,"HF-2 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "19048F","OVERTON BROOKS VA MEDICAL CENTER (SHREVEPORT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","80 patients",,,"PN-2 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","3 patients","1,3 ","13","PN-2 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","9 patients","1,3 ","13","HF-1 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","38%","13 patients","1,3 ","13","HF-2 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "191303","ASSUMPTION COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,3 ","13","PN-6 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "191303","ASSUMPTION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","1 patients","1,3 ","13","PN-7 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "191303","ASSUMPTION COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,3 ","13","PN-3B " "191303","ASSUMPTION COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "191303","ASSUMPTION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "191305","ST JAMES PARISH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "191305","ST JAMES PARISH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "191305","ST JAMES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "191305","ST JAMES PARISH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "191305","ST JAMES PARISH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "191305","ST JAMES PARISH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "191305","ST JAMES PARISH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "191305","ST JAMES PARISH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "191305","ST JAMES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "191305","ST JAMES PARISH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "191305","ST JAMES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "191305","ST JAMES PARISH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "191305","ST JAMES PARISH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "191305","ST JAMES PARISH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "191305","ST JAMES PARISH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "191305","ST JAMES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "191305","ST JAMES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191305","ST JAMES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "191305","ST JAMES PARISH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "191305","ST JAMES PARISH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "191305","ST JAMES PARISH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "191305","ST JAMES PARISH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "191305","ST JAMES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "191305","ST JAMES PARISH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "191305","ST JAMES PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "191315","HARDTNER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "191315","HARDTNER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "191315","HARDTNER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","60%","5 patients","1,3 ","13","PN-5C " "191315","HARDTNER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "191315","HARDTNER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "191315","HARDTNER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "191315","HARDTNER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "191315","HARDTNER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "191315","HARDTNER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1,3 ","13","PN-2 " "191315","HARDTNER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "191315","HARDTNER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "191315","HARDTNER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "191315","HARDTNER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "191315","HARDTNER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "191315","HARDTNER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "191315","HARDTNER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "191315","HARDTNER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "191315","HARDTNER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191315","HARDTNER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","2 patients","1,3 ","13","PN-6 " "191315","HARDTNER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "191315","HARDTNER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "191315","HARDTNER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "191315","HARDTNER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "191315","HARDTNER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "191315","HARDTNER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "191316","POINTE COUPEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "191316","POINTE COUPEE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","38 patients","2 ","2","PN-7 " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "191316","POINTE COUPEE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","36 patients","2 ","2","PN-5C " "191316","POINTE COUPEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "191316","POINTE COUPEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","54 patients","2 ","2","HF-2 " "191316","POINTE COUPEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","HF-4 " "191316","POINTE COUPEE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","20 patients","1,2 ","12","PN-3B " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "191316","POINTE COUPEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "191316","POINTE COUPEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "191316","POINTE COUPEE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","24 patients","1,2 ","12","PN-6 " "191316","POINTE COUPEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1,2 ","12","HF-3 " "191316","POINTE COUPEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "191316","POINTE COUPEE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","PN-4 " "191316","POINTE COUPEE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","47 patients","2 ","2","PN-2 " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "191316","POINTE COUPEE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","41 patients","2 ","2","HF-1 " "191317","JACKSON PARISH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","29 patients","3 ","3","HF-1 " "191317","JACKSON PARISH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "191317","JACKSON PARISH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","35 patients","3 ","3","HF-2 " "191317","JACKSON PARISH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "191317","JACKSON PARISH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","29 patients","3 ","3","PN-2 " "191317","JACKSON PARISH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","45%","20 patients","1,3 ","13","PN-7 " "191317","JACKSON PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "191317","JACKSON PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "191317","JACKSON PARISH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","18 patients","1,3 ","13","HF-3 " "191317","JACKSON PARISH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "191317","JACKSON PARISH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "191317","JACKSON PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "191317","JACKSON PARISH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "191317","JACKSON PARISH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","17 patients","1,3 ","13","PN-5C " "191317","JACKSON PARISH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1,3 ","13","HF-4 " "191317","JACKSON PARISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "191317","JACKSON PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "191317","JACKSON PARISH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","21 patients","1,3 ","13","PN-6 " "191317","JACKSON PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "191317","JACKSON PARISH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","58%","19 patients","1,3 ","13","PN-4 " "191317","JACKSON PARISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "191317","JACKSON PARISH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "191317","JACKSON PARISH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "191317","JACKSON PARISH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","12 patients","1,3 ","13","PN-3B " "191317","JACKSON PARISH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191320","BIENVILLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "191320","BIENVILLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "191320","BIENVILLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "191320","BIENVILLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "191320","BIENVILLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "191320","BIENVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "191320","BIENVILLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "191320","BIENVILLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "191320","BIENVILLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "191320","BIENVILLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "191320","BIENVILLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "191320","BIENVILLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "191320","BIENVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "191320","BIENVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "191320","BIENVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "191320","BIENVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "191320","BIENVILLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "191320","BIENVILLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "191320","BIENVILLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "191320","BIENVILLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "191320","BIENVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191320","BIENVILLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "191320","BIENVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "191320","BIENVILLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "191320","BIENVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "191321","LALLIE KEMP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","81 patients",,,"SCIP-INF-1 " "191321","LALLIE KEMP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","80 patients",,,"SCIP-INF-2 " "191321","LALLIE KEMP MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","31 patients",,,"PN-3B " "191321","LALLIE KEMP MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "191321","LALLIE KEMP MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "191321","LALLIE KEMP MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","24 patients","1 ","1","PN-6 " "191321","LALLIE KEMP MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "191321","LALLIE KEMP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","79 patients",,,"SCIP-INF-3 " "191321","LALLIE KEMP MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "191321","LALLIE KEMP MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","69 patients",,,"SCIP-VTE-1 " "191321","LALLIE KEMP MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","HF-4 " "191321","LALLIE KEMP MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","69 patients",,,"SCIP-VTE-2 " "191321","LALLIE KEMP MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "191321","LALLIE KEMP MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","43 patients",,,"HF-2 " "191321","LALLIE KEMP MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients",,,"PN-5C " "191321","LALLIE KEMP MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "191321","LALLIE KEMP MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients",,,"HF-3 " "191321","LALLIE KEMP MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "191321","LALLIE KEMP MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"PN-4 " "191321","LALLIE KEMP MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1,3 ","13","SCIP-CARD-2 " "191321","LALLIE KEMP MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","15 patients","1 ","1","PN-7 " "191321","LALLIE KEMP MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","11 patients","1 ","1","PN-2 " "191321","LALLIE KEMP MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","43 patients",,,"HF-1 " "191321","LALLIE KEMP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","141 patients",,,"SCIP-INF-6 " "191321","LALLIE KEMP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","28 patients",,,"PN-5C " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","35%","17 patients","1 ","1","PN-7 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","PN-4 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","2 patients","1,3 ","13","AMI-2 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","41%","27 patients",,,"PN-2 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","5 patients","1 ","1","PN-6 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","HF-4 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","23 patients","1 ","1","PN-3B " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","32%","31 patients",,,"HF-2 " "191322","ABROM KAPLAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","18 patients","1 ","1","HF-1 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","35 patients","3 ","3","PN-2 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","31 patients",,,"PN-7 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","HF-3 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","32 patients","3 ","3","PN-6 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "191323","RICHLAND PARISH HOSPITAL-DELHI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","24 patients","1 ","1","HF-1 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,3 ","13","PN-4 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","10 patients","1,3 ","13","PN-3B " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "191323","RICHLAND PARISH HOSPITAL-DELHI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","47 patients","3 ","3","PN-5C " "191323","RICHLAND PARISH HOSPITAL-DELHI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "191323","RICHLAND PARISH HOSPITAL-DELHI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","35 patients",,,"HF-2 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","34 patients",,,"PN-5C " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","41 patients",,,"SCIP-INF-6 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","56%","18 patients","1 ","1","SCIP-VTE-2 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","36 patients",,,"HF-2 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","30 patients",,,"HF-1 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","25 patients",,,"PN-6 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-1 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","18 patients","1 ","1","SCIP-VTE-1 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","21 patients","1 ","1","SCIP-INF-2 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","22 patients","1 ","1","PN-3B " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","20 patients","1 ","1","SCIP-INF-3 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","25 patients",,,"PN-7 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","12 patients","1 ","1","HF-3 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","24 patients","1 ","1","PN-2 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "191324","OCHSNER ST ANNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","61 patients",,,"HF-2 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "191325","LADY OF THE SEA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","45 patients",,,"PN-6 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","52 patients",,,"PN-2 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","55 patients",,,"PN-3B " "191325","LADY OF THE SEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","53 patients",,,"HF-1 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","41 patients",,,"PN-7 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","52 patients",,,"PN-5C " "191325","LADY OF THE SEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "191325","LADY OF THE SEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "191326","TRI-WARD GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","11 patients","1,3 ","13","PN-2 " "191326","TRI-WARD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","55%","11 patients","1,3 ","13","HF-2 " "191326","TRI-WARD GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1,3 ","13","PN-5C " "191326","TRI-WARD GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","5 patients","1,3 ","13","HF-1 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "191326","TRI-WARD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "191326","TRI-WARD GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","8 patients","1,3 ","13","PN-7 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "191326","TRI-WARD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "191326","TRI-WARD GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "191326","TRI-WARD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "191326","TRI-WARD GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","PN-4 " "191326","TRI-WARD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "191326","TRI-WARD GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "191326","TRI-WARD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "191326","TRI-WARD GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","10 patients","1,3 ","13","PN-6 " "191326","TRI-WARD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "191326","TRI-WARD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "200001","ST JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","36 patients",,,"AMI-5 " "200001","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","83 patients","2 ","2","SCIP-CARD-2 " "200001","ST JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","69 patients",,,"AMI-1 " "200001","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","524 patients","2 ","2","SCIP-INF-1 " "200001","ST JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200001","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","525 patients","2 ","2","SCIP-INF-2 " "200001","ST JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","156 patients",,,"PN-2 " "200001","ST JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","112 patients",,,"HF-1 " "200001","ST JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","110 patients",,,"PN-7 " "200001","ST JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","65 patients",,,"PN-4 " "200001","ST JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","37 patients",,,"AMI-2 " "200001","ST JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","175 patients",,,"PN-5C " "200001","ST JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "200001","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "200001","ST JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "200001","ST JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","37 patients",,,"HF-3 " "200001","ST JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200001","ST JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "200001","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","661 patients","2 ","2","SCIP-INF-6 " "200001","ST JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","167 patients",,,"PN-3B " "200001","ST JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","129 patients",,,"PN-6 " "200001","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","357 patients","2 ","2","SCIP-VTE-1 " "200001","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","513 patients","2 ","2","SCIP-INF-3 " "200001","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","357 patients","2 ","2","SCIP-VTE-2 " "200001","ST JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","149 patients",,,"HF-2 " "200002","MILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","109 patients",,,"SCIP-INF-3 " "200002","MILES MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","59 patients",,,"PN-5C " "200002","MILES MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "200002","MILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","114 patients",,,"SCIP-INF-1 " "200002","MILES MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "200002","MILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","103 patients",,,"SCIP-VTE-2 " "200002","MILES MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "200002","MILES MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","60 patients",,,"PN-2 " "200002","MILES MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "200002","MILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","103 patients",,,"SCIP-VTE-1 " "200002","MILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","26 patients",,,"SCIP-CARD-2 " "200002","MILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200002","MILES MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","38 patients",,,"PN-7 " "200002","MILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","157 patients",,,"SCIP-INF-6 " "200002","MILES MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200002","MILES MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","34 patients",,,"HF-1 " "200002","MILES MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200002","MILES MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","36 patients",,,"PN-6 " "200002","MILES MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "200002","MILES MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "200002","MILES MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "200002","MILES MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","62 patients",,,"PN-3B " "200002","MILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","114 patients",,,"SCIP-INF-2 " "200002","MILES MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","56 patients",,,"HF-2 " "200002","MILES MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "200008","MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","123 patients",,,"PN-3B " "200008","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","78 patients","2 ","2","SCIP-CARD-2 " "200008","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","365 patients","2 ","2","SCIP-INF-2 " "200008","MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","131 patients",,,"PN-6 " "200008","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","554 patients","2 ","2","SCIP-INF-6 " "200008","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","259 patients","2 ","2","SCIP-VTE-2 " "200008","MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","34 patients",,,"AMI-5 " "200008","MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","82 patients",,,"PN-4 " "200008","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "200008","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","356 patients","2 ","2","SCIP-INF-3 " "200008","MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","60 patients",,,"AMI-1 " "200008","MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","33 patients",,,"AMI-2 " "200008","MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "200008","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","259 patients","2 ","2","SCIP-VTE-1 " "200008","MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","134 patients",,,"PN-7 " "200008","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","362 patients","2 ","2","SCIP-INF-1 " "200008","MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "200008","MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"HF-3 " "200008","MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","220 patients",,,"HF-2 " "200008","MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200008","MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","25 patients",,,"HF-4 " "200008","MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","136 patients",,,"HF-1 " "200008","MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","193 patients",,,"PN-5C " "200008","MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200008","MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","187 patients",,,"PN-2 " "200009","MAINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "200009","MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","244 patients","2 ","2","SCIP-VTE-1 " "200009","MAINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","296 patients",,,"AMI-4 " "200009","MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","776 patients","2 ","2","SCIP-INF-6 " "200009","MAINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","249 patients",,,"PN-5C " "200009","MAINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","117 patients",,,"AMI-3 " "200009","MAINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","924 patients",,,"AMI-2 " "200009","MAINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","216 patients",,,"PN-7 " "200009","MAINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","77 patients",,,"AMI-8A " "200009","MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","584 patients","2 ","2","SCIP-INF-2 " "200009","MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","184 patients","2 ","2","SCIP-INF-4 " "200009","MAINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","273 patients",,,"PN-3B " "200009","MAINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","89 patients",,,"PN-4 " "200009","MAINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","1023 patients",,,"AMI-5 " "200009","MAINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","436 patients",,,"HF-1 " "200009","MAINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","284 patients",,,"PN-2 " "200009","MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","561 patients","2 ","2","SCIP-INF-3 " "200009","MAINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","137 patients",,,"HF-3 " "200009","MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","573 patients","2 ","2","SCIP-INF-1 " "200009","MAINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","120 patients",,,"PN-6 " "200009","MAINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","70 patients",,,"HF-4 " "200009","MAINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","369 patients",,,"AMI-1 " "200009","MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","142 patients","2 ","2","SCIP-CARD-2 " "200009","MAINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","566 patients",,,"HF-2 " "200009","MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","244 patients","2 ","2","SCIP-VTE-2 " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","37 patients",,,"HF-2 " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "200018","AROOSTOOK MEDICAL CENTER,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","63 patients",,,"PN-5C " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "200018","AROOSTOOK MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","146 patients",,,"SCIP-INF-1 " "200018","AROOSTOOK MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200018","AROOSTOOK MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","145 patients",,,"SCIP-VTE-2 " "200018","AROOSTOOK MEDICAL CENTER,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","65 patients",,,"PN-3B " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","48 patients",,,"AMI-1 " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "200018","AROOSTOOK MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","192 patients",,,"SCIP-INF-6 " "200018","AROOSTOOK MEDICAL CENTER,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","58 patients",,,"PN-2 " "200018","AROOSTOOK MEDICAL CENTER,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "200018","AROOSTOOK MEDICAL CENTER,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","35 patients",,,"PN-7 " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","28 patients",,,"HF-1 " "200018","AROOSTOOK MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","145 patients",,,"SCIP-VTE-1 " "200018","AROOSTOOK MEDICAL CENTER,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","29 patients",,,"PN-6 " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "200018","AROOSTOOK MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","141 patients",,,"SCIP-INF-3 " "200018","AROOSTOOK MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","145 patients",,,"SCIP-INF-2 " "200018","AROOSTOOK MEDICAL CENTER,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200018","AROOSTOOK MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","40 patients",,,"SCIP-CARD-2 " "200019","SOUTHERN MAINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","109 patients","2 ","2","PN-2 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","97 patients",,,"AMI-1 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","HF-4 " "200019","SOUTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","317 patients","2 ","2","SCIP-INF-6 " "200019","SOUTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","198 patients","2 ","2","SCIP-INF-3 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","140 patients","2 ","2","HF-1 " "200019","SOUTHERN MAINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","112 patients","2 ","2","PN-5C " "200019","SOUTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","227 patients","2 ","2","HF-2 " "200019","SOUTHERN MAINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","73 patients","2 ","2","PN-7 " "200019","SOUTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","149 patients","2 ","2","SCIP-VTE-1 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","64 patients",,,"AMI-2 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "200019","SOUTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","202 patients","2 ","2","SCIP-INF-1 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200019","SOUTHERN MAINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","PN-4 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","61 patients",,,"AMI-5 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","51 patients","2 ","2","HF-3 " "200019","SOUTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","203 patients","2 ","2","SCIP-INF-2 " "200019","SOUTHERN MAINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","82 patients","2 ","2","PN-6 " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","AMI-3 " "200019","SOUTHERN MAINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","98 patients","2 ","2","PN-3B " "200019","SOUTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200019","SOUTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","149 patients","2 ","2","SCIP-VTE-2 " "200019","SOUTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","48 patients","2 ","2","SCIP-CARD-2 " "200020","YORK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","91 patients",,,"PN-5C " "200020","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","150 patients",,,"SCIP-INF-3 " "200020","YORK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200020","YORK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","111 patients",,,"HF-1 " "200020","YORK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "200020","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","160 patients",,,"SCIP-INF-2 " "200020","YORK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","80 patients",,,"AMI-2 " "200020","YORK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","140 patients",,,"SCIP-VTE-2 " "200020","YORK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","134 patients",,,"HF-2 " "200020","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","236 patients",,,"SCIP-INF-6 " "200020","YORK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","HF-3 " "200020","YORK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","109 patients",,,"PN-2 " "200020","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","155 patients",,,"SCIP-INF-1 " "200020","YORK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "200020","YORK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","80 patients",,,"PN-6 " "200020","YORK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients",,,"SCIP-CARD-2 " "200020","YORK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","67 patients",,,"PN-3B " "200020","YORK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"PN-4 " "200020","YORK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","71 patients",,,"PN-7 " "200020","YORK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "200020","YORK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","99 patients",,,"AMI-1 " "200020","YORK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","83 patients",,,"AMI-5 " "200020","YORK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","140 patients",,,"SCIP-VTE-1 " "200020","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200020","YORK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","16 patients","1 ","1","AMI-8A " "200021","MID COAST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","110 patients",,,"SCIP-VTE-1 " "200021","MID COAST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200021","MID COAST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","64 patients",,,"PN-3B " "200021","MID COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","243 patients",,,"SCIP-INF-6 " "200021","MID COAST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","87 patients",,,"PN-2 " "200021","MID COAST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "200021","MID COAST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","89 patients",,,"PN-5C " "200021","MID COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","164 patients",,,"SCIP-INF-2 " "200021","MID COAST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","101 patients",,,"HF-2 " "200021","MID COAST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "200021","MID COAST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "200021","MID COAST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200021","MID COAST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","87 patients",,,"HF-1 " "200021","MID COAST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","76 patients",,,"PN-6 " "200021","MID COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","156 patients",,,"SCIP-INF-3 " "200021","MID COAST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","54 patients",,,"PN-7 " "200021","MID COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","163 patients",,,"SCIP-INF-1 " "200021","MID COAST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","110 patients",,,"SCIP-VTE-2 " "200021","MID COAST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "200021","MID COAST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","35 patients",,,"AMI-1 " "200021","MID COAST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","40 patients",,,"SCIP-CARD-2 " "200021","MID COAST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "200021","MID COAST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200021","MID COAST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "200021","MID COAST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"HF-3 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","109 patients","2 ","2","AMI-4 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients","2 ","2","AMI-3 " "200024","CENTRAL MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","635 patients","2 ","2","SCIP-INF-6 " "200024","CENTRAL MAINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","42 patients","2 ","2","PN-4 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","291 patients","2 ","2","AMI-2 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","294 patients","2 ","2","AMI-5 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","41 patients",,,"HF-4 " "200024","CENTRAL MAINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","73 patients","2 ","2","PN-6 " "200024","CENTRAL MAINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","122 patients","2 ","2","PN-3B " "200024","CENTRAL MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","411 patients","2 ","2","SCIP-INF-3 " "200024","CENTRAL MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","432 patients","2 ","2","SCIP-INF-2 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","209 patients",,,"HF-1 " "200024","CENTRAL MAINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","103 patients","2 ","2","PN-7 " "200024","CENTRAL MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","429 patients","2 ","2","SCIP-INF-1 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","185 patients","2 ","2","AMI-1 " "200024","CENTRAL MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","196 patients","2 ","2","SCIP-VTE-2 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","76 patients",,,"HF-3 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","31 patients","2 ","2","AMI-8A " "200024","CENTRAL MAINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","136 patients","2 ","2","PN-5C " "200024","CENTRAL MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","100 patients","2 ","2","SCIP-CARD-2 " "200024","CENTRAL MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","196 patients","2 ","2","SCIP-VTE-1 " "200024","CENTRAL MAINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","144 patients","2 ","2","PN-2 " "200024","CENTRAL MAINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","274 patients",,,"HF-2 " "200024","CENTRAL MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","108 patients","2 ","2","SCIP-INF-4 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","31 patients",,,"PN-7 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","77 patients",,,"SCIP-INF-2 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","48 patients",,,"PN-3B " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","51 patients",,,"PN-2 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1,3 ","13","AMI-5 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","53%","64 patients",,,"SCIP-VTE-2 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","42 patients",,,"PN-5C " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","78 patients",,,"SCIP-INF-1 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","25%","8 patients","1 ","1","SCIP-CARD-2 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","53 patients",,,"HF-2 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","64 patients",,,"SCIP-VTE-1 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","76 patients",,,"SCIP-INF-3 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","43 patients",,,"HF-1 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","38 patients",,,"PN-6 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,3 ","13","AMI-2 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "200025","PARKVIEW ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","103 patients",,,"SCIP-INF-6 " "200031","CARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","125 patients",,,"SCIP-INF-6 " "200031","CARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "200031","CARY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200031","CARY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","47 patients",,,"HF-1 " "200031","CARY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","52 patients",,,"PN-2 " "200031","CARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200031","CARY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","32 patients",,,"PN-7 " "200031","CARY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "200031","CARY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","55 patients",,,"HF-2 " "200031","CARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","89 patients",,,"SCIP-INF-1 " "200031","CARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","74 patients",,,"SCIP-VTE-1 " "200031","CARY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "200031","CARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","74 patients",,,"SCIP-VTE-2 " "200031","CARY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "200031","CARY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "200031","CARY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","34 patients",,,"AMI-1 " "200031","CARY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "200031","CARY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "200031","CARY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "200031","CARY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","58 patients",,,"PN-5C " "200031","CARY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","46 patients",,,"PN-6 " "200031","CARY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","59 patients",,,"PN-3B " "200031","CARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","91 patients",,,"SCIP-INF-2 " "200031","CARY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "200031","CARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","87 patients",,,"SCIP-INF-3 " "200032","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","24 patients","1,2 ","12","SCIP-CARD-2 " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","48 patients",,,"HF-2 " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","34 patients",,,"HF-1 " "200032","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","65 patients",,,"PN-7 " "200032","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "200032","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","129 patients","2 ","2","SCIP-INF-1 " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "200032","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","178 patients","2 ","2","SCIP-INF-6 " "200032","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","114 patients",,,"PN-2 " "200032","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","127 patients","2 ","2","SCIP-INF-3 " "200032","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","100 patients",,,"PN-3B " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1,2 ","12","AMI-2 " "200032","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","119 patients",,,"PN-5C " "200032","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","130 patients","2 ","2","SCIP-INF-2 " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "200032","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","68 patients",,,"PN-6 " "200032","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","78 patients","2 ","2","SCIP-VTE-1 " "200032","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","77 patients","2 ","2","SCIP-VTE-2 " "200032","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1,2 ","12","AMI-1 " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "200032","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1,2 ","12","AMI-5 " "200033","EASTERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","268 patients","2 ","2","SCIP-CARD-2 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","301 patients",,,"AMI-4 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","233 patients",,,"HF-1 " "200033","EASTERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","491 patients","2 ","2","SCIP-VTE-1 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "200033","EASTERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1000 patients","2 ","2","SCIP-INF-1 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "200033","EASTERN MAINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","251 patients",,,"PN-3B " "200033","EASTERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1500 patients","2 ","2","SCIP-INF-6 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","28 patients",,,"AMI-8A " "200033","EASTERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","491 patients","2 ","2","SCIP-VTE-2 " "200033","EASTERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1034 patients","2 ","2","SCIP-INF-2 " "200033","EASTERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","950 patients","2 ","2","SCIP-INF-3 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","241 patients",,,"AMI-1 " "200033","EASTERN MAINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","101 patients",,,"PN-6 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","902 patients",,,"AMI-5 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","119 patients",,,"AMI-3 " "200033","EASTERN MAINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","132 patients",,,"PN-4 " "200033","EASTERN MAINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","202 patients",,,"PN-5C " "200033","EASTERN MAINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","826 patients",,,"AMI-2 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","282 patients",,,"HF-2 " "200033","EASTERN MAINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","193 patients",,,"PN-7 " "200033","EASTERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","428 patients","2 ","2","SCIP-INF-4 " "200033","EASTERN MAINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","217 patients",,,"PN-2 " "200033","EASTERN MAINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","80 patients",,,"HF-3 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","394 patients","2 ","2","SCIP-INF-2 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","71 patients",,,"PN-5C " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","HF-3 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","58 patients",,,"PN-3B " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","27 patients",,,"AMI-2 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","391 patients","2 ","2","SCIP-INF-1 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","233 patients","2 ","2","SCIP-VTE-2 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","66 patients",,,"PN-7 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","80 patients",,,"PN-2 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","44 patients",,,"AMI-1 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","64 patients","2 ","2","SCIP-CARD-2 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","116 patients",,,"HF-2 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","377 patients","2 ","2","SCIP-INF-3 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","233 patients","2 ","2","SCIP-VTE-1 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","525 patients","2 ","2","SCIP-INF-6 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","51 patients",,,"PN-6 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","63 patients",,,"HF-1 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200034","ST MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "200034","ST MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200037","FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","166 patients",,,"SCIP-INF-2 " "200037","FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","66 patients",,,"PN-2 " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "200037","FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","97 patients",,,"SCIP-VTE-2 " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","23 patients","1 ","1","AMI-2 " "200037","FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","29 patients",,,"SCIP-CARD-2 " "200037","FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","163 patients",,,"SCIP-INF-3 " "200037","FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","167 patients",,,"SCIP-INF-1 " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "200037","FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","35 patients",,,"PN-7 " "200037","FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","40 patients",,,"PN-6 " "200037","FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","213 patients",,,"SCIP-INF-6 " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","33 patients",,,"AMI-1 " "200037","FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200037","FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","55 patients",,,"PN-3B " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","71 patients",,,"HF-1 " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "200037","FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","68 patients",,,"PN-5C " "200037","FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1 ","1","PN-4 " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","87 patients",,,"HF-2 " "200037","FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","97 patients",,,"SCIP-VTE-1 " "200037","FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","69 patients",,,"HF-3 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","AMI-3 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","239 patients",,,"HF-2 " "200039","MAINE GENERAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","173 patients",,,"PN-6 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","178 patients",,,"HF-1 " "200039","MAINE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "200039","MAINE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","686 patients","2 ","2","SCIP-INF-3 " "200039","MAINE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","695 patients","2 ","2","SCIP-INF-2 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","94 patients",,,"AMI-2 " "200039","MAINE GENERAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","257 patients",,,"PN-2 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","103 patients",,,"AMI-5 " "200039","MAINE GENERAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","162 patients",,,"PN-7 " "200039","MAINE GENERAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","107 patients",,,"PN-4 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "200039","MAINE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","111 patients","2 ","2","SCIP-CARD-2 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","170 patients",,,"AMI-1 " "200039","MAINE GENERAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200039","MAINE GENERAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","268 patients",,,"PN-5C " "200039","MAINE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","391 patients","2 ","2","SCIP-VTE-2 " "200039","MAINE GENERAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","250 patients",,,"PN-3B " "200039","MAINE GENERAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200039","MAINE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","850 patients","2 ","2","SCIP-INF-6 " "200039","MAINE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","691 patients","2 ","2","SCIP-INF-1 " "200039","MAINE GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","391 patients","2 ","2","SCIP-VTE-1 " "20003F","TOGUS VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "20003F","TOGUS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","73 patients","2 ","2","SCIP-VTE-1 " "20003F","TOGUS VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","46 patients",,,"PN-7 " "20003F","TOGUS VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "20003F","TOGUS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","128 patients","2 ","2","SCIP-INF-6 " "20003F","TOGUS VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","28 patients",,,"PN-3B " "20003F","TOGUS VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","37 patients",,,"PN-2 " "20003F","TOGUS VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","45 patients",,,"HF-2 " "20003F","TOGUS VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "20003F","TOGUS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","88 patients",,,"SCIP-INF-1 " "20003F","TOGUS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","86 patients",,,"SCIP-INF-3 " "20003F","TOGUS VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","26 patients",,,"PN-4 " "20003F","TOGUS VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "20003F","TOGUS VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "20003F","TOGUS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","71 patients","2 ","2","SCIP-VTE-2 " "20003F","TOGUS VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "20003F","TOGUS VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","33 patients",,,"PN-5C " "20003F","TOGUS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "20003F","TOGUS VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","29 patients",,,"PN-6 " "20003F","TOGUS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","38 patients","2 ","2","SCIP-CARD-2 " "20003F","TOGUS VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "20003F","TOGUS VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "20003F","TOGUS VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "20003F","TOGUS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","88 patients",,,"SCIP-INF-2 " "20003F","TOGUS VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","40 patients",,,"HF-1 " "200040","HENRIETTA D GOODALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","47 patients",,,"AMI-1 " "200040","HENRIETTA D GOODALL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1 ","1","SCIP-CARD-2 " "200040","HENRIETTA D GOODALL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","87 patients",,,"PN-3B " "200040","HENRIETTA D GOODALL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","32 patients",,,"AMI-2 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "200040","HENRIETTA D GOODALL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","73 patients",,,"PN-6 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","45 patients",,,"AMI-5 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "200040","HENRIETTA D GOODALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","132 patients",,,"SCIP-INF-1 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "200040","HENRIETTA D GOODALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","161 patients",,,"SCIP-INF-6 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","83 patients",,,"HF-2 " "200040","HENRIETTA D GOODALL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","78 patients",,,"SCIP-VTE-1 " "200040","HENRIETTA D GOODALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","123 patients",,,"SCIP-INF-3 " "200040","HENRIETTA D GOODALL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","95 patients",,,"PN-5C " "200040","HENRIETTA D GOODALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","133 patients",,,"SCIP-INF-2 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200040","HENRIETTA D GOODALL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","64 patients",,,"PN-7 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","57 patients",,,"HF-1 " "200040","HENRIETTA D GOODALL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200040","HENRIETTA D GOODALL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","101 patients",,,"PN-2 " "200040","HENRIETTA D GOODALL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","78 patients",,,"SCIP-VTE-2 " "200041","INLAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","50 patients",,,"HF-2 " "200041","INLAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "200041","INLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","71 patients",,,"SCIP-INF-3 " "200041","INLAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "200041","INLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200041","INLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","69 patients",,,"SCIP-VTE-1 " "200041","INLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","110 patients",,,"SCIP-INF-6 " "200041","INLAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","50 patients",,,"PN-3B " "200041","INLAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200041","INLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","71 patients",,,"SCIP-INF-1 " "200041","INLAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "200041","INLAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","26 patients",,,"PN-6 " "200041","INLAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","23 patients","1 ","1","PN-7 " "200041","INLAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "200041","INLAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "200041","INLAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","36 patients",,,"HF-1 " "200041","INLAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "200041","INLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","69 patients",,,"SCIP-VTE-2 " "200041","INLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","71 patients",,,"SCIP-INF-2 " "200041","INLAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "200041","INLAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","42 patients",,,"PN-2 " "200041","INLAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200041","INLAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","46 patients",,,"PN-5C " "200041","INLAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "200041","INLAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "200050","MAINE COAST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","148 patients","2 ","2","SCIP-INF-2 " "200050","MAINE COAST MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","69 patients",,,"PN-5C " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "200050","MAINE COAST MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"PN-4 " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","AMI-4 " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200050","MAINE COAST MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","57 patients",,,"PN-7 " "200050","MAINE COAST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","28 patients","2 ","2","SCIP-CARD-2 " "200050","MAINE COAST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","148 patients","2 ","2","SCIP-INF-1 " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "200050","MAINE COAST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","166 patients","2 ","2","SCIP-VTE-2 " "200050","MAINE COAST MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","43 patients",,,"PN-6 " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","58 patients",,,"HF-2 " "200050","MAINE COAST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","145 patients","2 ","2","SCIP-INF-3 " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","35 patients",,,"AMI-1 " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","18 patients","1 ","1","AMI-5 " "200050","MAINE COAST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "200050","MAINE COAST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","166 patients","2 ","2","SCIP-VTE-1 " "200050","MAINE COAST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","214 patients","2 ","2","SCIP-INF-6 " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","45 patients",,,"HF-1 " "200050","MAINE COAST MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "200050","MAINE COAST MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","85 patients",,,"PN-2 " "200050","MAINE COAST MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","64 patients",,,"PN-3B " "200052","NORTHERN MAINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "200052","NORTHERN MAINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","25 patients",,,"PN-7 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "200052","NORTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","33 patients",,,"SCIP-INF-3 " "200052","NORTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","32 patients",,,"SCIP-VTE-1 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","40 patients",,,"HF-2 " "200052","NORTHERN MAINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","43 patients",,,"PN-3B " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "200052","NORTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","32 patients",,,"SCIP-VTE-2 " "200052","NORTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","50 patients",,,"SCIP-INF-6 " "200052","NORTHERN MAINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","40 patients",,,"PN-5C " "200052","NORTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","37 patients",,,"SCIP-INF-1 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","30 patients",,,"HF-1 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200052","NORTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","38 patients",,,"SCIP-INF-2 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "200052","NORTHERN MAINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","44 patients",,,"PN-2 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "200052","NORTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","8 patients","1 ","1","SCIP-CARD-2 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200052","NORTHERN MAINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200052","NORTHERN MAINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "200052","NORTHERN MAINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","25 patients",,,"PN-6 " "200063","PENOBSCOT BAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","107 patients",,,"PN-3B " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","100 patients",,,"HF-2 " "200063","PENOBSCOT BAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","63 patients",,,"PN-7 " "200063","PENOBSCOT BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","201 patients",,,"SCIP-INF-3 " "200063","PENOBSCOT BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "200063","PENOBSCOT BAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","103 patients",,,"PN-2 " "200063","PENOBSCOT BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","206 patients",,,"SCIP-INF-1 " "200063","PENOBSCOT BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","122 patients",,,"SCIP-VTE-1 " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","18 patients","1 ","1","HF-3 " "200063","PENOBSCOT BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","281 patients",,,"SCIP-INF-6 " "200063","PENOBSCOT BAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","73 patients",,,"PN-6 " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","AMI-4 " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "200063","PENOBSCOT BAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","99 patients",,,"PN-5C " "200063","PENOBSCOT BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","208 patients",,,"SCIP-INF-2 " "200063","PENOBSCOT BAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","36 patients",,,"PN-4 " "200063","PENOBSCOT BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","121 patients",,,"SCIP-VTE-2 " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","36 patients",,,"AMI-1 " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","72 patients",,,"HF-1 " "200063","PENOBSCOT BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","37 patients",,,"SCIP-CARD-2 " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "200063","PENOBSCOT BAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "201300","BLUE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","47 patients",,,"SCIP-INF-1 " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "201300","BLUE HILL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","22 patients","1 ","1","PN-5C " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","14 patients","1 ","1","HF-2 " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","10 patients","1 ","1","HF-1 " "201300","BLUE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","52 patients",,,"SCIP-INF-6 " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "201300","BLUE HILL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1 ","1","PN-3B " "201300","BLUE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","24 patients","1 ","1","SCIP-VTE-2 " "201300","BLUE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","24 patients","1 ","1","SCIP-VTE-1 " "201300","BLUE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","47 patients",,,"SCIP-INF-3 " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "201300","BLUE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "201300","BLUE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201300","BLUE HILL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","47 patients",,,"SCIP-INF-2 " "201300","BLUE HILL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","17 patients","1 ","1","PN-6 " "201300","BLUE HILL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","21 patients","1 ","1","PN-2 " "201300","BLUE HILL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "201300","BLUE HILL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "201300","BLUE HILL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","11 patients","1 ","1","PN-7 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","40%","5 patients","1,2 ","12","PN-6 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","10 patients","1,2 ","12","PN-2 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","13 patients","1 ","1","HF-2 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","PN-4 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,2 ","12","PN-5C " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1,2 ","12","PN-3B " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","30%","10 patients","1 ","1","HF-1 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1,2 ","12","PN-7 " "201301","CHARLES A DEAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "201302","ST ANDREWS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "201302","ST ANDREWS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "201302","ST ANDREWS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","13 patients","1 ","1","PN-2 " "201302","ST ANDREWS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "201302","ST ANDREWS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","6 patients","1 ","1","HF-1 " "201302","ST ANDREWS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "201302","ST ANDREWS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "201302","ST ANDREWS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "201302","ST ANDREWS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "201302","ST ANDREWS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "201302","ST ANDREWS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "201302","ST ANDREWS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201302","ST ANDREWS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","10 patients","1 ","1","PN-7 " "201302","ST ANDREWS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "201302","ST ANDREWS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "201302","ST ANDREWS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","7 patients","1 ","1","HF-2 " "201302","ST ANDREWS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201302","ST ANDREWS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1 ","1","PN-3B " "201302","ST ANDREWS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "201302","ST ANDREWS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "201302","ST ANDREWS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1 ","1","PN-5C " "201302","ST ANDREWS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "201302","ST ANDREWS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "201302","ST ANDREWS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "201302","ST ANDREWS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "201303","PENOBSCOT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1 ","1","SCIP-VTE-1 " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "201303","PENOBSCOT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1 ","1","SCIP-VTE-2 " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","12 patients","1 ","1","HF-1 " "201303","PENOBSCOT VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","PN-4 " "201303","PENOBSCOT VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","47 patients",,,"PN-5C " "201303","PENOBSCOT VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","29 patients",,,"PN-6 " "201303","PENOBSCOT VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","44 patients",,,"PN-2 " "201303","PENOBSCOT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201303","PENOBSCOT VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","30 patients",,,"PN-7 " "201303","PENOBSCOT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","6 patients","1 ","1","SCIP-INF-3 " "201303","PENOBSCOT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","6 patients","1 ","1","SCIP-INF-1 " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "201303","PENOBSCOT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1 ","1","SCIP-INF-6 " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","23 patients","1 ","1","HF-2 " "201303","PENOBSCOT VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","36 patients",,,"PN-3B " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "201303","PENOBSCOT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "201303","PENOBSCOT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","33%","6 patients","1 ","1","SCIP-INF-2 " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "201303","PENOBSCOT VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201304","MOUNT DESERT ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","34 patients",,,"SCIP-INF-6 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","24 patients","1,2 ","12","HF-1 " "201304","MOUNT DESERT ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","17 patients","1 ","1","SCIP-INF-1 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "201304","MOUNT DESERT ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","22 patients","1 ","1","SCIP-VTE-1 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "201304","MOUNT DESERT ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","17 patients","1 ","1","SCIP-INF-2 " "201304","MOUNT DESERT ISLAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","PN-4 " "201304","MOUNT DESERT ISLAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","40 patients","2 ","2","PN-2 " "201304","MOUNT DESERT ISLAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","36 patients","2 ","2","PN-3B " "201304","MOUNT DESERT ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","HF-4 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "201304","MOUNT DESERT ISLAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients","2 ","2","PN-5C " "201304","MOUNT DESERT ISLAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","23 patients","1,2 ","12","PN-6 " "201304","MOUNT DESERT ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","43 patients","2 ","2","HF-2 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,2 ","12","HF-3 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "201304","MOUNT DESERT ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","17 patients","1 ","1","SCIP-INF-3 " "201304","MOUNT DESERT ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","22 patients","1 ","1","SCIP-VTE-2 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "201304","MOUNT DESERT ISLAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201304","MOUNT DESERT ISLAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","24 patients","1,2 ","12","PN-7 " "201305","CALAIS REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","PN-4 " "201305","CALAIS REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "201305","CALAIS REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","29 patients",,,"PN-7 " "201305","CALAIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","59 patients",,,"SCIP-INF-6 " "201305","CALAIS REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","14 patients","1 ","1","HF-1 " "201305","CALAIS REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201305","CALAIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","51 patients",,,"SCIP-INF-1 " "201305","CALAIS REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","17 patients","1 ","1","HF-2 " "201305","CALAIS REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","39 patients",,,"PN-2 " "201305","CALAIS REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","46 patients",,,"PN-5C " "201305","CALAIS REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "201305","CALAIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","36 patients",,,"SCIP-VTE-2 " "201305","CALAIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201305","CALAIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "201305","CALAIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","50 patients",,,"SCIP-INF-3 " "201305","CALAIS REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "201305","CALAIS REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "201305","CALAIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","52 patients",,,"SCIP-INF-2 " "201305","CALAIS REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "201305","CALAIS REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "201305","CALAIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","36 patients",,,"SCIP-VTE-1 " "201305","CALAIS REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201305","CALAIS REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients",,,"PN-6 " "201305","CALAIS REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "201305","CALAIS REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "201306","RUMFORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "201306","RUMFORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201306","RUMFORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "201306","RUMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","3 patients","1 ","1","SCIP-INF-2 " "201306","RUMFORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","41 patients",,,"PN-3B " "201306","RUMFORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","26 patients",,,"PN-6 " "201306","RUMFORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","HF-4 " "201306","RUMFORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","30 patients",,,"PN-7 " "201306","RUMFORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2 ","12","HF-3 " "201306","RUMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","2 patients","1 ","1","SCIP-INF-3 " "201306","RUMFORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","38 patients","2 ","2","HF-2 " "201306","RUMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1 ","1","SCIP-INF-6 " "201306","RUMFORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "201306","RUMFORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","24 patients","1,2 ","12","HF-1 " "201306","RUMFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","4 patients","1 ","1","SCIP-VTE-1 " "201306","RUMFORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","47 patients",,,"PN-5C " "201306","RUMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-1 " "201306","RUMFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201306","RUMFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","4 patients","1 ","1","SCIP-VTE-2 " "201306","RUMFORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "201306","RUMFORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "201306","RUMFORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201306","RUMFORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "201306","RUMFORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "201306","RUMFORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","49 patients",,,"PN-2 " "201307","MILLINOCKET REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","25 patients",,,"PN-7 " "201307","MILLINOCKET REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "201307","MILLINOCKET REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1 ","1","PN-6 " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "201307","MILLINOCKET REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1,2 ","12","SCIP-CARD-2 " "201307","MILLINOCKET REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","33 patients",,,"PN-2 " "201307","MILLINOCKET REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","43 patients","2 ","2","SCIP-VTE-2 " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "201307","MILLINOCKET REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","32 patients",,,"PN-3B " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201307","MILLINOCKET REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients",,,"PN-5C " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "201307","MILLINOCKET REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","41 patients","2 ","2","SCIP-INF-1 " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","36 patients",,,"HF-2 " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "201307","MILLINOCKET REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","39 patients","2 ","2","SCIP-INF-3 " "201307","MILLINOCKET REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","56 patients","2 ","2","SCIP-INF-6 " "201307","MILLINOCKET REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201307","MILLINOCKET REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","41 patients","2 ","2","SCIP-INF-2 " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "201307","MILLINOCKET REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","43 patients","2 ","2","SCIP-VTE-1 " "201307","MILLINOCKET REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","20 patients","1 ","1","HF-1 " "201308","HOULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","36 patients",,,"SCIP-INF-2 " "201308","HOULTON REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","54 patients",,,"PN-6 " "201308","HOULTON REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","77 patients",,,"PN-2 " "201308","HOULTON REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "201308","HOULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "201308","HOULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","18 patients","1 ","1","SCIP-VTE-2 " "201308","HOULTON REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "201308","HOULTON REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "201308","HOULTON REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","79 patients",,,"PN-5C " "201308","HOULTON REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "201308","HOULTON REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","65 patients",,,"PN-3B " "201308","HOULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","37 patients",,,"SCIP-INF-6 " "201308","HOULTON REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "201308","HOULTON REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "201308","HOULTON REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "201308","HOULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","34 patients",,,"SCIP-INF-3 " "201308","HOULTON REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","51 patients",,,"HF-2 " "201308","HOULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","18 patients","1 ","1","SCIP-VTE-1 " "201308","HOULTON REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201308","HOULTON REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "201308","HOULTON REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","28 patients",,,"HF-1 " "201308","HOULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","35 patients",,,"SCIP-INF-1 " "201308","HOULTON REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","42 patients",,,"PN-7 " "201308","HOULTON REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "201308","HOULTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201309","MAYO REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","48 patients",,,"PN-2 " "201309","MAYO REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","61 patients",,,"PN-5C " "201309","MAYO REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","25 patients",,,"HF-1 " "201309","MAYO REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "201309","MAYO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","138 patients","2 ","2","SCIP-INF-3 " "201309","MAYO REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "201309","MAYO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","161 patients","2 ","2","SCIP-INF-6 " "201309","MAYO REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "201309","MAYO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","65 patients","2 ","2","SCIP-VTE-2 " "201309","MAYO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "201309","MAYO REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","32 patients",,,"PN-7 " "201309","MAYO REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "201309","MAYO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","65 patients","2 ","2","SCIP-VTE-1 " "201309","MAYO REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "201309","MAYO REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","44 patients",,,"PN-6 " "201309","MAYO REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "201309","MAYO REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201309","MAYO REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","41 patients",,,"PN-3B " "201309","MAYO REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "201309","MAYO REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","30 patients",,,"HF-2 " "201309","MAYO REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","32 patients",,,"AMI-1 " "201309","MAYO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","33 patients","2 ","2","SCIP-CARD-2 " "201309","MAYO REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "201309","MAYO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","138 patients","2 ","2","SCIP-INF-2 " "201309","MAYO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","138 patients","2 ","2","SCIP-INF-1 " "201310","BRIDGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","38 patients",,,"PN-6 " "201310","BRIDGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "201310","BRIDGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","17 patients","1 ","1","SCIP-INF-3 " "201310","BRIDGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "201310","BRIDGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "201310","BRIDGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","40 patients",,,"HF-2 " "201310","BRIDGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","58 patients",,,"PN-3B " "201310","BRIDGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","18 patients","1 ","1","PN-4 " "201310","BRIDGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","22 patients","1 ","1","SCIP-INF-6 " "201310","BRIDGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "201310","BRIDGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","53 patients",,,"PN-2 " "201310","BRIDGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "201310","BRIDGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","33 patients",,,"HF-1 " "201310","BRIDGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","12 patients","1 ","1","SCIP-VTE-2 " "201310","BRIDGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "201310","BRIDGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","12 patients","1 ","1","SCIP-VTE-1 " "201310","BRIDGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","61 patients",,,"PN-5C " "201310","BRIDGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "201310","BRIDGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201310","BRIDGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","43 patients",,,"PN-7 " "201310","BRIDGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-2 " "201310","BRIDGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "201310","BRIDGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "201310","BRIDGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "201310","BRIDGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","17 patients","1 ","1","SCIP-INF-1 " "201311","DOWN EAST COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","44 patients",,,"PN-5C " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","35 patients",,,"HF-1 " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201311","DOWN EAST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","31 patients",,,"SCIP-INF-1 " "201311","DOWN EAST COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "201311","DOWN EAST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","41 patients",,,"HF-2 " "201311","DOWN EAST COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","36 patients",,,"PN-2 " "201311","DOWN EAST COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "201311","DOWN EAST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","48 patients",,,"SCIP-INF-6 " "201311","DOWN EAST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","31 patients",,,"SCIP-INF-2 " "201311","DOWN EAST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","30 patients",,,"SCIP-INF-3 " "201311","DOWN EAST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","34 patients",,,"SCIP-VTE-2 " "201311","DOWN EAST COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","47 patients",,,"PN-3B " "201311","DOWN EAST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1 ","1","SCIP-CARD-2 " "201311","DOWN EAST COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","23 patients","1 ","1","PN-7 " "201311","DOWN EAST COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","34 patients",,,"SCIP-VTE-1 " "201311","DOWN EAST COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients",,,"PN-6 " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "201312","WALDO COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","87 patients",,,"SCIP-INF-2 " "201312","WALDO COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","82 patients",,,"SCIP-INF-3 " "201312","WALDO COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","86 patients",,,"SCIP-INF-1 " "201312","WALDO COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","95 patients",,,"PN-2 " "201312","WALDO COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","47 patients",,,"PN-7 " "201312","WALDO COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "201312","WALDO COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","67 patients",,,"PN-6 " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","42 patients",,,"HF-1 " "201312","WALDO COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "201312","WALDO COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","58 patients",,,"HF-2 " "201312","WALDO COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","77 patients",,,"SCIP-VTE-1 " "201312","WALDO COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","77 patients",,,"SCIP-VTE-2 " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "201312","WALDO COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","133 patients",,,"SCIP-INF-6 " "201312","WALDO COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","58 patients",,,"PN-3B " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "201312","WALDO COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "201312","WALDO COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","77 patients",,,"PN-5C " "201313","SEBASTICOOK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "201313","SEBASTICOOK VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","37 patients",,,"PN-2 " "201313","SEBASTICOOK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","27 patients",,,"SCIP-VTE-2 " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "201313","SEBASTICOOK VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","28 patients",,,"PN-7 " "201313","SEBASTICOOK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","37 patients",,,"SCIP-INF-6 " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "201313","SEBASTICOOK VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","33 patients",,,"PN-6 " "201313","SEBASTICOOK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","27 patients",,,"SCIP-VTE-1 " "201313","SEBASTICOOK VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","40 patients",,,"PN-3B " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "201313","SEBASTICOOK VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","40 patients",,,"PN-5C " "201313","SEBASTICOOK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","29 patients",,,"SCIP-INF-2 " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","54 patients",,,"HF-2 " "201313","SEBASTICOOK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201313","SEBASTICOOK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","28 patients",,,"SCIP-INF-3 " "201313","SEBASTICOOK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","28 patients",,,"SCIP-INF-1 " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201313","SEBASTICOOK VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","37 patients",,,"HF-1 " "201313","SEBASTICOOK VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","109 patients",,,"PN-2 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","36 patients",,,"SCIP-INF-2 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","34 patients",,,"SCIP-INF-3 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","35 patients",,,"SCIP-VTE-2 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","36 patients",,,"SCIP-INF-1 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","50 patients",,,"SCIP-INF-6 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","63 patients",,,"PN-6 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","95 patients",,,"PN-7 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","69 patients",,,"HF-2 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","100 patients",,,"PN-5C " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","35 patients",,,"SCIP-VTE-1 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","50 patients",,,"HF-1 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","80 patients",,,"PN-3B " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "201314","REDINGTON FAIRVIEW GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","318 patients",,,"HF-1 " "210001","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1265 patients",,,"SCIP-INF-6 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","82 patients",,,"HF-3 " "210001","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","511 patients",,,"SCIP-VTE-2 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","93 patients",,,"AMI-2 " "210001","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","199 patients",,,"PN-4 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "210001","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","839 patients",,,"SCIP-INF-1 " "210001","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","307 patients",,,"PN-6 " "210001","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","476 patients",,,"PN-5C " "210001","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","794 patients",,,"SCIP-INF-3 " "210001","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","293 patients",,,"PN-3B " "210001","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","511 patients",,,"SCIP-VTE-1 " "210001","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","50 patients",,,"AMI-8A " "210001","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "210001","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","835 patients",,,"SCIP-INF-2 " "210001","WASHINGTON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","185 patients",,,"SCIP-CARD-2 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","99 patients",,,"AMI-5 " "210001","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","407 patients",,,"PN-2 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","124 patients",,,"AMI-1 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","402 patients",,,"HF-2 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "210001","WASHINGTON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","308 patients",,,"PN-7 " "210001","WASHINGTON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","237 patients","2 ","2","SCIP-CARD-2 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","207 patients",,,"PN-4 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","211 patients",,,"AMI-4 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","446 patients","2 ","2","SCIP-VTE-1 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","737 patients","2 ","2","SCIP-INF-1 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","104 patients",,,"AMI-3 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","220 patients",,,"PN-5C " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","499 patients","2 ","2","SCIP-INF-4 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","454 patients",,,"AMI-2 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","443 patients","2 ","2","SCIP-VTE-2 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","783 patients","2 ","2","SCIP-INF-2 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","125 patients",,,"PN-2 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","99 patients",,,"PN-6 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","133 patients",,,"PN-7 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","471 patients",,,"AMI-5 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","70 patients",,,"AMI-1 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","380 patients",,,"HF-2 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1285 patients","2 ","2","SCIP-INF-6 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","191 patients",,,"PN-3B " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","341 patients",,,"HF-1 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","691 patients","2 ","2","SCIP-INF-3 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","20%","15 patients","1 ","1","AMI-8A " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","217 patients",,,"HF-3 " "210002","UNIVERSITY OF MARYLAND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","111 patients",,,"HF-4 " "210003","PRINCE GEORGES HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","80 patients",,,"PN-3B " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","89 patients","2 ","2","HF-3 " "210003","PRINCE GEORGES HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","110 patients","2 ","2","SCIP-INF-1 " "210003","PRINCE GEORGES HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","119 patients","2 ","2","SCIP-INF-2 " "210003","PRINCE GEORGES HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","85 patients","2 ","2","SCIP-VTE-2 " "210003","PRINCE GEORGES HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","38%","73 patients",,,"PN-7 " "210003","PRINCE GEORGES HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","40%","95 patients",,,"PN-2 " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","52 patients",,,"AMI-4 " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210003","PRINCE GEORGES HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","24 patients","1,2 ","12","SCIP-INF-4 " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","34 patients",,,"AMI-3 " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","289 patients","2 ","2","HF-2 " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","73 patients","2 ","2","HF-4 " "210003","PRINCE GEORGES HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","164 patients",,,"AMI-2 " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","153 patients",,,"AMI-1 " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","264 patients","2 ","2","HF-1 " "210003","PRINCE GEORGES HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","46 patients",,,"PN-5C " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","164 patients",,,"AMI-5 " "210003","PRINCE GEORGES HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","107 patients","2 ","2","SCIP-INF-3 " "210003","PRINCE GEORGES HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","53 patients",,,"PN-6 " "210003","PRINCE GEORGES HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","244 patients","2 ","2","SCIP-INF-6 " "210003","PRINCE GEORGES HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","63%","90 patients","2 ","2","SCIP-VTE-1 " "210003","PRINCE GEORGES HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","55%","55 patients",,,"PN-4 " "210003","PRINCE GEORGES HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","15 patients","1 ","1","AMI-8A " "210004","HOLY CROSS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","120 patients","2 ","2","HF-3 " "210004","HOLY CROSS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","135 patients",,,"AMI-1 " "210004","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","84 patients","2 ","2","SCIP-CARD-2 " "210004","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","381 patients","2 ","2","SCIP-INF-3 " "210004","HOLY CROSS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","398 patients","2 ","2","HF-2 " "210004","HOLY CROSS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","32 patients","2 ","2","PN-4 " "210004","HOLY CROSS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "210004","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","405 patients","2 ","2","SCIP-INF-2 " "210004","HOLY CROSS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","225 patients","2 ","2","PN-5C " "210004","HOLY CROSS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","144 patients","2 ","2","PN-6 " "210004","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","680 patients","2 ","2","SCIP-INF-6 " "210004","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","406 patients","2 ","2","SCIP-INF-1 " "210004","HOLY CROSS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "210004","HOLY CROSS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","194 patients","2 ","2","PN-7 " "210004","HOLY CROSS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","83 patients",,,"AMI-5 " "210004","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","327 patients","2 ","2","SCIP-VTE-1 " "210004","HOLY CROSS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","306 patients","2 ","2","HF-1 " "210004","HOLY CROSS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210004","HOLY CROSS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","89 patients",,,"AMI-2 " "210004","HOLY CROSS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","183 patients","2 ","2","PN-3B " "210004","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "210004","HOLY CROSS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","280 patients","2 ","2","PN-2 " "210004","HOLY CROSS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","327 patients","2 ","2","SCIP-VTE-2 " "210004","HOLY CROSS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","45 patients","2 ","2","HF-4 " "210004","HOLY CROSS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","44 patients",,,"AMI-8A " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"AMI-3 " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","476 patients",,,"HF-2 " "210005","FREDERICK MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","382 patients",,,"PN-5C " "210005","FREDERICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","382 patients","2 ","2","SCIP-INF-6 " "210005","FREDERICK MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","104 patients",,,"PN-4 " "210005","FREDERICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","163 patients","2 ","2","SCIP-VTE-1 " "210005","FREDERICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","266 patients","2 ","2","SCIP-INF-2 " "210005","FREDERICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","254 patients","2 ","2","SCIP-INF-3 " "210005","FREDERICK MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","249 patients",,,"PN-6 " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","130 patients",,,"AMI-2 " "210005","FREDERICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","162 patients","2 ","2","SCIP-VTE-2 " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","354 patients",,,"HF-1 " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","57 patients",,,"AMI-8A " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","133 patients",,,"AMI-5 " "210005","FREDERICK MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","296 patients",,,"PN-7 " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","123 patients",,,"HF-3 " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210005","FREDERICK MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","421 patients",,,"PN-2 " "210005","FREDERICK MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","236 patients",,,"PN-3B " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","166 patients",,,"AMI-1 " "210005","FREDERICK MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "210005","FREDERICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","62 patients","2 ","2","SCIP-CARD-2 " "210005","FREDERICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210005","FREDERICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","262 patients","2 ","2","SCIP-INF-1 " "210006","HARFORD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","158 patients",,,"HF-1 " "210006","HARFORD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","49 patients",,,"HF-3 " "210006","HARFORD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","125 patients",,,"PN-6 " "210006","HARFORD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","127 patients",,,"PN-2 " "210006","HARFORD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","161 patients",,,"PN-5C " "210006","HARFORD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "210006","HARFORD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"PN-4 " "210006","HARFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","99 patients",,,"SCIP-INF-2 " "210006","HARFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","95 patients",,,"SCIP-INF-1 " "210006","HARFORD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "210006","HARFORD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "210006","HARFORD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "210006","HARFORD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","41 patients",,,"AMI-1 " "210006","HARFORD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "210006","HARFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","23 patients","1 ","1","SCIP-CARD-2 " "210006","HARFORD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "210006","HARFORD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210006","HARFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1 ","1","SCIP-INF-4 " "210006","HARFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","85 patients",,,"SCIP-VTE-2 " "210006","HARFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","91 patients",,,"SCIP-INF-3 " "210006","HARFORD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","175 patients",,,"PN-3B " "210006","HARFORD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","184 patients",,,"HF-2 " "210006","HARFORD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","99 patients",,,"PN-7 " "210006","HARFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","170 patients",,,"SCIP-INF-6 " "210006","HARFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","85 patients",,,"SCIP-VTE-1 " "210007","SAINT JOSEPH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","144 patients","2 ","2","PN-3B " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","320 patients","2 ","2","AMI-2 " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","559 patients",,,"HF-2 " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients","2 ","2","AMI-3 " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","27 patients","2 ","2","AMI-8A " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","98 patients","2 ","2","AMI-4 " "210007","SAINT JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","399 patients","2 ","2","SCIP-INF-2 " "210007","SAINT JOSEPH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","162 patients","2 ","2","PN-5C " "210007","SAINT JOSEPH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","116 patients","2 ","2","PN-7 " "210007","SAINT JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","161 patients","2 ","2","SCIP-VTE-1 " "210007","SAINT JOSEPH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","171 patients","2 ","2","PN-2 " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","275 patients","2 ","2","AMI-5 " "210007","SAINT JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","161 patients","2 ","2","SCIP-VTE-2 " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","155 patients","2 ","2","AMI-1 " "210007","SAINT JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","336 patients","2 ","2","SCIP-INF-3 " "210007","SAINT JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","116 patients","2 ","2","SCIP-CARD-2 " "210007","SAINT JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","128 patients","2 ","2","SCIP-INF-4 " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","134 patients",,,"HF-3 " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"HF-4 " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "210007","SAINT JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","592 patients","2 ","2","SCIP-INF-6 " "210007","SAINT JOSEPH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","50 patients","2 ","2","PN-4 " "210007","SAINT JOSEPH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","102 patients","2 ","2","PN-6 " "210007","SAINT JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","378 patients","2 ","2","SCIP-INF-1 " "210007","SAINT JOSEPH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","440 patients",,,"HF-1 " "210008","MERCY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","737 patients","2 ","2","SCIP-INF-1 " "210008","MERCY MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","79 patients",,,"PN-6 " "210008","MERCY MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","93 patients",,,"PN-7 " "210008","MERCY MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","AMI-4 " "210008","MERCY MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210008","MERCY MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "210008","MERCY MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210008","MERCY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","373 patients","2 ","2","SCIP-VTE-2 " "210008","MERCY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","718 patients","2 ","2","SCIP-INF-3 " "210008","MERCY MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","335 patients",,,"HF-1 " "210008","MERCY MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "210008","MERCY MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","148 patients",,,"HF-3 " "210008","MERCY MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","113 patients",,,"HF-4 " "210008","MERCY MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "210008","MERCY MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","184 patients",,,"PN-5C " "210008","MERCY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","373 patients","2 ","2","SCIP-VTE-1 " "210008","MERCY MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","166 patients",,,"PN-3B " "210008","MERCY MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","116 patients",,,"PN-4 " "210008","MERCY MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "210008","MERCY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210008","MERCY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","926 patients","2 ","2","SCIP-INF-6 " "210008","MERCY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","111 patients","2 ","2","SCIP-CARD-2 " "210008","MERCY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","748 patients","2 ","2","SCIP-INF-2 " "210008","MERCY MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","102 patients",,,"PN-2 " "210008","MERCY MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","372 patients",,,"HF-2 " "210009","THE JOHNS HOPKINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","912 patients","2 ","2","SCIP-INF-3 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","151 patients","2 ","2","AMI-4 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","69 patients","2 ","2","AMI-3 " "210009","THE JOHNS HOPKINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","950 patients","2 ","2","SCIP-INF-1 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","336 patients","2 ","2","AMI-5 " "210009","THE JOHNS HOPKINS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","172 patients","2 ","2","PN-4 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","376 patients","2 ","2","AMI-2 " "210009","THE JOHNS HOPKINS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","206 patients","2 ","2","PN-5C " "210009","THE JOHNS HOPKINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","978 patients","2 ","2","SCIP-INF-2 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","127 patients","2 ","2","HF-4 " "210009","THE JOHNS HOPKINS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","500 patients","2 ","2","SCIP-VTE-1 " "210009","THE JOHNS HOPKINS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","110 patients","2 ","2","PN-3B " "210009","THE JOHNS HOPKINS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","101 patients","2 ","2","PN-6 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","163 patients","2 ","2","HF-3 " "210009","THE JOHNS HOPKINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","494 patients","2 ","2","SCIP-INF-4 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","373 patients","2 ","2","HF-2 " "210009","THE JOHNS HOPKINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1373 patients","2 ","2","SCIP-INF-6 " "210009","THE JOHNS HOPKINS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","233 patients","2 ","2","SCIP-CARD-2 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","106 patients","2 ","2","AMI-1 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","12 patients","1,2 ","12","AMI-8A " "210009","THE JOHNS HOPKINS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","499 patients","2 ","2","SCIP-VTE-2 " "210009","THE JOHNS HOPKINS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","108 patients","2 ","2","PN-2 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","340 patients","2 ","2","HF-1 " "210009","THE JOHNS HOPKINS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","153 patients","2 ","2","PN-7 " "210009","THE JOHNS HOPKINS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "210011","SAINT AGNES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210011","SAINT AGNES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","42 patients",,,"AMI-4 " "210011","SAINT AGNES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","67 patients","2 ","2","SCIP-CARD-2 " "210011","SAINT AGNES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","157 patients",,,"AMI-1 " "210011","SAINT AGNES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","119 patients","2 ","2","PN-2 " "210011","SAINT AGNES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","158 patients",,,"HF-4 " "210011","SAINT AGNES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","663 patients",,,"HF-2 " "210011","SAINT AGNES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","72%","47 patients","2 ","2","PN-4 " "210011","SAINT AGNES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","567 patients","2 ","2","SCIP-INF-6 " "210011","SAINT AGNES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","221 patients","2 ","2","SCIP-VTE-2 " "210011","SAINT AGNES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","221 patients","2 ","2","SCIP-VTE-1 " "210011","SAINT AGNES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","111 patients",,,"AMI-2 " "210011","SAINT AGNES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","111 patients",,,"AMI-5 " "210011","SAINT AGNES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","67 patients","2 ","2","PN-6 " "210011","SAINT AGNES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","34 patients",,,"AMI-3 " "210011","SAINT AGNES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","49%","43 patients",,,"AMI-8A " "210011","SAINT AGNES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","168 patients","2 ","2","PN-5C " "210011","SAINT AGNES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","156 patients","2 ","2","PN-3B " "210011","SAINT AGNES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","310 patients",,,"HF-3 " "210011","SAINT AGNES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210011","SAINT AGNES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","506 patients",,,"HF-1 " "210011","SAINT AGNES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","409 patients","2 ","2","SCIP-INF-1 " "210011","SAINT AGNES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","397 patients","2 ","2","SCIP-INF-3 " "210011","SAINT AGNES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","84 patients","2 ","2","PN-7 " "210011","SAINT AGNES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","409 patients","2 ","2","SCIP-INF-2 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","189 patients",,,"AMI-1 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","81 patients",,,"AMI-4 " "210012","SINAI HOSPITAL OF BALTIMORE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","155 patients",,,"PN-7 " "210012","SINAI HOSPITAL OF BALTIMORE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","110 patients",,,"PN-4 " "210012","SINAI HOSPITAL OF BALTIMORE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","232 patients","2,3 ","23","SCIP-VTE-1 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","273 patients",,,"AMI-5 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","54 patients",,,"AMI-3 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","124 patients",,,"HF-4 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210012","SINAI HOSPITAL OF BALTIMORE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","256 patients",,,"PN-5C " "210012","SINAI HOSPITAL OF BALTIMORE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","218 patients","2 ","2","SCIP-INF-4 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","281 patients",,,"AMI-2 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","471 patients",,,"HF-1 " "210012","SINAI HOSPITAL OF BALTIMORE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","80 patients","2 ","2","SCIP-CARD-2 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","46 patients",,,"AMI-8A " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","575 patients",,,"HF-2 " "210012","SINAI HOSPITAL OF BALTIMORE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","131 patients",,,"PN-6 " "210012","SINAI HOSPITAL OF BALTIMORE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","260 patients",,,"PN-3B " "210012","SINAI HOSPITAL OF BALTIMORE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1027 patients","2 ","2","SCIP-INF-6 " "210012","SINAI HOSPITAL OF BALTIMORE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","232 patients","2,3 ","23","SCIP-VTE-2 " "210012","SINAI HOSPITAL OF BALTIMORE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","232 patients",,,"PN-2 " "210012","SINAI HOSPITAL OF BALTIMORE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","733 patients","2 ","2","SCIP-INF-2 " "210012","SINAI HOSPITAL OF BALTIMORE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","213 patients",,,"HF-3 " "210012","SINAI HOSPITAL OF BALTIMORE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","718 patients","2 ","2","SCIP-INF-1 " "210012","SINAI HOSPITAL OF BALTIMORE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","659 patients","2 ","2","SCIP-INF-3 " "210013","BON SECOURS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","126 patients",,,"SCIP-INF-6 " "210013","BON SECOURS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "210013","BON SECOURS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210013","BON SECOURS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210013","BON SECOURS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","47 patients",,,"SCIP-INF-2 " "210013","BON SECOURS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","129 patients",,,"HF-4 " "210013","BON SECOURS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","90 patients",,,"PN-2 " "210013","BON SECOURS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","72%","29 patients",,,"AMI-5 " "210013","BON SECOURS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","111 patients",,,"PN-4 " "210013","BON SECOURS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","27 patients",,,"AMI-2 " "210013","BON SECOURS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","74 patients",,,"SCIP-VTE-2 " "210013","BON SECOURS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","39 patients",,,"AMI-1 " "210013","BON SECOURS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","169 patients",,,"PN-3B " "210013","BON SECOURS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1 ","1","SCIP-CARD-2 " "210013","BON SECOURS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","8 patients","1 ","1","AMI-3 " "210013","BON SECOURS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","327 patients",,,"HF-1 " "210013","BON SECOURS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","123 patients",,,"PN-6 " "210013","BON SECOURS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","77 patients",,,"SCIP-VTE-1 " "210013","BON SECOURS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","66%","108 patients",,,"HF-3 " "210013","BON SECOURS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","70%","47 patients",,,"SCIP-INF-1 " "210013","BON SECOURS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","69%","45 patients",,,"SCIP-INF-3 " "210013","BON SECOURS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210013","BON SECOURS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","188 patients",,,"PN-5C " "210013","BON SECOURS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","72 patients",,,"PN-7 " "210013","BON SECOURS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","382 patients",,,"HF-2 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","171 patients",,,"PN-4 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","680 patients",,,"HF-2 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","417 patients",,,"PN-5C " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","709 patients","2 ","2","SCIP-INF-1 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","66%","64 patients",,,"AMI-8A " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","125 patients",,,"AMI-2 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","561 patients",,,"HF-1 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","136 patients",,,"AMI-5 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","389 patients","2 ","2","SCIP-VTE-1 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","389 patients","2 ","2","SCIP-VTE-2 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","24 patients","1 ","1","AMI-3 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","206 patients",,,"HF-3 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","240 patients",,,"PN-7 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","55 patients",,,"AMI-4 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","174 patients","2 ","2","SCIP-CARD-2 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","347 patients",,,"PN-3B " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","109 patients",,,"HF-4 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","730 patients","2 ","2","SCIP-INF-2 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","653 patients","2 ","2","SCIP-INF-3 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","186 patients",,,"AMI-1 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","337 patients",,,"PN-2 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1015 patients","2 ","2","SCIP-INF-6 " "210015","FRANKLIN SQUARE HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","284 patients",,,"PN-6 " "210016","WASHINGTON ADVENTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","143 patients","2 ","2","PN-5C " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","88 patients","2 ","2","AMI-1 " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","20 patients","1,2 ","12","AMI-8A " "210016","WASHINGTON ADVENTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","PN-4 " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","383 patients","2 ","2","HF-2 " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients","2 ","2","AMI-3 " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","308 patients","2 ","2","HF-1 " "210016","WASHINGTON ADVENTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","133 patients","2 ","2","PN-2 " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","120 patients","2 ","2","AMI-4 " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","295 patients","2 ","2","AMI-2 " "210016","WASHINGTON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","189 patients","2 ","2","SCIP-VTE-2 " "210016","WASHINGTON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","398 patients","2 ","2","SCIP-INF-1 " "210016","WASHINGTON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","375 patients","2 ","2","SCIP-INF-3 " "210016","WASHINGTON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","189 patients","2 ","2","SCIP-VTE-1 " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","262 patients","2 ","2","AMI-5 " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","175 patients","2 ","2","HF-3 " "210016","WASHINGTON ADVENTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","80 patients","2 ","2","PN-6 " "210016","WASHINGTON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","72 patients","2 ","2","SCIP-CARD-2 " "210016","WASHINGTON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","162 patients","2 ","2","SCIP-INF-4 " "210016","WASHINGTON ADVENTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","85 patients","2 ","2","PN-7 " "210016","WASHINGTON ADVENTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","160 patients","2 ","2","PN-3B " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients","2 ","2","HF-4 " "210016","WASHINGTON ADVENTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "210016","WASHINGTON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","619 patients","2 ","2","SCIP-INF-6 " "210016","WASHINGTON ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","398 patients","2 ","2","SCIP-INF-2 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","40 patients",,,"SCIP-CARD-2 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","175 patients",,,"SCIP-INF-3 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","58 patients",,,"HF-1 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","69 patients",,,"HF-2 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","223 patients",,,"SCIP-INF-6 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","106 patients",,,"SCIP-VTE-1 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","177 patients",,,"SCIP-INF-1 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","52 patients",,,"PN-3B " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","42 patients",,,"PN-6 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","106 patients",,,"SCIP-VTE-2 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","52 patients",,,"PN-5C " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","57 patients",,,"PN-2 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","177 patients",,,"SCIP-INF-2 " "210017","GARRETT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","30 patients",,,"PN-7 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","266 patients",,,"SCIP-INF-1 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","191 patients",,,"SCIP-VTE-1 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","169 patients",,,"PN-6 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","198 patients",,,"HF-1 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","47 patients",,,"PN-4 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","267 patients",,,"SCIP-INF-2 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","108 patients",,,"HF-3 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","37 patients",,,"AMI-5 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","259 patients",,,"SCIP-INF-3 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","190 patients",,,"SCIP-VTE-2 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","250 patients",,,"HF-2 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","217 patients",,,"PN-5C " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","435 patients",,,"SCIP-INF-6 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","246 patients",,,"PN-2 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","29%","7 patients","1 ","1","AMI-7A " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","53 patients",,,"AMI-1 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","30 patients",,,"AMI-2 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210018","MONTGOMERY GENERAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","253 patients",,,"PN-3B " "210018","MONTGOMERY GENERAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","26 patients",,,"HF-4 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","177 patients",,,"PN-7 " "210018","MONTGOMERY GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","56 patients",,,"SCIP-CARD-2 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","107 patients",,,"AMI-3 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","85 patients",,,"AMI-8A " "210019","PENINSULA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","571 patients","2 ","2","SCIP-INF-6 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","402 patients",,,"AMI-1 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","736 patients",,,"HF-1 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","594 patients",,,"AMI-5 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","193 patients",,,"PN-6 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","168 patients","2 ","2","SCIP-VTE-2 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","301 patients",,,"HF-3 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","155 patients",,,"HF-4 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210019","PENINSULA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","409 patients","2 ","2","SCIP-INF-1 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","305 patients",,,"PN-7 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","449 patients",,,"PN-3B " "210019","PENINSULA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","388 patients","2 ","2","SCIP-INF-3 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","427 patients",,,"PN-2 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","414 patients","2 ","2","SCIP-INF-2 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","442 patients",,,"PN-5C " "210019","PENINSULA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","135 patients","2 ","2","SCIP-INF-4 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","949 patients",,,"HF-2 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","234 patients",,,"AMI-4 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","110 patients","2 ","2","SCIP-CARD-2 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","172 patients",,,"PN-4 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","582 patients",,,"AMI-2 " "210019","PENINSULA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","168 patients","2 ","2","SCIP-VTE-1 " "210022","SUBURBAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","147 patients","2 ","2","PN-7 " "210022","SUBURBAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1,2 ","12","PN-4 " "210022","SUBURBAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","45 patients",,,"AMI-3 " "210022","SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1141 patients","2 ","2","SCIP-INF-6 " "210022","SUBURBAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","331 patients","2 ","2","HF-2 " "210022","SUBURBAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","264 patients","2 ","2","PN-2 " "210022","SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","382 patients","2 ","2","SCIP-VTE-2 " "210022","SUBURBAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","106 patients","2 ","2","HF-3 " "210022","SUBURBAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","36 patients",,,"AMI-8A " "210022","SUBURBAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","231 patients","2 ","2","PN-5C " "210022","SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","159 patients","2 ","2","SCIP-CARD-2 " "210022","SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","179 patients","2 ","2","SCIP-INF-4 " "210022","SUBURBAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210022","SUBURBAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","237 patients","2 ","2","HF-1 " "210022","SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","385 patients","2 ","2","SCIP-VTE-1 " "210022","SUBURBAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","256 patients","2 ","2","PN-3B " "210022","SUBURBAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","245 patients",,,"AMI-5 " "210022","SUBURBAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1,2 ","12","HF-4 " "210022","SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","818 patients","2 ","2","SCIP-INF-1 " "210022","SUBURBAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","176 patients",,,"AMI-1 " "210022","SUBURBAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","161 patients","2 ","2","PN-6 " "210022","SUBURBAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "210022","SUBURBAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","226 patients",,,"AMI-2 " "210022","SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","832 patients","2 ","2","SCIP-INF-2 " "210022","SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","797 patients","2 ","2","SCIP-INF-3 " "210023","ANNE ARUNDEL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","309 patients",,,"PN-3B " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","307 patients",,,"HF-1 " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","141 patients",,,"AMI-2 " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","135 patients",,,"AMI-5 " "210023","ANNE ARUNDEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1950 patients","2 ","2","SCIP-INF-6 " "210023","ANNE ARUNDEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","216 patients","2 ","2","SCIP-CARD-2 " "210023","ANNE ARUNDEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1580 patients","2 ","2","SCIP-INF-2 " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","61%","71 patients",,,"AMI-8A " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "210023","ANNE ARUNDEL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","393 patients",,,"PN-2 " "210023","ANNE ARUNDEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","655 patients","2 ","2","SCIP-VTE-1 " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210023","ANNE ARUNDEL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"PN-4 " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","217 patients",,,"AMI-1 " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","AMI-3 " "210023","ANNE ARUNDEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","1592 patients","2 ","2","SCIP-INF-1 " "210023","ANNE ARUNDEL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","218 patients",,,"PN-6 " "210023","ANNE ARUNDEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","402 patients",,,"HF-2 " "210023","ANNE ARUNDEL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","138 patients",,,"HF-3 " "210023","ANNE ARUNDEL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","288 patients",,,"PN-7 " "210023","ANNE ARUNDEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","654 patients","2 ","2","SCIP-VTE-2 " "210023","ANNE ARUNDEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1509 patients","2 ","2","SCIP-INF-3 " "210023","ANNE ARUNDEL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","310 patients",,,"PN-5C " "210024","UNION MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","136 patients",,,"AMI-3 " "210024","UNION MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","149 patients",,,"AMI-1 " "210024","UNION MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","133 patients",,,"PN-6 " "210024","UNION MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","248 patients",,,"PN-5C " "210024","UNION MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","212 patients",,,"PN-3B " "210024","UNION MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","244 patients","2 ","2","SCIP-CARD-2 " "210024","UNION MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","194 patients","2 ","2","SCIP-INF-4 " "210024","UNION MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1500 patients","2 ","2","SCIP-INF-2 " "210024","UNION MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1494 patients","2 ","2","SCIP-INF-1 " "210024","UNION MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1754 patients","2 ","2","SCIP-INF-6 " "210024","UNION MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","723 patients",,,"AMI-2 " "210024","UNION MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","282 patients",,,"AMI-4 " "210024","UNION MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","159 patients",,,"HF-4 " "210024","UNION MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210024","UNION MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","687 patients",,,"HF-2 " "210024","UNION MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","628 patients","2 ","2","SCIP-VTE-1 " "210024","UNION MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","290 patients",,,"HF-3 " "210024","UNION MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","116 patients",,,"PN-4 " "210024","UNION MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","593 patients",,,"HF-1 " "210024","UNION MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","176 patients",,,"PN-2 " "210024","UNION MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","29 patients",,,"AMI-8A " "210024","UNION MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","140 patients",,,"PN-7 " "210024","UNION MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1476 patients","2 ","2","SCIP-INF-3 " "210024","UNION MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","703 patients",,,"AMI-5 " "210024","UNION MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","628 patients","2 ","2","SCIP-VTE-2 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","70 patients",,,"HF-3 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","43 patients",,,"PN-4 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","49 patients","2 ","2","SCIP-CARD-2 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","324 patients","2 ","2","SCIP-INF-6 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","14 patients","1 ","1","AMI-5 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","142 patients",,,"PN-5C " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","107 patients",,,"PN-3B " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","101 patients",,,"PN-6 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","145 patients","2 ","2","SCIP-VTE-1 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","203 patients","2 ","2","SCIP-INF-3 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","208 patients","2 ","2","SCIP-INF-1 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","145 patients","2 ","2","SCIP-VTE-2 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","143 patients",,,"PN-2 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","195 patients",,,"HF-2 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","132 patients",,,"HF-1 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","95 patients",,,"PN-7 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","25 patients",,,"AMI-1 " "210025","MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","209 patients","2 ","2","SCIP-INF-2 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","222 patients",,,"PN-5C " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","97 patients","2 ","2","SCIP-VTE-1 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","152 patients",,,"PN-3B " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","314 patients",,,"HF-1 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","185 patients","2 ","2","SCIP-INF-1 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","216 patients",,,"PN-2 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","49 patients",,,"AMI-3 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","61 patients","2 ","2","SCIP-CARD-2 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","162 patients",,,"PN-6 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","96 patients","2 ","2","SCIP-VTE-2 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","225 patients",,,"AMI-2 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","158 patients",,,"HF-3 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","82 patients",,,"AMI-4 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","169 patients","2 ","2","SCIP-INF-3 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","219 patients",,,"AMI-5 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","68 patients",,,"PN-4 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","163 patients",,,"PN-7 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","162 patients",,,"AMI-1 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","25 patients",,,"AMI-8A " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","143 patients","2 ","2","SCIP-INF-4 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","53 patients",,,"HF-4 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","399 patients",,,"HF-2 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","188 patients","2 ","2","SCIP-INF-2 " "210027","WESTERN MARYLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","315 patients","2 ","2","SCIP-INF-6 " "210028","SAINT MARY'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","131 patients","2 ","2","PN-2 " "210028","SAINT MARY'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "210028","SAINT MARY'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","74 patients","2 ","2","HF-3 " "210028","SAINT MARY'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "210028","SAINT MARY'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","HF-4 " "210028","SAINT MARY'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","257 patients","2 ","2","HF-2 " "210028","SAINT MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","117 patients",,,"SCIP-VTE-2 " "210028","SAINT MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","231 patients",,,"SCIP-INF-3 " "210028","SAINT MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","236 patients",,,"SCIP-INF-1 " "210028","SAINT MARY'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","110 patients","2 ","2","PN-3B " "210028","SAINT MARY'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","152 patients","2 ","2","PN-5C " "210028","SAINT MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","117 patients",,,"SCIP-VTE-1 " "210028","SAINT MARY'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "210028","SAINT MARY'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "210028","SAINT MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210028","SAINT MARY'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210028","SAINT MARY'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "210028","SAINT MARY'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "210028","SAINT MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","237 patients",,,"SCIP-INF-2 " "210028","SAINT MARY'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","99 patients","2 ","2","PN-6 " "210028","SAINT MARY'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","96 patients","2 ","2","PN-7 " "210028","SAINT MARY'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210028","SAINT MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","29 patients",,,"SCIP-CARD-2 " "210028","SAINT MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","317 patients",,,"SCIP-INF-6 " "210028","SAINT MARY'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","202 patients","2 ","2","HF-1 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","207 patients",,,"HF-3 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","324 patients","2 ","2","SCIP-VTE-1 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","164 patients",,,"PN-6 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","324 patients","2 ","2","SCIP-VTE-2 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","363 patients",,,"PN-2 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","261 patients",,,"PN-7 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","540 patients","2 ","2","SCIP-INF-3 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","554 patients","2 ","2","SCIP-INF-2 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","218 patients",,,"PN-4 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","52 patients",,,"AMI-4 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","361 patients",,,"PN-5C " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","554 patients","2 ","2","SCIP-INF-1 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","647 patients",,,"HF-2 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","125 patients",,,"AMI-2 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","743 patients","2 ","2","SCIP-INF-6 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","124 patients",,,"AMI-5 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","97 patients","2 ","2","SCIP-CARD-2 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","505 patients",,,"HF-1 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","153 patients",,,"HF-4 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","185 patients",,,"AMI-1 " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","330 patients",,,"PN-3B " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","38 patients",,,"AMI-8A " "210029","JOHNS HOPKINS BAYVIEW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"AMI-3 " "210030","CHESTER RIVER HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","72 patients",,,"PN-5C " "210030","CHESTER RIVER HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","44 patients",,,"PN-3B " "210030","CHESTER RIVER HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","181 patients",,,"SCIP-INF-6 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","23 patients","1 ","1","HF-3 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1 ","1","AMI-1 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","83 patients",,,"HF-1 " "210030","CHESTER RIVER HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","88 patients",,,"SCIP-VTE-1 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "210030","CHESTER RIVER HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","112 patients",,,"SCIP-INF-3 " "210030","CHESTER RIVER HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","18 patients","1 ","1","SCIP-CARD-2 " "210030","CHESTER RIVER HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","118 patients",,,"SCIP-INF-2 " "210030","CHESTER RIVER HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","PN-4 " "210030","CHESTER RIVER HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","59%","88 patients",,,"SCIP-VTE-2 " "210030","CHESTER RIVER HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","49 patients",,,"PN-7 " "210030","CHESTER RIVER HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","45 patients",,,"PN-6 " "210030","CHESTER RIVER HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210030","CHESTER RIVER HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","64 patients",,,"PN-2 " "210030","CHESTER RIVER HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","121 patients",,,"SCIP-INF-1 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","78%","9 patients","1 ","1","AMI-5 " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210030","CHESTER RIVER HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","121 patients",,,"HF-2 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","31 patients",,,"AMI-5 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"HF-3 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210032","UNION HOSPITAL OF CECIL COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","192 patients",,,"PN-5C " "210032","UNION HOSPITAL OF CECIL COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","182 patients",,,"PN-3B " "210032","UNION HOSPITAL OF CECIL COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","115 patients",,,"PN-4 " "210032","UNION HOSPITAL OF CECIL COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","291 patients",,,"SCIP-INF-2 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","27 patients",,,"AMI-2 " "210032","UNION HOSPITAL OF CECIL COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210032","UNION HOSPITAL OF CECIL COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","208 patients",,,"SCIP-VTE-1 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","173 patients",,,"HF-2 " "210032","UNION HOSPITAL OF CECIL COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","467 patients",,,"SCIP-INF-6 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","67 patients",,,"AMI-1 " "210032","UNION HOSPITAL OF CECIL COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","61 patients",,,"SCIP-CARD-2 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","134 patients",,,"HF-1 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "210032","UNION HOSPITAL OF CECIL COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","277 patients",,,"SCIP-INF-3 " "210032","UNION HOSPITAL OF CECIL COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","292 patients",,,"SCIP-INF-1 " "210032","UNION HOSPITAL OF CECIL COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","208 patients",,,"SCIP-VTE-2 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","AMI-4 " "210032","UNION HOSPITAL OF CECIL COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","159 patients",,,"PN-2 " "210032","UNION HOSPITAL OF CECIL COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","71%","34 patients",,,"HF-4 " "210032","UNION HOSPITAL OF CECIL COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","117 patients",,,"PN-6 " "210032","UNION HOSPITAL OF CECIL COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","117 patients",,,"PN-7 " "210033","CARROLL HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1,2 ","12","AMI-3 " "210033","CARROLL HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","333 patients","2 ","2","SCIP-INF-1 " "210033","CARROLL HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","269 patients","2 ","2","HF-2 " "210033","CARROLL HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","47 patients","2 ","2","AMI-8A " "210033","CARROLL HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","102 patients","2 ","2","PN-7 " "210033","CARROLL HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","HF-4 " "210033","CARROLL HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","201 patients","2 ","2","HF-1 " "210033","CARROLL HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "210033","CARROLL HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","199 patients","2 ","2","SCIP-VTE-2 " "210033","CARROLL HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","331 patients","2 ","2","SCIP-INF-2 " "210033","CARROLL HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "210033","CARROLL HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","77 patients","2 ","2","AMI-5 " "210033","CARROLL HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","199 patients","2 ","2","SCIP-VTE-1 " "210033","CARROLL HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","64 patients","2 ","2","HF-3 " "210033","CARROLL HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","325 patients","2 ","2","SCIP-INF-3 " "210033","CARROLL HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "210033","CARROLL HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","146 patients","2 ","2","PN-2 " "210033","CARROLL HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","111 patients","2 ","2","PN-6 " "210033","CARROLL HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","174 patients","2 ","2","PN-5C " "210033","CARROLL HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","118 patients","2 ","2","AMI-1 " "210033","CARROLL HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","183 patients","2 ","2","PN-3B " "210033","CARROLL HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1,2 ","12","AMI-4 " "210033","CARROLL HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","74 patients","2 ","2","AMI-2 " "210033","CARROLL HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","501 patients","2 ","2","SCIP-INF-6 " "210033","CARROLL HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","PN-4 " "210034","HARBOR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","230 patients",,,"PN-6 " "210034","HARBOR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","338 patients",,,"PN-5C " "210034","HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","807 patients","2 ","2","SCIP-INF-6 " "210034","HARBOR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210034","HARBOR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","174 patients",,,"PN-7 " "210034","HARBOR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","370 patients",,,"PN-3B " "210034","HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","663 patients","2 ","2","SCIP-INF-2 " "210034","HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","645 patients","2 ","2","SCIP-INF-3 " "210034","HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","660 patients","2 ","2","SCIP-INF-1 " "210034","HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","313 patients","2 ","2","SCIP-VTE-2 " "210034","HARBOR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "210034","HARBOR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","148 patients",,,"HF-3 " "210034","HARBOR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "210034","HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","95 patients","2 ","2","SCIP-CARD-2 " "210034","HARBOR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210034","HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210034","HARBOR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","118 patients",,,"HF-4 " "210034","HARBOR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","195 patients",,,"PN-2 " "210034","HARBOR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","357 patients",,,"HF-2 " "210034","HARBOR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "210034","HARBOR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "210034","HARBOR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","167 patients",,,"PN-4 " "210034","HARBOR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "210034","HARBOR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","324 patients",,,"HF-1 " "210034","HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","313 patients","2 ","2","SCIP-VTE-1 " "210035","CIVISTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"HF-4 " "210035","CIVISTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","82 patients",,,"HF-3 " "210035","CIVISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","228 patients",,,"SCIP-INF-3 " "210035","CIVISTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "210035","CIVISTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "210035","CIVISTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "210035","CIVISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","236 patients",,,"SCIP-INF-2 " "210035","CIVISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","235 patients",,,"SCIP-INF-1 " "210035","CIVISTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","184 patients","2 ","2","PN-2 " "210035","CIVISTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "210035","CIVISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","166 patients",,,"SCIP-VTE-2 " "210035","CIVISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","166 patients",,,"SCIP-VTE-1 " "210035","CIVISTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","276 patients",,,"HF-2 " "210035","CIVISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210035","CIVISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","378 patients",,,"SCIP-INF-6 " "210035","CIVISTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","225 patients",,,"HF-1 " "210035","CIVISTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","232 patients","2 ","2","PN-3B " "210035","CIVISTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","215 patients","2 ","2","PN-5C " "210035","CIVISTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","23 patients","1 ","1","AMI-1 " "210035","CIVISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","46 patients",,,"SCIP-CARD-2 " "210035","CIVISTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","86 patients","2 ","2","PN-4 " "210035","CIVISTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","146 patients","2 ","2","PN-7 " "210035","CIVISTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "210035","CIVISTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210035","CIVISTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","122 patients","2 ","2","PN-6 " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","47 patients",,,"AMI-5 " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","400 patients",,,"HF-1 " "210037","MEMORIAL HOSPITAL AT EASTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","56%","9 patients","1 ","1","AMI-7A " "210037","MEMORIAL HOSPITAL AT EASTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","614 patients",,,"SCIP-INF-2 " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","AMI-4 " "210037","MEMORIAL HOSPITAL AT EASTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","861 patients",,,"SCIP-INF-6 " "210037","MEMORIAL HOSPITAL AT EASTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","58%","142 patients",,,"PN-7 " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","144 patients",,,"HF-3 " "210037","MEMORIAL HOSPITAL AT EASTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","135 patients",,,"SCIP-CARD-2 " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","96 patients",,,"HF-4 " "210037","MEMORIAL HOSPITAL AT EASTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","228 patients",,,"PN-5C " "210037","MEMORIAL HOSPITAL AT EASTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","614 patients",,,"SCIP-INF-1 " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","49 patients",,,"AMI-2 " "210037","MEMORIAL HOSPITAL AT EASTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","70 patients",,,"PN-4 " "210037","MEMORIAL HOSPITAL AT EASTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","601 patients",,,"SCIP-INF-3 " "210037","MEMORIAL HOSPITAL AT EASTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","315 patients",,,"SCIP-VTE-2 " "210037","MEMORIAL HOSPITAL AT EASTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","151 patients",,,"PN-6 " "210037","MEMORIAL HOSPITAL AT EASTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","214 patients",,,"PN-2 " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","10 patients","1 ","1","AMI-3 " "210037","MEMORIAL HOSPITAL AT EASTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","315 patients",,,"SCIP-VTE-1 " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","495 patients",,,"HF-2 " "210037","MEMORIAL HOSPITAL AT EASTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","226 patients",,,"PN-3B " "210037","MEMORIAL HOSPITAL AT EASTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","97 patients",,,"AMI-1 " "210038","MARYLAND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","155 patients","2 ","2","SCIP-INF-3 " "210038","MARYLAND GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","107 patients","2 ","2","PN-4 " "210038","MARYLAND GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210038","MARYLAND GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "210038","MARYLAND GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","127 patients",,,"HF-3 " "210038","MARYLAND GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","166 patients",,,"HF-4 " "210038","MARYLAND GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","51%","78 patients","2 ","2","PN-7 " "210038","MARYLAND GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","259 patients",,,"HF-1 " "210038","MARYLAND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","161 patients","2 ","2","SCIP-INF-1 " "210038","MARYLAND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","163 patients","2 ","2","SCIP-VTE-1 " "210038","MARYLAND GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "210038","MARYLAND GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210038","MARYLAND GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","37 patients","2 ","2","PN-6 " "210038","MARYLAND GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","118 patients","2 ","2","PN-5C " "210038","MARYLAND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","161 patients","2 ","2","SCIP-VTE-2 " "210038","MARYLAND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","26 patients",,,"SCIP-CARD-2 " "210038","MARYLAND GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","315 patients",,,"HF-2 " "210038","MARYLAND GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "210038","MARYLAND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210038","MARYLAND GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "210038","MARYLAND GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "210038","MARYLAND GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","100 patients","2 ","2","PN-3B " "210038","MARYLAND GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","90 patients","2 ","2","PN-2 " "210038","MARYLAND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","287 patients","2 ","2","SCIP-INF-6 " "210038","MARYLAND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","160 patients","2 ","2","SCIP-INF-2 " "210039","CALVERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "210039","CALVERT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","78 patients",,,"PN-6 " "210039","CALVERT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "210039","CALVERT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "210039","CALVERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","260 patients","2 ","2","SCIP-INF-3 " "210039","CALVERT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","39 patients",,,"AMI-1 " "210039","CALVERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","152 patients","2 ","2","SCIP-VTE-1 " "210039","CALVERT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","194 patients",,,"HF-2 " "210039","CALVERT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","132 patients",,,"PN-2 " "210039","CALVERT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "210039","CALVERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","265 patients","2 ","2","SCIP-INF-1 " "210039","CALVERT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","125 patients",,,"PN-3B " "210039","CALVERT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","26 patients",,,"AMI-5 " "210039","CALVERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","152 patients","2 ","2","SCIP-VTE-2 " "210039","CALVERT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","144 patients",,,"HF-1 " "210039","CALVERT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","89 patients",,,"PN-7 " "210039","CALVERT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "210039","CALVERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","264 patients","2 ","2","SCIP-INF-2 " "210039","CALVERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210039","CALVERT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "210039","CALVERT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","57 patients",,,"HF-3 " "210039","CALVERT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","160 patients",,,"PN-5C " "210039","CALVERT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","25 patients",,,"AMI-2 " "210039","CALVERT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210039","CALVERT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","368 patients","2 ","2","SCIP-INF-6 " "210040","NORTHWEST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","211 patients","2 ","2","SCIP-VTE-1 " "210040","NORTHWEST HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"HF-4 " "210040","NORTHWEST HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","AMI-3 " "210040","NORTHWEST HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","46 patients",,,"AMI-2 " "210040","NORTHWEST HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"PN-4 " "210040","NORTHWEST HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "210040","NORTHWEST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","284 patients","2 ","2","SCIP-INF-3 " "210040","NORTHWEST HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210040","NORTHWEST HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","198 patients",,,"PN-6 " "210040","NORTHWEST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","297 patients","2 ","2","SCIP-INF-1 " "210040","NORTHWEST HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","80 patients",,,"AMI-1 " "210040","NORTHWEST HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","282 patients",,,"PN-3B " "210040","NORTHWEST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "210040","NORTHWEST HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "210040","NORTHWEST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","210 patients","2 ","2","SCIP-VTE-2 " "210040","NORTHWEST HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","285 patients",,,"PN-2 " "210040","NORTHWEST HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","353 patients",,,"PN-5C " "210040","NORTHWEST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","299 patients","2 ","2","SCIP-INF-2 " "210040","NORTHWEST HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","58 patients",,,"AMI-5 " "210040","NORTHWEST HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","519 patients",,,"HF-2 " "210040","NORTHWEST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","465 patients","2 ","2","SCIP-INF-6 " "210040","NORTHWEST HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","192 patients",,,"PN-7 " "210040","NORTHWEST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","70 patients",,,"SCIP-CARD-2 " "210040","NORTHWEST HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","373 patients",,,"HF-1 " "210040","NORTHWEST HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","169 patients",,,"HF-3 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","94 patients",,,"CAC-2 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","684 patients","2 ","2","SCIP-INF-1 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","432 patients","2 ","2","SCIP-VTE-1 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","432 patients","2 ","2","SCIP-VTE-2 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","196 patients",,,"AMI-1 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","564 patients",,,"HF-1 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","20 patients","1 ","1","AMI-3 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","453 patients",,,"PN-2 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","66%","93 patients",,,"CAC-3 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","537 patients",,,"PN-3B " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","637 patients","2 ","2","SCIP-INF-3 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","951 patients","2 ","2","SCIP-INF-6 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","686 patients",,,"HF-2 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","115 patients",,,"AMI-5 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","691 patients","2 ","2","SCIP-INF-2 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","88 patients",,,"HF-4 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","138 patients","2 ","2","SCIP-CARD-2 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","339 patients",,,"PN-7 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","178 patients",,,"PN-4 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","218 patients",,,"HF-3 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","493 patients",,,"PN-5C " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","350 patients",,,"PN-6 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","99%","94 patients",,,"CAC-1 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","110 patients",,,"AMI-2 " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","80 patients",,,"AMI-8A " "210043","BALTIMORE WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "210044","GREATER BALTIMORE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","276 patients",,,"PN-3B " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210044","GREATER BALTIMORE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","188 patients",,,"PN-7 " "210044","GREATER BALTIMORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","740 patients",,,"SCIP-INF-1 " "210044","GREATER BALTIMORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","749 patients",,,"SCIP-INF-2 " "210044","GREATER BALTIMORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1166 patients",,,"SCIP-INF-6 " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","201 patients",,,"HF-1 " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "210044","GREATER BALTIMORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210044","GREATER BALTIMORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","714 patients",,,"SCIP-INF-3 " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","29 patients",,,"AMI-1 " "210044","GREATER BALTIMORE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","243 patients",,,"PN-5C " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "210044","GREATER BALTIMORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","116 patients",,,"SCIP-CARD-2 " "210044","GREATER BALTIMORE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","273 patients",,,"PN-2 " "210044","GREATER BALTIMORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","448 patients",,,"SCIP-VTE-1 " "210044","GREATER BALTIMORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","448 patients",,,"SCIP-VTE-2 " "210044","GREATER BALTIMORE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "210044","GREATER BALTIMORE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","172 patients",,,"PN-6 " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","299 patients",,,"HF-2 " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "210044","GREATER BALTIMORE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","87 patients",,,"HF-3 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","7 patients","1,2 ","12","SCIP-VTE-1 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","25 patients",,,"HF-1 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1,2 ","12","SCIP-INF-1 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","19 patients","1 ","1","PN-5C " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1,2 ","12","SCIP-INF-6 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","17 patients","1 ","1","PN-3B " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","18 patients","1 ","1","PN-2 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","31 patients",,,"HF-2 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","7 patients","1,2 ","12","SCIP-VTE-2 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1,2 ","12","SCIP-INF-3 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1,2 ","12","SCIP-INF-2 " "210045","EDWARD MCCREADY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","197 patients","2 ","2","SCIP-INF-1 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","180 patients","2 ","2","SCIP-INF-3 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","114 patients","2 ","2","PN-3B " "210048","HOWARD COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","200 patients","2 ","2","SCIP-INF-2 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","87 patients","2 ","2","PN-7 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","69 patients","2 ","2","HF-3 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","276 patients","2 ","2","HF-2 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","HF-4 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","121 patients","2 ","2","PN-2 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","119 patients","2 ","2","PN-5C " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","39 patients","2 ","2","SCIP-CARD-2 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","93 patients",,,"AMI-2 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210048","HOWARD COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","204 patients","2 ","2","SCIP-VTE-1 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","445 patients","2 ","2","SCIP-INF-6 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","53 patients",,,"AMI-8A " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","202 patients","2 ","2","HF-1 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","132 patients",,,"AMI-1 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","82 patients","2 ","2","PN-6 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","204 patients","2 ","2","SCIP-VTE-2 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients","2 ","2","PN-4 " "210048","HOWARD COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","88 patients",,,"AMI-5 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","382 patients","2 ","2","SCIP-INF-1 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","220 patients","2 ","2","SCIP-VTE-1 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","95 patients","2 ","2","SCIP-CARD-2 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","369 patients","2 ","2","SCIP-INF-3 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","206 patients",,,"PN-6 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","121 patients",,,"AMI-2 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","98 patients",,,"PN-4 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","348 patients",,,"PN-3B " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","576 patients","2 ","2","SCIP-INF-6 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","392 patients","2 ","2","SCIP-INF-2 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","270 patients",,,"HF-1 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","61 patients",,,"AMI-8A " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","251 patients",,,"PN-2 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","220 patients","2 ","2","SCIP-VTE-2 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","336 patients",,,"HF-2 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","167 patients",,,"AMI-1 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","82 patients",,,"HF-3 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1,2 ","12","SCIP-INF-4 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","328 patients",,,"PN-5C " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","125 patients",,,"AMI-5 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "210049","UPPER CHESAPEAKE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","209 patients",,,"PN-7 " "210051","DOCTORS' COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","174 patients",,,"PN-7 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210051","DOCTORS' COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "210051","DOCTORS' COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","232 patients",,,"PN-2 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210051","DOCTORS' COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","317 patients",,,"PN-5C " "210051","DOCTORS' COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","401 patients","2 ","2","SCIP-INF-1 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","180 patients",,,"HF-3 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","412 patients",,,"HF-1 " "210051","DOCTORS' COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","547 patients","2 ","2","SCIP-INF-6 " "210051","DOCTORS' COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","333 patients","2 ","2","SCIP-VTE-2 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","AMI-3 " "210051","DOCTORS' COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "210051","DOCTORS' COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","376 patients",,,"PN-3B " "210051","DOCTORS' COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","334 patients","2 ","2","SCIP-VTE-1 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","63 patients",,,"AMI-1 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","39 patients",,,"AMI-2 " "210051","DOCTORS' COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","242 patients",,,"PN-6 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","35 patients",,,"AMI-5 " "210051","DOCTORS' COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","386 patients","2 ","2","SCIP-INF-3 " "210051","DOCTORS' COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","403 patients","2 ","2","SCIP-INF-2 " "210051","DOCTORS' COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","77 patients",,,"PN-4 " "210051","DOCTORS' COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","464 patients",,,"HF-2 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","618 patients","2 ","2","SCIP-INF-6 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","54 patients",,,"AMI-8A " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","134 patients",,,"AMI-2 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","250 patients","2 ","2","SCIP-VTE-2 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","410 patients","2 ","2","SCIP-INF-1 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","251 patients","2 ","2","SCIP-VTE-1 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","417 patients","2 ","2","SCIP-INF-2 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","163 patients","2 ","2","PN-3B " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","203 patients",,,"AMI-1 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","117 patients","2 ","2","PN-2 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","271 patients","2 ","2","HF-3 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","174 patients","2 ","2","PN-5C " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","85 patients","2 ","2","SCIP-CARD-2 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","789 patients","2 ","2","HF-2 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","139 patients",,,"AMI-5 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"AMI-4 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","714 patients","2 ","2","HF-1 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","AMI-3 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","PN-4 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","154 patients","2 ","2","HF-4 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","125 patients","2 ","2","PN-6 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","103 patients","2 ","2","PN-7 " "210054","SOUTHERN MARYLAND HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","404 patients","2 ","2","SCIP-INF-3 " "210055","LAUREL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","61%","97 patients",,,"SCIP-VTE-2 " "210055","LAUREL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","44 patients",,,"PN-4 " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","140 patients",,,"HF-1 " "210055","LAUREL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","160 patients",,,"SCIP-INF-2 " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","64%","11 patients","1 ","1","AMI-2 " "210055","LAUREL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","225 patients",,,"SCIP-INF-6 " "210055","LAUREL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","177 patients",,,"PN-3B " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","69 patients",,,"HF-3 " "210055","LAUREL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","155 patients",,,"SCIP-INF-3 " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "210055","LAUREL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","161 patients",,,"SCIP-INF-1 " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","185 patients",,,"HF-2 " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","9 patients","1 ","1","AMI-5 " "210055","LAUREL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","126 patients",,,"PN-2 " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210055","LAUREL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210055","LAUREL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","89 patients",,,"PN-7 " "210055","LAUREL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","107 patients",,,"PN-6 " "210055","LAUREL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","166 patients",,,"PN-5C " "210055","LAUREL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","32 patients",,,"AMI-1 " "210055","LAUREL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","27 patients",,,"SCIP-CARD-2 " "210055","LAUREL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","97 patients",,,"SCIP-VTE-1 " "210056","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","928 patients",,,"HF-2 " "210056","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","683 patients",,,"HF-1 " "210056","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","969 patients","2 ","2","SCIP-INF-6 " "210056","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","408 patients","2 ","2","SCIP-VTE-2 " "210056","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210056","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","697 patients","2 ","2","SCIP-INF-1 " "210056","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","148 patients",,,"HF-4 " "210056","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "210056","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","258 patients",,,"PN-2 " "210056","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","94 patients",,,"AMI-1 " "210056","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "210056","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","55 patients",,,"AMI-2 " "210056","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","59 patients",,,"AMI-5 " "210056","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","182 patients","2 ","2","SCIP-CARD-2 " "210056","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","168 patients",,,"PN-6 " "210056","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","700 patients","2 ","2","SCIP-INF-2 " "210056","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","408 patients","2 ","2","SCIP-VTE-1 " "210056","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "210056","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","650 patients","2 ","2","SCIP-INF-3 " "210056","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","110 patients",,,"PN-4 " "210056","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","311 patients",,,"PN-3B " "210056","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","218 patients",,,"PN-7 " "210056","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","294 patients",,,"HF-3 " "210056","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","318 patients",,,"PN-5C " "210056","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","89 patients","2 ","2","PN-6 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","29 patients","2 ","2","PN-4 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","96 patients",,,"HF-3 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","212 patients","2 ","2","SCIP-VTE-2 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","109 patients",,,"AMI-2 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","144 patients","2 ","2","PN-2 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","111 patients",,,"AMI-5 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","121 patients","2 ","2","PN-5C " "210057","SHADY GROVE ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","337 patients","2 ","2","SCIP-INF-2 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","320 patients","2 ","2","SCIP-INF-3 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","86 patients","2 ","2","PN-7 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210057","SHADY GROVE ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","212 patients","2 ","2","SCIP-VTE-1 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","229 patients",,,"HF-1 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","334 patients","2 ","2","SCIP-INF-1 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","103 patients","2 ","2","PN-3B " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","58 patients","2 ","2","SCIP-CARD-2 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","496 patients","2 ","2","SCIP-INF-6 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","336 patients",,,"HF-2 " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","51 patients",,,"AMI-8A " "210057","SHADY GROVE ADVENTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","147 patients",,,"AMI-1 " "210060","FORT WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","94 patients",,,"SCIP-VTE-1 " "210060","FORT WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","114 patients",,,"SCIP-INF-2 " "210060","FORT WASHINGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","61 patients",,,"PN-7 " "210060","FORT WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","113 patients",,,"SCIP-INF-1 " "210060","FORT WASHINGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "210060","FORT WASHINGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","56 patients",,,"HF-3 " "210060","FORT WASHINGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "210060","FORT WASHINGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","17 patients","1 ","1","PN-6 " "210060","FORT WASHINGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "210060","FORT WASHINGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","147 patients",,,"PN-5C " "210060","FORT WASHINGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "210060","FORT WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","94 patients",,,"SCIP-VTE-2 " "210060","FORT WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","112 patients",,,"SCIP-INF-3 " "210060","FORT WASHINGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","72 patients",,,"PN-2 " "210060","FORT WASHINGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "210060","FORT WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","195 patients",,,"SCIP-INF-6 " "210060","FORT WASHINGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "210060","FORT WASHINGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","144 patients",,,"PN-3B " "210060","FORT WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210060","FORT WASHINGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "210060","FORT WASHINGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "210060","FORT WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "210060","FORT WASHINGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","181 patients",,,"HF-2 " "210060","FORT WASHINGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","169 patients",,,"HF-1 " "210060","FORT WASHINGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "210061","ATLANTIC GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "210061","ATLANTIC GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","144 patients",,,"SCIP-VTE-2 " "210061","ATLANTIC GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","197 patients",,,"SCIP-INF-1 " "210061","ATLANTIC GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "210061","ATLANTIC GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","183 patients",,,"SCIP-INF-3 " "210061","ATLANTIC GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","126 patients",,,"HF-2 " "210061","ATLANTIC GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "210061","ATLANTIC GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "210061","ATLANTIC GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "210061","ATLANTIC GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "210061","ATLANTIC GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "210061","ATLANTIC GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","115 patients",,,"PN-2 " "210061","ATLANTIC GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","41 patients",,,"SCIP-CARD-2 " "210061","ATLANTIC GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","103 patients",,,"PN-6 " "210061","ATLANTIC GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "210061","ATLANTIC GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","249 patients",,,"SCIP-INF-6 " "210061","ATLANTIC GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "210061","ATLANTIC GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","108 patients",,,"PN-5C " "210061","ATLANTIC GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "210061","ATLANTIC GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","95 patients",,,"HF-1 " "210061","ATLANTIC GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","144 patients",,,"SCIP-VTE-1 " "210061","ATLANTIC GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","197 patients",,,"SCIP-INF-2 " "210061","ATLANTIC GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","91 patients",,,"PN-7 " "210061","ATLANTIC GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"HF-3 " "210061","ATLANTIC GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","127 patients",,,"PN-3B " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","49 patients",,,"AMI-2 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","48 patients",,,"PN-4 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","256 patients",,,"HF-2 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","55 patients",,,"AMI-1 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","86 patients",,,"PN-7 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","122 patients",,,"PN-5C " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","88 patients","2 ","2","SCIP-CARD-2 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","163 patients","2 ","2","SCIP-VTE-2 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"HF-4 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","105 patients",,,"PN-2 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","245 patients",,,"HF-1 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","144 patients",,,"SCIP-INF-3 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","229 patients","2 ","2","SCIP-INF-6 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","163 patients","2 ","2","SCIP-VTE-1 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","85 patients",,,"PN-6 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","148 patients",,,"SCIP-INF-2 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","44 patients",,,"AMI-5 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-8A " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","147 patients",,,"SCIP-INF-1 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","147 patients",,,"HF-3 " "21020F","VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","125 patients",,,"PN-3B " "220001","HEALTHALLIANCE HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","370 patients",,,"SCIP-INF-6 " "220001","HEALTHALLIANCE HOSPITALS, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","163 patients",,,"PN-7 " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","266 patients",,,"HF-2 " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","187 patients",,,"HF-1 " "220001","HEALTHALLIANCE HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","240 patients",,,"SCIP-INF-2 " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","41 patients",,,"AMI-2 " "220001","HEALTHALLIANCE HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","243 patients",,,"SCIP-INF-1 " "220001","HEALTHALLIANCE HOSPITALS, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","246 patients",,,"PN-3B " "220001","HEALTHALLIANCE HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220001","HEALTHALLIANCE HOSPITALS, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","219 patients",,,"PN-5C " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "220001","HEALTHALLIANCE HOSPITALS, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","44 patients",,,"SCIP-CARD-2 " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220001","HEALTHALLIANCE HOSPITALS, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","71 patients",,,"PN-4 " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","45 patients",,,"HF-3 " "220001","HEALTHALLIANCE HOSPITALS, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","218 patients",,,"PN-2 " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","45 patients",,,"AMI-5 " "220001","HEALTHALLIANCE HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","234 patients",,,"SCIP-INF-3 " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "220001","HEALTHALLIANCE HOSPITALS, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","123 patients",,,"PN-6 " "220001","HEALTHALLIANCE HOSPITALS, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","159 patients",,,"SCIP-VTE-2 " "220001","HEALTHALLIANCE HOSPITALS, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","160 patients",,,"SCIP-VTE-1 " "220001","HEALTHALLIANCE HOSPITALS, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","66 patients",,,"AMI-1 " "220002","MOUNT AUBURN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","535 patients",,,"SCIP-VTE-2 " "220002","MOUNT AUBURN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","242 patients",,,"PN-3B " "220002","MOUNT AUBURN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"PN-4 " "220002","MOUNT AUBURN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","814 patients",,,"SCIP-INF-1 " "220002","MOUNT AUBURN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","224 patients",,,"AMI-5 " "220002","MOUNT AUBURN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","171 patients",,,"SCIP-INF-4 " "220002","MOUNT AUBURN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","245 patients",,,"PN-5C " "220002","MOUNT AUBURN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","266 patients",,,"PN-2 " "220002","MOUNT AUBURN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","163 patients",,,"PN-6 " "220002","MOUNT AUBURN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1111 patients",,,"SCIP-INF-6 " "220002","MOUNT AUBURN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220002","MOUNT AUBURN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","816 patients",,,"SCIP-INF-2 " "220002","MOUNT AUBURN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "220002","MOUNT AUBURN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","88 patients",,,"HF-3 " "220002","MOUNT AUBURN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","24 patients","1 ","1","AMI-8A " "220002","MOUNT AUBURN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","186 patients",,,"PN-7 " "220002","MOUNT AUBURN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","537 patients",,,"SCIP-VTE-1 " "220002","MOUNT AUBURN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","173 patients",,,"AMI-1 " "220002","MOUNT AUBURN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","248 patients",,,"HF-1 " "220002","MOUNT AUBURN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","360 patients",,,"HF-2 " "220002","MOUNT AUBURN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","40 patients",,,"AMI-3 " "220002","MOUNT AUBURN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","219 patients",,,"AMI-2 " "220002","MOUNT AUBURN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","202 patients",,,"SCIP-CARD-2 " "220002","MOUNT AUBURN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","795 patients",,,"SCIP-INF-3 " "220002","MOUNT AUBURN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "220008","STURDY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","222 patients",,,"PN-2 " "220008","STURDY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "220008","STURDY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220008","STURDY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","315 patients",,,"SCIP-VTE-1 " "220008","STURDY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","259 patients",,,"PN-5C " "220008","STURDY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","315 patients",,,"SCIP-VTE-2 " "220008","STURDY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","101 patients",,,"SCIP-CARD-2 " "220008","STURDY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","37 patients",,,"AMI-5 " "220008","STURDY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","492 patients",,,"SCIP-INF-6 " "220008","STURDY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","131 patients",,,"HF-1 " "220008","STURDY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","29 patients",,,"AMI-2 " "220008","STURDY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","HF-4 " "220008","STURDY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "220008","STURDY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","308 patients",,,"SCIP-INF-1 " "220008","STURDY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","297 patients",,,"SCIP-INF-3 " "220008","STURDY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","57 patients",,,"HF-3 " "220008","STURDY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220008","STURDY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "220008","STURDY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","197 patients",,,"HF-2 " "220008","STURDY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220008","STURDY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","306 patients",,,"SCIP-INF-2 " "220008","STURDY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","149 patients",,,"PN-6 " "220008","STURDY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","244 patients",,,"PN-3B " "220008","STURDY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","161 patients",,,"PN-7 " "220008","STURDY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","73 patients",,,"PN-4 " "220010","LAWRENCE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "220010","LAWRENCE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","240 patients",,,"PN-5C " "220010","LAWRENCE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","116 patients",,,"AMI-1 " "220010","LAWRENCE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","424 patients",,,"HF-2 " "220010","LAWRENCE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","199 patients",,,"SCIP-VTE-2 " "220010","LAWRENCE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","308 patients",,,"HF-1 " "220010","LAWRENCE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","AMI-4 " "220010","LAWRENCE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","199 patients",,,"PN-2 " "220010","LAWRENCE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","55 patients",,,"SCIP-CARD-2 " "220010","LAWRENCE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","212 patients",,,"SCIP-INF-1 " "220010","LAWRENCE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","216 patients",,,"SCIP-INF-2 " "220010","LAWRENCE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","61 patients",,,"PN-4 " "220010","LAWRENCE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220010","LAWRENCE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","62 patients",,,"AMI-5 " "220010","LAWRENCE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","199 patients",,,"SCIP-VTE-1 " "220010","LAWRENCE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","201 patients",,,"SCIP-INF-3 " "220010","LAWRENCE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "220010","LAWRENCE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","156 patients",,,"PN-6 " "220010","LAWRENCE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","391 patients",,,"SCIP-INF-6 " "220010","LAWRENCE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","33 patients",,,"AMI-8A " "220010","LAWRENCE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","110 patients",,,"HF-3 " "220010","LAWRENCE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","146 patients",,,"PN-7 " "220010","LAWRENCE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","235 patients",,,"PN-3B " "220010","LAWRENCE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","62 patients",,,"AMI-2 " "220010","LAWRENCE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","48 patients",,,"HF-4 " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1,2 ","12","AMI-3 " "220011","CAMBRIDGE HEALTH ALLIANCE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","178 patients","2 ","2","SCIP-INF-2 " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","32 patients","2 ","2","AMI-5 " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","62 patients","2 ","2","AMI-1 " "220011","CAMBRIDGE HEALTH ALLIANCE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","178 patients","2 ","2","SCIP-INF-1 " "220011","CAMBRIDGE HEALTH ALLIANCE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","243 patients","2 ","2","PN-3B " "220011","CAMBRIDGE HEALTH ALLIANCE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","240 patients","2 ","2","PN-5C " "220011","CAMBRIDGE HEALTH ALLIANCE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients","2 ","2","SCIP-CARD-2 " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","AMI-4 " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","322 patients","2 ","2","HF-2 " "220011","CAMBRIDGE HEALTH ALLIANCE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","163 patients","2 ","2","SCIP-INF-3 " "220011","CAMBRIDGE HEALTH ALLIANCE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","213 patients","2 ","2","PN-2 " "220011","CAMBRIDGE HEALTH ALLIANCE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","191 patients","2 ","2","SCIP-VTE-1 " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","34 patients","2 ","2","AMI-2 " "220011","CAMBRIDGE HEALTH ALLIANCE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","109 patients","2 ","2","PN-4 " "220011","CAMBRIDGE HEALTH ALLIANCE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","160 patients","2 ","2","PN-7 " "220011","CAMBRIDGE HEALTH ALLIANCE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220011","CAMBRIDGE HEALTH ALLIANCE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","172 patients","2 ","2","PN-6 " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","60 patients","2 ","2","HF-4 " "220011","CAMBRIDGE HEALTH ALLIANCE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","287 patients","2 ","2","SCIP-INF-6 " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","59 patients","2 ","2","HF-3 " "220011","CAMBRIDGE HEALTH ALLIANCE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","190 patients","2 ","2","SCIP-VTE-2 " "220011","CAMBRIDGE HEALTH ALLIANCE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","230 patients","2 ","2","HF-1 " "220012","CAPE COD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","289 patients","2 ","2","HF-2 " "220012","CAPE COD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","182 patients","2 ","2","HF-1 " "220012","CAPE COD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","273 patients","2 ","2","AMI-5 " "220012","CAPE COD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","423 patients","2 ","2","SCIP-VTE-1 " "220012","CAPE COD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220012","CAPE COD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","193 patients",,,"PN-7 " "220012","CAPE COD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","263 patients",,,"PN-2 " "220012","CAPE COD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","54 patients","2 ","2","AMI-4 " "220012","CAPE COD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","25 patients","2 ","2","HF-4 " "220012","CAPE COD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","183 patients",,,"PN-6 " "220012","CAPE COD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","32 patients","2 ","2","AMI-3 " "220012","CAPE COD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","238 patients","2 ","2","AMI-1 " "220012","CAPE COD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","193 patients","2 ","2","SCIP-CARD-2 " "220012","CAPE COD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","253 patients","2 ","2","AMI-2 " "220012","CAPE COD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","249 patients",,,"PN-5C " "220012","CAPE COD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","72 patients","2 ","2","HF-3 " "220012","CAPE COD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","195 patients",,,"PN-3B " "220012","CAPE COD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1149 patients","2 ","2","SCIP-INF-6 " "220012","CAPE COD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","423 patients","2 ","2","SCIP-VTE-2 " "220012","CAPE COD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","77 patients",,,"PN-4 " "220012","CAPE COD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","888 patients","2 ","2","SCIP-INF-1 " "220012","CAPE COD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","906 patients","2 ","2","SCIP-INF-2 " "220012","CAPE COD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","39 patients","2 ","2","AMI-8A " "220012","CAPE COD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","178 patients","2 ","2","SCIP-INF-4 " "220012","CAPE COD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","856 patients","2 ","2","SCIP-INF-3 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","264 patients","2 ","2","SCIP-INF-3 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","228 patients","2 ","2","SCIP-VTE-2 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","66 patients",,,"AMI-1 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","42 patients",,,"AMI-2 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","58 patients","2 ","2","SCIP-CARD-2 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","188 patients",,,"PN-5C " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","134 patients",,,"PN-7 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","132 patients",,,"PN-6 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","AMI-3 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","36 patients",,,"HF-3 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","51 patients",,,"PN-4 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","272 patients","2 ","2","SCIP-INF-1 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","182 patients",,,"PN-2 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","274 patients","2 ","2","SCIP-INF-2 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","121 patients",,,"HF-1 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","45 patients",,,"AMI-5 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","230 patients","2 ","2","SCIP-VTE-1 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","422 patients","2 ","2","SCIP-INF-6 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","171 patients",,,"HF-2 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "220015","COOLEY DICKINSON HOSPITAL INC,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","215 patients",,,"PN-3B " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","25 patients",,,"HF-3 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","148 patients",,,"PN-5C " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","81 patients",,,"PN-6 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","137 patients",,,"HF-2 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","86 patients",,,"PN-7 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","98 patients",,,"HF-1 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","116 patients",,,"SCIP-VTE-1 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"PN-4 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","157 patients",,,"PN-2 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","100 patients",,,"SCIP-INF-1 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","116 patients",,,"SCIP-VTE-2 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","154 patients",,,"PN-3B " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","14 patients","1 ","1","SCIP-CARD-2 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","11 patients","1 ","1","AMI-2 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","101 patients",,,"SCIP-INF-2 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","157 patients",,,"SCIP-INF-6 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","10 patients","1 ","1","AMI-5 " "220016","BAYSTATE FRANKLIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","97 patients",,,"SCIP-INF-3 " "220017","CARITAS CARNEY HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","28 patients","2 ","2","AMI-1 " "220017","CARITAS CARNEY HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","40 patients","2 ","2","PN-4 " "220017","CARITAS CARNEY HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","86 patients","2 ","2","PN-5C " "220017","CARITAS CARNEY HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "220017","CARITAS CARNEY HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","57 patients","2 ","2","PN-6 " "220017","CARITAS CARNEY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","155 patients","2 ","2","SCIP-VTE-2 " "220017","CARITAS CARNEY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","212 patients","2 ","2","SCIP-INF-6 " "220017","CARITAS CARNEY HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","35 patients","2 ","2","SCIP-CARD-2 " "220017","CARITAS CARNEY HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "220017","CARITAS CARNEY HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","71 patients","2 ","2","PN-7 " "220017","CARITAS CARNEY HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220017","CARITAS CARNEY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","105 patients","2 ","2","SCIP-INF-1 " "220017","CARITAS CARNEY HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","141 patients","2 ","2","HF-1 " "220017","CARITAS CARNEY HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","62 patients","2 ","2","HF-3 " "220017","CARITAS CARNEY HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1,2 ","12","AMI-5 " "220017","CARITAS CARNEY HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","23 patients","1,2 ","12","HF-4 " "220017","CARITAS CARNEY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","97 patients","2 ","2","SCIP-INF-3 " "220017","CARITAS CARNEY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","104 patients","2 ","2","SCIP-INF-2 " "220017","CARITAS CARNEY HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","AMI-4 " "220017","CARITAS CARNEY HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","56 patients","2 ","2","PN-3B " "220017","CARITAS CARNEY HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","204 patients","2 ","2","HF-2 " "220017","CARITAS CARNEY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220017","CARITAS CARNEY HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","88 patients","2 ","2","PN-2 " "220017","CARITAS CARNEY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","156 patients","2 ","2","SCIP-VTE-1 " "220017","CARITAS CARNEY HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1,2 ","12","AMI-2 " "220019","HARRINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","64%","61 patients",,,"SCIP-VTE-2 " "220019","HARRINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","140 patients",,,"SCIP-INF-6 " "220019","HARRINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","64%","61 patients",,,"SCIP-VTE-1 " "220019","HARRINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","85 patients",,,"SCIP-INF-1 " "220019","HARRINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","12 patients","1 ","1","HF-4 " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220019","HARRINGTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","28 patients",,,"PN-4 " "220019","HARRINGTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","95 patients",,,"PN-6 " "220019","HARRINGTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","68 patients",,,"PN-7 " "220019","HARRINGTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","102 patients",,,"PN-2 " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "220019","HARRINGTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","85 patients",,,"PN-3B " "220019","HARRINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","83 patients",,,"SCIP-INF-3 " "220019","HARRINGTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","104 patients",,,"PN-5C " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","25 patients",,,"HF-3 " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","15 patients","1 ","1","AMI-2 " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","77 patients",,,"HF-2 " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","24 patients","1 ","1","AMI-1 " "220019","HARRINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","20 patients","1 ","1","SCIP-CARD-2 " "220019","HARRINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","85 patients",,,"SCIP-INF-2 " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "220019","HARRINGTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","52 patients",,,"HF-1 " "22001F","BEDFORD VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "22001F","BEDFORD VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "22001F","BEDFORD VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "22001F","BEDFORD VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "22001F","BEDFORD VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "22001F","BEDFORD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "22001F","BEDFORD VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "22001F","BEDFORD VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "22001F","BEDFORD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "22001F","BEDFORD VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "22001F","BEDFORD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "22001F","BEDFORD VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "22001F","BEDFORD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "22001F","BEDFORD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "22001F","BEDFORD VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "22001F","BEDFORD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "22001F","BEDFORD VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "22001F","BEDFORD VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "22001F","BEDFORD VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "22001F","BEDFORD VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "22001F","BEDFORD VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "22001F","BEDFORD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "22001F","BEDFORD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "22001F","BEDFORD VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "22001F","BEDFORD VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "220020","ST ANNE'S HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","89 patients","2 ","2","SCIP-INF-1 " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","33 patients","2 ","2","AMI-5 " "220020","ST ANNE'S HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","83 patients","2 ","2","SCIP-INF-3 " "220020","ST ANNE'S HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","163 patients","2 ","2","SCIP-INF-6 " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","158 patients","2 ","2","HF-1 " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","211 patients","2 ","2","HF-2 " "220020","ST ANNE'S HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","101 patients","2 ","2","SCIP-VTE-2 " "220020","ST ANNE'S HOSPITAL CORPORATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","206 patients","2 ","2","PN-5C " "220020","ST ANNE'S HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","22 patients","1 ","1","SCIP-CARD-2 " "220020","ST ANNE'S HOSPITAL CORPORATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","86 patients","2 ","2","PN-4 " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","30 patients","2 ","2","HF-3 " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","27 patients","2 ","2","HF-4 " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","AMI-4 " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","46 patients","2 ","2","AMI-1 " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","40%","5 patients","1,2 ","12","AMI-3 " "220020","ST ANNE'S HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","89 patients","2 ","2","SCIP-INF-2 " "220020","ST ANNE'S HOSPITAL CORPORATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","133 patients","2 ","2","PN-3B " "220020","ST ANNE'S HOSPITAL CORPORATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","119 patients","2 ","2","PN-6 " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220020","ST ANNE'S HOSPITAL CORPORATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","28 patients","2 ","2","AMI-2 " "220020","ST ANNE'S HOSPITAL CORPORATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","198 patients","2 ","2","PN-2 " "220020","ST ANNE'S HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220020","ST ANNE'S HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","101 patients","2 ","2","SCIP-VTE-1 " "220020","ST ANNE'S HOSPITAL CORPORATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","148 patients","2 ","2","PN-7 " "220024","HOLYOKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","143 patients",,,"SCIP-VTE-2 " "220024","HOLYOKE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","191 patients",,,"HF-2 " "220024","HOLYOKE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","50 patients",,,"HF-3 " "220024","HOLYOKE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","AMI-4 " "220024","HOLYOKE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","112 patients",,,"PN-7 " "220024","HOLYOKE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","AMI-3 " "220024","HOLYOKE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","51 patients",,,"PN-4 " "220024","HOLYOKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","23 patients","1 ","1","SCIP-CARD-2 " "220024","HOLYOKE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","167 patients",,,"PN-3B " "220024","HOLYOKE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","79%","24 patients","1 ","1","HF-4 " "220024","HOLYOKE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","113 patients",,,"PN-6 " "220024","HOLYOKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "220024","HOLYOKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","143 patients",,,"SCIP-VTE-1 " "220024","HOLYOKE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","88 patients",,,"AMI-5 " "220024","HOLYOKE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220024","HOLYOKE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","108 patients",,,"AMI-1 " "220024","HOLYOKE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","125 patients",,,"HF-1 " "220024","HOLYOKE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","169 patients",,,"PN-2 " "220024","HOLYOKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","153 patients",,,"SCIP-INF-2 " "220024","HOLYOKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","145 patients",,,"SCIP-INF-3 " "220024","HOLYOKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","153 patients",,,"SCIP-INF-1 " "220024","HOLYOKE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","73 patients",,,"AMI-2 " "220024","HOLYOKE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","185 patients",,,"PN-5C " "220024","HOLYOKE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220024","HOLYOKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","250 patients",,,"SCIP-INF-6 " "220029","ANNA JAQUES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","223 patients",,,"SCIP-INF-1 " "220029","ANNA JAQUES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","220 patients",,,"HF-2 " "220029","ANNA JAQUES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","44 patients",,,"AMI-1 " "220029","ANNA JAQUES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","53 patients",,,"HF-3 " "220029","ANNA JAQUES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","47 patients",,,"SCIP-CARD-2 " "220029","ANNA JAQUES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","191 patients",,,"PN-2 " "220029","ANNA JAQUES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","199 patients",,,"PN-5C " "220029","ANNA JAQUES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","132 patients",,,"PN-6 " "220029","ANNA JAQUES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "220029","ANNA JAQUES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220029","ANNA JAQUES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","117 patients",,,"PN-7 " "220029","ANNA JAQUES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","25 patients",,,"AMI-5 " "220029","ANNA JAQUES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","138 patients",,,"HF-1 " "220029","ANNA JAQUES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "220029","ANNA JAQUES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220029","ANNA JAQUES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "220029","ANNA JAQUES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","20 patients","1 ","1","AMI-2 " "220029","ANNA JAQUES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "220029","ANNA JAQUES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","202 patients",,,"SCIP-VTE-2 " "220029","ANNA JAQUES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","225 patients",,,"SCIP-INF-2 " "220029","ANNA JAQUES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","203 patients",,,"SCIP-VTE-1 " "220029","ANNA JAQUES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","319 patients",,,"SCIP-INF-6 " "220029","ANNA JAQUES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","140 patients",,,"PN-3B " "220029","ANNA JAQUES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220029","ANNA JAQUES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","213 patients",,,"SCIP-INF-3 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","PN-4 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","29 patients",,,"SCIP-INF-3 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","119 patients",,,"HF-1 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","24 patients","1 ","1","SCIP-VTE-1 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","104 patients","2 ","2","PN-5C " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","HF-3 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","45 patients",,,"SCIP-INF-6 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","29 patients",,,"SCIP-INF-1 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","29 patients",,,"SCIP-INF-2 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","97 patients","2 ","2","PN-2 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","51 patients","2 ","2","PN-6 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","157 patients",,,"HF-2 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","71 patients","2 ","2","PN-7 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","113 patients","2 ","2","PN-3B " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","24 patients","1 ","1","SCIP-VTE-2 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "220030","WING MEMORIAL HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","725 patients",,,"HF-2 " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","29 patients",,,"AMI-8A " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","188 patients",,,"AMI-4 " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","205 patients",,,"HF-4 " "220031","BOSTON MEDICAL CENTER CORPORATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","249 patients",,,"PN-2 " "220031","BOSTON MEDICAL CENTER CORPORATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","289 patients",,,"PN-4 " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","478 patients",,,"AMI-2 " "220031","BOSTON MEDICAL CENTER CORPORATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","548 patients","2 ","2","SCIP-VTE-1 " "220031","BOSTON MEDICAL CENTER CORPORATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","302 patients","2 ","2","SCIP-CARD-2 " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220031","BOSTON MEDICAL CENTER CORPORATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","941 patients","2 ","2","SCIP-INF-2 " "220031","BOSTON MEDICAL CENTER CORPORATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","270 patients",,,"PN-5C " "220031","BOSTON MEDICAL CENTER CORPORATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","251 patients",,,"PN-7 " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","267 patients",,,"HF-3 " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","190 patients",,,"AMI-1 " "220031","BOSTON MEDICAL CENTER CORPORATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","908 patients","2 ","2","SCIP-INF-3 " "220031","BOSTON MEDICAL CENTER CORPORATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","177 patients",,,"PN-6 " "220031","BOSTON MEDICAL CENTER CORPORATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","1168 patients","2 ","2","SCIP-INF-6 " "220031","BOSTON MEDICAL CENTER CORPORATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","548 patients","2 ","2","SCIP-VTE-2 " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","76 patients",,,"AMI-3 " "220031","BOSTON MEDICAL CENTER CORPORATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","936 patients","2 ","2","SCIP-INF-1 " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","621 patients",,,"HF-1 " "220031","BOSTON MEDICAL CENTER CORPORATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","160 patients",,,"PN-3B " "220031","BOSTON MEDICAL CENTER CORPORATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","497 patients",,,"AMI-5 " "220031","BOSTON MEDICAL CENTER CORPORATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","319 patients","2 ","2","SCIP-INF-4 " "220033","BEVERLY HOSPITAL CORPORATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","115 patients",,,"AMI-2 " "220033","BEVERLY HOSPITAL CORPORATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","248 patients",,,"PN-7 " "220033","BEVERLY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","464 patients","2 ","2","SCIP-VTE-2 " "220033","BEVERLY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","767 patients","2 ","2","SCIP-INF-1 " "220033","BEVERLY HOSPITAL CORPORATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","89 patients",,,"HF-3 " "220033","BEVERLY HOSPITAL CORPORATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","382 patients",,,"HF-2 " "220033","BEVERLY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "220033","BEVERLY HOSPITAL CORPORATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","48 patients",,,"HF-4 " "220033","BEVERLY HOSPITAL CORPORATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","237 patients",,,"HF-1 " "220033","BEVERLY HOSPITAL CORPORATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","332 patients",,,"PN-5C " "220033","BEVERLY HOSPITAL CORPORATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","126 patients",,,"AMI-5 " "220033","BEVERLY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","464 patients","2 ","2","SCIP-VTE-1 " "220033","BEVERLY HOSPITAL CORPORATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","102 patients",,,"PN-4 " "220033","BEVERLY HOSPITAL CORPORATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","330 patients",,,"PN-2 " "220033","BEVERLY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","151 patients","2 ","2","SCIP-CARD-2 " "220033","BEVERLY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","769 patients","2 ","2","SCIP-INF-2 " "220033","BEVERLY HOSPITAL CORPORATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"AMI-3 " "220033","BEVERLY HOSPITAL CORPORATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","372 patients",,,"PN-3B " "220033","BEVERLY HOSPITAL CORPORATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","AMI-4 " "220033","BEVERLY HOSPITAL CORPORATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220033","BEVERLY HOSPITAL CORPORATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","183 patients",,,"AMI-1 " "220033","BEVERLY HOSPITAL CORPORATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220033","BEVERLY HOSPITAL CORPORATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","256 patients",,,"PN-6 " "220033","BEVERLY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","742 patients","2 ","2","SCIP-INF-3 " "220033","BEVERLY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1004 patients","2 ","2","SCIP-INF-6 " "220035","NORTH SHORE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","607 patients","2 ","2","HF-2 " "220035","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","418 patients","2 ","2","PN-5C " "220035","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","427 patients","2 ","2","PN-3B " "220035","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","349 patients","2 ","2","SCIP-INF-3 " "220035","NORTH SHORE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","128 patients","2 ","2","HF-3 " "220035","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","376 patients","2 ","2","SCIP-INF-1 " "220035","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","305 patients","2 ","2","AMI-5 " "220035","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","194 patients","2 ","2","SCIP-VTE-2 " "220035","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","260 patients","2 ","2","PN-6 " "220035","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","107 patients","2 ","2","SCIP-INF-4 " "220035","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","61 patients","2 ","2","AMI-8A " "220035","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","250 patients","2 ","2","AMI-1 " "220035","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","269 patients","2 ","2","PN-7 " "220035","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","385 patients","2 ","2","SCIP-INF-2 " "220035","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","94 patients","2 ","2","AMI-4 " "220035","NORTH SHORE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","421 patients","2 ","2","HF-1 " "220035","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","194 patients","2 ","2","SCIP-VTE-1 " "220035","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","112 patients","2 ","2","PN-4 " "220035","NORTH SHORE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","HF-4 " "220035","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","101 patients","2 ","2","SCIP-CARD-2 " "220035","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","44 patients","2 ","2","AMI-3 " "220035","NORTH SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","528 patients","2 ","2","SCIP-INF-6 " "220035","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","266 patients","2 ","2","AMI-2 " "220035","NORTH SHORE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220035","NORTH SHORE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","418 patients","2 ","2","PN-2 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","174 patients","2 ","2","SCIP-INF-4 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","138 patients","2 ","2","PN-3B " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","71 patients","2 ","2","PN-4 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","40 patients","2 ","2","HF-4 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","171 patients","2 ","2","PN-5C " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","211 patients","2 ","2","PN-2 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","137 patients","2 ","2","SCIP-CARD-2 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","327 patients","2 ","2","AMI-2 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","132 patients","2 ","2","AMI-1 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","18 patients","1,2 ","12","AMI-8A " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","72 patients","2 ","2","AMI-4 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","109 patients","2 ","2","HF-3 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","364 patients","2 ","2","HF-2 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","237 patients","2 ","2","HF-1 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","133 patients","2 ","2","PN-7 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","323 patients","2 ","2","AMI-5 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","124 patients","2 ","2","PN-6 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","318 patients","2 ","2","SCIP-VTE-2 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","72 patients","2 ","2","AMI-3 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","486 patients","2 ","2","SCIP-INF-1 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","501 patients","2 ","2","SCIP-INF-2 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","318 patients","2 ","2","SCIP-VTE-1 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","697 patients","2 ","2","SCIP-INF-6 " "220036","CARITAS ST ELIZABETH'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","466 patients","2 ","2","SCIP-INF-3 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "220046","BERKSHIRE MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"PN-4 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "220046","BERKSHIRE MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","251 patients",,,"PN-5C " "220046","BERKSHIRE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","512 patients",,,"SCIP-VTE-2 " "220046","BERKSHIRE MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","291 patients",,,"PN-3B " "220046","BERKSHIRE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","472 patients",,,"SCIP-INF-3 " "220046","BERKSHIRE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","764 patients",,,"SCIP-INF-6 " "220046","BERKSHIRE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","482 patients",,,"SCIP-INF-2 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","217 patients",,,"HF-1 " "220046","BERKSHIRE MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","139 patients",,,"PN-6 " "220046","BERKSHIRE MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","248 patients",,,"PN-2 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-7A " "220046","BERKSHIRE MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","169 patients",,,"PN-7 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220046","BERKSHIRE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","512 patients",,,"SCIP-VTE-1 " "220046","BERKSHIRE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","59 patients",,,"AMI-5 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","58 patients",,,"AMI-2 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","313 patients",,,"HF-2 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","85 patients",,,"AMI-1 " "220046","BERKSHIRE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","117 patients",,,"SCIP-CARD-2 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "220046","BERKSHIRE MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","80 patients",,,"HF-3 " "220046","BERKSHIRE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","482 patients",,,"SCIP-INF-1 " "220049","MARLBOROUGH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","110 patients",,,"HF-1 " "220049","MARLBOROUGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","138 patients",,,"SCIP-INF-2 " "220049","MARLBOROUGH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","39 patients",,,"SCIP-CARD-2 " "220049","MARLBOROUGH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "220049","MARLBOROUGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","136 patients",,,"SCIP-INF-3 " "220049","MARLBOROUGH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","160 patients",,,"HF-2 " "220049","MARLBOROUGH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","130 patients",,,"PN-2 " "220049","MARLBOROUGH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","123 patients",,,"PN-5C " "220049","MARLBOROUGH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","83 patients",,,"PN-7 " "220049","MARLBOROUGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220049","MARLBOROUGH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","30 patients",,,"AMI-1 " "220049","MARLBOROUGH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "220049","MARLBOROUGH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "220049","MARLBOROUGH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220049","MARLBOROUGH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","118 patients",,,"SCIP-VTE-2 " "220049","MARLBOROUGH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","86 patients",,,"PN-6 " "220049","MARLBOROUGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","138 patients",,,"SCIP-INF-1 " "220049","MARLBOROUGH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "220049","MARLBOROUGH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","129 patients",,,"PN-3B " "220049","MARLBOROUGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","201 patients",,,"SCIP-INF-6 " "220049","MARLBOROUGH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","55 patients",,,"HF-3 " "220049","MARLBOROUGH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "220049","MARLBOROUGH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "220049","MARLBOROUGH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220049","MARLBOROUGH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","118 patients",,,"SCIP-VTE-1 " "220050","BAYSTATE MARY LANE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","30 patients",,,"SCIP-VTE-1 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "220050","BAYSTATE MARY LANE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","45 patients",,,"SCIP-INF-1 " "220050","BAYSTATE MARY LANE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","61 patients",,,"SCIP-INF-6 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","76 patients",,,"HF-2 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220050","BAYSTATE MARY LANE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220050","BAYSTATE MARY LANE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","44 patients",,,"SCIP-INF-2 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "220050","BAYSTATE MARY LANE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","62 patients",,,"PN-2 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220050","BAYSTATE MARY LANE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","30 patients",,,"SCIP-VTE-2 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","50 patients",,,"HF-1 " "220050","BAYSTATE MARY LANE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","43 patients",,,"SCIP-INF-3 " "220050","BAYSTATE MARY LANE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "220050","BAYSTATE MARY LANE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","45 patients",,,"PN-7 " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "220050","BAYSTATE MARY LANE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","77 patients",,,"PN-3B " "220050","BAYSTATE MARY LANE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "220050","BAYSTATE MARY LANE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1 ","1","SCIP-CARD-2 " "220050","BAYSTATE MARY LANE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","53 patients",,,"PN-6 " "220050","BAYSTATE MARY LANE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","64 patients",,,"PN-5C " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","HF-3 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","155 patients",,,"SCIP-INF-2 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","29 patients",,,"SCIP-CARD-2 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","93 patients",,,"PN-6 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","93 patients",,,"HF-2 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","101 patients",,,"SCIP-VTE-2 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","216 patients",,,"SCIP-INF-6 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","58 patients",,,"HF-1 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","110 patients",,,"PN-7 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","35 patients",,,"AMI-2 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","159 patients",,,"PN-5C " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","40 patients",,,"AMI-5 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","179 patients",,,"PN-2 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220051","NORTH ADAMS REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","45 patients",,,"PN-4 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","51 patients",,,"AMI-1 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","151 patients",,,"SCIP-INF-3 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","101 patients",,,"SCIP-VTE-1 " "220051","NORTH ADAMS REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","14%","7 patients","1 ","1","AMI-7A " "220051","NORTH ADAMS REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","163 patients",,,"PN-3B " "220051","NORTH ADAMS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","155 patients",,,"SCIP-INF-1 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","144 patients",,,"AMI-5 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","177 patients",,,"PN-2 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","203 patients",,,"HF-1 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","237 patients",,,"SCIP-INF-1 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","76 patients",,,"SCIP-CARD-2 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","204 patients",,,"PN-5C " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","243 patients",,,"SCIP-VTE-2 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","105 patients",,,"PN-4 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","91 patients",,,"HF-3 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","140 patients",,,"AMI-2 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","224 patients",,,"SCIP-INF-3 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","140 patients",,,"PN-7 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","44 patients",,,"AMI-8A " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","303 patients",,,"HF-2 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","183 patients",,,"AMI-1 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","456 patients",,,"SCIP-INF-6 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","243 patients",,,"SCIP-VTE-1 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","97 patients",,,"PN-3B " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","127 patients",,,"PN-6 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"AMI-4 " "220052","SIGNATURE HEALTHCARE BROCKTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","241 patients",,,"SCIP-INF-2 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "220058","CLINTON HOSPITAL ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","52 patients",,,"PN-5C " "220058","CLINTON HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220058","CLINTON HOSPITAL ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "220058","CLINTON HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "220058","CLINTON HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "220058","CLINTON HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "220058","CLINTON HOSPITAL ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","22 patients","1 ","1","PN-7 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","56 patients",,,"HF-2 " "220058","CLINTON HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "220058","CLINTON HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "220058","CLINTON HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "220058","CLINTON HOSPITAL ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","45 patients",,,"PN-3B " "220058","CLINTON HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "220058","CLINTON HOSPITAL ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","46 patients",,,"PN-6 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","44 patients",,,"HF-1 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "220058","CLINTON HOSPITAL ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","44 patients",,,"PN-2 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","HF-3 " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220058","CLINTON HOSPITAL ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "220060","JORDAN HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","40 patients",,,"AMI-5 " "220060","JORDAN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220060","JORDAN HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","205 patients",,,"HF-1 " "220060","JORDAN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","407 patients",,,"SCIP-INF-1 " "220060","JORDAN HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","93 patients",,,"SCIP-CARD-2 " "220060","JORDAN HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","252 patients",,,"PN-3B " "220060","JORDAN HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","248 patients",,,"SCIP-VTE-1 " "220060","JORDAN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","604 patients",,,"SCIP-INF-6 " "220060","JORDAN HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","56 patients",,,"AMI-1 " "220060","JORDAN HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","31 patients",,,"AMI-2 " "220060","JORDAN HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","326 patients",,,"PN-5C " "220060","JORDAN HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220060","JORDAN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","398 patients",,,"SCIP-INF-3 " "220060","JORDAN HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "220060","JORDAN HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","294 patients",,,"PN-2 " "220060","JORDAN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","410 patients",,,"SCIP-INF-2 " "220060","JORDAN HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","247 patients",,,"SCIP-VTE-2 " "220060","JORDAN HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","290 patients",,,"HF-2 " "220060","JORDAN HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","180 patients",,,"PN-6 " "220060","JORDAN HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","209 patients",,,"PN-7 " "220060","JORDAN HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"PN-4 " "220060","JORDAN HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "220060","JORDAN HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220060","JORDAN HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","80 patients",,,"HF-3 " "220060","JORDAN HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "220062","ADCARE HOSPITAL OF WORCESTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "220062","ADCARE HOSPITAL OF WORCESTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "220062","ADCARE HOSPITAL OF WORCESTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "220062","ADCARE HOSPITAL OF WORCESTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "220062","ADCARE HOSPITAL OF WORCESTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "220063","LOWELL GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","32 patients","2 ","2","HF-4 " "220063","LOWELL GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220063","LOWELL GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","182 patients","2 ","2","SCIP-VTE-2 " "220063","LOWELL GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","303 patients","2 ","2","SCIP-INF-1 " "220063","LOWELL GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","69 patients","2 ","2","SCIP-CARD-2 " "220063","LOWELL GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220063","LOWELL GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","135 patients",,,"AMI-1 " "220063","LOWELL GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","75 patients","2 ","2","HF-3 " "220063","LOWELL GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","113 patients","2 ","2","PN-3B " "220063","LOWELL GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","46 patients",,,"AMI-8A " "220063","LOWELL GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","139 patients","2 ","2","PN-2 " "220063","LOWELL GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","305 patients","2 ","2","SCIP-INF-2 " "220063","LOWELL GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "220063","LOWELL GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","182 patients","2 ","2","SCIP-VTE-1 " "220063","LOWELL GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","105 patients",,,"AMI-2 " "220063","LOWELL GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","45 patients","2 ","2","PN-4 " "220063","LOWELL GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","104 patients",,,"AMI-5 " "220063","LOWELL GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","287 patients","2 ","2","SCIP-INF-3 " "220063","LOWELL GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"AMI-4 " "220063","LOWELL GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","108 patients","2 ","2","PN-6 " "220063","LOWELL GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","195 patients","2 ","2","HF-1 " "220063","LOWELL GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","455 patients","2 ","2","SCIP-INF-6 " "220063","LOWELL GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","165 patients","2 ","2","PN-5C " "220063","LOWELL GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","280 patients","2 ","2","HF-2 " "220063","LOWELL GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","87 patients","2 ","2","PN-7 " "220065","NOBLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","80 patients",,,"PN-6 " "220065","NOBLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220065","NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","65 patients",,,"SCIP-VTE-2 " "220065","NOBLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","HF-4 " "220065","NOBLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "220065","NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","63 patients",,,"SCIP-INF-1 " "220065","NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","107 patients",,,"SCIP-INF-6 " "220065","NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","65 patients",,,"SCIP-VTE-1 " "220065","NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220065","NOBLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "220065","NOBLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","32 patients",,,"PN-4 " "220065","NOBLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220065","NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","60 patients",,,"SCIP-INF-3 " "220065","NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","21 patients","1 ","1","SCIP-CARD-2 " "220065","NOBLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","109 patients",,,"PN-3B " "220065","NOBLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","136 patients",,,"PN-5C " "220065","NOBLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "220065","NOBLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","96 patients",,,"PN-7 " "220065","NOBLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","86 patients",,,"HF-1 " "220065","NOBLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "220065","NOBLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","36 patients",,,"HF-3 " "220065","NOBLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","63 patients",,,"SCIP-INF-2 " "220065","NOBLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","126 patients",,,"PN-2 " "220065","NOBLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","127 patients",,,"HF-2 " "220065","NOBLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "220066","MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","252 patients",,,"PN-5C " "220066","MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","333 patients",,,"HF-2 " "220066","MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","246 patients",,,"HF-1 " "220066","MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","54 patients",,,"AMI-2 " "220066","MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","96 patients",,,"AMI-1 " "220066","MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220066","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","852 patients",,,"SCIP-INF-6 " "220066","MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220066","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","105 patients",,,"SCIP-CARD-2 " "220066","MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","62 patients",,,"AMI-5 " "220066","MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","286 patients",,,"PN-3B " "220066","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","422 patients",,,"SCIP-INF-1 " "220066","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","391 patients",,,"SCIP-INF-3 " "220066","MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","192 patients",,,"PN-7 " "220066","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","435 patients",,,"SCIP-VTE-2 " "220066","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","426 patients",,,"SCIP-INF-2 " "220066","MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "220066","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","435 patients",,,"SCIP-VTE-1 " "220066","MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","166 patients",,,"PN-6 " "220066","MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","52 patients",,,"HF-4 " "220066","MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","107 patients",,,"HF-3 " "220066","MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "220066","MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","91 patients",,,"PN-4 " "220066","MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","260 patients",,,"PN-2 " "220066","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "220067","QUINCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","32 patients",,,"HF-4 " "220067","QUINCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","288 patients",,,"HF-2 " "220067","QUINCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","69 patients","2 ","2","SCIP-INF-1 " "220067","QUINCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","76 patients",,,"AMI-2 " "220067","QUINCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","149 patients","2 ","2","PN-5C " "220067","QUINCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","47 patients","2 ","2","PN-4 " "220067","QUINCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","229 patients","2 ","2","SCIP-VTE-1 " "220067","QUINCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","AMI-3 " "220067","QUINCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","355 patients","2 ","2","SCIP-INF-6 " "220067","QUINCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","97 patients","2 ","2","PN-6 " "220067","QUINCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","69 patients","2 ","2","SCIP-INF-2 " "220067","QUINCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220067","QUINCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","199 patients",,,"HF-1 " "220067","QUINCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","80 patients",,,"SCIP-CARD-2 " "220067","QUINCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","126 patients","2 ","2","PN-2 " "220067","QUINCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","103 patients",,,"AMI-1 " "220067","QUINCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","136 patients","2 ","2","PN-3B " "220067","QUINCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","80 patients",,,"AMI-5 " "220067","QUINCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","229 patients","2 ","2","SCIP-VTE-2 " "220067","QUINCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220067","QUINCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","91 patients","2 ","2","PN-7 " "220067","QUINCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220067","QUINCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","AMI-4 " "220067","QUINCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","68 patients",,,"HF-3 " "220067","QUINCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","62 patients","2 ","2","SCIP-INF-3 " "220070","HALLMARK HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","HF-4 " "220070","HALLMARK HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","76 patients",,,"AMI-5 " "220070","HALLMARK HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "220070","HALLMARK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220070","HALLMARK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","273 patients","2 ","2","SCIP-VTE-1 " "220070","HALLMARK HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","121 patients",,,"AMI-1 " "220070","HALLMARK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","488 patients","2 ","2","SCIP-INF-6 " "220070","HALLMARK HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","74 patients",,,"AMI-2 " "220070","HALLMARK HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","20 patients","1 ","1","AMI-8A " "220070","HALLMARK HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","113 patients","2 ","2","PN-7 " "220070","HALLMARK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","273 patients","2 ","2","SCIP-VTE-2 " "220070","HALLMARK HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","186 patients","2 ","2","PN-3B " "220070","HALLMARK HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","47 patients","2 ","2","PN-4 " "220070","HALLMARK HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","195 patients","2 ","2","HF-1 " "220070","HALLMARK HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","74 patients","2 ","2","HF-3 " "220070","HALLMARK HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","217 patients","2 ","2","PN-5C " "220070","HALLMARK HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","143 patients","2 ","2","PN-6 " "220070","HALLMARK HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220070","HALLMARK HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","297 patients","2 ","2","HF-2 " "220070","HALLMARK HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","AMI-3 " "220070","HALLMARK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","83 patients","2 ","2","SCIP-CARD-2 " "220070","HALLMARK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","313 patients","2 ","2","SCIP-INF-1 " "220070","HALLMARK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","310 patients","2 ","2","SCIP-INF-2 " "220070","HALLMARK HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","204 patients","2 ","2","PN-2 " "220070","HALLMARK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","300 patients","2 ","2","SCIP-INF-3 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","210 patients","2 ","2","AMI-4 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","809 patients","2 ","2","SCIP-INF-6 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","328 patients","2 ","2","SCIP-VTE-2 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","62 patients","2 ","2","PN-3B " "220071","MASSACHUSETTS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","465 patients","2 ","2","SCIP-INF-2 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","339 patients","2 ","2","HF-2 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","649 patients","2 ","2","AMI-2 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","70 patients","2 ","2","AMI-8A " "220071","MASSACHUSETTS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","460 patients","2 ","2","SCIP-INF-1 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","328 patients","2 ","2","SCIP-VTE-1 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","309 patients","2 ","2","AMI-1 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","99 patients","2 ","2","PN-5C " "220071","MASSACHUSETTS GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","126 patients","2 ","2","PN-2 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","125 patients","2 ","2","SCIP-INF-4 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","71 patients","2 ","2","PN-6 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","387 patients","2 ","2","SCIP-INF-3 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","88 patients","2 ","2","PN-7 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","506 patients","2 ","2","AMI-5 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","60 patients","2 ","2","HF-3 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","117 patients","2 ","2","SCIP-CARD-2 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","259 patients","2 ","2","HF-1 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","42 patients","2 ","2","AMI-3 " "220071","MASSACHUSETTS GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","HF-4 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","140 patients","2 ","2","HF-1 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","214 patients",,,"PN-5C " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1,2 ","12","HF-4 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","166 patients",,,"PN-3B " "220073","MORTON HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","267 patients","2 ","2","SCIP-VTE-2 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","495 patients","2 ","2","SCIP-INF-6 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","62 patients","2 ","2","HF-3 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","210 patients","2 ","2","HF-2 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","31 patients",,,"AMI-5 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","76 patients","2 ","2","SCIP-CARD-2 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","329 patients","2 ","2","SCIP-INF-1 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220073","MORTON HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","113 patients",,,"PN-7 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","333 patients","2 ","2","SCIP-INF-2 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"PN-4 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","39 patients",,,"AMI-1 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","161 patients",,,"PN-2 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","267 patients","2 ","2","SCIP-VTE-1 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","323 patients","2 ","2","SCIP-INF-3 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "220073","MORTON HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","120 patients",,,"PN-6 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","683 patients",,,"PN-6 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","192 patients",,,"AMI-4 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","1193 patients",,,"HF-2 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","139 patients",,,"AMI-3 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","1595 patients",,,"SCIP-INF-3 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","1638 patients",,,"SCIP-INF-1 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","1654 patients",,,"SCIP-INF-2 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","437 patients",,,"SCIP-CARD-2 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","63 patients",,,"AMI-8A " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","102 patients",,,"HF-4 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","1015 patients",,,"PN-5C " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","1202 patients",,,"SCIP-VTE-2 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","256 patients",,,"PN-4 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","873 patients",,,"HF-1 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","679 patients",,,"AMI-5 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","355 patients",,,"HF-3 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","2451 patients",,,"SCIP-INF-6 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","1205 patients",,,"SCIP-VTE-1 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","632 patients",,,"PN-7 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","791 patients",,,"PN-3B " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","585 patients",,,"AMI-2 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","588 patients",,,"AMI-1 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","347 patients",,,"SCIP-INF-4 " "220074","SOUTHCOAST HOSPITAL GROUP, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","916 patients",,,"PN-2 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1,2,3 ","123","PN-2 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","1 patients","1,3 ","13","SCIP-INF-6 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","PN-4 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","2,3 ","23","PN-7 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "220075","MASSACHUSETTS EYE AND EAR INFIRMARY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "220077","BAYSTATE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","443 patients",,,"AMI-1 " "220077","BAYSTATE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","233 patients",,,"PN-6 " "220077","BAYSTATE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","388 patients",,,"PN-5C " "220077","BAYSTATE MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","99%","150 patients",,,"CAC-1 " "220077","BAYSTATE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","120 patients",,,"AMI-8A " "220077","BAYSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","895 patients","2 ","2","SCIP-INF-1 " "220077","BAYSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","404 patients","2 ","2","SCIP-VTE-1 " "220077","BAYSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1105 patients","2 ","2","SCIP-INF-6 " "220077","BAYSTATE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","176 patients",,,"AMI-3 " "220077","BAYSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","174 patients","2 ","2","SCIP-CARD-2 " "220077","BAYSTATE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","418 patients",,,"PN-2 " "220077","BAYSTATE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","959 patients",,,"HF-2 " "220077","BAYSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","838 patients","2 ","2","SCIP-INF-3 " "220077","BAYSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","909 patients","2 ","2","SCIP-INF-2 " "220077","BAYSTATE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","288 patients",,,"HF-3 " "220077","BAYSTATE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","149 patients",,,"PN-4 " "220077","BAYSTATE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","313 patients",,,"AMI-4 " "220077","BAYSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","382 patients","2 ","2","SCIP-INF-4 " "220077","BAYSTATE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","294 patients",,,"PN-3B " "220077","BAYSTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","404 patients","2 ","2","SCIP-VTE-2 " "220077","BAYSTATE MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","150 patients",,,"CAC-2 " "220077","BAYSTATE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220077","BAYSTATE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","306 patients",,,"PN-7 " "220077","BAYSTATE MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","49%","151 patients",,,"CAC-3 " "220077","BAYSTATE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","154 patients",,,"HF-4 " "220077","BAYSTATE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","747 patients",,,"HF-1 " "220077","BAYSTATE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","879 patients",,,"AMI-5 " "220077","BAYSTATE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","867 patients",,,"AMI-2 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","26 patients","2 ","2","AMI-8A " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","136 patients","2 ","2","PN-6 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","239 patients","2 ","2","HF-2 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","229 patients","2 ","2","SCIP-VTE-2 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","574 patients","2 ","2","SCIP-INF-6 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1,2 ","12","AMI-3 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","448 patients","2 ","2","SCIP-INF-1 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","143 patients","2 ","2","PN-7 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","68 patients","2 ","2","PN-4 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","53 patients","2 ","2","HF-3 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","60 patients","2 ","2","AMI-5 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","440 patients","2 ","2","SCIP-INF-3 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","229 patients","2 ","2","SCIP-VTE-1 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","449 patients","2 ","2","SCIP-INF-2 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","94 patients","2 ","2","SCIP-CARD-2 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","134 patients","2 ","2","PN-3B " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","207 patients","2 ","2","PN-2 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","49 patients","2 ","2","AMI-2 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","HF-4 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","160 patients","2 ","2","HF-1 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","174 patients","2 ","2","PN-5C " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1,2 ","12","AMI-4 " "220080","CARITAS HOLY FAMILY HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","75 patients","2 ","2","AMI-1 " "220082","SAINTS MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","30 patients",,,"AMI-8A " "220082","SAINTS MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","187 patients",,,"PN-3B " "220082","SAINTS MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"AMI-4 " "220082","SAINTS MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","173 patients",,,"SCIP-VTE-1 " "220082","SAINTS MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220082","SAINTS MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","140 patients",,,"PN-7 " "220082","SAINTS MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","173 patients",,,"SCIP-VTE-2 " "220082","SAINTS MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","114 patients",,,"AMI-1 " "220082","SAINTS MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","260 patients",,,"SCIP-INF-1 " "220082","SAINTS MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "220082","SAINTS MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","262 patients",,,"SCIP-INF-2 " "220082","SAINTS MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","210 patients",,,"HF-1 " "220082","SAINTS MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "220082","SAINTS MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","122 patients",,,"PN-6 " "220082","SAINTS MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","51 patients",,,"HF-3 " "220082","SAINTS MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","47 patients",,,"SCIP-CARD-2 " "220082","SAINTS MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","250 patients",,,"SCIP-INF-3 " "220082","SAINTS MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","218 patients",,,"PN-5C " "220082","SAINTS MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","82 patients",,,"AMI-2 " "220082","SAINTS MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","383 patients",,,"SCIP-INF-6 " "220082","SAINTS MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "220082","SAINTS MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","96 patients",,,"AMI-5 " "220082","SAINTS MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","309 patients",,,"HF-2 " "220082","SAINTS MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220082","SAINTS MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","190 patients",,,"PN-2 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","69 patients",,,"SCIP-VTE-2 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","22 patients","1 ","1","SCIP-CARD-2 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","PN-4 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","54%","101 patients",,,"HF-1 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","146 patients",,,"HF-2 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","80 patients",,,"PN-3B " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","91 patients",,,"PN-2 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","99 patients",,,"SCIP-INF-6 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","HF-4 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","66 patients",,,"SCIP-INF-3 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","68 patients",,,"SCIP-INF-2 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","72 patients",,,"PN-7 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","69 patients",,,"SCIP-VTE-1 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","68 patients",,,"SCIP-INF-1 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","59 patients",,,"PN-6 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","41 patients",,,"HF-3 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "220083","BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","97 patients",,,"PN-5C " "220084","EMERSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","108 patients",,,"PN-6 " "220084","EMERSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","47 patients",,,"AMI-1 " "220084","EMERSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","105 patients",,,"PN-7 " "220084","EMERSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "220084","EMERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","228 patients",,,"SCIP-VTE-1 " "220084","EMERSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","26 patients",,,"AMI-2 " "220084","EMERSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","106 patients",,,"HF-1 " "220084","EMERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","317 patients",,,"SCIP-INF-3 " "220084","EMERSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","HF-4 " "220084","EMERSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","31 patients",,,"AMI-5 " "220084","EMERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","477 patients",,,"SCIP-INF-6 " "220084","EMERSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","164 patients",,,"HF-2 " "220084","EMERSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","181 patients",,,"PN-2 " "220084","EMERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","228 patients",,,"SCIP-VTE-2 " "220084","EMERSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220084","EMERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "220084","EMERSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","72 patients",,,"SCIP-CARD-2 " "220084","EMERSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "220084","EMERSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "220084","EMERSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","165 patients",,,"PN-5C " "220084","EMERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","331 patients",,,"SCIP-INF-2 " "220084","EMERSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "220084","EMERSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","PN-4 " "220084","EMERSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","182 patients",,,"PN-3B " "220084","EMERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","332 patients",,,"SCIP-INF-1 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","126 patients",,,"AMI-4 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","554 patients",,,"AMI-2 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","462 patients","2 ","2","SCIP-VTE-2 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","122 patients","2 ","2","PN-6 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","462 patients","2 ","2","SCIP-VTE-1 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","75 patients","2 ","2","PN-4 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","105 patients","2 ","2","HF-3 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","202 patients","2 ","2","PN-5C " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","33 patients",,,"AMI-8A " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","173 patients",,,"AMI-1 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1160 patients","2 ","2","SCIP-INF-6 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","72 patients","2 ","2","HF-4 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","97 patients",,,"AMI-3 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","229 patients","2 ","2","PN-2 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","241 patients","2 ","2","PN-3B " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","651 patients","2 ","2","SCIP-INF-2 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","437 patients","2 ","2","HF-1 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","538 patients",,,"AMI-5 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","539 patients","2 ","2","SCIP-INF-3 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","436 patients","2 ","2","HF-2 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","217 patients","2 ","2","SCIP-INF-4 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","558 patients","2 ","2","SCIP-INF-1 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","178 patients","2 ","2","PN-7 " "220086","BETH ISRAEL DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","227 patients","2 ","2","SCIP-CARD-2 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","17 patients","1 ","1","PN-6 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","3518 patients","2 ","2","SCIP-INF-3 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","30 patients",,,"PN-5C " "220088","NEW ENGLAND BAPTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","19 patients","1 ","1","PN-7 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","2579 patients","2 ","2","SCIP-VTE-2 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","526 patients","2 ","2","SCIP-CARD-2 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","54 patients",,,"HF-2 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","3873 patients","2 ","2","SCIP-INF-6 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","37 patients",,,"HF-1 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","37 patients",,,"PN-2 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","2580 patients","2 ","2","SCIP-VTE-1 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3539 patients","2 ","2","SCIP-INF-2 " "220088","NEW ENGLAND BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","3533 patients","2 ","2","SCIP-INF-1 " "220090","MILFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","238 patients",,,"PN-5C " "220090","MILFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","144 patients",,,"PN-6 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","51 patients",,,"AMI-2 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","76 patients",,,"AMI-1 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","81 patients",,,"HF-3 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220090","MILFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","243 patients","2 ","2","SCIP-INF-3 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","54 patients",,,"AMI-5 " "220090","MILFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","172 patients","2 ","2","SCIP-VTE-2 " "220090","MILFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","249 patients",,,"PN-2 " "220090","MILFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","170 patients",,,"PN-7 " "220090","MILFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "220090","MILFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","278 patients",,,"PN-3B " "220090","MILFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","62 patients",,,"SCIP-CARD-2 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","332 patients",,,"HF-2 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "220090","MILFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","67 patients",,,"PN-4 " "220090","MILFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","254 patients","2 ","2","SCIP-INF-1 " "220090","MILFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","256 patients","2 ","2","SCIP-INF-2 " "220090","MILFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","418 patients","2 ","2","SCIP-INF-6 " "220090","MILFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","172 patients","2 ","2","SCIP-VTE-1 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","200 patients",,,"HF-1 " "220090","MILFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","32 patients",,,"HF-4 " "220095","HEYWOOD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","84 patients",,,"PN-7 " "220095","HEYWOOD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","103 patients",,,"PN-6 " "220095","HEYWOOD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","131 patients",,,"PN-2 " "220095","HEYWOOD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "220095","HEYWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","205 patients",,,"SCIP-INF-1 " "220095","HEYWOOD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","150 patients",,,"PN-5C " "220095","HEYWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","198 patients",,,"SCIP-INF-3 " "220095","HEYWOOD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","93 patients",,,"HF-1 " "220095","HEYWOOD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","104 patients",,,"SCIP-VTE-1 " "220095","HEYWOOD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","29 patients",,,"AMI-5 " "220095","HEYWOOD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","40 patients",,,"PN-4 " "220095","HEYWOOD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","138 patients",,,"HF-2 " "220095","HEYWOOD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","33 patients",,,"SCIP-CARD-2 " "220095","HEYWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","206 patients",,,"SCIP-INF-2 " "220095","HEYWOOD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","35 patients",,,"AMI-1 " "220095","HEYWOOD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","140 patients",,,"PN-3B " "220095","HEYWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220095","HEYWOOD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220095","HEYWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","248 patients",,,"SCIP-INF-6 " "220095","HEYWOOD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "220095","HEYWOOD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","22 patients","1 ","1","AMI-2 " "220095","HEYWOOD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","104 patients",,,"SCIP-VTE-2 " "220095","HEYWOOD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "220095","HEYWOOD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220095","HEYWOOD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"HF-3 " "220098","NASHOBA VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","103 patients","2 ","2","PN-5C " "220098","NASHOBA VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","111 patients","2 ","2","PN-2 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "220098","NASHOBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","41 patients",,,"SCIP-INF-3 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "220098","NASHOBA VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","95 patients",,,"PN-7 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "220098","NASHOBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","48 patients",,,"SCIP-VTE-2 " "220098","NASHOBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1 ","1","SCIP-CARD-2 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220098","NASHOBA VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","114 patients","2 ","2","PN-3B " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","81 patients",,,"HF-2 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "220098","NASHOBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","48 patients",,,"SCIP-VTE-1 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "220098","NASHOBA VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","76 patients","2 ","2","PN-6 " "220098","NASHOBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","87 patients",,,"SCIP-INF-6 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","54 patients",,,"HF-1 " "220098","NASHOBA VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","42 patients","2 ","2","PN-4 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "220098","NASHOBA VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220098","NASHOBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","43 patients",,,"SCIP-INF-1 " "220098","NASHOBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220098","NASHOBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","43 patients",,,"SCIP-INF-2 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "22009F","NORTHAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "22009F","NORTHAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "22009F","NORTHAMPTON VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "220100","SOUTH SHORE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","209 patients",,,"AMI-2 " "220100","SOUTH SHORE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "220100","SOUTH SHORE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","76 patients",,,"HF-4 " "220100","SOUTH SHORE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","35 patients",,,"AMI-3 " "220100","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","419 patients","2 ","2","SCIP-VTE-2 " "220100","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "220100","SOUTH SHORE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","97 patients",,,"PN-4 " "220100","SOUTH SHORE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","180 patients",,,"HF-3 " "220100","SOUTH SHORE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","276 patients",,,"AMI-1 " "220100","SOUTH SHORE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220100","SOUTH SHORE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","91 patients",,,"AMI-8A " "220100","SOUTH SHORE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","507 patients",,,"PN-5C " "220100","SOUTH SHORE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","249 patients",,,"PN-6 " "220100","SOUTH SHORE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","820 patients",,,"HF-2 " "220100","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","697 patients","2 ","2","SCIP-INF-2 " "220100","SOUTH SHORE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","238 patients",,,"PN-3B " "220100","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","419 patients","2 ","2","SCIP-VTE-1 " "220100","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","696 patients","2 ","2","SCIP-INF-1 " "220100","SOUTH SHORE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","214 patients",,,"AMI-5 " "220100","SOUTH SHORE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","322 patients",,,"PN-7 " "220100","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","674 patients","2 ","2","SCIP-INF-3 " "220100","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","926 patients","2 ","2","SCIP-INF-6 " "220100","SOUTH SHORE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","151 patients","2 ","2","SCIP-CARD-2 " "220100","SOUTH SHORE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","482 patients",,,"PN-2 " "220100","SOUTH SHORE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","509 patients",,,"HF-1 " "220101","NEWTON-WELLESLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","134 patients","2 ","2","PN-5C " "220101","NEWTON-WELLESLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients","2 ","2","PN-4 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1,2 ","12","AMI-3 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1,2 ","12","HF-4 " "220101","NEWTON-WELLESLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","360 patients","2 ","2","SCIP-INF-6 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","51 patients","2 ","2","HF-3 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "220101","NEWTON-WELLESLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","249 patients","2 ","2","SCIP-INF-2 " "220101","NEWTON-WELLESLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","48 patients","2 ","2","SCIP-CARD-2 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","AMI-4 " "220101","NEWTON-WELLESLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","240 patients","2 ","2","SCIP-INF-3 " "220101","NEWTON-WELLESLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","87 patients","2 ","2","PN-7 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","49 patients","2 ","2","AMI-2 " "220101","NEWTON-WELLESLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","246 patients","2 ","2","SCIP-INF-1 " "220101","NEWTON-WELLESLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","171 patients","2 ","2","SCIP-VTE-1 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","175 patients","2 ","2","HF-1 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","266 patients","2 ","2","HF-2 " "220101","NEWTON-WELLESLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","151 patients","2 ","2","PN-3B " "220101","NEWTON-WELLESLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220101","NEWTON-WELLESLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","171 patients","2 ","2","SCIP-VTE-2 " "220101","NEWTON-WELLESLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","145 patients","2 ","2","PN-2 " "220101","NEWTON-WELLESLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","72 patients","2 ","2","PN-6 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","66 patients","2 ","2","AMI-1 " "220101","NEWTON-WELLESLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","47 patients","2 ","2","AMI-5 " "220105","WINCHESTER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","179 patients","2 ","2","PN-6 " "220105","WINCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","272 patients","2 ","2","SCIP-VTE-1 " "220105","WINCHESTER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","74 patients","2 ","2","HF-3 " "220105","WINCHESTER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","46 patients","2 ","2","AMI-2 " "220105","WINCHESTER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","58 patients","2 ","2","AMI-5 " "220105","WINCHESTER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","252 patients","2 ","2","PN-2 " "220105","WINCHESTER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1,2 ","12","HF-4 " "220105","WINCHESTER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","218 patients","2 ","2","PN-3B " "220105","WINCHESTER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1,2 ","12","AMI-3 " "220105","WINCHESTER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","228 patients","2 ","2","PN-5C " "220105","WINCHESTER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","50 patients","2 ","2","PN-4 " "220105","WINCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","467 patients","2 ","2","SCIP-INF-1 " "220105","WINCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220105","WINCHESTER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","153 patients","2 ","2","PN-7 " "220105","WINCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","202 patients",,,"SCIP-CARD-2 " "220105","WINCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","454 patients","2 ","2","SCIP-INF-3 " "220105","WINCHESTER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","72 patients","2 ","2","AMI-1 " "220105","WINCHESTER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "220105","WINCHESTER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","188 patients","2 ","2","HF-1 " "220105","WINCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","665 patients","2 ","2","SCIP-INF-6 " "220105","WINCHESTER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","288 patients","2 ","2","HF-2 " "220105","WINCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","468 patients","2 ","2","SCIP-INF-2 " "220105","WINCHESTER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220105","WINCHESTER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","AMI-4 " "220105","WINCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","272 patients","2 ","2","SCIP-VTE-2 " "220108","MILTON HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","45 patients",,,"SCIP-CARD-2 " "220108","MILTON HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","162 patients",,,"HF-2 " "220108","MILTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","252 patients","2 ","2","SCIP-INF-6 " "220108","MILTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","155 patients","2 ","2","SCIP-INF-1 " "220108","MILTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","150 patients","2 ","2","SCIP-INF-3 " "220108","MILTON HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","37 patients",,,"AMI-1 " "220108","MILTON HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","89 patients",,,"PN-7 " "220108","MILTON HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","39 patients",,,"HF-3 " "220108","MILTON HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","HF-4 " "220108","MILTON HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","133 patients",,,"HF-1 " "220108","MILTON HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","182 patients","2 ","2","SCIP-VTE-1 " "220108","MILTON HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","182 patients","2 ","2","SCIP-VTE-2 " "220108","MILTON HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","AMI-3 " "220108","MILTON HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220108","MILTON HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","114 patients",,,"PN-3B " "220108","MILTON HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","18 patients","1 ","1","AMI-2 " "220108","MILTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","155 patients","2 ","2","SCIP-INF-2 " "220108","MILTON HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","152 patients",,,"PN-2 " "220108","MILTON HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","40 patients",,,"PN-4 " "220108","MILTON HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "220108","MILTON HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220108","MILTON HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","23 patients","1 ","1","AMI-5 " "220108","MILTON HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","82 patients",,,"PN-6 " "220108","MILTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220108","MILTON HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","146 patients",,,"PN-5C " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","196 patients",,,"HF-1 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","83 patients",,,"PN-6 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","209 patients","2 ","2","SCIP-VTE-2 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","134 patients",,,"PN-2 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","85 patients",,,"HF-3 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","116 patients",,,"PN-3B " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","233 patients",,,"HF-2 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","116 patients","2 ","2","SCIP-INF-4 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","488 patients","2 ","2","SCIP-INF-6 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","356 patients",,,"SCIP-INF-1 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","209 patients","2 ","2","SCIP-VTE-1 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","129 patients",,,"PN-5C " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","254 patients","2 ","2","SCIP-CARD-2 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","360 patients",,,"SCIP-INF-2 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","345 patients",,,"SCIP-INF-3 " "22010F","VA BOSTON HEALTHCARE SYSTEM - JAMACA PLAIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","113 patients",,,"PN-7 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","37 patients","2 ","2","PN-4 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","152 patients","2 ","2","AMI-4 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","299 patients","2 ","2","SCIP-VTE-1 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","602 patients","2 ","2","AMI-2 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","229 patients","2 ","2","HF-1 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","427 patients","2 ","2","SCIP-INF-3 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","447 patients","2 ","2","SCIP-INF-1 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","79 patients","2 ","2","AMI-3 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","85 patients","2 ","2","PN-5C " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","26 patients","2 ","2","PN-6 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","37 patients","2 ","2","HF-4 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","595 patients","2 ","2","AMI-5 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","36 patients","2 ","2","AMI-8A " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","77 patients","2 ","2","PN-7 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","74 patients","2 ","2","PN-3B " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","136 patients","2 ","2","SCIP-INF-4 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","268 patients","2 ","2","HF-2 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","118 patients","2 ","2","SCIP-CARD-2 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","299 patients","2 ","2","SCIP-VTE-2 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","304 patients","2 ","2","AMI-1 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","453 patients","2 ","2","SCIP-INF-2 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","89 patients","2 ","2","HF-3 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","92 patients","2 ","2","PN-2 " "220110","BRIGHAM AND WOMEN'S HOSPTIAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","708 patients","2 ","2","SCIP-INF-6 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","278 patients","2 ","2","PN-3B " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","544 patients","2 ","2","SCIP-INF-1 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","367 patients","2 ","2","PN-5C " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","113 patients","2 ","2","AMI-2 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","117 patients","2 ","2","AMI-5 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","47 patients","2 ","2","HF-4 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","348 patients","2 ","2","PN-2 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","546 patients","2 ","2","SCIP-INF-2 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","291 patients","2 ","2","SCIP-VTE-1 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","170 patients","2 ","2","AMI-1 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","54 patients","2 ","2","AMI-8A " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","290 patients","2 ","2","SCIP-VTE-2 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","235 patients","2 ","2","PN-7 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","96 patients","2 ","2","SCIP-CARD-2 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","AMI-4 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","240 patients","2 ","2","HF-1 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","118 patients","2 ","2","HF-3 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","732 patients","2 ","2","SCIP-INF-6 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","524 patients","2 ","2","SCIP-INF-3 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","18 patients","1,2 ","12","AMI-3 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","238 patients","2 ","2","PN-6 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","378 patients","2 ","2","HF-2 " "220111","CARITAS GOOD SAMARITAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","123 patients","2 ","2","PN-4 " "220116","TUFTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","266 patients","2 ","2","SCIP-VTE-2 " "220116","TUFTS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","197 patients",,,"PN-2 " "220116","TUFTS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","79 patients",,,"PN-4 " "220116","TUFTS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","65 patients",,,"PN-6 " "220116","TUFTS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","411 patients",,,"HF-2 " "220116","TUFTS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","19 patients","1 ","1","AMI-8A " "220116","TUFTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","853 patients","2 ","2","SCIP-INF-6 " "220116","TUFTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","642 patients","2 ","2","SCIP-INF-1 " "220116","TUFTS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","266 patients",,,"AMI-2 " "220116","TUFTS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","127 patients",,,"PN-3B " "220116","TUFTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","652 patients","2 ","2","SCIP-INF-2 " "220116","TUFTS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","67 patients",,,"HF-4 " "220116","TUFTS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","139 patients",,,"PN-5C " "220116","TUFTS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","152 patients",,,"PN-7 " "220116","TUFTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","266 patients","2 ","2","SCIP-VTE-1 " "220116","TUFTS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","244 patients",,,"AMI-5 " "220116","TUFTS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","94 patients",,,"AMI-4 " "220116","TUFTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","197 patients","2 ","2","SCIP-CARD-2 " "220116","TUFTS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220116","TUFTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","317 patients","2 ","2","SCIP-INF-4 " "220116","TUFTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","608 patients","2 ","2","SCIP-INF-3 " "220116","TUFTS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","181 patients",,,"HF-3 " "220116","TUFTS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","48 patients",,,"AMI-3 " "220116","TUFTS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","73 patients",,,"AMI-1 " "220116","TUFTS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","340 patients",,,"HF-1 " "220119","FAULKNER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","PN-4 " "220119","FAULKNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","136 patients","2 ","2","SCIP-INF-2 " "220119","FAULKNER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients","2 ","2","AMI-2 " "220119","FAULKNER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","159 patients","2 ","2","HF-1 " "220119","FAULKNER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220119","FAULKNER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","80 patients","2 ","2","PN-6 " "220119","FAULKNER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","116 patients","2 ","2","SCIP-VTE-1 " "220119","FAULKNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","135 patients","2 ","2","SCIP-INF-1 " "220119","FAULKNER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","34 patients","2 ","2","AMI-1 " "220119","FAULKNER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","139 patients","2 ","2","PN-5C " "220119","FAULKNER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "220119","FAULKNER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "220119","FAULKNER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","89 patients","2 ","2","PN-7 " "220119","FAULKNER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","125 patients","2 ","2","PN-3B " "220119","FAULKNER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","235 patients","2 ","2","HF-2 " "220119","FAULKNER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","132 patients","2 ","2","PN-2 " "220119","FAULKNER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "220119","FAULKNER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","116 patients","2 ","2","SCIP-VTE-2 " "220119","FAULKNER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,2 ","12","HF-4 " "220119","FAULKNER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients","2 ","2","SCIP-CARD-2 " "220119","FAULKNER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients","2 ","2","HF-3 " "220119","FAULKNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","238 patients","2 ","2","SCIP-INF-6 " "220119","FAULKNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","132 patients","2 ","2","SCIP-INF-3 " "220119","FAULKNER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220119","FAULKNER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1,2 ","12","AMI-5 " "220126","CARITAS NORWOOD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","198 patients","2 ","2","SCIP-INF-3 " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","111 patients","2 ","2","AMI-2 " "220126","CARITAS NORWOOD HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","170 patients","2 ","2","PN-5C " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","325 patients","2 ","2","HF-2 " "220126","CARITAS NORWOOD HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","124 patients","2 ","2","PN-7 " "220126","CARITAS NORWOOD HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","175 patients","2 ","2","PN-2 " "220126","CARITAS NORWOOD HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","244 patients","2 ","2","SCIP-VTE-2 " "220126","CARITAS NORWOOD HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","115 patients","2 ","2","PN-6 " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","194 patients","2 ","2","HF-1 " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","26 patients","2 ","2","HF-4 " "220126","CARITAS NORWOOD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","222 patients","2 ","2","SCIP-INF-2 " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients","2 ","2","AMI-3 " "220126","CARITAS NORWOOD HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","130 patients","2 ","2","PN-3B " "220126","CARITAS NORWOOD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","371 patients","2 ","2","SCIP-INF-6 " "220126","CARITAS NORWOOD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","220 patients","2 ","2","SCIP-INF-1 " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","76 patients","2 ","2","HF-3 " "220126","CARITAS NORWOOD HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220126","CARITAS NORWOOD HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","44 patients","2 ","2","PN-4 " "220126","CARITAS NORWOOD HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","78 patients","2 ","2","SCIP-CARD-2 " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","159 patients","2 ","2","AMI-1 " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","44 patients","2 ","2","AMI-8A " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","25 patients","2 ","2","AMI-4 " "220126","CARITAS NORWOOD HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","244 patients","2 ","2","SCIP-VTE-1 " "220126","CARITAS NORWOOD HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","116 patients","2 ","2","AMI-5 " "220135","FALMOUTH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","185 patients",,,"PN-5C " "220135","FALMOUTH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"PN-4 " "220135","FALMOUTH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "220135","FALMOUTH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","87 patients","2 ","2","SCIP-CARD-2 " "220135","FALMOUTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","293 patients","2 ","2","SCIP-VTE-1 " "220135","FALMOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","483 patients","2 ","2","SCIP-INF-3 " "220135","FALMOUTH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "220135","FALMOUTH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","189 patients",,,"PN-3B " "220135","FALMOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220135","FALMOUTH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220135","FALMOUTH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","56 patients",,,"AMI-5 " "220135","FALMOUTH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","71 patients",,,"AMI-1 " "220135","FALMOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","503 patients","2 ","2","SCIP-INF-1 " "220135","FALMOUTH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","220 patients",,,"HF-2 " "220135","FALMOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","501 patients","2 ","2","SCIP-INF-2 " "220135","FALMOUTH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","153 patients",,,"HF-1 " "220135","FALMOUTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","293 patients","2 ","2","SCIP-VTE-2 " "220135","FALMOUTH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","46 patients",,,"HF-3 " "220135","FALMOUTH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","101 patients",,,"PN-6 " "220135","FALMOUTH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","46 patients",,,"AMI-2 " "220135","FALMOUTH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "220135","FALMOUTH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","AMI-4 " "220135","FALMOUTH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","170 patients",,,"PN-2 " "220135","FALMOUTH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","117 patients",,,"PN-7 " "220135","FALMOUTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","640 patients","2 ","2","SCIP-INF-6 " "220162","DANA-FARBER CANCER INSTITUTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "220162","DANA-FARBER CANCER INSTITUTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "220162","DANA-FARBER CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "220162","DANA-FARBER CANCER INSTITUTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "220162","DANA-FARBER CANCER INSTITUTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","16 patients","1,2 ","12","PN-3B " "220162","DANA-FARBER CANCER INSTITUTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "220162","DANA-FARBER CANCER INSTITUTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","10 patients","1,2 ","12","PN-5C " "220162","DANA-FARBER CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "220162","DANA-FARBER CANCER INSTITUTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "220162","DANA-FARBER CANCER INSTITUTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "220162","DANA-FARBER CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "220162","DANA-FARBER CANCER INSTITUTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,2 ","12","PN-6 " "220162","DANA-FARBER CANCER INSTITUTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "220162","DANA-FARBER CANCER INSTITUTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","17 patients","1,2 ","12","PN-2 " "220162","DANA-FARBER CANCER INSTITUTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "220162","DANA-FARBER CANCER INSTITUTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "220162","DANA-FARBER CANCER INSTITUTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "220162","DANA-FARBER CANCER INSTITUTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "220162","DANA-FARBER CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "220162","DANA-FARBER CANCER INSTITUTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","11 patients","1,2 ","12","PN-7 " "220162","DANA-FARBER CANCER INSTITUTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "220162","DANA-FARBER CANCER INSTITUTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "220162","DANA-FARBER CANCER INSTITUTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "220162","DANA-FARBER CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "220162","DANA-FARBER CANCER INSTITUTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","PN-4 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","200 patients","2 ","2","PN-6 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","613 patients","2 ","2","SCIP-INF-6 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","506 patients","2 ","2","HF-1 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","213 patients","2 ","2","HF-3 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","379 patients","2 ","2","PN-5C " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","91 patients","2 ","2","SCIP-CARD-2 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","278 patients","2 ","2","AMI-1 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","757 patients","2 ","2","HF-2 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","444 patients","2 ","2","PN-2 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","386 patients","2 ","2","PN-3B " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","378 patients","2 ","2","SCIP-INF-1 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","102 patients","2 ","2","HF-4 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","70 patients","2 ","2","AMI-8A " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","117 patients","2 ","2","SCIP-INF-4 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","535 patients","2 ","2","AMI-5 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","393 patients","2 ","2","SCIP-INF-2 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","160 patients","2 ","2","PN-4 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","257 patients","2 ","2","AMI-4 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","365 patients","2 ","2","SCIP-INF-3 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","587 patients","2 ","2","AMI-2 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","229 patients","2 ","2","SCIP-VTE-2 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","282 patients","2 ","2","PN-7 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","106 patients","2 ","2","AMI-3 " "220163","UMASS MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","229 patients","2 ","2","SCIP-VTE-1 " "220171","LAHEY CLINIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","665 patients","2 ","2","AMI-2 " "220171","LAHEY CLINIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","52%","33 patients","2 ","2","PN-4 " "220171","LAHEY CLINIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "220171","LAHEY CLINIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","86 patients","2 ","2","AMI-8A " "220171","LAHEY CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","365 patients","2 ","2","SCIP-INF-3 " "220171","LAHEY CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","110 patients","2 ","2","SCIP-CARD-2 " "220171","LAHEY CLINIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","133 patients","2 ","2","PN-2 " "220171","LAHEY CLINIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","92 patients","2 ","2","PN-3B " "220171","LAHEY CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","271 patients","2 ","2","SCIP-VTE-1 " "220171","LAHEY CLINIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","18 patients","1,2 ","12","HF-4 " "220171","LAHEY CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","402 patients","2 ","2","SCIP-INF-1 " "220171","LAHEY CLINIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","305 patients","2 ","2","AMI-1 " "220171","LAHEY CLINIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","101 patients","2 ","2","PN-5C " "220171","LAHEY CLINIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","616 patients","2 ","2","AMI-5 " "220171","LAHEY CLINIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","58 patients","2 ","2","PN-6 " "220171","LAHEY CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","270 patients","2 ","2","SCIP-VTE-2 " "220171","LAHEY CLINIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","198 patients","2 ","2","AMI-4 " "220171","LAHEY CLINIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","89 patients","2 ","2","PN-7 " "220171","LAHEY CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","126 patients","2 ","2","SCIP-INF-4 " "220171","LAHEY CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","404 patients","2 ","2","SCIP-INF-2 " "220171","LAHEY CLINIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","276 patients","2 ","2","HF-2 " "220171","LAHEY CLINIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","68 patients","2 ","2","HF-3 " "220171","LAHEY CLINIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","208 patients","2 ","2","HF-1 " "220171","LAHEY CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","656 patients","2 ","2","SCIP-INF-6 " "220171","LAHEY CLINIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","105 patients","2 ","2","AMI-3 " "220174","MERRIMACK VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","87 patients",,,"PN-6 " "220174","MERRIMACK VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","HF-3 " "220174","MERRIMACK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients",,,"SCIP-CARD-2 " "220174","MERRIMACK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","216 patients",,,"SCIP-INF-6 " "220174","MERRIMACK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","133 patients",,,"SCIP-INF-3 " "220174","MERRIMACK VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","54 patients",,,"AMI-1 " "220174","MERRIMACK VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","119 patients",,,"PN-2 " "220174","MERRIMACK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","109 patients",,,"SCIP-VTE-2 " "220174","MERRIMACK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "220174","MERRIMACK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","109 patients",,,"SCIP-VTE-1 " "220174","MERRIMACK VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "220174","MERRIMACK VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "220174","MERRIMACK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","138 patients",,,"SCIP-INF-2 " "220174","MERRIMACK VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "220174","MERRIMACK VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","32 patients",,,"AMI-2 " "220174","MERRIMACK VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","79 patients",,,"PN-7 " "220174","MERRIMACK VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "220174","MERRIMACK VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","34 patients",,,"AMI-5 " "220174","MERRIMACK VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "220174","MERRIMACK VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220174","MERRIMACK VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","168 patients",,,"HF-2 " "220174","MERRIMACK VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","132 patients",,,"PN-5C " "220174","MERRIMACK VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","138 patients",,,"PN-3B " "220174","MERRIMACK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","137 patients",,,"SCIP-INF-1 " "220174","MERRIMACK VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","111 patients",,,"HF-1 " "220175","METROWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","129 patients","2 ","2","HF-3 " "220175","METROWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "220175","METROWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","71 patients",,,"AMI-5 " "220175","METROWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","85 patients",,,"AMI-1 " "220175","METROWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","321 patients","2 ","2","SCIP-INF-3 " "220175","METROWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","339 patients","2 ","2","SCIP-INF-2 " "220175","METROWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "220175","METROWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220175","METROWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "220175","METROWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","210 patients",,,"PN-3B " "220175","METROWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","288 patients",,,"PN-5C " "220175","METROWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","29 patients",,,"AMI-8A " "220175","METROWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","HF-4 " "220175","METROWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","76 patients",,,"AMI-2 " "220175","METROWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","231 patients",,,"PN-7 " "220175","METROWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","339 patients","2 ","2","SCIP-INF-1 " "220175","METROWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","411 patients","2 ","2","HF-2 " "220175","METROWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","290 patients",,,"PN-2 " "220175","METROWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","664 patients","2 ","2","SCIP-INF-6 " "220175","METROWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","219 patients",,,"PN-6 " "220175","METROWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","281 patients","2 ","2","HF-1 " "220175","METROWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","320 patients","2 ","2","SCIP-VTE-2 " "220175","METROWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","320 patients","2 ","2","SCIP-VTE-1 " "220175","METROWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","60 patients",,,"PN-4 " "220175","METROWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","111 patients","2 ","2","SCIP-CARD-2 " "220176","ST VINCENT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","430 patients",,,"PN-3B " "220176","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","320 patients",,,"SCIP-CARD-2 " "220176","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","533 patients",,,"SCIP-VTE-1 " "220176","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","870 patients",,,"SCIP-INF-3 " "220176","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","533 patients",,,"SCIP-VTE-2 " "220176","ST VINCENT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "220176","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","955 patients",,,"SCIP-INF-1 " "220176","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","200 patients",,,"SCIP-INF-4 " "220176","ST VINCENT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","320 patients",,,"AMI-5 " "220176","ST VINCENT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","409 patients",,,"HF-1 " "220176","ST VINCENT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","369 patients",,,"AMI-2 " "220176","ST VINCENT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","114 patients",,,"AMI-4 " "220176","ST VINCENT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "220176","ST VINCENT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","609 patients",,,"HF-2 " "220176","ST VINCENT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","309 patients",,,"PN-7 " "220176","ST VINCENT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","253 patients",,,"PN-6 " "220176","ST VINCENT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","126 patients",,,"PN-4 " "220176","ST VINCENT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","441 patients",,,"PN-5C " "220176","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","960 patients",,,"SCIP-INF-2 " "220176","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1612 patients",,,"SCIP-INF-6 " "220176","ST VINCENT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","160 patients",,,"HF-3 " "220176","ST VINCENT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","32 patients",,,"AMI-8A " "220176","ST VINCENT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","443 patients",,,"PN-2 " "220176","ST VINCENT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","48 patients",,,"AMI-3 " "220176","ST VINCENT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","301 patients",,,"AMI-1 " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","HF-4 " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","28%","18 patients","1 ","1","HF-1 " "220177","NANTUCKET COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "220177","NANTUCKET COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "220177","NANTUCKET COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "220177","NANTUCKET COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "220177","NANTUCKET COTTAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1 ","1","PN-7 " "220177","NANTUCKET COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "220177","NANTUCKET COTTAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "220177","NANTUCKET COTTAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","7 patients","1 ","1","PN-2 " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "220177","NANTUCKET COTTAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","40%","5 patients","1 ","1","PN-6 " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "220177","NANTUCKET COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "220177","NANTUCKET COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","45%","20 patients","1 ","1","HF-2 " "220177","NANTUCKET COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "220177","NANTUCKET COTTAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","9 patients","1 ","1","PN-5C " "220177","NANTUCKET COTTAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "220177","NANTUCKET COTTAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","54%","35 patients",,,"PN-2 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","25 patients",,,"PN-3B " "221300","MARTHA'S VINEYARD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","25 patients",,,"HF-2 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","22 patients","1 ","1","HF-1 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","20 patients","1 ","1","PN-7 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","22 patients","1 ","1","PN-6 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","34 patients",,,"PN-5C " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "221300","MARTHA'S VINEYARD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "221302","FAIRVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","25 patients",,,"HF-1 " "221302","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","72 patients",,,"SCIP-INF-3 " "221302","FAIRVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "221302","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "221302","FAIRVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","66 patients",,,"PN-3B " "221302","FAIRVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "221302","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","73 patients",,,"SCIP-INF-1 " "221302","FAIRVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "221302","FAIRVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "221302","FAIRVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "221302","FAIRVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","67 patients",,,"PN-2 " "221302","FAIRVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "221302","FAIRVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","36 patients",,,"PN-7 " "221302","FAIRVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","36 patients",,,"PN-6 " "221302","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","59 patients",,,"SCIP-VTE-1 " "221302","FAIRVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "221302","FAIRVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "221302","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","20 patients","1 ","1","SCIP-CARD-2 " "221302","FAIRVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "221302","FAIRVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","60 patients",,,"PN-5C " "221302","FAIRVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "221302","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","73 patients",,,"SCIP-INF-2 " "221302","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","108 patients",,,"SCIP-INF-6 " "221302","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","59 patients",,,"SCIP-VTE-2 " "221302","FAIRVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","38 patients",,,"HF-2 " "221303","ATHOL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "221303","ATHOL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","27 patients",,,"PN-5C " "221303","ATHOL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "221303","ATHOL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","8 patients","1 ","1","SCIP-VTE-2 " "221303","ATHOL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","24 patients","1 ","1","PN-6 " "221303","ATHOL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-2 " "221303","ATHOL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","18 patients","1 ","1","PN-7 " "221303","ATHOL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","34 patients",,,"HF-1 " "221303","ATHOL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "221303","ATHOL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "221303","ATHOL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","8 patients","1 ","1","SCIP-VTE-1 " "221303","ATHOL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","26 patients",,,"PN-2 " "221303","ATHOL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "221303","ATHOL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "221303","ATHOL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "221303","ATHOL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","24 patients","1 ","1","PN-3B " "221303","ATHOL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "221303","ATHOL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","52 patients",,,"HF-2 " "221303","ATHOL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "221303","ATHOL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "221303","ATHOL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "221303","ATHOL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "221303","ATHOL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "221303","ATHOL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "221303","ATHOL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "223302","CHILDREN'S HOSPITAL BOSTON","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","63%","339 patients","2 ","2","CAC-3 " "223302","CHILDREN'S HOSPITAL BOSTON","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","339 patients","2 ","2","CAC-2 " "223302","CHILDREN'S HOSPITAL BOSTON","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","339 patients","2 ","2","CAC-1 " "230002","ST MARY MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","222 patients",,,"AMI-5 " "230002","ST MARY MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","407 patients",,,"PN-2 " "230002","ST MARY MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","486 patients",,,"SCIP-INF-3 " "230002","ST MARY MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230002","ST MARY MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","453 patients",,,"SCIP-VTE-2 " "230002","ST MARY MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","380 patients",,,"HF-1 " "230002","ST MARY MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","217 patients",,,"AMI-2 " "230002","ST MARY MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","327 patients",,,"PN-3B " "230002","ST MARY MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"PN-4 " "230002","ST MARY MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","869 patients",,,"SCIP-INF-6 " "230002","ST MARY MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","44 patients",,,"AMI-3 " "230002","ST MARY MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","412 patients",,,"PN-5C " "230002","ST MARY MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","453 patients",,,"SCIP-VTE-1 " "230002","ST MARY MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","152 patients",,,"HF-3 " "230002","ST MARY MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "230002","ST MARY MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","212 patients",,,"PN-6 " "230002","ST MARY MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","502 patients",,,"SCIP-INF-1 " "230002","ST MARY MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "230002","ST MARY MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","115 patients",,,"SCIP-CARD-2 " "230002","ST MARY MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","62 patients",,,"AMI-8A " "230002","ST MARY MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","271 patients",,,"PN-7 " "230002","ST MARY MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","318 patients",,,"AMI-1 " "230002","ST MARY MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","521 patients",,,"HF-2 " "230002","ST MARY MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","507 patients",,,"SCIP-INF-2 " "230002","ST MARY MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "230003","ZEELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","31 patients",,,"SCIP-CARD-2 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "230003","ZEELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","176 patients",,,"SCIP-INF-1 " "230003","ZEELAND COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","110 patients",,,"PN-3B " "230003","ZEELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","76 patients",,,"SCIP-VTE-2 " "230003","ZEELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230003","ZEELAND COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","110 patients",,,"PN-2 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","49 patients",,,"HF-1 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "230003","ZEELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","219 patients",,,"SCIP-INF-6 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","63 patients",,,"HF-2 " "230003","ZEELAND COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","59 patients",,,"PN-7 " "230003","ZEELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","76 patients",,,"SCIP-VTE-1 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "230003","ZEELAND COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "230003","ZEELAND COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","90 patients",,,"PN-5C " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230003","ZEELAND COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","53 patients",,,"PN-6 " "230003","ZEELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","170 patients",,,"SCIP-INF-3 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230003","ZEELAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","175 patients",,,"SCIP-INF-2 " "230003","ZEELAND COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","239 patients",,,"SCIP-CARD-2 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"AMI-3 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","389 patients",,,"SCIP-VTE-1 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","263 patients",,,"HF-1 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","169 patients",,,"PN-5C " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","272 patients",,,"SCIP-INF-4 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","220 patients",,,"PN-3B " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","48 patients",,,"AMI-8A " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1063 patients",,,"SCIP-INF-2 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","102 patients",,,"HF-3 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","390 patients",,,"AMI-2 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","1008 patients",,,"SCIP-INF-3 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1433 patients",,,"SCIP-INF-6 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","176 patients",,,"PN-2 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","388 patients",,,"SCIP-VTE-2 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","234 patients",,,"AMI-1 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","80 patients",,,"PN-6 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1046 patients",,,"SCIP-INF-1 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","174 patients",,,"AMI-4 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","388 patients",,,"AMI-5 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","296 patients",,,"HF-2 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","133 patients",,,"PN-7 " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230004","MERCY HEALTH PARTNERS, MERCY CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "230005","EMMA L BIXBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","196 patients","2 ","2","SCIP-INF-1 " "230005","EMMA L BIXBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","302 patients","2 ","2","SCIP-INF-6 " "230005","EMMA L BIXBY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","76 patients","2 ","2","PN-3B " "230005","EMMA L BIXBY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","96 patients","2 ","2","PN-5C " "230005","EMMA L BIXBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","185 patients","2 ","2","SCIP-INF-3 " "230005","EMMA L BIXBY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "230005","EMMA L BIXBY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","94 patients","2 ","2","PN-2 " "230005","EMMA L BIXBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","137 patients","2 ","2","SCIP-VTE-1 " "230005","EMMA L BIXBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230005","EMMA L BIXBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","34 patients","2 ","2","SCIP-CARD-2 " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","94 patients",,,"HF-2 " "230005","EMMA L BIXBY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","59 patients","2 ","2","PN-6 " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","44 patients",,,"AMI-1 " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","85%","33 patients",,,"AMI-2 " "230005","EMMA L BIXBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","137 patients","2 ","2","SCIP-VTE-2 " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","HF-3 " "230005","EMMA L BIXBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","196 patients","2 ","2","SCIP-INF-2 " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "230005","EMMA L BIXBY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","66 patients",,,"PN-7 " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","32 patients",,,"AMI-5 " "230005","EMMA L BIXBY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","73 patients",,,"HF-1 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","42 patients",,,"PN-7 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","30 patients",,,"HF-4 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","73%","30 patients","2 ","2","SCIP-INF-2 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","98 patients","2 ","2","SCIP-INF-6 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","36 patients","2 ","2","SCIP-INF-1 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1,2 ","12","SCIP-CARD-2 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","103 patients",,,"HF-2 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","HF-3 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","66 patients",,,"PN-6 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","74 patients",,,"PN-3B " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","31 patients","3 ","3","PN-5C " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","72%","25 patients",,,"PN-4 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","57 patients",,,"PN-2 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","72 patients","2 ","2","SCIP-VTE-1 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","8 patients","1 ","1","AMI-2 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","30 patients","2 ","2","SCIP-INF-3 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","95 patients",,,"HF-1 " "230013","DOCTOR'S HOSPITAL OF MICHIGAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","72 patients","2 ","2","SCIP-VTE-2 " "230015","THREE RIVERS HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","80 patients",,,"PN-5C " "230015","THREE RIVERS HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","6 patients","1 ","1","AMI-5 " "230015","THREE RIVERS HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","37 patients",,,"SCIP-VTE-2 " "230015","THREE RIVERS HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","59 patients",,,"PN-6 " "230015","THREE RIVERS HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","18 patients","1 ","1","HF-4 " "230015","THREE RIVERS HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","39 patients",,,"PN-7 " "230015","THREE RIVERS HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","81 patients",,,"PN-3B " "230015","THREE RIVERS HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","51 patients",,,"PN-2 " "230015","THREE RIVERS HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","69 patients",,,"SCIP-INF-2 " "230015","THREE RIVERS HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","64%","28 patients",,,"PN-4 " "230015","THREE RIVERS HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","68 patients",,,"SCIP-INF-3 " "230015","THREE RIVERS HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","108 patients",,,"SCIP-INF-6 " "230015","THREE RIVERS HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","86 patients",,,"HF-2 " "230015","THREE RIVERS HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230015","THREE RIVERS HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","71 patients",,,"HF-1 " "230015","THREE RIVERS HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "230015","THREE RIVERS HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230015","THREE RIVERS HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230015","THREE RIVERS HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "230015","THREE RIVERS HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","37 patients",,,"SCIP-VTE-1 " "230015","THREE RIVERS HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "230015","THREE RIVERS HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","8 patients","1 ","1","AMI-1 " "230015","THREE RIVERS HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "230015","THREE RIVERS HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","68 patients",,,"SCIP-INF-1 " "230015","THREE RIVERS HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230017","BRONSON METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","74 patients",,,"AMI-3 " "230017","BRONSON METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","236 patients",,,"PN-7 " "230017","BRONSON METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","538 patients",,,"HF-1 " "230017","BRONSON METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","272 patients",,,"PN-3B " "230017","BRONSON METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","296 patients",,,"AMI-1 " "230017","BRONSON METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","615 patients",,,"HF-2 " "230017","BRONSON METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1566 patients","2 ","2","SCIP-INF-6 " "230017","BRONSON METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","570 patients","2 ","2","SCIP-VTE-1 " "230017","BRONSON METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","1254 patients","2 ","2","SCIP-INF-3 " "230017","BRONSON METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","230 patients","2 ","2","SCIP-INF-4 " "230017","BRONSON METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","162 patients",,,"PN-4 " "230017","BRONSON METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","210 patients",,,"PN-6 " "230017","BRONSON METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","1285 patients","2 ","2","SCIP-INF-1 " "230017","BRONSON METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","151 patients",,,"AMI-4 " "230017","BRONSON METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","218 patients","2 ","2","SCIP-CARD-2 " "230017","BRONSON METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1293 patients","2 ","2","SCIP-INF-2 " "230017","BRONSON METHODIST HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","67%","85 patients",,,"CAC-3 " "230017","BRONSON METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","570 patients","2 ","2","SCIP-VTE-2 " "230017","BRONSON METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","154 patients",,,"HF-3 " "230017","BRONSON METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","298 patients",,,"PN-5C " "230017","BRONSON METHODIST HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","86 patients",,,"CAC-1 " "230017","BRONSON METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","415 patients",,,"AMI-5 " "230017","BRONSON METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","396 patients",,,"AMI-2 " "230017","BRONSON METHODIST HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","83 patients",,,"CAC-2 " "230017","BRONSON METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","74 patients",,,"AMI-8A " "230017","BRONSON METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230017","BRONSON METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","129 patients",,,"HF-4 " "230017","BRONSON METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","298 patients",,,"PN-2 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","997 patients",,,"HF-2 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","854 patients",,,"HF-1 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1462 patients","2 ","2","SCIP-INF-2 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","171 patients",,,"HF-4 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","322 patients","2 ","2","SCIP-CARD-2 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","564 patients",,,"PN-5C " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","247 patients",,,"AMI-1 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","374 patients",,,"HF-3 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1305 patients","2 ","2","SCIP-INF-3 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","279 patients",,,"PN-7 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","408 patients",,,"AMI-5 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1443 patients","2 ","2","SCIP-INF-1 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","392 patients",,,"PN-3B " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","130 patients",,,"PN-4 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","780 patients","2 ","2","SCIP-VTE-2 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","33 patients",,,"AMI-8A " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","429 patients",,,"PN-2 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","780 patients","2 ","2","SCIP-VTE-1 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2039 patients","2 ","2","SCIP-INF-6 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","342 patients",,,"PN-6 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","107 patients",,,"AMI-4 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","287 patients","2 ","2","SCIP-INF-4 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","106 patients",,,"AMI-3 " "230019","PROVIDENCE HOSPITAL AND MEDICAL CENTERS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","381 patients",,,"AMI-2 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","425 patients","2 ","2","SCIP-INF-4 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","455 patients",,,"HF-3 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","1324 patients","2 ","2","SCIP-INF-3 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","366 patients",,,"PN-2 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","349 patients",,,"AMI-4 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","643 patients","2 ","2","SCIP-VTE-2 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1238 patients",,,"HF-2 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","1032 patients",,,"HF-1 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","196 patients",,,"PN-3B " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1450 patients","2 ","2","SCIP-INF-2 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","281 patients",,,"PN-6 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","794 patients",,,"AMI-5 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","799 patients",,,"AMI-2 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","187 patients",,,"PN-4 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1428 patients","2 ","2","SCIP-INF-1 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","482 patients",,,"AMI-1 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1833 patients","2 ","2","SCIP-INF-6 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","249 patients",,,"HF-4 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","282 patients",,,"PN-7 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","377 patients","2 ","2","SCIP-CARD-2 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","240 patients",,,"AMI-3 " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","78 patients",,,"AMI-8A " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","429 patients",,,"PN-5C " "230020","OAKWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","643 patients","2 ","2","SCIP-VTE-1 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","648 patients","2 ","2","SCIP-INF-2 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","315 patients",,,"AMI-1 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","425 patients","2 ","2","SCIP-VTE-2 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","74 patients",,,"AMI-3 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","115 patients",,,"PN-4 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","464 patients",,,"HF-2 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","425 patients","2 ","2","SCIP-VTE-1 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","21 patients","1 ","1","AMI-8A " "230021","LAKELAND HOSPITAL, ST JOSEPH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","329 patients",,,"PN-5C " "230021","LAKELAND HOSPITAL, ST JOSEPH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","143 patients","2 ","2","SCIP-INF-4 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","121 patients",,,"AMI-4 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","315 patients",,,"PN-3B " "230021","LAKELAND HOSPITAL, ST JOSEPH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","639 patients","2 ","2","SCIP-INF-1 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","234 patients",,,"PN-7 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","321 patients",,,"AMI-5 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","398 patients",,,"HF-1 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","151 patients","2 ","2","SCIP-CARD-2 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","982 patients","2 ","2","SCIP-INF-6 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","182 patients",,,"HF-3 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","315 patients",,,"PN-2 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"HF-4 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","592 patients","2 ","2","SCIP-INF-3 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","317 patients",,,"AMI-2 " "230021","LAKELAND HOSPITAL, ST JOSEPH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","201 patients",,,"PN-6 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","113 patients",,,"HF-1 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","140 patients",,,"SCIP-VTE-2 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","153 patients",,,"SCIP-INF-3 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","65 patients",,,"PN-7 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","160 patients",,,"SCIP-INF-2 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","89 patients",,,"PN-2 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","129 patients",,,"PN-3B " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","158 patients",,,"SCIP-INF-1 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","19 patients","1 ","1","AMI-1 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"HF-3 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","281 patients",,,"SCIP-INF-6 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","124 patients",,,"PN-5C " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","135 patients",,,"HF-2 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","89 patients",,,"PN-6 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","140 patients",,,"SCIP-VTE-1 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","37 patients",,,"SCIP-CARD-2 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","11 patients","1 ","1","AMI-2 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","20 patients","1 ","1","HF-4 " "230022","COMMUNITY HEALTH CENTER OF BRANCH COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","49 patients",,,"PN-4 " "230024","SINAI-GRACE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","442 patients",,,"HF-3 " "230024","SINAI-GRACE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","260 patients",,,"PN-2 " "230024","SINAI-GRACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","507 patients","2 ","2","SCIP-INF-1 " "230024","SINAI-GRACE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","427 patients",,,"PN-5C " "230024","SINAI-GRACE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","161 patients",,,"PN-4 " "230024","SINAI-GRACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","482 patients","2 ","2","SCIP-INF-3 " "230024","SINAI-GRACE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230024","SINAI-GRACE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","344 patients",,,"AMI-1 " "230024","SINAI-GRACE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","272 patients","2 ","2","SCIP-VTE-2 " "230024","SINAI-GRACE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","272 patients","2 ","2","SCIP-VTE-1 " "230024","SINAI-GRACE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","214 patients",,,"PN-7 " "230024","SINAI-GRACE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","308 patients",,,"AMI-2 " "230024","SINAI-GRACE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","72 patients",,,"AMI-3 " "230024","SINAI-GRACE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","141 patients",,,"AMI-4 " "230024","SINAI-GRACE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","192 patients",,,"PN-6 " "230024","SINAI-GRACE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","937 patients",,,"HF-1 " "230024","SINAI-GRACE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","1108 patients",,,"HF-2 " "230024","SINAI-GRACE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","89 patients","2 ","2","SCIP-CARD-2 " "230024","SINAI-GRACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","518 patients","2 ","2","SCIP-INF-2 " "230024","SINAI-GRACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","80 patients","2 ","2","SCIP-INF-4 " "230024","SINAI-GRACE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","37 patients",,,"AMI-8A " "230024","SINAI-GRACE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","470 patients",,,"PN-3B " "230024","SINAI-GRACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","763 patients","2 ","2","SCIP-INF-6 " "230024","SINAI-GRACE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","297 patients",,,"AMI-5 " "230024","SINAI-GRACE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","389 patients",,,"HF-4 " "230029","ST JOSEPH MERCY OAKLAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","109 patients","2 ","2","HF-3 " "230029","ST JOSEPH MERCY OAKLAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","423 patients","2 ","2","SCIP-INF-3 " "230029","ST JOSEPH MERCY OAKLAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","HF-4 " "230029","ST JOSEPH MERCY OAKLAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","617 patients","2 ","2","SCIP-INF-6 " "230029","ST JOSEPH MERCY OAKLAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","114 patients","2 ","2","SCIP-INF-4 " "230029","ST JOSEPH MERCY OAKLAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","45 patients","2 ","2","AMI-8A " "230029","ST JOSEPH MERCY OAKLAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","223 patients","2 ","2","AMI-1 " "230029","ST JOSEPH MERCY OAKLAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","97 patients","2 ","2","PN-7 " "230029","ST JOSEPH MERCY OAKLAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","107 patients","2 ","2","SCIP-CARD-2 " "230029","ST JOSEPH MERCY OAKLAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","461 patients","2 ","2","SCIP-INF-2 " "230029","ST JOSEPH MERCY OAKLAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","451 patients","2 ","2","SCIP-INF-1 " "230029","ST JOSEPH MERCY OAKLAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "230029","ST JOSEPH MERCY OAKLAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","128 patients","2 ","2","PN-2 " "230029","ST JOSEPH MERCY OAKLAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","89 patients","2 ","2","PN-6 " "230029","ST JOSEPH MERCY OAKLAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","199 patients","2 ","2","SCIP-VTE-1 " "230029","ST JOSEPH MERCY OAKLAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "230029","ST JOSEPH MERCY OAKLAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","199 patients","2 ","2","SCIP-VTE-2 " "230029","ST JOSEPH MERCY OAKLAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","63 patients","2 ","2","AMI-3 " "230029","ST JOSEPH MERCY OAKLAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","88 patients","2 ","2","PN-3B " "230029","ST JOSEPH MERCY OAKLAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","265 patients","2 ","2","HF-1 " "230029","ST JOSEPH MERCY OAKLAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","142 patients","2 ","2","PN-5C " "230029","ST JOSEPH MERCY OAKLAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","305 patients","2 ","2","HF-2 " "230029","ST JOSEPH MERCY OAKLAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","116 patients","2 ","2","AMI-4 " "230029","ST JOSEPH MERCY OAKLAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","285 patients","2 ","2","AMI-5 " "230029","ST JOSEPH MERCY OAKLAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","294 patients","2 ","2","AMI-2 " "230030","GRATIOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","214 patients",,,"SCIP-INF-1 " "230030","GRATIOT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230030","GRATIOT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","100 patients",,,"PN-7 " "230030","GRATIOT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "230030","GRATIOT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","134 patients",,,"PN-2 " "230030","GRATIOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230030","GRATIOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","40 patients",,,"SCIP-CARD-2 " "230030","GRATIOT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "230030","GRATIOT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","147 patients",,,"HF-1 " "230030","GRATIOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","215 patients",,,"SCIP-INF-2 " "230030","GRATIOT MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","0%","8 patients","1 ","1","CAC-3 " "230030","GRATIOT MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","8 patients","1 ","1","CAC-2 " "230030","GRATIOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","208 patients",,,"SCIP-INF-3 " "230030","GRATIOT MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","8 patients","1 ","1","CAC-1 " "230030","GRATIOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","212 patients",,,"SCIP-VTE-2 " "230030","GRATIOT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","55 patients",,,"PN-3B " "230030","GRATIOT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","30 patients",,,"HF-3 " "230030","GRATIOT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","23 patients","1 ","1","AMI-5 " "230030","GRATIOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","370 patients",,,"SCIP-INF-6 " "230030","GRATIOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","215 patients",,,"SCIP-VTE-1 " "230030","GRATIOT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","209 patients",,,"HF-2 " "230030","GRATIOT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","31 patients",,,"AMI-1 " "230030","GRATIOT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","99 patients",,,"PN-6 " "230030","GRATIOT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","21 patients","1 ","1","AMI-2 " "230030","GRATIOT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "230030","GRATIOT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","159 patients",,,"PN-5C " "230030","GRATIOT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "230030","GRATIOT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "230031","ST JOSEPH MERCY PORT HURON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230031","ST JOSEPH MERCY PORT HURON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","102 patients",,,"SCIP-CARD-2 " "230031","ST JOSEPH MERCY PORT HURON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "230031","ST JOSEPH MERCY PORT HURON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230031","ST JOSEPH MERCY PORT HURON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "230031","ST JOSEPH MERCY PORT HURON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","118 patients",,,"PN-5C " "230031","ST JOSEPH MERCY PORT HURON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "230031","ST JOSEPH MERCY PORT HURON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "230031","ST JOSEPH MERCY PORT HURON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","349 patients",,,"SCIP-VTE-1 " "230031","ST JOSEPH MERCY PORT HURON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "230031","ST JOSEPH MERCY PORT HURON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","560 patients",,,"SCIP-INF-2 " "230031","ST JOSEPH MERCY PORT HURON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230031","ST JOSEPH MERCY PORT HURON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","74 patients",,,"PN-7 " "230031","ST JOSEPH MERCY PORT HURON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","631 patients",,,"SCIP-INF-6 " "230031","ST JOSEPH MERCY PORT HURON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","479 patients",,,"SCIP-INF-3 " "230031","ST JOSEPH MERCY PORT HURON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "230031","ST JOSEPH MERCY PORT HURON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","559 patients",,,"SCIP-INF-1 " "230031","ST JOSEPH MERCY PORT HURON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","115 patients",,,"PN-3B " "230031","ST JOSEPH MERCY PORT HURON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","349 patients",,,"SCIP-VTE-2 " "230031","ST JOSEPH MERCY PORT HURON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","94 patients",,,"PN-2 " "230031","ST JOSEPH MERCY PORT HURON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","35 patients",,,"AMI-1 " "230031","ST JOSEPH MERCY PORT HURON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","114 patients",,,"HF-1 " "230031","ST JOSEPH MERCY PORT HURON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","16 patients","1 ","1","AMI-2 " "230031","ST JOSEPH MERCY PORT HURON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","141 patients",,,"HF-2 " "230031","ST JOSEPH MERCY PORT HURON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","78 patients",,,"PN-6 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","91 patients",,,"PN-2 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","68 patients",,,"HF-1 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","104 patients",,,"SCIP-VTE-1 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","104 patients",,,"SCIP-VTE-2 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","63 patients",,,"PN-7 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","23 patients","1 ","1","SCIP-CARD-2 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","35 patients",,,"PN-4 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","116 patients",,,"SCIP-INF-3 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","117 patients",,,"SCIP-INF-1 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","117 patients",,,"SCIP-INF-2 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","189 patients",,,"SCIP-INF-6 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","82 patients",,,"HF-2 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","113 patients",,,"PN-3B " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","102 patients",,,"PN-5C " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "230034","CHEBOYGAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","70 patients",,,"PN-6 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","8%","13 patients","1 ","1","CAC-3 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","13 patients","1 ","1","CAC-1 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","68 patients",,,"SCIP-VTE-2 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","111 patients",,,"PN-2 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","13 patients","1 ","1","CAC-2 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","112 patients",,,"SCIP-INF-3 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","191 patients",,,"SCIP-INF-6 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","123 patients",,,"SCIP-INF-2 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","65 patients",,,"PN-7 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","81 patients",,,"HF-1 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","68 patients",,,"SCIP-VTE-1 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","94 patients",,,"HF-2 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","148 patients",,,"PN-3B " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","122 patients",,,"SCIP-INF-1 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","86 patients",,,"PN-6 " "230035","SPECTRUM HEALTH UNITED MEMORIAL - UNITED CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","124 patients",,,"PN-5C " "230036","ALPENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","187 patients","2 ","2","SCIP-VTE-1 " "230036","ALPENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","280 patients","2 ","2","SCIP-INF-3 " "230036","ALPENA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","90 patients",,,"PN-2 " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "230036","ALPENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","289 patients","2 ","2","SCIP-INF-1 " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "230036","ALPENA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","62 patients",,,"PN-6 " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","22 patients","1 ","1","AMI-5 " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "230036","ALPENA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","67 patients",,,"PN-7 " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","35 patients",,,"AMI-1 " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","43 patients",,,"HF-3 " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","21 patients","1 ","1","AMI-2 " "230036","ALPENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","418 patients","2 ","2","SCIP-INF-6 " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","162 patients",,,"HF-2 " "230036","ALPENA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","87 patients",,,"PN-3B " "230036","ALPENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230036","ALPENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","187 patients","2 ","2","SCIP-VTE-2 " "230036","ALPENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","288 patients","2 ","2","SCIP-INF-2 " "230036","ALPENA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","147 patients",,,"HF-1 " "230036","ALPENA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "230036","ALPENA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","101 patients",,,"PN-5C " "230036","ALPENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","66 patients","2 ","2","SCIP-CARD-2 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","98 patients",,,"PN-3B " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","56%","9 patients","1 ","1","AMI-3 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","41 patients",,,"SCIP-CARD-2 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","98 patients","2 ","2","SCIP-VTE-2 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","47 patients",,,"PN-4 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","29 patients",,,"AMI-1 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","271 patients","2 ","2","SCIP-INF-6 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","179 patients","2 ","2","SCIP-INF-1 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","58%","104 patients",,,"PN-7 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","55%","128 patients",,,"PN-2 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","99 patients",,,"PN-6 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","66%","174 patients","2 ","2","SCIP-INF-3 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","62%","26 patients",,,"HF-4 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","104 patients",,,"HF-1 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","133 patients",,,"HF-2 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","140 patients",,,"PN-5C " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","49 patients",,,"HF-3 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","65%","175 patients","2 ","2","SCIP-INF-2 " "230037","HILLSDALE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","98 patients","2 ","2","SCIP-VTE-1 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","156 patients","2 ","2","SCIP-CARD-2 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","715 patients",,,"PN-2 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","424 patients",,,"AMI-1 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","372 patients","2 ","2","SCIP-VTE-1 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","805 patients","2 ","2","SCIP-INF-1 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","791 patients",,,"AMI-5 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","99%","167 patients",,,"CAC-1 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1151 patients",,,"HF-2 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","527 patients",,,"PN-7 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","871 patients",,,"AMI-2 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","855 patients",,,"PN-5C " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","191 patients","2 ","2","SCIP-INF-4 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","766 patients","2 ","2","SCIP-INF-3 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","586 patients",,,"PN-6 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1171 patients","2 ","2","SCIP-INF-6 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","812 patients","2 ","2","SCIP-INF-2 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","120 patients",,,"AMI-8A " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","56%","167 patients",,,"CAC-3 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","166 patients",,,"HF-4 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","958 patients",,,"PN-3B " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","294 patients",,,"PN-4 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","166 patients",,,"CAC-2 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","956 patients",,,"HF-1 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","370 patients","2 ","2","SCIP-VTE-2 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","115 patients",,,"AMI-3 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","313 patients",,,"AMI-4 " "230038","SPECTRUM HEALTH - BUTTERWORTH CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","321 patients",,,"HF-3 " "230040","PENNOCK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","115 patients",,,"PN-6 " "230040","PENNOCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230040","PENNOCK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","155 patients",,,"PN-5C " "230040","PENNOCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","219 patients","2 ","2","SCIP-INF-2 " "230040","PENNOCK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","120 patients","2 ","2","SCIP-VTE-1 " "230040","PENNOCK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "230040","PENNOCK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","43 patients",,,"HF-3 " "230040","PENNOCK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","154 patients",,,"HF-2 " "230040","PENNOCK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "230040","PENNOCK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","88 patients",,,"PN-7 " "230040","PENNOCK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1,2 ","12","SCIP-CARD-2 " "230040","PENNOCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","293 patients","2 ","2","SCIP-INF-6 " "230040","PENNOCK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","114 patients",,,"HF-1 " "230040","PENNOCK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230040","PENNOCK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "230040","PENNOCK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","120 patients","2 ","2","SCIP-VTE-2 " "230040","PENNOCK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","148 patients",,,"PN-3B " "230040","PENNOCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","216 patients","2 ","2","SCIP-INF-3 " "230040","PENNOCK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230040","PENNOCK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","121 patients",,,"PN-2 " "230040","PENNOCK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "230040","PENNOCK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "230040","PENNOCK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "230040","PENNOCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","219 patients","2 ","2","SCIP-INF-1 " "230040","PENNOCK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","115 patients",,,"HF-4 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","228 patients",,,"AMI-1 " "230041","BAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","987 patients",,,"SCIP-INF-2 " "230041","BAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1382 patients",,,"SCIP-INF-6 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","225 patients",,,"HF-3 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230041","BAY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","119 patients",,,"PN-6 " "230041","BAY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","261 patients",,,"PN-5C " "230041","BAY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"PN-4 " "230041","BAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","363 patients",,,"SCIP-INF-4 " "230041","BAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","451 patients",,,"SCIP-VTE-1 " "230041","BAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","268 patients",,,"SCIP-CARD-2 " "230041","BAY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","143 patients",,,"PN-7 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","602 patients",,,"HF-1 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","345 patients",,,"AMI-2 " "230041","BAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","948 patients",,,"SCIP-INF-3 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","52 patients",,,"AMI-8A " "230041","BAY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","191 patients",,,"PN-2 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","735 patients",,,"HF-2 " "230041","BAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","451 patients",,,"SCIP-VTE-2 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","339 patients",,,"AMI-5 " "230041","BAY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","978 patients",,,"SCIP-INF-1 " "230041","BAY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","169 patients",,,"PN-3B " "230041","BAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","151 patients",,,"AMI-4 " "230041","BAY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","63 patients",,,"AMI-3 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","309 patients",,,"HF-3 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","645 patients",,,"HF-1 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1663 patients","2 ","2","SCIP-INF-2 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1638 patients","2 ","2","SCIP-INF-1 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","291 patients",,,"PN-2 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","863 patients","2 ","2","SCIP-VTE-2 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","54 patients",,,"AMI-3 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","185 patients",,,"PN-6 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","381 patients",,,"PN-5C " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","80 patients",,,"AMI-4 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","127 patients",,,"HF-4 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","326 patients",,,"AMI-2 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","613 patients","2 ","2","SCIP-INF-4 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","143 patients",,,"PN-4 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","223 patients",,,"AMI-1 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","864 patients","2 ","2","SCIP-VTE-1 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","1534 patients","2 ","2","SCIP-INF-3 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","38 patients",,,"AMI-8A " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","718 patients",,,"HF-2 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","310 patients",,,"PN-3B " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","415 patients","2 ","2","SCIP-CARD-2 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","2290 patients","2 ","2","SCIP-INF-6 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","307 patients",,,"AMI-5 " "230046","UNIVERSITY OF MICHIGAN HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","287 patients",,,"PN-7 " "230047","HENRY FORD MACOMB HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","401 patients",,,"AMI-1 " "230047","HENRY FORD MACOMB HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","HF-4 " "230047","HENRY FORD MACOMB HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","83 patients",,,"AMI-8A " "230047","HENRY FORD MACOMB HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"AMI-4 " "230047","HENRY FORD MACOMB HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","235 patients",,,"PN-7 " "230047","HENRY FORD MACOMB HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","1241 patients","2 ","2","SCIP-INF-3 " "230047","HENRY FORD MACOMB HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1527 patients","2 ","2","SCIP-INF-6 " "230047","HENRY FORD MACOMB HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","78 patients",,,"AMI-3 " "230047","HENRY FORD MACOMB HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","368 patients",,,"PN-3B " "230047","HENRY FORD MACOMB HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","383 patients",,,"PN-2 " "230047","HENRY FORD MACOMB HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","406 patients",,,"AMI-5 " "230047","HENRY FORD MACOMB HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","80 patients","2 ","2","HF-3 " "230047","HENRY FORD MACOMB HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1277 patients","2 ","2","SCIP-INF-1 " "230047","HENRY FORD MACOMB HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","258 patients","2 ","2","HF-1 " "230047","HENRY FORD MACOMB HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","273 patients",,,"PN-6 " "230047","HENRY FORD MACOMB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","478 patients","2 ","2","SCIP-VTE-2 " "230047","HENRY FORD MACOMB HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1279 patients","2 ","2","SCIP-INF-2 " "230047","HENRY FORD MACOMB HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","309 patients","2 ","2","HF-2 " "230047","HENRY FORD MACOMB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","478 patients","2 ","2","SCIP-VTE-1 " "230047","HENRY FORD MACOMB HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230047","HENRY FORD MACOMB HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","241 patients","2 ","2","SCIP-INF-4 " "230047","HENRY FORD MACOMB HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","266 patients","2 ","2","SCIP-CARD-2 " "230047","HENRY FORD MACOMB HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","407 patients",,,"PN-5C " "230047","HENRY FORD MACOMB HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","404 patients",,,"AMI-2 " "230047","HENRY FORD MACOMB HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","119 patients",,,"PN-4 " "230053","HENRY FORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","231 patients","2 ","2","PN-3B " "230053","HENRY FORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","130 patients","2 ","2","PN-2 " "230053","HENRY FORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","717 patients","2 ","2","AMI-5 " "230053","HENRY FORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","349 patients","2 ","2","SCIP-VTE-2 " "230053","HENRY FORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","61%","23 patients","1,2 ","12","AMI-8A " "230053","HENRY FORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","110 patients","2 ","2","AMI-3 " "230053","HENRY FORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","551 patients","2 ","2","SCIP-INF-1 " "230053","HENRY FORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "230053","HENRY FORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","418 patients","2 ","2","HF-2 " "230053","HENRY FORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","533 patients","2 ","2","SCIP-INF-3 " "230053","HENRY FORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","569 patients","2 ","2","SCIP-INF-2 " "230053","HENRY FORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","163 patients","2 ","2","SCIP-CARD-2 " "230053","HENRY FORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","105 patients","2 ","2","HF-4 " "230053","HENRY FORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","103 patients","2 ","2","PN-6 " "230053","HENRY FORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","181 patients","2 ","2","SCIP-INF-4 " "230053","HENRY FORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","867 patients","2 ","2","SCIP-INF-6 " "230053","HENRY FORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","165 patients","2 ","2","PN-5C " "230053","HENRY FORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","489 patients","2 ","2","AMI-1 " "230053","HENRY FORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","743 patients","2 ","2","AMI-2 " "230053","HENRY FORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","88 patients","2 ","2","PN-4 " "230053","HENRY FORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","349 patients","2 ","2","SCIP-VTE-1 " "230053","HENRY FORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","282 patients","2 ","2","AMI-4 " "230053","HENRY FORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","99 patients","2 ","2","PN-7 " "230053","HENRY FORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","374 patients","2 ","2","HF-1 " "230053","HENRY FORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","173 patients","2 ","2","HF-3 " "230054","MARQUETTE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","56 patients",,,"HF-3 " "230054","MARQUETTE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","320 patients",,,"AMI-5 " "230054","MARQUETTE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "230054","MARQUETTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","131 patients","2 ","2","SCIP-VTE-2 " "230054","MARQUETTE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","175 patients",,,"HF-2 " "230054","MARQUETTE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","149 patients",,,"HF-1 " "230054","MARQUETTE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","63 patients",,,"PN-6 " "230054","MARQUETTE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","79 patients",,,"PN-7 " "230054","MARQUETTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","132 patients","2 ","2","SCIP-VTE-1 " "230054","MARQUETTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","530 patients","2 ","2","SCIP-INF-6 " "230054","MARQUETTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","133 patients","2 ","2","SCIP-INF-4 " "230054","MARQUETTE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "230054","MARQUETTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","385 patients","2 ","2","SCIP-INF-2 " "230054","MARQUETTE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","22 patients","1 ","1","AMI-8A " "230054","MARQUETTE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","55 patients",,,"AMI-3 " "230054","MARQUETTE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","116 patients",,,"PN-2 " "230054","MARQUETTE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230054","MARQUETTE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","102 patients",,,"PN-5C " "230054","MARQUETTE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","96 patients",,,"AMI-1 " "230054","MARQUETTE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","122 patients",,,"AMI-4 " "230054","MARQUETTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","92 patients","2 ","2","SCIP-CARD-2 " "230054","MARQUETTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","377 patients","2 ","2","SCIP-INF-1 " "230054","MARQUETTE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","330 patients",,,"AMI-2 " "230054","MARQUETTE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","93 patients",,,"PN-3B " "230054","MARQUETTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","364 patients","2 ","2","SCIP-INF-3 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","94 patients",,,"HF-2 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","30 patients",,,"AMI-5 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","213 patients",,,"SCIP-INF-2 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","38 patients",,,"AMI-1 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","30 patients",,,"AMI-2 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","157 patients",,,"SCIP-VTE-1 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","38 patients",,,"PN-6 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","105 patients",,,"PN-2 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","78 patients",,,"PN-5C " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","61 patients",,,"PN-3B " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","64 patients",,,"HF-1 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","315 patients",,,"SCIP-INF-6 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","33 patients",,,"SCIP-CARD-2 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","213 patients",,,"SCIP-INF-1 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","157 patients",,,"SCIP-VTE-2 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","204 patients",,,"SCIP-INF-3 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","62 patients",,,"PN-7 " "230055","DICKINSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "230058","MERCY HOSPITAL - GRAYLING","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "230058","MERCY HOSPITAL - GRAYLING","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","97 patients","2 ","2","SCIP-VTE-2 " "230058","MERCY HOSPITAL - GRAYLING","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","48 patients",,,"AMI-2 " "230058","MERCY HOSPITAL - GRAYLING","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230058","MERCY HOSPITAL - GRAYLING","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230058","MERCY HOSPITAL - GRAYLING","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","129 patients","2 ","2","PN-2 " "230058","MERCY HOSPITAL - GRAYLING","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","108 patients","2 ","2","PN-6 " "230058","MERCY HOSPITAL - GRAYLING","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","PN-4 " "230058","MERCY HOSPITAL - GRAYLING","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","43 patients",,,"HF-3 " "230058","MERCY HOSPITAL - GRAYLING","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","153 patients","2 ","2","PN-3B " "230058","MERCY HOSPITAL - GRAYLING","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "230058","MERCY HOSPITAL - GRAYLING","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","152 patients","2 ","2","SCIP-INF-2 " "230058","MERCY HOSPITAL - GRAYLING","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1,2 ","12","SCIP-CARD-2 " "230058","MERCY HOSPITAL - GRAYLING","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","79 patients","2 ","2","PN-7 " "230058","MERCY HOSPITAL - GRAYLING","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","149 patients","2 ","2","SCIP-INF-1 " "230058","MERCY HOSPITAL - GRAYLING","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","149 patients","2 ","2","PN-5C " "230058","MERCY HOSPITAL - GRAYLING","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","154 patients",,,"HF-2 " "230058","MERCY HOSPITAL - GRAYLING","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","97 patients","2 ","2","SCIP-VTE-1 " "230058","MERCY HOSPITAL - GRAYLING","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","142 patients","2 ","2","SCIP-INF-3 " "230058","MERCY HOSPITAL - GRAYLING","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","233 patients","2 ","2","SCIP-INF-6 " "230058","MERCY HOSPITAL - GRAYLING","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "230058","MERCY HOSPITAL - GRAYLING","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","89 patients",,,"AMI-1 " "230058","MERCY HOSPITAL - GRAYLING","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230058","MERCY HOSPITAL - GRAYLING","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","53 patients",,,"AMI-5 " "230058","MERCY HOSPITAL - GRAYLING","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","129 patients",,,"HF-1 " "230059","SAINT MARY'S HEALTH CARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","182 patients",,,"PN-7 " "230059","SAINT MARY'S HEALTH CARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","74 patients",,,"HF-3 " "230059","SAINT MARY'S HEALTH CARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","414 patients","2 ","2","SCIP-INF-2 " "230059","SAINT MARY'S HEALTH CARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","110 patients",,,"AMI-2 " "230059","SAINT MARY'S HEALTH CARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"HF-4 " "230059","SAINT MARY'S HEALTH CARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "230059","SAINT MARY'S HEALTH CARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","73 patients","2 ","2","SCIP-CARD-2 " "230059","SAINT MARY'S HEALTH CARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","381 patients","2 ","2","SCIP-INF-3 " "230059","SAINT MARY'S HEALTH CARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","227 patients",,,"PN-2 " "230059","SAINT MARY'S HEALTH CARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","265 patients",,,"PN-3B " "230059","SAINT MARY'S HEALTH CARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","253 patients",,,"HF-1 " "230059","SAINT MARY'S HEALTH CARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230059","SAINT MARY'S HEALTH CARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","40 patients",,,"AMI-8A " "230059","SAINT MARY'S HEALTH CARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","177 patients",,,"PN-6 " "230059","SAINT MARY'S HEALTH CARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","125 patients",,,"PN-4 " "230059","SAINT MARY'S HEALTH CARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","285 patients","2 ","2","SCIP-VTE-2 " "230059","SAINT MARY'S HEALTH CARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","285 patients","2 ","2","SCIP-VTE-1 " "230059","SAINT MARY'S HEALTH CARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"AMI-3 " "230059","SAINT MARY'S HEALTH CARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","304 patients",,,"PN-5C " "230059","SAINT MARY'S HEALTH CARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","412 patients","2 ","2","SCIP-INF-1 " "230059","SAINT MARY'S HEALTH CARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "230059","SAINT MARY'S HEALTH CARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","626 patients","2 ","2","SCIP-INF-6 " "230059","SAINT MARY'S HEALTH CARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","297 patients",,,"HF-2 " "230059","SAINT MARY'S HEALTH CARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","114 patients",,,"AMI-5 " "230059","SAINT MARY'S HEALTH CARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","138 patients",,,"AMI-1 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","13 patients","1 ","1","PN-3B " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","17 patients","1 ","1","PN-2 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","HF-3 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","38 patients",,,"HF-2 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","20 patients","1 ","1","PN-5C " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","10 patients","1 ","1","PN-7 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "23005F","IRON MOUNTAIN MI VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","34 patients",,,"HF-1 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","314 patients",,,"SCIP-VTE-2 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"HF-3 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","512 patients",,,"SCIP-INF-3 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","59 patients","2 ","2","PN-4 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","314 patients",,,"SCIP-VTE-1 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","825 patients",,,"SCIP-INF-6 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"HF-4 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","31 patients",,,"AMI-1 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","522 patients",,,"SCIP-INF-2 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","208 patients","2 ","2","PN-3B " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","101 patients",,,"SCIP-CARD-2 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","132 patients",,,"HF-2 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","99 patients",,,"HF-1 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","135 patients","2 ","2","PN-2 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","189 patients","2 ","2","PN-5C " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","111 patients",,,"PN-7 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","521 patients",,,"SCIP-INF-1 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","92 patients","2 ","2","PN-6 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "230066","MERCY HEALTH PARTNERS, HACKLEY CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","199 patients","2 ","2","SCIP-INF-3 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","78 patients",,,"HF-1 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","91 patients",,,"PN-6 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","136 patients",,,"PN-2 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","110 patients","2 ","2","SCIP-VTE-1 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","135 patients",,,"PN-3B " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","42 patients","2 ","2","SCIP-CARD-2 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","110 patients","2 ","2","SCIP-VTE-2 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","124 patients",,,"HF-2 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","203 patients","2 ","2","SCIP-INF-1 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","85 patients",,,"PN-7 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","289 patients","2 ","2","SCIP-INF-6 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","154 patients",,,"PN-5C " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","204 patients","2 ","2","SCIP-INF-2 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "230069","SAINT JOSEPH MERCY LIVINGSTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","31 patients",,,"HF-3 " "230070","COVENANT MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","348 patients",,,"PN-5C " "230070","COVENANT MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","286 patients",,,"AMI-1 " "230070","COVENANT MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","325 patients","2 ","2","SCIP-VTE-2 " "230070","COVENANT MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","214 patients",,,"HF-3 " "230070","COVENANT MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","384 patients",,,"PN-2 " "230070","COVENANT MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","902 patients","2 ","2","SCIP-INF-6 " "230070","COVENANT MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","313 patients",,,"AMI-5 " "230070","COVENANT MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","581 patients",,,"HF-1 " "230070","COVENANT MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","327 patients","2 ","2","SCIP-VTE-1 " "230070","COVENANT MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","106 patients","2 ","2","SCIP-INF-4 " "230070","COVENANT MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","274 patients",,,"PN-7 " "230070","COVENANT MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","138 patients",,,"AMI-4 " "230070","COVENANT MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","216 patients",,,"PN-6 " "230070","COVENANT MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","54 patients",,,"AMI-3 " "230070","COVENANT MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","586 patients","2 ","2","SCIP-INF-2 " "230070","COVENANT MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","122 patients",,,"HF-4 " "230070","COVENANT MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","35 patients",,,"AMI-8A " "230070","COVENANT MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","585 patients","2 ","2","SCIP-INF-1 " "230070","COVENANT MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","155 patients","2 ","2","SCIP-CARD-2 " "230070","COVENANT MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","685 patients",,,"HF-2 " "230070","COVENANT MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","159 patients",,,"PN-4 " "230070","COVENANT MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230070","COVENANT MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","285 patients",,,"PN-3B " "230070","COVENANT MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","337 patients",,,"AMI-2 " "230070","COVENANT MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","565 patients","2 ","2","SCIP-INF-3 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "230071","STRAITH HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "230072","HOLLAND COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","223 patients",,,"PN-2 " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients","2 ","2","HF-3 " "230072","HOLLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","185 patients","2 ","2","SCIP-VTE-2 " "230072","HOLLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","85 patients","2 ","2","SCIP-CARD-2 " "230072","HOLLAND COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","206 patients",,,"PN-5C " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1,2 ","12","HF-4 " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","103 patients","2 ","2","HF-1 " "230072","HOLLAND COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","110 patients",,,"PN-6 " "230072","HOLLAND COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","72 patients",,,"PN-4 " "230072","HOLLAND COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","153 patients",,,"PN-7 " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","71 patients",,,"AMI-2 " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","142 patients","2 ","2","HF-2 " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","81 patients",,,"AMI-5 " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","102 patients",,,"AMI-1 " "230072","HOLLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230072","HOLLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","616 patients","2 ","2","SCIP-INF-6 " "230072","HOLLAND COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","237 patients",,,"PN-3B " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","40 patients",,,"AMI-8A " "230072","HOLLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","466 patients","2 ","2","SCIP-INF-1 " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "230072","HOLLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","474 patients","2 ","2","SCIP-INF-2 " "230072","HOLLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","185 patients","2 ","2","SCIP-VTE-1 " "230072","HOLLAND COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","AMI-4 " "230072","HOLLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","459 patients","2 ","2","SCIP-INF-3 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"HF-4 " "230075","BATTLE CREEK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","786 patients","2 ","2","SCIP-INF-1 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"AMI-4 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","76 patients",,,"AMI-2 " "230075","BATTLE CREEK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","346 patients","2 ","2","SCIP-VTE-2 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "230075","BATTLE CREEK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","787 patients","2 ","2","SCIP-INF-2 " "230075","BATTLE CREEK HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","198 patients",,,"PN-6 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","456 patients",,,"HF-2 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","153 patients",,,"HF-3 " "230075","BATTLE CREEK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","710 patients","2 ","2","SCIP-INF-3 " "230075","BATTLE CREEK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","112 patients","2 ","2","SCIP-CARD-2 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","386 patients",,,"HF-1 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","120 patients",,,"AMI-1 " "230075","BATTLE CREEK HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","307 patients",,,"PN-3B " "230075","BATTLE CREEK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230075","BATTLE CREEK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","976 patients","2 ","2","SCIP-INF-6 " "230075","BATTLE CREEK HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","346 patients","2 ","2","SCIP-VTE-1 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230075","BATTLE CREEK HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","272 patients",,,"PN-5C " "230075","BATTLE CREEK HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","244 patients",,,"PN-2 " "230075","BATTLE CREEK HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","182 patients",,,"PN-7 " "230075","BATTLE CREEK HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","170 patients",,,"PN-4 " "230075","BATTLE CREEK HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","68 patients",,,"AMI-5 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","250 patients","2 ","2","AMI-5 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","107 patients","2 ","2","AMI-4 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","162 patients","2 ","2","PN-3B " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","117 patients","2 ","2","AMI-1 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","407 patients","2 ","2","SCIP-INF-2 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","233 patients","2 ","2","SCIP-VTE-1 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","233 patients","2 ","2","SCIP-VTE-2 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","261 patients","2 ","2","AMI-2 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","260 patients","2 ","2","HF-1 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","68 patients","2 ","2","HF-4 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","401 patients","2 ","2","SCIP-INF-1 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","89 patients","2 ","2","PN-4 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","68 patients","2 ","2","PN-6 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","45 patients","2 ","2","AMI-3 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","136 patients","2 ","2","PN-7 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","387 patients","2 ","2","SCIP-INF-3 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","132 patients","2 ","2","SCIP-INF-4 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","180 patients","2 ","2","PN-2 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","309 patients","2 ","2","HF-2 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","575 patients","2 ","2","SCIP-INF-6 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","101 patients","2 ","2","HF-3 " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","136 patients","2 ","2","PN-5C " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","57%","14 patients","1,2 ","12","AMI-8A " "230077","ST MARY'S OF MICHIGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","111 patients","2 ","2","SCIP-CARD-2 " "230078","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230078","COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","65%","57 patients",,,"PN-3B " "230078","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","116 patients",,,"SCIP-INF-2 " "230078","COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "230078","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","17 patients","1 ","1","SCIP-CARD-2 " "230078","COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","25 patients",,,"HF-1 " "230078","COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "230078","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","117 patients",,,"SCIP-INF-1 " "230078","COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","27 patients",,,"HF-2 " "230078","COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230078","COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","HF-4 " "230078","COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","57 patients",,,"PN-6 " "230078","COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "230078","COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "230078","COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","22 patients","1 ","1","PN-4 " "230078","COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "230078","COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230078","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","115 patients",,,"SCIP-INF-3 " "230078","COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "230078","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","71 patients",,,"SCIP-VTE-2 " "230078","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","74 patients",,,"SCIP-VTE-1 " "230078","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","148 patients",,,"SCIP-INF-6 " "230078","COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","10 patients","1 ","1","HF-3 " "230078","COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","42 patients",,,"PN-2 " "230078","COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","60 patients",,,"PN-5C " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","92 patients",,,"PN-7 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","75 patients",,,"HF-1 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","148 patients",,,"PN-2 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","252 patients",,,"SCIP-INF-6 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","101 patients",,,"PN-6 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","155 patients",,,"PN-5C " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","24 patients","1 ","1","AMI-1 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","101 patients",,,"HF-2 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","26 patients",,,"HF-3 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","189 patients",,,"SCIP-INF-3 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","110 patients",,,"SCIP-VTE-2 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","18 patients","1 ","1","AMI-5 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"PN-4 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","193 patients",,,"SCIP-INF-1 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","168 patients",,,"PN-3B " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","110 patients",,,"SCIP-VTE-1 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","24 patients","1 ","1","SCIP-CARD-2 " "230080","CENTRAL MICHIGAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","192 patients",,,"SCIP-INF-2 " "230081","MERCY HOSPITAL - CADILLAC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","367 patients","2 ","2","SCIP-INF-6 " "230081","MERCY HOSPITAL - CADILLAC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230081","MERCY HOSPITAL - CADILLAC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230081","MERCY HOSPITAL - CADILLAC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","140 patients","2 ","2","SCIP-VTE-1 " "230081","MERCY HOSPITAL - CADILLAC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","112 patients",,,"HF-1 " "230081","MERCY HOSPITAL - CADILLAC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","51 patients",,,"AMI-1 " "230081","MERCY HOSPITAL - CADILLAC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","278 patients","2 ","2","SCIP-INF-1 " "230081","MERCY HOSPITAL - CADILLAC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","137 patients","2 ","2","PN-3B " "230081","MERCY HOSPITAL - CADILLAC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","76 patients","2 ","2","PN-7 " "230081","MERCY HOSPITAL - CADILLAC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230081","MERCY HOSPITAL - CADILLAC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "230081","MERCY HOSPITAL - CADILLAC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","17 patients","1 ","1","AMI-5 " "230081","MERCY HOSPITAL - CADILLAC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","113 patients","2 ","2","PN-6 " "230081","MERCY HOSPITAL - CADILLAC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1 ","1","AMI-2 " "230081","MERCY HOSPITAL - CADILLAC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","48 patients","2 ","2","PN-4 " "230081","MERCY HOSPITAL - CADILLAC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","130 patients","2 ","2","PN-5C " "230081","MERCY HOSPITAL - CADILLAC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","HF-4 " "230081","MERCY HOSPITAL - CADILLAC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","47 patients",,,"SCIP-CARD-2 " "230081","MERCY HOSPITAL - CADILLAC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","280 patients","2 ","2","SCIP-INF-2 " "230081","MERCY HOSPITAL - CADILLAC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "230081","MERCY HOSPITAL - CADILLAC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","130 patients",,,"HF-2 " "230081","MERCY HOSPITAL - CADILLAC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","29 patients",,,"HF-3 " "230081","MERCY HOSPITAL - CADILLAC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","273 patients","2 ","2","SCIP-INF-3 " "230081","MERCY HOSPITAL - CADILLAC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","140 patients","2 ","2","SCIP-VTE-2 " "230081","MERCY HOSPITAL - CADILLAC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","116 patients","2 ","2","PN-2 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","34 patients",,,"HF-2 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","43 patients",,,"PN-2 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","21 patients","1 ","1","SCIP-VTE-2 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","89 patients",,,"SCIP-INF-6 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","56 patients",,,"PN-3B " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","HF-4 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","51 patients",,,"PN-6 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","72 patients",,,"SCIP-INF-3 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","21 patients","1 ","1","SCIP-VTE-1 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","31 patients",,,"PN-4 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","43 patients",,,"PN-7 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","75 patients",,,"SCIP-INF-2 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","59 patients",,,"PN-5C " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","75 patients",,,"SCIP-INF-1 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","27 patients",,,"HF-1 " "230085","SOUTH HAVEN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","69 patients",,,"PN-3B " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","762 patients","2 ","2","SCIP-INF-6 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","307 patients","2 ","2","SCIP-VTE-2 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","344 patients",,,"HF-1 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","57 patients",,,"AMI-1 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","140 patients",,,"HF-3 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","137 patients",,,"PN-6 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","400 patients",,,"HF-2 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","138 patients",,,"SCIP-CARD-2 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","219 patients",,,"PN-2 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"PN-4 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","43 patients",,,"AMI-2 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","158 patients",,,"PN-7 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","476 patients","2 ","2","SCIP-INF-3 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","46 patients",,,"AMI-5 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","514 patients","2 ","2","SCIP-INF-2 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","249 patients",,,"PN-5C " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","84 patients",,,"HF-4 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","517 patients","2 ","2","SCIP-INF-1 " "230089","BEAUMONT HOSPITAL, GROSSE POINTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","307 patients","2 ","2","SCIP-VTE-1 " "230092","ALLEGIANCE HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","99 patients","2 ","2","PN-6 " "230092","ALLEGIANCE HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","115 patients","2 ","2","PN-2 " "230092","ALLEGIANCE HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","307 patients",,,"AMI-2 " "230092","ALLEGIANCE HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","454 patients","2 ","2","SCIP-INF-2 " "230092","ALLEGIANCE HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","88 patients","2 ","2","PN-7 " "230092","ALLEGIANCE HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","432 patients",,,"HF-2 " "230092","ALLEGIANCE HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","135 patients","2 ","2","PN-5C " "230092","ALLEGIANCE HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230092","ALLEGIANCE HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","113 patients","2 ","2","SCIP-INF-4 " "230092","ALLEGIANCE HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","117 patients",,,"AMI-4 " "230092","ALLEGIANCE HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","215 patients","2 ","2","SCIP-VTE-1 " "230092","ALLEGIANCE HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","138 patients","2 ","2","SCIP-CARD-2 " "230092","ALLEGIANCE HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","79 patients",,,"HF-4 " "230092","ALLEGIANCE HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","78 patients","2 ","2","PN-4 " "230092","ALLEGIANCE HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","214 patients","2 ","2","SCIP-VTE-2 " "230092","ALLEGIANCE HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","349 patients",,,"HF-1 " "230092","ALLEGIANCE HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","71 patients",,,"AMI-8A " "230092","ALLEGIANCE HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","425 patients","2 ","2","SCIP-INF-3 " "230092","ALLEGIANCE HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","53 patients",,,"AMI-3 " "230092","ALLEGIANCE HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","116 patients","2 ","2","PN-3B " "230092","ALLEGIANCE HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","451 patients","2 ","2","SCIP-INF-1 " "230092","ALLEGIANCE HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","327 patients",,,"AMI-1 " "230092","ALLEGIANCE HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","318 patients",,,"AMI-5 " "230092","ALLEGIANCE HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","115 patients",,,"HF-3 " "230092","ALLEGIANCE HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","625 patients","2 ","2","SCIP-INF-6 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","9 patients","1 ","1","AMI-2 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230093","MECOSTA COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","66 patients",,,"PN-6 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230093","MECOSTA COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","80 patients",,,"PN-5C " "230093","MECOSTA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","87 patients",,,"SCIP-VTE-1 " "230093","MECOSTA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","87 patients",,,"SCIP-VTE-2 " "230093","MECOSTA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","211 patients",,,"SCIP-INF-1 " "230093","MECOSTA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","209 patients",,,"SCIP-INF-2 " "230093","MECOSTA COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","82 patients",,,"PN-3B " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","70 patients",,,"HF-1 " "230093","MECOSTA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","242 patients",,,"SCIP-INF-6 " "230093","MECOSTA COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","40 patients",,,"PN-7 " "230093","MECOSTA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","23 patients","1 ","1","SCIP-CARD-2 " "230093","MECOSTA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","207 patients",,,"SCIP-INF-3 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1 ","1","AMI-1 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","73 patients",,,"HF-2 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "230093","MECOSTA COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "230093","MECOSTA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","26 patients",,,"HF-3 " "230093","MECOSTA COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","71%","7 patients","1 ","1","AMI-5 " "230093","MECOSTA COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","61 patients",,,"PN-2 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","255 patients","2 ","2","SCIP-INF-2 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","253 patients","2 ","2","SCIP-INF-1 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","HF-4 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","321 patients","2 ","2","SCIP-INF-6 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","195 patients","2 ","2","SCIP-VTE-2 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","186 patients",,,"HF-2 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","72 patients",,,"PN-7 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","87 patients",,,"PN-6 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","33 patients",,,"PN-4 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","129 patients",,,"PN-5C " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","195 patients","2 ","2","SCIP-VTE-1 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","247 patients","2 ","2","SCIP-INF-3 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","160 patients",,,"HF-1 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients",,,"HF-3 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","134 patients",,,"PN-3B " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","98 patients",,,"PN-2 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","51 patients","2 ","2","SCIP-CARD-2 " "230095","WEST BRANCH REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230096","STURGIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "230096","STURGIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1 ","1","SCIP-CARD-2 " "230096","STURGIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "230096","STURGIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "230096","STURGIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","73 patients",,,"HF-2 " "230096","STURGIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","130 patients",,,"SCIP-INF-3 " "230096","STURGIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","64 patients",,,"PN-5C " "230096","STURGIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","41 patients",,,"PN-7 " "230096","STURGIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","51 patients",,,"PN-6 " "230096","STURGIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","62 patients",,,"PN-2 " "230096","STURGIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230096","STURGIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","64%","11 patients","1 ","1","PN-4 " "230096","STURGIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "230096","STURGIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","56 patients",,,"PN-3B " "230096","STURGIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230096","STURGIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","59 patients",,,"SCIP-VTE-2 " "230096","STURGIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "230096","STURGIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","132 patients",,,"SCIP-INF-2 " "230096","STURGIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230096","STURGIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","59 patients",,,"SCIP-VTE-1 " "230096","STURGIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "230096","STURGIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","166 patients",,,"SCIP-INF-6 " "230096","STURGIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","132 patients",,,"SCIP-INF-1 " "230096","STURGIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","53 patients",,,"HF-1 " "230096","STURGIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230097","MUNSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","375 patients",,,"AMI-1 " "230097","MUNSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","151 patients",,,"PN-4 " "230097","MUNSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","653 patients",,,"AMI-5 " "230097","MUNSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","459 patients",,,"HF-2 " "230097","MUNSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","300 patients",,,"PN-5C " "230097","MUNSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","775 patients",,,"AMI-2 " "230097","MUNSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","388 patients",,,"PN-3B " "230097","MUNSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","391 patients",,,"HF-1 " "230097","MUNSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "230097","MUNSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","240 patients",,,"PN-7 " "230097","MUNSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","356 patients",,,"PN-2 " "230097","MUNSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"HF-4 " "230097","MUNSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","926 patients","2 ","2","SCIP-INF-6 " "230097","MUNSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","128 patients",,,"HF-3 " "230097","MUNSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","137 patients","2 ","2","SCIP-CARD-2 " "230097","MUNSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","615 patients","2 ","2","SCIP-INF-2 " "230097","MUNSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","307 patients","2 ","2","SCIP-VTE-2 " "230097","MUNSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","244 patients",,,"PN-6 " "230097","MUNSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","173 patients","2 ","2","SCIP-INF-4 " "230097","MUNSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","574 patients","2 ","2","SCIP-INF-3 " "230097","MUNSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","285 patients",,,"AMI-4 " "230097","MUNSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","96 patients",,,"AMI-3 " "230097","MUNSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","602 patients","2 ","2","SCIP-INF-1 " "230097","MUNSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","307 patients","2 ","2","SCIP-VTE-1 " "230097","MUNSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","61 patients",,,"AMI-8A " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","85 patients",,,"SCIP-CARD-2 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","173 patients",,,"PN-6 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","304 patients",,,"SCIP-VTE-1 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","66 patients",,,"HF-3 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","529 patients",,,"SCIP-INF-3 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","80 patients",,,"AMI-5 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","146 patients",,,"PN-7 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"PN-4 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","696 patients",,,"SCIP-INF-6 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","551 patients",,,"SCIP-INF-1 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","68 patients",,,"AMI-2 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","235 patients",,,"PN-5C " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","AMI-3 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","225 patients",,,"PN-3B " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","190 patients",,,"PN-2 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","194 patients",,,"HF-1 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","57%","7 patients","1 ","1","AMI-7A " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","558 patients",,,"SCIP-INF-2 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","246 patients",,,"HF-2 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","304 patients",,,"SCIP-VTE-2 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","150 patients",,,"AMI-1 " "230099","MERCY MEMORIAL HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "23009F","SAGINAW VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "23009F","SAGINAW VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","11 patients","1 ","1","PN-6 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "23009F","SAGINAW VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1 ","1","PN-3B " "23009F","SAGINAW VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "23009F","SAGINAW VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "23009F","SAGINAW VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "23009F","SAGINAW VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "23009F","SAGINAW VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","14 patients","1 ","1","PN-7 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","43 patients",,,"HF-2 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "23009F","SAGINAW VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "23009F","SAGINAW VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "23009F","SAGINAW VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","15 patients","1 ","1","PN-2 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "23009F","SAGINAW VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "23009F","SAGINAW VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "23009F","SAGINAW VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","39 patients",,,"HF-1 " "23009F","SAGINAW VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","15 patients","1 ","1","PN-5C " "230100","TAWAS ST JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","75 patients",,,"PN-6 " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "230100","TAWAS ST JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","115 patients",,,"PN-5C " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","104 patients",,,"HF-2 " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230100","TAWAS ST JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","112 patients",,,"PN-2 " "230100","TAWAS ST JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","117 patients",,,"PN-3B " "230100","TAWAS ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","285 patients","2 ","2","SCIP-INF-6 " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "230100","TAWAS ST JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "230100","TAWAS ST JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","68 patients",,,"PN-7 " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","85 patients",,,"HF-1 " "230100","TAWAS ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","98 patients","2 ","2","SCIP-VTE-1 " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "230100","TAWAS ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","198 patients","2 ","2","SCIP-INF-2 " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","35 patients",,,"HF-3 " "230100","TAWAS ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","200 patients","2 ","2","SCIP-INF-1 " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "230100","TAWAS ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230100","TAWAS ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","53 patients","2 ","2","SCIP-CARD-2 " "230100","TAWAS ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","190 patients","2 ","2","SCIP-INF-3 " "230100","TAWAS ST JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230100","TAWAS ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","98 patients","2 ","2","SCIP-VTE-2 " "230101","ST FRANCIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","25 patients",,,"AMI-2 " "230101","ST FRANCIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","69 patients",,,"HF-1 " "230101","ST FRANCIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "230101","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","134 patients",,,"SCIP-INF-6 " "230101","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230101","ST FRANCIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","26 patients",,,"PN-4 " "230101","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","69 patients",,,"SCIP-VTE-2 " "230101","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","87 patients",,,"SCIP-INF-3 " "230101","ST FRANCIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","114 patients",,,"PN-3B " "230101","ST FRANCIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","24 patients","1 ","1","AMI-5 " "230101","ST FRANCIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","82 patients",,,"HF-2 " "230101","ST FRANCIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230101","ST FRANCIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "230101","ST FRANCIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","74 patients",,,"PN-7 " "230101","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","89 patients",,,"SCIP-INF-2 " "230101","ST FRANCIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "230101","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","88 patients",,,"SCIP-INF-1 " "230101","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "230101","ST FRANCIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230101","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","69 patients",,,"SCIP-VTE-1 " "230101","ST FRANCIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","104 patients",,,"PN-5C " "230101","ST FRANCIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","101 patients",,,"PN-2 " "230101","ST FRANCIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","34 patients",,,"AMI-1 " "230101","ST FRANCIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","80 patients",,,"PN-6 " "230101","ST FRANCIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","26 patients",,,"HF-3 " "230104","HARPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","187 patients","2 ","2","SCIP-VTE-2 " "230104","HARPER UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","147 patients",,,"AMI-4 " "230104","HARPER UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","167 patients",,,"PN-5C " "230104","HARPER UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","952 patients",,,"HF-2 " "230104","HARPER UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","289 patients",,,"AMI-5 " "230104","HARPER UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","860 patients",,,"HF-1 " "230104","HARPER UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230104","HARPER UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","255 patients",,,"HF-4 " "230104","HARPER UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","13 patients","1 ","1","AMI-8A " "230104","HARPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","394 patients","2 ","2","SCIP-INF-3 " "230104","HARPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","111 patients","2 ","2","SCIP-CARD-2 " "230104","HARPER UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","339 patients",,,"HF-3 " "230104","HARPER UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","136 patients",,,"AMI-1 " "230104","HARPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","639 patients","2 ","2","SCIP-INF-6 " "230104","HARPER UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","83 patients",,,"AMI-3 " "230104","HARPER UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","148 patients",,,"PN-2 " "230104","HARPER UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","177 patients",,,"PN-3B " "230104","HARPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","443 patients","2 ","2","SCIP-INF-2 " "230104","HARPER UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","305 patients",,,"AMI-2 " "230104","HARPER UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","134 patients",,,"PN-7 " "230104","HARPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","190 patients","2 ","2","SCIP-VTE-1 " "230104","HARPER UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","78 patients",,,"PN-4 " "230104","HARPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","92 patients","2 ","2","SCIP-INF-4 " "230104","HARPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","430 patients","2 ","2","SCIP-INF-1 " "230104","HARPER UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","78 patients",,,"PN-6 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","123 patients",,,"HF-3 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","256 patients",,,"HF-2 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","599 patients","2 ","2","SCIP-INF-6 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","224 patients",,,"HF-1 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","23 patients","1 ","1","AMI-8A " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","416 patients","2 ","2","SCIP-INF-1 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","46 patients",,,"AMI-3 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","54 patients",,,"PN-4 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","109 patients",,,"PN-5C " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","71 patients",,,"PN-6 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","102 patients",,,"PN-3B " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","118 patients","2 ","2","SCIP-CARD-2 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","311 patients",,,"AMI-5 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","292 patients",,,"AMI-2 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","135 patients",,,"PN-2 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","418 patients","2 ","2","SCIP-INF-2 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","73%","128 patients","2 ","2","SCIP-INF-4 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","110 patients",,,"AMI-1 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","91 patients",,,"PN-7 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","174 patients","2 ","2","SCIP-VTE-1 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","117 patients",,,"AMI-4 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","392 patients","2 ","2","SCIP-INF-3 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","173 patients","2 ","2","SCIP-VTE-2 " "230105","NORTHERN MICHIGAN REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","48 patients",,,"HF-4 " "230106","GERBER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","122 patients",,,"PN-3B " "230106","GERBER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "230106","GERBER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","114 patients",,,"PN-5C " "230106","GERBER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","78 patients",,,"PN-7 " "230106","GERBER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","122 patients",,,"SCIP-VTE-1 " "230106","GERBER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "230106","GERBER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","184 patients",,,"SCIP-INF-2 " "230106","GERBER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","58 patients",,,"HF-1 " "230106","GERBER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","65 patients",,,"HF-2 " "230106","GERBER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "230106","GERBER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "230106","GERBER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230106","GERBER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","83 patients",,,"PN-6 " "230106","GERBER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "230106","GERBER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "230106","GERBER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "230106","GERBER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230106","GERBER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","38 patients",,,"SCIP-CARD-2 " "230106","GERBER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","111 patients",,,"PN-2 " "230106","GERBER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","121 patients",,,"SCIP-VTE-2 " "230106","GERBER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "230106","GERBER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","263 patients",,,"SCIP-INF-6 " "230106","GERBER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","178 patients",,,"SCIP-INF-3 " "230106","GERBER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","185 patients",,,"SCIP-INF-1 " "230106","GERBER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230108","PORTAGE HEALTH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "230108","PORTAGE HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","178 patients",,,"SCIP-INF-2 " "230108","PORTAGE HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1 ","1","SCIP-CARD-2 " "230108","PORTAGE HEALTH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","39 patients",,,"PN-3B " "230108","PORTAGE HEALTH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","16 patients","1 ","1","PN-4 " "230108","PORTAGE HEALTH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","AMI-3 " "230108","PORTAGE HEALTH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","52 patients",,,"HF-2 " "230108","PORTAGE HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","95 patients",,,"SCIP-VTE-1 " "230108","PORTAGE HEALTH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230108","PORTAGE HEALTH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","46 patients",,,"PN-2 " "230108","PORTAGE HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230108","PORTAGE HEALTH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","30 patients",,,"PN-6 " "230108","PORTAGE HEALTH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","25 patients",,,"AMI-2 " "230108","PORTAGE HEALTH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "230108","PORTAGE HEALTH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230108","PORTAGE HEALTH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","28 patients",,,"PN-7 " "230108","PORTAGE HEALTH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "230108","PORTAGE HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","166 patients",,,"SCIP-INF-3 " "230108","PORTAGE HEALTH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "230108","PORTAGE HEALTH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","47 patients",,,"PN-5C " "230108","PORTAGE HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","205 patients",,,"SCIP-INF-6 " "230108","PORTAGE HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","179 patients",,,"SCIP-INF-1 " "230108","PORTAGE HEALTH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "230108","PORTAGE HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","95 patients",,,"SCIP-VTE-2 " "230108","PORTAGE HEALTH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","43 patients",,,"HF-1 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","63 patients",,,"HF-2 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","47 patients",,,"PN-6 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","144 patients",,,"SCIP-VTE-1 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","85 patients",,,"PN-5C " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","197 patients",,,"SCIP-INF-3 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","79 patients",,,"PN-2 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","51 patients",,,"HF-1 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","144 patients",,,"SCIP-VTE-2 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","41 patients",,,"SCIP-CARD-2 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","292 patients",,,"SCIP-INF-6 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","42 patients",,,"PN-7 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","197 patients",,,"SCIP-INF-2 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","202 patients",,,"SCIP-INF-1 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","12 patients","1 ","1","AMI-2 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "230110","MEMORIAL MEDICAL CENTER OF WEST MICHIGAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","106 patients",,,"PN-3B " "230117","BORGESS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","116 patients","2 ","2","HF-3 " "230117","BORGESS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","86 patients","2 ","2","PN-2 " "230117","BORGESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","167 patients","2 ","2","SCIP-VTE-2 " "230117","BORGESS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","60 patients","2 ","2","AMI-3 " "230117","BORGESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","404 patients","2 ","2","SCIP-INF-3 " "230117","BORGESS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","68 patients","2 ","2","PN-7 " "230117","BORGESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","574 patients","2 ","2","SCIP-INF-6 " "230117","BORGESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","435 patients","2 ","2","SCIP-INF-2 " "230117","BORGESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","136 patients","2 ","2","SCIP-INF-4 " "230117","BORGESS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","103 patients","2 ","2","AMI-4 " "230117","BORGESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","167 patients","2 ","2","SCIP-VTE-1 " "230117","BORGESS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","HF-4 " "230117","BORGESS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","258 patients","2 ","2","AMI-5 " "230117","BORGESS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","48 patients","2 ","2","PN-6 " "230117","BORGESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","417 patients","2 ","2","SCIP-INF-1 " "230117","BORGESS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","100 patients","2 ","2","PN-3B " "230117","BORGESS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","18 patients","1,2 ","12","AMI-8A " "230117","BORGESS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","102 patients","2 ","2","PN-5C " "230117","BORGESS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","277 patients","2 ","2","HF-2 " "230117","BORGESS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","49 patients","2 ","2","PN-4 " "230117","BORGESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","106 patients","2 ","2","SCIP-CARD-2 " "230117","BORGESS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "230117","BORGESS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","86 patients","2 ","2","AMI-1 " "230117","BORGESS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","245 patients","2 ","2","HF-1 " "230117","BORGESS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","250 patients","2 ","2","AMI-2 " "230118","HURON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","66 patients",,,"HF-2 " "230118","HURON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","48 patients",,,"HF-1 " "230118","HURON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","33 patients",,,"PN-6 " "230118","HURON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230118","HURON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230118","HURON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "230118","HURON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","12 patients","1 ","1","SCIP-CARD-2 " "230118","HURON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","28 patients",,,"PN-7 " "230118","HURON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1 ","1","PN-4 " "230118","HURON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","61 patients",,,"PN-3B " "230118","HURON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "230118","HURON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","163 patients",,,"SCIP-INF-2 " "230118","HURON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","54 patients",,,"PN-5C " "230118","HURON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","175 patients",,,"SCIP-INF-6 " "230118","HURON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "230118","HURON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230118","HURON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","HF-4 " "230118","HURON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","160 patients",,,"SCIP-INF-3 " "230118","HURON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","164 patients",,,"SCIP-INF-1 " "230118","HURON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","70 patients",,,"SCIP-VTE-1 " "230118","HURON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","48 patients",,,"PN-2 " "230118","HURON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "230118","HURON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","70 patients",,,"SCIP-VTE-2 " "230118","HURON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "230118","HURON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","177 patients","2 ","2","SCIP-VTE-2 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","53 patients",,,"HF-4 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","50 patients",,,"PN-3B " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","31 patients",,,"PN-4 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","53 patients",,,"PN-7 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","440 patients","2 ","2","SCIP-INF-6 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","317 patients",,,"SCIP-INF-1 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","64 patients",,,"PN-5C " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","134 patients","2 ","2","SCIP-INF-4 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","49 patients",,,"AMI-5 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","76 patients",,,"HF-3 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","183 patients",,,"HF-1 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","48 patients",,,"AMI-2 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-8A " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","40 patients",,,"PN-6 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","177 patients","2 ","2","SCIP-VTE-1 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","188 patients",,,"HF-2 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","AMI-4 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","314 patients",,,"SCIP-INF-2 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","263 patients","2 ","2","SCIP-CARD-2 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","47 patients",,,"AMI-1 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","284 patients",,,"SCIP-INF-3 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","60 patients",,,"PN-2 " "23011F","VA ANN ARBOR HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "230121","MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","328 patients","2 ","2","SCIP-INF-6 " "230121","MEMORIAL HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","91 patients",,,"PN-6 " "230121","MEMORIAL HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "230121","MEMORIAL HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","76 patients",,,"PN-7 " "230121","MEMORIAL HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","117 patients",,,"PN-5C " "230121","MEMORIAL HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","119 patients",,,"PN-2 " "230121","MEMORIAL HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "230121","MEMORIAL HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "230121","MEMORIAL HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","87 patients",,,"HF-2 " "230121","MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","192 patients","2 ","2","SCIP-INF-3 " "230121","MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","204 patients","2 ","2","SCIP-INF-1 " "230121","MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","207 patients","2 ","2","SCIP-INF-2 " "230121","MEMORIAL HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","39 patients",,,"PN-4 " "230121","MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","168 patients","2 ","2","SCIP-VTE-2 " "230121","MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","22 patients","1,2 ","12","SCIP-CARD-2 " "230121","MEMORIAL HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","114 patients",,,"PN-3B " "230121","MEMORIAL HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "230121","MEMORIAL HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "230121","MEMORIAL HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230121","MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230121","MEMORIAL HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230121","MEMORIAL HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "230121","MEMORIAL HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","69 patients",,,"HF-1 " "230121","MEMORIAL HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","79%","19 patients","1 ","1","AMI-1 " "230121","MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","171 patients","2 ","2","SCIP-VTE-1 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "23012F","BATTLE CREEK VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","24 patients","1 ","1","PN-2 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","32 patients",,,"HF-1 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","24 patients","1 ","1","PN-6 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","32 patients",,,"PN-5C " "23012F","BATTLE CREEK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","18 patients","1 ","1","PN-7 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","33 patients",,,"HF-2 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "23012F","BATTLE CREEK VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "230130","WILLIAM BEAUMONT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","212 patients","2 ","2","PN-3B " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","412 patients","2 ","2","HF-1 " "230130","WILLIAM BEAUMONT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","154 patients","2 ","2","PN-6 " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","333 patients","2 ","2","AMI-5 " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","373 patients","2 ","2","AMI-1 " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","HF-4 " "230130","WILLIAM BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1066 patients","2 ","2","SCIP-INF-6 " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","140 patients","2 ","2","HF-3 " "230130","WILLIAM BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","731 patients","2 ","2","SCIP-INF-2 " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","113 patients","2 ","2","AMI-4 " "230130","WILLIAM BEAUMONT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","173 patients","2 ","2","PN-7 " "230130","WILLIAM BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","719 patients","2 ","2","SCIP-INF-1 " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","74 patients","2 ","2","AMI-3 " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","384 patients","2 ","2","AMI-2 " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","59 patients","2 ","2","AMI-8A " "230130","WILLIAM BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","412 patients","2 ","2","SCIP-VTE-2 " "230130","WILLIAM BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","413 patients","2 ","2","SCIP-VTE-1 " "230130","WILLIAM BEAUMONT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","68 patients","2 ","2","PN-4 " "230130","WILLIAM BEAUMONT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","275 patients","2 ","2","PN-2 " "230130","WILLIAM BEAUMONT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","501 patients","2 ","2","HF-2 " "230130","WILLIAM BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","144 patients","2 ","2","SCIP-CARD-2 " "230130","WILLIAM BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","203 patients","2 ","2","SCIP-INF-4 " "230130","WILLIAM BEAUMONT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","243 patients","2 ","2","PN-5C " "230130","WILLIAM BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","679 patients","2 ","2","SCIP-INF-3 " "230132","HURLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","169 patients",,,"HF-3 " "230132","HURLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230132","HURLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","195 patients",,,"PN-3B " "230132","HURLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","33 patients",,,"AMI-3 " "230132","HURLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","472 patients","2 ","2","SCIP-INF-1 " "230132","HURLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","450 patients","2 ","2","SCIP-INF-3 " "230132","HURLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","247 patients",,,"PN-5C " "230132","HURLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","151 patients",,,"PN-2 " "230132","HURLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","440 patients",,,"HF-2 " "230132","HURLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","476 patients","2 ","2","SCIP-INF-2 " "230132","HURLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","124 patients",,,"AMI-2 " "230132","HURLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","159 patients",,,"HF-4 " "230132","HURLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","701 patients","2 ","2","SCIP-INF-6 " "230132","HURLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","330 patients","2 ","2","SCIP-VTE-1 " "230132","HURLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230132","HURLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","62 patients","2 ","2","SCIP-CARD-2 " "230132","HURLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","125 patients",,,"PN-4 " "230132","HURLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","24 patients","1 ","1","AMI-8A " "230132","HURLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","178 patients",,,"PN-6 " "230132","HURLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","111 patients",,,"AMI-5 " "230132","HURLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","181 patients",,,"AMI-1 " "230132","HURLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"AMI-4 " "230132","HURLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","330 patients","2 ","2","SCIP-VTE-2 " "230132","HURLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","412 patients",,,"HF-1 " "230132","HURLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","119 patients",,,"PN-7 " "230133","OTSEGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","172 patients","2 ","2","SCIP-INF-3 " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "230133","OTSEGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","176 patients","2 ","2","SCIP-INF-1 " "230133","OTSEGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","174 patients","2 ","2","SCIP-INF-2 " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","70 patients",,,"HF-2 " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","HF-3 " "230133","OTSEGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","92 patients","2 ","2","SCIP-VTE-2 " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","61 patients",,,"HF-1 " "230133","OTSEGO MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","42 patients",,,"PN-2 " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230133","OTSEGO MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "230133","OTSEGO MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","54 patients",,,"PN-5C " "230133","OTSEGO MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","31 patients",,,"PN-7 " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "230133","OTSEGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","92 patients","2 ","2","SCIP-VTE-1 " "230133","OTSEGO MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","56 patients",,,"PN-3B " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "230133","OTSEGO MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","34 patients",,,"PN-6 " "230133","OTSEGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230133","OTSEGO MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "230133","OTSEGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","243 patients","2 ","2","SCIP-INF-6 " "230133","OTSEGO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","25 patients","2 ","2","SCIP-CARD-2 " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "230135","HENRY FORD COTTAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","47%","19 patients","1 ","1","PN-2 " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "230135","HENRY FORD COTTAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients",,,"PN-6 " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "230135","HENRY FORD COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","21 patients","1 ","1","SCIP-INF-3 " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "230135","HENRY FORD COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","21 patients","1 ","1","SCIP-INF-2 " "230135","HENRY FORD COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","6 patients","1 ","1","SCIP-VTE-1 " "230135","HENRY FORD COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","6 patients","1 ","1","SCIP-VTE-2 " "230135","HENRY FORD COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "230135","HENRY FORD COTTAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1,3 ","13","PN-5C " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","23 patients","1 ","1","HF-2 " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "230135","HENRY FORD COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","23 patients","1 ","1","SCIP-INF-6 " "230135","HENRY FORD COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","22 patients","1 ","1","SCIP-INF-1 " "230135","HENRY FORD COTTAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "230135","HENRY FORD COTTAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","15 patients","1 ","1","PN-7 " "230135","HENRY FORD COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230135","HENRY FORD COTTAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","17 patients","1 ","1","PN-3B " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","5%","22 patients","1 ","1","HF-1 " "230135","HENRY FORD COTTAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "230141","MCLAREN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","219 patients","2 ","2","SCIP-CARD-2 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","310 patients","2 ","2","SCIP-VTE-2 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","484 patients","2 ","2","HF-1 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","180 patients","2 ","2","SCIP-INF-4 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","202 patients","2 ","2","HF-3 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","178 patients","2 ","2","PN-7 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","768 patients","2 ","2","SCIP-INF-2 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","697 patients","2 ","2","SCIP-INF-3 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","96 patients","2 ","2","HF-4 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","353 patients","2 ","2","AMI-5 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","258 patients","2 ","2","PN-2 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","60 patients","2 ","2","AMI-8A " "230141","MCLAREN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","269 patients","2 ","2","PN-5C " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","376 patients","2 ","2","AMI-2 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","94 patients","2 ","2","PN-4 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","310 patients","2 ","2","SCIP-VTE-1 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","162 patients","2 ","2","PN-6 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1060 patients","2 ","2","SCIP-INF-6 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","45 patients","2 ","2","AMI-3 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","149 patients","2 ","2","AMI-4 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","550 patients","2 ","2","HF-2 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","287 patients","2 ","2","PN-3B " "230141","MCLAREN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","319 patients","2 ","2","AMI-1 " "230141","MCLAREN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","752 patients","2 ","2","SCIP-INF-1 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","132 patients",,,"PN-6 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","64 patients","2 ","2","SCIP-CARD-2 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","68 patients",,,"AMI-5 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","66%","29 patients",,,"AMI-8A " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","286 patients",,,"HF-2 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","221 patients",,,"PN-5C " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","205 patients","2 ","2","SCIP-VTE-2 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","283 patients","2 ","2","SCIP-INF-3 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"PN-4 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","205 patients",,,"PN-3B " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","297 patients","2 ","2","SCIP-INF-2 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","163 patients",,,"PN-2 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","81 patients",,,"AMI-2 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","128 patients",,,"PN-7 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","437 patients","2 ","2","SCIP-INF-6 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","207 patients","2 ","2","SCIP-VTE-1 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","116 patients",,,"AMI-1 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","225 patients",,,"HF-1 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","92 patients",,,"HF-3 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","296 patients","2 ","2","SCIP-INF-1 " "230142","OAKWOOD ANNAPOLIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","43 patients","2 ","2","AMI-8A " "230146","HENRY FORD WYANDOTTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","249 patients","2 ","2","SCIP-VTE-2 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","315 patients","2 ","2","SCIP-INF-2 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","311 patients","2 ","2","PN-3B " "230146","HENRY FORD WYANDOTTE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","287 patients","2 ","2","PN-2 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","340 patients","2 ","2","PN-5C " "230146","HENRY FORD WYANDOTTE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","203 patients","2 ","2","PN-6 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","431 patients","2 ","2","HF-1 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","150 patients","2 ","2","HF-3 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","66 patients","2 ","2","SCIP-CARD-2 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","315 patients","2 ","2","SCIP-INF-1 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","135 patients","2 ","2","AMI-5 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","AMI-4 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","37 patients","2 ","2","AMI-3 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","494 patients","2 ","2","SCIP-INF-6 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","249 patients","2 ","2","SCIP-VTE-1 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","289 patients","2 ","2","SCIP-INF-3 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","217 patients","2 ","2","AMI-1 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","141 patients","2 ","2","AMI-2 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","103 patients","2 ","2","HF-4 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","132 patients","2 ","2","PN-4 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","199 patients","2 ","2","PN-7 " "230146","HENRY FORD WYANDOTTE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","517 patients","2 ","2","HF-2 " "230151","BOTSFORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","99 patients",,,"PN-6 " "230151","BOTSFORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","79 patients","2 ","2","SCIP-CARD-2 " "230151","BOTSFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","308 patients","2 ","2","SCIP-VTE-2 " "230151","BOTSFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230151","BOTSFORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","422 patients",,,"HF-1 " "230151","BOTSFORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","89 patients",,,"HF-4 " "230151","BOTSFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","470 patients","2 ","2","SCIP-INF-3 " "230151","BOTSFORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"PN-4 " "230151","BOTSFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","490 patients","2 ","2","SCIP-INF-1 " "230151","BOTSFORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","210 patients",,,"PN-2 " "230151","BOTSFORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","167 patients",,,"AMI-5 " "230151","BOTSFORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","175 patients",,,"HF-3 " "230151","BOTSFORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","253 patients",,,"AMI-1 " "230151","BOTSFORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","271 patients",,,"PN-5C " "230151","BOTSFORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","300 patients",,,"PN-3B " "230151","BOTSFORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","308 patients","2 ","2","SCIP-VTE-1 " "230151","BOTSFORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","171 patients",,,"AMI-2 " "230151","BOTSFORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","40 patients",,,"AMI-3 " "230151","BOTSFORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","63%","43 patients",,,"AMI-8A " "230151","BOTSFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","636 patients","2 ","2","SCIP-INF-6 " "230151","BOTSFORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","143 patients",,,"PN-7 " "230151","BOTSFORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","494 patients","2 ","2","SCIP-INF-2 " "230151","BOTSFORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "230151","BOTSFORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","531 patients",,,"HF-2 " "230151","BOTSFORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230156","ST JOSEPH MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","450 patients",,,"PN-5C " "230156","ST JOSEPH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","260 patients","2 ","2","SCIP-VTE-2 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","80 patients",,,"AMI-8A " "230156","ST JOSEPH MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","158 patients",,,"PN-3B " "230156","ST JOSEPH MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","120 patients",,,"HF-4 " "230156","ST JOSEPH MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","259 patients",,,"PN-6 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230156","ST JOSEPH MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","171 patients",,,"PN-4 " "230156","ST JOSEPH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","181 patients","2 ","2","SCIP-INF-4 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","799 patients",,,"HF-2 " "230156","ST JOSEPH MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","361 patients",,,"PN-7 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","634 patients",,,"AMI-5 " "230156","ST JOSEPH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","569 patients","2 ","2","SCIP-INF-1 " "230156","ST JOSEPH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","546 patients","2 ","2","SCIP-INF-3 " "230156","ST JOSEPH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","578 patients","2 ","2","SCIP-INF-2 " "230156","ST JOSEPH MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","496 patients",,,"PN-2 " "230156","ST JOSEPH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","260 patients","2 ","2","SCIP-VTE-1 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","422 patients",,,"AMI-1 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","92 patients",,,"AMI-3 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","673 patients",,,"AMI-2 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","226 patients",,,"HF-3 " "230156","ST JOSEPH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","847 patients","2 ","2","SCIP-INF-6 " "230156","ST JOSEPH MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","141 patients","2 ","2","SCIP-CARD-2 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","221 patients",,,"AMI-4 " "230156","ST JOSEPH MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","642 patients",,,"HF-1 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1180 patients","2 ","2","SCIP-INF-1 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","477 patients",,,"AMI-2 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","229 patients",,,"PN-4 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","170 patients",,,"AMI-4 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","107 patients",,,"AMI-3 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","764 patients","2 ","2","HF-2 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","297 patients","2 ","2","HF-3 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1189 patients","2 ","2","SCIP-INF-2 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","307 patients","2 ","2","SCIP-INF-4 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","258 patients","2 ","2","SCIP-CARD-2 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1128 patients","2 ","2","SCIP-INF-3 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","388 patients",,,"AMI-1 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","559 patients",,,"PN-5C " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","495 patients","2 ","2","SCIP-VTE-2 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","508 patients",,,"AMI-5 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","76 patients",,,"AMI-8A " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1451 patients","2 ","2","SCIP-INF-6 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","285 patients",,,"PN-6 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","495 patients","2 ","2","SCIP-VTE-1 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","652 patients","2 ","2","HF-1 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","346 patients",,,"PN-2 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","153 patients","2 ","2","HF-4 " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","229 patients",,,"PN-3B " "230165","ST JOHN HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","310 patients",,,"PN-7 " "230167","INGHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","226 patients",,,"PN-6 " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","35 patients",,,"AMI-8A " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","175 patients",,,"HF-3 " "230167","INGHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","897 patients","2 ","2","SCIP-INF-1 " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","464 patients",,,"HF-1 " "230167","INGHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1190 patients","2 ","2","SCIP-INF-6 " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","263 patients",,,"AMI-1 " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","87 patients",,,"HF-4 " "230167","INGHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","902 patients","2 ","2","SCIP-INF-2 " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","518 patients",,,"HF-2 " "230167","INGHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","317 patients","2 ","2","SCIP-VTE-2 " "230167","INGHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","195 patients","2 ","2","SCIP-CARD-2 " "230167","INGHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","866 patients","2 ","2","SCIP-INF-3 " "230167","INGHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","200 patients",,,"PN-7 " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","384 patients",,,"AMI-2 " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","109 patients",,,"AMI-4 " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","378 patients",,,"AMI-5 " "230167","INGHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","238 patients",,,"PN-2 " "230167","INGHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","70%","217 patients",,,"PN-3B " "230167","INGHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","111 patients",,,"PN-4 " "230167","INGHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","228 patients","2 ","2","SCIP-INF-4 " "230167","INGHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","318 patients","2 ","2","SCIP-VTE-1 " "230167","INGHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","280 patients",,,"PN-5C " "230167","INGHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","87 patients",,,"AMI-3 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","44 patients",,,"PN-7 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","45 patients",,,"HF-2 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","28 patients",,,"SCIP-CARD-2 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","74 patients",,,"PN-3B " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","48 patients",,,"PN-6 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","36 patients",,,"HF-1 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","199 patients","2 ","2","SCIP-INF-1 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","97 patients","2 ","2","SCIP-VTE-1 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","63 patients",,,"PN-2 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","54 patients",,,"PN-5C " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","196 patients","2 ","2","SCIP-INF-3 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","268 patients","2 ","2","SCIP-INF-6 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","97 patients","2 ","2","SCIP-VTE-2 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","201 patients","2 ","2","SCIP-INF-2 " "230174","NORTH OTTAWA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","76 patients",,,"AMI-1 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","183 patients",,,"HF-1 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","401 patients","2 ","2","SCIP-INF-1 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","150 patients",,,"PN-7 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","229 patients",,,"PN-3B " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","215 patients","2 ","2","SCIP-VTE-1 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","56%","9 patients","1 ","1","AMI-8A " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","46 patients",,,"AMI-2 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","244 patients",,,"PN-5C " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","387 patients","2 ","2","SCIP-INF-3 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","78 patients",,,"HF-3 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","46 patients",,,"AMI-5 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","156 patients",,,"PN-6 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","554 patients","2 ","2","SCIP-INF-6 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","403 patients","2 ","2","SCIP-INF-2 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","215 patients",,,"PN-2 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","214 patients","2 ","2","SCIP-VTE-2 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"PN-4 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","230 patients",,,"HF-2 " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230176","OAKWOOD SOUTHSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","110 patients","2 ","2","SCIP-CARD-2 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","HF-4 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","120 patients","2 ","2","PN-2 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","87 patients","2 ","2","PN-6 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","76 patients",,,"SCIP-INF-3 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","124 patients",,,"HF-2 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","142 patients","2 ","2","PN-5C " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","97 patients","2 ","2","PN-7 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","70 patients","2 ","2","PN-3B " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","66 patients",,,"SCIP-VTE-1 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","78 patients",,,"SCIP-INF-2 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","35 patients",,,"HF-3 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","66 patients",,,"SCIP-VTE-2 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","70%","10 patients","1 ","1","AMI-2 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","36 patients","2 ","2","PN-4 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","17 patients","1 ","1","SCIP-CARD-2 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","78 patients",,,"SCIP-INF-1 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","110 patients",,,"HF-1 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "230180","MIDMICHIGAN MEDICAL CENTER-CLARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","123 patients",,,"SCIP-INF-6 " "230190","BRONSON VICKSBURG HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "230190","BRONSON VICKSBURG HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "230190","BRONSON VICKSBURG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "230190","BRONSON VICKSBURG HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "230190","BRONSON VICKSBURG HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "230190","BRONSON VICKSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "230190","BRONSON VICKSBURG HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "230190","BRONSON VICKSBURG HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "230190","BRONSON VICKSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "230190","BRONSON VICKSBURG HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "230190","BRONSON VICKSBURG HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "230190","BRONSON VICKSBURG HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "230190","BRONSON VICKSBURG HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "230190","BRONSON VICKSBURG HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "230190","BRONSON VICKSBURG HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "230190","BRONSON VICKSBURG HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "230190","BRONSON VICKSBURG HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "230190","BRONSON VICKSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "230190","BRONSON VICKSBURG HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "230190","BRONSON VICKSBURG HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "230190","BRONSON VICKSBURG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "230190","BRONSON VICKSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "230190","BRONSON VICKSBURG HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "230190","BRONSON VICKSBURG HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "230190","BRONSON VICKSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230193","LAPEER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","370 patients","2 ","2","SCIP-INF-1 " "230193","LAPEER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","117 patients",,,"PN-7 " "230193","LAPEER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"PN-4 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","35 patients",,,"HF-3 " "230193","LAPEER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","58 patients","2 ","2","SCIP-CARD-2 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","34 patients",,,"AMI-5 " "230193","LAPEER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","193 patients",,,"PN-3B " "230193","LAPEER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","141 patients",,,"PN-6 " "230193","LAPEER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","172 patients",,,"PN-5C " "230193","LAPEER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","186 patients","2 ","2","SCIP-VTE-1 " "230193","LAPEER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","154 patients",,,"PN-2 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","30 patients",,,"AMI-2 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","195 patients",,,"HF-2 " "230193","LAPEER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","371 patients","2 ","2","SCIP-INF-2 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "230193","LAPEER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","185 patients","2 ","2","SCIP-VTE-2 " "230193","LAPEER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","355 patients","2 ","2","SCIP-INF-3 " "230193","LAPEER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","474 patients","2 ","2","SCIP-INF-6 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "230193","LAPEER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","155 patients",,,"HF-1 " "230193","LAPEER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","65 patients",,,"AMI-1 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","386 patients",,,"PN-6 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","239 patients","2 ","2","SCIP-CARD-2 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","173 patients",,,"HF-4 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1009 patients","2 ","2","SCIP-INF-3 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","290 patients",,,"AMI-2 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","304 patients",,,"AMI-1 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","396 patients",,,"PN-7 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","965 patients",,,"HF-2 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","281 patients",,,"AMI-5 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1423 patients","2 ","2","SCIP-INF-6 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","69 patients",,,"AMI-3 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1119 patients","2 ","2","SCIP-INF-2 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","640 patients",,,"PN-5C " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","595 patients",,,"PN-2 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","227 patients",,,"PN-4 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1114 patients","2 ","2","SCIP-INF-1 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","74 patients",,,"AMI-8A " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","516 patients","2 ","2","SCIP-VTE-1 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","191 patients","2 ","2","SCIP-INF-4 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","516 patients","2 ","2","SCIP-VTE-2 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","301 patients",,,"HF-3 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","505 patients",,,"PN-3B " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","122 patients",,,"AMI-4 " "230195","ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","817 patients",,,"HF-1 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","354 patients","2 ","2","AMI-1 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","96 patients","2 ","2","PN-6 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","404 patients","2 ","2","HF-2 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","72 patients","2 ","2","PN-4 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","148 patients","2 ","2","PN-7 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","HF-4 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","121 patients","2 ","2","AMI-4 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","822 patients","2 ","2","SCIP-INF-1 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","45 patients","2 ","2","AMI-8A " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","779 patients","2 ","2","SCIP-INF-3 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1047 patients","2 ","2","SCIP-INF-6 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","189 patients","2 ","2","PN-2 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","154 patients","2 ","2","PN-3B " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","335 patients","2 ","2","AMI-5 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","290 patients","2 ","2","SCIP-VTE-2 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","120 patients","2 ","2","HF-3 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","291 patients","2 ","2","SCIP-VTE-1 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","337 patients","2 ","2","AMI-2 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","150 patients","2 ","2","SCIP-INF-4 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","234 patients","2 ","2","SCIP-CARD-2 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","346 patients","2 ","2","HF-1 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","834 patients","2 ","2","SCIP-INF-2 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","49 patients","2 ","2","AMI-3 " "230197","GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","204 patients","2 ","2","PN-5C " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","235 patients",,,"SCIP-VTE-1 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","144 patients",,,"PN-5C " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","60 patients",,,"AMI-2 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","148 patients",,,"PN-3B " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1 ","1","SCIP-INF-4 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","366 patients",,,"SCIP-INF-2 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","362 patients",,,"SCIP-INF-1 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","44 patients",,,"HF-4 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","62 patients",,,"HF-3 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","57 patients",,,"PN-4 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","536 patients",,,"SCIP-INF-6 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","114 patients",,,"PN-2 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","62 patients",,,"AMI-5 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","346 patients",,,"SCIP-INF-3 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","181 patients",,,"HF-1 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","56 patients",,,"PN-6 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","213 patients",,,"HF-2 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","93 patients",,,"PN-7 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","77 patients",,,"AMI-1 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","235 patients",,,"SCIP-VTE-2 " "230204","HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","73 patients",,,"SCIP-CARD-2 " "230207","POH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","51%","211 patients","2 ","2","HF-1 " "230207","POH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","255 patients","2 ","2","SCIP-INF-6 " "230207","POH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","166 patients","2 ","2","SCIP-INF-2 " "230207","POH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","74 patients","2 ","2","PN-2 " "230207","POH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","105 patients","2 ","2","PN-3B " "230207","POH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","153 patients","2 ","2","SCIP-INF-3 " "230207","POH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "230207","POH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","130 patients","2 ","2","SCIP-VTE-2 " "230207","POH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "230207","POH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","66%","65 patients","2 ","2","PN-4 " "230207","POH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230207","POH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "230207","POH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","20 patients","1 ","1","AMI-2 " "230207","POH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230207","POH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","85 patients","2 ","2","HF-4 " "230207","POH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "230207","POH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","81 patients","2 ","2","PN-6 " "230207","POH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","32 patients","2 ","2","SCIP-CARD-2 " "230207","POH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","131 patients","2 ","2","SCIP-VTE-1 " "230207","POH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "230207","POH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","58 patients",,,"PN-7 " "230207","POH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","108 patients","2 ","2","HF-3 " "230207","POH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","164 patients","2 ","2","SCIP-INF-1 " "230207","POH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","116 patients","2 ","2","PN-5C " "230207","POH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","239 patients","2 ","2","HF-2 " "230208","CARSON CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","PN-4 " "230208","CARSON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","190 patients",,,"SCIP-INF-6 " "230208","CARSON CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","26 patients",,,"PN-2 " "230208","CARSON CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","42 patients",,,"PN-5C " "230208","CARSON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230208","CARSON CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "230208","CARSON CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230208","CARSON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","159 patients",,,"SCIP-INF-1 " "230208","CARSON CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","83 patients",,,"SCIP-VTE-2 " "230208","CARSON CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "230208","CARSON CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","83 patients",,,"SCIP-VTE-1 " "230208","CARSON CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","28 patients",,,"PN-6 " "230208","CARSON CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","21 patients","1 ","1","PN-7 " "230208","CARSON CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","HF-3 " "230208","CARSON CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230208","CARSON CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","19 patients","1 ","1","SCIP-CARD-2 " "230208","CARSON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","154 patients",,,"SCIP-INF-3 " "230208","CARSON CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "230208","CARSON CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","53 patients",,,"HF-1 " "230208","CARSON CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "230208","CARSON CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "230208","CARSON CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","70 patients",,,"HF-2 " "230208","CARSON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","159 patients",,,"SCIP-INF-2 " "230208","CARSON CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","30 patients",,,"PN-3B " "230208","CARSON CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","41 patients",,,"PN-6 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","28 patients",,,"PN-3B " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","10 patients","1 ","1","SCIP-VTE-2 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","10 patients","1 ","1","SCIP-VTE-1 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","29 patients",,,"SCIP-INF-3 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","HF-3 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","42 patients",,,"HF-2 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","29 patients",,,"SCIP-INF-1 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","34 patients",,,"PN-7 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","35 patients",,,"SCIP-INF-6 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","29 patients",,,"SCIP-INF-2 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","28 patients",,,"HF-1 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","56 patients",,,"PN-2 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "230212","SAINT JOSEPH MERCY SALINE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","56 patients",,,"PN-5C " "230216","PORT HURON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","307 patients",,,"AMI-5 " "230216","PORT HURON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","326 patients",,,"HF-2 " "230216","PORT HURON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","208 patients",,,"PN-2 " "230216","PORT HURON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","220 patients",,,"PN-5C " "230216","PORT HURON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","335 patients","2 ","2","SCIP-VTE-2 " "230216","PORT HURON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","39 patients",,,"AMI-8A " "230216","PORT HURON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","87 patients",,,"PN-4 " "230216","PORT HURON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","197 patients",,,"PN-3B " "230216","PORT HURON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","149 patients","2 ","2","SCIP-CARD-2 " "230216","PORT HURON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","261 patients",,,"HF-1 " "230216","PORT HURON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","110 patients",,,"AMI-4 " "230216","PORT HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","641 patients","2 ","2","SCIP-INF-3 " "230216","PORT HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","683 patients","2 ","2","SCIP-INF-2 " "230216","PORT HURON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","69 patients",,,"HF-3 " "230216","PORT HURON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","164 patients",,,"PN-6 " "230216","PORT HURON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","60 patients",,,"HF-4 " "230216","PORT HURON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","66 patients",,,"AMI-3 " "230216","PORT HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","126 patients","2 ","2","SCIP-INF-4 " "230216","PORT HURON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","149 patients",,,"PN-7 " "230216","PORT HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","880 patients","2 ","2","SCIP-INF-6 " "230216","PORT HURON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","226 patients",,,"AMI-1 " "230216","PORT HURON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","305 patients",,,"AMI-2 " "230216","PORT HURON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "230216","PORT HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","685 patients","2 ","2","SCIP-INF-1 " "230216","PORT HURON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","335 patients","2 ","2","SCIP-VTE-1 " "230217","OAKLAWN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "230217","OAKLAWN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","75 patients","2 ","2","SCIP-CARD-2 " "230217","OAKLAWN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "230217","OAKLAWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","169 patients","2 ","2","SCIP-VTE-1 " "230217","OAKLAWN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","30 patients",,,"PN-4 " "230217","OAKLAWN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","99 patients",,,"PN-2 " "230217","OAKLAWN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230217","OAKLAWN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","66 patients",,,"HF-1 " "230217","OAKLAWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230217","OAKLAWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","169 patients","2 ","2","SCIP-VTE-2 " "230217","OAKLAWN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "230217","OAKLAWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","391 patients","2 ","2","SCIP-INF-1 " "230217","OAKLAWN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230217","OAKLAWN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230217","OAKLAWN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","98 patients",,,"PN-3B " "230217","OAKLAWN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","HF-3 " "230217","OAKLAWN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","68 patients",,,"PN-7 " "230217","OAKLAWN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "230217","OAKLAWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","391 patients","2 ","2","SCIP-INF-2 " "230217","OAKLAWN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","99 patients",,,"PN-5C " "230217","OAKLAWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","386 patients","2 ","2","SCIP-INF-3 " "230217","OAKLAWN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","89 patients",,,"HF-2 " "230217","OAKLAWN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "230217","OAKLAWN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","71 patients",,,"PN-6 " "230217","OAKLAWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","528 patients","2 ","2","SCIP-INF-6 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","460 patients","2 ","2","SCIP-INF-3 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","51 patients","2 ","2","AMI-3 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","484 patients","2 ","2","SCIP-INF-2 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","30 patients","2 ","2","AMI-8A " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","140 patients","2 ","2","AMI-1 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","94 patients","2 ","2","PN-7 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","255 patients","2 ","2","HF-2 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","254 patients","2 ","2","AMI-2 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","43 patients","2 ","2","HF-4 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","203 patients","2 ","2","SCIP-VTE-1 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","149 patients","2 ","2","PN-5C " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","106 patients","2 ","2","PN-6 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","158 patients","2 ","2","PN-3B " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","258 patients","2 ","2","AMI-5 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","473 patients","2 ","2","SCIP-INF-1 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","104 patients","2 ","2","AMI-4 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","64 patients","2 ","2","HF-3 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","713 patients","2 ","2","SCIP-INF-6 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","214 patients","2 ","2","HF-1 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","122 patients","2 ","2","SCIP-CARD-2 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","142 patients","2 ","2","PN-2 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","171 patients","2 ","2","SCIP-INF-4 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","48 patients","2 ","2","PN-4 " "230222","MIDMICHIGAN MEDICAL CENTER-MIDLAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","201 patients","2 ","2","SCIP-VTE-2 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","242 patients",,,"AMI-2 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","774 patients","2 ","2","SCIP-INF-3 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","867 patients","2 ","2","SCIP-INF-2 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","73 patients",,,"AMI-8A " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","258 patients",,,"AMI-1 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","123 patients",,,"PN-4 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","380 patients","2 ","2","SCIP-VTE-1 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","380 patients","2 ","2","SCIP-VTE-2 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1158 patients","2 ","2","SCIP-INF-6 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","148 patients","2 ","2","SCIP-INF-4 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","464 patients",,,"HF-1 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","29 patients",,,"AMI-3 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","270 patients",,,"PN-3B " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","265 patients",,,"PN-2 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","157 patients",,,"HF-3 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","285 patients",,,"PN-5C " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","861 patients","2 ","2","SCIP-INF-1 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","209 patients",,,"PN-7 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","218 patients",,,"AMI-5 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","112 patients",,,"AMI-4 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","199 patients",,,"PN-6 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","77 patients",,,"HF-4 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","569 patients",,,"HF-2 " "230227","MOUNT CLEMENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","187 patients","2 ","2","SCIP-CARD-2 " "230230","EDWARD W SPARROW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","1230 patients","2 ","2","SCIP-INF-3 " "230230","EDWARD W SPARROW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","261 patients",,,"PN-7 " "230230","EDWARD W SPARROW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","317 patients",,,"PN-3B " "230230","EDWARD W SPARROW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","183 patients",,,"PN-4 " "230230","EDWARD W SPARROW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","476 patients",,,"HF-1 " "230230","EDWARD W SPARROW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230230","EDWARD W SPARROW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","193 patients","2 ","2","SCIP-CARD-2 " "230230","EDWARD W SPARROW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","354 patients",,,"AMI-5 " "230230","EDWARD W SPARROW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","1260 patients","2 ","2","SCIP-INF-2 " "230230","EDWARD W SPARROW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","180 patients","2 ","2","SCIP-INF-4 " "230230","EDWARD W SPARROW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","1264 patients","2 ","2","SCIP-INF-1 " "230230","EDWARD W SPARROW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","95 patients",,,"HF-4 " "230230","EDWARD W SPARROW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1550 patients","2 ","2","SCIP-INF-6 " "230230","EDWARD W SPARROW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","277 patients",,,"AMI-1 " "230230","EDWARD W SPARROW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","73 patients",,,"AMI-3 " "230230","EDWARD W SPARROW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","49 patients",,,"AMI-8A " "230230","EDWARD W SPARROW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","275 patients",,,"PN-6 " "230230","EDWARD W SPARROW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","542 patients","2 ","2","SCIP-VTE-2 " "230230","EDWARD W SPARROW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","120 patients",,,"AMI-4 " "230230","EDWARD W SPARROW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","364 patients",,,"AMI-2 " "230230","EDWARD W SPARROW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","400 patients",,,"PN-5C " "230230","EDWARD W SPARROW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","186 patients",,,"HF-3 " "230230","EDWARD W SPARROW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","547 patients",,,"HF-2 " "230230","EDWARD W SPARROW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","360 patients",,,"PN-2 " "230230","EDWARD W SPARROW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","542 patients","2 ","2","SCIP-VTE-1 " "230236","METRO HEALTH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","122 patients","2 ","2","PN-6 " "230236","METRO HEALTH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "230236","METRO HEALTH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230236","METRO HEALTH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","131 patients",,,"HF-1 " "230236","METRO HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230236","METRO HEALTH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","95 patients",,,"AMI-5 " "230236","METRO HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","194 patients","2 ","2","SCIP-VTE-1 " "230236","METRO HEALTH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","102 patients","2 ","2","PN-7 " "230236","METRO HEALTH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","179 patients","2 ","2","PN-5C " "230236","METRO HEALTH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","221 patients","2 ","2","PN-3B " "230236","METRO HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","301 patients","2 ","2","SCIP-INF-3 " "230236","METRO HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","194 patients","2 ","2","SCIP-VTE-2 " "230236","METRO HEALTH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","40 patients",,,"AMI-8A " "230236","METRO HEALTH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","68 patients","2 ","2","PN-4 " "230236","METRO HEALTH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","116 patients",,,"AMI-1 " "230236","METRO HEALTH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","52 patients",,,"HF-3 " "230236","METRO HEALTH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "230236","METRO HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","323 patients","2 ","2","SCIP-INF-1 " "230236","METRO HEALTH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","157 patients",,,"HF-2 " "230236","METRO HEALTH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","137 patients","2 ","2","PN-2 " "230236","METRO HEALTH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","96 patients",,,"AMI-2 " "230236","METRO HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","448 patients","2 ","2","SCIP-INF-6 " "230236","METRO HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","323 patients","2 ","2","SCIP-INF-2 " "230236","METRO HEALTH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","37 patients","2 ","2","SCIP-CARD-2 " "230236","METRO HEALTH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","186 patients",,,"SCIP-INF-6 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","131 patients",,,"SCIP-INF-1 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"PN-4 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","103 patients",,,"SCIP-VTE-2 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","130 patients",,,"SCIP-INF-2 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","114 patients",,,"PN-2 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","134 patients",,,"PN-5C " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","103 patients",,,"SCIP-VTE-1 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","106 patients",,,"HF-1 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","22 patients","1 ","1","SCIP-CARD-2 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","126 patients",,,"HF-2 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","127 patients",,,"SCIP-INF-3 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients",,,"HF-3 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","78 patients",,,"PN-7 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","104 patients",,,"PN-6 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","27 patients",,,"AMI-2 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","26 patients",,,"AMI-5 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","128 patients",,,"PN-3B " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "230239","CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","44 patients",,,"AMI-1 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","64 patients",,,"SCIP-INF-2 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","73 patients",,,"SCIP-VTE-1 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","83 patients",,,"HF-1 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","59 patients",,,"SCIP-INF-3 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","76 patients",,,"PN-7 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"HF-3 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","108 patients",,,"PN-3B " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","73 patients",,,"SCIP-VTE-2 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1 ","1","SCIP-CARD-2 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","102 patients",,,"PN-2 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","112 patients",,,"PN-5C " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","63 patients",,,"SCIP-INF-1 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","139 patients",,,"SCIP-INF-6 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","103 patients",,,"HF-2 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","96 patients",,,"PN-6 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "230241","ST JOHN RIVER DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","253 patients",,,"PN-3B " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","145 patients",,,"PN-7 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","111 patients",,,"SCIP-CARD-2 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","117 patients",,,"AMI-5 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","98 patients",,,"HF-3 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","165 patients",,,"AMI-1 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","403 patients",,,"SCIP-INF-1 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","395 patients",,,"SCIP-INF-3 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","31 patients",,,"AMI-8A " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","188 patients",,,"PN-2 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","340 patients",,,"SCIP-VTE-2 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","74 patients",,,"PN-4 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","402 patients",,,"SCIP-INF-2 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","117 patients",,,"AMI-2 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","634 patients",,,"SCIP-INF-6 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","170 patients",,,"PN-6 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","425 patients",,,"HF-2 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","341 patients",,,"SCIP-VTE-1 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","262 patients",,,"PN-5C " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","335 patients",,,"HF-1 " "230244","GARDEN CITY HOSPITAL, OSTEOPATHIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","91 patients",,,"AMI-5 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"PN-4 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","84 patients","2 ","2","SCIP-CARD-2 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","35 patients",,,"AMI-4 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","191 patients",,,"PN-3B " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","210 patients",,,"PN-2 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","608 patients","2 ","2","SCIP-INF-1 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","288 patients",,,"HF-1 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","104 patients",,,"AMI-2 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","134 patients",,,"PN-7 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","352 patients",,,"HF-2 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","320 patients","2 ","2","SCIP-VTE-2 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","131 patients",,,"PN-6 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","33 patients",,,"HF-4 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","28 patients",,,"AMI-8A " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","72 patients","2 ","2","SCIP-INF-4 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","125 patients",,,"HF-3 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","613 patients","2 ","2","SCIP-INF-2 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","320 patients","2 ","2","SCIP-VTE-1 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","571 patients","2 ","2","SCIP-INF-3 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","AMI-3 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","114 patients",,,"AMI-1 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","767 patients","2 ","2","SCIP-INF-6 " "230254","CRITTENTON HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","216 patients",,,"PN-5C " "230257","ST JOHN NORTH SHORES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "230257","ST JOHN NORTH SHORES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","58%","12 patients","1 ","1","PN-3B " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "230257","ST JOHN NORTH SHORES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "230257","ST JOHN NORTH SHORES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "230257","ST JOHN NORTH SHORES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "230257","ST JOHN NORTH SHORES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","8 patients","1 ","1","PN-2 " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "230257","ST JOHN NORTH SHORES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","21 patients","1 ","1","HF-2 " "230257","ST JOHN NORTH SHORES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","20 patients","1 ","1","HF-1 " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "230257","ST JOHN NORTH SHORES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "230257","ST JOHN NORTH SHORES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,3 ","13","PN-5C " "230257","ST JOHN NORTH SHORES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "230257","ST JOHN NORTH SHORES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","13 patients","1 ","1","PN-6 " "230257","ST JOHN NORTH SHORES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "230257","ST JOHN NORTH SHORES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "230257","ST JOHN NORTH SHORES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,3 ","13","SCIP-INF-6 " "230259","CHELSEA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","831 patients","2 ","2","SCIP-INF-6 " "230259","CHELSEA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","673 patients","2 ","2","SCIP-INF-1 " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "230259","CHELSEA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","50 patients",,,"PN-7 " "230259","CHELSEA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","70 patients",,,"PN-6 " "230259","CHELSEA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","677 patients","2 ","2","SCIP-INF-2 " "230259","CHELSEA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","89 patients",,,"PN-3B " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "230259","CHELSEA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","80 patients",,,"PN-2 " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "230259","CHELSEA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "230259","CHELSEA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","358 patients","2 ","2","SCIP-VTE-2 " "230259","CHELSEA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","83 patients",,,"PN-5C " "230259","CHELSEA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","358 patients","2 ","2","SCIP-VTE-1 " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230259","CHELSEA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","665 patients","2 ","2","SCIP-INF-3 " "230259","CHELSEA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","59 patients",,,"HF-2 " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","48 patients",,,"HF-1 " "230259","CHELSEA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","96 patients","2 ","2","SCIP-CARD-2 " "230259","CHELSEA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "230264","SOUTHEAST MICHIGAN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","408 patients","2 ","2","SCIP-VTE-2 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","402 patients","2 ","2","HF-1 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","317 patients",,,"AMI-2 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","685 patients","2 ","2","SCIP-INF-2 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","106 patients","2 ","2","PN-4 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","250 patients","2 ","2","PN-6 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","236 patients","2 ","2","PN-7 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"AMI-4 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","49 patients","2 ","2","HF-4 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","588 patients","2 ","2","SCIP-INF-3 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","331 patients","2 ","2","PN-2 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","376 patients","2 ","2","PN-5C " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","303 patients",,,"AMI-5 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","361 patients",,,"AMI-1 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","69 patients",,,"AMI-3 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","146 patients","2 ","2","HF-3 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","155 patients","2 ","2","SCIP-INF-4 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1043 patients","2 ","2","SCIP-INF-6 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","71 patients",,,"AMI-8A " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","673 patients","2 ","2","SCIP-INF-1 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","178 patients","2 ","2","SCIP-CARD-2 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","483 patients","2 ","2","HF-2 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","408 patients","2 ","2","SCIP-VTE-1 " "230269","WILLIAM BEAUMONT HOSPITAL-TROY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","275 patients","2 ","2","PN-3B " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","21 patients","1 ","1","AMI-2 " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "230270","OAKWOOD HERITAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","246 patients",,,"PN-5C " "230270","OAKWOOD HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","189 patients",,,"SCIP-INF-2 " "230270","OAKWOOD HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","188 patients",,,"SCIP-INF-1 " "230270","OAKWOOD HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","182 patients",,,"SCIP-INF-3 " "230270","OAKWOOD HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","121 patients",,,"SCIP-VTE-1 " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","131 patients",,,"HF-2 " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","41 patients",,,"HF-3 " "230270","OAKWOOD HERITAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","126 patients",,,"PN-6 " "230270","OAKWOOD HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","266 patients",,,"SCIP-INF-6 " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230270","OAKWOOD HERITAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","192 patients",,,"PN-2 " "230270","OAKWOOD HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","121 patients",,,"SCIP-VTE-2 " "230270","OAKWOOD HERITAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"PN-4 " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "230270","OAKWOOD HERITAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","124 patients",,,"PN-7 " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","39 patients",,,"AMI-1 " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","82 patients",,,"HF-1 " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "230270","OAKWOOD HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "230270","OAKWOOD HERITAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","29 patients",,,"AMI-5 " "230270","OAKWOOD HERITAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","228 patients",,,"PN-3B " "230270","OAKWOOD HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","45 patients",,,"SCIP-CARD-2 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","300 patients",,,"SCIP-VTE-1 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","91 patients",,,"AMI-1 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","178 patients",,,"SCIP-INF-2 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","72 patients",,,"AMI-2 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","63 patients",,,"SCIP-CARD-2 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","255 patients",,,"HF-3 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","446 patients",,,"SCIP-INF-6 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","341 patients",,,"PN-3B " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","121 patients",,,"PN-2 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","492 patients",,,"HF-1 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-8A " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"AMI-4 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","65 patients",,,"AMI-5 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","235 patients",,,"HF-4 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","337 patients",,,"PN-5C " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","175 patients",,,"SCIP-INF-3 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","196 patients",,,"PN-6 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","543 patients",,,"HF-2 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","178 patients",,,"SCIP-INF-1 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","AMI-3 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","174 patients",,,"PN-4 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","133 patients",,,"PN-7 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","300 patients",,,"SCIP-VTE-2 " "230273","DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230275","HEALTHSOURCE SAGINAW","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "230275","HEALTHSOURCE SAGINAW","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "230275","HEALTHSOURCE SAGINAW","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "230275","HEALTHSOURCE SAGINAW","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "230275","HEALTHSOURCE SAGINAW","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "230275","HEALTHSOURCE SAGINAW","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "230275","HEALTHSOURCE SAGINAW","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "230275","HEALTHSOURCE SAGINAW","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "230275","HEALTHSOURCE SAGINAW","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "230275","HEALTHSOURCE SAGINAW","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "230275","HEALTHSOURCE SAGINAW","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "230275","HEALTHSOURCE SAGINAW","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "230275","HEALTHSOURCE SAGINAW","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "230275","HEALTHSOURCE SAGINAW","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "230275","HEALTHSOURCE SAGINAW","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "230275","HEALTHSOURCE SAGINAW","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "230275","HEALTHSOURCE SAGINAW","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "230275","HEALTHSOURCE SAGINAW","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "230275","HEALTHSOURCE SAGINAW","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "230275","HEALTHSOURCE SAGINAW","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "230275","HEALTHSOURCE SAGINAW","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "230275","HEALTHSOURCE SAGINAW","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "230275","HEALTHSOURCE SAGINAW","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "230275","HEALTHSOURCE SAGINAW","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "230275","HEALTHSOURCE SAGINAW","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","75 patients",,,"HF-3 " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","22 patients","1 ","1","HF-4 " "230277","HURON VALLEY-SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","527 patients","2 ","2","SCIP-INF-1 " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","296 patients",,,"HF-2 " "230277","HURON VALLEY-SINAI HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","184 patients",,,"PN-3B " "230277","HURON VALLEY-SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","245 patients",,,"HF-1 " "230277","HURON VALLEY-SINAI HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","154 patients",,,"PN-2 " "230277","HURON VALLEY-SINAI HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","104 patients",,,"PN-6 " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","107 patients",,,"AMI-5 " "230277","HURON VALLEY-SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","541 patients","2 ","2","SCIP-INF-2 " "230277","HURON VALLEY-SINAI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","264 patients","2 ","2","SCIP-VTE-2 " "230277","HURON VALLEY-SINAI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","265 patients","2 ","2","SCIP-VTE-1 " "230277","HURON VALLEY-SINAI HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","155 patients",,,"PN-5C " "230277","HURON VALLEY-SINAI HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","74 patients","2 ","2","SCIP-CARD-2 " "230277","HURON VALLEY-SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","687 patients","2 ","2","SCIP-INF-6 " "230277","HURON VALLEY-SINAI HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","53 patients",,,"PN-4 " "230277","HURON VALLEY-SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","515 patients","2 ","2","SCIP-INF-3 " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","138 patients",,,"AMI-1 " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","40 patients",,,"AMI-8A " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","102 patients",,,"AMI-2 " "230277","HURON VALLEY-SINAI HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","105 patients",,,"PN-7 " "230277","HURON VALLEY-SINAI HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","85%","27 patients",,,"AMI-4 " "230279","BRIGHTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "230279","BRIGHTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "230279","BRIGHTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "230279","BRIGHTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "230279","BRIGHTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "230279","BRIGHTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "230279","BRIGHTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "230279","BRIGHTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "230279","BRIGHTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "230279","BRIGHTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "230279","BRIGHTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "230279","BRIGHTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "230279","BRIGHTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "230279","BRIGHTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "230279","BRIGHTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "230279","BRIGHTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "230279","BRIGHTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "230279","BRIGHTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "230279","BRIGHTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "230279","BRIGHTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "230279","BRIGHTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "230279","BRIGHTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "230279","BRIGHTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "230279","BRIGHTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "230279","BRIGHTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "230297","KARMANOS CANCER CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","34 patients",,,"PN-7 " "230297","KARMANOS CANCER CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "230297","KARMANOS CANCER CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1 ","1","PN-4 " "230297","KARMANOS CANCER CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","135 patients","2 ","2","SCIP-INF-3 " "230297","KARMANOS CANCER CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","11 patients","1 ","1","PN-5C " "230297","KARMANOS CANCER CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "230297","KARMANOS CANCER CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "230297","KARMANOS CANCER CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","36 patients","2 ","2","SCIP-CARD-2 " "230297","KARMANOS CANCER CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "230297","KARMANOS CANCER CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","140 patients","2 ","2","SCIP-INF-2 " "230297","KARMANOS CANCER CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","140 patients","2 ","2","SCIP-INF-1 " "230297","KARMANOS CANCER CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients",,,"PN-6 " "230297","KARMANOS CANCER CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","317 patients","2 ","2","SCIP-INF-6 " "230297","KARMANOS CANCER CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","23 patients","1 ","1","PN-2 " "230297","KARMANOS CANCER CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "230297","KARMANOS CANCER CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "230297","KARMANOS CANCER CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","230 patients","2 ","2","SCIP-VTE-1 " "230297","KARMANOS CANCER CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","228 patients","2 ","2","SCIP-VTE-2 " "230297","KARMANOS CANCER CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "230297","KARMANOS CANCER CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "230297","KARMANOS CANCER CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "230297","KARMANOS CANCER CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "230297","KARMANOS CANCER CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","11%","9 patients","1 ","1","HF-1 " "230297","KARMANOS CANCER CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "230297","KARMANOS CANCER CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","11 patients","1 ","1","HF-2 " "230301","OAKLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","8 patients","1,2,3 ","123","SCIP-INF-3 " "230301","OAKLAND REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "230301","OAKLAND REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "230301","OAKLAND REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "230301","OAKLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","4 patients","1,2,3 ","123","SCIP-VTE-1 " "230301","OAKLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","8 patients","1,2,3 ","123","SCIP-INF-1 " "230301","OAKLAND REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "230301","OAKLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1,2,3 ","123","SCIP-INF-2 " "230301","OAKLAND REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "230301","OAKLAND REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "230301","OAKLAND REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "230301","OAKLAND REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "230301","OAKLAND REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "230301","OAKLAND REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "230301","OAKLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","9 patients","1,2,3 ","123","SCIP-INF-6 " "230301","OAKLAND REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "230301","OAKLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "230301","OAKLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "230301","OAKLAND REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "230301","OAKLAND REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "230301","OAKLAND REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "230301","OAKLAND REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "230301","OAKLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","4 patients","1,2,3 ","123","SCIP-VTE-2 " "230301","OAKLAND REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "230301","OAKLAND REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "230302","HENRY FORD WEST BLOOMFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","24 patients","1 ","1","PN-6 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","55 patients",,,"PN-3B " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","114 patients","2 ","2","SCIP-VTE-1 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","102 patients",,,"HF-3 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","39 patients",,,"PN-7 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","152 patients",,,"SCIP-INF-2 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","82 patients","2 ","2","SCIP-CARD-2 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","200 patients",,,"HF-2 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","218 patients","2 ","2","SCIP-INF-6 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","38 patients",,,"PN-5C " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","143 patients",,,"SCIP-INF-3 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","185 patients",,,"HF-1 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","150 patients",,,"SCIP-INF-1 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","114 patients","2 ","2","SCIP-VTE-2 " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "23037F","DETROIT (JOHN D. DINGELL) VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","35 patients",,,"PN-2 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","20 patients","1 ","1","PN-3B " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","PN-4 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1,3 ","13","AMI-5 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","23 patients","1 ","1","PN-2 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","27 patients",,,"PN-5C " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","2 patients","1,3 ","13","AMI-2 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","11 patients","1 ","1","PN-6 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "231303","SCHOOLCRAFT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","13 patients","1 ","1","PN-7 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","PN-4 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","33 patients",,,"PN-2 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","24 patients","1 ","1","PN-7 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","32 patients",,,"PN-6 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1,3 ","13","SCIP-INF-6 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1,3 ","13","SCIP-VTE-1 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","29 patients",,,"PN-5C " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","32 patients",,,"PN-3B " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","1 patients","1,3 ","13","SCIP-INF-3 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1,3 ","13","SCIP-VTE-2 " "231305","SAINT MARY'S STANDISH COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","25 patients",,,"PN-5C " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "231311","DECKERVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","18 patients","1 ","1","PN-3B " "231311","DECKERVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","16 patients","1 ","1","PN-2 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","26 patients",,,"PN-6 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "231311","DECKERVILLE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","14 patients","1 ","1","PN-7 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","PN-4 " "231311","DECKERVILLE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1 ","1","PN-5C " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","7 patients","1 ","1","PN-3B " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","4 patients","1 ","1","PN-7 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","5 patients","1 ","1","PN-2 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "231313","HARBOR BEACH COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "231314","MCKENZIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-2 " "231314","MCKENZIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "231314","MCKENZIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","60%","5 patients","1 ","1","SCIP-INF-1 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "231314","MCKENZIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "231314","MCKENZIE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","22 patients","1 ","1","PN-6 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231314","MCKENZIE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","29 patients",,,"PN-2 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "231314","MCKENZIE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","29 patients",,,"PN-5C " "231314","MCKENZIE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","15 patients","1 ","1","PN-7 " "231314","MCKENZIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1 ","1","SCIP-INF-3 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "231314","MCKENZIE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","14 patients","1 ","1","PN-3B " "231314","MCKENZIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "231314","MCKENZIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","36%","11 patients","1 ","1","SCIP-VTE-2 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "231314","MCKENZIE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","PN-4 " "231314","MCKENZIE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "231314","MCKENZIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","55%","11 patients","1 ","1","SCIP-VTE-1 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","27 patients","2 ","2","PN-5C " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","33 patients","2 ","2","HF-1 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1,2 ","12","HF-3 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","27 patients","2 ","2","SCIP-VTE-2 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","27 patients","2 ","2","PN-2 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","12 patients","1,2 ","12","SCIP-INF-3 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","63%","27 patients","2 ","2","SCIP-VTE-1 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","19 patients","1,2 ","12","PN-6 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","40 patients","2 ","2","HF-2 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","12 patients","1,2 ","12","SCIP-INF-1 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","18 patients","1 ","1","PN-7 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1,2 ","12","PN-4 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1,2 ","12","AMI-1 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","4 patients","1,2 ","12","AMI-7A " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","12 patients","1,2 ","12","SCIP-INF-2 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,2 ","12","AMI-2 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","HF-4 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,2 ","12","AMI-4 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","23 patients","1,2 ","12","PN-3B " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1,2 ","12","AMI-5 " "231315","BORGESS-LEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","38 patients","2 ","2","SCIP-INF-6 " "231316","HILLS & DALES GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","14 patients","1 ","1","SCIP-INF-1 " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "231316","HILLS & DALES GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","4 patients","1 ","1","HF-3 " "231316","HILLS & DALES GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","20 patients","1 ","1","PN-5C " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "231316","HILLS & DALES GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","44%","9 patients","1 ","1","SCIP-VTE-2 " "231316","HILLS & DALES GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "231316","HILLS & DALES GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "231316","HILLS & DALES GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "231316","HILLS & DALES GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","15 patients","1 ","1","SCIP-INF-2 " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","20 patients","1 ","1","HF-1 " "231316","HILLS & DALES GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","56%","9 patients","1 ","1","SCIP-VTE-1 " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","52%","21 patients","1 ","1","HF-2 " "231316","HILLS & DALES GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","11 patients","1 ","1","PN-7 " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "231316","HILLS & DALES GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","18 patients","1 ","1","SCIP-INF-6 " "231316","HILLS & DALES GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","18 patients","1 ","1","PN-3B " "231316","HILLS & DALES GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "231316","HILLS & DALES GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","14 patients","1 ","1","SCIP-INF-3 " "231316","HILLS & DALES GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","14 patients","1 ","1","PN-2 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","10 patients","1 ","1","PN-7 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","24 patients","1 ","1","PN-3B " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","21 patients","1 ","1","PN-5C " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1 ","1","HF-1 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","13 patients","1 ","1","HF-2 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","21 patients","1 ","1","PN-2 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231317","SPECTRUM HEALTH UNITED MEMORIAL - KELSEY CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","66 patients",,,"HF-2 " "231318","NORTHSTAR HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,3 ","13","AMI-1 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","39 patients",,,"HF-1 " "231318","NORTHSTAR HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "231318","NORTHSTAR HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "231318","NORTHSTAR HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","81 patients",,,"PN-2 " "231318","NORTHSTAR HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","71 patients",,,"PN-5C " "231318","NORTHSTAR HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231318","NORTHSTAR HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","19 patients","1 ","1","PN-4 " "231318","NORTHSTAR HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231318","NORTHSTAR HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","65%","17 patients","1 ","1","HF-3 " "231318","NORTHSTAR HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231318","NORTHSTAR HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "231318","NORTHSTAR HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","72 patients",,,"PN-3B " "231318","NORTHSTAR HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","43 patients",,,"PN-6 " "231318","NORTHSTAR HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","55 patients",,,"PN-7 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "231318","NORTHSTAR HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "231318","NORTHSTAR HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","AMI-3 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","51 patients",,,"HF-2 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients",,,"PN-5C " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","53 patients",,,"PN-2 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","46 patients",,,"PN-7 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","11 patients","1,3 ","13","SCIP-INF-3 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1,3 ","13","AMI-5 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","11 patients","1,3 ","13","SCIP-INF-1 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1,3 ","13","AMI-1 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","11 patients","1,3 ","13","SCIP-INF-2 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","74 patients",,,"PN-3B " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1,3 ","13","SCIP-INF-6 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","19 patients","1 ","1","HF-3 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","42 patients",,,"PN-6 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","42 patients",,,"HF-1 " "231323","SPECTRUM HEALTH - REED CITY CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,3 ","13","AMI-2 " "231324","EATON RAPIDS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","31 patients",,,"PN-5C " "231324","EATON RAPIDS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "231324","EATON RAPIDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "231324","EATON RAPIDS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","26 patients",,,"PN-6 " "231324","EATON RAPIDS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "231324","EATON RAPIDS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "231324","EATON RAPIDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "231324","EATON RAPIDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231324","EATON RAPIDS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","22 patients","1 ","1","HF-1 " "231324","EATON RAPIDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231324","EATON RAPIDS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","21 patients","1 ","1","PN-7 " "231324","EATON RAPIDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "231324","EATON RAPIDS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "231324","EATON RAPIDS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "231324","EATON RAPIDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "231324","EATON RAPIDS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","22 patients","1 ","1","PN-2 " "231324","EATON RAPIDS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "231324","EATON RAPIDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231324","EATON RAPIDS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "231324","EATON RAPIDS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "231324","EATON RAPIDS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","25 patients",,,"HF-2 " "231324","EATON RAPIDS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "231324","EATON RAPIDS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "231324","EATON RAPIDS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","32 patients",,,"PN-3B " "231324","EATON RAPIDS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1 ","1","AMI-5 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","42 patients",,,"PN-5C " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","39 patients",,,"PN-3B " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","49 patients",,,"HF-1 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","64 patients",,,"HF-2 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","48 patients",,,"PN-2 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","40 patients",,,"PN-7 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","28 patients",,,"PN-6 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "231325","MIDMICHIGAN MEDICAL CENTER-GLADWIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "231326","CLINTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","32 patients",,,"HF-2 " "231326","CLINTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","26 patients",,,"HF-1 " "231326","CLINTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","54 patients",,,"PN-7 " "231326","CLINTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "231326","CLINTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","50 patients",,,"PN-3B " "231326","CLINTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231326","CLINTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "231326","CLINTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "231326","CLINTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "231326","CLINTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","62 patients",,,"PN-2 " "231326","CLINTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","28 patients",,,"SCIP-VTE-2 " "231326","CLINTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","46 patients",,,"SCIP-INF-1 " "231326","CLINTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","PN-4 " "231326","CLINTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231326","CLINTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "231326","CLINTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","47 patients",,,"SCIP-INF-2 " "231326","CLINTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "231326","CLINTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","57 patients",,,"PN-5C " "231326","CLINTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","45 patients",,,"SCIP-INF-3 " "231326","CLINTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","60 patients",,,"SCIP-INF-6 " "231326","CLINTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "231326","CLINTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","46 patients",,,"PN-6 " "231326","CLINTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231326","CLINTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "231326","CLINTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","28 patients",,,"SCIP-VTE-1 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","57 patients",,,"SCIP-INF-6 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","29 patients",,,"HF-2 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","25 patients",,,"HF-1 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","37 patients",,,"SCIP-VTE-1 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","37 patients",,,"SCIP-INF-1 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","37 patients",,,"SCIP-INF-2 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","37 patients",,,"SCIP-VTE-2 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","23 patients","1 ","1","PN-6 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","19 patients","1 ","1","PN-4 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","55 patients",,,"PN-5C " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","31 patients",,,"PN-7 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","56 patients",,,"PN-3B " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","36 patients",,,"SCIP-INF-3 " "231327","HAYES GREEN BEACH MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","52 patients",,,"PN-2 " "231328","ALLEGAN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","76 patients",,,"HF-2 " "231328","ALLEGAN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","30 patients",,,"PN-7 " "231328","ALLEGAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231328","ALLEGAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","171 patients",,,"SCIP-INF-6 " "231328","ALLEGAN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "231328","ALLEGAN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","25 patients",,,"PN-4 " "231328","ALLEGAN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","68%","22 patients","1 ","1","HF-3 " "231328","ALLEGAN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231328","ALLEGAN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "231328","ALLEGAN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","43 patients",,,"PN-2 " "231328","ALLEGAN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "231328","ALLEGAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "231328","ALLEGAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","146 patients",,,"SCIP-INF-3 " "231328","ALLEGAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","149 patients",,,"SCIP-INF-1 " "231328","ALLEGAN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231328","ALLEGAN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","51 patients",,,"PN-3B " "231328","ALLEGAN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "231328","ALLEGAN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","67 patients",,,"HF-1 " "231328","ALLEGAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","98 patients",,,"SCIP-VTE-1 " "231328","ALLEGAN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","65 patients",,,"PN-5C " "231328","ALLEGAN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "231328","ALLEGAN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","33 patients",,,"PN-6 " "231328","ALLEGAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","148 patients",,,"SCIP-INF-2 " "231328","ALLEGAN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "231328","ALLEGAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","98 patients",,,"SCIP-VTE-2 " "231329","CARO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,3 ","13","SCIP-INF-3 " "231329","CARO COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "231329","CARO COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","27 patients",,,"PN-3B " "231329","CARO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "231329","CARO COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "231329","CARO COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","18 patients","1 ","1","PN-6 " "231329","CARO COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","22 patients","1 ","1","PN-7 " "231329","CARO COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231329","CARO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1,3 ","13","SCIP-VTE-1 " "231329","CARO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231329","CARO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-2 " "231329","CARO COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","7 patients","1 ","1","HF-2 " "231329","CARO COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "231329","CARO COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","22 patients","1 ","1","PN-2 " "231329","CARO COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","7 patients","1 ","1","HF-1 " "231329","CARO COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "231329","CARO COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "231329","CARO COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "231329","CARO COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "231329","CARO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1,3 ","13","SCIP-VTE-2 " "231329","CARO COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","14%","7 patients","1 ","1","PN-4 " "231329","CARO COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","26 patients",,,"PN-5C " "231329","CARO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","33%","6 patients","1,3 ","13","SCIP-INF-6 " "231329","CARO COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231329","CARO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-1 " "231330","MARLETTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","68%","34 patients",,,"SCIP-VTE-1 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231330","MARLETTE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","27 patients",,,"PN-6 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231330","MARLETTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","44 patients",,,"SCIP-INF-1 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","24 patients","1 ","1","HF-1 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "231330","MARLETTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","44 patients",,,"SCIP-INF-2 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","73%","33 patients",,,"HF-2 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "231330","MARLETTE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","32 patients",,,"PN-3B " "231330","MARLETTE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","23 patients","1 ","1","PN-7 " "231330","MARLETTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","34 patients",,,"SCIP-VTE-2 " "231330","MARLETTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","25%","64 patients",,,"SCIP-INF-6 " "231330","MARLETTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231330","MARLETTE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","10 patients","1 ","1","PN-4 " "231330","MARLETTE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","33 patients",,,"PN-5C " "231330","MARLETTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "231330","MARLETTE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","39%","23 patients","1 ","1","PN-2 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "231330","MARLETTE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "231330","MARLETTE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","44 patients",,,"SCIP-INF-3 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","36 patients",,,"HF-2 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","43 patients",,,"PN-3B " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","21 patients","1 ","1","PN-7 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","4 patients","1,3 ","13","SCIP-VTE-1 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","30 patients",,,"HF-1 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","32 patients",,,"PN-2 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","PN-4 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","41 patients",,,"PN-6 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","4 patients","1,3 ","13","SCIP-VTE-2 " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","41 patients",,,"PN-5C " "231331","IONIA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "231332","BRONSON LAKEVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","30 patients",,,"PN-7 " "231332","BRONSON LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "231332","BRONSON LAKEVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "231332","BRONSON LAKEVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","53 patients",,,"PN-6 " "231332","BRONSON LAKEVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","50 patients",,,"PN-3B " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "231332","BRONSON LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "231332","BRONSON LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "231332","BRONSON LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231332","BRONSON LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "231332","BRONSON LAKEVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","64 patients",,,"PN-5C " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "231332","BRONSON LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","29 patients",,,"HF-1 " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "231332","BRONSON LAKEVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","46 patients",,,"PN-2 " "231332","BRONSON LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "231332","BRONSON LAKEVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","31 patients",,,"HF-2 " "231332","BRONSON LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "231333","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231333","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231333","GRAND VIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","61 patients",,,"PN-2 " "231333","GRAND VIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "231333","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","87 patients",,,"SCIP-INF-6 " "231333","GRAND VIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "231333","GRAND VIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "231333","GRAND VIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "231333","GRAND VIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","46 patients",,,"HF-2 " "231333","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231333","GRAND VIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","31 patients",,,"HF-1 " "231333","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","69%","48 patients",,,"SCIP-INF-3 " "231333","GRAND VIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "231333","GRAND VIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "231333","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","50 patients",,,"SCIP-INF-2 " "231333","GRAND VIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","74 patients",,,"PN-5C " "231333","GRAND VIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","48 patients",,,"PN-6 " "231333","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","48 patients",,,"SCIP-INF-1 " "231333","GRAND VIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","35 patients",,,"PN-7 " "231333","GRAND VIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "231333","GRAND VIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","77 patients",,,"PN-3B " "231333","GRAND VIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "231333","GRAND VIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "231333","GRAND VIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "231333","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "231334","HERRICK MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "231334","HERRICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "231334","HERRICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "231334","HERRICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "231334","HERRICK MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","36 patients",,,"PN-7 " "231334","HERRICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "231334","HERRICK MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "231334","HERRICK MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","29 patients",,,"HF-2 " "231334","HERRICK MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "231334","HERRICK MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "231334","HERRICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "231334","HERRICK MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "231334","HERRICK MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","54 patients",,,"PN-6 " "231334","HERRICK MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","65 patients",,,"PN-5C " "231334","HERRICK MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "231334","HERRICK MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","63 patients",,,"PN-3B " "231334","HERRICK MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "231334","HERRICK MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","23 patients","1 ","1","HF-1 " "231334","HERRICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "231334","HERRICK MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","59 patients",,,"PN-2 " "231334","HERRICK MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "231334","HERRICK MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "231334","HERRICK MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"PN-4 " "231334","HERRICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "231334","HERRICK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "231335","WEST SHORE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","76 patients",,,"PN-2 " "231335","WEST SHORE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","69 patients",,,"PN-3B " "231335","WEST SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "231335","WEST SHORE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","83 patients",,,"PN-5C " "231335","WEST SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","90 patients",,,"SCIP-INF-3 " "231335","WEST SHORE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "231335","WEST SHORE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","55 patients",,,"PN-7 " "231335","WEST SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","69 patients",,,"SCIP-VTE-1 " "231335","WEST SHORE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","53 patients",,,"HF-2 " "231335","WEST SHORE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","52 patients",,,"PN-6 " "231335","WEST SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","140 patients",,,"SCIP-INF-6 " "231335","WEST SHORE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "231335","WEST SHORE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","HF-4 " "231335","WEST SHORE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "231335","WEST SHORE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","45 patients",,,"HF-1 " "231335","WEST SHORE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","41 patients",,,"PN-4 " "231335","WEST SHORE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "231335","WEST SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","93 patients",,,"SCIP-INF-1 " "231335","WEST SHORE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "231335","WEST SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","69 patients",,,"SCIP-VTE-2 " "231335","WEST SHORE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "231335","WEST SHORE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "231335","WEST SHORE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "231335","WEST SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "231335","WEST SHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","92 patients",,,"SCIP-INF-2 " "233300","CHILDREN'S HOSPITAL OF MICHIGAN","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","417 patients","2 ","2","CAC-2 " "233300","CHILDREN'S HOSPITAL OF MICHIGAN","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","72%","417 patients","2 ","2","CAC-3 " "233300","CHILDREN'S HOSPITAL OF MICHIGAN","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","417 patients","2 ","2","CAC-1 " "240001","NORTH MEMORIAL HEALTH CARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","549 patients","2 ","2","SCIP-INF-1 " "240001","NORTH MEMORIAL HEALTH CARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","77 patients","2 ","2","PN-7 " "240001","NORTH MEMORIAL HEALTH CARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","710 patients","2 ","2","SCIP-INF-6 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "240001","NORTH MEMORIAL HEALTH CARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","109 patients","2 ","2","PN-3B " "240001","NORTH MEMORIAL HEALTH CARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","96 patients","2 ","2","PN-6 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","268 patients","2 ","2","AMI-1 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","281 patients","2 ","2","AMI-2 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","285 patients","2 ","2","HF-2 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","121 patients","2 ","2","HF-3 " "240001","NORTH MEMORIAL HEALTH CARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","45%","162 patients","2 ","2","SCIP-INF-4 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","49 patients","2 ","2","HF-4 " "240001","NORTH MEMORIAL HEALTH CARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","208 patients","2 ","2","SCIP-VTE-2 " "240001","NORTH MEMORIAL HEALTH CARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","104 patients","2 ","2","PN-2 " "240001","NORTH MEMORIAL HEALTH CARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","135 patients","2 ","2","SCIP-CARD-2 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","286 patients","2 ","2","AMI-5 " "240001","NORTH MEMORIAL HEALTH CARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","142 patients","2 ","2","PN-5C " "240001","NORTH MEMORIAL HEALTH CARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","560 patients","2 ","2","SCIP-INF-2 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","60 patients","2 ","2","AMI-3 " "240001","NORTH MEMORIAL HEALTH CARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","55 patients","2 ","2","PN-4 " "240001","NORTH MEMORIAL HEALTH CARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","533 patients","2 ","2","SCIP-INF-3 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","58 patients","2 ","2","AMI-8A " "240001","NORTH MEMORIAL HEALTH CARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","79 patients","2 ","2","AMI-4 " "240001","NORTH MEMORIAL HEALTH CARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","215 patients","2 ","2","HF-1 " "240001","NORTH MEMORIAL HEALTH CARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","208 patients","2 ","2","SCIP-VTE-1 " "240002","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","189 patients","2 ","2","AMI-4 " "240002","ST MARY'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","HF-4 " "240002","ST MARY'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","114 patients","2 ","2","PN-5C " "240002","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","171 patients","2 ","2","SCIP-INF-4 " "240002","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","26 patients","2 ","2","AMI-8A " "240002","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","167 patients","2 ","2","SCIP-CARD-2 " "240002","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","283 patients","2 ","2","SCIP-VTE-2 " "240002","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","284 patients","2 ","2","SCIP-VTE-1 " "240002","ST MARY'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","100 patients","2 ","2","PN-7 " "240002","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","516 patients","2 ","2","SCIP-INF-3 " "240002","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "240002","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","450 patients","2 ","2","AMI-5 " "240002","ST MARY'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","126 patients","2 ","2","PN-2 " "240002","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","162 patients","2 ","2","AMI-1 " "240002","ST MARY'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","108 patients","2 ","2","HF-3 " "240002","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","554 patients","2 ","2","SCIP-INF-2 " "240002","ST MARY'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","235 patients","2 ","2","HF-1 " "240002","ST MARY'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","97 patients","2 ","2","PN-3B " "240002","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","542 patients","2 ","2","SCIP-INF-1 " "240002","ST MARY'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","91 patients","2 ","2","PN-4 " "240002","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","442 patients","2 ","2","AMI-2 " "240002","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","821 patients","2 ","2","SCIP-INF-6 " "240002","ST MARY'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","57 patients","2 ","2","PN-6 " "240002","ST MARY'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","273 patients","2 ","2","HF-2 " "240002","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","87 patients","2 ","2","AMI-3 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","56 patients","2 ","2","SCIP-INF-4 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","401 patients","2 ","2","HF-2 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","122 patients","2 ","2","PN-2 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","89 patients","2 ","2","PN-6 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","36 patients","2 ","2","AMI-8A " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","194 patients","2 ","2","AMI-2 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","98%","44 patients","2 ","2","CAC-1 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","272 patients","2 ","2","PN-5C " "240004","HENNEPIN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","228 patients","2 ","2","SCIP-VTE-2 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","190 patients","2 ","2","HF-3 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","329 patients","2 ","2","HF-1 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients","2 ","2","AMI-4 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","142 patients","2 ","2","PN-7 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","314 patients","2 ","2","SCIP-INF-2 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","310 patients","2 ","2","SCIP-INF-1 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","291 patients","2 ","2","SCIP-INF-3 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","229 patients","2 ","2","SCIP-VTE-1 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","198 patients","2 ","2","AMI-1 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","170 patients","2 ","2","PN-4 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","154 patients","2 ","2","HF-4 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients","2 ","2","AMI-3 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","438 patients","2 ","2","SCIP-INF-6 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","225 patients","2 ","2","PN-3B " "240004","HENNEPIN COUNTY MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","44 patients","2 ","2","CAC-2 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","69 patients","2 ","2","SCIP-CARD-2 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","187 patients","2 ","2","AMI-5 " "240004","HENNEPIN COUNTY MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","41%","44 patients","2 ","2","CAC-3 " "240006","OLMSTED MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","20 patients","1 ","1","PN-7 " "240006","OLMSTED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","298 patients","2 ","2","SCIP-INF-6 " "240006","OLMSTED MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","33 patients",,,"PN-2 " "240006","OLMSTED MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "240006","OLMSTED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","269 patients","2 ","2","SCIP-INF-2 " "240006","OLMSTED MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "240006","OLMSTED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","269 patients","2 ","2","SCIP-INF-1 " "240006","OLMSTED MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "240006","OLMSTED MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "240006","OLMSTED MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","51 patients",,,"SCIP-CARD-2 " "240006","OLMSTED MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","34 patients",,,"PN-5C " "240006","OLMSTED MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","15 patients","1 ","1","HF-2 " "240006","OLMSTED MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","125 patients","2 ","2","SCIP-VTE-2 " "240006","OLMSTED MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","54%","13 patients","1 ","1","HF-1 " "240006","OLMSTED MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "240006","OLMSTED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240006","OLMSTED MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","264 patients","2 ","2","SCIP-INF-3 " "240006","OLMSTED MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "240006","OLMSTED MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "240006","OLMSTED MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","125 patients","2 ","2","SCIP-VTE-1 " "240006","OLMSTED MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "240006","OLMSTED MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "240006","OLMSTED MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","26 patients",,,"PN-6 " "240006","OLMSTED MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "240006","OLMSTED MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","30 patients",,,"PN-3B " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","10 patients","1,2 ","12","AMI-8A " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","83 patients","2 ","2","HF-3 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","HF-4 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","83 patients","2 ","2","PN-7 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","185 patients","2 ","2","AMI-5 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","312 patients","2 ","2","SCIP-INF-2 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","241 patients","2 ","2","SCIP-VTE-2 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","264 patients","2 ","2","SCIP-INF-3 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","82 patients","2 ","2","AMI-1 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","PN-4 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","52 patients","2 ","2","PN-3B " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","206 patients","2 ","2","HF-1 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","244 patients","2 ","2","HF-2 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","628 patients","2 ","2","SCIP-INF-6 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients","2 ","2","AMI-3 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","196 patients","2 ","2","AMI-2 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","59 patients","2 ","2","AMI-4 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","115 patients","2 ","2","SCIP-CARD-2 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","293 patients","2 ","2","SCIP-INF-1 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","178 patients","2 ","2","SCIP-INF-4 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","39 patients","2 ","2","PN-6 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","123 patients","2 ","2","PN-2 " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","72 patients","2 ","2","PN-5C " "240010","MAYO CLINIC SAINT MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","241 patients","2 ","2","SCIP-VTE-1 " "240014","NORTHFIELD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "240014","NORTHFIELD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","54 patients",,,"PN-5C " "240014","NORTHFIELD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","34 patients",,,"PN-6 " "240014","NORTHFIELD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","27 patients",,,"PN-7 " "240014","NORTHFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","80 patients",,,"SCIP-VTE-1 " "240014","NORTHFIELD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","65 patients",,,"HF-1 " "240014","NORTHFIELD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "240014","NORTHFIELD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "240014","NORTHFIELD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","14 patients","1 ","1","PN-4 " "240014","NORTHFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","80 patients",,,"SCIP-VTE-2 " "240014","NORTHFIELD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","85 patients",,,"HF-2 " "240014","NORTHFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","123 patients",,,"SCIP-INF-3 " "240014","NORTHFIELD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240014","NORTHFIELD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","55 patients",,,"PN-2 " "240014","NORTHFIELD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "240014","NORTHFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","164 patients",,,"SCIP-INF-6 " "240014","NORTHFIELD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","26 patients",,,"PN-3B " "240014","NORTHFIELD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "240014","NORTHFIELD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","23 patients","1 ","1","SCIP-CARD-2 " "240014","NORTHFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","128 patients",,,"SCIP-INF-1 " "240014","NORTHFIELD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "240014","NORTHFIELD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240014","NORTHFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","126 patients",,,"SCIP-INF-2 " "240014","NORTHFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "240014","NORTHFIELD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "240018","FAIRVIEW RED WING HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "240018","FAIRVIEW RED WING HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","231 patients","2 ","2","SCIP-INF-6 " "240018","FAIRVIEW RED WING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","77 patients","2 ","2","SCIP-VTE-2 " "240018","FAIRVIEW RED WING HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "240018","FAIRVIEW RED WING HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "240018","FAIRVIEW RED WING HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients","2 ","2","SCIP-CARD-2 " "240018","FAIRVIEW RED WING HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","174 patients","2 ","2","SCIP-INF-3 " "240018","FAIRVIEW RED WING HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","47 patients",,,"PN-2 " "240018","FAIRVIEW RED WING HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "240018","FAIRVIEW RED WING HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","39 patients",,,"PN-6 " "240018","FAIRVIEW RED WING HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","54 patients",,,"PN-3B " "240018","FAIRVIEW RED WING HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "240018","FAIRVIEW RED WING HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","38 patients",,,"PN-7 " "240018","FAIRVIEW RED WING HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","179 patients","2 ","2","SCIP-INF-2 " "240018","FAIRVIEW RED WING HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "240018","FAIRVIEW RED WING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","77 patients","2 ","2","SCIP-VTE-1 " "240018","FAIRVIEW RED WING HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240018","FAIRVIEW RED WING HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240018","FAIRVIEW RED WING HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","64 patients",,,"PN-5C " "240018","FAIRVIEW RED WING HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240018","FAIRVIEW RED WING HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","47 patients",,,"HF-1 " "240018","FAIRVIEW RED WING HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240018","FAIRVIEW RED WING HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","179 patients","2 ","2","SCIP-INF-1 " "240018","FAIRVIEW RED WING HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","68 patients",,,"HF-2 " "240018","FAIRVIEW RED WING HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "240019","SMDC MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1 ","1","HF-1 " "240019","SMDC MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","23 patients","1 ","1","PN-2 " "240019","SMDC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","269 patients","2 ","2","SCIP-INF-2 " "240019","SMDC MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "240019","SMDC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","73 patients","2 ","2","SCIP-VTE-1 " "240019","SMDC MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "240019","SMDC MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","26 patients",,,"PN-7 " "240019","SMDC MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "240019","SMDC MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","10 patients","1 ","1","HF-2 " "240019","SMDC MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","PN-4 " "240019","SMDC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","266 patients","2 ","2","SCIP-INF-3 " "240019","SMDC MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1 ","1","PN-5C " "240019","SMDC MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "240019","SMDC MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "240019","SMDC MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "240019","SMDC MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "240019","SMDC MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "240019","SMDC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","73 patients","2 ","2","SCIP-VTE-2 " "240019","SMDC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","267 patients","2 ","2","SCIP-INF-1 " "240019","SMDC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240019","SMDC MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","16 patients","1,2 ","12","SCIP-CARD-2 " "240019","SMDC MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "240019","SMDC MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "240019","SMDC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","298 patients","2 ","2","SCIP-INF-6 " "240019","SMDC MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "240020","CAMBRIDGE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240020","CAMBRIDGE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","79 patients",,,"PN-6 " "240020","CAMBRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","162 patients",,,"SCIP-INF-1 " "240020","CAMBRIDGE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "240020","CAMBRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","164 patients",,,"SCIP-INF-2 " "240020","CAMBRIDGE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "240020","CAMBRIDGE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "240020","CAMBRIDGE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","100 patients",,,"PN-2 " "240020","CAMBRIDGE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","92 patients",,,"PN-3B " "240020","CAMBRIDGE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "240020","CAMBRIDGE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","97 patients",,,"PN-5C " "240020","CAMBRIDGE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240020","CAMBRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","151 patients",,,"SCIP-INF-3 " "240020","CAMBRIDGE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","HF-3 " "240020","CAMBRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","79 patients",,,"SCIP-VTE-2 " "240020","CAMBRIDGE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240020","CAMBRIDGE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","57 patients",,,"HF-1 " "240020","CAMBRIDGE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","69 patients",,,"PN-7 " "240020","CAMBRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","79 patients",,,"SCIP-VTE-1 " "240020","CAMBRIDGE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "240020","CAMBRIDGE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","79 patients",,,"HF-2 " "240020","CAMBRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","231 patients",,,"SCIP-INF-6 " "240020","CAMBRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","32 patients",,,"SCIP-CARD-2 " "240020","CAMBRIDGE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"PN-4 " "240020","CAMBRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","103 patients",,,"SCIP-INF-3 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","49 patients",,,"SCIP-VTE-2 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","62%","8 patients","1 ","1","PN-4 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","118 patients",,,"SCIP-INF-6 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","23 patients","1 ","1","HF-1 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","39 patients",,,"PN-2 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","103 patients",,,"SCIP-INF-1 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","32 patients",,,"PN-5C " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","103 patients",,,"SCIP-INF-2 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","18 patients","1 ","1","PN-7 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","19 patients","1 ","1","PN-6 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","17 patients","1 ","1","PN-3B " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","34 patients",,,"HF-2 " "240022","SANFORD REGIONAL HOSPITAL WORTHINGTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","50 patients",,,"SCIP-VTE-1 " "24002F","ST CLOUD VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "24002F","ST CLOUD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "24002F","ST CLOUD VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "24002F","ST CLOUD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "24002F","ST CLOUD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "24002F","ST CLOUD VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "24002F","ST CLOUD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "24002F","ST CLOUD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "24002F","ST CLOUD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "24002F","ST CLOUD VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "24002F","ST CLOUD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "24002F","ST CLOUD VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "24002F","ST CLOUD VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "24002F","ST CLOUD VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "24002F","ST CLOUD VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "240030","DOUGLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","372 patients","2 ","2","SCIP-INF-3 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","22 patients","1 ","1","HF-3 " "240030","DOUGLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","391 patients","2 ","2","SCIP-INF-2 " "240030","DOUGLAS COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","93 patients",,,"PN-7 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "240030","DOUGLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","72 patients","2 ","2","SCIP-CARD-2 " "240030","DOUGLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","239 patients","2 ","2","SCIP-VTE-2 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240030","DOUGLAS COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","76 patients",,,"PN-6 " "240030","DOUGLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","239 patients","2 ","2","SCIP-VTE-1 " "240030","DOUGLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240030","DOUGLAS COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","81 patients",,,"PN-3B " "240030","DOUGLAS COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","82 patients",,,"HF-2 " "240030","DOUGLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","520 patients","2 ","2","SCIP-INF-6 " "240030","DOUGLAS COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","132 patients",,,"PN-5C " "240030","DOUGLAS COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","157 patients",,,"PN-2 " "240030","DOUGLAS COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","394 patients","2 ","2","SCIP-INF-1 " "240030","DOUGLAS COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","43 patients",,,"HF-1 " "240030","DOUGLAS COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "240036","ST CLOUD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","230 patients",,,"HF-3 " "240036","ST CLOUD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","584 patients",,,"AMI-2 " "240036","ST CLOUD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","124 patients",,,"PN-4 " "240036","ST CLOUD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","107 patients","2 ","2","SCIP-CARD-2 " "240036","ST CLOUD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","538 patients",,,"AMI-5 " "240036","ST CLOUD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","521 patients",,,"HF-1 " "240036","ST CLOUD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","186 patients","2 ","2","SCIP-VTE-1 " "240036","ST CLOUD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","287 patients",,,"PN-5C " "240036","ST CLOUD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","147 patients","2 ","2","SCIP-INF-4 " "240036","ST CLOUD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","170 patients",,,"PN-6 " "240036","ST CLOUD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","425 patients","2 ","2","SCIP-INF-3 " "240036","ST CLOUD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","185 patients","2 ","2","SCIP-VTE-2 " "240036","ST CLOUD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","81 patients",,,"AMI-3 " "240036","ST CLOUD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","211 patients",,,"AMI-4 " "240036","ST CLOUD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","635 patients","2 ","2","SCIP-INF-6 " "240036","ST CLOUD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","674 patients",,,"HF-2 " "240036","ST CLOUD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","64 patients",,,"AMI-8A " "240036","ST CLOUD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240036","ST CLOUD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","340 patients",,,"PN-2 " "240036","ST CLOUD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","248 patients",,,"PN-3B " "240036","ST CLOUD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"HF-4 " "240036","ST CLOUD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","206 patients",,,"AMI-1 " "240036","ST CLOUD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","463 patients","2 ","2","SCIP-INF-1 " "240036","ST CLOUD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","480 patients","2 ","2","SCIP-INF-2 " "240036","ST CLOUD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","239 patients",,,"PN-7 " "240038","UNITED HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","170 patients",,,"PN-7 " "240038","UNITED HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","465 patients",,,"HF-2 " "240038","UNITED HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","130 patients",,,"PN-4 " "240038","UNITED HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","368 patients",,,"AMI-5 " "240038","UNITED HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","252 patients",,,"PN-5C " "240038","UNITED HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","267 patients",,,"AMI-1 " "240038","UNITED HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"HF-4 " "240038","UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","549 patients","2 ","2","SCIP-INF-1 " "240038","UNITED HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","85 patients",,,"AMI-8A " "240038","UNITED HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","238 patients","2 ","2","SCIP-VTE-1 " "240038","UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","527 patients","2 ","2","SCIP-INF-3 " "240038","UNITED HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","395 patients",,,"AMI-2 " "240038","UNITED HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","234 patients",,,"PN-3B " "240038","UNITED HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","163 patients",,,"HF-3 " "240038","UNITED HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","144 patients",,,"AMI-4 " "240038","UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","197 patients","2 ","2","SCIP-INF-4 " "240038","UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","556 patients","2 ","2","SCIP-INF-2 " "240038","UNITED HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","173 patients",,,"PN-6 " "240038","UNITED HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240038","UNITED HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","366 patients",,,"HF-1 " "240038","UNITED HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","238 patients","2 ","2","SCIP-VTE-2 " "240038","UNITED HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","227 patients",,,"PN-2 " "240038","UNITED HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","53 patients",,,"AMI-3 " "240038","UNITED HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","746 patients","2 ","2","SCIP-INF-6 " "240038","UNITED HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","101 patients","2 ","2","SCIP-CARD-2 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","613 patients",,,"SCIP-INF-1 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","129 patients",,,"PN-2 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","348 patients","2 ","2","SCIP-CARD-2 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","291 patients","2 ","2","SCIP-VTE-2 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","291 patients","2 ","2","SCIP-VTE-1 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","11 patients","1 ","1","AMI-8A " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","111 patients",,,"PN-7 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","66 patients",,,"PN-6 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","113 patients",,,"PN-5C " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","219 patients",,,"HF-2 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","605 patients",,,"SCIP-INF-3 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","189 patients",,,"HF-1 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","140 patients",,,"AMI-2 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","76 patients",,,"HF-3 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","747 patients","2 ","2","SCIP-INF-6 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","615 patients",,,"SCIP-INF-2 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","100 patients",,,"PN-3B " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","250 patients","2 ","2","SCIP-INF-4 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","144 patients",,,"AMI-1 " "24003F","MINNEAPOLIS VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","132 patients",,,"AMI-5 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","57 patients","2 ","2","SCIP-INF-1 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","118 patients",,,"PN-2 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1,2 ","12","SCIP-CARD-2 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","28 patients",,,"PN-4 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","51 patients","2 ","2","SCIP-VTE-2 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","106 patients",,,"HF-2 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","87 patients",,,"PN-6 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","78 patients",,,"HF-1 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","92 patients","2 ","2","SCIP-INF-6 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","74 patients",,,"PN-7 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","133 patients",,,"PN-5C " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","55 patients","2 ","2","SCIP-INF-3 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","57 patients","2 ","2","SCIP-INF-2 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","51 patients","2 ","2","SCIP-VTE-1 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","34 patients",,,"HF-3 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","56 patients",,,"PN-3B " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240040","UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1 ","1","AMI-1 " "240043","NAEVE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","108 patients",,,"PN-2 " "240043","NAEVE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","54 patients",,,"HF-1 " "240043","NAEVE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","95 patients",,,"HF-2 " "240043","NAEVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","178 patients",,,"SCIP-VTE-2 " "240043","NAEVE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","22 patients","1 ","1","HF-3 " "240043","NAEVE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","46 patients",,,"SCIP-CARD-2 " "240043","NAEVE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","89 patients",,,"PN-5C " "240043","NAEVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","261 patients",,,"SCIP-INF-2 " "240043","NAEVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "240043","NAEVE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "240043","NAEVE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "240043","NAEVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","330 patients",,,"SCIP-INF-6 " "240043","NAEVE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240043","NAEVE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "240043","NAEVE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "240043","NAEVE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","69 patients",,,"PN-3B " "240043","NAEVE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","16 patients","1 ","1","AMI-1 " "240043","NAEVE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240043","NAEVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","251 patients",,,"SCIP-INF-1 " "240043","NAEVE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","60 patients",,,"PN-7 " "240043","NAEVE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","44 patients",,,"PN-6 " "240043","NAEVE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "240043","NAEVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","178 patients",,,"SCIP-VTE-1 " "240043","NAEVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","242 patients",,,"SCIP-INF-3 " "240043","NAEVE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "240044","WINONA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","158 patients",,,"SCIP-INF-6 " "240044","WINONA HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","96 patients",,,"SCIP-VTE-1 " "240044","WINONA HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","32 patients",,,"AMI-1 " "240044","WINONA HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "240044","WINONA HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","120 patients",,,"PN-3B " "240044","WINONA HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "240044","WINONA HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","71 patients",,,"PN-7 " "240044","WINONA HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","117 patients",,,"PN-2 " "240044","WINONA HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","54 patients",,,"HF-1 " "240044","WINONA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","135 patients",,,"SCIP-INF-2 " "240044","WINONA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","131 patients",,,"SCIP-INF-3 " "240044","WINONA HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","92 patients",,,"HF-2 " "240044","WINONA HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "240044","WINONA HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","27 patients",,,"AMI-2 " "240044","WINONA HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240044","WINONA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","135 patients",,,"SCIP-INF-1 " "240044","WINONA HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "240044","WINONA HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "240044","WINONA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "240044","WINONA HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","117 patients",,,"PN-5C " "240044","WINONA HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","65 patients",,,"PN-6 " "240044","WINONA HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "240044","WINONA HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "240044","WINONA HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","96 patients",,,"SCIP-VTE-2 " "240044","WINONA HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240047","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","369 patients","2 ","2","SCIP-INF-2 " "240047","ST LUKES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","187 patients",,,"AMI-5 " "240047","ST LUKES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","173 patients",,,"HF-1 " "240047","ST LUKES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","167 patients",,,"PN-3B " "240047","ST LUKES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"AMI-3 " "240047","ST LUKES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","107 patients",,,"PN-6 " "240047","ST LUKES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "240047","ST LUKES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","21 patients","1 ","1","AMI-8A " "240047","ST LUKES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","187 patients",,,"AMI-2 " "240047","ST LUKES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","201 patients",,,"PN-5C " "240047","ST LUKES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","69 patients",,,"HF-3 " "240047","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","506 patients","2 ","2","SCIP-INF-6 " "240047","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","360 patients","2 ","2","SCIP-INF-1 " "240047","ST LUKES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240047","ST LUKES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","198 patients",,,"PN-2 " "240047","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","198 patients","2 ","2","SCIP-VTE-1 " "240047","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","86 patients","2 ","2","SCIP-CARD-2 " "240047","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","86 patients","2 ","2","SCIP-INF-4 " "240047","ST LUKES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"AMI-4 " "240047","ST LUKES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","117 patients",,,"AMI-1 " "240047","ST LUKES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","83 patients",,,"PN-4 " "240047","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","198 patients","2 ","2","SCIP-VTE-2 " "240047","ST LUKES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","156 patients",,,"PN-7 " "240047","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","353 patients","2 ","2","SCIP-INF-3 " "240047","ST LUKES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","214 patients",,,"HF-2 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","65 patients",,,"HF-1 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","336 patients","2 ","2","SCIP-INF-2 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","84 patients",,,"PN-5C " "240050","FAIRVIEW LAKES HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","44 patients",,,"PN-7 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","74 patients","2 ","2","SCIP-CARD-2 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","428 patients","2 ","2","SCIP-INF-6 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","93 patients",,,"HF-2 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240050","FAIRVIEW LAKES HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","70 patients",,,"PN-2 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","149 patients","2 ","2","SCIP-VTE-1 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","336 patients","2 ","2","SCIP-INF-1 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","60 patients",,,"PN-6 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","149 patients","2 ","2","SCIP-VTE-2 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","59 patients",,,"PN-3B " "240050","FAIRVIEW LAKES HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","319 patients","2 ","2","SCIP-INF-3 " "240050","FAIRVIEW LAKES HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240052","LAKE REGION HEALTHCARE CORPORATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","184 patients","2 ","2","SCIP-INF-1 " "240052","LAKE REGION HEALTHCARE CORPORATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","32 patients",,,"PN-4 " "240052","LAKE REGION HEALTHCARE CORPORATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","74 patients",,,"PN-6 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "240052","LAKE REGION HEALTHCARE CORPORATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","121 patients","2 ","2","SCIP-VTE-1 " "240052","LAKE REGION HEALTHCARE CORPORATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","62 patients",,,"PN-7 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","119 patients",,,"HF-2 " "240052","LAKE REGION HEALTHCARE CORPORATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","70 patients",,,"PN-3B " "240052","LAKE REGION HEALTHCARE CORPORATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","240 patients","2 ","2","SCIP-INF-6 " "240052","LAKE REGION HEALTHCARE CORPORATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","30 patients",,,"SCIP-CARD-2 " "240052","LAKE REGION HEALTHCARE CORPORATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "240052","LAKE REGION HEALTHCARE CORPORATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","176 patients","2 ","2","SCIP-INF-3 " "240052","LAKE REGION HEALTHCARE CORPORATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","184 patients","2 ","2","SCIP-INF-2 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","72 patients",,,"HF-1 " "240052","LAKE REGION HEALTHCARE CORPORATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","105 patients",,,"PN-5C " "240052","LAKE REGION HEALTHCARE CORPORATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","100 patients",,,"PN-2 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "240052","LAKE REGION HEALTHCARE CORPORATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","121 patients","2 ","2","SCIP-VTE-2 " "240052","LAKE REGION HEALTHCARE CORPORATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","17 patients","1 ","1","AMI-5 " "240053","PARK NICOLLET METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","597 patients","2 ","2","SCIP-INF-2 " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "240053","PARK NICOLLET METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","219 patients","2 ","2","SCIP-VTE-2 " "240053","PARK NICOLLET METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","134 patients","2 ","2","SCIP-CARD-2 " "240053","PARK NICOLLET METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","176 patients","2 ","2","SCIP-INF-4 " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","331 patients",,,"AMI-2 " "240053","PARK NICOLLET METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","587 patients","2 ","2","SCIP-INF-1 " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients",,,"AMI-3 " "240053","PARK NICOLLET METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","253 patients",,,"PN-6 " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","341 patients",,,"AMI-5 " "240053","PARK NICOLLET METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","374 patients",,,"PN-3B " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","295 patients",,,"AMI-1 " "240053","PARK NICOLLET METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","220 patients","2 ","2","SCIP-VTE-1 " "240053","PARK NICOLLET METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","362 patients",,,"PN-5C " "240053","PARK NICOLLET METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","479 patients",,,"PN-2 " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","137 patients",,,"HF-3 " "240053","PARK NICOLLET METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"PN-4 " "240053","PARK NICOLLET METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","557 patients","2 ","2","SCIP-INF-3 " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","428 patients",,,"HF-2 " "240053","PARK NICOLLET METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","792 patients","2 ","2","SCIP-INF-6 " "240053","PARK NICOLLET METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","333 patients",,,"PN-7 " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","62 patients",,,"AMI-8A " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"AMI-4 " "240053","PARK NICOLLET METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","333 patients",,,"HF-1 " "240056","RIDGEVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","170 patients","2 ","2","SCIP-VTE-1 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "240056","RIDGEVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","51 patients","2 ","2","SCIP-CARD-2 " "240056","RIDGEVIEW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","117 patients",,,"PN-7 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","39 patients",,,"AMI-1 " "240056","RIDGEVIEW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "240056","RIDGEVIEW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","121 patients",,,"PN-6 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "240056","RIDGEVIEW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","187 patients",,,"PN-3B " "240056","RIDGEVIEW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","171 patients",,,"PN-2 " "240056","RIDGEVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","285 patients","2 ","2","SCIP-INF-3 " "240056","RIDGEVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","170 patients","2 ","2","SCIP-VTE-2 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","102 patients",,,"HF-2 " "240056","RIDGEVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","423 patients","2 ","2","SCIP-INF-6 " "240056","RIDGEVIEW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","168 patients",,,"PN-5C " "240056","RIDGEVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","289 patients","2 ","2","SCIP-INF-2 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","21 patients","1 ","1","AMI-2 " "240056","RIDGEVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240056","RIDGEVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","290 patients","2 ","2","SCIP-INF-1 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","63 patients",,,"HF-1 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","34 patients",,,"HF-3 " "240056","RIDGEVIEW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","531 patients","2 ","2","SCIP-INF-3 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","258 patients",,,"HF-3 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","576 patients",,,"HF-1 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","224 patients",,,"PN-7 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","248 patients",,,"PN-3B " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","161 patients",,,"PN-6 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","307 patients",,,"PN-5C " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","267 patients","2 ","2","SCIP-VTE-1 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","164 patients","2 ","2","SCIP-INF-4 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","54 patients",,,"AMI-8A " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","685 patients",,,"HF-2 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","776 patients",,,"AMI-2 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","281 patients",,,"AMI-4 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","117 patients",,,"HF-4 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","304 patients",,,"PN-2 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","208 patients",,,"AMI-1 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","119 patients",,,"PN-4 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","563 patients","2 ","2","SCIP-INF-1 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","576 patients","2 ","2","SCIP-INF-2 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","127 patients","2 ","2","SCIP-CARD-2 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","804 patients",,,"AMI-5 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","823 patients","2 ","2","SCIP-INF-6 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","266 patients","2 ","2","SCIP-VTE-2 " "240057","ABBOTT NORTHWESTERN HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","125 patients",,,"AMI-3 " "240059","REGINA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "240059","REGINA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240059","REGINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","243 patients","2 ","2","SCIP-INF-6 " "240059","REGINA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240059","REGINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","103 patients","2 ","2","SCIP-VTE-1 " "240059","REGINA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","30 patients",,,"PN-2 " "240059","REGINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","34 patients","2 ","2","SCIP-CARD-2 " "240059","REGINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","167 patients","2 ","2","SCIP-INF-2 " "240059","REGINA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","59 patients",,,"HF-2 " "240059","REGINA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","33 patients",,,"PN-3B " "240059","REGINA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "240059","REGINA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","40 patients",,,"HF-1 " "240059","REGINA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "240059","REGINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","167 patients","2 ","2","SCIP-INF-3 " "240059","REGINA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "240059","REGINA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "240059","REGINA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients",,,"PN-5C " "240059","REGINA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "240059","REGINA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "240059","REGINA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","28 patients",,,"PN-6 " "240059","REGINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","171 patients","2 ","2","SCIP-INF-1 " "240059","REGINA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","16 patients","1 ","1","PN-7 " "240059","REGINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","103 patients","2 ","2","SCIP-VTE-2 " "240059","REGINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240059","REGINA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "240061","MAYO CLINIC METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240061","MAYO CLINIC METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","342 patients","2 ","2","SCIP-INF-1 " "240061","MAYO CLINIC METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","12 patients","1,2 ","12","PN-5C " "240061","MAYO CLINIC METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","PN-4 " "240061","MAYO CLINIC METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "240061","MAYO CLINIC METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","42 patients","2 ","2","PN-2 " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,2 ","12","HF-2 " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "240061","MAYO CLINIC METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","336 patients","2 ","2","SCIP-INF-3 " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "240061","MAYO CLINIC METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","292 patients","2 ","2","SCIP-VTE-2 " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","14%","7 patients","1,2 ","12","HF-1 " "240061","MAYO CLINIC METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2 ","2","PN-6 " "240061","MAYO CLINIC METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","560 patients","2 ","2","SCIP-INF-6 " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "240061","MAYO CLINIC METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","342 patients","2 ","2","SCIP-INF-2 " "240061","MAYO CLINIC METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "240061","MAYO CLINIC METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","292 patients","2 ","2","SCIP-VTE-1 " "240061","MAYO CLINIC METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","59 patients","2 ","2","SCIP-CARD-2 " "240061","MAYO CLINIC METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","37 patients","2 ","2","PN-7 " "240063","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","674 patients","2 ","2","SCIP-INF-1 " "240063","ST JOSEPH'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","81 patients","2 ","2","PN-6 " "240063","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240063","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","274 patients","2 ","2","SCIP-VTE-1 " "240063","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","685 patients","2 ","2","SCIP-INF-2 " "240063","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","864 patients","2 ","2","SCIP-INF-6 " "240063","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","305 patients",,,"AMI-2 " "240063","ST JOSEPH'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","181 patients",,,"HF-1 " "240063","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","273 patients","2 ","2","SCIP-VTE-2 " "240063","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","92 patients",,,"AMI-4 " "240063","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","162 patients",,,"AMI-1 " "240063","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","41 patients",,,"AMI-8A " "240063","ST JOSEPH'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","91 patients","2 ","2","PN-7 " "240063","ST JOSEPH'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","234 patients",,,"HF-2 " "240063","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","304 patients",,,"AMI-5 " "240063","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","60 patients",,,"AMI-3 " "240063","ST JOSEPH'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","126 patients","2 ","2","PN-5C " "240063","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","625 patients","2 ","2","SCIP-INF-3 " "240063","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","200 patients","2 ","2","SCIP-INF-4 " "240063","ST JOSEPH'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","99 patients","2 ","2","PN-3B " "240063","ST JOSEPH'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","134 patients","2 ","2","PN-2 " "240063","ST JOSEPH'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","44 patients",,,"HF-4 " "240063","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","159 patients","2 ","2","SCIP-CARD-2 " "240063","ST JOSEPH'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","44 patients","2 ","2","PN-4 " "240063","ST JOSEPH'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","78 patients",,,"HF-3 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","26 patients",,,"AMI-5 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","25 patients",,,"AMI-2 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","74 patients",,,"PN-6 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","90 patients",,,"PN-2 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","113 patients","2 ","2","SCIP-VTE-2 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","31 patients",,,"HF-1 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","116 patients",,,"PN-5C " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","132 patients","2 ","2","SCIP-INF-3 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients",,,"SCIP-CARD-2 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","31%","196 patients","2 ","2","SCIP-INF-1 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","259 patients","2 ","2","SCIP-INF-6 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","32 patients",,,"AMI-1 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","35 patients",,,"PN-4 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","44 patients",,,"HF-2 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","77 patients",,,"PN-3B " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","60 patients",,,"PN-7 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","113 patients","2 ","2","SCIP-VTE-1 " "240064","GRAND ITASCA CLINIC AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","135 patients","2 ","2","SCIP-INF-2 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","295 patients","2 ","2","SCIP-INF-2 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","30 patients",,,"PN-7 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","33 patients",,,"PN-3B " "240066","LAKEVIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","462 patients","2 ","2","SCIP-INF-6 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","34 patients",,,"PN-6 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","54 patients",,,"HF-2 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240066","LAKEVIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","50 patients","2 ","2","SCIP-CARD-2 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240066","LAKEVIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","161 patients","2 ","2","SCIP-VTE-2 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","53 patients",,,"PN-5C " "240066","LAKEVIEW MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","52 patients",,,"PN-2 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","295 patients","2 ","2","SCIP-INF-1 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","36 patients",,,"HF-1 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","161 patients","2 ","2","SCIP-VTE-1 " "240066","LAKEVIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","285 patients","2 ","2","SCIP-INF-3 " "240069","OWATONNA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","20 patients","1 ","1","PN-3B " "240069","OWATONNA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "240069","OWATONNA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240069","OWATONNA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","94 patients","2 ","2","SCIP-VTE-1 " "240069","OWATONNA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240069","OWATONNA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "240069","OWATONNA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","247 patients","2 ","2","SCIP-INF-2 " "240069","OWATONNA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "240069","OWATONNA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","94 patients","2 ","2","SCIP-VTE-2 " "240069","OWATONNA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","65 patients",,,"HF-2 " "240069","OWATONNA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "240069","OWATONNA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "240069","OWATONNA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240069","OWATONNA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","239 patients","2 ","2","SCIP-INF-3 " "240069","OWATONNA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "240069","OWATONNA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","60 patients",,,"PN-5C " "240069","OWATONNA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "240069","OWATONNA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","247 patients","2 ","2","SCIP-INF-1 " "240069","OWATONNA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","54 patients",,,"PN-7 " "240069","OWATONNA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","48 patients",,,"PN-6 " "240069","OWATONNA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "240069","OWATONNA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","51 patients","2 ","2","SCIP-CARD-2 " "240069","OWATONNA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","65 patients",,,"PN-2 " "240069","OWATONNA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","280 patients","2 ","2","SCIP-INF-6 " "240069","OWATONNA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","36 patients",,,"HF-1 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","93 patients",,,"SCIP-VTE-1 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","155 patients",,,"SCIP-INF-2 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","62 patients",,,"PN-6 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","85 patients",,,"PN-2 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","166 patients",,,"SCIP-INF-6 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","155 patients",,,"SCIP-INF-1 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","79 patients",,,"PN-5C " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","70 patients",,,"HF-2 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","152 patients",,,"SCIP-INF-3 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","64 patients",,,"PN-7 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","24 patients","1 ","1","HF-3 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","36 patients",,,"SCIP-CARD-2 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","93 patients",,,"SCIP-VTE-2 " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","66 patients",,,"PN-3B " "240071","RICE COUNTY DISTRICT ONE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","45 patients",,,"HF-1 " "240075","ST JOSEPHS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","47 patients",,,"PN-4 " "240075","ST JOSEPHS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "240075","ST JOSEPHS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","94 patients",,,"PN-6 " "240075","ST JOSEPHS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","119 patients",,,"PN-3B " "240075","ST JOSEPHS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","148 patients",,,"PN-5C " "240075","ST JOSEPHS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"HF-4 " "240075","ST JOSEPHS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240075","ST JOSEPHS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","147 patients","2 ","2","SCIP-VTE-2 " "240075","ST JOSEPHS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "240075","ST JOSEPHS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","161 patients",,,"PN-2 " "240075","ST JOSEPHS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","65 patients","2 ","2","SCIP-CARD-2 " "240075","ST JOSEPHS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "240075","ST JOSEPHS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","168 patients",,,"HF-2 " "240075","ST JOSEPHS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","404 patients","2 ","2","SCIP-INF-6 " "240075","ST JOSEPHS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","42 patients",,,"HF-3 " "240075","ST JOSEPHS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240075","ST JOSEPHS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","147 patients","2 ","2","SCIP-VTE-1 " "240075","ST JOSEPHS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","129 patients",,,"HF-1 " "240075","ST JOSEPHS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240075","ST JOSEPHS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","296 patients","2 ","2","SCIP-INF-2 " "240075","ST JOSEPHS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","287 patients","2 ","2","SCIP-INF-3 " "240075","ST JOSEPHS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","295 patients","2 ","2","SCIP-INF-1 " "240075","ST JOSEPHS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","110 patients",,,"PN-7 " "240075","ST JOSEPHS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240075","ST JOSEPHS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "240076","BUFFALO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","210 patients",,,"SCIP-INF-6 " "240076","BUFFALO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "240076","BUFFALO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "240076","BUFFALO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "240076","BUFFALO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","98 patients",,,"SCIP-VTE-2 " "240076","BUFFALO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","155 patients",,,"SCIP-INF-1 " "240076","BUFFALO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","62 patients",,,"PN-5C " "240076","BUFFALO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","37 patients",,,"PN-7 " "240076","BUFFALO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "240076","BUFFALO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","64 patients",,,"HF-2 " "240076","BUFFALO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","148 patients",,,"SCIP-INF-3 " "240076","BUFFALO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "240076","BUFFALO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","53 patients",,,"PN-2 " "240076","BUFFALO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240076","BUFFALO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "240076","BUFFALO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240076","BUFFALO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240076","BUFFALO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","98 patients",,,"SCIP-VTE-1 " "240076","BUFFALO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","42 patients",,,"PN-6 " "240076","BUFFALO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","21 patients","1 ","1","SCIP-CARD-2 " "240076","BUFFALO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","45 patients",,,"PN-3B " "240076","BUFFALO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "240076","BUFFALO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","156 patients",,,"SCIP-INF-2 " "240076","BUFFALO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "240076","BUFFALO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","32 patients",,,"HF-1 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","198 patients",,,"PN-6 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","491 patients",,,"AMI-2 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","515 patients",,,"AMI-5 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","65 patients",,,"AMI-8A " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1874 patients","2 ","2","SCIP-INF-1 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","135 patients",,,"AMI-4 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","200 patients",,,"PN-7 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1899 patients","2 ","2","SCIP-INF-2 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","305 patients",,,"PN-5C " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"PN-4 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","300 patients",,,"PN-3B " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","1816 patients","2 ","2","SCIP-INF-3 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","104 patients",,,"AMI-3 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","379 patients","2 ","2","SCIP-CARD-2 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","216 patients",,,"HF-1 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","98 patients",,,"HF-3 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","315 patients",,,"HF-2 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","646 patients","2 ","2","SCIP-VTE-1 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","302 patients",,,"PN-2 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","645 patients","2 ","2","SCIP-VTE-2 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","69%","2189 patients","2 ","2","SCIP-INF-6 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","249 patients","2 ","2","SCIP-INF-4 " "240078","FAIRVIEW SOUTHDALE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","334 patients",,,"AMI-1 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","102 patients",,,"PN-6 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","27%","22 patients","1 ","1","CAC-3 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","22 patients","1 ","1","CAC-1 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","215 patients",,,"PN-3B " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","217 patients",,,"HF-1 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","131 patients","2 ","2","SCIP-INF-4 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","157 patients",,,"AMI-2 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","185 patients",,,"PN-5C " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","113 patients",,,"HF-3 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","11 patients","1 ","1","AMI-8A " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","271 patients",,,"HF-2 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","174 patients",,,"AMI-5 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","138 patients",,,"PN-2 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","358 patients","2 ","2","SCIP-INF-3 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","379 patients","2 ","2","SCIP-INF-2 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","264 patients","2 ","2","SCIP-VTE-2 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","136 patients",,,"PN-7 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","36 patients",,,"AMI-3 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","22 patients","1 ","1","CAC-2 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","91 patients","2 ","2","SCIP-CARD-2 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","377 patients","2 ","2","SCIP-INF-1 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","264 patients","2 ","2","SCIP-VTE-1 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","113 patients",,,"AMI-1 " "240080","UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","616 patients","2 ","2","SCIP-INF-6 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","106 patients","2 ","2","SCIP-INF-6 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","79 patients","2 ","2","SCIP-INF-3 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","53 patients",,,"PN-5C " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","80 patients","2 ","2","SCIP-INF-2 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","HF-3 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","35 patients",,,"PN-7 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","50 patients",,,"PN-2 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","37 patients",,,"PN-3B " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","AMI-3 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","51 patients","2 ","2","SCIP-VTE-2 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,2 ","12","AMI-1 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","75 patients",,,"HF-2 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","34 patients",,,"HF-1 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,2 ","12","AMI-2 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","36 patients",,,"PN-6 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1,2 ","12","AMI-5 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","81 patients","2 ","2","SCIP-INF-1 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","51 patients","2 ","2","SCIP-VTE-1 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","25%","12 patients","1,2 ","12","SCIP-CARD-2 " "240084","VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","69%","16 patients","1 ","1","PN-4 " "240088","RICE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","47 patients",,,"HF-1 " "240088","RICE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","62 patients",,,"PN-6 " "240088","RICE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240088","RICE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","292 patients","2 ","2","SCIP-INF-6 " "240088","RICE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","142 patients","2 ","2","SCIP-VTE-1 " "240088","RICE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","HF-3 " "240088","RICE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "240088","RICE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","142 patients","2 ","2","SCIP-VTE-2 " "240088","RICE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","40 patients","2 ","2","SCIP-CARD-2 " "240088","RICE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","117 patients",,,"PN-2 " "240088","RICE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240088","RICE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","96 patients",,,"PN-5C " "240088","RICE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","215 patients","2 ","2","SCIP-INF-1 " "240088","RICE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240088","RICE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","91 patients",,,"HF-2 " "240088","RICE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","PN-4 " "240088","RICE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","208 patients","2 ","2","SCIP-INF-3 " "240088","RICE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "240088","RICE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","68 patients",,,"PN-3B " "240088","RICE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "240088","RICE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "240088","RICE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","211 patients","2 ","2","SCIP-INF-2 " "240088","RICE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "240088","RICE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "240088","RICE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","75 patients",,,"PN-7 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","218 patients",,,"AMI-2 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","142 patients",,,"AMI-1 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","132 patients",,,"HF-1 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","25 patients",,,"AMI-8A " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","211 patients",,,"AMI-5 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"HF-3 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","582 patients","2 ","2","SCIP-INF-6 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","327 patients","2 ","2","SCIP-VTE-2 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","113 patients",,,"PN-7 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","286 patients","2 ","2","SCIP-INF-1 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","184 patients",,,"HF-2 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","120 patients",,,"PN-5C " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","327 patients","2 ","2","SCIP-VTE-1 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","281 patients","2 ","2","SCIP-INF-3 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","51 patients",,,"AMI-3 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","165 patients",,,"PN-2 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","106 patients",,,"PN-3B " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","287 patients","2 ","2","SCIP-INF-2 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","85 patients","2 ","2","SCIP-CARD-2 " "240093","IMMANUEL-ST JOSEPHS-MAYO HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","80 patients",,,"PN-6 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","148 patients",,,"PN-5C " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","142 patients",,,"PN-3B " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","270 patients","2 ","2","SCIP-VTE-1 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","90 patients",,,"PN-7 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","445 patients","2 ","2","SCIP-INF-2 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","270 patients","2 ","2","SCIP-VTE-2 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","120 patients",,,"HF-2 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","91 patients",,,"HF-1 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","120 patients",,,"PN-2 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","105 patients",,,"PN-6 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","54 patients",,,"PN-4 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","565 patients","2 ","2","SCIP-INF-6 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","433 patients","2 ","2","SCIP-INF-3 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","77 patients",,,"SCIP-CARD-2 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","38 patients",,,"HF-3 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","12 patients","1 ","1","AMI-2 " "240100","NORTH COUNTRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","444 patients","2 ","2","SCIP-INF-1 " "240101","ST MARYS REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","41 patients",,,"PN-7 " "240101","ST MARYS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","147 patients","2 ","2","SCIP-INF-2 " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","21 patients","1 ","1","AMI-1 " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "240101","ST MARYS REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","56 patients",,,"PN-6 " "240101","ST MARYS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","144 patients","2 ","2","SCIP-INF-3 " "240101","ST MARYS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","99 patients","2 ","2","SCIP-VTE-2 " "240101","ST MARYS REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","44 patients",,,"PN-3B " "240101","ST MARYS REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","63 patients",,,"PN-2 " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240101","ST MARYS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","195 patients","2 ","2","SCIP-INF-6 " "240101","ST MARYS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240101","ST MARYS REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","22 patients","1 ","1","HF-1 " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "240101","ST MARYS REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","69 patients",,,"PN-5C " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","15 patients","1 ","1","AMI-5 " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","36 patients",,,"HF-2 " "240101","ST MARYS REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "240101","ST MARYS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","99 patients","2 ","2","SCIP-VTE-1 " "240101","ST MARYS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","149 patients","2 ","2","SCIP-INF-1 " "240101","ST MARYS REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","31 patients",,,"SCIP-CARD-2 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","114 patients",,,"PN-2 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","91 patients",,,"HF-2 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","311 patients","2 ","2","SCIP-INF-3 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","92 patients",,,"PN-6 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","55 patients",,,"PN-4 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","95 patients",,,"PN-7 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","164 patients","2 ","2","SCIP-VTE-2 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","68 patients",,,"HF-1 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","475 patients","2 ","2","SCIP-INF-6 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","73 patients",,,"PN-3B " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","144 patients",,,"PN-5C " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","164 patients","2 ","2","SCIP-VTE-1 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"HF-3 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","71 patients","2 ","2","SCIP-CARD-2 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","318 patients","2 ","2","SCIP-INF-2 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","316 patients","2 ","2","SCIP-INF-1 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "240104","ST FRANCIS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "240106","REGIONS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","182 patients",,,"PN-6 " "240106","REGIONS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","526 patients","2 ","2","SCIP-INF-2 " "240106","REGIONS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","377 patients",,,"HF-2 " "240106","REGIONS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","278 patients",,,"PN-2 " "240106","REGIONS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","54 patients",,,"AMI-8A " "240106","REGIONS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","123 patients",,,"HF-3 " "240106","REGIONS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","96 patients",,,"HF-4 " "240106","REGIONS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","341 patients",,,"PN-5C " "240106","REGIONS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","280 patients","2 ","2","SCIP-VTE-2 " "240106","REGIONS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","158 patients",,,"AMI-4 " "240106","REGIONS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","370 patients",,,"AMI-5 " "240106","REGIONS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","514 patients","2 ","2","SCIP-INF-1 " "240106","REGIONS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","152 patients","2 ","2","SCIP-INF-4 " "240106","REGIONS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","763 patients","2 ","2","SCIP-INF-6 " "240106","REGIONS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","280 patients","2 ","2","SCIP-VTE-1 " "240106","REGIONS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","493 patients","2 ","2","SCIP-INF-3 " "240106","REGIONS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","247 patients",,,"PN-7 " "240106","REGIONS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240106","REGIONS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","299 patients",,,"HF-1 " "240106","REGIONS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","153 patients","2 ","2","SCIP-CARD-2 " "240106","REGIONS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","153 patients",,,"PN-4 " "240106","REGIONS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","367 patients",,,"AMI-2 " "240106","REGIONS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","284 patients",,,"AMI-1 " "240106","REGIONS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","153 patients",,,"PN-3B " "240106","REGIONS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","80 patients",,,"AMI-3 " "240115","MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","93 patients",,,"HF-3 " "240115","MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","295 patients",,,"AMI-1 " "240115","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","206 patients","2 ","2","SCIP-VTE-2 " "240115","MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","428 patients",,,"AMI-5 " "240115","MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","296 patients",,,"HF-1 " "240115","MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","282 patients",,,"PN-5C " "240115","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","740 patients","2 ","2","SCIP-INF-6 " "240115","MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","51 patients",,,"AMI-3 " "240115","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","190 patients","2 ","2","SCIP-INF-4 " "240115","MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","235 patients",,,"PN-2 " "240115","MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","426 patients",,,"AMI-2 " "240115","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","206 patients","2 ","2","SCIP-VTE-1 " "240115","MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"HF-4 " "240115","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","555 patients","2 ","2","SCIP-INF-2 " "240115","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","537 patients","2 ","2","SCIP-INF-1 " "240115","MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","197 patients",,,"PN-6 " "240115","MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","113 patients",,,"PN-4 " "240115","MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","353 patients",,,"HF-2 " "240115","MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","193 patients",,,"AMI-4 " "240115","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","135 patients","2 ","2","SCIP-CARD-2 " "240115","MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","169 patients",,,"PN-7 " "240115","MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","191 patients",,,"PN-3B " "240115","MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240115","MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","75 patients",,,"AMI-8A " "240115","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","522 patients","2 ","2","SCIP-INF-3 " "240117","AUSTIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","PN-4 " "240117","AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","134 patients","2 ","2","SCIP-VTE-2 " "240117","AUSTIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1,2 ","12","HF-3 " "240117","AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","35 patients","2 ","2","SCIP-CARD-2 " "240117","AUSTIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","162 patients","2 ","2","PN-3B " "240117","AUSTIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","96 patients","2 ","2","PN-7 " "240117","AUSTIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240117","AUSTIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240117","AUSTIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "240117","AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240117","AUSTIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","101 patients","2 ","2","HF-2 " "240117","AUSTIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","HF-4 " "240117","AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","139 patients","2 ","2","SCIP-INF-2 " "240117","AUSTIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","69 patients","2 ","2","HF-1 " "240117","AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","137 patients","2 ","2","SCIP-INF-1 " "240117","AUSTIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "240117","AUSTIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "240117","AUSTIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","122 patients","2 ","2","PN-6 " "240117","AUSTIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240117","AUSTIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","178 patients","2 ","2","PN-2 " "240117","AUSTIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "240117","AUSTIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","157 patients","2 ","2","PN-5C " "240117","AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","185 patients","2 ","2","SCIP-INF-6 " "240117","AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","134 patients","2 ","2","SCIP-VTE-1 " "240117","AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","134 patients","2 ","2","SCIP-INF-3 " "240132","UNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","227 patients",,,"PN-3B " "240132","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","414 patients","2 ","2","SCIP-INF-1 " "240132","UNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","166 patients",,,"PN-7 " "240132","UNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240132","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","275 patients","2 ","2","SCIP-VTE-1 " "240132","UNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","256 patients",,,"PN-5C " "240132","UNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "240132","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","652 patients","2 ","2","SCIP-INF-6 " "240132","UNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","50 patients",,,"HF-3 " "240132","UNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","167 patients",,,"PN-6 " "240132","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","126 patients","2 ","2","SCIP-CARD-2 " "240132","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","275 patients","2 ","2","SCIP-VTE-2 " "240132","UNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","216 patients",,,"PN-2 " "240132","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240132","UNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","45 patients",,,"AMI-1 " "240132","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","414 patients","2 ","2","SCIP-INF-2 " "240132","UNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","20 patients","1 ","1","AMI-2 " "240132","UNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","172 patients",,,"HF-1 " "240132","UNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "240132","UNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "240132","UNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","187 patients",,,"HF-2 " "240132","UNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","95 patients",,,"PN-4 " "240132","UNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","389 patients","2 ","2","SCIP-INF-3 " "240132","UNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240132","UNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","65 patients",,,"PN-6 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","46 patients",,,"HF-1 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","68 patients",,,"PN-2 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","142 patients","2 ","2","SCIP-INF-1 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","24 patients","1 ","1","AMI-1 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","29 patients",,,"PN-4 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","49 patients",,,"PN-7 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","183 patients","2 ","2","SCIP-INF-6 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","66 patients","2 ","2","SCIP-VTE-1 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","79 patients",,,"PN-5C " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1,2 ","12","SCIP-CARD-2 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","66 patients","2 ","2","SCIP-VTE-2 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","66 patients",,,"HF-2 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","143 patients","2 ","2","SCIP-INF-2 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","138 patients","2 ","2","SCIP-INF-3 " "240141","FAIRVIEW NORTHLAND REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","92 patients",,,"PN-3B " "240166","FAIRMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","134 patients",,,"SCIP-INF-3 " "240166","FAIRMONT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "240166","FAIRMONT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "240166","FAIRMONT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","139 patients",,,"PN-5C " "240166","FAIRMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "240166","FAIRMONT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","91 patients",,,"PN-6 " "240166","FAIRMONT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240166","FAIRMONT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "240166","FAIRMONT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240166","FAIRMONT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","101 patients",,,"HF-2 " "240166","FAIRMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","142 patients",,,"SCIP-INF-2 " "240166","FAIRMONT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "240166","FAIRMONT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","32 patients",,,"PN-4 " "240166","FAIRMONT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","12 patients","1 ","1","AMI-2 " "240166","FAIRMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","82 patients",,,"SCIP-VTE-1 " "240166","FAIRMONT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","112 patients",,,"PN-3B " "240166","FAIRMONT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","64 patients",,,"HF-1 " "240166","FAIRMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","29 patients",,,"SCIP-CARD-2 " "240166","FAIRMONT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","132 patients",,,"PN-2 " "240166","FAIRMONT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","86 patients",,,"PN-7 " "240166","FAIRMONT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "240166","FAIRMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","142 patients",,,"SCIP-INF-1 " "240166","FAIRMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","196 patients",,,"SCIP-INF-6 " "240166","FAIRMONT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240166","FAIRMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","82 patients",,,"SCIP-VTE-2 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","38 patients",,,"PN-7 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","133 patients",,,"SCIP-VTE-1 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240187","HUTCHINSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","213 patients",,,"SCIP-INF-1 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","37 patients",,,"HF-1 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","285 patients",,,"SCIP-INF-6 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","216 patients",,,"SCIP-INF-2 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","52 patients",,,"PN-6 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","46 patients",,,"SCIP-CARD-2 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","133 patients",,,"SCIP-VTE-2 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","5 patients","1 ","1","AMI-5 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","52 patients",,,"PN-2 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240187","HUTCHINSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","210 patients",,,"SCIP-INF-3 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients",,,"PN-5C " "240187","HUTCHINSON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients",,,"HF-2 " "240187","HUTCHINSON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","49 patients",,,"PN-3B " "240196","PHILLIPS EYE INSTITUTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "240196","PHILLIPS EYE INSTITUTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "240196","PHILLIPS EYE INSTITUTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "240196","PHILLIPS EYE INSTITUTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "240196","PHILLIPS EYE INSTITUTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "240196","PHILLIPS EYE INSTITUTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "240196","PHILLIPS EYE INSTITUTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "240196","PHILLIPS EYE INSTITUTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "240196","PHILLIPS EYE INSTITUTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "240196","PHILLIPS EYE INSTITUTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "240196","PHILLIPS EYE INSTITUTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "240196","PHILLIPS EYE INSTITUTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "240196","PHILLIPS EYE INSTITUTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "240196","PHILLIPS EYE INSTITUTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "240196","PHILLIPS EYE INSTITUTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "240196","PHILLIPS EYE INSTITUTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "240196","PHILLIPS EYE INSTITUTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "240196","PHILLIPS EYE INSTITUTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "240196","PHILLIPS EYE INSTITUTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "240196","PHILLIPS EYE INSTITUTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "240196","PHILLIPS EYE INSTITUTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "240196","PHILLIPS EYE INSTITUTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "240196","PHILLIPS EYE INSTITUTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "240196","PHILLIPS EYE INSTITUTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "240196","PHILLIPS EYE INSTITUTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "240206","RED LAKE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","10 patients","1,2 ","12","PN-5C " "240206","RED LAKE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "240206","RED LAKE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "240206","RED LAKE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "240206","RED LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "240206","RED LAKE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "240206","RED LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "240206","RED LAKE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","HF-3 " "240206","RED LAKE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "240206","RED LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "240206","RED LAKE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "240206","RED LAKE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","2 patients","1,2 ","12","PN-7 " "240206","RED LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "240206","RED LAKE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","4 patients","1,2 ","12","PN-2 " "240206","RED LAKE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "240206","RED LAKE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","11 patients","1,2 ","12","HF-1 " "240206","RED LAKE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "240206","RED LAKE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","HF-4 " "240206","RED LAKE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "240206","RED LAKE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","12 patients","1,2 ","12","HF-2 " "240206","RED LAKE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "240206","RED LAKE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "240206","RED LAKE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","PN-4 " "240206","RED LAKE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","5 patients","1,2 ","12","PN-3B " "240206","RED LAKE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1,2 ","12","PN-6 " "240207","FAIRVIEW RIDGES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","211 patients",,,"PN-5C " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240207","FAIRVIEW RIDGES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","260 patients","2 ","2","SCIP-INF-3 " "240207","FAIRVIEW RIDGES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","53 patients","2 ","2","SCIP-CARD-2 " "240207","FAIRVIEW RIDGES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","265 patients","2 ","2","SCIP-INF-1 " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","151 patients",,,"HF-2 " "240207","FAIRVIEW RIDGES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","264 patients","2 ","2","SCIP-INF-2 " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "240207","FAIRVIEW RIDGES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "240207","FAIRVIEW RIDGES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","163 patients","2 ","2","SCIP-VTE-1 " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "240207","FAIRVIEW RIDGES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","41 patients",,,"AMI-2 " "240207","FAIRVIEW RIDGES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","378 patients","2 ","2","SCIP-INF-6 " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"HF-3 " "240207","FAIRVIEW RIDGES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","134 patients",,,"PN-6 " "240207","FAIRVIEW RIDGES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","163 patients","2 ","2","SCIP-VTE-2 " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","115 patients",,,"HF-1 " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","57 patients",,,"AMI-1 " "240207","FAIRVIEW RIDGES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","121 patients",,,"PN-7 " "240207","FAIRVIEW RIDGES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","239 patients",,,"PN-3B " "240207","FAIRVIEW RIDGES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","181 patients",,,"PN-2 " "240207","FAIRVIEW RIDGES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","45 patients",,,"AMI-5 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","380 patients","2 ","2","SCIP-VTE-1 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","62 patients",,,"HF-3 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","731 patients","2 ","2","SCIP-INF-3 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","902 patients","2 ","2","SCIP-INF-6 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","78 patients",,,"AMI-1 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"HF-4 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","129 patients","2 ","2","PN-2 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","377 patients","2 ","2","SCIP-VTE-2 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","765 patients","2 ","2","SCIP-INF-2 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","79 patients","2 ","2","SCIP-CARD-2 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","161 patients","2 ","2","PN-5C " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","32 patients",,,"AMI-2 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","36 patients","2 ","2","PN-4 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","762 patients","2 ","2","SCIP-INF-1 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","187 patients",,,"HF-1 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","114 patients","2 ","2","PN-6 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","152 patients","2 ","2","PN-3B " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","233 patients",,,"HF-2 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","88 patients","2 ","2","PN-7 " "240210","HEALTHEAST ST JOHN'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "240211","LAKESIDE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "240211","LAKESIDE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","2 patients","1,3 ","13","PN-2 " "240211","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "240211","LAKESIDE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "240211","LAKESIDE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "240211","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "240211","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "240211","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "240211","LAKESIDE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "240211","LAKESIDE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,3 ","13","PN-5C " "240211","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "240211","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "240211","LAKESIDE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "240211","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "240211","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "240211","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "240211","LAKESIDE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","3 patients","1 ","1","PN-7 " "240211","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "240211","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "240211","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "240211","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "240211","LAKESIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "240211","LAKESIDE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "240211","LAKESIDE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "240211","LAKESIDE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "240213","HEALTHEAST WOODWINDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","59 patients",,,"PN-2 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","368 patients","2 ","2","SCIP-VTE-1 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","368 patients","2 ","2","SCIP-VTE-2 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","983 patients","2 ","2","SCIP-INF-1 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","88 patients",,,"HF-2 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","53 patients",,,"PN-6 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","40 patients",,,"PN-7 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","111 patients","2 ","2","SCIP-CARD-2 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1134 patients","2 ","2","SCIP-INF-6 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","985 patients","2 ","2","SCIP-INF-2 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","73 patients",,,"PN-5C " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"HF-3 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","70 patients",,,"PN-3B " "240213","HEALTHEAST WOODWINDS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","PN-4 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","73 patients",,,"HF-1 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "240213","HEALTHEAST WOODWINDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","967 patients","2 ","2","SCIP-INF-3 " "241300","MAHNOMEN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241300","MAHNOMEN HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241300","MAHNOMEN HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "241300","MAHNOMEN HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241300","MAHNOMEN HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241300","MAHNOMEN HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","6 patients","1,3 ","13","PN-2 " "241300","MAHNOMEN HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,3 ","13","HF-1 " "241300","MAHNOMEN HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241300","MAHNOMEN HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241300","MAHNOMEN HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","4 patients","1,3 ","13","HF-2 " "241300","MAHNOMEN HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241300","MAHNOMEN HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "241300","MAHNOMEN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241300","MAHNOMEN HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "241300","MAHNOMEN HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241300","MAHNOMEN HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,3 ","13","PN-6 " "241300","MAHNOMEN HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "241300","MAHNOMEN HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241300","MAHNOMEN HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241300","MAHNOMEN HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241300","MAHNOMEN HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "241300","MAHNOMEN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241300","MAHNOMEN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241300","MAHNOMEN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241300","MAHNOMEN HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","5 patients","1 ","1","PN-7 " "241301","LAKEWOOD HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "241301","LAKEWOOD HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241301","LAKEWOOD HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","11 patients","1 ","1","HF-1 " "241301","LAKEWOOD HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241301","LAKEWOOD HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241301","LAKEWOOD HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","6 patients","1 ","1","PN-6 " "241301","LAKEWOOD HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "241301","LAKEWOOD HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "241301","LAKEWOOD HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241301","LAKEWOOD HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "241301","LAKEWOOD HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241301","LAKEWOOD HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "241301","LAKEWOOD HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","9 patients","1 ","1","PN-5C " "241301","LAKEWOOD HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","9 patients","1 ","1","PN-2 " "241301","LAKEWOOD HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1 ","1","PN-7 " "241301","LAKEWOOD HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "241301","LAKEWOOD HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "241301","LAKEWOOD HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "241301","LAKEWOOD HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241301","LAKEWOOD HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "241301","LAKEWOOD HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241301","LAKEWOOD HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241301","LAKEWOOD HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241301","LAKEWOOD HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","12 patients","1 ","1","HF-2 " "241301","LAKEWOOD HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1 ","1","PN-2 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1 ","1","PN-7 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1 ","1","HF-1 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241302","SANFORD WESTBROOK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","5 patients","1 ","1","HF-2 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1 ","1","PN-5C " "241302","SANFORD WESTBROOK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241302","SANFORD WESTBROOK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1 ","1","PN-6 " "241303","SANFORD TRACY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241303","SANFORD TRACY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241303","SANFORD TRACY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "241303","SANFORD TRACY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "241303","SANFORD TRACY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","15 patients","1 ","1","PN-7 " "241303","SANFORD TRACY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "241303","SANFORD TRACY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","10 patients","1 ","1","HF-1 " "241303","SANFORD TRACY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241303","SANFORD TRACY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","21 patients","1 ","1","PN-5C " "241303","SANFORD TRACY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241303","SANFORD TRACY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241303","SANFORD TRACY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241303","SANFORD TRACY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241303","SANFORD TRACY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "241303","SANFORD TRACY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241303","SANFORD TRACY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241303","SANFORD TRACY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241303","SANFORD TRACY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","1 patients","1,3 ","13","SCIP-INF-3 " "241303","SANFORD TRACY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241303","SANFORD TRACY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","8 patients","1 ","1","PN-6 " "241303","SANFORD TRACY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241303","SANFORD TRACY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241303","SANFORD TRACY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","18 patients","1 ","1","PN-2 " "241303","SANFORD TRACY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","18 patients","1 ","1","HF-2 " "241303","SANFORD TRACY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "241305","RIVERWOOD HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","21 patients","1,3 ","13","SCIP-INF-3 " "241305","RIVERWOOD HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","8 patients","1,3 ","13","SCIP-VTE-1 " "241305","RIVERWOOD HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","21 patients","1,3 ","13","SCIP-INF-2 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2,3 ","123","AMI-4 " "241305","RIVERWOOD HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1,2,3 ","123","PN-3B " "241305","RIVERWOOD HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","20 patients","1,3 ","13","SCIP-INF-6 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","18 patients","1,2,3 ","123","HF-1 " "241305","RIVERWOOD HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241305","RIVERWOOD HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241305","RIVERWOOD HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","23 patients","1,2,3 ","123","PN-2 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","HF-4 " "241305","RIVERWOOD HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","10 patients","1,2,3 ","123","PN-6 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1,2,3 ","123","AMI-2 " "241305","RIVERWOOD HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","21 patients","1,3 ","13","SCIP-INF-1 " "241305","RIVERWOOD HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","8 patients","1,3 ","13","SCIP-VTE-2 " "241305","RIVERWOOD HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","PN-4 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2,3 ","123","HF-3 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","28 patients","2,3 ","23","HF-2 " "241305","RIVERWOOD HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","11 patients","1,2,3 ","123","PN-7 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,2,3 ","123","AMI-1 " "241305","RIVERWOOD HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "241305","RIVERWOOD HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","70%","10 patients","1,2,3 ","123","PN-5C " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","14 patients","1 ","1","HF-1 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","77%","13 patients","1,2 ","12","PN-5C " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","HF-4 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,2 ","12","PN-3B " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","21 patients","1,2 ","12","PN-2 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,2 ","12","PN-4 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","54%","24 patients","1 ","1","HF-2 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1,3 ","13","AMI-5 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","16 patients","1,2 ","12","PN-6 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241306","RENVILLE COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","47%","15 patients","1 ","1","PN-7 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1 ","1","PN-5C " "241308","LAKE VIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241308","LAKE VIEW MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","42%","12 patients","1 ","1","HF-2 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","9 patients","1 ","1","HF-1 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","18%","22 patients","1 ","1","PN-2 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","17%","12 patients","1 ","1","PN-7 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","12 patients","1 ","1","PN-6 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241308","LAKE VIEW MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","HF-3 " "241309","PINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","10 patients","1,3 ","13","HF-2 " "241309","PINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1,3 ","13","PN-5C " "241309","PINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","13 patients","1 ","1","PN-7 " "241309","PINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241309","PINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","11 patients","1,3 ","13","PN-6 " "241309","PINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241309","PINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,3 ","13","PN-3B " "241309","PINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241309","PINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "241309","PINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241309","PINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241309","PINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,3 ","13","PN-4 " "241309","PINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241309","PINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241309","PINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241309","PINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","20 patients","1,3 ","13","PN-2 " "241309","PINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241309","PINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241309","PINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "241309","PINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241309","PINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241309","PINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241309","PINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","8 patients","1,3 ","13","HF-1 " "241309","PINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241309","PINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241311","SIBLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "241311","SIBLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241311","SIBLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "241311","SIBLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241311","SIBLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","13 patients","1,3 ","13","PN-2 " "241311","SIBLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241311","SIBLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241311","SIBLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241311","SIBLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241311","SIBLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "241311","SIBLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,3 ","13","HF-2 " "241311","SIBLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241311","SIBLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241311","SIBLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "241311","SIBLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241311","SIBLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241311","SIBLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "241311","SIBLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241311","SIBLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241311","SIBLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241311","SIBLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,3 ","13","PN-3B " "241311","SIBLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","12 patients","1,3 ","13","PN-5C " "241311","SIBLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","6 patients","1,3 ","13","PN-6 " "241311","SIBLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241311","SIBLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241313","BRIDGES MEDICAL SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "241313","BRIDGES MEDICAL SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241313","BRIDGES MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241313","BRIDGES MEDICAL SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,"0 patients","3 ","3","HF-2 " "241313","BRIDGES MEDICAL SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","6 patients","1,3 ","13","PN-5C " "241313","BRIDGES MEDICAL SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","6 patients","1,3 ","13","PN-6 " "241313","BRIDGES MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241313","BRIDGES MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241313","BRIDGES MEDICAL SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241313","BRIDGES MEDICAL SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241313","BRIDGES MEDICAL SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241313","BRIDGES MEDICAL SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241313","BRIDGES MEDICAL SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "241313","BRIDGES MEDICAL SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241313","BRIDGES MEDICAL SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "241313","BRIDGES MEDICAL SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241313","BRIDGES MEDICAL SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "241313","BRIDGES MEDICAL SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241313","BRIDGES MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241313","BRIDGES MEDICAL SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241313","BRIDGES MEDICAL SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241313","BRIDGES MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241313","BRIDGES MEDICAL SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","6 patients","1,3 ","13","PN-2 " "241313","BRIDGES MEDICAL SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "241313","BRIDGES MEDICAL SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1,3 ","13","PN-7 " "241314","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241314","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "241314","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241314","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241314","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241314","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241314","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241314","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "241314","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "241314","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241314","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "241314","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "241314","JOHNSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "241314","JOHNSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241314","JOHNSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241315","SANFORD JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241315","SANFORD JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241315","SANFORD JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "241315","SANFORD JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241315","SANFORD JACKSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","5 patients","1 ","1","PN-2 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","6 patients","1 ","1","HF-1 " "241315","SANFORD JACKSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","7 patients","1 ","1","PN-6 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241315","SANFORD JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241315","SANFORD JACKSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","2 patients","1 ","1","PN-3B " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","7 patients","1 ","1","HF-2 " "241315","SANFORD JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241315","SANFORD JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241315","SANFORD JACKSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1 ","1","PN-5C " "241315","SANFORD JACKSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","3 patients","1 ","1","PN-7 " "241315","SANFORD JACKSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241315","SANFORD JACKSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241315","SANFORD JACKSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "241316","BIGFORK VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241316","BIGFORK VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241316","BIGFORK VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241316","BIGFORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","57 patients",,,"SCIP-INF-1 " "241316","BIGFORK VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","9 patients","1 ","1","PN-7 " "241316","BIGFORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241316","BIGFORK VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "241316","BIGFORK VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241316","BIGFORK VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","11 patients","1 ","1","PN-2 " "241316","BIGFORK VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1 ","1","PN-5C " "241316","BIGFORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","56 patients",,,"SCIP-INF-3 " "241316","BIGFORK VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241316","BIGFORK VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","7 patients","1 ","1","PN-6 " "241316","BIGFORK VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients",,,"HF-1 " "241316","BIGFORK VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","8 patients","1 ","1","HF-2 " "241316","BIGFORK VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "241316","BIGFORK VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241316","BIGFORK VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241316","BIGFORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","28 patients",,,"SCIP-VTE-1 " "241316","BIGFORK VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241316","BIGFORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","56 patients",,,"SCIP-INF-2 " "241316","BIGFORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "241316","BIGFORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","61 patients",,,"SCIP-INF-6 " "241316","BIGFORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","28 patients",,,"SCIP-VTE-2 " "241316","BIGFORK VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,3 ","13","SCIP-INF-3 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","13 patients","1,3 ","13","HF-1 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","13 patients","1,3 ","13","HF-2 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","10 patients","1 ","1","PN-7 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1,3 ","13","SCIP-VTE-1 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","33%","3 patients","1,3 ","13","SCIP-INF-2 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","8 patients","1 ","1","PN-6 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-1 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1,3 ","13","SCIP-VTE-2 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","17 patients","1 ","1","PN-2 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1,3 ","13","HF-3 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","17 patients","1 ","1","PN-5C " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241318","ELY BLOOMENSON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","16 patients","1 ","1","SCIP-VTE-2 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","49 patients",,,"SCIP-INF-2 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","12 patients","1 ","1","HF-2 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1 ","1","HF-1 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,3 ","13","PN-5C " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","78%","55 patients",,,"SCIP-INF-6 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","49 patients",,,"SCIP-INF-1 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","16 patients","1 ","1","SCIP-VTE-1 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1 ","1","PN-6 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","10 patients","1 ","1","PN-7 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","49 patients",,,"SCIP-INF-3 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","12 patients","1 ","1","PN-2 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241319","MURRAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "241320","RIVERVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","37 patients",,,"PN-2 " "241320","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","15 patients","1 ","1","SCIP-VTE-1 " "241320","RIVERVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1,3 ","13","AMI-5 " "241320","RIVERVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "241320","RIVERVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "241320","RIVERVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","21 patients","1 ","1","HF-1 " "241320","RIVERVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "241320","RIVERVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241320","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","32 patients",,,"SCIP-INF-6 " "241320","RIVERVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","38 patients",,,"HF-2 " "241320","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241320","RIVERVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "241320","RIVERVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","26 patients",,,"PN-7 " "241320","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1 ","1","SCIP-CARD-2 " "241320","RIVERVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","25 patients",,,"PN-6 " "241320","RIVERVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","28 patients",,,"PN-5C " "241320","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","28 patients",,,"SCIP-INF-1 " "241320","RIVERVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","14 patients","1 ","1","PN-3B " "241320","RIVERVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "241320","RIVERVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241320","RIVERVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241320","RIVERVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "241320","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","27 patients",,,"SCIP-INF-3 " "241320","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","14 patients","1 ","1","SCIP-VTE-2 " "241320","RIVERVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","28 patients",,,"SCIP-INF-2 " "241321","HOLY TRINITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241321","HOLY TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "241321","HOLY TRINITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "241321","HOLY TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1,3 ","13","SCIP-VTE-2 " "241321","HOLY TRINITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","6 patients","1,3 ","13","PN-2 " "241321","HOLY TRINITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "241321","HOLY TRINITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","5 patients","1,3 ","13","HF-2 " "241321","HOLY TRINITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "241321","HOLY TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241321","HOLY TRINITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "241321","HOLY TRINITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241321","HOLY TRINITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "241321","HOLY TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241321","HOLY TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,3 ","13","SCIP-VTE-1 " "241321","HOLY TRINITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241321","HOLY TRINITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "241321","HOLY TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "241321","HOLY TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "241321","HOLY TRINITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1,3 ","13","HF-1 " "241321","HOLY TRINITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","5 patients","1,3 ","13","PN-7 " "241321","HOLY TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "241321","HOLY TRINITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,3 ","13","PN-5C " "241321","HOLY TRINITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241321","HOLY TRINITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "241321","HOLY TRINITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "241322","RAINY LAKE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "241322","RAINY LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "241322","RAINY LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "241322","RAINY LAKE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","16 patients","1 ","1","PN-7 " "241322","RAINY LAKE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","AMI-4 " "241322","RAINY LAKE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","13 patients","1,3 ","13","PN-6 " "241322","RAINY LAKE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "241322","RAINY LAKE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","71%","7 patients","1,3 ","13","PN-3B " "241322","RAINY LAKE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","14%","7 patients","1,3 ","13","HF-1 " "241322","RAINY LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "241322","RAINY LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "241322","RAINY LAKE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1,3 ","13","AMI-2 " "241322","RAINY LAKE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","19 patients","1,3 ","13","PN-2 " "241322","RAINY LAKE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "241322","RAINY LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241322","RAINY LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "241322","RAINY LAKE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241322","RAINY LAKE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1,3 ","13","PN-4 " "241322","RAINY LAKE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "241322","RAINY LAKE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241322","RAINY LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "241322","RAINY LAKE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "241322","RAINY LAKE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","9 patients","1,3 ","13","HF-2 " "241322","RAINY LAKE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","16 patients","1,3 ","13","PN-5C " "241322","RAINY LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241323","MADELIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241323","MADELIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "241323","MADELIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "241323","MADELIA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,3 ","13","PN-3B " "241323","MADELIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "241323","MADELIA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","5 patients","1,3 ","13","PN-2 " "241323","MADELIA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","10 patients","1,3 ","13","PN-6 " "241323","MADELIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241323","MADELIA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1,3 ","13","PN-7 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1,3 ","13","HF-1 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241323","MADELIA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "241323","MADELIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,3 ","13","SCIP-VTE-2 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","5 patients","1,3 ","13","HF-2 " "241323","MADELIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241323","MADELIA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241323","MADELIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,3 ","13","SCIP-VTE-1 " "241323","MADELIA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1,3 ","13","PN-5C " "241325","CHIPPEWA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "241325","CHIPPEWA COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","12 patients","1,3 ","13","PN-2 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241325","CHIPPEWA COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","67%","3 patients","1,3 ","13","PN-5C " "241325","CHIPPEWA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241325","CHIPPEWA COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","2 patients","1,3 ","13","PN-6 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","3 patients","1,3 ","13","HF-2 " "241325","CHIPPEWA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241325","CHIPPEWA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241325","CHIPPEWA COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","10 patients","1,3 ","13","PN-7 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241325","CHIPPEWA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241325","CHIPPEWA COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","25%","4 patients","1,3 ","13","PN-3B " "241325","CHIPPEWA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "241325","CHIPPEWA COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1,3 ","13","PN-4 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1,3 ","13","HF-1 " "241325","CHIPPEWA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241325","CHIPPEWA COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241325","CHIPPEWA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","5 patients","1 ","1","SCIP-VTE-2 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","19 patients","1 ","1","PN-2 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","78%","9 patients","1 ","1","SCIP-INF-6 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","13 patients","1 ","1","PN-6 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","19 patients","1 ","1","HF-2 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","5 patients","1 ","1","HF-3 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1 ","1","SCIP-INF-2 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","8 patients","1 ","1","SCIP-INF-3 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","12 patients","1 ","1","PN-7 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","5 patients","1 ","1","SCIP-VTE-1 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","PN-4 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","12 patients","1 ","1","HF-1 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","56%","9 patients","1 ","1","SCIP-INF-1 " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","21 patients","1 ","1","PN-5C " "241326","LONG PRAIRIE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1,3 ","13","HF-1 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,3 ","13","PN-3B " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","11 patients","1,3 ","13","PN-6 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","31%","13 patients","1,3 ","13","PN-2 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1,3 ","13","PN-5C " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","5 patients","1,3 ","13","HF-2 " "241327","SLEEPY EYE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "241329","LAKEWOOD HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "241329","LAKEWOOD HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241329","LAKEWOOD HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241329","LAKEWOOD HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","22 patients","1 ","1","PN-3B " "241329","LAKEWOOD HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","40 patients",,,"PN-5C " "241329","LAKEWOOD HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "241329","LAKEWOOD HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","29 patients",,,"SCIP-VTE-1 " "241329","LAKEWOOD HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","77 patients",,,"SCIP-INF-2 " "241329","LAKEWOOD HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241329","LAKEWOOD HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","20 patients","1 ","1","HF-1 " "241329","LAKEWOOD HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","18 patients","1 ","1","PN-6 " "241329","LAKEWOOD HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241329","LAKEWOOD HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","33 patients",,,"HF-2 " "241329","LAKEWOOD HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","77%","77 patients",,,"SCIP-INF-1 " "241329","LAKEWOOD HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","52%","25 patients",,,"PN-7 " "241329","LAKEWOOD HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","76 patients",,,"SCIP-INF-3 " "241329","LAKEWOOD HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "241329","LAKEWOOD HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","28%","39 patients",,,"PN-2 " "241329","LAKEWOOD HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","HF-4 " "241329","LAKEWOOD HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "241329","LAKEWOOD HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "241329","LAKEWOOD HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241329","LAKEWOOD HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "241329","LAKEWOOD HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","29 patients",,,"SCIP-VTE-2 " "241329","LAKEWOOD HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","76 patients",,,"SCIP-INF-6 " "241331","ALBANY AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241331","ALBANY AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "241331","ALBANY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "241331","ALBANY AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "241331","ALBANY AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "241331","ALBANY AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1 ","1","PN-7 " "241331","ALBANY AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","18 patients","1 ","1","PN-6 " "241331","ALBANY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241331","ALBANY AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","48%","21 patients","1 ","1","HF-2 " "241331","ALBANY AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","15 patients","1 ","1","PN-2 " "241331","ALBANY AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241331","ALBANY AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241331","ALBANY AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241331","ALBANY AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241331","ALBANY AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","14 patients","1 ","1","PN-5C " "241331","ALBANY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "241331","ALBANY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","2 patients","1,3 ","13","SCIP-INF-6 " "241331","ALBANY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "241331","ALBANY AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "241331","ALBANY AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","19 patients","1 ","1","HF-1 " "241331","ALBANY AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241331","ALBANY AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241331","ALBANY AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "241331","ALBANY AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241331","ALBANY AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241332","WINDOM AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241332","WINDOM AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241332","WINDOM AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241332","WINDOM AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241332","WINDOM AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241332","WINDOM AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241332","WINDOM AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,2,3 ","123","PN-3B " "241332","WINDOM AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "241332","WINDOM AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "241332","WINDOM AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","16 patients","1,2 ","12","PN-7 " "241332","WINDOM AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","PN-4 " "241332","WINDOM AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "241332","WINDOM AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241332","WINDOM AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241332","WINDOM AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "241332","WINDOM AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","57%","21 patients","1,3 ","13","HF-2 " "241332","WINDOM AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241332","WINDOM AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1,2,3 ","123","PN-5C " "241332","WINDOM AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","16 patients","1,3 ","13","HF-1 " "241332","WINDOM AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1,2,3 ","123","PN-6 " "241332","WINDOM AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241332","WINDOM AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "241332","WINDOM AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","16 patients","1,2,3 ","123","PN-2 " "241332","WINDOM AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241332","WINDOM AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","25%","8 patients","1 ","1","HF-2 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1 ","1","PN-7 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","60%","5 patients","1 ","1","PN-5C " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1 ","1","HF-1 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","7 patients","1 ","1","PN-2 " "241333","ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","25 patients",,,"PN-7 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","27 patients",,,"PN-2 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","13 patients","1,3 ","13","HF-2 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","9 patients","1,3 ","13","HF-1 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","23 patients","1 ","1","PN-6 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","35 patients",,,"PN-5C " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","25 patients",,,"PN-3B " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241334","RIVER'S EDGE HOSPITAL & CLINIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241335","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","25 patients",,,"SCIP-INF-3 " "241335","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","20 patients","1 ","1","SCIP-VTE-1 " "241335","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","15 patients","1 ","1","PN-2 " "241335","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","25 patients",,,"SCIP-INF-2 " "241335","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "241335","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241335","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "241335","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "241335","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "241335","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "241335","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "241335","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241335","ST ELIZABETH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","42%","12 patients","1 ","1","HF-1 " "241335","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241335","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","25 patients",,,"SCIP-INF-1 " "241335","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","8 patients","1 ","1","PN-3B " "241335","ST ELIZABETH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "241335","ST ELIZABETH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","17 patients","1 ","1","HF-2 " "241335","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "241335","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","20 patients","1 ","1","SCIP-VTE-2 " "241335","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1 ","1","PN-5C " "241335","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241335","ST ELIZABETH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241335","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients",,,"SCIP-INF-6 " "241335","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241336","KITTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241336","KITTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241336","KITTSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "241336","KITTSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "241336","KITTSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "241336","KITTSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241336","KITTSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241336","KITTSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "241336","KITTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241336","KITTSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "241336","KITTSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241336","KITTSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "241336","KITTSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "241336","KITTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241336","KITTSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241336","KITTSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "241336","KITTSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "241336","KITTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241336","KITTSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241336","KITTSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241336","KITTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241336","KITTSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "241336","KITTSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241336","KITTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241336","KITTSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","7 patients","1,3 ","13","PN-5C " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","13 patients","1,3 ","13","SCIP-INF-3 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1,3 ","13","HF-1 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","14 patients","1,3 ","13","SCIP-INF-6 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","11 patients","1,3 ","13","SCIP-VTE-1 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","13 patients","1,3 ","13","SCIP-INF-1 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","11 patients","1,3 ","13","SCIP-VTE-2 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1,3 ","13","PN-7 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1,3 ","13","PN-6 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","3 patients","1,3 ","13","HF-2 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1,3 ","13","PN-2 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","13 patients","1,3 ","13","SCIP-INF-2 " "241338","LAKE CITY MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241342","ORTONVILLE AREA HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "241342","ORTONVILLE AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","3 patients","1,3 ","13","SCIP-VTE-2 " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "241342","ORTONVILLE AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "241342","ORTONVILLE AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","3 patients","1,3 ","13","SCIP-VTE-1 " "241342","ORTONVILLE AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","14 patients","1 ","1","HF-2 " "241342","ORTONVILLE AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "241342","ORTONVILLE AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "241342","ORTONVILLE AREA HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","13 patients","1 ","1","PN-2 " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "241342","ORTONVILLE AREA HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","5 patients","1 ","1","PN-7 " "241342","ORTONVILLE AREA HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","12 patients","1 ","1","PN-6 " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241342","ORTONVILLE AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","33%","3 patients","1,3 ","13","SCIP-INF-1 " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","4 patients","1 ","1","HF-4 " "241342","ORTONVILLE AREA HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","9 patients","1 ","1","PN-5C " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","12 patients","1 ","1","HF-1 " "241342","ORTONVILLE AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","64%","11 patients","1 ","1","AMI-2 " "241342","ORTONVILLE AREA HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "241342","ORTONVILLE AREA HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","12 patients","1 ","1","AMI-5 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1 ","1","HF-1 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","24 patients","1 ","1","PN-6 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","38 patients",,,"PN-2 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","26 patients",,,"PN-7 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","17 patients","1 ","1","HF-2 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","30 patients",,,"PN-5C " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "241343","MUNICIPAL HOSPITAL AND GRANITE MANOR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241344","LIFECARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241344","LIFECARE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","33 patients",,,"PN-6 " "241344","LIFECARE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241344","LIFECARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241344","LIFECARE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "241344","LIFECARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241344","LIFECARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241344","LIFECARE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "241344","LIFECARE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","36 patients",,,"PN-2 " "241344","LIFECARE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241344","LIFECARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241344","LIFECARE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "241344","LIFECARE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241344","LIFECARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241344","LIFECARE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "241344","LIFECARE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","21 patients","1 ","1","HF-1 " "241344","LIFECARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241344","LIFECARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241344","LIFECARE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","33 patients",,,"HF-2 " "241344","LIFECARE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241344","LIFECARE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","25 patients",,,"PN-7 " "241344","LIFECARE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241344","LIFECARE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","38 patients",,,"PN-5C " "241344","LIFECARE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241344","LIFECARE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","13 patients","1 ","1","PN-5C " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","HF-3 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","13 patients","1 ","1","PN-2 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","HF-4 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","16 patients","1,2 ","12","HF-1 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1 ","1","PN-7 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241345","WASECA MEDICAL CENTER-MAYO HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","19 patients","1,2 ","12","HF-2 " "241346","CANNON FALLS MED CTR MAYO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","25 patients",,,"PN-2 " "241346","CANNON FALLS MED CTR MAYO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "241346","CANNON FALLS MED CTR MAYO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "241346","CANNON FALLS MED CTR MAYO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","22 patients","1 ","1","PN-5C " "241346","CANNON FALLS MED CTR MAYO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "241346","CANNON FALLS MED CTR MAYO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "241346","CANNON FALLS MED CTR MAYO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241346","CANNON FALLS MED CTR MAYO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","23 patients","1 ","1","SCIP-INF-2 " "241346","CANNON FALLS MED CTR MAYO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241346","CANNON FALLS MED CTR MAYO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "241346","CANNON FALLS MED CTR MAYO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241346","CANNON FALLS MED CTR MAYO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","17 patients","1 ","1","SCIP-VTE-2 " "241346","CANNON FALLS MED CTR MAYO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","23 patients","1 ","1","SCIP-INF-1 " "241346","CANNON FALLS MED CTR MAYO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241346","CANNON FALLS MED CTR MAYO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","17 patients","1 ","1","SCIP-VTE-1 " "241346","CANNON FALLS MED CTR MAYO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241346","CANNON FALLS MED CTR MAYO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241346","CANNON FALLS MED CTR MAYO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241346","CANNON FALLS MED CTR MAYO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","23 patients","1 ","1","SCIP-INF-3 " "241346","CANNON FALLS MED CTR MAYO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "241346","CANNON FALLS MED CTR MAYO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","10 patients","1 ","1","HF-1 " "241346","CANNON FALLS MED CTR MAYO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "241346","CANNON FALLS MED CTR MAYO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","23 patients","1 ","1","HF-2 " "241346","CANNON FALLS MED CTR MAYO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","13 patients","1 ","1","PN-6 " "241346","CANNON FALLS MED CTR MAYO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "241347","SANFORD CANBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241347","SANFORD CANBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","10 patients","1,3 ","13","SCIP-INF-6 " "241347","SANFORD CANBY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","7 patients","1 ","1","PN-6 " "241347","SANFORD CANBY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "241347","SANFORD CANBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","29%","7 patients","1,3 ","13","SCIP-INF-2 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","8 patients","1 ","1","HF-1 " "241347","SANFORD CANBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1,3 ","13","SCIP-INF-1 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","18 patients","1 ","1","HF-2 " "241347","SANFORD CANBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","8 patients","1,3 ","13","SCIP-VTE-2 " "241347","SANFORD CANBY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241347","SANFORD CANBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1,3 ","13","SCIP-INF-3 " "241347","SANFORD CANBY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","16 patients","1 ","1","PN-7 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","HF-3 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241347","SANFORD CANBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241347","SANFORD CANBY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","8 patients","1,3 ","13","SCIP-VTE-1 " "241347","SANFORD CANBY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1 ","1","PN-5C " "241347","SANFORD CANBY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","23 patients","1 ","1","PN-2 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241347","SANFORD CANBY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","15 patients","1 ","1","HF-1 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1 ","1","PN-5C " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","7 patients","1 ","1","HF-3 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","30 patients",,,"SCIP-VTE-1 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","56 patients",,,"SCIP-INF-1 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","53 patients",,,"SCIP-INF-6 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1 ","1","SCIP-CARD-2 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","56 patients",,,"SCIP-INF-3 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","13 patients","1 ","1","PN-6 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","24 patients","1 ","1","HF-2 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","21 patients","1 ","1","PN-2 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","30 patients",,,"SCIP-VTE-2 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","56 patients",,,"SCIP-INF-2 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","15 patients","1 ","1","PN-7 " "241349","PAYNESVILLE AREA HEALTH CARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","48 patients","3 ","3","SCIP-INF-1 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","18 patients","1 ","1","PN-7 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,3 ","13","PN-4 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,3 ","13","AMI-1 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","17 patients","1,3 ","13","PN-5C " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","27 patients","3 ","3","SCIP-VTE-2 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","27 patients","3 ","3","SCIP-VTE-1 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","16 patients","1,3 ","13","PN-3B " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1,3 ","13","HF-4 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","47 patients","3 ","3","SCIP-INF-3 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","22 patients","1,3 ","13","HF-1 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","18 patients","1,3 ","13","PN-2 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","48 patients","3 ","3","SCIP-INF-6 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1,3 ","13","HF-3 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","14 patients","1,3 ","13","PN-6 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","27 patients","3 ","3","HF-2 " "241350","MERCY HOSPITAL & HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","48 patients","3 ","3","SCIP-INF-2 " "241351","REDWOOD AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "241351","REDWOOD AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","8 patients","1,3 ","13","SCIP-INF-6 " "241351","REDWOOD AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "241351","REDWOOD AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241351","REDWOOD AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","21 patients","1 ","1","PN-2 " "241351","REDWOOD AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "241351","REDWOOD AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "241351","REDWOOD AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","57%","7 patients","1,3 ","13","SCIP-VTE-1 " "241351","REDWOOD AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","21 patients","1 ","1","PN-5C " "241351","REDWOOD AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241351","REDWOOD AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","4 patients","1,3 ","13","SCIP-INF-2 " "241351","REDWOOD AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","33%","6 patients","1,3 ","13","SCIP-INF-1 " "241351","REDWOOD AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "241351","REDWOOD AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241351","REDWOOD AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241351","REDWOOD AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","4 patients","1 ","1","HF-1 " "241351","REDWOOD AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","7 patients","1,3 ","13","SCIP-VTE-2 " "241351","REDWOOD AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,3 ","13","SCIP-CARD-2 " "241351","REDWOOD AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241351","REDWOOD AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","12 patients","1 ","1","PN-7 " "241351","REDWOOD AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","13 patients","1 ","1","HF-2 " "241351","REDWOOD AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241351","REDWOOD AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,3 ","13","SCIP-INF-3 " "241351","REDWOOD AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","11 patients","1 ","1","PN-6 " "241351","REDWOOD AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","14 patients","1 ","1","PN-3B " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","9 patients","1 ","1","HF-1 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","6 patients","1 ","1","PN-5C " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","16 patients","1 ","1","HF-2 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","16 patients","1 ","1","PN-7 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","10 patients","1 ","1","PN-6 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","22 patients","1 ","1","PN-2 " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "241352","SPRINGFIELD MEDICAL CENTER MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","31 patients",,,"PN-5C " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","HF-4 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","39 patients",,,"PN-2 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1,3 ","13","AMI-5 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","14 patients","1 ","1","HF-3 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","19 patients","1 ","1","PN-6 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","12%","26 patients",,,"PN-7 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1 ","1","PN-3B " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","8 patients","1,3 ","13","AMI-2 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1,3 ","13","AMI-1 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241353","CUYUNA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","30 patients",,,"HF-1 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","44%","9 patients","1 ","1","PN-4 " "241353","CUYUNA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","39 patients",,,"HF-2 " "241354","TRI COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241354","TRI COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","46%","26 patients",,,"SCIP-VTE-1 " "241354","TRI COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","56 patients",,,"HF-2 " "241354","TRI COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","82 patients",,,"SCIP-INF-6 " "241354","TRI COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","58%","40 patients",,,"SCIP-INF-3 " "241354","TRI COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","41 patients",,,"SCIP-INF-2 " "241354","TRI COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","42%","26 patients",,,"SCIP-VTE-2 " "241354","TRI COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "241354","TRI COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","47 patients",,,"PN-6 " "241354","TRI COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "241354","TRI COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "241354","TRI COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "241354","TRI COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","73%","26 patients",,,"PN-3B " "241354","TRI COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","PN-4 " "241354","TRI COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","44 patients",,,"PN-7 " "241354","TRI COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","45 patients",,,"HF-1 " "241354","TRI COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","59 patients",,,"PN-2 " "241354","TRI COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "241354","TRI COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","41 patients",,,"SCIP-INF-1 " "241354","TRI COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241354","TRI COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "241354","TRI COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","86 patients",,,"PN-5C " "241354","TRI COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "241354","TRI COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "241354","TRI COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","18 patients","1 ","1","HF-1 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","9 patients","1 ","1","SCIP-CARD-2 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","8 patients","1 ","1","HF-3 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","72 patients",,,"SCIP-INF-1 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","22 patients","1 ","1","SCIP-VTE-1 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","34 patients",,,"HF-2 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","77 patients",,,"SCIP-INF-6 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","8 patients","1 ","1","PN-7 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241355","GLENCOE REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","22 patients","1 ","1","SCIP-VTE-2 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","15 patients","1 ","1","PN-5C " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","72 patients",,,"SCIP-INF-3 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","13 patients","1 ","1","PN-2 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241355","GLENCOE REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","72 patients",,,"SCIP-INF-2 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","12 patients","1 ","1","PN-6 " "241355","GLENCOE REGIONAL HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "241356","MILLE LACS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1,3 ","13","SCIP-INF-6 " "241356","MILLE LACS HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","11 patients","1,3 ","13","PN-5C " "241356","MILLE LACS HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241356","MILLE LACS HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "241356","MILLE LACS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241356","MILLE LACS HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241356","MILLE LACS HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "241356","MILLE LACS HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1,3 ","13","HF-3 " "241356","MILLE LACS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241356","MILLE LACS HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,3 ","13","PN-3B " "241356","MILLE LACS HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","7 patients","1,3 ","13","PN-6 " "241356","MILLE LACS HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","15 patients","1 ","1","PN-7 " "241356","MILLE LACS HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","10 patients","1,3 ","13","PN-2 " "241356","MILLE LACS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","6 patients","1,3 ","13","SCIP-VTE-2 " "241356","MILLE LACS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","8 patients","1,3 ","13","SCIP-INF-3 " "241356","MILLE LACS HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1,3 ","13","PN-4 " "241356","MILLE LACS HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "241356","MILLE LACS HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241356","MILLE LACS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","6 patients","1,3 ","13","SCIP-VTE-1 " "241356","MILLE LACS HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","22 patients","1,3 ","13","HF-2 " "241356","MILLE LACS HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","19 patients","1,3 ","13","HF-1 " "241356","MILLE LACS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","8 patients","1,3 ","13","SCIP-INF-2 " "241356","MILLE LACS HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241356","MILLE LACS HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "241356","MILLE LACS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","8 patients","1,3 ","13","SCIP-INF-1 " "241357","FIRST CARE MEDICAL SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "241357","FIRST CARE MEDICAL SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "241357","FIRST CARE MEDICAL SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241357","FIRST CARE MEDICAL SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1,2 ","12","PN-3B " "241357","FIRST CARE MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241357","FIRST CARE MEDICAL SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "241357","FIRST CARE MEDICAL SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "241357","FIRST CARE MEDICAL SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","7 patients","1 ","1","SCIP-VTE-2 " "241357","FIRST CARE MEDICAL SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "241357","FIRST CARE MEDICAL SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","21 patients","1,2 ","12","PN-5C " "241357","FIRST CARE MEDICAL SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","16 patients","1,2 ","12","PN-7 " "241357","FIRST CARE MEDICAL SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "241357","FIRST CARE MEDICAL SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "241357","FIRST CARE MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","17 patients","1 ","1","SCIP-INF-2 " "241357","FIRST CARE MEDICAL SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241357","FIRST CARE MEDICAL SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","21 patients","1 ","1","HF-2 " "241357","FIRST CARE MEDICAL SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "241357","FIRST CARE MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","16 patients","1 ","1","SCIP-INF-1 " "241357","FIRST CARE MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","19 patients","1 ","1","SCIP-INF-6 " "241357","FIRST CARE MEDICAL SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","7 patients","1 ","1","SCIP-VTE-1 " "241357","FIRST CARE MEDICAL SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1,2 ","12","PN-6 " "241357","FIRST CARE MEDICAL SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","PN-4 " "241357","FIRST CARE MEDICAL SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","9 patients","1 ","1","HF-1 " "241357","FIRST CARE MEDICAL SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","23 patients","1,2 ","12","PN-2 " "241357","FIRST CARE MEDICAL SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","16 patients","1 ","1","SCIP-INF-3 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","19 patients","1 ","1","PN-2 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","22 patients","1 ","1","HF-2 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","15 patients","1 ","1","HF-1 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","13 patients","1 ","1","PN-6 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","56 patients",,,"SCIP-INF-1 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","56 patients",,,"SCIP-INF-3 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","16 patients","1 ","1","PN-3B " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1 ","1","PN-7 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","24 patients","1 ","1","PN-5C " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","56 patients",,,"SCIP-INF-2 " "241359","AVERA MARSHALL REGIONAL MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "241360","DEER RIVER HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1 ","1","PN-5C " "241360","DEER RIVER HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","24 patients","1 ","1","PN-6 " "241360","DEER RIVER HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","9 patients","1 ","1","SCIP-INF-1 " "241360","DEER RIVER HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","62%","8 patients","1 ","1","SCIP-INF-2 " "241360","DEER RIVER HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","26 patients",,,"PN-2 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "241360","DEER RIVER HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","9 patients","1 ","1","PN-3B " "241360","DEER RIVER HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "241360","DEER RIVER HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","38 patients",,,"HF-2 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "241360","DEER RIVER HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","8 patients","1 ","1","SCIP-VTE-2 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241360","DEER RIVER HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","8 patients","1 ","1","SCIP-VTE-1 " "241360","DEER RIVER HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","58%","12 patients","1 ","1","PN-4 " "241360","DEER RIVER HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","15 patients","1 ","1","PN-7 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","47%","34 patients",,,"HF-1 " "241360","DEER RIVER HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","8 patients","1 ","1","SCIP-INF-3 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241360","DEER RIVER HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","80%","15 patients","1 ","1","SCIP-INF-6 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241360","DEER RIVER HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241360","DEER RIVER HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241361","QUEEN OF PEACE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","45 patients",,,"PN-5C " "241361","QUEEN OF PEACE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","53 patients",,,"SCIP-VTE-2 " "241361","QUEEN OF PEACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","120 patients",,,"SCIP-INF-2 " "241361","QUEEN OF PEACE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "241361","QUEEN OF PEACE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","43 patients",,,"PN-2 " "241361","QUEEN OF PEACE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","53 patients",,,"SCIP-VTE-1 " "241361","QUEEN OF PEACE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "241361","QUEEN OF PEACE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","40 patients",,,"PN-3B " "241361","QUEEN OF PEACE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","19 patients","1 ","1","HF-1 " "241361","QUEEN OF PEACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","143 patients",,,"SCIP-INF-6 " "241361","QUEEN OF PEACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","115 patients",,,"SCIP-INF-3 " "241361","QUEEN OF PEACE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "241361","QUEEN OF PEACE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241361","QUEEN OF PEACE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "241361","QUEEN OF PEACE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","29 patients",,,"PN-7 " "241361","QUEEN OF PEACE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "241361","QUEEN OF PEACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","118 patients",,,"SCIP-INF-1 " "241361","QUEEN OF PEACE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "241361","QUEEN OF PEACE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","33 patients",,,"PN-6 " "241361","QUEEN OF PEACE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","33 patients",,,"HF-2 " "241361","QUEEN OF PEACE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241361","QUEEN OF PEACE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241361","QUEEN OF PEACE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241361","QUEEN OF PEACE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "241361","QUEEN OF PEACE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1,3 ","13","SCIP-CARD-2 " "241362","NEW RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","22 patients","1 ","1","HF-1 " "241362","NEW RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","58 patients","2 ","2","SCIP-INF-3 " "241362","NEW RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "241362","NEW RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241362","NEW RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","46 patients",,,"PN-5C " "241362","NEW RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","23 patients","1 ","1","PN-7 " "241362","NEW RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "241362","NEW RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241362","NEW RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","61 patients","2 ","2","SCIP-INF-2 " "241362","NEW RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241362","NEW RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","69 patients","2 ","2","SCIP-INF-6 " "241362","NEW RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","48 patients",,,"PN-3B " "241362","NEW RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","60 patients","2 ","2","SCIP-INF-1 " "241362","NEW RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "241362","NEW RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "241362","NEW RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","17 patients","1 ","1","PN-4 " "241362","NEW RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","39 patients",,,"PN-2 " "241362","NEW RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","34 patients",,,"HF-2 " "241362","NEW RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241362","NEW RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "241362","NEW RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "241362","NEW RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","22 patients","1,2 ","12","SCIP-VTE-1 " "241362","NEW RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","22 patients","1,2 ","12","SCIP-VTE-2 " "241362","NEW RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","33 patients",,,"PN-6 " "241362","NEW RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "241363","STEVENS COMMUNITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241363","STEVENS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241363","STEVENS COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241364","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","59 patients",,,"PN-5C " "241364","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","73 patients","2 ","2","SCIP-INF-2 " "241364","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","59 patients","2 ","2","SCIP-VTE-1 " "241364","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","102 patients","2 ","2","SCIP-INF-6 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "241364","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","72 patients","2 ","2","SCIP-INF-1 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","20 patients","1 ","1","HF-2 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","13 patients","1 ","1","HF-1 " "241364","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","31 patients",,,"PN-7 " "241364","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1 ","1","PN-3B " "241364","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241364","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "241364","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","53 patients",,,"PN-2 " "241364","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","17 patients","1,2 ","12","SCIP-CARD-2 " "241364","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","46 patients",,,"PN-6 " "241364","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","59 patients","2 ","2","SCIP-VTE-2 " "241364","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","70 patients","2 ","2","SCIP-INF-3 " "241364","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "241365","SWIFT COUNTY BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241365","SWIFT COUNTY BENSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "241365","SWIFT COUNTY BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241365","SWIFT COUNTY BENSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1 ","1","PN-4 " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "241365","SWIFT COUNTY BENSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241365","SWIFT COUNTY BENSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","20 patients","1 ","1","PN-7 " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241365","SWIFT COUNTY BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241365","SWIFT COUNTY BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241365","SWIFT COUNTY BENSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","10 patients","1 ","1","PN-6 " "241365","SWIFT COUNTY BENSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","29 patients",,,"PN-2 " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241365","SWIFT COUNTY BENSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "241365","SWIFT COUNTY BENSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","24 patients","1 ","1","HF-2 " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","HF-4 " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","10 patients","1 ","1","HF-1 " "241365","SWIFT COUNTY BENSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "241365","SWIFT COUNTY BENSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","31 patients",,,"PN-5C " "241365","SWIFT COUNTY BENSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","8 patients","1,3 ","13","SCIP-VTE-2 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1,3 ","13","PN-3B " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","64%","11 patients","1,3 ","13","SCIP-INF-6 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","13 patients","1,3 ","13","PN-2 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","3 patients","1,3 ","13","SCIP-INF-2 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","8 patients","1,3 ","13","SCIP-VTE-1 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","3 patients","1,3 ","13","SCIP-INF-3 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","73%","26 patients","3 ","3","HF-2 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","10 patients","1 ","1","PN-7 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","PN-4 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","4 patients","1,3 ","13","PN-6 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1,3 ","13","PN-5C " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,3 ","13","HF-4 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","33%","3 patients","1,3 ","13","SCIP-INF-1 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","28%","18 patients","1,3 ","13","HF-1 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "241366","MEEKER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241367","KANABEC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","64 patients",,,"PN-5C " "241367","KANABEC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "241367","KANABEC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241367","KANABEC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","45 patients",,,"HF-2 " "241367","KANABEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","58 patients",,,"SCIP-INF-1 " "241367","KANABEC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241367","KANABEC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","56 patients",,,"PN-2 " "241367","KANABEC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241367","KANABEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","62 patients",,,"SCIP-INF-6 " "241367","KANABEC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "241367","KANABEC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","42 patients",,,"SCIP-VTE-1 " "241367","KANABEC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "241367","KANABEC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","39 patients",,,"PN-7 " "241367","KANABEC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","55 patients",,,"PN-6 " "241367","KANABEC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","30 patients",,,"HF-1 " "241367","KANABEC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","6 patients","1 ","1","SCIP-CARD-2 " "241367","KANABEC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241367","KANABEC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241367","KANABEC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","42 patients",,,"SCIP-VTE-2 " "241367","KANABEC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients",,,"PN-3B " "241367","KANABEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241367","KANABEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","58 patients",,,"SCIP-INF-2 " "241367","KANABEC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241367","KANABEC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","58 patients",,,"SCIP-INF-3 " "241367","KANABEC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","8 patients","1 ","1","PN-6 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","PN-4 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","43%","7 patients","1 ","1","HF-2 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","10 patients","1 ","1","SCIP-INF-1 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","21 patients","1 ","1","PN-5C " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1 ","1","SCIP-INF-3 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","20 patients","1 ","1","PN-2 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1 ","1","PN-3B " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","6 patients","1 ","1","HF-1 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1 ","1","PN-7 " "241368","ST MICHAELS HOSPITAL & NURSING HOME","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-2 " "241369","UNITED HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241369","UNITED HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241369","UNITED HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","24 patients","1 ","1","SCIP-INF-1 " "241369","UNITED HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241369","UNITED HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","32 patients",,,"PN-3B " "241369","UNITED HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241369","UNITED HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","32 patients",,,"SCIP-INF-6 " "241369","UNITED HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241369","UNITED HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","13 patients","1 ","1","HF-1 " "241369","UNITED HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","24 patients","1 ","1","SCIP-INF-3 " "241369","UNITED HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","38 patients",,,"PN-2 " "241369","UNITED HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "241369","UNITED HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241369","UNITED HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "241369","UNITED HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","22 patients","1 ","1","HF-2 " "241369","UNITED HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","11 patients","1 ","1","SCIP-VTE-2 " "241369","UNITED HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241369","UNITED HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","25 patients",,,"PN-7 " "241369","UNITED HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","11 patients","1 ","1","SCIP-VTE-1 " "241369","UNITED HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "241369","UNITED HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","24 patients","1 ","1","PN-5C " "241369","UNITED HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "241369","UNITED HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "241369","UNITED HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","24 patients","1 ","1","SCIP-INF-2 " "241369","UNITED HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "241370","ST GABRIELS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","PN-4 " "241370","ST GABRIELS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "241370","ST GABRIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241370","ST GABRIELS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","33 patients",,,"PN-6 " "241370","ST GABRIELS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "241370","ST GABRIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241370","ST GABRIELS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","47 patients",,,"PN-7 " "241370","ST GABRIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","220 patients","2 ","2","SCIP-INF-1 " "241370","ST GABRIELS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241370","ST GABRIELS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","37 patients",,,"PN-3B " "241370","ST GABRIELS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241370","ST GABRIELS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","59 patients",,,"PN-5C " "241370","ST GABRIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","216 patients","2 ","2","SCIP-INF-3 " "241370","ST GABRIELS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "241370","ST GABRIELS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","32 patients",,,"HF-2 " "241370","ST GABRIELS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241370","ST GABRIELS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241370","ST GABRIELS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241370","ST GABRIELS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","21 patients","1 ","1","HF-1 " "241370","ST GABRIELS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "241370","ST GABRIELS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "241370","ST GABRIELS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241370","ST GABRIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","220 patients","2 ","2","SCIP-INF-2 " "241370","ST GABRIELS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","59 patients",,,"PN-2 " "241370","ST GABRIELS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241371","SANFORD HOSPITAL LUVERNE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-2 " "241371","SANFORD HOSPITAL LUVERNE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","11 patients","1 ","1","SCIP-INF-3 " "241371","SANFORD HOSPITAL LUVERNE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "241371","SANFORD HOSPITAL LUVERNE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "241371","SANFORD HOSPITAL LUVERNE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "241371","SANFORD HOSPITAL LUVERNE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","35 patients",,,"PN-5C " "241371","SANFORD HOSPITAL LUVERNE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","18 patients","1 ","1","SCIP-INF-6 " "241371","SANFORD HOSPITAL LUVERNE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241371","SANFORD HOSPITAL LUVERNE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","30 patients",,,"PN-7 " "241371","SANFORD HOSPITAL LUVERNE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","26 patients",,,"HF-2 " "241371","SANFORD HOSPITAL LUVERNE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "241371","SANFORD HOSPITAL LUVERNE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","36 patients",,,"PN-2 " "241371","SANFORD HOSPITAL LUVERNE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-1 " "241371","SANFORD HOSPITAL LUVERNE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241371","SANFORD HOSPITAL LUVERNE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","14 patients","1 ","1","HF-1 " "241371","SANFORD HOSPITAL LUVERNE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","20 patients","1 ","1","PN-6 " "241371","SANFORD HOSPITAL LUVERNE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","11 patients","1 ","1","SCIP-VTE-1 " "241371","SANFORD HOSPITAL LUVERNE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "241371","SANFORD HOSPITAL LUVERNE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","7 patients","1 ","1","PN-3B " "241371","SANFORD HOSPITAL LUVERNE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241371","SANFORD HOSPITAL LUVERNE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","11 patients","1 ","1","SCIP-VTE-2 " "241371","SANFORD HOSPITAL LUVERNE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241371","SANFORD HOSPITAL LUVERNE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "241371","SANFORD HOSPITAL LUVERNE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "241371","SANFORD HOSPITAL LUVERNE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "241372","MADISON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","13 patients","1 ","1","PN-6 " "241372","MADISON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241372","MADISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241372","MADISON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241372","MADISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241372","MADISON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","PN-4 " "241372","MADISON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241372","MADISON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","6 patients","1 ","1","HF-2 " "241372","MADISON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241372","MADISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241372","MADISON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","30%","30 patients",,,"PN-2 " "241372","MADISON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","32 patients",,,"PN-5C " "241372","MADISON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241372","MADISON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241372","MADISON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "241372","MADISON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1 ","1","HF-1 " "241372","MADISON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","HF-3 " "241372","MADISON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241372","MADISON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241372","MADISON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241372","MADISON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "241372","MADISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241372","MADISON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241372","MADISON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","8 patients","1 ","1","PN-7 " "241372","MADISON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","14 patients","1 ","1","SCIP-INF-1 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","73%","15 patients","1 ","1","SCIP-INF-2 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","9 patients","1 ","1","HF-1 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","7 patients","1 ","1","AMI-2 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","25 patients",,,"PN-6 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","8 patients","1 ","1","SCIP-VTE-2 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","8 patients","1 ","1","SCIP-VTE-1 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","16 patients","1 ","1","SCIP-INF-6 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","42 patients",,,"PN-5C " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","21 patients","1 ","1","PN-7 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","14 patients","1 ","1","SCIP-INF-3 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","11 patients","1 ","1","PN-3B " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","46%","13 patients","1 ","1","HF-2 " "241373","PERHAM MEMORIAL HOSPITAL & HOME","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","43 patients",,,"PN-2 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","14 patients","1 ","1","SCIP-VTE-2 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","23 patients","1 ","1","PN-7 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","37 patients",,,"SCIP-INF-6 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","32 patients",,,"SCIP-INF-2 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","14 patients","1 ","1","SCIP-VTE-1 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","22 patients","1 ","1","PN-2 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","17 patients","1 ","1","PN-6 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","17 patients","1 ","1","HF-2 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","10 patients","1 ","1","HF-1 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","33 patients",,,"SCIP-INF-1 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","31 patients",,,"SCIP-INF-3 " "241374","PIPESTONE COUNTY MEDICAL CENTER ASHTON CC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","25 patients",,,"PN-5C " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1,3 ","13","PN-5C " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1,3 ","13","PN-7 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1,3 ","13","PN-2 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241375","MINNESOTA VALLEY HEALTH CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "241376","GLACIAL RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241376","GLACIAL RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241376","GLACIAL RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241376","GLACIAL RIDGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","18 patients","1 ","1","PN-5C " "241376","GLACIAL RIDGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","27%","15 patients","1 ","1","HF-1 " "241376","GLACIAL RIDGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "241376","GLACIAL RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241376","GLACIAL RIDGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","17 patients","1 ","1","PN-6 " "241376","GLACIAL RIDGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "241376","GLACIAL RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241376","GLACIAL RIDGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","19%","32 patients",,,"PN-2 " "241376","GLACIAL RIDGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","6%","17 patients","1 ","1","PN-7 " "241376","GLACIAL RIDGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "241376","GLACIAL RIDGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "241376","GLACIAL RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1,3 ","13","SCIP-INF-6 " "241376","GLACIAL RIDGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","17%","12 patients","1 ","1","PN-4 " "241376","GLACIAL RIDGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "241376","GLACIAL RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241376","GLACIAL RIDGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "241376","GLACIAL RIDGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","9 patients","1 ","1","AMI-2 " "241376","GLACIAL RIDGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","30 patients",,,"HF-2 " "241376","GLACIAL RIDGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241376","GLACIAL RIDGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241376","GLACIAL RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241376","GLACIAL RIDGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "241377","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "241377","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","46 patients",,,"PN-5C " "241377","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "241377","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "241377","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "241377","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","68 patients",,,"PN-2 " "241377","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "241377","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1 ","1","PN-3B " "241377","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "241377","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "241377","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "241377","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","36 patients",,,"PN-6 " "241377","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "241377","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "241377","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "241377","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","53 patients",,,"HF-2 " "241377","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","41 patients",,,"PN-7 " "241377","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","48 patients",,,"HF-1 " "241377","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "241377","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","PN-4 " "241377","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "241377","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "241377","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "241377","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "241377","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "241378","NEW ULM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","102 patients",,,"SCIP-INF-2 " "241378","NEW ULM MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "241378","NEW ULM MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","51 patients",,,"PN-5C " "241378","NEW ULM MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "241378","NEW ULM MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "241378","NEW ULM MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "241378","NEW ULM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","99 patients",,,"SCIP-INF-3 " "241378","NEW ULM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","152 patients",,,"SCIP-INF-6 " "241378","NEW ULM MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","55 patients",,,"HF-2 " "241378","NEW ULM MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","38 patients",,,"PN-7 " "241378","NEW ULM MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","49 patients",,,"PN-3B " "241378","NEW ULM MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "241378","NEW ULM MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","38 patients",,,"SCIP-CARD-2 " "241378","NEW ULM MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "241378","NEW ULM MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "241378","NEW ULM MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","40 patients",,,"PN-6 " "241378","NEW ULM MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "241378","NEW ULM MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","33 patients",,,"HF-1 " "241378","NEW ULM MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "241378","NEW ULM MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "241378","NEW ULM MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","63 patients",,,"PN-2 " "241378","NEW ULM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","102 patients",,,"SCIP-INF-1 " "241378","NEW ULM MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","55 patients",,,"SCIP-VTE-2 " "241378","NEW ULM MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","55 patients",,,"SCIP-VTE-1 " "241378","NEW ULM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1,3 ","13","AMI-5 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","43 patients","3 ","3","SCIP-INF-6 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","25 patients","3 ","3","SCIP-VTE-1 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-1 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","17 patients","1 ","1","PN-4 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","28 patients",,,"HF-1 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-2 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","25 patients","3 ","3","SCIP-VTE-2 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","40 patients",,,"PN-6 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","6 patients","1,3 ","13","SCIP-INF-3 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","52 patients",,,"PN-5C " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","34 patients",,,"HF-2 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","27 patients",,,"PN-7 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","54 patients",,,"PN-2 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241380","ST JOSEPHS AREA HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","37 patients",,,"PN-3B " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "241380","ST JOSEPHS AREA HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241381","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","56%","18 patients","1 ","1","SCIP-CARD-2 " "241381","NORTHWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","45 patients",,,"HF-2 " "241381","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "241381","NORTHWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","PN-4 " "241381","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","117 patients","2 ","2","SCIP-INF-2 " "241381","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "241381","NORTHWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","36%","45 patients",,,"PN-2 " "241381","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","53 patients","2 ","2","SCIP-VTE-1 " "241381","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","125 patients","2 ","2","SCIP-INF-6 " "241381","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","53 patients","2 ","2","SCIP-VTE-2 " "241381","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "241381","NORTHWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","23 patients","1 ","1","HF-1 " "241381","NORTHWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "241381","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "241381","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "241381","NORTHWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","12 patients","1 ","1","PN-3B " "241381","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1,3 ","13","AMI-1 " "241381","NORTHWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","24 patients","1 ","1","PN-6 " "241381","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","120 patients","2 ","2","SCIP-INF-1 " "241381","NORTHWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "241381","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "241381","NORTHWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","37%","30 patients",,,"PN-7 " "241381","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1,3 ","13","AMI-5 " "241381","NORTHWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","54 patients",,,"PN-5C " "241381","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","116 patients","2 ","2","SCIP-INF-3 " "243302","CHILDREN'S HOSPITALS & CLINICS/MPLS","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","280 patients","2 ","2","CAC-2 " "243302","CHILDREN'S HOSPITALS & CLINICS/MPLS","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","23%","280 patients","2 ","2","CAC-3 " "243302","CHILDREN'S HOSPITALS & CLINICS/MPLS","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","99%","280 patients","2 ","2","CAC-1 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","105 patients","2 ","2","SCIP-CARD-2 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","755 patients","2 ","2","SCIP-INF-1 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","168 patients","2 ","2","AMI-4 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","147 patients","2 ","2","HF-4 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","33%","153 patients","2 ","2","CAC-3 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","79 patients","2 ","2","AMI-3 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","755 patients","2 ","2","SCIP-INF-2 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","91 patients","2 ","2","PN-4 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","153 patients","2 ","2","CAC-1 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","51%","78 patients","2 ","2","PN-7 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","472 patients","2 ","2","SCIP-VTE-1 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","257 patients","2 ","2","HF-3 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","732 patients","2 ","2","SCIP-INF-3 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","285 patients","2 ","2","AMI-5 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","153 patients","2 ","2","CAC-2 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","46 patients","2 ","2","PN-6 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","63 patients","2 ","2","PN-2 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","40 patients","2 ","2","AMI-8A " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","464 patients","2 ","2","HF-2 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","110 patients","2 ","2","PN-3B " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","471 patients","2 ","2","SCIP-VTE-2 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","296 patients","2 ","2","AMI-2 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","153 patients","2 ","2","AMI-1 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","113 patients","2 ","2","PN-5C " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","83 patients","2 ","2","SCIP-INF-4 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","444 patients","2 ","2","HF-1 " "250001","UNIVERSITY OF MISSISSIPPI MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","78%","966 patients","2 ","2","SCIP-INF-6 " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","83 patients",,,"HF-2 " "250002","TISHOMINGO HEALTH SERVICES INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","49 patients",,,"PN-7 " "250002","TISHOMINGO HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250002","TISHOMINGO HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","69 patients",,,"HF-1 " "250002","TISHOMINGO HEALTH SERVICES INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","47 patients",,,"PN-5C " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "250002","TISHOMINGO HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "250002","TISHOMINGO HEALTH SERVICES INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","42 patients",,,"PN-6 " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250002","TISHOMINGO HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "250002","TISHOMINGO HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250002","TISHOMINGO HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "250002","TISHOMINGO HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "250002","TISHOMINGO HEALTH SERVICES INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","39 patients",,,"PN-3B " "250002","TISHOMINGO HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250002","TISHOMINGO HEALTH SERVICES INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "250002","TISHOMINGO HEALTH SERVICES INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","57 patients",,,"PN-2 " "250002","TISHOMINGO HEALTH SERVICES INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1288 patients","2 ","2","SCIP-INF-2 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","757 patients",,,"HF-2 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","295 patients",,,"AMI-4 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","145 patients",,,"PN-6 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","159 patients",,,"PN-4 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","376 patients",,,"HF-3 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1259 patients","2 ","2","SCIP-INF-1 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","336 patients","2 ","2","SCIP-VTE-1 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","1228 patients","2 ","2","SCIP-INF-3 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","665 patients",,,"AMI-5 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","243 patients",,,"PN-7 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","396 patients","2 ","2","SCIP-CARD-2 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","68 patients",,,"AMI-8A " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","329 patients","2 ","2","SCIP-VTE-2 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","227 patients",,,"PN-5C " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","688 patients",,,"AMI-2 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","186 patients",,,"AMI-3 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","275 patients",,,"PN-2 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","501 patients","2 ","2","SCIP-INF-4 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","174 patients",,,"HF-4 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1682 patients","2 ","2","SCIP-INF-6 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","659 patients",,,"HF-1 " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","238 patients",,,"PN-3B " "250004","NORTH MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","346 patients",,,"AMI-1 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","94 patients","2 ","2","SCIP-VTE-1 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","95 patients",,,"HF-2 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","14 patients","1,2 ","12","SCIP-CARD-2 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","231 patients","2 ","2","SCIP-INF-6 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","52 patients",,,"PN-5C " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","152 patients","2 ","2","SCIP-INF-2 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","31 patients",,,"PN-3B " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","49 patients",,,"PN-2 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","38 patients",,,"PN-7 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","143 patients","2 ","2","SCIP-INF-3 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","94 patients","2 ","2","SCIP-VTE-2 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","44 patients",,,"PN-6 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","81 patients",,,"HF-1 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","155 patients","2 ","2","SCIP-INF-1 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250006","BAPTIST MEMORIAL HOSPITAL UNION COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","171 patients",,,"HF-1 " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","18 patients","1 ","1","AMI-5 " "250007","BILOXI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","224 patients",,,"SCIP-INF-3 " "250007","BILOXI REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","25 patients",,,"CAC-2 " "250007","BILOXI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","239 patients",,,"SCIP-INF-2 " "250007","BILOXI REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","84%","25 patients",,,"CAC-3 " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250007","BILOXI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","233 patients",,,"SCIP-INF-1 " "250007","BILOXI REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","60 patients",,,"PN-2 " "250007","BILOXI REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","54 patients",,,"PN-7 " "250007","BILOXI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","26 patients",,,"AMI-1 " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","71 patients",,,"HF-3 " "250007","BILOXI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients",,,"SCIP-CARD-2 " "250007","BILOXI REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","106 patients",,,"PN-5C " "250007","BILOXI REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "250007","BILOXI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","361 patients",,,"SCIP-INF-6 " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"HF-4 " "250007","BILOXI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","210 patients",,,"SCIP-VTE-2 " "250007","BILOXI REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","79 patients",,,"PN-6 " "250007","BILOXI REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","25 patients",,,"CAC-1 " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","194 patients",,,"HF-2 " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250007","BILOXI REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "250007","BILOXI REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","210 patients",,,"SCIP-VTE-1 " "250007","BILOXI REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","65 patients",,,"PN-3B " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","339 patients",,,"HF-2 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","94 patients",,,"SCIP-CARD-2 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","120 patients",,,"PN-3B " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","279 patients",,,"HF-1 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"AMI-4 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","40%","10 patients","1 ","1","AMI-7A " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","171 patients",,,"AMI-5 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","101 patients",,,"PN-7 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","153 patients",,,"AMI-1 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","175 patients",,,"AMI-2 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","227 patients",,,"SCIP-VTE-2 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","112 patients",,,"HF-3 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","492 patients",,,"SCIP-INF-2 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","185 patients",,,"PN-5C " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","227 patients",,,"SCIP-VTE-1 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","142 patients",,,"PN-2 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","174 patients",,,"SCIP-INF-4 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","478 patients",,,"SCIP-INF-3 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","488 patients",,,"SCIP-INF-1 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","42 patients",,,"AMI-3 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","655 patients",,,"SCIP-INF-6 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","99 patients",,,"PN-6 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "250009","MAGNOLIA REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","43%","21 patients","1 ","1","AMI-8A " "250010","TIPPAH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250010","TIPPAH COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "250010","TIPPAH COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250010","TIPPAH COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "250010","TIPPAH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250010","TIPPAH COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","26 patients",,,"HF-1 " "250010","TIPPAH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250010","TIPPAH COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "250010","TIPPAH COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","33 patients","3 ","3","PN-5C " "250010","TIPPAH COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","58%","31 patients",,,"PN-6 " "250010","TIPPAH COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","49 patients",,,"PN-7 " "250010","TIPPAH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250010","TIPPAH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250010","TIPPAH COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "250010","TIPPAH COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "250010","TIPPAH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250010","TIPPAH COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "250010","TIPPAH COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","67 patients",,,"PN-2 " "250010","TIPPAH COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","54 patients",,,"PN-3B " "250010","TIPPAH COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"PN-4 " "250010","TIPPAH COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250010","TIPPAH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250010","TIPPAH COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250010","TIPPAH COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","47 patients",,,"HF-2 " "250010","TIPPAH COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1,2 ","12","HF-3 " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "250012","ALLIANCE HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1,3 ","13","PN-5C " "250012","ALLIANCE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250012","ALLIANCE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250012","ALLIANCE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250012","ALLIANCE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "250012","ALLIANCE HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","40 patients","2 ","2","PN-2 " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","50 patients","2 ","2","HF-1 " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,2 ","12","HF-4 " "250012","ALLIANCE HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","31 patients",,,"PN-7 " "250012","ALLIANCE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250012","ALLIANCE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250012","ALLIANCE HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","21 patients","1,2 ","12","PN-3B " "250012","ALLIANCE HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","24 patients","1,2 ","12","PN-6 " "250012","ALLIANCE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","33%","3 patients","1,3 ","13","AMI-1 " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "250012","ALLIANCE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","56%","54 patients","2 ","2","HF-2 " "250012","ALLIANCE HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1,2 ","12","PN-4 " "250012","ALLIANCE HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","HF-4 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","85%","27 patients",,,"AMI-2 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","77%","30 patients",,,"AMI-5 " "250015","GRENADA LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","70 patients","2 ","2","SCIP-INF-3 " "250015","GRENADA LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","72 patients","2 ","2","SCIP-INF-1 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","89 patients",,,"HF-1 " "250015","GRENADA LAKE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","59 patients","2 ","2","PN-5C " "250015","GRENADA LAKE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","PN-4 " "250015","GRENADA LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","133 patients","2 ","2","SCIP-INF-6 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","30 patients",,,"HF-3 " "250015","GRENADA LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250015","GRENADA LAKE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","52 patients","2 ","2","PN-6 " "250015","GRENADA LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","69 patients","2 ","2","SCIP-VTE-2 " "250015","GRENADA LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","72 patients","2 ","2","SCIP-INF-2 " "250015","GRENADA LAKE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","54 patients","2 ","2","PN-3B " "250015","GRENADA LAKE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","122 patients",,,"HF-2 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","39 patients",,,"AMI-1 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "250015","GRENADA LAKE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","46 patients","2 ","2","PN-2 " "250015","GRENADA LAKE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","38 patients","2 ","2","PN-7 " "250015","GRENADA LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","69 patients","2 ","2","SCIP-VTE-1 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "250015","GRENADA LAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","12 patients","1,2 ","12","SCIP-CARD-2 " "250015","GRENADA LAKE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "250017","TRACE REGIONAL HOSP AND SWING BED","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "250017","TRACE REGIONAL HOSP AND SWING BED","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","13 patients","1,3 ","13","PN-5C " "250017","TRACE REGIONAL HOSP AND SWING BED","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "250017","TRACE REGIONAL HOSP AND SWING BED","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","44%","32 patients",,,"PN-7 " "250017","TRACE REGIONAL HOSP AND SWING BED","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","19 patients","1 ","1","PN-6 " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "250017","TRACE REGIONAL HOSP AND SWING BED","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250017","TRACE REGIONAL HOSP AND SWING BED","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "250017","TRACE REGIONAL HOSP AND SWING BED","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","47 patients",,,"PN-2 " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","HF-4 " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "250017","TRACE REGIONAL HOSP AND SWING BED","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","18 patients","1 ","1","HF-1 " "250017","TRACE REGIONAL HOSP AND SWING BED","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","27 patients",,,"PN-3B " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","33 patients",,,"HF-2 " "250017","TRACE REGIONAL HOSP AND SWING BED","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "250017","TRACE REGIONAL HOSP AND SWING BED","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "250017","TRACE REGIONAL HOSP AND SWING BED","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "250017","TRACE REGIONAL HOSP AND SWING BED","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "250017","TRACE REGIONAL HOSP AND SWING BED","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","51 patients","2 ","2","AMI-8A " "250019","MEMORIAL HOSPITAL AT GULFPORT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","233 patients","2 ","2","SCIP-INF-3 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","120 patients","2 ","2","PN-5C " "250019","MEMORIAL HOSPITAL AT GULFPORT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","116 patients","2 ","2","PN-2 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","293 patients","2 ","2","AMI-5 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","46 patients","2 ","2","SCIP-CARD-2 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","409 patients","2 ","2","SCIP-INF-6 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","73 patients","2 ","2","SCIP-INF-4 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","263 patients","2 ","2","SCIP-INF-1 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","81 patients","2 ","2","PN-6 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","73 patients","2 ","2","PN-7 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","306 patients","2 ","2","AMI-2 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","252 patients","2 ","2","HF-1 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","102 patients","2 ","2","HF-3 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","145 patients","2 ","2","SCIP-VTE-1 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","74 patients","2 ","2","PN-3B " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","246 patients","2 ","2","AMI-1 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","54 patients","2 ","2","PN-4 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","160 patients","2 ","2","AMI-4 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","80 patients","2 ","2","HF-4 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","65 patients","2 ","2","AMI-3 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","283 patients","2 ","2","HF-2 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","145 patients","2 ","2","SCIP-VTE-2 " "250019","MEMORIAL HOSPITAL AT GULFPORT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","265 patients","2 ","2","SCIP-INF-2 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","96 patients",,,"PN-2 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","111 patients",,,"PN-5C " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","42 patients",,,"HF-1 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","HF-3 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","77 patients",,,"PN-6 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","47 patients",,,"HF-2 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","35 patients",,,"PN-4 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","73 patients",,,"PN-3B " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","68 patients",,,"PN-7 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "250020","WEBSTER GENERAL HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "250023","PEARL RIVER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "250023","PEARL RIVER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250023","PEARL RIVER COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,2,3 ","123","HF-2 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "250023","PEARL RIVER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","HF-4 " "250023","PEARL RIVER COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,2,3 ","123","PN-2 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "250023","PEARL RIVER COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,2,3 ","123","PN-7 " "250023","PEARL RIVER COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "250023","PEARL RIVER COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "250023","PEARL RIVER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250023","PEARL RIVER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "250023","PEARL RIVER COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "250023","PEARL RIVER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,2,3 ","123","HF-1 " "250023","PEARL RIVER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "250023","PEARL RIVER COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "250023","PEARL RIVER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250025","GILMORE MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","80%","20 patients","1 ","1","CAC-3 " "250025","GILMORE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","77 patients",,,"PN-5C " "250025","GILMORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","11 patients","1 ","1","SCIP-CARD-2 " "250025","GILMORE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "250025","GILMORE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"HF-3 " "250025","GILMORE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250025","GILMORE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","92 patients",,,"HF-2 " "250025","GILMORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","85 patients",,,"SCIP-INF-2 " "250025","GILMORE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "250025","GILMORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250025","GILMORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","150 patients",,,"SCIP-INF-6 " "250025","GILMORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","90 patients",,,"SCIP-VTE-1 " "250025","GILMORE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","57 patients",,,"PN-7 " "250025","GILMORE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","68 patients",,,"HF-1 " "250025","GILMORE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "250025","GILMORE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","59 patients",,,"PN-6 " "250025","GILMORE MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","95%","20 patients","1 ","1","CAC-2 " "250025","GILMORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","89 patients",,,"SCIP-VTE-2 " "250025","GILMORE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "250025","GILMORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","85 patients",,,"SCIP-INF-3 " "250025","GILMORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","85 patients",,,"SCIP-INF-1 " "250025","GILMORE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "250025","GILMORE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","62 patients",,,"PN-3B " "250025","GILMORE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "250025","GILMORE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","72 patients",,,"PN-2 " "250025","GILMORE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "250025","GILMORE MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","20 patients","1 ","1","CAC-1 " "250025","GILMORE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1,3 ","13","HF-1 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","11 patients","1 ","1","PN-7 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1,3 ","13","HF-3 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250027","WINSTON MEDICAL CENTER & SWINGBED","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients",,,"PN-6 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1,3 ","13","HF-4 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","20 patients","1,3 ","13","HF-2 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","28 patients",,,"PN-5C " "250027","WINSTON MEDICAL CENTER & SWINGBED","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","17 patients","1 ","1","PN-3B " "250027","WINSTON MEDICAL CENTER & SWINGBED","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","23 patients","1 ","1","PN-2 " "250027","WINSTON MEDICAL CENTER & SWINGBED","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250031","RIVER REGION HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"AMI-4 " "250031","RIVER REGION HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","423 patients",,,"HF-2 " "250031","RIVER REGION HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","78 patients",,,"PN-4 " "250031","RIVER REGION HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","20 patients","1 ","1","AMI-8A " "250031","RIVER REGION HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","147 patients",,,"AMI-1 " "250031","RIVER REGION HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","150 patients",,,"PN-2 " "250031","RIVER REGION HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","137 patients",,,"AMI-5 " "250031","RIVER REGION HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","34 patients",,,"AMI-3 " "250031","RIVER REGION HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","120 patients",,,"PN-6 " "250031","RIVER REGION HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","39 patients",,,"SCIP-CARD-2 " "250031","RIVER REGION HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","166 patients",,,"HF-3 " "250031","RIVER REGION HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","254 patients",,,"SCIP-VTE-1 " "250031","RIVER REGION HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","115 patients",,,"PN-7 " "250031","RIVER REGION HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","42 patients",,,"SCIP-INF-4 " "250031","RIVER REGION HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","273 patients",,,"SCIP-INF-3 " "250031","RIVER REGION HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","187 patients",,,"PN-5C " "250031","RIVER REGION HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","145 patients",,,"AMI-2 " "250031","RIVER REGION HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","250 patients",,,"SCIP-VTE-2 " "250031","RIVER REGION HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","285 patients",,,"SCIP-INF-2 " "250031","RIVER REGION HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","470 patients",,,"SCIP-INF-6 " "250031","RIVER REGION HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","287 patients",,,"SCIP-INF-1 " "250031","RIVER REGION HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","365 patients",,,"HF-1 " "250031","RIVER REGION HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","149 patients",,,"PN-3B " "250031","RIVER REGION HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"HF-4 " "250031","RIVER REGION HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","40 patients",,,"AMI-3 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","249 patients","2 ","2","SCIP-VTE-2 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","202 patients",,,"AMI-2 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","295 patients",,,"HF-2 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","82 patients","2 ","2","SCIP-CARD-2 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","82%","17 patients","1 ","1","AMI-7A " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","620 patients","2 ","2","SCIP-INF-6 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"HF-4 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","362 patients","2 ","2","SCIP-INF-3 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","191 patients",,,"PN-2 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","237 patients",,,"PN-5C " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","132 patients",,,"PN-4 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","150 patients",,,"AMI-1 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","87 patients","2 ","2","SCIP-INF-4 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","260 patients",,,"HF-1 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","189 patients",,,"AMI-5 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","101 patients",,,"HF-3 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","240 patients",,,"PN-3B " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","158 patients",,,"PN-6 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-8A " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","149 patients",,,"PN-7 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","88 patients",,,"AMI-4 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","405 patients","2 ","2","SCIP-INF-1 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","250 patients","2 ","2","SCIP-VTE-1 " "250034","BAPTIST MEMORIAL HOSPITAL NORTH MS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","77%","401 patients","2 ","2","SCIP-INF-2 " "250036","GEORGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","27%","22 patients","1 ","1","SCIP-VTE-2 " "250036","GEORGE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","13 patients","1,2 ","12","HF-3 " "250036","GEORGE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","21 patients","1 ","1","PN-3B " "250036","GEORGE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "250036","GEORGE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250036","GEORGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","70%","10 patients","1 ","1","SCIP-INF-1 " "250036","GEORGE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","47 patients",,,"PN-7 " "250036","GEORGE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "250036","GEORGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250036","GEORGE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "250036","GEORGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","27%","22 patients","1 ","1","SCIP-VTE-1 " "250036","GEORGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","59%","29 patients",,,"SCIP-INF-6 " "250036","GEORGE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","47%","57 patients",,,"PN-6 " "250036","GEORGE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","57 patients",,,"PN-2 " "250036","GEORGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","73%","11 patients","1 ","1","SCIP-INF-2 " "250036","GEORGE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","44%","9 patients","1,2 ","12","HF-4 " "250036","GEORGE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","52 patients","2 ","2","HF-1 " "250036","GEORGE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","25 patients",,,"PN-4 " "250036","GEORGE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250036","GEORGE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","66 patients","2 ","2","HF-2 " "250036","GEORGE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "250036","GEORGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","10 patients","1 ","1","SCIP-INF-3 " "250036","GEORGE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "250036","GEORGE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "250036","GEORGE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","43 patients","3 ","3","PN-5C " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","100 patients",,,"HF-1 " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "250038","MADISON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","13 patients","1 ","1","SCIP-VTE-1 " "250038","MADISON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "250038","MADISON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-1 " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,3 ","13","AMI-2 " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "250038","MADISON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","30 patients",,,"SCIP-INF-6 " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","108 patients",,,"HF-2 " "250038","MADISON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1,3 ","13","AMI-1 " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250038","MADISON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","15 patients","1 ","1","PN-2 " "250038","MADISON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","13 patients","1 ","1","PN-7 " "250038","MADISON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","32 patients",,,"PN-5C " "250038","MADISON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","71%","7 patients","1,3 ","13","AMI-5 " "250038","MADISON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","26 patients",,,"PN-3B " "250038","MADISON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"HF-3 " "250038","MADISON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","19 patients","1 ","1","SCIP-INF-3 " "250038","MADISON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","13 patients","1 ","1","SCIP-VTE-2 " "250038","MADISON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","20 patients","1 ","1","SCIP-INF-2 " "250038","MADISON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","24 patients","1 ","1","PN-6 " "250040","SINGING RIVER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","73 patients",,,"AMI-3 " "250040","SINGING RIVER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","44 patients",,,"AMI-8A " "250040","SINGING RIVER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","473 patients",,,"HF-1 " "250040","SINGING RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","578 patients","2 ","2","SCIP-VTE-1 " "250040","SINGING RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","686 patients","2 ","2","SCIP-INF-3 " "250040","SINGING RIVER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","129 patients",,,"HF-4 " "250040","SINGING RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","750 patients","2 ","2","SCIP-INF-2 " "250040","SINGING RIVER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","332 patients",,,"PN-5C " "250040","SINGING RIVER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","146 patients","2 ","2","SCIP-CARD-2 " "250040","SINGING RIVER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","172 patients",,,"PN-4 " "250040","SINGING RIVER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","136 patients",,,"AMI-4 " "250040","SINGING RIVER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250040","SINGING RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1121 patients","2 ","2","SCIP-INF-6 " "250040","SINGING RIVER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","295 patients",,,"AMI-2 " "250040","SINGING RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","160 patients","2 ","2","SCIP-INF-4 " "250040","SINGING RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","730 patients","2 ","2","SCIP-INF-1 " "250040","SINGING RIVER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","169 patients",,,"HF-3 " "250040","SINGING RIVER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","277 patients",,,"AMI-5 " "250040","SINGING RIVER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","533 patients",,,"HF-2 " "250040","SINGING RIVER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","205 patients",,,"PN-6 " "250040","SINGING RIVER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","333 patients",,,"PN-3B " "250040","SINGING RIVER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","269 patients",,,"PN-7 " "250040","SINGING RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","577 patients","2 ","2","SCIP-VTE-2 " "250040","SINGING RIVER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","285 patients",,,"AMI-1 " "250040","SINGING RIVER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","297 patients",,,"PN-2 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","27 patients",,,"CAC-3 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","38%","8 patients","1 ","1","AMI-7A " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","321 patients",,,"HF-2 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","25 patients",,,"PN-7 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","40 patients",,,"AMI-5 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","108 patients","2 ","2","SCIP-INF-6 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","26 patients",,,"CAC-2 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","140 patients",,,"HF-3 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","90 patients","2 ","2","SCIP-VTE-1 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","41 patients",,,"AMI-2 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","99 patients","2 ","2","SCIP-INF-3 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","107 patients","2 ","2","SCIP-INF-1 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","39 patients",,,"PN-5C " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","100 patients",,,"HF-4 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","25 patients",,,"PN-3B " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","292 patients",,,"HF-1 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","72 patients",,,"AMI-1 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","64%","11 patients","1 ","1","PN-6 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","90 patients","2 ","2","SCIP-VTE-2 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","27 patients",,,"CAC-1 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1,2 ","12","SCIP-CARD-2 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","108 patients","2 ","2","SCIP-INF-2 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","38 patients",,,"PN-2 " "250042","NW MISSISSIPPI REGIONAL MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","64 patients",,,"HF-2 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","42 patients",,,"PN-6 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","39 patients",,,"PN-2 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","37 patients",,,"PN-7 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","30 patients",,,"PN-3B " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","17 patients","1 ","1","HF-3 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","15 patients","1 ","1","PN-4 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","50 patients",,,"PN-5C " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","51 patients",,,"HF-1 " "250043","NESHOBA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","68 patients",,,"PN-3B " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","63 patients",,,"PN-2 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1 ","1","AMI-5 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","HF-3 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","32 patients",,,"HF-1 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","66 patients",,,"PN-6 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","69 patients",,,"HF-2 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","67 patients",,,"PN-5C " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","44 patients",,,"PN-7 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250044","BAPTIST MEMORIAL HOSPITAL BOONEVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","55 patients","2 ","2","AMI-3 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","287 patients","2 ","2","HF-2 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","103 patients","2 ","2","AMI-4 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","273 patients","2 ","2","AMI-2 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","137 patients","2 ","2","PN-2 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","206 patients","2 ","2","SCIP-VTE-1 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","120 patients","2 ","2","SCIP-INF-4 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","600 patients","2 ","2","SCIP-INF-6 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","425 patients","2 ","2","SCIP-INF-1 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","244 patients","2 ","2","HF-1 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","395 patients","2 ","2","SCIP-INF-3 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","76 patients","2 ","2","SCIP-CARD-2 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","37 patients","2 ","2","AMI-8A " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","436 patients","2 ","2","SCIP-INF-2 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","122 patients","2 ","2","HF-3 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","118 patients","2 ","2","PN-5C " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","110 patients","2 ","2","PN-3B " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","76 patients","2 ","2","PN-6 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","206 patients","2 ","2","SCIP-VTE-2 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","89 patients","2 ","2","PN-7 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","PN-4 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","264 patients","2 ","2","AMI-5 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients","2 ","2","HF-4 " "250048","ST DOMINIC-JACKSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","141 patients","2 ","2","AMI-1 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","38%","80 patients",,,"PN-2 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","45 patients",,,"HF-2 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","HF-3 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","PN-4 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","18%","34 patients",,,"HF-1 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","3 patients","1 ","1","PN-3B " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","66 patients",,,"PN-6 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","52 patients",,,"PN-7 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","37 patients","3 ","3","PN-5C " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250049","S PIKE HOSP ASSC DBA BEACHAM MEMORIAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "250050","OKTIBBEHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients","2 ","2","SCIP-CARD-2 " "250050","OKTIBBEHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","170 patients","2 ","2","SCIP-INF-3 " "250050","OKTIBBEHA COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","75 patients",,,"PN-5C " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1,3 ","13","AMI-2 " "250050","OKTIBBEHA COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","31 patients",,,"PN-4 " "250050","OKTIBBEHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","255 patients","2 ","2","SCIP-INF-6 " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "250050","OKTIBBEHA COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","52 patients",,,"PN-3B " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","AMI-3 " "250050","OKTIBBEHA COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","57 patients",,,"PN-7 " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","69 patients",,,"HF-2 " "250050","OKTIBBEHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","175 patients","2 ","2","SCIP-INF-2 " "250050","OKTIBBEHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250050","OKTIBBEHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","174 patients","2 ","2","SCIP-INF-1 " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "250050","OKTIBBEHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","103 patients","2 ","2","SCIP-VTE-1 " "250050","OKTIBBEHA COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","64 patients",,,"PN-2 " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","HF-3 " "250050","OKTIBBEHA COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","48 patients",,,"PN-6 " "250050","OKTIBBEHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","103 patients","2 ","2","SCIP-VTE-2 " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","59 patients",,,"HF-1 " "250050","OKTIBBEHA COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1,3 ","13","AMI-5 " "250051","KILMICHAEL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250051","KILMICHAEL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "250051","KILMICHAEL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "250051","KILMICHAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250051","KILMICHAEL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","18 patients","1 ","1","PN-5C " "250051","KILMICHAEL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "250051","KILMICHAEL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250051","KILMICHAEL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "250051","KILMICHAEL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "250051","KILMICHAEL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","13 patients","1 ","1","PN-6 " "250051","KILMICHAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250051","KILMICHAEL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "250051","KILMICHAEL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","13%","15 patients","1 ","1","PN-2 " "250051","KILMICHAEL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "250051","KILMICHAEL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","9%","11 patients","1 ","1","PN-7 " "250051","KILMICHAEL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","15 patients","1 ","1","HF-1 " "250051","KILMICHAEL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "250051","KILMICHAEL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "250051","KILMICHAEL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "250051","KILMICHAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250051","KILMICHAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250051","KILMICHAEL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","16 patients","1 ","1","HF-2 " "250051","KILMICHAEL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "250051","KILMICHAEL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250051","KILMICHAEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","54 patients",,,"PN-7 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","66 patients",,,"PN-6 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","84%","31 patients",,,"HF-4 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","82 patients",,,"HF-1 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","70 patients",,,"PN-2 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"PN-4 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","92 patients",,,"PN-5C " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","88 patients","2 ","2","SCIP-INF-3 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","73 patients",,,"PN-3B " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","56 patients","2 ","2","SCIP-VTE-1 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","92 patients","2 ","2","SCIP-INF-1 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","173 patients","2 ","2","SCIP-INF-6 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","112 patients",,,"HF-2 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","56 patients","2 ","2","SCIP-VTE-2 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","40 patients",,,"HF-3 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","23 patients","1 ","1","SCIP-CARD-2 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","94 patients","2 ","2","SCIP-INF-2 " "250057","KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250058","SOUTH CENTRAL REG MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","162 patients",,,"PN-5C " "250058","SOUTH CENTRAL REG MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","224 patients",,,"SCIP-VTE-2 " "250058","SOUTH CENTRAL REG MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","123 patients",,,"HF-3 " "250058","SOUTH CENTRAL REG MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","267 patients",,,"HF-2 " "250058","SOUTH CENTRAL REG MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","29%","7 patients","1 ","1","AMI-3 " "250058","SOUTH CENTRAL REG MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","76%","324 patients",,,"SCIP-INF-2 " "250058","SOUTH CENTRAL REG MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","164 patients",,,"PN-2 " "250058","SOUTH CENTRAL REG MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","34 patients",,,"AMI-2 " "250058","SOUTH CENTRAL REG MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","224 patients",,,"SCIP-VTE-1 " "250058","SOUTH CENTRAL REG MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250058","SOUTH CENTRAL REG MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","229 patients",,,"HF-1 " "250058","SOUTH CENTRAL REG MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","427 patients",,,"SCIP-INF-6 " "250058","SOUTH CENTRAL REG MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","54%","46 patients",,,"SCIP-CARD-2 " "250058","SOUTH CENTRAL REG MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","34 patients",,,"AMI-5 " "250058","SOUTH CENTRAL REG MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","136 patients",,,"PN-6 " "250058","SOUTH CENTRAL REG MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","137 patients",,,"PN-3B " "250058","SOUTH CENTRAL REG MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","76 patients",,,"PN-4 " "250058","SOUTH CENTRAL REG MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","324 patients",,,"SCIP-INF-1 " "250058","SOUTH CENTRAL REG MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"HF-4 " "250058","SOUTH CENTRAL REG MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "250058","SOUTH CENTRAL REG MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","17%","6 patients","1 ","1","AMI-7A " "250058","SOUTH CENTRAL REG MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","125 patients",,,"PN-7 " "250058","SOUTH CENTRAL REG MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250058","SOUTH CENTRAL REG MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","54 patients",,,"AMI-1 " "250058","SOUTH CENTRAL REG MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","318 patients",,,"SCIP-INF-3 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","11%","9 patients","1 ","1","HF-4 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","61 patients",,,"PN-6 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","82 patients",,,"PN-5C " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","15 patients","1 ","1","PN-3B " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","15 patients","1 ","1","HF-3 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","2%","64 patients",,,"HF-1 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","53%","17 patients","1 ","1","PN-4 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","54 patients",,,"PN-2 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,3 ","13","AMI-7A " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","40 patients",,,"PN-7 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","75 patients",,,"HF-2 " "250059","MONTFORT JONES MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "250060","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250060","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250060","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "250060","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","8%","13 patients","1,2 ","12","HF-2 " "250060","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250060","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250060","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","3 patients","1,2 ","12","PN-2 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","HF-4 " "250060","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","2 patients","1,2 ","12","PN-6 " "250060","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,2,3 ","123","AMI-1 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","10 patients","1,2 ","12","HF-1 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "250060","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,2,3 ","123","AMI-2 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "250060","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","2 patients","1,2 ","12","PN-7 " "250060","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","PN-4 " "250060","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,2,3 ","123","AMI-5 " "250060","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,2 ","12","PN-3B " "250060","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250060","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250061","YALOBUSHA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1,2 ","12","HF-4 " "250061","YALOBUSHA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","21 patients","1,2 ","12","PN-7 " "250061","YALOBUSHA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250061","YALOBUSHA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "250061","YALOBUSHA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","21%","38 patients","2 ","2","HF-1 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "250061","YALOBUSHA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","63%","19 patients","1,2 ","12","PN-6 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","52%","61 patients","2 ","2","HF-2 " "250061","YALOBUSHA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250061","YALOBUSHA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250061","YALOBUSHA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","36%","14 patients","1,2 ","12","HF-3 " "250061","YALOBUSHA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250061","YALOBUSHA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1,2 ","12","PN-4 " "250061","YALOBUSHA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","38 patients","2 ","2","PN-2 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "250061","YALOBUSHA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "250061","YALOBUSHA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "250061","YALOBUSHA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","14 patients","1,2,3 ","123","PN-5C " "250067","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","77%","92 patients","2 ","2","SCIP-INF-1 " "250067","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","41 patients",,,"PN-7 " "250067","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","46%","37 patients","2 ","2","SCIP-VTE-2 " "250067","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250067","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "250067","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "250067","CLAY COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","124 patients",,,"HF-2 " "250067","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","100 patients","2 ","2","SCIP-INF-6 " "250067","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250067","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","91 patients","2 ","2","SCIP-INF-2 " "250067","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","66%","90 patients",,,"PN-6 " "250067","CLAY COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","52 patients",,,"HF-3 " "250067","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","58 patients",,,"PN-3B " "250067","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","94 patients",,,"PN-5C " "250067","CLAY COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","22 patients","1 ","1","HF-4 " "250067","CLAY COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","96 patients",,,"HF-1 " "250067","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","89 patients","2 ","2","SCIP-INF-3 " "250067","CLAY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","49%","37 patients","2 ","2","SCIP-VTE-1 " "250067","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "250067","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","PN-4 " "250067","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","54%","13 patients","1 ","1","AMI-5 " "250067","CLAY COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","65 patients",,,"PN-2 " "250067","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250067","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","54%","13 patients","1 ","1","AMI-2 " "250067","CLAY COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","77%","13 patients","1 ","1","AMI-1 " "250069","RUSH FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","217 patients","2 ","2","SCIP-VTE-2 " "250069","RUSH FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","217 patients","2 ","2","SCIP-VTE-1 " "250069","RUSH FOUNDATION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","91 patients",,,"AMI-1 " "250069","RUSH FOUNDATION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","76 patients",,,"PN-5C " "250069","RUSH FOUNDATION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","112 patients",,,"AMI-5 " "250069","RUSH FOUNDATION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","11 patients","1 ","1","AMI-8A " "250069","RUSH FOUNDATION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","128 patients",,,"AMI-2 " "250069","RUSH FOUNDATION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","51 patients",,,"HF-3 " "250069","RUSH FOUNDATION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","78 patients",,,"PN-3B " "250069","RUSH FOUNDATION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "250069","RUSH FOUNDATION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "250069","RUSH FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","315 patients","2 ","2","SCIP-INF-1 " "250069","RUSH FOUNDATION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","68 patients",,,"PN-7 " "250069","RUSH FOUNDATION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","135 patients",,,"HF-2 " "250069","RUSH FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","288 patients","2 ","2","SCIP-INF-3 " "250069","RUSH FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","53 patients","2 ","2","SCIP-INF-4 " "250069","RUSH FOUNDATION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"AMI-3 " "250069","RUSH FOUNDATION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","96 patients",,,"PN-2 " "250069","RUSH FOUNDATION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","118 patients",,,"HF-1 " "250069","RUSH FOUNDATION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","72 patients",,,"PN-6 " "250069","RUSH FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","52 patients","2 ","2","SCIP-CARD-2 " "250069","RUSH FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","319 patients","2 ","2","SCIP-INF-2 " "250069","RUSH FOUNDATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","460 patients","2 ","2","SCIP-INF-6 " "250069","RUSH FOUNDATION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "250069","RUSH FOUNDATION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","108 patients",,,"HF-3 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","87 patients",,,"PN-7 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","142 patients",,,"PN-3B " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"AMI-3 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","382 patients","2 ","2","SCIP-INF-6 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"PN-4 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","90 patients",,,"AMI-2 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","95 patients",,,"AMI-5 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","220 patients","2 ","2","SCIP-INF-3 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","45 patients","2 ","2","SCIP-CARD-2 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","234 patients","2 ","2","SCIP-INF-1 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","188 patients","2 ","2","SCIP-VTE-2 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","83 patients",,,"AMI-1 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","211 patients",,,"HF-1 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","56 patients",,,"CAC-1 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","236 patients","2 ","2","SCIP-INF-2 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","189 patients","2 ","2","SCIP-VTE-1 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","89 patients",,,"PN-2 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","93 patients",,,"PN-6 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"AMI-4 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","98%","55 patients",,,"CAC-3 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","244 patients",,,"HF-2 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","56 patients",,,"CAC-2 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","34 patients","2 ","2","SCIP-INF-4 " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","145 patients",,,"PN-5C " "250072","CENTRAL MISSISSIPPI MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","9 patients","1 ","1","AMI-8A " "250077","WAYNE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "250077","WAYNE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","62%","13 patients","1 ","1","AMI-2 " "250077","WAYNE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","56 patients",,,"PN-6 " "250077","WAYNE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","58 patients",,,"PN-3B " "250077","WAYNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","12 patients","1 ","1","SCIP-INF-1 " "250077","WAYNE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250077","WAYNE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","36 patients",,,"PN-7 " "250077","WAYNE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","128 patients",,,"HF-1 " "250077","WAYNE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250077","WAYNE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","39 patients",,,"PN-2 " "250077","WAYNE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "250077","WAYNE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "250077","WAYNE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","148 patients",,,"HF-2 " "250077","WAYNE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","35 patients",,,"HF-4 " "250077","WAYNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","18 patients","1 ","1","SCIP-VTE-2 " "250077","WAYNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "250077","WAYNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250077","WAYNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","18 patients","1 ","1","SCIP-VTE-1 " "250077","WAYNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","12 patients","1 ","1","SCIP-INF-3 " "250077","WAYNE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients","3 ","3","PN-5C " "250077","WAYNE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","81 patients",,,"HF-3 " "250077","WAYNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","58%","12 patients","1 ","1","SCIP-INF-2 " "250077","WAYNE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","24 patients","1 ","1","PN-4 " "250077","WAYNE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients",,,"SCIP-INF-6 " "250077","WAYNE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","20 patients","1 ","1","AMI-1 " "250078","FORREST GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","38 patients",,,"AMI-8A " "250078","FORREST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","264 patients","2 ","2","SCIP-VTE-2 " "250078","FORREST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","798 patients","2 ","2","SCIP-INF-6 " "250078","FORREST GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","306 patients",,,"PN-2 " "250078","FORREST GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","488 patients",,,"HF-1 " "250078","FORREST GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250078","FORREST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","587 patients","2 ","2","SCIP-INF-1 " "250078","FORREST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","271 patients","2 ","2","SCIP-VTE-1 " "250078","FORREST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","192 patients","2 ","2","SCIP-INF-4 " "250078","FORREST GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","470 patients",,,"AMI-2 " "250078","FORREST GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","340 patients",,,"PN-5C " "250078","FORREST GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","71 patients",,,"AMI-3 " "250078","FORREST GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","202 patients",,,"PN-6 " "250078","FORREST GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","203 patients",,,"HF-3 " "250078","FORREST GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","253 patients",,,"PN-7 " "250078","FORREST GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","568 patients",,,"HF-2 " "250078","FORREST GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","221 patients",,,"AMI-4 " "250078","FORREST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","598 patients","2 ","2","SCIP-INF-2 " "250078","FORREST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","572 patients","2 ","2","SCIP-INF-3 " "250078","FORREST GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","474 patients",,,"AMI-5 " "250078","FORREST GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","277 patients",,,"AMI-1 " "250078","FORREST GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","330 patients",,,"PN-3B " "250078","FORREST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","123 patients","2 ","2","SCIP-CARD-2 " "250078","FORREST GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","121 patients",,,"HF-4 " "250078","FORREST GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","170 patients",,,"PN-4 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","8 patients","1,2 ","12","PN-7 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2,3 ","123","HF-3 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,2,3 ","123","PN-3B " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2,3 ","123","HF-4 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","8 patients","1,2,3 ","123","PN-2 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","12 patients","1,2,3 ","123","HF-2 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","10 patients","1,2,3 ","123","HF-1 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,2,3 ","123","PN-4 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,2,3 ","123","AMI-1 " "250079","SHARKEY ISSAQUENA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","40%","5 patients","1,2,3 ","123","PN-6 " "250081","RILEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","56 patients","2 ","2","SCIP-VTE-1 " "250081","RILEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","29 patients",,,"AMI-1 " "250081","RILEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","143 patients",,,"HF-1 " "250081","RILEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "250081","RILEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","71 patients","2 ","2","SCIP-INF-3 " "250081","RILEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","24 patients","1 ","1","AMI-5 " "250081","RILEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1,2 ","12","SCIP-CARD-2 " "250081","RILEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250081","RILEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","46 patients",,,"PN-7 " "250081","RILEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "250081","RILEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","29 patients",,,"PN-6 " "250081","RILEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","161 patients",,,"HF-2 " "250081","RILEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","29 patients",,,"AMI-2 " "250081","RILEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","121 patients","2 ","2","SCIP-INF-6 " "250081","RILEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","56 patients","2 ","2","SCIP-VTE-2 " "250081","RILEY HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","10 patients","1 ","1","CAC-1 " "250081","RILEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "250081","RILEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250081","RILEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","53 patients",,,"PN-5C " "250081","RILEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250081","RILEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "250081","RILEY HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","50%","10 patients","1 ","1","CAC-3 " "250081","RILEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","55 patients",,,"PN-3B " "250081","RILEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","75 patients","2 ","2","SCIP-INF-1 " "250081","RILEY HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","10 patients","1 ","1","CAC-2 " "250081","RILEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "250081","RILEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","63 patients",,,"PN-2 " "250081","RILEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","75 patients","2 ","2","SCIP-INF-2 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","32 patients",,,"AMI-3 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","505 patients",,,"HF-2 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","132 patients",,,"AMI-5 " "250082","DELTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","510 patients",,,"SCIP-INF-6 " "250082","DELTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","185 patients",,,"SCIP-VTE-2 " "250082","DELTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","331 patients",,,"SCIP-INF-2 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","83 patients",,,"HF-4 " "250082","DELTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","325 patients",,,"SCIP-INF-1 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","449 patients",,,"HF-1 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-8A " "250082","DELTA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","97 patients",,,"PN-2 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","44%","9 patients","1 ","1","AMI-7A " "250082","DELTA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","103 patients",,,"PN-3B " "250082","DELTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","188 patients",,,"SCIP-VTE-1 " "250082","DELTA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","94 patients",,,"PN-6 " "250082","DELTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","47 patients",,,"SCIP-CARD-2 " "250082","DELTA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","85 patients",,,"PN-7 " "250082","DELTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","301 patients",,,"SCIP-INF-3 " "250082","DELTA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","81 patients",,,"SCIP-INF-4 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","108 patients",,,"AMI-1 " "250082","DELTA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"PN-4 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","144 patients",,,"AMI-2 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"AMI-4 " "250082","DELTA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","159 patients",,,"HF-3 " "250082","DELTA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","144 patients",,,"PN-5C " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","103 patients",,,"HF-1 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","129 patients",,,"SCIP-INF-2 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","16 patients","1 ","1","AMI-5 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","69%","16 patients","1 ","1","AMI-2 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","50 patients",,,"HF-3 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","85%","160 patients",,,"SCIP-INF-6 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","127 patients",,,"SCIP-INF-3 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","56 patients",,,"SCIP-VTE-2 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","24 patients","1 ","1","HF-4 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","61 patients",,,"PN-7 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","20 patients","1 ","1","SCIP-CARD-2 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","74 patients",,,"PN-5C " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","140 patients",,,"HF-2 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","56 patients",,,"PN-6 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","89 patients",,,"PN-2 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","133 patients",,,"SCIP-INF-1 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","77 patients",,,"PN-3B " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","56 patients",,,"SCIP-VTE-1 " "250084","NATCHEZ REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","21 patients","1 ","1","AMI-1 " "250085","MARION GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"HF-3 " "250085","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","25%","4 patients","1 ","1","SCIP-INF-1 " "250085","MARION GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "250085","MARION GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250085","MARION GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","37 patients",,,"PN-3B " "250085","MARION GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "250085","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","6 patients","1 ","1","SCIP-VTE-1 " "250085","MARION GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","73 patients",,,"HF-2 " "250085","MARION GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","60 patients",,,"PN-7 " "250085","MARION GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "250085","MARION GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "250085","MARION GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","14 patients","1 ","1","AMI-1 " "250085","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","6 patients","1 ","1","SCIP-VTE-2 " "250085","MARION GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "250085","MARION GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","81 patients",,,"PN-5C " "250085","MARION GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","65 patients",,,"HF-1 " "250085","MARION GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250085","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250085","MARION GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","74 patients",,,"PN-2 " "250085","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "250085","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","7 patients","1 ","1","SCIP-INF-6 " "250085","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","4 patients","1 ","1","SCIP-INF-2 " "250085","MARION GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "250085","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","4 patients","1 ","1","SCIP-INF-3 " "250085","MARION GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","57 patients",,,"PN-6 " "250093","BOLIVAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","107 patients",,,"SCIP-INF-1 " "250093","BOLIVAR MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","48 patients",,,"PN-6 " "250093","BOLIVAR MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","17 patients","1 ","1","AMI-5 " "250093","BOLIVAR MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250093","BOLIVAR MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","71 patients",,,"PN-3B " "250093","BOLIVAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","167 patients",,,"SCIP-INF-6 " "250093","BOLIVAR MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "250093","BOLIVAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","89 patients",,,"SCIP-VTE-1 " "250093","BOLIVAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "250093","BOLIVAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","104 patients",,,"SCIP-INF-3 " "250093","BOLIVAR MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "250093","BOLIVAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","108 patients",,,"SCIP-INF-2 " "250093","BOLIVAR MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "250093","BOLIVAR MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","33 patients",,,"AMI-1 " "250093","BOLIVAR MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","38 patients",,,"PN-7 " "250093","BOLIVAR MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1 ","1","AMI-2 " "250093","BOLIVAR MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","265 patients",,,"HF-1 " "250093","BOLIVAR MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250093","BOLIVAR MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","58 patients",,,"PN-2 " "250093","BOLIVAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250093","BOLIVAR MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","89 patients",,,"SCIP-VTE-2 " "250093","BOLIVAR MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","282 patients",,,"HF-2 " "250093","BOLIVAR MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","94 patients",,,"PN-5C " "250093","BOLIVAR MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","95 patients",,,"HF-3 " "250093","BOLIVAR MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"HF-4 " "250094","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","151 patients",,,"SCIP-CARD-2 " "250094","WESLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","117 patients",,,"PN-6 " "250094","WESLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "250094","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","459 patients",,,"SCIP-VTE-2 " "250094","WESLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","131 patients",,,"AMI-1 " "250094","WESLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250094","WESLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","240 patients",,,"HF-2 " "250094","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","803 patients",,,"SCIP-INF-1 " "250094","WESLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","130 patients",,,"PN-2 " "250094","WESLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","17 patients","1 ","1","AMI-8A " "250094","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1189 patients",,,"SCIP-INF-6 " "250094","WESLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","150 patients",,,"AMI-5 " "250094","WESLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","215 patients",,,"HF-1 " "250094","WESLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","139 patients",,,"PN-5C " "250094","WESLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","130 patients",,,"PN-3B " "250094","WESLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","160 patients",,,"AMI-2 " "250094","WESLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "250094","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","770 patients",,,"SCIP-INF-3 " "250094","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","462 patients",,,"SCIP-VTE-1 " "250094","WESLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","113 patients",,,"PN-7 " "250094","WESLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "250094","WESLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"AMI-3 " "250094","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","117 patients",,,"SCIP-INF-4 " "250094","WESLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","93 patients",,,"HF-3 " "250094","WESLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","805 patients",,,"SCIP-INF-2 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","41 patients",,,"PN-5C " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","69%","13 patients","1 ","1","AMI-2 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","34 patients",,,"PN-6 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","10 patients","1 ","1","AMI-5 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","46%","13 patients","1 ","1","PN-4 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","7%","81 patients",,,"HF-1 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","33 patients",,,"PN-2 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","64%","14 patients","1 ","1","AMI-1 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","48%","21 patients","1 ","1","HF-4 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","95 patients",,,"HF-2 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","31 patients",,,"PN-7 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","9 patients","1 ","1","PN-3B " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250095","SOUTH SUNFLOWER COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","36 patients",,,"HF-3 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","60 patients",,,"SCIP-INF-2 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","63 patients",,,"PN-7 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","196 patients",,,"HF-2 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","74 patients",,,"PN-6 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","54 patients",,,"HF-3 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","103 patients",,,"PN-5C " "250096","CROSSGATES RIVER OAKS HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","8 patients","1 ","1","CAC-2 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","128 patients",,,"SCIP-INF-6 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","91 patients",,,"PN-2 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","8 patients","1 ","1","CAC-3 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","74 patients",,,"SCIP-VTE-2 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","60 patients",,,"SCIP-INF-1 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","54 patients",,,"SCIP-INF-3 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","70 patients",,,"PN-3B " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250096","CROSSGATES RIVER OAKS HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","8 patients","1 ","1","CAC-1 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","149 patients",,,"HF-1 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","74 patients",,,"SCIP-VTE-1 " "250096","CROSSGATES RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","29 patients",,,"AMI-8A " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","398 patients","2 ","2","SCIP-INF-1 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","69 patients",,,"PN-4 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","58%","78 patients","2 ","2","SCIP-CARD-2 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","81 patients",,,"PN-6 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","165 patients",,,"AMI-2 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","240 patients",,,"HF-1 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","390 patients","2 ","2","SCIP-INF-3 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","114 patients",,,"AMI-1 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","96 patients",,,"AMI-4 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","133 patients",,,"PN-5C " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","112 patients",,,"HF-3 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","59%","116 patients","2 ","2","SCIP-INF-4 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","562 patients","2 ","2","SCIP-INF-6 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","97 patients",,,"PN-2 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","179 patients",,,"AMI-5 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","402 patients","2 ","2","SCIP-INF-2 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","201 patients","2 ","2","SCIP-VTE-1 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","83 patients",,,"PN-3B " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","90 patients",,,"PN-7 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","267 patients",,,"HF-2 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","200 patients","2 ","2","SCIP-VTE-2 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","48 patients",,,"AMI-3 " "250097","SOUTHWEST MS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "250099","GREENWOOD LEFLORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","246 patients",,,"SCIP-INF-1 " "250099","GREENWOOD LEFLORE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","102 patients",,,"PN-7 " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250099","GREENWOOD LEFLORE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","40 patients",,,"SCIP-CARD-2 " "250099","GREENWOOD LEFLORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","194 patients",,,"SCIP-VTE-2 " "250099","GREENWOOD LEFLORE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","62 patients",,,"AMI-2 " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","29%","7 patients","1 ","1","AMI-7A " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","78 patients",,,"AMI-1 " "250099","GREENWOOD LEFLORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","194 patients",,,"SCIP-VTE-1 " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","63 patients",,,"AMI-5 " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"HF-4 " "250099","GREENWOOD LEFLORE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","108 patients",,,"PN-3B " "250099","GREENWOOD LEFLORE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","95 patients",,,"PN-2 " "250099","GREENWOOD LEFLORE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","80 patients",,,"PN-6 " "250099","GREENWOOD LEFLORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250099","GREENWOOD LEFLORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","386 patients",,,"SCIP-INF-6 " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","277 patients",,,"HF-1 " "250099","GREENWOOD LEFLORE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","103 patients",,,"PN-5C " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","341 patients",,,"HF-2 " "250099","GREENWOOD LEFLORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","247 patients",,,"SCIP-INF-2 " "250099","GREENWOOD LEFLORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","244 patients",,,"SCIP-INF-3 " "250099","GREENWOOD LEFLORE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","120 patients",,,"HF-3 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","158 patients",,,"PN-2 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","56 patients",,,"SCIP-INF-4 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","80 patients",,,"HF-3 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","384 patients",,,"SCIP-VTE-2 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","73 patients",,,"SCIP-CARD-2 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","746 patients",,,"SCIP-INF-6 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","386 patients",,,"SCIP-VTE-1 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","505 patients",,,"SCIP-INF-3 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","207 patients",,,"HF-2 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","70 patients",,,"PN-6 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","47 patients",,,"AMI-5 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-8A " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","54 patients",,,"AMI-2 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","516 patients",,,"SCIP-INF-1 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","510 patients",,,"SCIP-INF-2 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","178 patients",,,"PN-5C " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","165 patients",,,"PN-3B " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","116 patients",,,"PN-7 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","61 patients",,,"AMI-1 " "250100","BAPTIST MEM HOSP/GOLDEN TRIANGLE INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","180 patients",,,"HF-1 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","57 patients","2 ","2","PN-4 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","232 patients",,,"AMI-5 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","530 patients","2 ","2","SCIP-INF-2 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","191 patients","2 ","2","SCIP-VTE-2 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","46 patients",,,"AMI-8A " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","52 patients",,,"AMI-3 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","577 patients",,,"HF-2 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","220 patients",,,"AMI-2 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","108 patients","2 ","2","SCIP-CARD-2 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","487 patients",,,"HF-1 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","64 patients",,,"AMI-4 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","685 patients","2 ","2","SCIP-INF-6 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","114 patients","2 ","2","PN-3B " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","180 patients","2 ","2","PN-2 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","106 patients","2 ","2","PN-6 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","525 patients","2 ","2","SCIP-INF-1 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","180 patients",,,"HF-3 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","500 patients","2 ","2","SCIP-INF-3 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","178 patients",,,"AMI-1 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","191 patients","2 ","2","SCIP-VTE-1 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","152 patients","2 ","2","SCIP-INF-4 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","180 patients","2 ","2","PN-5C " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"HF-4 " "250102","MISSISSIPPI BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","147 patients","2 ","2","PN-7 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","157 patients","2 ","2","PN-5C " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"AMI-4 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","178 patients",,,"AMI-2 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","263 patients","2 ","2","HF-1 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","307 patients","2 ","2","HF-2 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","649 patients","2 ","2","SCIP-INF-6 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","85 patients","2 ","2","SCIP-CARD-2 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","408 patients","2 ","2","SCIP-INF-1 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","173 patients","2 ","2","PN-2 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","246 patients","2 ","2","SCIP-VTE-2 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","131 patients",,,"AMI-1 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","105 patients","2 ","2","PN-6 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","32 patients",,,"AMI-3 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250104","ANDERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","PN-4 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","247 patients","2 ","2","SCIP-VTE-1 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","103 patients","2 ","2","PN-3B " "250104","ANDERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","68%","111 patients","2 ","2","SCIP-INF-4 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","52%","23 patients","1 ","1","AMI-8A " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","108 patients","2 ","2","HF-3 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","189 patients",,,"AMI-5 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","394 patients","2 ","2","SCIP-INF-3 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","HF-4 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","418 patients","2 ","2","SCIP-INF-2 " "250104","ANDERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","116 patients","2 ","2","PN-7 " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","70%","10 patients","1 ","1","AMI-5 " "250117","HIGHLAND COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","61 patients",,,"PN-7 " "250117","HIGHLAND COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","47 patients",,,"PN-4 " "250117","HIGHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250117","HIGHLAND COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","92 patients",,,"PN-6 " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","87 patients",,,"HF-1 " "250117","HIGHLAND COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","81 patients",,,"PN-2 " "250117","HIGHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","39%","18 patients","1 ","1","SCIP-VTE-1 " "250117","HIGHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","43 patients",,,"SCIP-INF-6 " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","22 patients","1 ","1","AMI-1 " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "250117","HIGHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","39%","18 patients","1 ","1","SCIP-VTE-2 " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","94 patients",,,"HF-2 " "250117","HIGHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","32 patients",,,"SCIP-INF-1 " "250117","HIGHLAND COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","109 patients",,,"PN-3B " "250117","HIGHLAND COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","64 patients","3 ","3","PN-5C " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","68%","38 patients",,,"HF-3 " "250117","HIGHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","32 patients",,,"SCIP-INF-2 " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","84%","25 patients",,,"HF-4 " "250117","HIGHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "250117","HIGHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "250117","HIGHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","31 patients",,,"SCIP-INF-3 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","59 patients","2 ","2","SCIP-VTE-1 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","70 patients","2 ","2","SCIP-INF-3 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","84 patients",,,"PN-5C " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","86%","28 patients",,,"CAC-3 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","136 patients",,,"HF-1 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","96%","28 patients",,,"CAC-2 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","46 patients",,,"HF-3 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","57 patients","2 ","2","SCIP-VTE-2 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","101 patients","2 ","2","SCIP-INF-6 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","171 patients",,,"HF-2 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","51 patients",,,"PN-6 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","65 patients",,,"PN-7 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","20 patients","1 ","1","AMI-5 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1,2 ","12","SCIP-CARD-2 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"PN-4 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","74 patients","2 ","2","SCIP-INF-2 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","65 patients",,,"PN-3B " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","27 patients",,,"CAC-1 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","32 patients",,,"AMI-1 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","79%","19 patients","1 ","1","AMI-2 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","70 patients",,,"PN-2 " "250122","NATCHEZ COMMUNITY HOSPITAL/SWING BED","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","74 patients","2 ","2","SCIP-INF-1 " "250123","GARDEN PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250123","GARDEN PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","30 patients","2 ","2","SCIP-CARD-2 " "250123","GARDEN PARK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","78 patients",,,"PN-5C " "250123","GARDEN PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","174 patients","2 ","2","SCIP-VTE-2 " "250123","GARDEN PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","174 patients","2 ","2","SCIP-VTE-1 " "250123","GARDEN PARK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "250123","GARDEN PARK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "250123","GARDEN PARK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","68 patients",,,"PN-7 " "250123","GARDEN PARK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250123","GARDEN PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","254 patients","2 ","2","SCIP-INF-2 " "250123","GARDEN PARK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","103 patients",,,"HF-2 " "250123","GARDEN PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","388 patients","2 ","2","SCIP-INF-6 " "250123","GARDEN PARK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","92 patients",,,"HF-1 " "250123","GARDEN PARK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","61 patients",,,"PN-2 " "250123","GARDEN PARK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "250123","GARDEN PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","253 patients","2 ","2","SCIP-INF-1 " "250123","GARDEN PARK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "250123","GARDEN PARK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","38 patients",,,"PN-6 " "250123","GARDEN PARK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "250123","GARDEN PARK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","80 patients",,,"PN-3B " "250123","GARDEN PARK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "250123","GARDEN PARK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "250123","GARDEN PARK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","239 patients","2 ","2","SCIP-INF-3 " "250123","GARDEN PARK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250123","GARDEN PARK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "250124","MAGEE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","65%","20 patients","1,2 ","12","HF-3 " "250124","MAGEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "250124","MAGEE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "250124","MAGEE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "250124","MAGEE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","62 patients",,,"PN-3B " "250124","MAGEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "250124","MAGEE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","93 patients",,,"PN-7 " "250124","MAGEE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","86 patients","2 ","2","HF-1 " "250124","MAGEE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "250124","MAGEE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "250124","MAGEE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,2 ","12","HF-4 " "250124","MAGEE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","88 patients",,,"PN-6 " "250124","MAGEE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250124","MAGEE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250124","MAGEE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","122 patients","2 ","2","HF-2 " "250124","MAGEE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","100 patients",,,"PN-2 " "250124","MAGEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "250124","MAGEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "250124","MAGEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "250124","MAGEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "250124","MAGEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "250124","MAGEE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "250124","MAGEE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "250124","MAGEE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","128 patients",,,"PN-5C " "250124","MAGEE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","10 patients","1,2 ","12","SCIP-VTE-1 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1,2 ","12","PN-4 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","HF-4 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","29 patients","2 ","2","PN-3B " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","32 patients","2 ","2","SCIP-INF-1 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,2 ","12","HF-3 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","22 patients","1,2 ","12","PN-6 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","33 patients","2 ","2","HF-1 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","72%","32 patients","2 ","2","SCIP-INF-2 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","66%","32 patients","2 ","2","SCIP-INF-3 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","10 patients","1,2 ","12","SCIP-VTE-2 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","21 patients","1,2,3 ","123","PN-5C " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","42 patients","2 ","2","HF-2 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","21 patients","1,2 ","12","PN-2 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","17 patients","1,2 ","12","PN-7 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","34%","35 patients","2 ","2","SCIP-INF-6 " "250126","NORTH OAK REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "250128","TRI LAKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","3 patients","1,2 ","12","SCIP-VTE-1 " "250128","TRI LAKES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "250128","TRI LAKES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,2 ","12","AMI-2 " "250128","TRI LAKES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","31 patients","2 ","2","PN-2 " "250128","TRI LAKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","2 ","2","SCIP-INF-2 " "250128","TRI LAKES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","32 patients","2 ","2","PN-3B " "250128","TRI LAKES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "250128","TRI LAKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1,2 ","12","SCIP-INF-6 " "250128","TRI LAKES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","79%","33 patients","2 ","2","HF-4 " "250128","TRI LAKES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","27 patients","2 ","2","PN-7 " "250128","TRI LAKES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","25 patients","3 ","3","PN-5C " "250128","TRI LAKES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","16 patients","1,2 ","12","HF-3 " "250128","TRI LAKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,2 ","12","SCIP-VTE-2 " "250128","TRI LAKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","1 patients","1,2 ","12","SCIP-INF-3 " "250128","TRI LAKES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,2 ","12","AMI-1 " "250128","TRI LAKES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "250128","TRI LAKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","3 patients","1,2 ","12","SCIP-INF-1 " "250128","TRI LAKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250128","TRI LAKES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","25 patients","2 ","2","PN-4 " "250128","TRI LAKES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","39 patients","2 ","2","PN-6 " "250128","TRI LAKES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","77 patients","2 ","2","HF-2 " "250128","TRI LAKES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,2 ","12","AMI-5 " "250128","TRI LAKES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "250128","TRI LAKES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "250128","TRI LAKES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","66 patients","2 ","2","HF-1 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","7 patients","1,3 ","13","PN-5C " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","20%","15 patients","1 ","1","PN-7 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","15 patients","1 ","1","PN-2 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1 ","1","PN-6 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250134","WHITFIELD MEDICAL SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","218 patients","2 ","2","SCIP-INF-3 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","86 patients","2 ","2","SCIP-VTE-1 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","223 patients","2 ","2","SCIP-INF-2 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","247 patients","2 ","2","SCIP-INF-6 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","221 patients","2 ","2","SCIP-INF-1 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","86 patients","2 ","2","SCIP-VTE-2 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "250136","WOMAN'S HOSPITAL AT RIVER OAKS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "250138","RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","517 patients","2 ","2","SCIP-INF-2 " "250138","RIVER OAKS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "250138","RIVER OAKS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","45 patients",,,"PN-7 " "250138","RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","244 patients","2 ","2","SCIP-VTE-2 " "250138","RIVER OAKS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250138","RIVER OAKS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","64 patients",,,"PN-5C " "250138","RIVER OAKS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","75 patients",,,"HF-1 " "250138","RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","661 patients","2 ","2","SCIP-INF-6 " "250138","RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","40 patients","2 ","2","SCIP-CARD-2 " "250138","RIVER OAKS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "250138","RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","517 patients","2 ","2","SCIP-INF-1 " "250138","RIVER OAKS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250138","RIVER OAKS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "250138","RIVER OAKS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","88 patients",,,"HF-2 " "250138","RIVER OAKS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","71 patients",,,"PN-6 " "250138","RIVER OAKS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","69 patients",,,"PN-3B " "250138","RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "250138","RIVER OAKS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "250138","RIVER OAKS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "250138","RIVER OAKS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "250138","RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","504 patients","2 ","2","SCIP-INF-3 " "250138","RIVER OAKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","245 patients","2 ","2","SCIP-VTE-1 " "250138","RIVER OAKS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "250138","RIVER OAKS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","52 patients",,,"PN-2 " "250138","RIVER OAKS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","217 patients",,,"PN-4 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","635 patients",,,"HF-2 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","226 patients",,,"HF-3 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","344 patients",,,"PN-3B " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","302 patients",,,"PN-2 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","565 patients",,,"HF-1 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","141 patients",,,"HF-4 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","99 patients",,,"AMI-3 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","392 patients",,,"AMI-2 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","214 patients",,,"PN-7 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","312 patients",,,"PN-6 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","406 patients",,,"AMI-5 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","66 patients",,,"AMI-8A " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","519 patients","2 ","2","SCIP-INF-6 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","224 patients","2 ","2","SCIP-VTE-1 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","224 patients","2 ","2","SCIP-VTE-2 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","357 patients",,,"PN-5C " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","185 patients",,,"AMI-4 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","348 patients","2 ","2","SCIP-INF-1 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","92 patients","2 ","2","SCIP-INF-4 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","339 patients",,,"AMI-1 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","353 patients","2 ","2","SCIP-INF-2 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","310 patients","2 ","2","SCIP-INF-3 " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "250141","BAPTIST MEMORIAL HOSPITAL DESOTO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","74 patients","2 ","2","SCIP-CARD-2 " "250149","NEWTON REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","37%","19 patients","1,2 ","12","PN-2 " "250149","NEWTON REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "250149","NEWTON REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,2 ","12","PN-3B " "250149","NEWTON REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2 ","12","HF-4 " "250149","NEWTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "250149","NEWTON REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "250149","NEWTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "250149","NEWTON REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","40%","5 patients","1,2 ","12","PN-7 " "250149","NEWTON REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","12 patients","1,2 ","12","PN-5C " "250149","NEWTON REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","46%","13 patients","1,2 ","12","HF-3 " "250149","NEWTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "250149","NEWTON REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","34%","35 patients","2 ","2","HF-1 " "250149","NEWTON REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2 ","12","PN-4 " "250149","NEWTON REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "250149","NEWTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "250149","NEWTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "250149","NEWTON REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "250149","NEWTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "250149","NEWTON REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "250149","NEWTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "250149","NEWTON REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1,2 ","12","PN-6 " "250149","NEWTON REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "250149","NEWTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "250149","NEWTON REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","66%","53 patients","2 ","2","HF-2 " "250149","NEWTON REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "250162","HANCOCK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","45 patients",,,"PN-2 " "250162","HANCOCK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "250162","HANCOCK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "250162","HANCOCK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "250162","HANCOCK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "250162","HANCOCK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","61 patients",,,"PN-6 " "250162","HANCOCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","37 patients",,,"SCIP-INF-2 " "250162","HANCOCK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "250162","HANCOCK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","64 patients",,,"HF-1 " "250162","HANCOCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "250162","HANCOCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","36 patients",,,"SCIP-INF-3 " "250162","HANCOCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","50 patients",,,"SCIP-VTE-2 " "250162","HANCOCK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "250162","HANCOCK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "250162","HANCOCK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","46 patients",,,"PN-7 " "250162","HANCOCK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "250162","HANCOCK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","60 patients",,,"PN-5C " "250162","HANCOCK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "250162","HANCOCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","74 patients",,,"SCIP-INF-6 " "250162","HANCOCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "250162","HANCOCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","36 patients",,,"SCIP-INF-1 " "250162","HANCOCK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","80 patients",,,"HF-2 " "250162","HANCOCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","50 patients",,,"SCIP-VTE-1 " "250162","HANCOCK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "250162","HANCOCK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","55 patients",,,"PN-3B " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","61 patients",,,"HF-2 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","32 patients",,,"PN-5C " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","40 patients",,,"PN-3B " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","28 patients",,,"PN-7 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","61 patients",,,"HF-1 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"HF-3 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","27 patients",,,"PN-2 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","24 patients","1 ","1","PN-6 " "25042F","VA GULF COAST HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","55 patients",,,"AMI-5 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","140 patients",,,"HF-1 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","107 patients","2 ","2","SCIP-VTE-2 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","87 patients",,,"HF-3 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","67 patients",,,"PN-3B " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","60 patients",,,"AMI-2 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","162 patients","2 ","2","SCIP-INF-6 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","83 patients",,,"PN-7 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","153 patients",,,"HF-2 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","107 patients","2 ","2","SCIP-VTE-1 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","102 patients",,,"PN-2 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","80 patients","2 ","2","SCIP-CARD-2 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","101 patients",,,"SCIP-INF-2 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","63 patients",,,"AMI-1 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","46 patients",,,"PN-6 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","58 patients",,,"PN-5C " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","95 patients",,,"SCIP-INF-3 " "25043F","G. V. (SONNY) MONTGOMERY VA MEDICAL CENTER (","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","96 patients",,,"SCIP-INF-1 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","30 patients",,,"HF-1 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "251300","LACKEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","HF-3 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","39 patients",,,"HF-2 " "251300","LACKEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251300","LACKEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "251300","LACKEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251300","LACKEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "251300","LACKEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "251300","LACKEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251300","LACKEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","19 patients","1 ","1","PN-4 " "251300","LACKEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","46 patients",,,"PN-5C " "251300","LACKEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","43 patients",,,"PN-6 " "251300","LACKEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251300","LACKEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","38 patients",,,"PN-2 " "251300","LACKEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "251300","LACKEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251300","LACKEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","34 patients",,,"PN-7 " "251300","LACKEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251303","STONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251303","STONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251303","STONE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251303","STONE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "251303","STONE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "251303","STONE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","57%","7 patients","1 ","1","PN-3B " "251303","STONE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","12 patients","1 ","1","PN-6 " "251303","STONE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "251303","STONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251303","STONE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","8 patients","1 ","1","PN-2 " "251303","STONE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "251303","STONE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1 ","1","HF-1 " "251303","STONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251303","STONE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "251303","STONE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","6 patients","1 ","1","PN-7 " "251303","STONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251303","STONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251303","STONE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251303","STONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251303","STONE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "251303","STONE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","15 patients","1 ","1","PN-5C " "251303","STONE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "251303","STONE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","14 patients","1 ","1","HF-2 " "251303","STONE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251303","STONE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","55%","11 patients","1,2,3 ","123","HF-2 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,2,3 ","123","AMI-1 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","10 patients","1,3 ","13","PN-7 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","10 patients","1,2,3 ","123","HF-1 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","AMI-4 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1,2,3 ","123","PN-5C " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "251305","LAWRENCE COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,2,3 ","123","AMI-5 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","HF-4 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2,3 ","123","PN-4 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "251305","LAWRENCE COUNTY HOSPITAL CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1,2,3 ","123","PN-3B " "251305","LAWRENCE COUNTY HOSPITAL CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","14 patients","1,2,3 ","123","PN-2 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1,2,3 ","123","PN-6 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "251305","LAWRENCE COUNTY HOSPITAL CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "251308","PONTOTOC HEALTH SERVICE CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "251308","PONTOTOC HEALTH SERVICE CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","45 patients",,,"PN-3B " "251308","PONTOTOC HEALTH SERVICE CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","21 patients","1 ","1","HF-2 " "251308","PONTOTOC HEALTH SERVICE CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "251308","PONTOTOC HEALTH SERVICE CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "251308","PONTOTOC HEALTH SERVICE CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","56 patients",,,"PN-2 " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "251308","PONTOTOC HEALTH SERVICE CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","49 patients",,,"PN-6 " "251308","PONTOTOC HEALTH SERVICE CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251308","PONTOTOC HEALTH SERVICE CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "251308","PONTOTOC HEALTH SERVICE CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","48 patients",,,"PN-5C " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","13 patients","1 ","1","HF-1 " "251308","PONTOTOC HEALTH SERVICE CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251308","PONTOTOC HEALTH SERVICE CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251308","PONTOTOC HEALTH SERVICE CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "251308","PONTOTOC HEALTH SERVICE CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","40 patients",,,"PN-7 " "251308","PONTOTOC HEALTH SERVICE CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1 ","1","PN-4 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","HF-3 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","6 patients","1 ","1","SCIP-VTE-1 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","21 patients","1 ","1","PN-5C " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","6 patients","1 ","1","SCIP-VTE-2 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","11 patients","1 ","1","PN-3B " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","51 patients",,,"HF-2 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","27%","22 patients","1 ","1","PN-2 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","23 patients","1 ","1","PN-7 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","4 patients","1 ","1","SCIP-INF-1 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","22%","40 patients",,,"HF-1 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","11 patients","1 ","1","SCIP-INF-6 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","3 patients","1 ","1","SCIP-INF-3 " "251309","FIELD MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1 ","1","SCIP-INF-2 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","26 patients","2 ","2","PN-2 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,2,3 ","123","AMI-1 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","22 patients","1,2 ","12","PN-3B " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","45 patients","2 ","2","HF-2 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,2,3 ","123","AMI-5 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","18 patients","1,2 ","12","PN-7 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","16 patients","1,2 ","12","PN-6 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,2,3 ","123","AMI-2 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","PN-4 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1,2 ","12","HF-4 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","13 patients","1,2 ","12","HF-3 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","31 patients","2 ","2","HF-1 " "251312","TYLER HOLMES MEMORIAL HOSPITAL CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","24 patients","1,2 ","12","PN-5C " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","53%","17 patients","1 ","1","PN-7 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","36%","28 patients",,,"PN-2 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1 ","1","PN-4 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","23%","22 patients","1 ","1","PN-6 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","56%","18 patients","1 ","1","HF-2 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","70%","10 patients","1 ","1","PN-3B " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","0%","1 patients","1 ","1","PN-5C " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","5 patients","1 ","1","HF-1 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "251316","H C WATKINS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","HF-4 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","48%","23 patients","1,2 ","12","HF-2 " "251317","SIMPSON GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "251317","SIMPSON GENERAL HOSPITAL CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","8 patients","1,2 ","12","PN-6 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","17 patients","1,2 ","12","HF-1 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251317","SIMPSON GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251317","SIMPSON GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251317","SIMPSON GENERAL HOSPITAL CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","15 patients","1,2 ","12","PN-5C " "251317","SIMPSON GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "251317","SIMPSON GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251317","SIMPSON GENERAL HOSPITAL CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","11 patients","1,2 ","12","PN-3B " "251317","SIMPSON GENERAL HOSPITAL CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","15 patients","1,2 ","12","PN-2 " "251317","SIMPSON GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251317","SIMPSON GENERAL HOSPITAL CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,2 ","12","PN-4 " "251317","SIMPSON GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "251317","SIMPSON GENERAL HOSPITAL CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","10 patients","1,2 ","12","PN-7 " "251317","SIMPSON GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251317","SIMPSON GENERAL HOSPITAL CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","HF-3 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1 ","1","PN-4 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","8 patients","1 ","1","PN-3B " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","23 patients","1 ","1","PN-7 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","7 patients","1 ","1","HF-1 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","23 patients","1 ","1","HF-2 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","35 patients",,,"PN-5C " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","31 patients",,,"PN-2 " "251318","NORTH SUNFLOWER MEDICAL CENTER CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1 ","1","PN-6 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","24 patients","1 ","1","HF-2 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","24 patients","1 ","1","PN-5C " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","16 patients","1 ","1","PN-6 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","11 patients","1 ","1","HF-3 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","17 patients","1 ","1","HF-1 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","16 patients","1 ","1","PN-3B " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","20 patients","1 ","1","PN-7 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","22 patients","1 ","1","PN-2 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "251319","HOLMES COUNTY HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251320","PATIENT CHOICE MEDICAL CENTER OF CLAIBORNE CO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251322","LAIRD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251322","LAIRD HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","12 patients","1 ","1","HF-3 " "251322","LAIRD HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251322","LAIRD HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "251322","LAIRD HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","72 patients",,,"PN-5C " "251322","LAIRD HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251322","LAIRD HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "251322","LAIRD HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "251322","LAIRD HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251322","LAIRD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251322","LAIRD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251322","LAIRD HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251322","LAIRD HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","26 patients",,,"PN-4 " "251322","LAIRD HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","58%","33 patients",,,"HF-2 " "251322","LAIRD HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","45 patients",,,"PN-6 " "251322","LAIRD HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251322","LAIRD HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","17 patients","1 ","1","HF-1 " "251322","LAIRD HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","41 patients",,,"PN-7 " "251322","LAIRD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251322","LAIRD HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "251322","LAIRD HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","41 patients",,,"PN-3B " "251322","LAIRD HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","56 patients",,,"PN-2 " "251322","LAIRD HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "251322","LAIRD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251322","LAIRD HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "251323","SCOTT REGIONAL HOSPITAL CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","24 patients","1 ","1","PN-4 " "251323","SCOTT REGIONAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251323","SCOTT REGIONAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251323","SCOTT REGIONAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","33 patients",,,"HF-1 " "251323","SCOTT REGIONAL HOSPITAL CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","39 patients",,,"PN-2 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","53 patients",,,"HF-2 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251323","SCOTT REGIONAL HOSPITAL CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","43 patients",,,"PN-6 " "251323","SCOTT REGIONAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251323","SCOTT REGIONAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251323","SCOTT REGIONAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251323","SCOTT REGIONAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251323","SCOTT REGIONAL HOSPITAL CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","33 patients",,,"PN-7 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","HF-4 " "251323","SCOTT REGIONAL HOSPITAL CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","53 patients",,,"PN-5C " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "251323","SCOTT REGIONAL HOSPITAL CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1 ","1","PN-3B " "251323","SCOTT REGIONAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251323","SCOTT REGIONAL HOSPITAL CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","17 patients","1 ","1","PN-7 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","26 patients",,,"PN-5C " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","11 patients","1 ","1","PN-3B " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","21 patients","1 ","1","HF-1 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","30 patients",,,"PN-2 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","54%","13 patients","1 ","1","PN-6 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251324","WALTHALL COUNTY GENERAL HOSPITAL CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","32%","38 patients",,,"HF-2 " "251325","COVINGTON COUNTY HOSPITAL CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "251325","COVINGTON COUNTY HOSPITAL CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "251325","COVINGTON COUNTY HOSPITAL CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "251325","COVINGTON COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251325","COVINGTON COUNTY HOSPITAL CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "251325","COVINGTON COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "251325","COVINGTON COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251325","COVINGTON COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251325","COVINGTON COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "251325","COVINGTON COUNTY HOSPITAL CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "251325","COVINGTON COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251325","COVINGTON COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251325","COVINGTON COUNTY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251325","COVINGTON COUNTY HOSPITAL CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "251325","COVINGTON COUNTY HOSPITAL CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","19 patients","1,2 ","12","PN-3B " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","30%","10 patients","1,2 ","12","HF-4 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","20 patients","1,2 ","12","PN-2 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","22 patients","1,2 ","12","PN-6 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","21%","24 patients","1,2 ","12","HF-1 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","15 patients","1,2 ","12","HF-3 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","17 patients","1,2 ","12","PN-7 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","37 patients","2 ","2","HF-2 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","37 patients","2 ","2","PN-5C " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "251326","JEFFERSON DAVIS COMMUNITY HOSPITAL CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","45%","11 patients","1,2 ","12","PN-4 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","92%","13 patients","1 ","1","CAC-2 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","263 patients",,,"HF-1 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","144 patients",,,"AMI-4 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","86 patients",,,"AMI-3 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","200 patients",,,"PN-4 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","321 patients",,,"HF-2 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","225 patients",,,"AMI-1 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","341 patients",,,"PN-2 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","259 patients",,,"PN-7 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","332 patients",,,"PN-3B " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","336 patients",,,"PN-5C " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","45 patients",,,"AMI-8A " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","7 patients","1 ","1","AMI-7A " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","654 patients",,,"SCIP-INF-3 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","164 patients",,,"SCIP-CARD-2 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","320 patients",,,"AMI-2 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","167 patients",,,"PN-6 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","478 patients",,,"SCIP-VTE-1 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","164 patients",,,"SCIP-INF-4 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","93%","14 patients","1 ","1","CAC-3 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1097 patients",,,"SCIP-INF-6 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","684 patients",,,"SCIP-INF-1 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","14 patients","1 ","1","CAC-1 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","319 patients",,,"AMI-5 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"HF-4 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","124 patients",,,"HF-3 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","691 patients",,,"SCIP-INF-2 " "260001","ST JOHN'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","477 patients",,,"SCIP-VTE-2 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","23 patients","1 ","1","PN-4 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","18 patients","1 ","1","HF-2 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","4 patients","1,3 ","13","AMI-2 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","43%","7 patients","1,3 ","13","AMI-1 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","44 patients",,,"PN-5C " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","24 patients","1 ","1","PN-3B " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","35 patients",,,"PN-2 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","7 patients","1 ","1","HF-1 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","29 patients",,,"PN-7 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","35 patients",,,"PN-6 " "260004","COOPER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "260005","SSM ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","100 patients","2 ","2","SCIP-CARD-2 " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","292 patients","2 ","2","HF-2 " "260005","SSM ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","537 patients","2 ","2","SCIP-INF-1 " "260005","SSM ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","229 patients","2 ","2","SCIP-VTE-2 " "260005","SSM ST JOSEPH HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","147 patients","2 ","2","PN-5C " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","191 patients","2 ","2","AMI-1 " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","37 patients","2 ","2","AMI-8A " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","253 patients","2 ","2","HF-1 " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","312 patients","2 ","2","AMI-2 " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "260005","SSM ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","494 patients","2 ","2","SCIP-INF-3 " "260005","SSM ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","538 patients","2 ","2","SCIP-INF-2 " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","53 patients","2 ","2","HF-4 " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","117 patients","2 ","2","AMI-4 " "260005","SSM ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","229 patients","2 ","2","SCIP-VTE-1 " "260005","SSM ST JOSEPH HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","101 patients","2 ","2","PN-7 " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","105 patients","2 ","2","HF-3 " "260005","SSM ST JOSEPH HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","75 patients","2 ","2","PN-4 " "260005","SSM ST JOSEPH HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","93 patients","2 ","2","PN-3B " "260005","SSM ST JOSEPH HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","144 patients","2 ","2","PN-2 " "260005","SSM ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","758 patients","2 ","2","SCIP-INF-6 " "260005","SSM ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","173 patients","2 ","2","SCIP-INF-4 " "260005","SSM ST JOSEPH HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","101 patients","2 ","2","PN-6 " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","57 patients","2 ","2","AMI-3 " "260005","SSM ST JOSEPH HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","320 patients","2 ","2","AMI-5 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","361 patients","2 ","2","SCIP-VTE-2 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","102 patients",,,"HF-4 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","235 patients",,,"PN-4 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","489 patients",,,"PN-2 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","333 patients",,,"AMI-2 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","469 patients",,,"PN-5C " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","251 patients","2 ","2","SCIP-CARD-2 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1057 patients","2 ","2","SCIP-INF-1 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1256 patients","2 ","2","SCIP-INF-6 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","422 patients",,,"PN-3B " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","297 patients",,,"AMI-1 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","421 patients",,,"HF-1 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","170 patients",,,"AMI-4 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","531 patients",,,"HF-2 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","299 patients",,,"PN-6 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","367 patients",,,"AMI-5 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","343 patients",,,"PN-7 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","328 patients","2 ","2","SCIP-INF-4 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","1016 patients","2 ","2","SCIP-INF-3 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","362 patients","2 ","2","SCIP-VTE-1 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1068 patients","2 ","2","SCIP-INF-2 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","65 patients",,,"AMI-3 " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","60 patients",,,"AMI-8A " "260006","HEARTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","173 patients",,,"HF-3 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","243 patients",,,"SCIP-INF-2 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","140 patients",,,"SCIP-VTE-1 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","21 patients","1 ","1","AMI-2 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","354 patients",,,"SCIP-INF-6 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","44 patients",,,"SCIP-CARD-2 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","186 patients",,,"PN-2 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","140 patients",,,"SCIP-VTE-2 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","51 patients",,,"HF-3 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","9 patients","1 ","1","AMI-7A " "260009","BOTHWELL REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","123 patients",,,"PN-6 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","238 patients",,,"SCIP-INF-3 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","138 patients",,,"HF-1 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","249 patients",,,"SCIP-INF-1 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","169 patients",,,"PN-5C " "260009","BOTHWELL REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","79 patients",,,"PN-3B " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","48 patients",,,"AMI-1 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","158 patients",,,"HF-2 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","130 patients",,,"PN-7 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "260009","BOTHWELL REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","24 patients","1 ","1","AMI-5 " "260011","ST MARYS HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","119 patients",,,"PN-7 " "260011","ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","240 patients",,,"SCIP-VTE-2 " "260011","ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","435 patients",,,"SCIP-INF-3 " "260011","ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","240 patients",,,"SCIP-VTE-1 " "260011","ST MARYS HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"PN-4 " "260011","ST MARYS HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","105 patients",,,"AMI-1 " "260011","ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","446 patients",,,"SCIP-INF-2 " "260011","ST MARYS HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","31 patients",,,"PN-6 " "260011","ST MARYS HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"AMI-4 " "260011","ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","439 patients",,,"SCIP-INF-1 " "260011","ST MARYS HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","98 patients",,,"AMI-2 " "260011","ST MARYS HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","152 patients",,,"PN-2 " "260011","ST MARYS HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","195 patients",,,"HF-1 " "260011","ST MARYS HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","105 patients",,,"AMI-5 " "260011","ST MARYS HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","189 patients",,,"PN-5C " "260011","ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","75 patients",,,"SCIP-INF-4 " "260011","ST MARYS HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260011","ST MARYS HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","153 patients",,,"PN-3B " "260011","ST MARYS HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "260011","ST MARYS HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","107 patients",,,"HF-3 " "260011","ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","71 patients",,,"SCIP-CARD-2 " "260011","ST MARYS HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","251 patients",,,"HF-2 " "260011","ST MARYS HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","28 patients",,,"AMI-8A " "260011","ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","632 patients",,,"SCIP-INF-6 " "260011","ST MARYS HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","63 patients",,,"PN-7 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","109 patients",,,"PN-5C " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","68 patients","2 ","2","SCIP-INF-1 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","116 patients",,,"HF-2 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","68 patients","2 ","2","SCIP-INF-2 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","34 patients",,,"CAC-1 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","62 patients",,,"PN-2 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","63 patients","2 ","2","SCIP-INF-3 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","38 patients","2 ","2","SCIP-VTE-2 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","38 patients","2 ","2","SCIP-VTE-1 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","86 patients",,,"HF-1 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","75 patients",,,"PN-6 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","34 patients",,,"CAC-3 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","96 patients",,,"PN-3B " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"HF-3 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","102 patients","2 ","2","SCIP-INF-6 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","34 patients",,,"CAC-2 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"PN-4 " "260015","TWIN RIVERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","36 patients","2 ","2","SCIP-CARD-2 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","229 patients","2 ","2","SCIP-VTE-1 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","209 patients",,,"PN-3B " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","229 patients","2 ","2","SCIP-VTE-2 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","70 patients",,,"AMI-5 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","56 patients",,,"AMI-2 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","177 patients",,,"PN-2 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","90 patients",,,"HF-3 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","417 patients","2 ","2","SCIP-INF-6 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","125 patients",,,"HF-1 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","188 patients",,,"PN-5C " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","85 patients",,,"AMI-1 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","159 patients",,,"HF-2 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","293 patients","2 ","2","SCIP-INF-2 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","109 patients",,,"PN-7 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","146 patients",,,"PN-6 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","286 patients","2 ","2","SCIP-INF-3 " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260017","PHELPS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","293 patients","2 ","2","SCIP-INF-1 " "260020","ST JOHNS MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","403 patients","2 ","2","SCIP-INF-1 " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","510 patients",,,"AMI-5 " "260020","ST JOHNS MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","89 patients","2 ","2","PN-6 " "260020","ST JOHNS MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","139 patients","2 ","2","SCIP-INF-4 " "260020","ST JOHNS MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","419 patients","2 ","2","SCIP-INF-2 " "260020","ST JOHNS MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","142 patients","2 ","2","PN-3B " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","512 patients",,,"AMI-2 " "260020","ST JOHNS MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","90 patients","2 ","2","PN-7 " "260020","ST JOHNS MERCY MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","37%","178 patients","2 ","2","CAC-3 " "260020","ST JOHNS MERCY MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","178 patients","2 ","2","CAC-1 " "260020","ST JOHNS MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","638 patients","2 ","2","SCIP-INF-6 " "260020","ST JOHNS MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","112 patients","2 ","2","SCIP-CARD-2 " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","HF-4 " "260020","ST JOHNS MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","162 patients","2 ","2","PN-5C " "260020","ST JOHNS MERCY MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","178 patients","2 ","2","CAC-2 " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","223 patients","2 ","2","HF-3 " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260020","ST JOHNS MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","112 patients","2 ","2","PN-2 " "260020","ST JOHNS MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","179 patients","2 ","2","SCIP-VTE-2 " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","97 patients",,,"AMI-3 " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","50 patients",,,"AMI-8A " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","130 patients",,,"AMI-4 " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","358 patients",,,"AMI-1 " "260020","ST JOHNS MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients","2 ","2","PN-4 " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","488 patients","2 ","2","HF-1 " "260020","ST JOHNS MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","179 patients","2 ","2","SCIP-VTE-1 " "260020","ST JOHNS MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","609 patients","2 ","2","HF-2 " "260020","ST JOHNS MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","382 patients","2 ","2","SCIP-INF-3 " "260021","FOREST PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "260021","FOREST PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "260021","FOREST PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "260021","FOREST PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","107 patients",,,"HF-1 " "260021","FOREST PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","133 patients",,,"HF-2 " "260021","FOREST PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","12 patients","1 ","1","SCIP-INF-1 " "260021","FOREST PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","35 patients",,,"HF-4 " "260021","FOREST PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","83 patients",,,"PN-3B " "260021","FOREST PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","10 patients","1 ","1","SCIP-INF-3 " "260021","FOREST PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260021","FOREST PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","89 patients",,,"PN-5C " "260021","FOREST PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1 ","1","SCIP-CARD-2 " "260021","FOREST PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260021","FOREST PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","12 patients","1 ","1","SCIP-INF-2 " "260021","FOREST PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","45 patients",,,"PN-2 " "260021","FOREST PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","25 patients",,,"SCIP-VTE-2 " "260021","FOREST PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","65 patients",,,"HF-3 " "260021","FOREST PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","25 patients",,,"SCIP-VTE-1 " "260021","FOREST PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "260021","FOREST PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "260021","FOREST PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","45 patients",,,"SCIP-INF-6 " "260021","FOREST PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"PN-4 " "260021","FOREST PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","58 patients",,,"PN-6 " "260021","FOREST PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","35 patients",,,"PN-7 " "260021","FOREST PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","107 patients","2 ","2","SCIP-VTE-2 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","141 patients",,,"PN-3B " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","131 patients","2 ","2","SCIP-INF-3 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","163 patients",,,"PN-5C " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","169 patients",,,"PN-2 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","229 patients","2 ","2","SCIP-INF-6 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","44 patients",,,"PN-6 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","44 patients",,,"HF-1 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","107 patients","2 ","2","SCIP-VTE-1 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","154 patients","2 ","2","SCIP-INF-1 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","115 patients",,,"PN-7 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","155 patients","2 ","2","SCIP-INF-2 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","73 patients",,,"HF-2 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients","2 ","2","SCIP-CARD-2 " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260022","NORTHEAST REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "260023","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","293 patients","2 ","2","SCIP-INF-3 " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"AMI-4 " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","316 patients",,,"HF-1 " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","47 patients",,,"AMI-3 " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","223 patients",,,"AMI-2 " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","25 patients",,,"AMI-8A " "260023","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","452 patients","2 ","2","SCIP-INF-6 " "260023","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","65 patients","2 ","2","SCIP-INF-4 " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"HF-4 " "260023","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","135 patients",,,"PN-4 " "260023","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","149 patients",,,"PN-6 " "260023","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","216 patients",,,"PN-2 " "260023","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","300 patients","2 ","2","SCIP-INF-1 " "260023","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","157 patients","2 ","2","SCIP-VTE-1 " "260023","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","310 patients","2 ","2","SCIP-INF-2 " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","107 patients",,,"HF-3 " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","422 patients",,,"HF-2 " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","224 patients",,,"AMI-5 " "260023","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","169 patients",,,"PN-7 " "260023","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","254 patients",,,"PN-3B " "260023","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","226 patients",,,"PN-5C " "260023","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","169 patients",,,"AMI-1 " "260023","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","157 patients","2 ","2","SCIP-VTE-2 " "260023","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","65 patients","2 ","2","SCIP-CARD-2 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","20 patients","1,3 ","13","SCIP-INF-6 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","6 patients","1,3 ","13","SCIP-INF-1 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","49 patients","2 ","2","HF-2 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","82 patients",,,"PN-5C " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","HF-4 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","12 patients","1,3 ","13","SCIP-VTE-2 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","12 patients","1,3 ","13","SCIP-VTE-1 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","63%","62 patients",,,"PN-2 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","6 patients","1,3 ","13","SCIP-INF-3 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-2 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","65 patients",,,"PN-6 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","83 patients",,,"PN-3B " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","46 patients",,,"PN-7 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1,2 ","12","HF-3 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","79%","14 patients","1 ","1","AMI-1 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","72%","25 patients",,,"PN-4 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","32 patients","2 ","2","HF-1 " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260024","TEXAS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "260025","HANNIBAL REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","113 patients",,,"PN-6 " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","68 patients",,,"AMI-1 " "260025","HANNIBAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","420 patients",,,"SCIP-INF-3 " "260025","HANNIBAL REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","67 patients",,,"PN-4 " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260025","HANNIBAL REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","129 patients",,,"PN-3B " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","52 patients",,,"HF-3 " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","23 patients","1 ","1","AMI-8A " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","58 patients",,,"AMI-5 " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","60 patients",,,"AMI-2 " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","114 patients",,,"HF-1 " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"HF-4 " "260025","HANNIBAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","433 patients",,,"SCIP-INF-2 " "260025","HANNIBAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","210 patients",,,"SCIP-VTE-2 " "260025","HANNIBAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","434 patients",,,"SCIP-INF-1 " "260025","HANNIBAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","570 patients",,,"SCIP-INF-6 " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","151 patients",,,"HF-2 " "260025","HANNIBAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","210 patients",,,"SCIP-VTE-1 " "260025","HANNIBAL REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","211 patients",,,"PN-2 " "260025","HANNIBAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "260025","HANNIBAL REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","AMI-4 " "260025","HANNIBAL REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","193 patients",,,"PN-5C " "260025","HANNIBAL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","97 patients",,,"SCIP-CARD-2 " "260025","HANNIBAL REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","158 patients",,,"PN-7 " "260027","RESEARCH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","102 patients",,,"AMI-4 " "260027","RESEARCH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260027","RESEARCH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","77 patients",,,"PN-6 " "260027","RESEARCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","480 patients","2 ","2","SCIP-INF-1 " "260027","RESEARCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","284 patients","2 ","2","SCIP-VTE-2 " "260027","RESEARCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","417 patients","2 ","2","SCIP-INF-3 " "260027","RESEARCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","99 patients","2 ","2","SCIP-CARD-2 " "260027","RESEARCH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","41 patients",,,"AMI-8A " "260027","RESEARCH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","167 patients",,,"PN-2 " "260027","RESEARCH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","145 patients",,,"PN-3B " "260027","RESEARCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","284 patients","2 ","2","SCIP-VTE-1 " "260027","RESEARCH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"HF-4 " "260027","RESEARCH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","176 patients",,,"AMI-5 " "260027","RESEARCH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"PN-4 " "260027","RESEARCH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","206 patients",,,"AMI-2 " "260027","RESEARCH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","116 patients",,,"HF-3 " "260027","RESEARCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","720 patients","2 ","2","SCIP-INF-6 " "260027","RESEARCH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","290 patients",,,"HF-1 " "260027","RESEARCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","486 patients","2 ","2","SCIP-INF-2 " "260027","RESEARCH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","133 patients",,,"PN-7 " "260027","RESEARCH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"AMI-3 " "260027","RESEARCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","113 patients","2 ","2","SCIP-INF-4 " "260027","RESEARCH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","334 patients",,,"HF-2 " "260027","RESEARCH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","148 patients",,,"AMI-1 " "260027","RESEARCH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","143 patients",,,"PN-5C " "260032","BARNES JEWISH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","695 patients","2 ","2","HF-1 " "260032","BARNES JEWISH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","391 patients","2 ","2","AMI-1 " "260032","BARNES JEWISH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","781 patients","2 ","2","HF-2 " "260032","BARNES JEWISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","544 patients","2 ","2","SCIP-INF-1 " "260032","BARNES JEWISH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","233 patients","2 ","2","AMI-4 " "260032","BARNES JEWISH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1,2 ","12","AMI-7A " "260032","BARNES JEWISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","282 patients","2 ","2","SCIP-VTE-2 " "260032","BARNES JEWISH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","147 patients","2 ","2","PN-6 " "260032","BARNES JEWISH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","599 patients","2 ","2","AMI-2 " "260032","BARNES JEWISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","830 patients","2 ","2","SCIP-INF-6 " "260032","BARNES JEWISH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","282 patients","2 ","2","SCIP-VTE-1 " "260032","BARNES JEWISH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","188 patients","2 ","2","HF-4 " "260032","BARNES JEWISH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","206 patients","2 ","2","PN-4 " "260032","BARNES JEWISH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","240 patients","2 ","2","PN-7 " "260032","BARNES JEWISH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","158 patients","2 ","2","PN-3B " "260032","BARNES JEWISH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","346 patients","2 ","2","PN-5C " "260032","BARNES JEWISH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","153 patients","2 ","2","AMI-3 " "260032","BARNES JEWISH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","647 patients","2 ","2","AMI-5 " "260032","BARNES JEWISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","500 patients","2 ","2","SCIP-INF-3 " "260032","BARNES JEWISH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","39 patients","2 ","2","AMI-8A " "260032","BARNES JEWISH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","363 patients","2 ","2","HF-3 " "260032","BARNES JEWISH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","253 patients","2 ","2","PN-2 " "260032","BARNES JEWISH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","115 patients","2 ","2","SCIP-CARD-2 " "260032","BARNES JEWISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","151 patients","2 ","2","SCIP-INF-4 " "260032","BARNES JEWISH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","557 patients","2 ","2","SCIP-INF-2 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","31 patients",,,"SCIP-VTE-2 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","58%","62 patients",,,"HF-2 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260034","BATES COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","43 patients",,,"SCIP-INF-6 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","64%","22 patients","1 ","1","SCIP-INF-3 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1 ","1","AMI-2 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","59%","41 patients",,,"PN-6 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","31 patients",,,"SCIP-VTE-1 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","45 patients",,,"PN-7 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","23 patients","1 ","1","SCIP-INF-2 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","62 patients",,,"PN-5C " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","46 patients",,,"HF-1 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","24 patients","1 ","1","SCIP-INF-1 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","5 patients","1 ","1","SCIP-CARD-2 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","43%","7 patients","1 ","1","HF-3 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","PN-4 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1 ","1","PN-3B " "260034","BATES COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","58 patients",,,"PN-2 " "260034","BATES COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "260040","COX MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","165 patients","2 ","2","PN-4 " "260040","COX MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","112 patients","2 ","2","SCIP-CARD-2 " "260040","COX MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "260040","COX MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","237 patients","2 ","2","SCIP-VTE-1 " "260040","COX MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","94 patients",,,"AMI-3 " "260040","COX MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","421 patients",,,"HF-2 " "260040","COX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","476 patients","2 ","2","SCIP-INF-1 " "260040","COX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","156 patients","2 ","2","SCIP-INF-4 " "260040","COX MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","355 patients",,,"HF-1 " "260040","COX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","456 patients","2 ","2","SCIP-INF-3 " "260040","COX MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","94 patients",,,"HF-4 " "260040","COX MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","409 patients",,,"AMI-1 " "260040","COX MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","263 patients","2 ","2","PN-2 " "260040","COX MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","271 patients","2 ","2","PN-3B " "260040","COX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","660 patients","2 ","2","SCIP-INF-6 " "260040","COX MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","172 patients","2 ","2","PN-7 " "260040","COX MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","203 patients",,,"AMI-4 " "260040","COX MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","298 patients","2 ","2","PN-5C " "260040","COX MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","84 patients",,,"AMI-8A " "260040","COX MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","206 patients","2 ","2","PN-6 " "260040","COX MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","113 patients",,,"HF-3 " "260040","COX MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","237 patients","2 ","2","SCIP-VTE-2 " "260040","COX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","493 patients","2 ","2","SCIP-INF-2 " "260040","COX MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","479 patients",,,"AMI-2 " "260040","COX MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","482 patients",,,"AMI-5 " "260047","CAPITAL REGION MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","135 patients",,,"AMI-1 " "260047","CAPITAL REGION MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","147 patients","2 ","2","PN-2 " "260047","CAPITAL REGION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","325 patients","2 ","2","SCIP-INF-3 " "260047","CAPITAL REGION MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","87 patients","2 ","2","PN-6 " "260047","CAPITAL REGION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","192 patients","2 ","2","SCIP-VTE-2 " "260047","CAPITAL REGION MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","192 patients",,,"HF-1 " "260047","CAPITAL REGION MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","148 patients","2 ","2","PN-3B " "260047","CAPITAL REGION MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","75 patients","2 ","2","SCIP-CARD-2 " "260047","CAPITAL REGION MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"HF-4 " "260047","CAPITAL REGION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","485 patients","2 ","2","SCIP-INF-6 " "260047","CAPITAL REGION MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","130 patients",,,"AMI-2 " "260047","CAPITAL REGION MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","157 patients","2 ","2","PN-5C " "260047","CAPITAL REGION MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "260047","CAPITAL REGION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","337 patients","2 ","2","SCIP-INF-1 " "260047","CAPITAL REGION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","192 patients","2 ","2","SCIP-VTE-1 " "260047","CAPITAL REGION MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","26 patients",,,"AMI-8A " "260047","CAPITAL REGION MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "260047","CAPITAL REGION MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","109 patients",,,"PN-7 " "260047","CAPITAL REGION MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","135 patients",,,"AMI-5 " "260047","CAPITAL REGION MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260047","CAPITAL REGION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","345 patients","2 ","2","SCIP-INF-2 " "260047","CAPITAL REGION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","88 patients","2 ","2","SCIP-INF-4 " "260047","CAPITAL REGION MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","249 patients",,,"HF-2 " "260047","CAPITAL REGION MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","PN-4 " "260047","CAPITAL REGION MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","69 patients",,,"HF-3 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","299 patients","2 ","2","HF-2 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","234 patients","2 ","2","SCIP-INF-2 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","124 patients","2 ","2","PN-4 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","AMI-4 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","139 patients","2 ","2","HF-4 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2 ","12","AMI-3 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","164 patients","2 ","2","PN-5C " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","132 patients","2 ","2","PN-3B " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","198 patients","2 ","2","SCIP-VTE-2 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","152 patients","2 ","2","HF-3 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","34 patients","2 ","2","PN-2 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","231 patients","2 ","2","SCIP-INF-1 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","94 patients","2 ","2","PN-6 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","41 patients","2 ","2","AMI-2 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients","2 ","2","AMI-1 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","340 patients","2 ","2","SCIP-INF-6 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","198 patients","2 ","2","SCIP-VTE-1 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","8 patients","1,2 ","12","AMI-8A " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","60 patients","2 ","2","PN-7 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","37 patients","2 ","2","SCIP-CARD-2 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","226 patients","2 ","2","SCIP-INF-3 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","285 patients","2 ","2","HF-1 " "260048","TRUMAN MEDICAL CENTER HOSPITAL HILL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","40 patients","2 ","2","AMI-5 " "26004F","KANSAS CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","145 patients",,,"SCIP-INF-3 " "26004F","KANSAS CITY VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","75 patients",,,"PN-6 " "26004F","KANSAS CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","153 patients",,,"SCIP-INF-1 " "26004F","KANSAS CITY VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","113 patients",,,"PN-2 " "26004F","KANSAS CITY VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","91 patients",,,"PN-7 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "26004F","KANSAS CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","178 patients","2 ","2","SCIP-VTE-2 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-8A " "26004F","KANSAS CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","178 patients","2 ","2","SCIP-VTE-1 " "26004F","KANSAS CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","70 patients","2 ","2","SCIP-CARD-2 " "26004F","KANSAS CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "26004F","KANSAS CITY VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","110 patients",,,"PN-3B " "26004F","KANSAS CITY VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","101 patients",,,"PN-5C " "26004F","KANSAS CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","154 patients",,,"SCIP-INF-2 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "26004F","KANSAS CITY VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","162 patients",,,"HF-2 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","43 patients",,,"AMI-2 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","48 patients",,,"AMI-1 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","136 patients",,,"HF-1 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","70 patients",,,"HF-3 " "26004F","KANSAS CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","247 patients","2 ","2","SCIP-INF-6 " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "26004F","KANSAS CITY VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","40 patients",,,"AMI-5 " "260050","ST FRANCIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","59 patients",,,"PN-2 " "260050","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","126 patients",,,"SCIP-INF-1 " "260050","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","121 patients",,,"SCIP-INF-3 " "260050","ST FRANCIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "260050","ST FRANCIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "260050","ST FRANCIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "260050","ST FRANCIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "260050","ST FRANCIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","42 patients",,,"PN-6 " "260050","ST FRANCIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","27 patients",,,"HF-1 " "260050","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","149 patients",,,"SCIP-INF-6 " "260050","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","57 patients",,,"SCIP-VTE-1 " "260050","ST FRANCIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","53 patients",,,"PN-5C " "260050","ST FRANCIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","47 patients",,,"PN-7 " "260050","ST FRANCIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "260050","ST FRANCIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "260050","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","15 patients","1 ","1","SCIP-CARD-2 " "260050","ST FRANCIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","47 patients",,,"PN-3B " "260050","ST FRANCIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "260050","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","126 patients",,,"SCIP-INF-2 " "260050","ST FRANCIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "260050","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","57 patients",,,"SCIP-VTE-2 " "260050","ST FRANCIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "260050","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260050","ST FRANCIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "260050","ST FRANCIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","46 patients",,,"HF-2 " "260052","ST JOHNS MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","48 patients",,,"HF-4 " "260052","ST JOHNS MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","171 patients","2 ","2","PN-5C " "260052","ST JOHNS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","207 patients","2 ","2","SCIP-INF-2 " "260052","ST JOHNS MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "260052","ST JOHNS MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","43 patients",,,"AMI-1 " "260052","ST JOHNS MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","35 patients",,,"AMI-2 " "260052","ST JOHNS MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","202 patients",,,"HF-1 " "260052","ST JOHNS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","201 patients","2 ","2","SCIP-INF-3 " "260052","ST JOHNS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260052","ST JOHNS MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","85 patients","2 ","2","PN-6 " "260052","ST JOHNS MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","84 patients","2 ","2","PN-7 " "260052","ST JOHNS MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","116 patients","2 ","2","PN-3B " "260052","ST JOHNS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients","2 ","2","SCIP-CARD-2 " "260052","ST JOHNS MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","38 patients",,,"AMI-5 " "260052","ST JOHNS MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260052","ST JOHNS MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","239 patients",,,"HF-2 " "260052","ST JOHNS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","317 patients","2 ","2","SCIP-INF-6 " "260052","ST JOHNS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","207 patients","2 ","2","SCIP-INF-1 " "260052","ST JOHNS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","151 patients","2 ","2","SCIP-VTE-1 " "260052","ST JOHNS MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","34 patients","2 ","2","PN-4 " "260052","ST JOHNS MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","57 patients",,,"HF-3 " "260052","ST JOHNS MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","128 patients","2 ","2","PN-2 " "260052","ST JOHNS MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260052","ST JOHNS MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","151 patients","2 ","2","SCIP-VTE-2 " "260052","ST JOHNS MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "260057","CAMERON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","8 patients","1 ","1","SCIP-CARD-2 " "260057","CAMERON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","48 patients",,,"SCIP-VTE-1 " "260057","CAMERON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","71 patients",,,"SCIP-INF-6 " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","57%","7 patients","1 ","1","AMI-5 " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","61 patients",,,"HF-2 " "260057","CAMERON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","83 patients",,,"PN-6 " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","51%","41 patients",,,"HF-1 " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "260057","CAMERON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","71 patients",,,"PN-3B " "260057","CAMERON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","54 patients",,,"SCIP-INF-1 " "260057","CAMERON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","48 patients",,,"PN-4 " "260057","CAMERON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","65 patients",,,"PN-7 " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260057","CAMERON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","55 patients",,,"SCIP-INF-2 " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "260057","CAMERON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","52 patients",,,"SCIP-INF-3 " "260057","CAMERON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","149 patients",,,"PN-5C " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","40%","5 patients","1 ","1","AMI-2 " "260057","CAMERON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","HF-4 " "260057","CAMERON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","94 patients",,,"PN-2 " "260057","CAMERON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260057","CAMERON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","48 patients",,,"SCIP-VTE-2 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","64 patients",,,"HF-1 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "260059","ST JOHNS HOSPITAL-LEBANON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","153 patients",,,"SCIP-INF-3 " "260059","ST JOHNS HOSPITAL-LEBANON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","133 patients",,,"PN-2 " "260059","ST JOHNS HOSPITAL-LEBANON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","87 patients",,,"PN-7 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "260059","ST JOHNS HOSPITAL-LEBANON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","228 patients",,,"SCIP-INF-6 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","31 patients",,,"HF-3 " "260059","ST JOHNS HOSPITAL-LEBANON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","22 patients","1 ","1","SCIP-CARD-2 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","78 patients",,,"HF-2 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,3 ","13","AMI-1 " "260059","ST JOHNS HOSPITAL-LEBANON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","157 patients",,,"SCIP-INF-1 " "260059","ST JOHNS HOSPITAL-LEBANON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","142 patients",,,"PN-5C " "260059","ST JOHNS HOSPITAL-LEBANON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","157 patients",,,"SCIP-INF-2 " "260059","ST JOHNS HOSPITAL-LEBANON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","115 patients",,,"SCIP-VTE-1 " "260059","ST JOHNS HOSPITAL-LEBANON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","128 patients",,,"PN-6 " "260059","ST JOHNS HOSPITAL-LEBANON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","133 patients",,,"PN-3B " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "260059","ST JOHNS HOSPITAL-LEBANON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","114 patients",,,"SCIP-VTE-2 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "260059","ST JOHNS HOSPITAL-LEBANON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260059","ST JOHNS HOSPITAL-LEBANON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","54 patients",,,"PN-4 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "260059","ST JOHNS HOSPITAL-LEBANON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "260061","NEVADA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","41 patients",,,"PN-2 " "260061","NEVADA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","21 patients","1 ","1","SCIP-VTE-2 " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "260061","NEVADA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","21 patients","1 ","1","SCIP-VTE-1 " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260061","NEVADA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","33 patients",,,"HF-2 " "260061","NEVADA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","20 patients","1 ","1","SCIP-INF-2 " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "260061","NEVADA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","PN-4 " "260061","NEVADA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1 ","1","PN-3B " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "260061","NEVADA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","53 patients",,,"PN-5C " "260061","NEVADA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","35 patients",,,"PN-7 " "260061","NEVADA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-1 " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "260061","NEVADA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","20 patients","1 ","1","SCIP-INF-3 " "260061","NEVADA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","35 patients",,,"SCIP-INF-6 " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "260061","NEVADA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1 ","1","SCIP-CARD-2 " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "260061","NEVADA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","27 patients",,,"PN-6 " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260061","NEVADA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","27 patients",,,"HF-1 " "260062","ST LUKES NORTHLAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","41 patients",,,"SCIP-CARD-2 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","57 patients",,,"AMI-2 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "260062","ST LUKES NORTHLAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"PN-4 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","80 patients",,,"HF-2 " "260062","ST LUKES NORTHLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","154 patients",,,"SCIP-VTE-1 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "260062","ST LUKES NORTHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","218 patients",,,"SCIP-INF-2 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","15 patients","1 ","1","AMI-8A " "260062","ST LUKES NORTHLAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","115 patients",,,"PN-5C " "260062","ST LUKES NORTHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","209 patients",,,"SCIP-INF-3 " "260062","ST LUKES NORTHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","218 patients",,,"SCIP-INF-1 " "260062","ST LUKES NORTHLAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","76 patients",,,"PN-6 " "260062","ST LUKES NORTHLAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","88 patients",,,"PN-7 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "260062","ST LUKES NORTHLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","154 patients",,,"SCIP-VTE-2 " "260062","ST LUKES NORTHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","64 patients",,,"AMI-1 " "260062","ST LUKES NORTHLAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","96 patients",,,"PN-3B " "260062","ST LUKES NORTHLAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","103 patients",,,"PN-2 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients",,,"HF-3 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","46 patients",,,"AMI-5 " "260062","ST LUKES NORTHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","299 patients",,,"SCIP-INF-6 " "260062","ST LUKES NORTHLAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","66 patients",,,"HF-1 " "260064","AUDRAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","215 patients",,,"SCIP-INF-1 " "260064","AUDRAIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "260064","AUDRAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","91 patients",,,"SCIP-VTE-1 " "260064","AUDRAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","91 patients",,,"SCIP-VTE-2 " "260064","AUDRAIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "260064","AUDRAIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","160 patients",,,"HF-2 " "260064","AUDRAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","216 patients",,,"SCIP-INF-2 " "260064","AUDRAIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","97 patients",,,"PN-2 " "260064","AUDRAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","30 patients",,,"SCIP-CARD-2 " "260064","AUDRAIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","46 patients",,,"AMI-2 " "260064","AUDRAIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","112 patients",,,"PN-5C " "260064","AUDRAIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","45 patients",,,"AMI-5 " "260064","AUDRAIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","AMI-4 " "260064","AUDRAIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","53 patients",,,"AMI-1 " "260064","AUDRAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","209 patients",,,"SCIP-INF-3 " "260064","AUDRAIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "260064","AUDRAIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","66 patients",,,"PN-7 " "260064","AUDRAIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","114 patients",,,"HF-1 " "260064","AUDRAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260064","AUDRAIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","94 patients",,,"PN-3B " "260064","AUDRAIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","69 patients",,,"PN-6 " "260064","AUDRAIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"HF-3 " "260064","AUDRAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","276 patients",,,"SCIP-INF-6 " "260064","AUDRAIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260064","AUDRAIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","16 patients","1 ","1","AMI-8A " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","520 patients",,,"AMI-2 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","474 patients","2 ","2","SCIP-INF-2 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","480 patients","2 ","2","PN-2 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","325 patients",,,"AMI-1 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","231 patients",,,"HF-3 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"HF-4 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","266 patients","2 ","2","PN-6 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","226 patients",,,"AMI-4 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","143 patients","2 ","2","SCIP-INF-4 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","192 patients","2 ","2","SCIP-VTE-1 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","429 patients",,,"PN-7 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","660 patients","2 ","2","SCIP-INF-6 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","103 patients",,,"AMI-3 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","481 patients",,,"HF-1 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","512 patients",,,"AMI-5 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","417 patients","2 ","2","PN-5C " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","457 patients","2 ","2","SCIP-INF-1 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","192 patients","2 ","2","SCIP-VTE-2 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","252 patients","2 ","2","PN-4 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","99 patients",,,"AMI-8A " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","602 patients",,,"HF-2 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","98 patients","2 ","2","SCIP-CARD-2 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","441 patients","2 ","2","SCIP-INF-3 " "260065","ST JOHN'S REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","381 patients","2 ","2","PN-3B " "260068","BOONE HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","270 patients","2 ","2","PN-2 " "260068","BOONE HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","166 patients",,,"PN-7 " "260068","BOONE HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260068","BOONE HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","391 patients",,,"AMI-5 " "260068","BOONE HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","44 patients",,,"AMI-8A " "260068","BOONE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","180 patients","2 ","2","SCIP-INF-4 " "260068","BOONE HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","457 patients",,,"HF-2 " "260068","BOONE HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","212 patients",,,"HF-3 " "260068","BOONE HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","246 patients","2 ","2","PN-5C " "260068","BOONE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","859 patients","2 ","2","SCIP-INF-6 " "260068","BOONE HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","198 patients","2 ","2","PN-3B " "260068","BOONE HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"HF-4 " "260068","BOONE HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","378 patients",,,"AMI-2 " "260068","BOONE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","254 patients","2 ","2","SCIP-VTE-2 " "260068","BOONE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","661 patients","2 ","2","SCIP-INF-2 " "260068","BOONE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","642 patients","2 ","2","SCIP-INF-3 " "260068","BOONE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","102 patients","2 ","2","SCIP-CARD-2 " "260068","BOONE HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","165 patients",,,"AMI-1 " "260068","BOONE HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","395 patients",,,"HF-1 " "260068","BOONE HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","103 patients",,,"AMI-3 " "260068","BOONE HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","176 patients","2 ","2","PN-6 " "260068","BOONE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","650 patients","2 ","2","SCIP-INF-1 " "260068","BOONE HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","68 patients","2 ","2","PN-4 " "260068","BOONE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","254 patients","2 ","2","SCIP-VTE-1 " "260068","BOONE HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","129 patients",,,"AMI-4 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "260070","PEMISCOT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","39 patients","2 ","2","PN-2 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","7%","112 patients","2 ","2","HF-1 " "260070","PEMISCOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","8 patients","1 ","1","SCIP-VTE-2 " "260070","PEMISCOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","6 patients","1 ","1","SCIP-INF-2 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","6 patients","1,2 ","12","AMI-1 " "260070","PEMISCOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","14 patients","1 ","1","SCIP-INF-6 " "260070","PEMISCOT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","38%","32 patients",,,"PN-7 " "260070","PEMISCOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","5 patients","1 ","1","SCIP-INF-1 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","3 patients","1,2 ","12","AMI-2 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","140 patients","2 ","2","HF-2 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","4 patients","1,2 ","12","AMI-5 " "260070","PEMISCOT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","21 patients","1,2 ","12","PN-3B " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","24%","25 patients","2 ","2","HF-3 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","24%","34 patients","2 ","2","HF-4 " "260070","PEMISCOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,2 ","12","AMI-3 " "260070","PEMISCOT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "260070","PEMISCOT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","70%","74 patients","2 ","2","PN-5C " "260070","PEMISCOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "260070","PEMISCOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","9 patients","1 ","1","SCIP-VTE-1 " "260070","PEMISCOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260070","PEMISCOT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","35%","23 patients","1,2 ","12","PN-4 " "260070","PEMISCOT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","50 patients","2 ","2","PN-6 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","85 patients","2 ","2","SCIP-INF-2 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","46 patients","2 ","2","SCIP-VTE-2 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","46 patients","2 ","2","SCIP-VTE-1 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","105 patients",,,"PN-5C " "260074","MOBERLY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","88 patients",,,"PN-7 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","123 patients",,,"PN-2 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1,2 ","12","SCIP-CARD-2 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","18 patients","1 ","1","AMI-2 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","112 patients",,,"PN-3B " "260074","MOBERLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","86 patients","2 ","2","SCIP-INF-1 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","54 patients",,,"PN-6 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","84 patients","2 ","2","SCIP-INF-3 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","108 patients","2 ","2","SCIP-INF-6 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","32 patients",,,"HF-1 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","52 patients",,,"HF-2 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","25 patients",,,"AMI-1 " "260074","MOBERLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "260077","ST ANTHONYS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","116 patients","2 ","2","AMI-4 " "260077","ST ANTHONYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","768 patients","2 ","2","SCIP-INF-3 " "260077","ST ANTHONYS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","294 patients","2 ","2","AMI-2 " "260077","ST ANTHONYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","423 patients","2 ","2","SCIP-VTE-1 " "260077","ST ANTHONYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","810 patients","2 ","2","SCIP-INF-2 " "260077","ST ANTHONYS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","326 patients","2 ","2","HF-2 " "260077","ST ANTHONYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","194 patients","2 ","2","SCIP-CARD-2 " "260077","ST ANTHONYS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","124 patients","2 ","2","HF-3 " "260077","ST ANTHONYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","232 patients","2 ","2","SCIP-INF-4 " "260077","ST ANTHONYS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","248 patients","2 ","2","HF-1 " "260077","ST ANTHONYS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","208 patients","2 ","2","PN-5C " "260077","ST ANTHONYS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","308 patients","2 ","2","AMI-1 " "260077","ST ANTHONYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","423 patients","2 ","2","SCIP-VTE-2 " "260077","ST ANTHONYS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","104 patients","2 ","2","PN-6 " "260077","ST ANTHONYS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","54 patients","2 ","2","HF-4 " "260077","ST ANTHONYS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","80 patients","2 ","2","AMI-8A " "260077","ST ANTHONYS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","142 patients","2 ","2","PN-3B " "260077","ST ANTHONYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1165 patients","2 ","2","SCIP-INF-6 " "260077","ST ANTHONYS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","81 patients","2 ","2","PN-4 " "260077","ST ANTHONYS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "260077","ST ANTHONYS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","62 patients","2 ","2","AMI-3 " "260077","ST ANTHONYS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","117 patients","2 ","2","PN-7 " "260077","ST ANTHONYS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","798 patients","2 ","2","SCIP-INF-1 " "260077","ST ANTHONYS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","188 patients","2 ","2","PN-2 " "260077","ST ANTHONYS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","303 patients","2 ","2","AMI-5 " "260078","OZARKS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","72 patients",,,"PN-4 " "260078","OZARKS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260078","OZARKS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","95 patients",,,"PN-7 " "260078","OZARKS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","155 patients",,,"PN-3B " "260078","OZARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","157 patients",,,"SCIP-INF-1 " "260078","OZARKS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","81 patients",,,"HF-1 " "260078","OZARKS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","AMI-3 " "260078","OZARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","89 patients",,,"SCIP-VTE-1 " "260078","OZARKS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","9 patients","1 ","1","AMI-8A " "260078","OZARKS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","33 patients",,,"AMI-1 " "260078","OZARKS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "260078","OZARKS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "260078","OZARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","89 patients",,,"SCIP-VTE-2 " "260078","OZARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","203 patients",,,"SCIP-INF-6 " "260078","OZARKS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","30 patients",,,"AMI-5 " "260078","OZARKS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","121 patients",,,"HF-2 " "260078","OZARKS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","147 patients",,,"PN-2 " "260078","OZARKS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","185 patients",,,"PN-5C " "260078","OZARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","151 patients",,,"SCIP-INF-3 " "260078","OZARKS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","27 patients",,,"HF-3 " "260078","OZARKS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","27 patients",,,"AMI-2 " "260078","OZARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","24 patients","1 ","1","SCIP-CARD-2 " "260078","OZARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","158 patients",,,"SCIP-INF-2 " "260078","OZARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","13 patients","1 ","1","SCIP-INF-4 " "260078","OZARKS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","121 patients",,,"PN-6 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","26 patients",,,"PN-7 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1 ","1","HF-3 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","106 patients",,,"HF-2 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","5 patients","1 ","1","AMI-7A " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","7 patients","1 ","1","PN-3B " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","102 patients",,,"HF-1 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","32 patients",,,"PN-2 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","34 patients",,,"PN-6 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","34 patients",,,"PN-5C " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "26007F","POPLAR BLUFF VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","56 patients","2 ","2","PN-2 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","AMI-3 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","86 patients","2 ","2","PN-5C " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","52 patients","2 ","2","PN-6 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1,2 ","12","HF-4 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1,2 ","12","HF-3 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,2 ","12","AMI-5 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","30 patients","2 ","2","HF-1 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,2 ","12","AMI-2 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","55 patients","2 ","2","PN-3B " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","33%","3 patients","1,2 ","12","AMI-1 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","47 patients",,,"PN-7 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","29 patients","2 ","2","PN-4 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","34 patients","2 ","2","HF-2 " "260080","RIPLEY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "260081","SSM ST CLARE HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","69 patients",,,"HF-3 " "260081","SSM ST CLARE HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","163 patients",,,"HF-1 " "260081","SSM ST CLARE HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260081","SSM ST CLARE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","442 patients","2 ","2","SCIP-INF-1 " "260081","SSM ST CLARE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","137 patients","2 ","2","SCIP-INF-4 " "260081","SSM ST CLARE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","415 patients","2 ","2","SCIP-INF-3 " "260081","SSM ST CLARE HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "260081","SSM ST CLARE HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","PN-4 " "260081","SSM ST CLARE HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","140 patients","2 ","2","PN-5C " "260081","SSM ST CLARE HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","56 patients","2 ","2","SCIP-CARD-2 " "260081","SSM ST CLARE HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","19 patients","1 ","1","AMI-8A " "260081","SSM ST CLARE HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","130 patients","2 ","2","PN-3B " "260081","SSM ST CLARE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","627 patients","2 ","2","SCIP-INF-6 " "260081","SSM ST CLARE HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","127 patients","2 ","2","PN-2 " "260081","SSM ST CLARE HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","107 patients","2 ","2","PN-6 " "260081","SSM ST CLARE HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","142 patients",,,"AMI-2 " "260081","SSM ST CLARE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","448 patients","2 ","2","SCIP-INF-2 " "260081","SSM ST CLARE HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","131 patients",,,"AMI-1 " "260081","SSM ST CLARE HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","242 patients","2 ","2","SCIP-VTE-2 " "260081","SSM ST CLARE HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","33 patients",,,"AMI-3 " "260081","SSM ST CLARE HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "260081","SSM ST CLARE HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","77 patients",,,"PN-7 " "260081","SSM ST CLARE HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","242 patients","2 ","2","SCIP-VTE-1 " "260081","SSM ST CLARE HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","143 patients",,,"AMI-5 " "260081","SSM ST CLARE HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","230 patients",,,"HF-2 " "260085","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","151 patients",,,"PN-6 " "260085","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","59 patients",,,"AMI-3 " "260085","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","186 patients",,,"AMI-1 " "260085","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","377 patients","2 ","2","SCIP-INF-2 " "260085","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","229 patients",,,"AMI-2 " "260085","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","49 patients","2 ","2","SCIP-CARD-2 " "260085","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","81 patients",,,"PN-4 " "260085","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","147 patients",,,"HF-3 " "260085","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","374 patients","2 ","2","SCIP-INF-3 " "260085","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","98 patients","2 ","2","SCIP-INF-4 " "260085","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"AMI-4 " "260085","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","171 patients","2 ","2","SCIP-VTE-2 " "260085","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","180 patients",,,"PN-7 " "260085","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","211 patients",,,"AMI-5 " "260085","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","172 patients","2 ","2","SCIP-VTE-1 " "260085","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","264 patients",,,"HF-1 " "260085","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","370 patients",,,"HF-2 " "260085","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "260085","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","240 patients",,,"PN-3B " "260085","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","231 patients",,,"PN-5C " "260085","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","377 patients","2 ","2","SCIP-INF-1 " "260085","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","46 patients",,,"AMI-8A " "260085","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","240 patients",,,"PN-2 " "260085","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260085","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","490 patients","2 ","2","SCIP-INF-6 " "260091","SSM ST MARYS HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","109 patients","2 ","2","PN-3B " "260091","SSM ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","807 patients","2 ","2","SCIP-INF-6 " "260091","SSM ST MARYS HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","92 patients","2 ","2","HF-3 " "260091","SSM ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","567 patients","2 ","2","SCIP-INF-1 " "260091","SSM ST MARYS HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260091","SSM ST MARYS HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","210 patients",,,"AMI-5 " "260091","SSM ST MARYS HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","71 patients","2 ","2","PN-4 " "260091","SSM ST MARYS HEALTH CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","92%","305 patients",,,"CAC-3 " "260091","SSM ST MARYS HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","327 patients","2 ","2","HF-2 " "260091","SSM ST MARYS HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","218 patients",,,"AMI-2 " "260091","SSM ST MARYS HEALTH CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","305 patients",,,"CAC-1 " "260091","SSM ST MARYS HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","203 patients",,,"AMI-1 " "260091","SSM ST MARYS HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","135 patients","2 ","2","PN-5C " "260091","SSM ST MARYS HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","25 patients",,,"AMI-8A " "260091","SSM ST MARYS HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","101 patients","2 ","2","PN-6 " "260091","SSM ST MARYS HEALTH CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","305 patients",,,"CAC-2 " "260091","SSM ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","525 patients","2 ","2","SCIP-INF-3 " "260091","SSM ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","110 patients","2 ","2","SCIP-CARD-2 " "260091","SSM ST MARYS HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","107 patients","2 ","2","PN-7 " "260091","SSM ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","573 patients","2 ","2","SCIP-INF-2 " "260091","SSM ST MARYS HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","277 patients","2 ","2","HF-1 " "260091","SSM ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","305 patients","2 ","2","SCIP-VTE-2 " "260091","SSM ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","119 patients","2 ","2","SCIP-INF-4 " "260091","SSM ST MARYS HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","144 patients","2 ","2","PN-2 " "260091","SSM ST MARYS HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","305 patients","2 ","2","SCIP-VTE-1 " "260091","SSM ST MARYS HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"AMI-4 " "260091","SSM ST MARYS HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","38 patients",,,"AMI-3 " "260091","SSM ST MARYS HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients","2 ","2","HF-4 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","151 patients","2 ","2","PN-3B " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","81 patients","2 ","2","HF-3 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","140 patients","2 ","2","SCIP-VTE-2 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","75 patients","2 ","2","PN-4 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","22 patients","1 ","1","AMI-8A " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","152 patients","2 ","2","PN-5C " "260094","SKAGGS COMMUNITY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","105 patients","2 ","2","PN-6 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","165 patients",,,"AMI-1 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","167 patients",,,"AMI-5 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","252 patients","2 ","2","HF-2 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","224 patients","2 ","2","HF-1 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","100 patients","2 ","2","PN-7 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","453 patients","2 ","2","SCIP-INF-6 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","297 patients","2 ","2","SCIP-INF-1 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260094","SKAGGS COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","72 patients","2 ","2","SCIP-INF-4 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","54 patients","2 ","2","SCIP-CARD-2 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","140 patients","2 ","2","SCIP-VTE-1 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","301 patients","2 ","2","SCIP-INF-2 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","251 patients","2 ","2","SCIP-INF-3 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","161 patients","2 ","2","PN-2 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","180 patients",,,"AMI-2 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","70 patients","2 ","2","HF-4 " "260094","SKAGGS COMMUNITY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","79 patients",,,"AMI-4 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","443 patients","2 ","2","SCIP-INF-2 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","123 patients","2 ","2","SCIP-INF-4 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","93 patients","2 ","2","SCIP-CARD-2 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","298 patients",,,"HF-1 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","133 patients",,,"PN-6 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"HF-4 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","65 patients",,,"AMI-3 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","443 patients","2 ","2","SCIP-INF-1 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","242 patients",,,"PN-2 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","404 patients",,,"HF-2 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","311 patients","2 ","2","SCIP-VTE-1 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","47 patients",,,"AMI-8A " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","229 patients",,,"AMI-2 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","311 patients","2 ","2","SCIP-VTE-2 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","284 patients",,,"PN-5C " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","654 patients","2 ","2","SCIP-INF-6 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"PN-4 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","272 patients",,,"PN-3B " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","244 patients",,,"AMI-5 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","421 patients","2 ","2","SCIP-INF-3 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","230 patients",,,"AMI-1 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","190 patients",,,"PN-7 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","129 patients",,,"HF-3 " "260095","CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","94 patients",,,"AMI-4 " "260096","NORTH KANSAS CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","742 patients","2 ","2","SCIP-INF-3 " "260096","NORTH KANSAS CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","186 patients","2 ","2","PN-7 " "260096","NORTH KANSAS CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","189 patients","2 ","2","SCIP-CARD-2 " "260096","NORTH KANSAS CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1042 patients","2 ","2","SCIP-INF-6 " "260096","NORTH KANSAS CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","389 patients","2 ","2","AMI-5 " "260096","NORTH KANSAS CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","772 patients","2 ","2","SCIP-INF-1 " "260096","NORTH KANSAS CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","64 patients","2 ","2","HF-4 " "260096","NORTH KANSAS CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","778 patients","2 ","2","SCIP-INF-2 " "260096","NORTH KANSAS CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","447 patients","2 ","2","SCIP-VTE-1 " "260096","NORTH KANSAS CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "260096","NORTH KANSAS CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","195 patients","2 ","2","PN-3B " "260096","NORTH KANSAS CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","276 patients","2 ","2","AMI-1 " "260096","NORTH KANSAS CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","204 patients","2 ","2","SCIP-INF-4 " "260096","NORTH KANSAS CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","170 patients","2 ","2","PN-6 " "260096","NORTH KANSAS CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","126 patients","2 ","2","AMI-3 " "260096","NORTH KANSAS CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","254 patients","2 ","2","PN-5C " "260096","NORTH KANSAS CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","168 patients","2 ","2","AMI-4 " "260096","NORTH KANSAS CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","119 patients","2 ","2","HF-3 " "260096","NORTH KANSAS CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","105 patients","2 ","2","PN-4 " "260096","NORTH KANSAS CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","247 patients","2 ","2","PN-2 " "260096","NORTH KANSAS CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","69 patients","2 ","2","AMI-8A " "260096","NORTH KANSAS CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","447 patients","2 ","2","SCIP-VTE-2 " "260096","NORTH KANSAS CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","382 patients","2 ","2","HF-2 " "260096","NORTH KANSAS CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","398 patients","2 ","2","AMI-2 " "260096","NORTH KANSAS CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","339 patients","2 ","2","HF-1 " "260097","WESTERN MISSOURI MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","89 patients",,,"PN-5C " "260097","WESTERN MISSOURI MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","58 patients",,,"PN-3B " "260097","WESTERN MISSOURI MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","63 patients",,,"PN-6 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","HF-3 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1 ","1","HF-4 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260097","WESTERN MISSOURI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","137 patients",,,"SCIP-VTE-1 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","47%","36 patients",,,"HF-1 " "260097","WESTERN MISSOURI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","135 patients",,,"SCIP-VTE-2 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","55 patients",,,"HF-2 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "260097","WESTERN MISSOURI MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","25 patients",,,"SCIP-CARD-2 " "260097","WESTERN MISSOURI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","250 patients",,,"SCIP-INF-6 " "260097","WESTERN MISSOURI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","193 patients",,,"SCIP-INF-3 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260097","WESTERN MISSOURI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","204 patients",,,"SCIP-INF-1 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "260097","WESTERN MISSOURI MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","68 patients",,,"PN-2 " "260097","WESTERN MISSOURI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","206 patients",,,"SCIP-INF-2 " "260097","WESTERN MISSOURI MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","21 patients","1 ","1","PN-4 " "260097","WESTERN MISSOURI MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","52 patients",,,"PN-7 " "260097","WESTERN MISSOURI MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","5 patients","1 ","1","AMI-5 " "260097","WESTERN MISSOURI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-7A " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","108 patients","2 ","2","SCIP-CARD-2 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","193 patients","2 ","2","SCIP-VTE-2 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","169 patients",,,"SCIP-INF-1 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","165 patients",,,"SCIP-INF-3 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","93 patients",,,"PN-5C " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","169 patients",,,"SCIP-INF-2 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","264 patients","2 ","2","SCIP-INF-6 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","89 patients",,,"AMI-2 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","65 patients",,,"PN-2 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","354 patients",,,"HF-2 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","344 patients",,,"HF-1 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","96 patients",,,"PN-3B " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","194 patients","2 ","2","SCIP-VTE-1 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","104 patients",,,"AMI-1 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","95 patients",,,"AMI-5 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","10 patients","1 ","1","AMI-8A " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","113 patients",,,"HF-4 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","146 patients",,,"HF-3 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"PN-4 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","54 patients",,,"PN-7 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "26009F","ST LOUIS-JOHN COCHRAN VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","53 patients",,,"PN-6 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","50 patients","2 ","2","HF-1 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","205 patients","2 ","2","SCIP-INF-2 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","81 patients","2 ","2","PN-3B " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,2 ","12","AMI-2 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,2 ","12","AMI-5 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","57 patients","2 ","2","HF-2 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","50 patients","2 ","2","PN-4 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","244 patients","2 ","2","SCIP-INF-6 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","200 patients","2 ","2","SCIP-INF-3 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients","2 ","2","HF-3 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","67 patients","2 ","2","PN-6 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","202 patients","2 ","2","SCIP-INF-1 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","84 patients","2 ","2","SCIP-VTE-2 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","28 patients","2 ","2","HF-4 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","44 patients","2 ","2","PN-7 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","33 patients","2 ","2","PN-2 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","30 patients",,,"SCIP-CARD-2 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,2 ","12","AMI-1 " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","52 patients","2,3 ","23","PN-5C " "260102","TRUMAN MEDICAL CENTER LAKEWOOD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","84 patients","2 ","2","SCIP-VTE-1 " "260104","SSM DEPAUL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","147 patients","2 ","2","PN-5C " "260104","SSM DEPAUL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","91 patients","2 ","2","PN-7 " "260104","SSM DEPAUL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","86 patients","2 ","2","PN-4 " "260104","SSM DEPAUL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","331 patients","2 ","2","SCIP-VTE-2 " "260104","SSM DEPAUL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","102 patients","2 ","2","PN-3B " "260104","SSM DEPAUL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","121 patients","2 ","2","PN-2 " "260104","SSM DEPAUL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","82 patients","2 ","2","HF-4 " "260104","SSM DEPAUL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","114 patients","2 ","2","HF-3 " "260104","SSM DEPAUL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","104 patients","2 ","2","AMI-4 " "260104","SSM DEPAUL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","272 patients","2 ","2","AMI-1 " "260104","SSM DEPAUL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","47 patients","2 ","2","AMI-8A " "260104","SSM DEPAUL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","156 patients","2 ","2","SCIP-INF-4 " "260104","SSM DEPAUL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","261 patients","2 ","2","AMI-5 " "260104","SSM DEPAUL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "260104","SSM DEPAUL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","360 patients","2 ","2","HF-2 " "260104","SSM DEPAUL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","88 patients","2 ","2","PN-6 " "260104","SSM DEPAUL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","644 patients","2 ","2","SCIP-INF-1 " "260104","SSM DEPAUL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","287 patients","2 ","2","HF-1 " "260104","SSM DEPAUL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","331 patients","2 ","2","SCIP-VTE-1 " "260104","SSM DEPAUL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","132 patients","2 ","2","SCIP-CARD-2 " "260104","SSM DEPAUL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","280 patients","2 ","2","AMI-2 " "260104","SSM DEPAUL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","905 patients","2 ","2","SCIP-INF-6 " "260104","SSM DEPAUL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","570 patients","2 ","2","SCIP-INF-3 " "260104","SSM DEPAUL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","64 patients","2 ","2","AMI-3 " "260104","SSM DEPAUL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","650 patients","2 ","2","SCIP-INF-2 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","134 patients","2 ","2","SCIP-INF-3 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","110 patients",,,"PN-4 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","173 patients","2 ","2","SCIP-INF-2 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","78 patients","2 ","2","SCIP-INF-4 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","165 patients","2 ","2","SCIP-INF-1 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","63 patients","2 ","2","SCIP-CARD-2 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","178 patients","2 ","2","SCIP-VTE-2 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","148 patients",,,"AMI-1 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"AMI-4 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","347 patients",,,"HF-1 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","113 patients",,,"PN-7 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","111 patients",,,"PN-2 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","156 patients",,,"AMI-5 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","120 patients",,,"HF-4 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","387 patients","2 ","2","SCIP-INF-6 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","179 patients","2 ","2","SCIP-VTE-1 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","200 patients",,,"HF-3 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","39 patients",,,"AMI-3 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","61 patients",,,"PN-6 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","119 patients",,,"PN-3B " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","401 patients",,,"HF-2 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","157 patients",,,"AMI-2 " "260105","ST LOUIS UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","41 patients",,,"AMI-8A " "260105","ST LOUIS UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","136 patients",,,"PN-5C " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","461 patients",,,"AMI-5 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","326 patients","2 ","2","PN-7 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","155 patients",,,"AMI-4 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","591 patients","2 ","2","SCIP-INF-1 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","HF-4 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","295 patients","2 ","2","SCIP-VTE-1 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","680 patients","2 ","2","HF-2 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","90 patients",,,"AMI-3 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","574 patients","2 ","2","SCIP-INF-3 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","295 patients","2 ","2","SCIP-VTE-2 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","484 patients","2 ","2","PN-2 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","430 patients",,,"AMI-2 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","238 patients","2 ","2","HF-3 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","146 patients","2 ","2","PN-4 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","251 patients","2 ","2","PN-6 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","178 patients","2 ","2","SCIP-INF-4 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","524 patients","2 ","2","HF-1 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","195 patients",,,"AMI-1 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","22 patients","1 ","1","AMI-8A " "260108","MISSOURI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","143 patients","2 ","2","SCIP-CARD-2 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","421 patients","2 ","2","PN-3B " "260108","MISSOURI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","605 patients","2 ","2","SCIP-INF-2 " "260108","MISSOURI BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","405 patients","2 ","2","PN-5C " "260108","MISSOURI BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","893 patients","2 ","2","SCIP-INF-6 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","118 patients",,,"HF-3 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","56 patients",,,"AMI-3 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","140 patients",,,"AMI-4 " "260110","SOUTHEAST MISSOURI HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","221 patients",,,"PN-3B " "260110","SOUTHEAST MISSOURI HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","176 patients",,,"PN-6 " "260110","SOUTHEAST MISSOURI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","166 patients","2 ","2","SCIP-VTE-1 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","37 patients",,,"AMI-8A " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","241 patients",,,"HF-1 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","263 patients",,,"AMI-2 " "260110","SOUTHEAST MISSOURI HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","448 patients","2 ","2","SCIP-INF-2 " "260110","SOUTHEAST MISSOURI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","166 patients","2 ","2","SCIP-VTE-2 " "260110","SOUTHEAST MISSOURI HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","199 patients",,,"PN-2 " "260110","SOUTHEAST MISSOURI HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","436 patients","2 ","2","SCIP-INF-1 " "260110","SOUTHEAST MISSOURI HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","172 patients","2 ","2","SCIP-INF-4 " "260110","SOUTHEAST MISSOURI HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","111 patients","2 ","2","SCIP-CARD-2 " "260110","SOUTHEAST MISSOURI HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","206 patients",,,"PN-5C " "260110","SOUTHEAST MISSOURI HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","129 patients",,,"PN-7 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","275 patients",,,"HF-2 " "260110","SOUTHEAST MISSOURI HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","425 patients","2 ","2","SCIP-INF-3 " "260110","SOUTHEAST MISSOURI HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","104 patients",,,"PN-4 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260110","SOUTHEAST MISSOURI HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","669 patients","2 ","2","SCIP-INF-6 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","65 patients",,,"HF-4 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","143 patients",,,"AMI-1 " "260110","SOUTHEAST MISSOURI HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","254 patients",,,"AMI-5 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260113","MISSOURI DELTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","39 patients",,,"HF-3 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","135 patients",,,"HF-1 " "260113","MISSOURI DELTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","110 patients",,,"PN-3B " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260113","MISSOURI DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","169 patients",,,"SCIP-INF-6 " "260113","MISSOURI DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","88 patients",,,"SCIP-VTE-2 " "260113","MISSOURI DELTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","98 patients",,,"PN-6 " "260113","MISSOURI DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260113","MISSOURI DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","18 patients","1 ","1","SCIP-CARD-2 " "260113","MISSOURI DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","83 patients",,,"SCIP-INF-1 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","178 patients",,,"HF-2 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "260113","MISSOURI DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","74 patients",,,"SCIP-INF-3 " "260113","MISSOURI DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","85 patients",,,"SCIP-INF-2 " "260113","MISSOURI DELTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","123 patients",,,"PN-2 " "260113","MISSOURI DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","88 patients",,,"SCIP-VTE-1 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "260113","MISSOURI DELTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","92 patients",,,"PN-7 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "260113","MISSOURI DELTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "260113","MISSOURI DELTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","151 patients",,,"PN-5C " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","80 patients",,,"PN-6 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","93 patients",,,"PN-3B " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","16 patients","1 ","1","SCIP-VTE-1 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","10 patients","1 ","1","SCIP-INF-2 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","93 patients",,,"HF-2 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","81%","16 patients","1 ","1","AMI-2 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","84%","19 patients","1 ","1","AMI-1 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","94 patients",,,"PN-2 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients",,,"SCIP-INF-6 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","10 patients","1 ","1","SCIP-INF-3 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","16 patients","1 ","1","SCIP-VTE-2 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","65 patients",,,"HF-1 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","107 patients",,,"PN-5C " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"HF-3 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","59 patients",,,"PN-7 " "260115","MISSOURI BAPTIST HOSPITAL SULLIVAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","10 patients","1 ","1","SCIP-INF-1 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","94 patients",,,"PN-2 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","27 patients",,,"HF-3 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","33 patients","2 ","2","SCIP-VTE-2 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"PN-4 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1,2 ","12","SCIP-CARD-2 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"HF-4 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","84 patients",,,"HF-1 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","86 patients","2 ","2","SCIP-INF-6 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","34 patients","2 ","2","SCIP-VTE-1 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","73 patients",,,"PN-7 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","132 patients",,,"PN-5C " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","122 patients",,,"PN-3B " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","53 patients","2 ","2","SCIP-INF-3 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","53 patients","2 ","2","SCIP-INF-2 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","115 patients",,,"HF-2 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","55 patients","2 ","2","SCIP-INF-1 " "260116","MINERAL AREA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","110 patients",,,"PN-6 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","173 patients",,,"PN-7 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","278 patients","2 ","2","SCIP-VTE-1 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","231 patients",,,"HF-1 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","88 patients",,,"HF-3 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"PN-4 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","91 patients","2 ","2","SCIP-CARD-2 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","47 patients",,,"AMI-8A " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","507 patients","2 ","2","SCIP-INF-2 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","37 patients",,,"CAC-1 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","258 patients",,,"PN-5C " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","112 patients",,,"AMI-1 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","72 patients",,,"AMI-4 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","292 patients",,,"HF-2 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","278 patients","2 ","2","SCIP-VTE-2 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","499 patients","2 ","2","SCIP-INF-1 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","441 patients","2 ","2","SCIP-INF-3 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","120 patients",,,"PN-6 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"AMI-3 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","37 patients",,,"CAC-3 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","133 patients",,,"AMI-2 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","124 patients",,,"AMI-5 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","37 patients",,,"CAC-2 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","699 patients","2 ","2","SCIP-INF-6 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","87 patients","2 ","2","SCIP-INF-4 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","226 patients",,,"PN-3B " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "260119","POPLAR BLUFF REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","239 patients",,,"PN-2 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","105 patients","2 ","2","PN-4 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","271 patients","2 ","2","SCIP-VTE-2 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","74 patients",,,"HF-4 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","153 patients","2 ","2","PN-2 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","204 patients",,,"AMI-4 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","606 patients","2 ","2","SCIP-INF-1 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","121 patients","2 ","2","PN-3B " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","173 patients","2 ","2","SCIP-INF-4 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","76 patients","2 ","2","PN-6 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","132 patients","2 ","2","SCIP-CARD-2 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","800 patients","2 ","2","SCIP-INF-6 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","256 patients",,,"AMI-5 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","154 patients","2 ","2","PN-5C " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","610 patients","2 ","2","SCIP-INF-2 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","48 patients",,,"AMI-8A " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","370 patients",,,"AMI-2 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","272 patients","2 ","2","SCIP-VTE-1 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","213 patients",,,"HF-1 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","258 patients",,,"HF-2 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","107 patients",,,"HF-3 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","541 patients","2 ","2","SCIP-INF-3 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","183 patients",,,"AMI-1 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","132 patients","2 ","2","PN-7 " "260137","FREEMAN HEALTH SYSTEM - FREEMAN WEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","55 patients",,,"AMI-3 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","394 patients","2 ","2","SCIP-VTE-1 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","177 patients",,,"HF-3 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1184 patients","2 ","2","SCIP-INF-6 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","700 patients","2 ","2","SCIP-INF-3 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","393 patients","2 ","2","SCIP-VTE-2 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","187 patients","2 ","2","SCIP-CARD-2 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","158 patients",,,"AMI-1 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","159 patients",,,"PN-7 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","102 patients",,,"HF-4 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","755 patients","2 ","2","SCIP-INF-1 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","125 patients",,,"PN-6 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","375 patients",,,"AMI-5 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","107 patients",,,"PN-4 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","219 patients",,,"PN-5C " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","150 patients",,,"AMI-4 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","769 patients","2 ","2","SCIP-INF-2 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","149 patients",,,"PN-3B " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","36 patients",,,"AMI-8A " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","406 patients","2 ","2","SCIP-INF-4 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","467 patients",,,"HF-2 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","414 patients",,,"HF-1 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","214 patients",,,"PN-2 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","404 patients",,,"AMI-2 " "260138","ST LUKES HOSPITAL OF KANSAS CITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"AMI-3 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","124 patients",,,"PN-2 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","108 patients",,,"SCIP-INF-3 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","247 patients",,,"AMI-2 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","109 patients",,,"PN-3B " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","170 patients",,,"SCIP-INF-1 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","113 patients",,,"PN-5C " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","110 patients",,,"SCIP-CARD-2 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","46 patients",,,"HF-4 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","107 patients",,,"SCIP-INF-4 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","34 patients",,,"AMI-8A " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","423 patients",,,"SCIP-VTE-1 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","159 patients",,,"HF-1 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","245 patients",,,"AMI-5 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","111 patients",,,"PN-7 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","182 patients",,,"HF-2 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","113 patients",,,"AMI-1 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","55 patients",,,"PN-6 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","176 patients",,,"SCIP-INF-2 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","423 patients",,,"SCIP-VTE-2 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","83 patients",,,"PN-4 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","111 patients",,,"AMI-4 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","805 patients",,,"SCIP-INF-6 " "260141","UNIVERSITY OF MISSOURI HOSPITAL & CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","89 patients",,,"HF-3 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","37 patients",,,"PN-4 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","84 patients",,,"PN-7 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","29%","14 patients","1,2 ","12","HF-3 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","27 patients",,,"SCIP-VTE-1 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","53 patients",,,"SCIP-INF-3 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","27 patients",,,"SCIP-VTE-2 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","57%","7 patients","1 ","1","SCIP-CARD-2 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","85 patients",,,"PN-6 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","59 patients",,,"SCIP-INF-2 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2 ","12","HF-4 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "260142","FITZGIBBON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","97 patients",,,"PN-3B " "260142","FITZGIBBON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","57 patients",,,"SCIP-INF-1 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","116 patients",,,"PN-5C " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","57 patients","2 ","2","HF-2 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","74 patients",,,"SCIP-INF-6 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","111 patients",,,"PN-2 " "260142","FITZGIBBON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","40 patients","2 ","2","HF-1 " "260147","SAC-OSAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "260147","SAC-OSAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","HF-4 " "260147","SAC-OSAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","14 patients","1,2 ","12","PN-2 " "260147","SAC-OSAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "260147","SAC-OSAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "260147","SAC-OSAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","5%","22 patients","1,2 ","12","HF-2 " "260147","SAC-OSAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "260147","SAC-OSAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","1 patients","1,2 ","12","PN-6 " "260147","SAC-OSAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","2 patients","1,2,3 ","123","AMI-1 " "260147","SAC-OSAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "260147","SAC-OSAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","PN-4 " "260147","SAC-OSAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "260147","SAC-OSAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "260147","SAC-OSAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "260147","SAC-OSAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "260147","SAC-OSAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "260147","SAC-OSAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "260147","SAC-OSAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","11 patients","1,2 ","12","PN-5C " "260147","SAC-OSAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1,2 ","12","PN-7 " "260147","SAC-OSAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "260147","SAC-OSAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "260147","SAC-OSAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","33%","3 patients","1,2 ","12","PN-3B " "260147","SAC-OSAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","20 patients","1,2 ","12","HF-1 " "260147","SAC-OSAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "260147","SAC-OSAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "260159","CHRISTIAN HOSPITAL NORTHWEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "260159","CHRISTIAN HOSPITAL NORTHWEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "260159","CHRISTIAN HOSPITAL NORTHWEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "260159","CHRISTIAN HOSPITAL NORTHWEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "260160","MISSOURI SOUTHERN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1 ","1","SCIP-INF-3 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "260160","MISSOURI SOUTHERN HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","34 patients",,,"PN-6 " "260160","MISSOURI SOUTHERN HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","43 patients",,,"PN-7 " "260160","MISSOURI SOUTHERN HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","28 patients",,,"PN-4 " "260160","MISSOURI SOUTHERN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260160","MISSOURI SOUTHERN HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "260160","MISSOURI SOUTHERN HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","32 patients",,,"PN-3B " "260160","MISSOURI SOUTHERN HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","18 patients","1 ","1","SCIP-VTE-2 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","61%","18 patients","1 ","1","HF-4 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","47%","97 patients",,,"HF-2 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","27%","52 patients",,,"HF-1 " "260160","MISSOURI SOUTHERN HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","56%","18 patients","1 ","1","SCIP-VTE-1 " "260160","MISSOURI SOUTHERN HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","62 patients",,,"PN-5C " "260160","MISSOURI SOUTHERN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","29%","7 patients","1 ","1","SCIP-INF-2 " "260160","MISSOURI SOUTHERN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","7 patients","1 ","1","SCIP-INF-1 " "260160","MISSOURI SOUTHERN HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","63 patients",,,"PN-2 " "260160","MISSOURI SOUTHERN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","57%","23 patients","1 ","1","SCIP-INF-6 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "260160","MISSOURI SOUTHERN HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","48 patients",,,"PN-6 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","60 patients",,,"PN-5C " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","46 patients",,,"PN-2 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","21 patients","1 ","1","HF-3 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","315 patients","2 ","2","SCIP-VTE-2 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","77 patients",,,"HF-1 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","30 patients",,,"PN-7 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","825 patients","2 ","2","SCIP-INF-6 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","619 patients","2 ","2","SCIP-INF-2 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","322 patients","2 ","2","SCIP-VTE-1 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients",,,"PN-3B " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","53 patients","2 ","2","SCIP-CARD-2 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","95 patients",,,"HF-2 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","614 patients","2 ","2","SCIP-INF-3 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","619 patients","2 ","2","SCIP-INF-1 " "260162","BARNES-JEWISH WEST COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260163","PARKLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","45 patients",,,"SCIP-VTE-1 " "260163","PARKLAND HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","81 patients",,,"PN-6 " "260163","PARKLAND HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","101 patients",,,"HF-2 " "260163","PARKLAND HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "260163","PARKLAND HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","86 patients",,,"PN-7 " "260163","PARKLAND HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","111 patients",,,"PN-5C " "260163","PARKLAND HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "260163","PARKLAND HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "260163","PARKLAND HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260163","PARKLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","88 patients",,,"SCIP-INF-1 " "260163","PARKLAND HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "260163","PARKLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","45 patients",,,"SCIP-VTE-2 " "260163","PARKLAND HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","73 patients",,,"HF-1 " "260163","PARKLAND HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","121 patients",,,"PN-2 " "260163","PARKLAND HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","73%","11 patients","1 ","1","AMI-5 " "260163","PARKLAND HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "260163","PARKLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","115 patients",,,"SCIP-INF-6 " "260163","PARKLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260163","PARKLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","88 patients",,,"SCIP-INF-2 " "260163","PARKLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","15 patients","1 ","1","SCIP-CARD-2 " "260163","PARKLAND HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","45 patients",,,"HF-3 " "260163","PARKLAND HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260163","PARKLAND HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","99 patients",,,"PN-3B " "260163","PARKLAND HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","21 patients","1 ","1","AMI-1 " "260163","PARKLAND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","85 patients",,,"SCIP-INF-3 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","75 patients",,,"HF-1 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","100 patients",,,"SCIP-INF-2 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","104 patients",,,"SCIP-INF-1 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","99 patients",,,"SCIP-INF-3 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","97 patients",,,"PN-2 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","54%","56 patients",,,"SCIP-VTE-1 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","77 patients",,,"PN-7 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","110 patients",,,"PN-5C " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","78 patients",,,"PN-6 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","135 patients",,,"SCIP-INF-6 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","52%","56 patients",,,"SCIP-VTE-2 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","111 patients",,,"HF-2 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260175","GOLDEN VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","67 patients",,,"PN-3B " "260176","DES PERES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","100 patients",,,"HF-3 " "260176","DES PERES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","30 patients",,,"AMI-3 " "260176","DES PERES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","205 patients",,,"AMI-5 " "260176","DES PERES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","218 patients",,,"PN-5C " "260176","DES PERES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","143 patients","2 ","2","SCIP-INF-4 " "260176","DES PERES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","473 patients","2 ","2","SCIP-INF-6 " "260176","DES PERES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","275 patients",,,"HF-2 " "260176","DES PERES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","210 patients",,,"HF-1 " "260176","DES PERES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "260176","DES PERES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","107 patients","2 ","2","SCIP-CARD-2 " "260176","DES PERES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","316 patients","2 ","2","SCIP-INF-3 " "260176","DES PERES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","328 patients","2 ","2","SCIP-INF-1 " "260176","DES PERES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","118 patients",,,"PN-6 " "260176","DES PERES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"AMI-4 " "260176","DES PERES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","213 patients",,,"PN-2 " "260176","DES PERES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","333 patients","2 ","2","SCIP-INF-2 " "260176","DES PERES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","161 patients",,,"PN-7 " "260176","DES PERES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","92 patients",,,"AMI-1 " "260176","DES PERES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","159 patients","2 ","2","SCIP-VTE-2 " "260176","DES PERES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","159 patients","2 ","2","SCIP-VTE-1 " "260176","DES PERES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260176","DES PERES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","210 patients",,,"AMI-2 " "260176","DES PERES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","19 patients","1 ","1","AMI-8A " "260176","DES PERES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","213 patients",,,"PN-3B " "260176","DES PERES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","70 patients",,,"PN-4 " "260177","LIBERTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","78 patients",,,"HF-3 " "260177","LIBERTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","701 patients",,,"SCIP-INF-6 " "260177","LIBERTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","388 patients",,,"SCIP-INF-3 " "260177","LIBERTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260177","LIBERTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "260177","LIBERTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260177","LIBERTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","28 patients",,,"AMI-5 " "260177","LIBERTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","269 patients",,,"PN-5C " "260177","LIBERTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","325 patients",,,"SCIP-VTE-2 " "260177","LIBERTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","33 patients",,,"AMI-1 " "260177","LIBERTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","109 patients",,,"SCIP-CARD-2 " "260177","LIBERTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","403 patients",,,"SCIP-INF-2 " "260177","LIBERTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","174 patients",,,"PN-6 " "260177","LIBERTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","401 patients",,,"SCIP-INF-1 " "260177","LIBERTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260177","LIBERTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","191 patients",,,"HF-1 " "260177","LIBERTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","213 patients",,,"PN-3B " "260177","LIBERTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "260177","LIBERTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","124 patients",,,"PN-4 " "260177","LIBERTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "260177","LIBERTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","325 patients",,,"SCIP-VTE-1 " "260177","LIBERTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","242 patients",,,"HF-2 " "260177","LIBERTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","254 patients",,,"PN-2 " "260177","LIBERTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","183 patients",,,"PN-7 " "260177","LIBERTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","10 patients","1 ","1","AMI-3 " "260178","COLUMBIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","69 patients","2 ","2","SCIP-CARD-2 " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "260178","COLUMBIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","254 patients","2 ","2","SCIP-VTE-2 " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","10 patients","1 ","1","HF-2 " "260178","COLUMBIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-8A " "260178","COLUMBIA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","23 patients","1 ","1","PN-5C " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "260178","COLUMBIA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","35%","20 patients","1 ","1","PN-7 " "260178","COLUMBIA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","21 patients","1 ","1","PN-3B " "260178","COLUMBIA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","69%","13 patients","1 ","1","PN-4 " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "260178","COLUMBIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","254 patients","2 ","2","SCIP-VTE-1 " "260178","COLUMBIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","392 patients","2 ","2","SCIP-INF-3 " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "260178","COLUMBIA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","19 patients","1 ","1","PN-6 " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","10 patients","1 ","1","HF-1 " "260178","COLUMBIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","401 patients","2 ","2","SCIP-INF-2 " "260178","COLUMBIA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","20 patients","1 ","1","PN-2 " "260178","COLUMBIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","400 patients","2 ","2","SCIP-INF-1 " "260178","COLUMBIA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","597 patients","2 ","2","SCIP-INF-6 " "260178","COLUMBIA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "260179","ST LUKES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","363 patients",,,"HF-1 " "260179","ST LUKES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"AMI-4 " "260179","ST LUKES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","35 patients",,,"AMI-3 " "260179","ST LUKES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","384 patients",,,"PN-5C " "260179","ST LUKES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"PN-4 " "260179","ST LUKES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","508 patients",,,"PN-2 " "260179","ST LUKES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","148 patients",,,"HF-3 " "260179","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","404 patients","2 ","2","SCIP-VTE-1 " "260179","ST LUKES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","236 patients",,,"PN-3B " "260179","ST LUKES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","247 patients",,,"AMI-2 " "260179","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","404 patients","2 ","2","SCIP-VTE-2 " "260179","ST LUKES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "260179","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","1026 patients","2 ","2","SCIP-INF-6 " "260179","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","185 patients","2 ","2","SCIP-INF-4 " "260179","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","768 patients","2 ","2","SCIP-INF-2 " "260179","ST LUKES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","235 patients",,,"AMI-1 " "260179","ST LUKES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","294 patients",,,"PN-7 " "260179","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","684 patients","2 ","2","SCIP-INF-3 " "260179","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","160 patients","2 ","2","SCIP-CARD-2 " "260179","ST LUKES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","46 patients",,,"AMI-8A " "260179","ST LUKES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","478 patients",,,"HF-2 " "260179","ST LUKES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","244 patients",,,"AMI-5 " "260179","ST LUKES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "260179","ST LUKES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","163 patients",,,"PN-6 " "260179","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","728 patients","2 ","2","SCIP-INF-1 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","119 patients","2 ","2","SCIP-CARD-2 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","708 patients","2 ","2","HF-2 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","86 patients",,,"AMI-3 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","306 patients","2 ","2","SCIP-VTE-1 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","245 patients","2 ","2","HF-3 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","212 patients",,,"PN-7 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","156 patients","2 ","2","HF-4 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","39 patients",,,"AMI-8A " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","405 patients",,,"AMI-5 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","419 patients","2 ","2","SCIP-INF-1 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","235 patients","2 ","2","PN-2 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","427 patients","2 ","2","SCIP-INF-2 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","151 patients",,,"AMI-4 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","296 patients",,,"AMI-1 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","178 patients","2 ","2","PN-6 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","381 patients","2 ","2","SCIP-INF-3 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","289 patients","2 ","2","PN-5C " "260180","CHRISTIAN HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","306 patients","2 ","2","SCIP-VTE-2 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","771 patients","2 ","2","SCIP-INF-6 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","602 patients","2 ","2","HF-1 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","266 patients","2 ","2","PN-3B " "260180","CHRISTIAN HOSPITAL NORTHEAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","139 patients","2 ","2","PN-4 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","398 patients",,,"AMI-2 " "260180","CHRISTIAN HOSPITAL NORTHEAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","152 patients","2 ","2","SCIP-INF-4 " "260183","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","152 patients",,,"PN-4 " "260183","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","801 patients",,,"SCIP-INF-1 " "260183","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","163 patients",,,"AMI-2 " "260183","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","348 patients",,,"PN-2 " "260183","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","42 patients",,,"AMI-3 " "260183","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","370 patients",,,"SCIP-VTE-2 " "260183","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","181 patients",,,"SCIP-CARD-2 " "260183","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","266 patients",,,"HF-2 " "260183","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260183","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","323 patients",,,"PN-3B " "260183","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","25 patients",,,"AMI-8A " "260183","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","371 patients",,,"SCIP-VTE-1 " "260183","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","171 patients",,,"PN-6 " "260183","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","73%","192 patients",,,"SCIP-INF-4 " "260183","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","66 patients",,,"HF-3 " "260183","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","284 patients",,,"PN-5C " "260183","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","154 patients",,,"AMI-5 " "260183","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","29 patients",,,"HF-4 " "260183","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","117 patients",,,"AMI-1 " "260183","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","255 patients",,,"PN-7 " "260183","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"AMI-4 " "260183","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1189 patients",,,"SCIP-INF-6 " "260183","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","788 patients",,,"SCIP-INF-3 " "260183","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","808 patients",,,"SCIP-INF-2 " "260183","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","205 patients",,,"HF-1 " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","39 patients",,,"HF-4 " "260186","LAKE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","292 patients","2 ","2","SCIP-INF-2 " "260186","LAKE REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","73 patients",,,"PN-4 " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","197 patients",,,"AMI-5 " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","68 patients",,,"HF-3 " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","189 patients",,,"AMI-2 " "260186","LAKE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","79 patients","2 ","2","SCIP-INF-4 " "260186","LAKE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","435 patients","2 ","2","SCIP-INF-6 " "260186","LAKE REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","184 patients",,,"PN-5C " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"AMI-4 " "260186","LAKE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","199 patients","2 ","2","SCIP-VTE-1 " "260186","LAKE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","281 patients","2 ","2","SCIP-INF-3 " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","170 patients",,,"HF-1 " "260186","LAKE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","289 patients","2 ","2","SCIP-INF-1 " "260186","LAKE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","196 patients","2 ","2","SCIP-VTE-2 " "260186","LAKE REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","191 patients",,,"PN-3B " "260186","LAKE REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","147 patients",,,"PN-6 " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","31 patients",,,"AMI-3 " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","223 patients",,,"HF-2 " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","41 patients",,,"AMI-8A " "260186","LAKE REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","162 patients",,,"PN-2 " "260186","LAKE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","57%","42 patients",,,"SCIP-CARD-2 " "260186","LAKE REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","90 patients",,,"PN-7 " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260186","LAKE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","197 patients",,,"AMI-1 " "260190","LEE'S SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","129 patients","2 ","2","SCIP-VTE-2 " "260190","LEE'S SUMMIT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","91 patients",,,"PN-7 " "260190","LEE'S SUMMIT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","72 patients",,,"AMI-2 " "260190","LEE'S SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","334 patients","2 ","2","SCIP-INF-6 " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","80 patients",,,"AMI-1 " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","41 patients",,,"HF-3 " "260190","LEE'S SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260190","LEE'S SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","39 patients","2 ","2","SCIP-CARD-2 " "260190","LEE'S SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","236 patients","2 ","2","SCIP-INF-2 " "260190","LEE'S SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","129 patients","2 ","2","SCIP-VTE-1 " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","22 patients","1 ","1","AMI-8A " "260190","LEE'S SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","223 patients","2 ","2","SCIP-INF-3 " "260190","LEE'S SUMMIT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","108 patients",,,"PN-3B " "260190","LEE'S SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","234 patients","2 ","2","SCIP-INF-1 " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","87 patients",,,"HF-1 " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "260190","LEE'S SUMMIT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","133 patients",,,"PN-5C " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","51 patients",,,"AMI-5 " "260190","LEE'S SUMMIT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","79 patients",,,"PN-6 " "260190","LEE'S SUMMIT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","145 patients",,,"PN-2 " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"AMI-4 " "260190","LEE'S SUMMIT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","123 patients",,,"HF-2 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","46 patients",,,"HF-3 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"AMI-4 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","195 patients",,,"SCIP-VTE-1 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","208 patients",,,"SCIP-INF-2 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","195 patients",,,"SCIP-VTE-2 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","42 patients",,,"SCIP-CARD-2 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","384 patients",,,"SCIP-INF-6 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","199 patients",,,"SCIP-INF-3 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","210 patients",,,"AMI-1 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","122 patients",,,"PN-7 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"PN-4 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","208 patients",,,"PN-3B " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","45 patients",,,"AMI-8A " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1 ","1","SCIP-INF-4 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","190 patients",,,"AMI-5 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","211 patients",,,"PN-5C " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","129 patients",,,"PN-6 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","180 patients",,,"AMI-2 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","184 patients",,,"PN-2 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","129 patients",,,"HF-1 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","157 patients",,,"HF-2 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","205 patients",,,"SCIP-INF-1 " "260191","BARNES-JEWISH ST PETERS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "260193","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","95 patients",,,"AMI-1 " "260193","ST MARY'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","233 patients",,,"PN-3B " "260193","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"AMI-4 " "260193","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","154 patients","2 ","2","SCIP-VTE-2 " "260193","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","262 patients","2 ","2","SCIP-INF-6 " "260193","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","155 patients","2 ","2","SCIP-VTE-1 " "260193","ST MARY'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","124 patients",,,"PN-7 " "260193","ST MARY'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","78 patients",,,"HF-1 " "260193","ST MARY'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","212 patients",,,"PN-5C " "260193","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","21 patients","1 ","1","AMI-8A " "260193","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "260193","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","81 patients",,,"AMI-5 " "260193","ST MARY'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","98 patients",,,"HF-2 " "260193","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","86 patients",,,"AMI-2 " "260193","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","180 patients","2 ","2","SCIP-INF-1 " "260193","ST MARY'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"HF-3 " "260193","ST MARY'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "260193","ST MARY'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","60 patients",,,"PN-4 " "260193","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","179 patients","2 ","2","SCIP-INF-3 " "260193","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","180 patients","2 ","2","SCIP-INF-2 " "260193","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260193","ST MARY'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","139 patients",,,"PN-6 " "260193","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","20 patients","1,2 ","12","SCIP-CARD-2 " "260193","ST MARY'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","182 patients",,,"PN-2 " "260193","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260195","CITIZENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","233 patients",,,"SCIP-INF-6 " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","7 patients","1 ","1","AMI-8A " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","22 patients","1 ","1","HF-3 " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","74 patients",,,"HF-2 " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","33 patients",,,"AMI-5 " "260195","CITIZENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","24 patients","1 ","1","SCIP-CARD-2 " "260195","CITIZENS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","79 patients",,,"PN-6 " "260195","CITIZENS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","114 patients",,,"PN-5C " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","37 patients",,,"AMI-1 " "260195","CITIZENS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","109 patients",,,"PN-2 " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260195","CITIZENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260195","CITIZENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","189 patients",,,"SCIP-INF-1 " "260195","CITIZENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","184 patients",,,"SCIP-INF-3 " "260195","CITIZENS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","98 patients",,,"PN-3B " "260195","CITIZENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","162 patients",,,"SCIP-VTE-2 " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","50 patients",,,"HF-1 " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","32 patients",,,"AMI-2 " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "260195","CITIZENS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","AMI-4 " "260195","CITIZENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","162 patients",,,"SCIP-VTE-1 " "260195","CITIZENS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","44 patients",,,"PN-4 " "260195","CITIZENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","189 patients",,,"SCIP-INF-2 " "260195","CITIZENS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","84 patients",,,"PN-7 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","153 patients",,,"HF-1 " "260200","SSM ST JOSEPH HOSPITAL WEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","128 patients","2 ","2","PN-3B " "260200","SSM ST JOSEPH HOSPITAL WEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","131 patients","2 ","2","PN-5C " "260200","SSM ST JOSEPH HOSPITAL WEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","38 patients","2 ","2","SCIP-CARD-2 " "260200","SSM ST JOSEPH HOSPITAL WEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","86 patients","2 ","2","PN-7 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","54 patients",,,"HF-3 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "260200","SSM ST JOSEPH HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","330 patients","2 ","2","SCIP-INF-1 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "260200","SSM ST JOSEPH HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","331 patients","2 ","2","SCIP-INF-2 " "260200","SSM ST JOSEPH HOSPITAL WEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","131 patients","2 ","2","PN-2 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260200","SSM ST JOSEPH HOSPITAL WEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","95 patients","2 ","2","PN-6 " "260200","SSM ST JOSEPH HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","318 patients","2 ","2","SCIP-INF-3 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "260200","SSM ST JOSEPH HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","183 patients",,,"HF-2 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","21 patients","1 ","1","AMI-2 " "260200","SSM ST JOSEPH HOSPITAL WEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","48 patients",,,"AMI-1 " "260200","SSM ST JOSEPH HOSPITAL WEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","236 patients","2 ","2","SCIP-VTE-2 " "260200","SSM ST JOSEPH HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","499 patients","2 ","2","SCIP-INF-6 " "260200","SSM ST JOSEPH HOSPITAL WEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","236 patients","2 ","2","SCIP-VTE-1 " "260200","SSM ST JOSEPH HOSPITAL WEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","82 patients","2 ","2","PN-4 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,3 ","13","AMI-1 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","72 patients",,,"PN-2 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","22 patients","1 ","1","SCIP-VTE-2 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","22 patients","1 ","1","SCIP-VTE-1 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","75%","53 patients",,,"SCIP-INF-6 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","13 patients","1 ","1","HF-1 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","59 patients",,,"PN-7 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","71%","7 patients","1,3 ","13","AMI-5 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","44 patients",,,"PN-4 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","25 patients",,,"HF-2 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,3 ","13","AMI-2 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","54 patients",,,"PN-6 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","41 patients",,,"SCIP-INF-3 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","43 patients",,,"SCIP-INF-1 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","42 patients",,,"SCIP-INF-2 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","56 patients",,,"PN-3B " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "260207","DOCTORS HOSPITAL OF SPRINGFIELD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","79 patients",,,"PN-5C " "260209","CALLAWAY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260209","CALLAWAY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","26 patients",,,"PN-2 " "260209","CALLAWAY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","6 patients","1 ","1","SCIP-INF-2 " "260209","CALLAWAY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","24 patients","1 ","1","PN-6 " "260209","CALLAWAY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "260209","CALLAWAY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","6 patients","1 ","1","SCIP-INF-3 " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "260209","CALLAWAY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","56%","9 patients","1 ","1","SCIP-VTE-1 " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","12 patients","1 ","1","HF-1 " "260209","CALLAWAY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","17 patients","1 ","1","PN-5C " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "260209","CALLAWAY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1 ","1","SCIP-INF-6 " "260209","CALLAWAY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260209","CALLAWAY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","18 patients","1 ","1","PN-7 " "260209","CALLAWAY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","6 patients","1 ","1","SCIP-INF-1 " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","19 patients","1 ","1","HF-2 " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "260209","CALLAWAY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","26 patients",,,"PN-3B " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "260209","CALLAWAY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "260209","CALLAWAY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","56%","9 patients","1 ","1","SCIP-VTE-2 " "260210","ST ALEXIUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","29 patients",,,"SCIP-INF-3 " "260210","ST ALEXIUS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","111 patients",,,"PN-5C " "260210","ST ALEXIUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","33 patients",,,"SCIP-INF-2 " "260210","ST ALEXIUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","95 patients",,,"SCIP-INF-6 " "260210","ST ALEXIUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260210","ST ALEXIUS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-7A " "260210","ST ALEXIUS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "260210","ST ALEXIUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","33 patients",,,"SCIP-INF-1 " "260210","ST ALEXIUS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","66 patients",,,"PN-6 " "260210","ST ALEXIUS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "260210","ST ALEXIUS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "260210","ST ALEXIUS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","61 patients",,,"SCIP-VTE-2 " "260210","ST ALEXIUS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","113 patients",,,"HF-1 " "260210","ST ALEXIUS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","61 patients",,,"SCIP-VTE-1 " "260210","ST ALEXIUS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients",,,"AMI-1 " "260210","ST ALEXIUS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "260210","ST ALEXIUS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","97 patients",,,"PN-3B " "260210","ST ALEXIUS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "260210","ST ALEXIUS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260210","ST ALEXIUS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "260210","ST ALEXIUS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "260210","ST ALEXIUS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","61 patients",,,"PN-7 " "260210","ST ALEXIUS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","161 patients",,,"HF-2 " "260210","ST ALEXIUS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","41 patients",,,"HF-3 " "260210","ST ALEXIUS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","82 patients",,,"PN-2 " "260211","SAINT LUKES CANCER INSTITUTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","10 patients","1 ","1","PN-2 " "260211","SAINT LUKES CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","97 patients","2 ","2","SCIP-INF-3 " "260211","SAINT LUKES CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "260211","SAINT LUKES CANCER INSTITUTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","63 patients","2 ","2","SCIP-VTE-2 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "260211","SAINT LUKES CANCER INSTITUTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","9 patients","1 ","1","PN-5C " "260211","SAINT LUKES CANCER INSTITUTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients",,,"PN-6 " "260211","SAINT LUKES CANCER INSTITUTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","7 patients","1 ","1","PN-7 " "260211","SAINT LUKES CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","98 patients","2 ","2","SCIP-INF-1 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "260211","SAINT LUKES CANCER INSTITUTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","14 patients","1,2 ","12","SCIP-CARD-2 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "260211","SAINT LUKES CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","99 patients","2 ","2","SCIP-INF-2 " "260211","SAINT LUKES CANCER INSTITUTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,"0 patients","3 ","3","HF-2 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "260211","SAINT LUKES CANCER INSTITUTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "260211","SAINT LUKES CANCER INSTITUTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","173 patients","2 ","2","SCIP-INF-6 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "260211","SAINT LUKES CANCER INSTITUTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "260211","SAINT LUKES CANCER INSTITUTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","63 patients","2 ","2","SCIP-VTE-1 " "260214","RESEARCH BELTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "260214","RESEARCH BELTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","23 patients","1 ","1","HF-1 " "260214","RESEARCH BELTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","80 patients","2 ","2","SCIP-VTE-1 " "260214","RESEARCH BELTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260214","RESEARCH BELTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "260214","RESEARCH BELTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","44 patients",,,"PN-5C " "260214","RESEARCH BELTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","178 patients","2 ","2","SCIP-INF-3 " "260214","RESEARCH BELTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "260214","RESEARCH BELTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "260214","RESEARCH BELTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","31 patients","2 ","2","SCIP-CARD-2 " "260214","RESEARCH BELTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","220 patients","2 ","2","SCIP-INF-6 " "260214","RESEARCH BELTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260214","RESEARCH BELTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","43 patients",,,"PN-2 " "260214","RESEARCH BELTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","27 patients",,,"PN-7 " "260214","RESEARCH BELTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "260214","RESEARCH BELTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "260214","RESEARCH BELTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","80 patients","2 ","2","SCIP-VTE-2 " "260214","RESEARCH BELTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","180 patients","2 ","2","SCIP-INF-2 " "260214","RESEARCH BELTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "260214","RESEARCH BELTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","38 patients",,,"HF-2 " "260214","RESEARCH BELTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","30 patients",,,"PN-6 " "260214","RESEARCH BELTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","180 patients","2 ","2","SCIP-INF-1 " "260214","RESEARCH BELTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","52 patients",,,"PN-3B " "260214","RESEARCH BELTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "260214","RESEARCH BELTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","73 patients",,,"AMI-1 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","72 patients",,,"AMI-5 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","65 patients",,,"AMI-2 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","225 patients",,,"SCIP-VTE-1 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","365 patients",,,"SCIP-INF-3 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","109 patients",,,"PN-3B " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","225 patients",,,"SCIP-VTE-2 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","376 patients",,,"SCIP-INF-1 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","93 patients",,,"PN-5C " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","84 patients",,,"SCIP-CARD-2 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","97 patients",,,"PN-2 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","548 patients",,,"SCIP-INF-6 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","14 patients","1 ","1","AMI-8A " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","378 patients",,,"SCIP-INF-2 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","83 patients",,,"PN-7 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","121 patients",,,"HF-2 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","57 patients",,,"PN-6 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","44 patients",,,"HF-3 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "260216","SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","104 patients",,,"HF-1 " "260219","PROGRESS WEST HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","63 patients",,,"PN-3B " "260219","PROGRESS WEST HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","168 patients",,,"SCIP-INF-2 " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","59 patients",,,"HF-2 " "260219","PROGRESS WEST HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","55 patients",,,"PN-6 " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "260219","PROGRESS WEST HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","56 patients",,,"PN-5C " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "260219","PROGRESS WEST HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","167 patients",,,"SCIP-INF-1 " "260219","PROGRESS WEST HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","74 patients",,,"SCIP-VTE-2 " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "260219","PROGRESS WEST HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "260219","PROGRESS WEST HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","24 patients","1 ","1","SCIP-CARD-2 " "260219","PROGRESS WEST HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","164 patients",,,"SCIP-INF-3 " "260219","PROGRESS WEST HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "260219","PROGRESS WEST HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","212 patients",,,"SCIP-INF-6 " "260219","PROGRESS WEST HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","50 patients",,,"PN-2 " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","41 patients",,,"HF-1 " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "260219","PROGRESS WEST HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "260219","PROGRESS WEST HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","36 patients",,,"PN-7 " "260219","PROGRESS WEST HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","74 patients",,,"SCIP-VTE-1 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "260224","LANDMARK HOSPITAL OF COLUMBIA, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","45 patients",,,"AMI-1 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","149 patients",,,"HF-1 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","62 patients",,,"PN-5C " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","56 patients",,,"HF-3 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","112 patients","2 ","2","SCIP-INF-4 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","220 patients",,,"SCIP-INF-3 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","47 patients",,,"AMI-5 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","53 patients",,,"PN-3B " "26023F","COLUMBIA MO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","223 patients",,,"SCIP-INF-2 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","68 patients",,,"PN-7 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","5 patients","1 ","1","AMI-8A " "26023F","COLUMBIA MO VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","92 patients",,,"PN-2 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","117 patients","2 ","2","SCIP-VTE-1 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","113 patients","2 ","2","SCIP-VTE-2 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","140 patients","2 ","2","SCIP-CARD-2 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","165 patients",,,"HF-2 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","44 patients",,,"PN-6 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","220 patients",,,"SCIP-INF-1 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","43 patients",,,"AMI-2 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "26023F","COLUMBIA MO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","315 patients","2 ","2","SCIP-INF-6 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1 ","1","PN-4 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","23 patients","1 ","1","PN-5C " "261303","COMMUNITY HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","HF-4 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","58%","12 patients","1,2 ","12","HF-2 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","31 patients",,,"PN-6 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","20 patients","1 ","1","PN-7 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261303","COMMUNITY HOSPITAL ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "261303","COMMUNITY HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","34 patients",,,"PN-2 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","8 patients","1,2 ","12","HF-1 " "261303","COMMUNITY HOSPITAL ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","6%","16 patients","1,3 ","13","HF-2 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","45%","11 patients","1 ","1","PN-7 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","9 patients","1,3 ","13","HF-1 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","18 patients","1 ","1","PN-6 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","38%","13 patients","1 ","1","PN-2 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261304","ADVANCED HEALTHCARE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1 ","1","PN-5C " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","18 patients","1,3 ","13","PN-5C " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1,3 ","13","PN-7 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","14 patients","1,3 ","13","PN-2 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","16 patients","1,3 ","13","HF-2 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,3 ","13","PN-3B " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","4 patients","1,3 ","13","HF-1 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1,3 ","13","PN-4 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1,3 ","13","PN-6 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1,3 ","13","AMI-7A " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "261305","PUTNAM COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","3 patients","1,3 ","13","PN-6 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","4 patients","1,3 ","13","PN-2 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1,3 ","13","PN-7 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261306","SULLIVAN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261307","PERSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261307","PERSHING MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","11%","62 patients",,,"HF-2 " "261307","PERSHING MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261307","PERSHING MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261307","PERSHING MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261307","PERSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261307","PERSHING MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "261307","PERSHING MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261307","PERSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261307","PERSHING MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261307","PERSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261307","PERSHING MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","19 patients","1 ","1","PN-7 " "261307","PERSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261307","PERSHING MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","65%","23 patients","1 ","1","PN-6 " "261307","PERSHING MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","50 patients",,,"PN-5C " "261307","PERSHING MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "261307","PERSHING MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","47%","17 patients","1 ","1","PN-3B " "261307","PERSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261307","PERSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261307","PERSHING MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261307","PERSHING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261307","PERSHING MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","38 patients",,,"PN-2 " "261307","PERSHING MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "261307","PERSHING MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","17 patients","1 ","1","HF-1 " "261307","PERSHING MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","67 patients",,,"PN-3B " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","21 patients","1 ","1","HF-1 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","22 patients","1 ","1","PN-7 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","39 patients",,,"PN-2 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","65%","26 patients",,,"PN-4 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","HF-3 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","58 patients",,,"PN-5C " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","57 patients",,,"PN-6 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","41%","27 patients",,,"HF-2 " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261308","WASHINGTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","44 patients",,,"HF-2 " "261309","WRIGHT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "261309","WRIGHT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "261309","WRIGHT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "261309","WRIGHT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "261309","WRIGHT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","36 patients",,,"PN-7 " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "261309","WRIGHT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","67 patients",,,"PN-2 " "261309","WRIGHT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","63 patients",,,"PN-5C " "261309","WRIGHT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","50 patients",,,"PN-3B " "261309","WRIGHT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "261309","WRIGHT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","24 patients","1 ","1","PN-6 " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","29 patients",,,"HF-1 " "261309","WRIGHT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "261309","WRIGHT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "261309","WRIGHT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261309","WRIGHT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "261309","WRIGHT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","20 patients","1 ","1","PN-7 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","25 patients",,,"PN-3B " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","39 patients",,,"PN-2 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","13 patients","1 ","1","PN-6 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","24 patients","1 ","1","PN-5C " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","26%","19 patients","1 ","1","HF-2 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","15 patients","1 ","1","HF-1 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "261310","SCOTLAND COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1 ","1","SCIP-VTE-1 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","7 patients","1 ","1","HF-1 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","17 patients","1 ","1","HF-2 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","41 patients",,,"PN-6 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","42 patients",,,"PN-7 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1 ","1","SCIP-VTE-2 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","16 patients","1 ","1","SCIP-INF-2 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","67 patients",,,"PN-2 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","65 patients",,,"PN-5C " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","17 patients","1 ","1","SCIP-INF-6 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","16 patients","1 ","1","SCIP-INF-3 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","55 patients",,,"PN-3B " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","16 patients","1 ","1","SCIP-INF-1 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261311","PERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","15 patients","1 ","1","PN-4 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","16 patients","1 ","1","PN-3B " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","19 patients","1 ","1","PN-6 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","PN-4 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","24 patients","1 ","1","PN-5C " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","32 patients",,,"PN-2 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","23 patients","1 ","1","PN-7 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","53%","19 patients","1 ","1","HF-2 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261312","HARRISON COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","10 patients","1 ","1","HF-1 " "261314","HERMANN AREA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261314","HERMANN AREA DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "261314","HERMANN AREA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","20 patients","1 ","1","HF-1 " "261314","HERMANN AREA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261314","HERMANN AREA DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","12 patients","1 ","1","PN-3B " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","HF-3 " "261314","HERMANN AREA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261314","HERMANN AREA DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","19 patients","1 ","1","PN-7 " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261314","HERMANN AREA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","66%","35 patients",,,"HF-2 " "261314","HERMANN AREA DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","30 patients",,,"PN-5C " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261314","HERMANN AREA DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","22 patients","1 ","1","PN-2 " "261314","HERMANN AREA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261314","HERMANN AREA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261314","HERMANN AREA DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "261314","HERMANN AREA DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261314","HERMANN AREA DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261316","ST JOHNS HOSPITAL - AURORA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","11 patients","1 ","1","HF-1 " "261316","ST JOHNS HOSPITAL - AURORA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","50 patients",,,"PN-5C " "261316","ST JOHNS HOSPITAL - AURORA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261316","ST JOHNS HOSPITAL - AURORA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261316","ST JOHNS HOSPITAL - AURORA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "261316","ST JOHNS HOSPITAL - AURORA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261316","ST JOHNS HOSPITAL - AURORA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261316","ST JOHNS HOSPITAL - AURORA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","38 patients",,,"PN-3B " "261316","ST JOHNS HOSPITAL - AURORA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261316","ST JOHNS HOSPITAL - AURORA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "261316","ST JOHNS HOSPITAL - AURORA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261316","ST JOHNS HOSPITAL - AURORA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","46 patients",,,"PN-2 " "261316","ST JOHNS HOSPITAL - AURORA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261316","ST JOHNS HOSPITAL - AURORA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "261316","ST JOHNS HOSPITAL - AURORA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","27 patients",,,"PN-7 " "261316","ST JOHNS HOSPITAL - AURORA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","45 patients",,,"PN-6 " "261316","ST JOHNS HOSPITAL - AURORA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261316","ST JOHNS HOSPITAL - AURORA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","16 patients","1 ","1","HF-2 " "261316","ST JOHNS HOSPITAL - AURORA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261316","ST JOHNS HOSPITAL - AURORA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261316","ST JOHNS HOSPITAL - AURORA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261316","ST JOHNS HOSPITAL - AURORA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261316","ST JOHNS HOSPITAL - AURORA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261316","ST JOHNS HOSPITAL - AURORA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261316","ST JOHNS HOSPITAL - AURORA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","39 patients",,,"PN-6 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","17 patients","1 ","1","HF-1 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","40 patients",,,"PN-5C " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","30 patients",,,"PN-2 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261317","ST JOHNS HOSPITAL - CASSVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","19 patients","1 ","1","PN-7 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","30 patients",,,"PN-3B " "261317","ST JOHNS HOSPITAL - CASSVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261317","ST JOHNS HOSPITAL - CASSVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","24 patients","1 ","1","HF-2 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","19 patients","1,3 ","13","PN-6 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","64%","50 patients","3 ","3","PN-5C " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","24 patients","1,3 ","13","PN-3B " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1,3 ","13","PN-4 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,3 ","13","HF-3 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","51 patients","3 ","3","PN-2 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","12 patients","1,3 ","13","HF-1 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","16 patients","1,3 ","13","HF-2 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "261318","SALEM MEMORIAL DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","15 patients","1 ","1","HF-1 " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "261319","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","28 patients",,,"SCIP-VTE-1 " "261319","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","27 patients",,,"PN-6 " "261319","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261319","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","23 patients","1 ","1","PN-3B " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "261319","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","25 patients",,,"PN-7 " "261319","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","21 patients","1 ","1","HF-2 " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "261319","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","28 patients",,,"SCIP-VTE-2 " "261319","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","34 patients",,,"SCIP-INF-1 " "261319","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "261319","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","46 patients",,,"SCIP-INF-6 " "261319","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","33 patients",,,"PN-5C " "261319","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","76%","34 patients",,,"SCIP-INF-2 " "261319","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261319","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","32 patients",,,"PN-2 " "261319","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","15%","33 patients",,,"SCIP-INF-3 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","38 patients",,,"PN-3B " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","13 patients","1 ","1","SCIP-VTE-1 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","40 patients",,,"PN-7 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","12 patients","1 ","1","SCIP-INF-3 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients",,,"PN-5C " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1 ","1","HF-1 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","13 patients","1 ","1","SCIP-VTE-2 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","12 patients","1 ","1","SCIP-INF-1 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","25 patients",,,"HF-2 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","44 patients",,,"PN-6 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","38 patients",,,"PN-2 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","14 patients","1 ","1","SCIP-INF-2 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "261320","LAFAYETTE REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","22 patients","1 ","1","SCIP-INF-6 " "261321","HEDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "261321","HEDRICK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","61 patients",,,"PN-2 " "261321","HEDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","2 patients","1,3 ","13","SCIP-VTE-1 " "261321","HEDRICK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "261321","HEDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","2 patients","1,3 ","13","SCIP-VTE-2 " "261321","HEDRICK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","20 patients","1 ","1","HF-1 " "261321","HEDRICK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","46 patients",,,"PN-3B " "261321","HEDRICK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "261321","HEDRICK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","28 patients",,,"PN-6 " "261321","HEDRICK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "261321","HEDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","8 patients","1,3 ","13","SCIP-INF-6 " "261321","HEDRICK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "261321","HEDRICK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "261321","HEDRICK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","31 patients",,,"HF-2 " "261321","HEDRICK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "261321","HEDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1,3 ","13","SCIP-INF-3 " "261321","HEDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-2 " "261321","HEDRICK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","34 patients",,,"PN-7 " "261321","HEDRICK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "261321","HEDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "261321","HEDRICK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "261321","HEDRICK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "261321","HEDRICK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","62 patients",,,"PN-5C " "261321","HEDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-1 " "261321","HEDRICK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "261324","CASS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","PN-4 " "261324","CASS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","89 patients",,,"PN-5C " "261324","CASS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261324","CASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","22 patients","1 ","1","SCIP-VTE-2 " "261324","CASS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","51 patients",,,"PN-7 " "261324","CASS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "261324","CASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","44 patients",,,"SCIP-INF-1 " "261324","CASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "261324","CASS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "261324","CASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "261324","CASS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "261324","CASS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "261324","CASS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","83 patients",,,"PN-3B " "261324","CASS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261324","CASS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","41 patients",,,"HF-2 " "261324","CASS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","27 patients",,,"HF-1 " "261324","CASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","48 patients",,,"SCIP-INF-6 " "261324","CASS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "261324","CASS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "261324","CASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","22 patients","1 ","1","SCIP-VTE-1 " "261324","CASS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "261324","CASS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","75 patients",,,"PN-2 " "261324","CASS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","52 patients",,,"PN-6 " "261324","CASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","44 patients",,,"SCIP-INF-3 " "261324","CASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","44 patients",,,"SCIP-INF-2 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","6%","18 patients","1 ","1","HF-1 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","44%","27 patients",,,"HF-2 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","20 patients","1 ","1","PN-4 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","42 patients",,,"PN-7 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","36 patients",,,"PN-3B " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","61 patients",,,"PN-5C " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","53%","57 patients",,,"PN-2 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","40 patients",,,"PN-6 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261325","BARTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1,3 ","13","AMI-1 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1,3 ","13","AMI-2 " "261326","MCCUNE - BROOKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","167 patients",,,"SCIP-INF-6 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","16 patients","1 ","1","HF-3 " "261326","MCCUNE - BROOKS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261326","MCCUNE - BROOKS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","PN-4 " "261326","MCCUNE - BROOKS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","40 patients",,,"PN-5C " "261326","MCCUNE - BROOKS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261326","MCCUNE - BROOKS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","30 patients",,,"PN-7 " "261326","MCCUNE - BROOKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","42 patients",,,"SCIP-VTE-2 " "261326","MCCUNE - BROOKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","159 patients",,,"SCIP-INF-1 " "261326","MCCUNE - BROOKS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","34 patients",,,"PN-6 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","40 patients",,,"HF-2 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261326","MCCUNE - BROOKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","42 patients",,,"SCIP-VTE-1 " "261326","MCCUNE - BROOKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "261326","MCCUNE - BROOKS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","31 patients",,,"PN-3B " "261326","MCCUNE - BROOKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","157 patients",,,"SCIP-INF-3 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "261326","MCCUNE - BROOKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","158 patients",,,"SCIP-INF-2 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261326","MCCUNE - BROOKS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","28%","32 patients",,,"HF-1 " "261326","MCCUNE - BROOKS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","35 patients",,,"PN-2 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","18 patients","1,3 ","13","HF-2 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1,3 ","13","PN-4 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1,3 ","13","AMI-2 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","21 patients","1,3 ","13","PN-5C " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1,3 ","13","AMI-5 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","27 patients","3 ","3","PN-2 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","12 patients","1,3 ","13","HF-1 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,3 ","13","PN-3B " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261327","RAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","8 patients","1,3 ","13","AMI-1 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","19 patients","1 ","1","PN-7 " "261327","RAY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","14 patients","1,3 ","13","PN-6 " "261328","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261328","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261328","NORTHWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1,3 ","13","PN-3B " "261328","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261328","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "261328","NORTHWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","13 patients","1,3 ","13","HF-2 " "261328","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261328","NORTHWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1,3 ","13","PN-4 " "261328","NORTHWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","HF-3 " "261328","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261328","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261328","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261328","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261328","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "261328","NORTHWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","9 patients","1,3 ","13","HF-1 " "261328","NORTHWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","7 patients","1,3 ","13","PN-2 " "261328","NORTHWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "261328","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261328","NORTHWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","8 patients","1,3 ","13","PN-6 " "261328","NORTHWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","8 patients","1,3 ","13","PN-7 " "261328","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "261328","NORTHWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "261328","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261328","NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261328","NORTHWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","11 patients","1,3 ","13","PN-5C " "261329","COX MONETT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","20 patients","1 ","1","PN-4 " "261329","COX MONETT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","32 patients",,,"PN-7 " "261329","COX MONETT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","21 patients","1 ","1","HF-2 " "261329","COX MONETT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "261329","COX MONETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","28 patients",,,"SCIP-INF-6 " "261329","COX MONETT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261329","COX MONETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "261329","COX MONETT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "261329","COX MONETT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","54 patients",,,"PN-6 " "261329","COX MONETT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261329","COX MONETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-2 " "261329","COX MONETT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "261329","COX MONETT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,3 ","13","AMI-7A " "261329","COX MONETT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","64 patients",,,"PN-3B " "261329","COX MONETT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","20 patients","1 ","1","SCIP-VTE-2 " "261329","COX MONETT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261329","COX MONETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","18 patients","1 ","1","SCIP-INF-1 " "261329","COX MONETT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","48 patients",,,"PN-2 " "261329","COX MONETT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "261329","COX MONETT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1,3 ","13","AMI-5 " "261329","COX MONETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","17 patients","1 ","1","SCIP-INF-3 " "261329","COX MONETT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","69 patients",,,"PN-5C " "261329","COX MONETT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","13 patients","1 ","1","HF-1 " "261329","COX MONETT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "261329","COX MONETT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","20 patients","1 ","1","SCIP-VTE-1 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-1 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,3 ","13","HF-4 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","27 patients","3 ","3","PN-5C " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,3 ","13","SCIP-INF-3 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-2 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","14 patients","1,3 ","13","HF-1 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","34 patients","3 ","3","HF-2 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","15 patients","1,3 ","13","PN-6 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","11 patients","1,3 ","13","PN-3B " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,3 ","13","SCIP-INF-6 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","17 patients","1,3 ","13","PN-2 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,3 ","13","PN-4 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "261330","STE GENEVIEVE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261331","FREEMAN NEOSHO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","49 patients",,,"PN-2 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "261331","FREEMAN NEOSHO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261331","FREEMAN NEOSHO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","32 patients",,,"PN-7 " "261331","FREEMAN NEOSHO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","44 patients",,,"PN-6 " "261331","FREEMAN NEOSHO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","56 patients",,,"HF-2 " "261331","FREEMAN NEOSHO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","68 patients",,,"PN-5C " "261331","FREEMAN NEOSHO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "261331","FREEMAN NEOSHO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "261331","FREEMAN NEOSHO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","33 patients",,,"HF-1 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","22 patients","1 ","1","HF-3 " "261331","FREEMAN NEOSHO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "261331","FREEMAN NEOSHO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261331","FREEMAN NEOSHO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "261331","FREEMAN NEOSHO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","51 patients",,,"PN-3B " "261331","FREEMAN NEOSHO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "261331","FREEMAN NEOSHO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "261331","FREEMAN NEOSHO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261332","CARROLL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","36 patients",,,"PN-5C " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","20 patients","1 ","1","PN-7 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","26 patients",,,"PN-6 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","17 patients","1 ","1","HF-1 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","24 patients","1 ","1","PN-2 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","29 patients",,,"HF-2 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261333","PIKE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","18 patients","1 ","1","PN-3B " "261335","ST FRANCIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "261335","ST FRANCIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "261335","ST FRANCIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "261335","ST FRANCIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","87 patients",,,"PN-2 " "261335","ST FRANCIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "261335","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "261335","ST FRANCIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "261335","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "261335","ST FRANCIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","68 patients",,,"PN-6 " "261335","ST FRANCIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "261335","ST FRANCIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","8 patients","1 ","1","HF-1 " "261335","ST FRANCIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "261335","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "261335","ST FRANCIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","17 patients","1 ","1","HF-2 " "261335","ST FRANCIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","61 patients",,,"PN-7 " "261335","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "261335","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "261335","ST FRANCIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "261335","ST FRANCIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","76 patients",,,"PN-5C " "261335","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "261335","ST FRANCIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","93 patients",,,"PN-3B " "261335","ST FRANCIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "261335","ST FRANCIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "261335","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "261335","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "263302","CHILDRENS MERCY HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","329 patients","2 ","2","CAC-2 " "263302","CHILDRENS MERCY HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","99%","330 patients","2 ","2","CAC-1 " "263302","CHILDRENS MERCY HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","50%","326 patients","2 ","2","CAC-3 " "270002","HOLY ROSARY HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","30 patients",,,"PN-3B " "270002","HOLY ROSARY HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "270002","HOLY ROSARY HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","77 patients","2 ","2","SCIP-VTE-1 " "270002","HOLY ROSARY HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "270002","HOLY ROSARY HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "270002","HOLY ROSARY HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "270002","HOLY ROSARY HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","82 patients",,,"PN-2 " "270002","HOLY ROSARY HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","77 patients","2 ","2","SCIP-VTE-2 " "270002","HOLY ROSARY HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","104 patients",,,"PN-5C " "270002","HOLY ROSARY HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","33 patients",,,"HF-1 " "270002","HOLY ROSARY HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "270002","HOLY ROSARY HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "270002","HOLY ROSARY HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","111 patients","2 ","2","SCIP-INF-3 " "270002","HOLY ROSARY HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "270002","HOLY ROSARY HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "270002","HOLY ROSARY HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","141 patients","2 ","2","SCIP-INF-6 " "270002","HOLY ROSARY HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","86 patients",,,"PN-6 " "270002","HOLY ROSARY HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "270002","HOLY ROSARY HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "270002","HOLY ROSARY HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "270002","HOLY ROSARY HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "270002","HOLY ROSARY HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","39 patients",,,"HF-2 " "270002","HOLY ROSARY HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","111 patients","2 ","2","SCIP-INF-2 " "270002","HOLY ROSARY HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","111 patients","2 ","2","SCIP-INF-1 " "270002","HOLY ROSARY HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","57 patients",,,"PN-7 " "270003","ST PETERS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","62 patients",,,"HF-2 " "270003","ST PETERS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","95 patients",,,"AMI-2 " "270003","ST PETERS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","89 patients",,,"PN-6 " "270003","ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","231 patients","2 ","2","SCIP-VTE-1 " "270003","ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","56 patients","2 ","2","SCIP-CARD-2 " "270003","ST PETERS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","40 patients",,,"PN-4 " "270003","ST PETERS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","99 patients",,,"AMI-5 " "270003","ST PETERS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","34 patients",,,"AMI-4 " "270003","ST PETERS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","HF-3 " "270003","ST PETERS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","113 patients",,,"PN-2 " "270003","ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","281 patients","2 ","2","SCIP-INF-2 " "270003","ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","266 patients","2 ","2","SCIP-INF-3 " "270003","ST PETERS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","AMI-3 " "270003","ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "270003","ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","283 patients","2 ","2","SCIP-INF-1 " "270003","ST PETERS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "270003","ST PETERS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "270003","ST PETERS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","95 patients",,,"AMI-1 " "270003","ST PETERS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","119 patients",,,"PN-3B " "270003","ST PETERS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","41%","29 patients",,,"AMI-8A " "270003","ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","420 patients","2 ","2","SCIP-INF-6 " "270003","ST PETERS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","55 patients",,,"HF-1 " "270003","ST PETERS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","230 patients","2 ","2","SCIP-VTE-2 " "270003","ST PETERS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","132 patients",,,"PN-5C " "270003","ST PETERS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","83 patients",,,"PN-7 " "270004","BILLINGS CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","553 patients","2 ","2","SCIP-INF-6 " "270004","BILLINGS CLINIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","101 patients",,,"AMI-1 " "270004","BILLINGS CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","408 patients","2 ","2","SCIP-INF-3 " "270004","BILLINGS CLINIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","270 patients",,,"AMI-5 " "270004","BILLINGS CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","173 patients","2 ","2","SCIP-VTE-1 " "270004","BILLINGS CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","83 patients","2 ","2","SCIP-CARD-2 " "270004","BILLINGS CLINIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","24 patients","1 ","1","AMI-8A " "270004","BILLINGS CLINIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","135 patients",,,"HF-3 " "270004","BILLINGS CLINIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","118 patients",,,"AMI-4 " "270004","BILLINGS CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","173 patients","2 ","2","SCIP-VTE-2 " "270004","BILLINGS CLINIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","190 patients",,,"PN-2 " "270004","BILLINGS CLINIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "270004","BILLINGS CLINIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","229 patients",,,"PN-5C " "270004","BILLINGS CLINIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","256 patients",,,"AMI-2 " "270004","BILLINGS CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","126 patients","2 ","2","SCIP-INF-4 " "270004","BILLINGS CLINIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","330 patients",,,"HF-2 " "270004","BILLINGS CLINIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","42 patients",,,"AMI-3 " "270004","BILLINGS CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","423 patients","2 ","2","SCIP-INF-2 " "270004","BILLINGS CLINIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","415 patients","2 ","2","SCIP-INF-1 " "270004","BILLINGS CLINIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","140 patients",,,"PN-7 " "270004","BILLINGS CLINIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","283 patients",,,"HF-1 " "270004","BILLINGS CLINIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","98 patients",,,"PN-4 " "270004","BILLINGS CLINIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","185 patients",,,"PN-3B " "270004","BILLINGS CLINIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "270004","BILLINGS CLINIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","141 patients",,,"PN-6 " "270012","BENEFIS HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","145 patients",,,"PN-6 " "270012","BENEFIS HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","397 patients","2 ","2","SCIP-INF-2 " "270012","BENEFIS HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","210 patients",,,"PN-2 " "270012","BENEFIS HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","149 patients",,,"PN-7 " "270012","BENEFIS HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","98 patients","2 ","2","SCIP-INF-4 " "270012","BENEFIS HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","181 patients",,,"HF-1 " "270012","BENEFIS HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "270012","BENEFIS HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"AMI-4 " "270012","BENEFIS HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","60 patients",,,"HF-3 " "270012","BENEFIS HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","571 patients","2 ","2","SCIP-INF-6 " "270012","BENEFIS HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","214 patients",,,"HF-2 " "270012","BENEFIS HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "270012","BENEFIS HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"PN-4 " "270012","BENEFIS HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "270012","BENEFIS HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","168 patients",,,"AMI-5 " "270012","BENEFIS HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","123 patients",,,"AMI-1 " "270012","BENEFIS HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","171 patients",,,"AMI-2 " "270012","BENEFIS HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","348 patients","2 ","2","SCIP-INF-3 " "270012","BENEFIS HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","206 patients","2 ","2","SCIP-VTE-2 " "270012","BENEFIS HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","181 patients",,,"PN-5C " "270012","BENEFIS HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","383 patients","2 ","2","SCIP-INF-1 " "270012","BENEFIS HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","117 patients",,,"PN-3B " "270012","BENEFIS HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","206 patients","2 ","2","SCIP-VTE-1 " "270012","BENEFIS HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","84 patients","2 ","2","SCIP-CARD-2 " "270012","BENEFIS HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","38 patients",,,"AMI-8A " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","97 patients",,,"AMI-4 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","169 patients","2 ","2","SCIP-VTE-2 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","70 patients",,,"PN-4 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","51 patients",,,"AMI-3 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","169 patients","2 ","2","SCIP-VTE-1 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","303 patients",,,"AMI-2 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","160 patients",,,"PN-3B " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","399 patients","2 ","2","SCIP-INF-2 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","300 patients",,,"AMI-5 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","91 patients",,,"PN-6 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","41 patients",,,"AMI-8A " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","163 patients","2 ","2","SCIP-INF-4 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","387 patients","2 ","2","SCIP-INF-1 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","86 patients",,,"HF-3 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","369 patients","2 ","2","SCIP-INF-3 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","153 patients",,,"AMI-1 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","169 patients",,,"HF-2 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","188 patients",,,"PN-5C " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","145 patients",,,"PN-2 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","556 patients","2 ","2","SCIP-INF-6 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","56 patients","2 ","2","SCIP-CARD-2 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","143 patients",,,"HF-1 " "270014","ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","125 patients",,,"PN-7 " "270017","ST JAMES HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","54 patients",,,"AMI-1 " "270017","ST JAMES HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","326 patients",,,"SCIP-INF-6 " "270017","ST JAMES HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","37 patients",,,"AMI-5 " "270017","ST JAMES HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","88 patients",,,"PN-2 " "270017","ST JAMES HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "270017","ST JAMES HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","45%","11 patients","1 ","1","AMI-8A " "270017","ST JAMES HEALTHCARE","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-2 " "270017","ST JAMES HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","25 patients",,,"HF-3 " "270017","ST JAMES HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "270017","ST JAMES HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","89 patients",,,"HF-2 " "270017","ST JAMES HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","133 patients",,,"SCIP-VTE-2 " "270017","ST JAMES HEALTHCARE","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-1 " "270017","ST JAMES HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","84 patients",,,"PN-5C " "270017","ST JAMES HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","47 patients",,,"AMI-2 " "270017","ST JAMES HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","65 patients",,,"PN-7 " "270017","ST JAMES HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "270017","ST JAMES HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","26 patients",,,"SCIP-CARD-2 " "270017","ST JAMES HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "270017","ST JAMES HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "270017","ST JAMES HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","133 patients",,,"SCIP-VTE-1 " "270017","ST JAMES HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","229 patients",,,"SCIP-INF-2 " "270017","ST JAMES HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","214 patients",,,"SCIP-INF-3 " "270017","ST JAMES HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","231 patients",,,"SCIP-INF-1 " "270017","ST JAMES HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","37 patients",,,"PN-4 " "270017","ST JAMES HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","63 patients",,,"HF-1 " "270017","ST JAMES HEALTHCARE","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","0%","9 patients","1 ","1","CAC-3 " "270017","ST JAMES HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","42 patients",,,"PN-3B " "270017","ST JAMES HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","51 patients",,,"PN-6 " "270023","COMMUNITY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","300 patients","2 ","2","SCIP-INF-3 " "270023","COMMUNITY MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","31 patients",,,"AMI-1 " "270023","COMMUNITY MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "270023","COMMUNITY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "270023","COMMUNITY MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","47 patients",,,"PN-6 " "270023","COMMUNITY MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","43 patients",,,"PN-7 " "270023","COMMUNITY MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","71 patients",,,"PN-3B " "270023","COMMUNITY MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","45 patients",,,"AMI-2 " "270023","COMMUNITY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","156 patients","2 ","2","SCIP-VTE-2 " "270023","COMMUNITY MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","39 patients",,,"PN-2 " "270023","COMMUNITY MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "270023","COMMUNITY MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","65 patients",,,"HF-2 " "270023","COMMUNITY MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "270023","COMMUNITY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","302 patients","2 ","2","SCIP-INF-1 " "270023","COMMUNITY MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","66 patients",,,"PN-5C " "270023","COMMUNITY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","305 patients","2 ","2","SCIP-INF-2 " "270023","COMMUNITY MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "270023","COMMUNITY MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "270023","COMMUNITY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","158 patients","2 ","2","SCIP-VTE-1 " "270023","COMMUNITY MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","48 patients",,,"AMI-5 " "270023","COMMUNITY MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","9 patients","1 ","1","AMI-8A " "270023","COMMUNITY MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "270023","COMMUNITY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","38 patients","2 ","2","SCIP-CARD-2 " "270023","COMMUNITY MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","53 patients",,,"HF-1 " "270023","COMMUNITY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","414 patients","2 ","2","SCIP-INF-6 " "270032","NORTHERN MONTANA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","70 patients","2 ","2","PN-3B " "270032","NORTHERN MONTANA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "270032","NORTHERN MONTANA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","40%","5 patients","1 ","1","AMI-5 " "270032","NORTHERN MONTANA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","37 patients","2 ","2","PN-4 " "270032","NORTHERN MONTANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","51 patients","2 ","2","SCIP-INF-3 " "270032","NORTHERN MONTANA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "270032","NORTHERN MONTANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "270032","NORTHERN MONTANA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1,2 ","12","HF-4 " "270032","NORTHERN MONTANA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","50 patients","2 ","2","HF-1 " "270032","NORTHERN MONTANA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","75 patients","2 ","2","PN-7 " "270032","NORTHERN MONTANA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","46 patients","2 ","2","SCIP-VTE-1 " "270032","NORTHERN MONTANA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","60 patients","2 ","2","PN-6 " "270032","NORTHERN MONTANA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","21 patients","1,2 ","12","HF-3 " "270032","NORTHERN MONTANA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1 ","1","AMI-1 " "270032","NORTHERN MONTANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","52 patients","2 ","2","SCIP-INF-1 " "270032","NORTHERN MONTANA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "270032","NORTHERN MONTANA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","65 patients","2 ","2","HF-2 " "270032","NORTHERN MONTANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","79 patients","2 ","2","SCIP-INF-6 " "270032","NORTHERN MONTANA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "270032","NORTHERN MONTANA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1,2 ","12","SCIP-CARD-2 " "270032","NORTHERN MONTANA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","102 patients","2 ","2","PN-2 " "270032","NORTHERN MONTANA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","52 patients","2 ","2","SCIP-INF-2 " "270032","NORTHERN MONTANA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","46 patients","2 ","2","SCIP-VTE-2 " "270032","NORTHERN MONTANA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","111 patients","2 ","2","PN-5C " "270032","NORTHERN MONTANA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "27003F","VA MONTANA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","123 patients","2 ","2","SCIP-VTE-2 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","130 patients",,,"SCIP-INF-3 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","30 patients",,,"PN-3B " "27003F","VA MONTANA HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","42 patients",,,"PN-7 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","26 patients","2 ","2","SCIP-CARD-2 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","56 patients",,,"PN-2 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "27003F","VA MONTANA HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","49 patients",,,"PN-5C " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","60 patients",,,"HF-2 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","123 patients","2 ","2","SCIP-VTE-1 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","52 patients",,,"HF-1 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","131 patients",,,"SCIP-INF-1 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","178 patients","2 ","2","SCIP-INF-6 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","35 patients",,,"PN-6 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "27003F","VA MONTANA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","131 patients",,,"SCIP-INF-2 " "270049","ST VINCENT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1394 patients","2 ","2","SCIP-INF-6 " "270049","ST VINCENT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","169 patients","2 ","2","SCIP-INF-4 " "270049","ST VINCENT HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","158 patients",,,"PN-7 " "270049","ST VINCENT HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"AMI-3 " "270049","ST VINCENT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","1065 patients","2 ","2","SCIP-INF-3 " "270049","ST VINCENT HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","193 patients","2 ","2","SCIP-CARD-2 " "270049","ST VINCENT HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","98 patients",,,"AMI-1 " "270049","ST VINCENT HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","161 patients",,,"PN-6 " "270049","ST VINCENT HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","72 patients",,,"PN-3B " "270049","ST VINCENT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1125 patients","2 ","2","SCIP-INF-1 " "270049","ST VINCENT HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","230 patients",,,"HF-2 " "270049","ST VINCENT HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"AMI-4 " "270049","ST VINCENT HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","392 patients","2 ","2","SCIP-VTE-1 " "270049","ST VINCENT HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "270049","ST VINCENT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1145 patients","2 ","2","SCIP-INF-2 " "270049","ST VINCENT HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","392 patients","2 ","2","SCIP-VTE-2 " "270049","ST VINCENT HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","218 patients",,,"AMI-2 " "270049","ST VINCENT HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","65 patients",,,"HF-3 " "270049","ST VINCENT HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "270049","ST VINCENT HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","188 patients",,,"HF-1 " "270049","ST VINCENT HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","191 patients",,,"AMI-5 " "270049","ST VINCENT HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","19 patients","1 ","1","AMI-8A " "270049","ST VINCENT HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","230 patients",,,"PN-5C " "270049","ST VINCENT HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","225 patients",,,"PN-2 " "270049","ST VINCENT HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","102 patients",,,"PN-4 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","434 patients","2 ","2","SCIP-INF-3 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","111 patients",,,"PN-7 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","70 patients","2 ","2","SCIP-INF-4 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","65 patients",,,"PN-6 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","151 patients",,,"AMI-5 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","110 patients",,,"HF-1 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","106 patients","2 ","2","SCIP-CARD-2 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","175 patients",,,"PN-5C " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"AMI-4 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","451 patients","2 ","2","SCIP-INF-2 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","256 patients","2 ","2","SCIP-VTE-1 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","131 patients",,,"HF-2 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","445 patients","2 ","2","SCIP-INF-1 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","255 patients","2 ","2","SCIP-VTE-2 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "270051","KALISPELL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","595 patients","2 ","2","SCIP-INF-6 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","27 patients",,,"AMI-8A " "270051","KALISPELL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","157 patients",,,"PN-2 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","116 patients",,,"AMI-1 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","157 patients",,,"AMI-2 " "270051","KALISPELL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","167 patients",,,"PN-3B " "270057","BOZEMAN DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","118 patients","2 ","2","SCIP-VTE-2 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,2 ","12","AMI-3 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","78 patients","2 ","2","AMI-5 " "270057","BOZEMAN DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "270057","BOZEMAN DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","228 patients","2 ","2","SCIP-INF-1 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","79 patients","2 ","2","AMI-2 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "270057","BOZEMAN DEACONESS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","PN-4 " "270057","BOZEMAN DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","228 patients","2 ","2","SCIP-INF-2 " "270057","BOZEMAN DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","220 patients","2 ","2","SCIP-INF-3 " "270057","BOZEMAN DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","349 patients","2 ","2","SCIP-INF-6 " "270057","BOZEMAN DEACONESS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","27 patients","2 ","2","PN-3B " "270057","BOZEMAN DEACONESS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","63 patients","2 ","2","PN-6 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","AMI-4 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","70 patients",,,"HF-2 " "270057","BOZEMAN DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","18 patients","1,2 ","12","SCIP-CARD-2 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","78 patients","2 ","2","AMI-1 " "270057","BOZEMAN DEACONESS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","74 patients","2 ","2","PN-5C " "270057","BOZEMAN DEACONESS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","85 patients","2 ","2","PN-2 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","32 patients","2 ","2","AMI-8A " "270057","BOZEMAN DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","118 patients","2 ","2","SCIP-VTE-1 " "270057","BOZEMAN DEACONESS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","48 patients",,,"PN-7 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","64 patients",,,"HF-1 " "270057","BOZEMAN DEACONESS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","8 patients","1,3 ","13","SCIP-INF-6 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","16 patients","1 ","1","PN-7 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","8 patients","1,3 ","13","SCIP-INF-1 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","25 patients",,,"PN-6 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","26 patients",,,"PN-2 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","24 patients","1 ","1","HF-2 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1,3 ","13","SCIP-VTE-2 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1,3 ","13","SCIP-INF-2 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","17 patients","1 ","1","PN-3B " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","19 patients","1 ","1","HF-1 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,3 ","13","SCIP-VTE-1 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","8 patients","1,3 ","13","SCIP-INF-3 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1,3 ","13","PN-5C " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","HF-3 " "270074","P H S INDIAN HOSPITAL AT BROWNING - BLACKFEET","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","2 patients","1 ","1","PN-2 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","76 patients",,,"SCIP-VTE-2 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1 ","1","PN-6 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1 ","1","PN-7 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","263 patients",,,"SCIP-INF-1 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","319 patients",,,"SCIP-INF-6 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","35%","26 patients",,,"SCIP-CARD-2 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","263 patients",,,"SCIP-INF-3 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","266 patients",,,"SCIP-INF-2 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","76 patients",,,"SCIP-VTE-1 " "270086","CENTRAL MONTANA SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "270087","HEALTH CENTER NORTHWEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","34 patients",,,"SCIP-CARD-2 " "270087","HEALTH CENTER NORTHWEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","103 patients",,,"SCIP-VTE-1 " "270087","HEALTH CENTER NORTHWEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1 ","1","PN-7 " "270087","HEALTH CENTER NORTHWEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "270087","HEALTH CENTER NORTHWEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "270087","HEALTH CENTER NORTHWEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "270087","HEALTH CENTER NORTHWEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "270087","HEALTH CENTER NORTHWEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "270087","HEALTH CENTER NORTHWEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "270087","HEALTH CENTER NORTHWEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","341 patients",,,"SCIP-INF-6 " "270087","HEALTH CENTER NORTHWEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "270087","HEALTH CENTER NORTHWEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","102 patients",,,"SCIP-VTE-2 " "270087","HEALTH CENTER NORTHWEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "270087","HEALTH CENTER NORTHWEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "270087","HEALTH CENTER NORTHWEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "270087","HEALTH CENTER NORTHWEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "270087","HEALTH CENTER NORTHWEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","313 patients",,,"SCIP-INF-1 " "270087","HEALTH CENTER NORTHWEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "270087","HEALTH CENTER NORTHWEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "270087","HEALTH CENTER NORTHWEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","313 patients",,,"SCIP-INF-3 " "270087","HEALTH CENTER NORTHWEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "270087","HEALTH CENTER NORTHWEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","314 patients",,,"SCIP-INF-2 " "270087","HEALTH CENTER NORTHWEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "270087","HEALTH CENTER NORTHWEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "270087","HEALTH CENTER NORTHWEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","5 patients","1,3 ","13","PN-2 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271300","POPLAR COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "271300","POPLAR COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271300","POPLAR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271300","POPLAR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271300","POPLAR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271300","POPLAR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","HF-3 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271300","POPLAR COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","13 patients","1 ","1","PN-6 " "271300","POPLAR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271300","POPLAR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271300","POPLAR COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","20%","5 patients","1 ","1","PN-4 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","9%","11 patients","1 ","1","HF-1 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","45%","11 patients","1 ","1","HF-2 " "271300","POPLAR COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "271300","POPLAR COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1 ","1","PN-5C " "271300","POPLAR COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","5 patients","1 ","1","PN-7 " "271300","POPLAR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271300","POPLAR COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","10 patients","1 ","1","PN-2 " "271300","POPLAR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271302","DAHL MEMORIAL HEALTHCARE ASSOC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271304","MISSOURI RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271304","MISSOURI RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271304","MISSOURI RIVER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "271304","MISSOURI RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271304","MISSOURI RIVER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "271304","MISSOURI RIVER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "271304","MISSOURI RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271304","MISSOURI RIVER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "271304","MISSOURI RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "271304","MISSOURI RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "271304","MISSOURI RIVER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "271304","MISSOURI RIVER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271304","MISSOURI RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271304","MISSOURI RIVER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "271304","MISSOURI RIVER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271305","MCCONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271305","MCCONE COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "271305","MCCONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271305","MCCONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271305","MCCONE COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "271305","MCCONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271305","MCCONE COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "271305","MCCONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271305","MCCONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271305","MCCONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271305","MCCONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271305","MCCONE COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "271305","MCCONE COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "271305","MCCONE COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "271305","MCCONE COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "271306","MOUNTAINVIEW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,3 ","13","PN-2 " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "271306","MOUNTAINVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,"0 patients","3 ","3","HF-2 " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271306","MOUNTAINVIEW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "271306","MOUNTAINVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271306","MOUNTAINVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271306","MOUNTAINVIEW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271306","MOUNTAINVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271306","MOUNTAINVIEW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "271306","MOUNTAINVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271306","MOUNTAINVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271306","MOUNTAINVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271306","MOUNTAINVIEW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271306","MOUNTAINVIEW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "271306","MOUNTAINVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271306","MOUNTAINVIEW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "271307","TETON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "271307","TETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271307","TETON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271307","TETON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "271307","TETON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271307","TETON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271307","TETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271307","TETON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271307","TETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271307","TETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271307","TETON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "271307","TETON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,2,3 ","123","PN-6 " "271307","TETON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2,3 ","123","PN-4 " "271307","TETON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1,2,3 ","123","PN-2 " "271307","TETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271307","TETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271307","TETON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271307","TETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271307","TETON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271307","TETON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271307","TETON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "271307","TETON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "271307","TETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271307","TETON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "271307","TETON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "271308","ROOSEVELT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271308","ROOSEVELT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "271308","ROOSEVELT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271308","ROOSEVELT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271308","ROOSEVELT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "271308","ROOSEVELT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "271308","ROOSEVELT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271308","ROOSEVELT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "271308","ROOSEVELT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "271308","ROOSEVELT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271308","ROOSEVELT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271308","ROOSEVELT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271308","ROOSEVELT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271308","ROOSEVELT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271308","ROOSEVELT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "271308","ROOSEVELT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271308","ROOSEVELT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271308","ROOSEVELT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "271308","ROOSEVELT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271308","ROOSEVELT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271308","ROOSEVELT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "271308","ROOSEVELT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271308","ROOSEVELT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "271308","ROOSEVELT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271308","ROOSEVELT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "271309","PRAIRIE COMMUNITY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271310","GARFIELD COUNTY HEALTH CENTER INC - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271313","PIONEER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "271313","PIONEER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "271313","PIONEER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "271313","PIONEER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "271313","PIONEER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271313","PIONEER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "271313","PIONEER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "271313","PIONEER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271313","PIONEER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271313","PIONEER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "271313","PIONEER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271313","PIONEER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1 ","1","PN-2 " "271313","PIONEER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271313","PIONEER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271313","PIONEER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271313","PIONEER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271313","PIONEER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "271313","PIONEER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1 ","1","PN-5C " "271313","PIONEER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271313","PIONEER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271313","PIONEER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "271313","PIONEER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271313","PIONEER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "271313","PIONEER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "271313","PIONEER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1 ","1","PN-7 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","12 patients","1 ","1","HF-2 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","11 patients","1 ","1","HF-1 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","29%","65 patients","2 ","2","SCIP-INF-3 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","66 patients","2 ","2","SCIP-INF-2 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","14 patients","1 ","1","PN-6 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","15 patients","1,2 ","12","SCIP-VTE-1 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","18 patients","1 ","1","PN-2 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","14 patients","1 ","1","PN-5C " "271316","FRANCES MAHON DEACONESS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "271316","FRANCES MAHON DEACONESS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","10 patients","1 ","1","PN-7 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271316","FRANCES MAHON DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","69 patients","2 ","2","SCIP-INF-6 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","15 patients","1,2 ","12","SCIP-VTE-2 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "271316","FRANCES MAHON DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","66 patients","2 ","2","SCIP-INF-1 " "271317","LIVINGSTON HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","24 patients","1 ","1","PN-7 " "271317","LIVINGSTON HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "271317","LIVINGSTON HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "271317","LIVINGSTON HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271317","LIVINGSTON HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,2,3 ","123","AMI-1 " "271317","LIVINGSTON HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "271317","LIVINGSTON HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","31 patients",,,"HF-2 " "271317","LIVINGSTON HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","40 patients",,,"PN-5C " "271317","LIVINGSTON HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","43 patients",,,"SCIP-VTE-2 " "271317","LIVINGSTON HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","73 patients",,,"SCIP-INF-2 " "271317","LIVINGSTON HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","78 patients",,,"SCIP-INF-6 " "271317","LIVINGSTON HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","27 patients",,,"HF-1 " "271317","LIVINGSTON HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","21 patients","1 ","1","PN-3B " "271317","LIVINGSTON HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","53%","19 patients","1 ","1","PN-6 " "271317","LIVINGSTON HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "271317","LIVINGSTON HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "271317","LIVINGSTON HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271317","LIVINGSTON HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "271317","LIVINGSTON HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","43 patients",,,"SCIP-VTE-1 " "271317","LIVINGSTON HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","71 patients",,,"SCIP-INF-1 " "271317","LIVINGSTON HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","70 patients",,,"SCIP-INF-3 " "271317","LIVINGSTON HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "271317","LIVINGSTON HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","38 patients",,,"PN-2 " "271317","LIVINGSTON HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,2,3 ","123","AMI-5 " "271317","LIVINGSTON HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","14 patients","1 ","1","HF-2 " "271318","BARRETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","26 patients",,,"SCIP-VTE-1 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "271318","BARRETT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "271318","BARRETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","44 patients",,,"SCIP-INF-6 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271318","BARRETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","26 patients",,,"SCIP-VTE-2 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "271318","BARRETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","41 patients",,,"SCIP-INF-2 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271318","BARRETT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients",,,"PN-5C " "271318","BARRETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","41 patients",,,"SCIP-INF-1 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "271318","BARRETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","41 patients",,,"SCIP-INF-3 " "271318","BARRETT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","25 patients",,,"PN-6 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","13 patients","1 ","1","HF-1 " "271318","BARRETT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","17 patients","1 ","1","PN-7 " "271318","BARRETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271318","BARRETT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","26 patients",,,"PN-2 " "271318","BARRETT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "271318","BARRETT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "271318","BARRETT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","20 patients","1 ","1","PN-3B " "271319","RUBY VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","3 patients","1,3 ","13","PN-7 " "271319","RUBY VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271319","RUBY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271319","RUBY VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271319","RUBY VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","1 patients","1,3 ","13","PN-6 " "271319","RUBY VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "271319","RUBY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271319","RUBY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271319","RUBY VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271319","RUBY VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","4 patients","1,3 ","13","HF-2 " "271319","RUBY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271319","RUBY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271319","RUBY VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "271319","RUBY VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271319","RUBY VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "271319","RUBY VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271319","RUBY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271319","RUBY VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "271319","RUBY VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","2 patients","1,3 ","13","PN-5C " "271319","RUBY VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,3 ","13","PN-3B " "271319","RUBY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271319","RUBY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271319","RUBY VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1,3 ","13","PN-2 " "271319","RUBY VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271319","RUBY VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1 ","1","PN-6 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","19 patients","1 ","1","PN-2 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","21 patients","1 ","1","PN-5C " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","19 patients","1 ","1","PN-3B " "271320","ST JOHN'S LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","9 patients","1 ","1","PN-7 " "271320","ST JOHN'S LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","32 patients",,,"PN-2 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","12%","8 patients","1,3 ","13","HF-1 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","20 patients","1 ","1","PN-6 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "271322","SHERIDAN MEMORIAL HOSPTIAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","22 patients","1 ","1","PN-5C " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","21 patients","1 ","1","PN-7 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","20%","10 patients","1,3 ","13","HF-2 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "271322","SHERIDAN MEMORIAL HOSPTIAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "271323","CLARK FORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","7 patients","1,2 ","12","HF-1 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "271323","CLARK FORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271323","CLARK FORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","HF-4 " "271323","CLARK FORK VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","11 patients","1,2 ","12","PN-3B " "271323","CLARK FORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "271323","CLARK FORK VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","15 patients","1,2 ","12","PN-7 " "271323","CLARK FORK VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","14 patients","1,2 ","12","PN-6 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","11 patients","1,2 ","12","HF-2 " "271323","CLARK FORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271323","CLARK FORK VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","18 patients","1,2 ","12","PN-5C " "271323","CLARK FORK VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","18 patients","1,2 ","12","PN-2 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1,2 ","12","HF-3 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "271323","CLARK FORK VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "271323","CLARK FORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271323","CLARK FORK VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1,2 ","12","PN-4 " "271323","CLARK FORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271323","CLARK FORK VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271324","PONDERA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271324","PONDERA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1 ","1","PN-7 " "271324","PONDERA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "271324","PONDERA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271324","PONDERA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271324","PONDERA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271324","PONDERA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "271324","PONDERA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","1 patients","1 ","1","PN-6 " "271324","PONDERA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "271324","PONDERA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271324","PONDERA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "271324","PONDERA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271324","PONDERA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "271324","PONDERA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271324","PONDERA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271324","PONDERA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271324","PONDERA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "271324","PONDERA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271324","PONDERA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271324","PONDERA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271324","PONDERA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","3 patients","1 ","1","PN-2 " "271324","PONDERA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271324","PONDERA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","67%","3 patients","1 ","1","PN-5C " "271324","PONDERA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271324","PONDERA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271325","ST LUKE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","31 patients",,,"PN-6 " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","12 patients","1 ","1","HF-3 " "271325","ST LUKE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","46 patients",,,"PN-5C " "271325","ST LUKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271325","ST LUKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271325","ST LUKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271325","ST LUKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","29 patients",,,"HF-2 " "271325","ST LUKE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","35 patients",,,"PN-2 " "271325","ST LUKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271325","ST LUKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271325","ST LUKE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","12 patients","1 ","1","PN-4 " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","24 patients","1 ","1","HF-1 " "271325","ST LUKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271325","ST LUKE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","26 patients",,,"PN-7 " "271325","ST LUKE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","31 patients",,,"PN-3B " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271325","ST LUKE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","12 patients","1 ","1","HF-4 " "271325","ST LUKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271328","MARIAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271328","MARIAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271328","MARIAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "271328","MARIAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271328","MARIAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "271328","MARIAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1,2 ","12","PN-3B " "271328","MARIAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","5 patients","1 ","1","HF-2 " "271328","MARIAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271328","MARIAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1,2 ","12","PN-4 " "271328","MARIAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "271328","MARIAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "271328","MARIAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1 ","1","HF-1 " "271328","MARIAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271328","MARIAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "271328","MARIAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","26 patients","2 ","2","PN-6 " "271328","MARIAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271328","MARIAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","32 patients",,,"PN-7 " "271328","MARIAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","45 patients","2 ","2","PN-2 " "271328","MARIAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271328","MARIAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271328","MARIAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271328","MARIAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "271328","MARIAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271328","MARIAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271328","MARIAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","29 patients","2 ","2","PN-5C " "271330","STILLWATER COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","PN-4 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","25%","4 patients","1,3 ","13","HF-2 " "271330","STILLWATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "271330","STILLWATER COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,3 ","13","PN-3B " "271330","STILLWATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271330","STILLWATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271330","STILLWATER COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1 ","1","PN-7 " "271330","STILLWATER COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","9 patients","1,3 ","13","PN-2 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "271330","STILLWATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "271330","STILLWATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271330","STILLWATER COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1,3 ","13","PN-6 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271330","STILLWATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271330","STILLWATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271330","STILLWATER COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1,3 ","13","PN-5C " "271330","STILLWATER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271330","STILLWATER COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "271332","GLENDIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "271332","GLENDIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","43%","7 patients","1 ","1","SCIP-CARD-2 " "271332","GLENDIVE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "271332","GLENDIVE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","26 patients",,,"PN-5C " "271332","GLENDIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","21 patients","1 ","1","SCIP-VTE-2 " "271332","GLENDIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","63%","46 patients",,,"SCIP-INF-1 " "271332","GLENDIVE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "271332","GLENDIVE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "271332","GLENDIVE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","16 patients","1 ","1","HF-1 " "271332","GLENDIVE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","17 patients","1 ","1","PN-3B " "271332","GLENDIVE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","17 patients","1 ","1","PN-6 " "271332","GLENDIVE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","18 patients","1 ","1","PN-7 " "271332","GLENDIVE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","25 patients",,,"HF-2 " "271332","GLENDIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","51 patients",,,"SCIP-INF-6 " "271332","GLENDIVE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","36%","11 patients","1 ","1","PN-4 " "271332","GLENDIVE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1 ","1","HF-4 " "271332","GLENDIVE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","27 patients",,,"PN-2 " "271332","GLENDIVE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1 ","1","AMI-5 " "271332","GLENDIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","40 patients",,,"SCIP-INF-3 " "271332","GLENDIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","21 patients","1 ","1","SCIP-VTE-1 " "271332","GLENDIVE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","4 patients","1 ","1","AMI-2 " "271332","GLENDIVE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "271332","GLENDIVE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "271332","GLENDIVE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "271332","GLENDIVE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","40 patients",,,"SCIP-INF-2 " "271334","LIBERTY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "271334","LIBERTY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271334","LIBERTY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "271334","LIBERTY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "271334","LIBERTY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "271334","LIBERTY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "271334","LIBERTY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271334","LIBERTY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271334","LIBERTY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271334","LIBERTY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271334","LIBERTY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271334","LIBERTY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271334","LIBERTY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271334","LIBERTY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271334","LIBERTY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "271334","LIBERTY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1,3 ","13","PN-7 " "271334","LIBERTY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","2 patients","1,3 ","13","PN-2 " "271334","LIBERTY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271334","LIBERTY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,3 ","13","PN-5C " "271334","LIBERTY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271334","LIBERTY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271334","LIBERTY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271334","LIBERTY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","3 patients","1,3 ","13","PN-6 " "271334","LIBERTY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271334","LIBERTY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","43 patients",,,"PN-2 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","31 patients",,,"PN-7 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "271335","COMMUNITY HOSPITAL OF ANACONDA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","54 patients",,,"PN-6 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","24 patients","1 ","1","SCIP-INF-2 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","59 patients",,,"PN-3B " "271335","COMMUNITY HOSPITAL OF ANACONDA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","68 patients",,,"PN-5C " "271335","COMMUNITY HOSPITAL OF ANACONDA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","9 patients","1 ","1","SCIP-VTE-2 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","24 patients","1 ","1","SCIP-INF-1 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients",,,"SCIP-INF-6 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1 ","1","HF-1 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","19 patients","1 ","1","HF-2 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","9 patients","1 ","1","SCIP-VTE-1 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","21 patients","1 ","1","SCIP-INF-3 " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271335","COMMUNITY HOSPITAL OF ANACONDA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "271336","NORTH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "271336","NORTH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","43 patients",,,"SCIP-VTE-1 " "271336","NORTH VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","26 patients",,,"PN-6 " "271336","NORTH VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","PN-4 " "271336","NORTH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","107 patients",,,"SCIP-INF-1 " "271336","NORTH VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","16 patients","1 ","1","HF-1 " "271336","NORTH VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","45 patients",,,"PN-5C " "271336","NORTH VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "271336","NORTH VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","30 patients",,,"PN-3B " "271336","NORTH VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "271336","NORTH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","120 patients",,,"SCIP-INF-6 " "271336","NORTH VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "271336","NORTH VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "271336","NORTH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271336","NORTH VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "271336","NORTH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","43 patients",,,"SCIP-VTE-2 " "271336","NORTH VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "271336","NORTH VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271336","NORTH VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","40%","20 patients","1 ","1","PN-7 " "271336","NORTH VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271336","NORTH VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271336","NORTH VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","28 patients",,,"PN-2 " "271336","NORTH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","108 patients",,,"SCIP-INF-2 " "271336","NORTH VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","20 patients","1 ","1","HF-2 " "271336","NORTH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","105 patients",,,"SCIP-INF-3 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","67%","6 patients","1,3 ","13","PN-5C " "271337","NORTHERN ROCKIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1,3 ","13","PN-2 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271337","NORTHERN ROCKIES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","PN-4 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,3 ","13","PN-6 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","7 patients","1,3 ","13","PN-3B " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","10 patients","1 ","1","PN-7 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "271337","NORTHERN ROCKIES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","20%","10 patients","1,3 ","13","HF-2 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","14%","7 patients","1,3 ","13","HF-1 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1 ","1","PN-4 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","18 patients","1 ","1","PN-5C " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","13 patients","1 ","1","PN-7 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","18 patients","1 ","1","PN-2 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271338","BIG HORN CO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271338","BIG HORN CO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271338","BIG HORN CO MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","67%","3 patients","1,3 ","13","PN-5C " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","2 patients","1,3 ","13","PN-2 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","1 patients","1,3 ","13","PN-6 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,3 ","13","PN-3B " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "271339","P H S INDIAN HOSPITAL CROW / NORTHERN CHEYENNE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","PN-4 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","35 patients",,,"PN-3B " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","18 patients","1 ","1","PN-7 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","102 patients",,,"SCIP-INF-6 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","30 patients",,,"PN-6 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","80 patients",,,"SCIP-INF-3 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","31 patients",,,"PN-2 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","30%","20 patients","1 ","1","HF-1 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","44 patients",,,"SCIP-VTE-2 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","44 patients",,,"SCIP-VTE-1 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","42 patients",,,"PN-5C " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","83 patients",,,"SCIP-INF-2 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","28 patients",,,"HF-2 " "271340","MARCUS DALY MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","82 patients",,,"SCIP-INF-1 " "271341","TRINITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271341","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271341","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271341","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271341","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271341","TRINITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,3 ","13","PN-4 " "271341","TRINITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","8 patients","1 ","1","PN-7 " "271341","TRINITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","27%","11 patients","1,3 ","13","HF-1 " "271341","TRINITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271341","TRINITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271341","TRINITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "271341","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271341","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271341","TRINITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","13 patients","1,3 ","13","PN-6 " "271341","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271341","TRINITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271341","TRINITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271341","TRINITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271341","TRINITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,3 ","13","PN-3B " "271341","TRINITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "271341","TRINITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271341","TRINITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271341","TRINITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","10 patients","1,3 ","13","PN-2 " "271341","TRINITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","19 patients","1,3 ","13","PN-5C " "271341","TRINITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","38%","13 patients","1,3 ","13","HF-2 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,3 ","13","HF-2 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271342","DANIELS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","5 patients","1 ","1","PN-2 " "271342","DANIELS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271342","DANIELS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","3 patients","1 ","1","PN-7 " "271342","DANIELS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271342","DANIELS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271342","DANIELS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "271342","DANIELS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "271342","DANIELS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1 ","1","PN-6 " "271342","DANIELS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271342","DANIELS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1 ","1","PN-5C " "271342","DANIELS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271342","DANIELS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "271342","DANIELS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271342","DANIELS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "271342","DANIELS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271343","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "271343","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "271343","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","19 patients","1 ","1","PN-6 " "271343","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","27 patients",,,"SCIP-INF-1 " "271343","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","8 patients","1 ","1","HF-1 " "271343","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "271343","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "271343","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "271343","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "271343","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "271343","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "271343","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "271343","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","12 patients","1 ","1","SCIP-VTE-2 " "271343","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","73%","15 patients","1 ","1","HF-2 " "271343","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271343","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "271343","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","30 patients",,,"SCIP-INF-6 " "271343","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","17 patients","1 ","1","PN-3B " "271343","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","12 patients","1 ","1","SCIP-VTE-1 " "271343","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","27 patients",,,"SCIP-INF-3 " "271343","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","15 patients","1 ","1","PN-5C " "271343","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "271343","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","12 patients","1 ","1","PN-7 " "271343","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","17 patients","1 ","1","PN-2 " "271343","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","27 patients",,,"SCIP-INF-2 " "271344","SIDNEY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","24 patients","1 ","1","PN-5C " "271344","SIDNEY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","16 patients","1,3 ","13","SCIP-VTE-1 " "271344","SIDNEY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "271344","SIDNEY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "271344","SIDNEY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","30 patients","3 ","3","SCIP-INF-1 " "271344","SIDNEY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "271344","SIDNEY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271344","SIDNEY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271344","SIDNEY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","69%","16 patients","1,3 ","13","SCIP-VTE-2 " "271344","SIDNEY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","PN-4 " "271344","SIDNEY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","29 patients","3 ","3","SCIP-INF-3 " "271344","SIDNEY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","23 patients","1,3 ","13","HF-2 " "271344","SIDNEY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "271344","SIDNEY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1,3 ","13","HF-3 " "271344","SIDNEY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","30 patients","3 ","3","SCIP-INF-2 " "271344","SIDNEY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","23 patients","1 ","1","PN-2 " "271344","SIDNEY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "271344","SIDNEY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","14 patients","1,3 ","13","HF-1 " "271344","SIDNEY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "271344","SIDNEY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","18 patients","1 ","1","PN-6 " "271344","SIDNEY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","18 patients","1 ","1","PN-7 " "271344","SIDNEY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "271344","SIDNEY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271344","SIDNEY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","43 patients","3 ","3","SCIP-INF-6 " "271344","SIDNEY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1 ","1","PN-3B " "271345","CENTRAL MONTANA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","36 patients",,,"PN-3B " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","16 patients","1 ","1","HF-1 " "271345","CENTRAL MONTANA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","62%","13 patients","1 ","1","PN-4 " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "271345","CENTRAL MONTANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","74 patients","2 ","2","SCIP-INF-6 " "271345","CENTRAL MONTANA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","51 patients",,,"PN-6 " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "271345","CENTRAL MONTANA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","71 patients",,,"PN-5C " "271345","CENTRAL MONTANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","66 patients","2 ","2","SCIP-INF-1 " "271345","CENTRAL MONTANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "271345","CENTRAL MONTANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","39 patients","2 ","2","SCIP-VTE-2 " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","19 patients","1 ","1","HF-2 " "271345","CENTRAL MONTANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","66 patients","2 ","2","SCIP-INF-2 " "271345","CENTRAL MONTANA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","68 patients",,,"PN-2 " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "271345","CENTRAL MONTANA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","38 patients",,,"PN-7 " "271345","CENTRAL MONTANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","9 patients","1,2 ","12","SCIP-CARD-2 " "271345","CENTRAL MONTANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","64 patients","2 ","2","SCIP-INF-3 " "271345","CENTRAL MONTANA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "271345","CENTRAL MONTANA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","39 patients","2 ","2","SCIP-VTE-1 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1 ","1","PN-5C " "271346","ROUNDUP MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","53%","15 patients","1 ","1","HF-2 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","11 patients","1 ","1","HF-1 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "271346","ROUNDUP MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","14%","7 patients","1 ","1","PN-7 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","9 patients","1 ","1","PN-2 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","10 patients","1 ","1","PN-6 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "271346","ROUNDUP MEMORIAL HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "280003","BRYANLGH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"HF-4 " "280003","BRYANLGH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","145 patients","2 ","2","PN-3B " "280003","BRYANLGH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","96 patients","2 ","2","PN-4 " "280003","BRYANLGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","769 patients","2 ","2","SCIP-INF-3 " "280003","BRYANLGH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280003","BRYANLGH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","376 patients",,,"AMI-5 " "280003","BRYANLGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","845 patients","2 ","2","SCIP-INF-1 " "280003","BRYANLGH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","163 patients",,,"AMI-1 " "280003","BRYANLGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","858 patients","2 ","2","SCIP-INF-2 " "280003","BRYANLGH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","67 patients",,,"AMI-3 " "280003","BRYANLGH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","283 patients",,,"HF-1 " "280003","BRYANLGH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","186 patients","2 ","2","PN-7 " "280003","BRYANLGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1248 patients","2 ","2","SCIP-INF-6 " "280003","BRYANLGH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","187 patients","2 ","2","PN-5C " "280003","BRYANLGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","231 patients","2 ","2","SCIP-CARD-2 " "280003","BRYANLGH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","364 patients",,,"AMI-2 " "280003","BRYANLGH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","249 patients","2 ","2","PN-2 " "280003","BRYANLGH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","35 patients",,,"AMI-8A " "280003","BRYANLGH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","117 patients",,,"HF-3 " "280003","BRYANLGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","306 patients","2 ","2","SCIP-INF-4 " "280003","BRYANLGH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","360 patients",,,"HF-2 " "280003","BRYANLGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","357 patients","2 ","2","SCIP-VTE-1 " "280003","BRYANLGH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","98 patients","2 ","2","PN-6 " "280003","BRYANLGH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","351 patients","2 ","2","SCIP-VTE-2 " "280003","BRYANLGH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","148 patients",,,"AMI-4 " "280009","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280009","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","28 patients",,,"AMI-3 " "280009","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","176 patients",,,"SCIP-CARD-2 " "280009","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","86 patients",,,"AMI-4 " "280009","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "280009","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","748 patients",,,"SCIP-INF-1 " "280009","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","61 patients",,,"PN-6 " "280009","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","17 patients","1 ","1","AMI-8A " "280009","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","520 patients",,,"SCIP-VTE-2 " "280009","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","72 patients",,,"PN-7 " "280009","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","163 patients",,,"HF-2 " "280009","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","146 patients",,,"AMI-5 " "280009","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","43 patients",,,"PN-4 " "280009","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","57 patients",,,"HF-3 " "280009","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","521 patients",,,"SCIP-VTE-1 " "280009","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","113 patients",,,"HF-1 " "280009","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","70 patients",,,"AMI-1 " "280009","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","164 patients",,,"AMI-2 " "280009","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","30 patients",,,"PN-3B " "280009","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","105 patients",,,"PN-2 " "280009","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","128 patients",,,"SCIP-INF-4 " "280009","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","109 patients",,,"PN-5C " "280009","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","690 patients",,,"SCIP-INF-3 " "280009","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","755 patients",,,"SCIP-INF-2 " "280009","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","1220 patients",,,"SCIP-INF-6 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","216 patients","2 ","2","AMI-2 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","267 patients","2 ","2","HF-2 " "280013","THE NEBRASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","114 patients","2 ","2","SCIP-CARD-2 " "280013","THE NEBRASKA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","103 patients","2 ","2","PN-2 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","58 patients","2 ","2","HF-4 " "280013","THE NEBRASKA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","82 patients","2 ","2","PN-7 " "280013","THE NEBRASKA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","78 patients","2 ","2","PN-3B " "280013","THE NEBRASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","401 patients","2 ","2","SCIP-INF-2 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","23 patients","1,2 ","12","AMI-3 " "280013","THE NEBRASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","391 patients","2 ","2","SCIP-INF-1 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","131 patients","2 ","2","HF-3 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "280013","THE NEBRASKA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","94 patients","2 ","2","AMI-4 " "280013","THE NEBRASKA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","51 patients","2 ","2","PN-4 " "280013","THE NEBRASKA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","35 patients","2 ","2","PN-6 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","175 patients","2 ","2","AMI-1 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","33 patients","2 ","2","AMI-8A " "280013","THE NEBRASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","585 patients","2 ","2","SCIP-INF-6 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","225 patients","2 ","2","AMI-5 " "280013","THE NEBRASKA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","102 patients","2 ","2","PN-5C " "280013","THE NEBRASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","128 patients","2 ","2","SCIP-INF-4 " "280013","THE NEBRASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","378 patients","2 ","2","SCIP-INF-3 " "280013","THE NEBRASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","244 patients","2 ","2","SCIP-VTE-1 " "280013","THE NEBRASKA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","221 patients","2 ","2","HF-1 " "280013","THE NEBRASKA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","244 patients","2 ","2","SCIP-VTE-2 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","316 patients","2 ","2","SCIP-INF-3 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","160 patients","2 ","2","PN-2 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","146 patients","2 ","2","PN-5C " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","51 patients",,,"HF-3 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","174 patients",,,"HF-1 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","113 patients",,,"AMI-1 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","35 patients",,,"HF-4 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","51 patients","2 ","2","PN-4 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","176 patients","2 ","2","SCIP-VTE-1 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","339 patients","2 ","2","SCIP-INF-1 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","38 patients",,,"AMI-8A " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","83 patients","2 ","2","SCIP-CARD-2 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","153 patients","2 ","2","PN-3B " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","65 patients","2 ","2","SCIP-INF-4 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","125 patients",,,"AMI-5 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","176 patients","2 ","2","SCIP-VTE-2 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","519 patients","2 ","2","SCIP-INF-6 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","224 patients",,,"HF-2 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","109 patients","2 ","2","PN-7 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","341 patients","2 ","2","SCIP-INF-2 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","126 patients",,,"AMI-2 " "280020","SAINT ELIZABETH REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","100 patients","2 ","2","PN-6 " "280023","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","26 patients",,,"HF-3 " "280023","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","AMI-4 " "280023","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","673 patients",,,"SCIP-INF-6 " "280023","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","249 patients",,,"SCIP-VTE-1 " "280023","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","10 patients","1 ","1","AMI-8A " "280023","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","79 patients",,,"PN-4 " "280023","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","156 patients",,,"HF-2 " "280023","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","158 patients",,,"PN-7 " "280023","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "280023","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","409 patients",,,"SCIP-INF-3 " "280023","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","173 patients",,,"PN-3B " "280023","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","233 patients",,,"PN-2 " "280023","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "280023","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","442 patients",,,"SCIP-INF-1 " "280023","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280023","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","192 patients",,,"PN-5C " "280023","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","247 patients",,,"SCIP-VTE-2 " "280023","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","444 patients",,,"SCIP-INF-2 " "280023","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","67 patients",,,"AMI-1 " "280023","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "280023","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","113 patients",,,"HF-1 " "280023","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","81 patients",,,"SCIP-CARD-2 " "280023","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","58 patients",,,"AMI-2 " "280023","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","122 patients",,,"PN-6 " "280023","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","48 patients",,,"AMI-5 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","21 patients","1 ","1","AMI-8A " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","92 patients",,,"HF-3 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","364 patients","2 ","2","SCIP-INF-1 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","74 patients",,,"PN-2 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","263 patients",,,"HF-2 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","154 patients","2 ","2","SCIP-INF-4 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","53 patients",,,"AMI-3 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","217 patients",,,"AMI-2 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","82 patients",,,"AMI-1 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","77 patients",,,"PN-7 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","89 patients",,,"PN-5C " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","192 patients","2 ","2","SCIP-VTE-1 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","355 patients","2 ","2","SCIP-INF-3 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","192 patients","2 ","2","SCIP-VTE-2 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"AMI-4 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","85 patients",,,"PN-3B " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","225 patients",,,"AMI-5 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","36 patients",,,"PN-6 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","549 patients","2 ","2","SCIP-INF-6 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","206 patients",,,"HF-1 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","367 patients","2 ","2","SCIP-INF-2 " "280030","CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","87 patients","2 ","2","SCIP-CARD-2 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","43 patients",,,"AMI-1 " "280032","MARY LANNING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1 ","1","AMI-4 " "280032","MARY LANNING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","64 patients",,,"SCIP-CARD-2 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","23 patients","1 ","1","HF-3 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","35 patients",,,"AMI-5 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","69 patients",,,"HF-1 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "280032","MARY LANNING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","253 patients",,,"SCIP-VTE-1 " "280032","MARY LANNING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","614 patients",,,"SCIP-INF-6 " "280032","MARY LANNING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","54%","531 patients",,,"SCIP-INF-3 " "280032","MARY LANNING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","539 patients",,,"SCIP-INF-2 " "280032","MARY LANNING MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","84 patients",,,"PN-3B " "280032","MARY LANNING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","253 patients",,,"SCIP-VTE-2 " "280032","MARY LANNING MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","106 patients",,,"PN-5C " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","104 patients",,,"HF-2 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "280032","MARY LANNING MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","74 patients",,,"PN-6 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","33 patients",,,"AMI-2 " "280032","MARY LANNING MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "280032","MARY LANNING MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","18 patients","1 ","1","PN-4 " "280032","MARY LANNING MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","127 patients",,,"PN-2 " "280032","MARY LANNING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","537 patients",,,"SCIP-INF-1 " "280032","MARY LANNING MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","80 patients",,,"PN-7 " "280040","THE NEBRASKA METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","72 patients",,,"PN-4 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","339 patients",,,"HF-2 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","128 patients",,,"HF-3 " "280040","THE NEBRASKA METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","1002 patients","2 ","2","SCIP-INF-1 " "280040","THE NEBRASKA METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","229 patients","2 ","2","SCIP-INF-4 " "280040","THE NEBRASKA METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","263 patients","2 ","2","SCIP-VTE-2 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","43 patients",,,"AMI-8A " "280040","THE NEBRASKA METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","1235 patients","2 ","2","SCIP-INF-6 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "280040","THE NEBRASKA METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","343 patients",,,"PN-2 " "280040","THE NEBRASKA METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","263 patients","2 ","2","SCIP-VTE-1 " "280040","THE NEBRASKA METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","303 patients",,,"PN-5C " "280040","THE NEBRASKA METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","220 patients",,,"PN-7 " "280040","THE NEBRASKA METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","967 patients","2 ","2","SCIP-INF-3 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","159 patients",,,"AMI-1 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","174 patients",,,"AMI-5 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","179 patients",,,"AMI-2 " "280040","THE NEBRASKA METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","223 patients","2 ","2","SCIP-CARD-2 " "280040","THE NEBRASKA METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","279 patients",,,"PN-3B " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","274 patients",,,"HF-1 " "280040","THE NEBRASKA METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","221 patients",,,"PN-6 " "280040","THE NEBRASKA METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280040","THE NEBRASKA METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1013 patients","2 ","2","SCIP-INF-2 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","222 patients",,,"PN-2 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","1439 patients","2 ","2","SCIP-INF-1 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"AMI-4 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","159 patients",,,"PN-7 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","466 patients","2 ","2","SCIP-VTE-2 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"PN-4 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","155 patients",,,"AMI-5 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"HF-4 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","240 patients",,,"HF-1 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","223 patients",,,"PN-5C " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1442 patients","2 ","2","SCIP-INF-2 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","31 patients",,,"AMI-8A " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","189 patients",,,"PN-3B " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","229 patients","2 ","2","SCIP-INF-4 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","165 patients",,,"AMI-2 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1718 patients","2 ","2","SCIP-INF-6 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","320 patients",,,"HF-2 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","138 patients",,,"AMI-1 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","466 patients","2 ","2","SCIP-VTE-1 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","152 patients",,,"PN-6 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","324 patients","2 ","2","SCIP-CARD-2 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","1386 patients","2 ","2","SCIP-INF-3 " "280060","ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","102 patients",,,"HF-3 " "280061","REGIONAL WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","283 patients","2 ","2","SCIP-VTE-1 " "280061","REGIONAL WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "280061","REGIONAL WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","404 patients","2 ","2","SCIP-INF-2 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","17 patients","1 ","1","AMI-1 " "280061","REGIONAL WEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","71 patients",,,"PN-5C " "280061","REGIONAL WEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","35 patients",,,"PN-3B " "280061","REGIONAL WEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "280061","REGIONAL WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","34 patients","2 ","2","SCIP-CARD-2 " "280061","REGIONAL WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","401 patients","2 ","2","SCIP-INF-1 " "280061","REGIONAL WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","388 patients","2 ","2","SCIP-INF-3 " "280061","REGIONAL WEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "280061","REGIONAL WEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","47 patients",,,"PN-6 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "280061","REGIONAL WEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","63 patients",,,"PN-7 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280061","REGIONAL WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","561 patients","2 ","2","SCIP-INF-6 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","14 patients","1 ","1","AMI-5 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","54 patients",,,"HF-1 " "280061","REGIONAL WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","283 patients","2 ","2","SCIP-VTE-2 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "280061","REGIONAL WEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","77 patients",,,"PN-2 " "280061","REGIONAL WEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","74 patients",,,"HF-2 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","332 patients","2 ","2","SCIP-INF-6 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","52 patients","2 ","2","SCIP-CARD-2 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","253 patients","2 ","2","SCIP-INF-1 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","86 patients",,,"PN-6 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","97 patients",,,"HF-2 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","126 patients",,,"PN-3B " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","247 patients","2 ","2","SCIP-INF-2 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","136 patients",,,"PN-2 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","46 patients",,,"PN-4 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","243 patients","2 ","2","SCIP-INF-3 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","96 patients",,,"PN-7 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","140 patients","2 ","2","SCIP-VTE-2 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","77 patients",,,"HF-1 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","140 patients","2 ","2","SCIP-VTE-1 " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","121 patients",,,"PN-5C " "280065","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","23 patients","1 ","1","HF-3 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","67 patients",,,"PN-5C " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","61 patients",,,"PN-7 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","144 patients","2 ","2","SCIP-VTE-1 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","144 patients","2 ","2","SCIP-VTE-2 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","71 patients",,,"PN-3B " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","258 patients","2 ","2","SCIP-INF-6 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","189 patients",,,"SCIP-INF-3 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","110 patients","2 ","2","SCIP-CARD-2 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","74 patients",,,"PN-2 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","44 patients",,,"PN-6 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","131 patients",,,"HF-1 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","56 patients",,,"HF-3 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","196 patients",,,"SCIP-INF-1 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","151 patients",,,"HF-2 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "28006F","OMAHA VA MEDICAL CENTER (VA NEBRASKA WESTERN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","196 patients",,,"SCIP-INF-2 " "280077","FREMONT AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "280077","FREMONT AREA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","26 patients",,,"AMI-2 " "280077","FREMONT AREA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "280077","FREMONT AREA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "280077","FREMONT AREA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","78 patients",,,"HF-2 " "280077","FREMONT AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","166 patients","2 ","2","SCIP-VTE-1 " "280077","FREMONT AREA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","101 patients",,,"PN-5C " "280077","FREMONT AREA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","92 patients",,,"PN-3B " "280077","FREMONT AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","166 patients","2 ","2","SCIP-VTE-2 " "280077","FREMONT AREA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "280077","FREMONT AREA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "280077","FREMONT AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","41 patients","2 ","2","SCIP-CARD-2 " "280077","FREMONT AREA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","71 patients",,,"PN-7 " "280077","FREMONT AREA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","26 patients",,,"PN-4 " "280077","FREMONT AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","368 patients","2 ","2","SCIP-INF-1 " "280077","FREMONT AREA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "280077","FREMONT AREA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","77 patients",,,"PN-6 " "280077","FREMONT AREA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "280077","FREMONT AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","482 patients","2 ","2","SCIP-INF-6 " "280077","FREMONT AREA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "280077","FREMONT AREA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","31 patients",,,"AMI-1 " "280077","FREMONT AREA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","55 patients",,,"HF-1 " "280077","FREMONT AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","366 patients","2 ","2","SCIP-INF-3 " "280077","FREMONT AREA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","121 patients",,,"PN-2 " "280077","FREMONT AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","367 patients","2 ","2","SCIP-INF-2 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","76 patients","2 ","2","SCIP-CARD-2 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","171 patients",,,"HF-2 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","83 patients",,,"PN-6 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","66 patients",,,"HF-3 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","90 patients",,,"PN-3B " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","364 patients","2 ","2","SCIP-INF-2 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","121 patients",,,"AMI-5 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","117 patients",,,"PN-2 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","505 patients","2 ","2","SCIP-INF-6 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","124 patients",,,"HF-1 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","59 patients","2 ","2","SCIP-INF-4 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","98 patients",,,"PN-7 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","352 patients","2 ","2","SCIP-INF-3 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","207 patients","2 ","2","SCIP-VTE-2 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","207 patients","2 ","2","SCIP-VTE-1 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","86 patients",,,"AMI-1 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","12 patients","1 ","1","AMI-8A " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","121 patients",,,"AMI-2 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"PN-4 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","130 patients",,,"PN-5C " "280081","ALEGENT HEALTH IMMANUEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","362 patients","2 ","2","SCIP-INF-1 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","104 patients","2 ","2","SCIP-INF-1 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","112 patients",,,"PN-5C " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"HF-3 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","79 patients","2 ","2","SCIP-VTE-2 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","99 patients","2 ","2","SCIP-INF-3 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","71 patients",,,"AMI-2 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","105 patients","2 ","2","SCIP-INF-2 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","79 patients","2 ","2","SCIP-VTE-1 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","77 patients",,,"PN-6 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","174 patients","2 ","2","SCIP-INF-6 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","32 patients",,,"AMI-8A " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","53 patients",,,"PN-7 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","83 patients",,,"AMI-1 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1,2 ","12","SCIP-CARD-2 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","51 patients",,,"AMI-5 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","86 patients",,,"HF-1 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","104 patients",,,"PN-3B " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","103 patients",,,"PN-2 " "280105","ALEGENT HEALTH MIDLANDS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","119 patients",,,"HF-2 " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "280111","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","173 patients",,,"SCIP-VTE-1 " "280111","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","202 patients",,,"SCIP-INF-1 " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "280111","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","42 patients","2 ","2","PN-6 " "280111","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","173 patients",,,"SCIP-VTE-2 " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","53 patients",,,"HF-2 " "280111","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","198 patients",,,"SCIP-INF-3 " "280111","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","39 patients",,,"SCIP-CARD-2 " "280111","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "280111","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1,2 ","12","PN-4 " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","38 patients",,,"HF-1 " "280111","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","201 patients",,,"SCIP-INF-2 " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "280111","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","37 patients",,,"PN-7 " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "280111","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","60 patients","2 ","2","PN-5C " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "280111","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","55 patients","2 ","2","PN-3B " "280111","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","278 patients",,,"SCIP-INF-6 " "280111","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "280111","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","71 patients","2 ","2","PN-2 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "280119","WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "280125","FAITH REGIONAL HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","106 patients",,,"PN-5C " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","54 patients",,,"HF-1 " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","112 patients",,,"AMI-1 " "280125","FAITH REGIONAL HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "280125","FAITH REGIONAL HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","105 patients",,,"PN-2 " "280125","FAITH REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","85 patients","2 ","2","SCIP-INF-4 " "280125","FAITH REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","749 patients","2 ","2","SCIP-INF-6 " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "280125","FAITH REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","254 patients","2 ","2","SCIP-VTE-2 " "280125","FAITH REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","553 patients","2 ","2","SCIP-INF-3 " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","78 patients",,,"HF-2 " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","19 patients","1 ","1","AMI-8A " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","56 patients",,,"AMI-4 " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280125","FAITH REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","581 patients","2 ","2","SCIP-INF-1 " "280125","FAITH REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","586 patients","2 ","2","SCIP-INF-2 " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","139 patients",,,"AMI-2 " "280125","FAITH REGIONAL HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","75 patients",,,"PN-6 " "280125","FAITH REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","128 patients",,,"SCIP-CARD-2 " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "280125","FAITH REGIONAL HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","132 patients",,,"AMI-5 " "280125","FAITH REGIONAL HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","70 patients",,,"PN-7 " "280125","FAITH REGIONAL HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","254 patients","2 ","2","SCIP-VTE-1 " "280125","FAITH REGIONAL HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","92 patients",,,"PN-3B " "280127","LINCOLN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "280127","LINCOLN SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "280127","LINCOLN SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "280127","LINCOLN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","114 patients","2 ","2","SCIP-VTE-2 " "280127","LINCOLN SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "280127","LINCOLN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","374 patients","2 ","2","SCIP-INF-3 " "280127","LINCOLN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","374 patients","2 ","2","SCIP-INF-1 " "280127","LINCOLN SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "280127","LINCOLN SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "280127","LINCOLN SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "280127","LINCOLN SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "280127","LINCOLN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","375 patients","2 ","2","SCIP-INF-2 " "280127","LINCOLN SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "280127","LINCOLN SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "280127","LINCOLN SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "280127","LINCOLN SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "280127","LINCOLN SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "280127","LINCOLN SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "280127","LINCOLN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","43 patients","2 ","2","SCIP-CARD-2 " "280127","LINCOLN SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "280127","LINCOLN SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "280127","LINCOLN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","114 patients","2 ","2","SCIP-VTE-1 " "280127","LINCOLN SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "280127","LINCOLN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","426 patients","2 ","2","SCIP-INF-6 " "280127","LINCOLN SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "280128","NEBRASKA HEART HOSPITAL, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","264 patients",,,"AMI-5 " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","110 patients",,,"AMI-4 " "280128","NEBRASKA HEART HOSPITAL, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","47 patients",,,"AMI-3 " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","347 patients",,,"HF-2 " "280128","NEBRASKA HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","205 patients","2 ","2","SCIP-INF-4 " "280128","NEBRASKA HEART HOSPITAL, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","305 patients",,,"AMI-2 " "280128","NEBRASKA HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","210 patients","2 ","2","SCIP-INF-1 " "280128","NEBRASKA HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","23 patients","1,2 ","12","SCIP-VTE-1 " "280128","NEBRASKA HEART HOSPITAL, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","296 patients",,,"HF-1 " "280128","NEBRASKA HEART HOSPITAL, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,3 ","13","PN-7 " "280128","NEBRASKA HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","204 patients","2 ","2","SCIP-INF-3 " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","5 patients","1 ","1","AMI-8A " "280128","NEBRASKA HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","106 patients","2 ","2","SCIP-CARD-2 " "280128","NEBRASKA HEART HOSPITAL, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","4 patients","1,3 ","13","PN-2 " "280128","NEBRASKA HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","345 patients","2 ","2","SCIP-INF-6 " "280128","NEBRASKA HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","218 patients","2 ","2","SCIP-INF-2 " "280128","NEBRASKA HEART HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","23 patients","1,2 ","12","SCIP-VTE-2 " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","232 patients",,,"HF-3 " "280128","NEBRASKA HEART HOSPITAL, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","161 patients","2 ","2","SCIP-INF-2 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","55 patients","2 ","2","SCIP-CARD-2 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","70 patients","2 ","2","SCIP-VTE-2 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","161 patients","2 ","2","SCIP-INF-1 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","70 patients","2 ","2","SCIP-VTE-1 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","254 patients","2 ","2","SCIP-INF-6 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "280129","NEBRASKA ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","161 patients","2 ","2","SCIP-INF-3 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","361 patients","2 ","2","SCIP-INF-6 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","30 patients",,,"AMI-8A " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","93 patients",,,"PN-7 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","103 patients",,,"AMI-2 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","83 patients",,,"AMI-5 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","115 patients",,,"PN-3B " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","134 patients",,,"PN-5C " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","115 patients",,,"AMI-1 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","230 patients","2 ","2","SCIP-INF-2 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","97 patients",,,"HF-1 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients",,,"HF-3 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","61 patients",,,"PN-6 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","230 patients","2 ","2","SCIP-INF-1 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","119 patients",,,"HF-2 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","135 patients","2 ","2","SCIP-VTE-2 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","221 patients","2 ","2","SCIP-INF-3 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","110 patients",,,"PN-2 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","135 patients","2 ","2","SCIP-VTE-1 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "280130","ALEGENT HEALTH LAKESIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","65 patients","2 ","2","SCIP-CARD-2 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","43 patients","2,3 ","23","SCIP-INF-2 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","60 patients","2,3 ","23","SCIP-INF-6 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,2,3 ","123","SCIP-VTE-2 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,2,3 ","123","SCIP-VTE-1 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "280131","MIDWEST SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","61%","54 patients","2,3 ","23","SCIP-INF-1 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","42 patients","2,3 ","23","SCIP-INF-3 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "280131","MIDWEST SURGICAL HOSPITAL LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","24 patients","1,2 ","12","SCIP-CARD-2 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "280131","MIDWEST SURGICAL HOSPITAL LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281300","HARLAN COUNTY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "281300","HARLAN COUNTY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "281300","HARLAN COUNTY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281300","HARLAN COUNTY HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","30%","10 patients","1,3 ","13","PN-7 " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","2 patients","1,3 ","13","HF-2 " "281300","HARLAN COUNTY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281300","HARLAN COUNTY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281300","HARLAN COUNTY HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","15 patients","1,3 ","13","PN-2 " "281300","HARLAN COUNTY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281300","HARLAN COUNTY HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "281300","HARLAN COUNTY HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,3 ","13","PN-3B " "281300","HARLAN COUNTY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "281300","HARLAN COUNTY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281300","HARLAN COUNTY HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","11 patients","1,3 ","13","PN-6 " "281300","HARLAN COUNTY HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","2 patients","1,3 ","13","PN-5C " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281300","HARLAN COUNTY HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281301","FILLMORE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","46%","13 patients","1,2 ","12","HF-2 " "281301","FILLMORE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","13 patients","1,2 ","12","SCIP-VTE-2 " "281301","FILLMORE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,2 ","12","HF-3 " "281301","FILLMORE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "281301","FILLMORE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","17 patients","1,2 ","12","SCIP-INF-6 " "281301","FILLMORE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "281301","FILLMORE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1 ","1","PN-6 " "281301","FILLMORE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","12 patients","1,2 ","12","SCIP-INF-2 " "281301","FILLMORE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281301","FILLMORE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281301","FILLMORE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","12 patients","1,2 ","12","SCIP-INF-3 " "281301","FILLMORE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281301","FILLMORE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","16 patients","1 ","1","PN-2 " "281301","FILLMORE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "281301","FILLMORE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "281301","FILLMORE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","9 patients","1 ","1","PN-5C " "281301","FILLMORE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","7 patients","1,2 ","12","HF-1 " "281301","FILLMORE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281301","FILLMORE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","13 patients","1,2 ","12","SCIP-VTE-1 " "281301","FILLMORE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "281301","FILLMORE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "281301","FILLMORE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "281301","FILLMORE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","12 patients","1,2 ","12","SCIP-INF-1 " "281301","FILLMORE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2 ","12","HF-4 " "281301","FILLMORE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","4 patients","1,3 ","13","HF-2 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1 ","1","PN-5C " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","4 patients","1,3 ","13","HF-1 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","8 patients","1 ","1","PN-6 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1 ","1","PN-7 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281302","PAWNEE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","10 patients","1 ","1","PN-2 " "281303","NIOBRARA VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281303","NIOBRARA VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281303","NIOBRARA VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281303","NIOBRARA VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1,3 ","13","PN-2 " "281303","NIOBRARA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281303","NIOBRARA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281303","NIOBRARA VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "281303","NIOBRARA VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "281303","NIOBRARA VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281303","NIOBRARA VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281303","NIOBRARA VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281303","NIOBRARA VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281303","NIOBRARA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281303","NIOBRARA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281303","NIOBRARA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281303","NIOBRARA VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1 ","1","PN-7 " "281303","NIOBRARA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281303","NIOBRARA VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "281303","NIOBRARA VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281303","NIOBRARA VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281303","NIOBRARA VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "281303","NIOBRARA VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281303","NIOBRARA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281303","NIOBRARA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281303","NIOBRARA VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281304","THAYER COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281304","THAYER COUNTY HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","18 patients","1 ","1","HF-2 " "281304","THAYER COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281304","THAYER COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281304","THAYER COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281304","THAYER COUNTY HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281304","THAYER COUNTY HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","18 patients","1 ","1","PN-2 " "281304","THAYER COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281304","THAYER COUNTY HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "281304","THAYER COUNTY HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281304","THAYER COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281304","THAYER COUNTY HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "281304","THAYER COUNTY HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","18 patients","1 ","1","PN-6 " "281304","THAYER COUNTY HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","11 patients","1 ","1","PN-7 " "281304","THAYER COUNTY HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281304","THAYER COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281304","THAYER COUNTY HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "281304","THAYER COUNTY HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "281304","THAYER COUNTY HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1 ","1","PN-5C " "281304","THAYER COUNTY HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281304","THAYER COUNTY HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","10 patients","1 ","1","HF-1 " "281304","THAYER COUNTY HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281304","THAYER COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281304","THAYER COUNTY HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281304","THAYER COUNTY HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281305","KIMBALL HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281305","KIMBALL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281305","KIMBALL HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "281305","KIMBALL HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "281305","KIMBALL HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281305","KIMBALL HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "281305","KIMBALL HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281305","KIMBALL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281305","KIMBALL HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281305","KIMBALL HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281305","KIMBALL HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281305","KIMBALL HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "281305","KIMBALL HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","3 patients","1 ","1","PN-7 " "281305","KIMBALL HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281305","KIMBALL HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1 ","1","HF-1 " "281305","KIMBALL HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1 ","1","PN-5C " "281305","KIMBALL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281305","KIMBALL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281305","KIMBALL HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281305","KIMBALL HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281305","KIMBALL HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281305","KIMBALL HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","40%","5 patients","1 ","1","HF-2 " "281305","KIMBALL HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281305","KIMBALL HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","11 patients","1 ","1","PN-2 " "281305","KIMBALL HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","7 patients","1 ","1","PN-6 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","3 patients","1 ","1","PN-7 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","5 patients","1,3 ","13","PN-2 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281306","KEARNEY COUNTY HEALTH SERVICES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281307","SAUNDERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281307","SAUNDERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281307","SAUNDERS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","9 patients","1 ","1","PN-3B " "281307","SAUNDERS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281307","SAUNDERS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "281307","SAUNDERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281307","SAUNDERS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "281307","SAUNDERS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281307","SAUNDERS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "281307","SAUNDERS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281307","SAUNDERS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","25 patients",,,"PN-5C " "281307","SAUNDERS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "281307","SAUNDERS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "281307","SAUNDERS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","5 patients","1,3 ","13","HF-2 " "281307","SAUNDERS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "281307","SAUNDERS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281307","SAUNDERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281307","SAUNDERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281307","SAUNDERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281307","SAUNDERS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "281307","SAUNDERS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","29 patients",,,"PN-2 " "281307","SAUNDERS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","21 patients","1 ","1","PN-7 " "281307","SAUNDERS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","16 patients","1 ","1","PN-6 " "281307","SAUNDERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281307","SAUNDERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281308","HENDERSON HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281308","HENDERSON HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281308","HENDERSON HEALTH CARE SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1 ","1","PN-7 " "281308","HENDERSON HEALTH CARE SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281308","HENDERSON HEALTH CARE SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1 ","1","PN-6 " "281308","HENDERSON HEALTH CARE SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1 ","1","PN-5C " "281308","HENDERSON HEALTH CARE SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281308","HENDERSON HEALTH CARE SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281308","HENDERSON HEALTH CARE SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","8 patients","1 ","1","PN-2 " "281308","HENDERSON HEALTH CARE SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "281308","HENDERSON HEALTH CARE SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281308","HENDERSON HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281308","HENDERSON HEALTH CARE SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "281308","HENDERSON HEALTH CARE SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281308","HENDERSON HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281308","HENDERSON HEALTH CARE SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281308","HENDERSON HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281308","HENDERSON HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281308","HENDERSON HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281308","HENDERSON HEALTH CARE SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281308","HENDERSON HEALTH CARE SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281308","HENDERSON HEALTH CARE SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281308","HENDERSON HEALTH CARE SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281308","HENDERSON HEALTH CARE SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281308","HENDERSON HEALTH CARE SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281309","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281309","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281309","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281309","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281309","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "281309","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "281309","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281309","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281309","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","2 patients","1,3 ","13","PN-2 " "281309","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281309","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281309","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281309","COMMUNITY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","1 patients","1,3 ","13","PN-7 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "281309","COMMUNITY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281309","COMMUNITY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,3 ","13","HF-2 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,3 ","13","HF-2 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281310","GARDEN COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281310","GARDEN COUNTY HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281310","GARDEN COUNTY HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","2 patients","1,3 ","13","PN-2 " "281310","GARDEN COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281310","GARDEN COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281310","GARDEN COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281310","GARDEN COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281310","GARDEN COUNTY HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "281310","GARDEN COUNTY HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "281310","GARDEN COUNTY HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,3 ","13","PN-7 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "281310","GARDEN COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281310","GARDEN COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281310","GARDEN COUNTY HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "281310","GARDEN COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281310","GARDEN COUNTY HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","12 patients","1,3 ","13","PN-2 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","14 patients","1,3 ","13","PN-5C " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","3 patients","1,3 ","13","HF-2 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,3 ","13","PN-6 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1,3 ","13","PN-7 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281311","FRANKLIN COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","8 patients","1 ","1","PN-2 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","3 patients","1,3 ","13","HF-2 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","8 patients","1 ","1","PN-7 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281313","GOTHENBURG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1 ","1","PN-6 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281313","GOTHENBURG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1,3 ","13","HF-1 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281313","GOTHENBURG MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1 ","1","PN-5C " "281313","GOTHENBURG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1 ","1","PN-6 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","12 patients","1 ","1","PN-7 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1 ","1","PN-5C " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281314","ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","21 patients","1 ","1","PN-2 " "281315","BRODSTONE MEMORIAL HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281315","BRODSTONE MEMORIAL HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281315","BRODSTONE MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281315","BRODSTONE MEMORIAL HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281315","BRODSTONE MEMORIAL HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","8 patients","1 ","1","PN-5C " "281315","BRODSTONE MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281315","BRODSTONE MEMORIAL HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1,3 ","13","HF-1 " "281315","BRODSTONE MEMORIAL HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281315","BRODSTONE MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281315","BRODSTONE MEMORIAL HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,3 ","13","HF-2 " "281315","BRODSTONE MEMORIAL HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","20 patients","1 ","1","PN-2 " "281315","BRODSTONE MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281315","BRODSTONE MEMORIAL HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281315","BRODSTONE MEMORIAL HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","HF-3 " "281315","BRODSTONE MEMORIAL HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","13 patients","1 ","1","PN-7 " "281315","BRODSTONE MEMORIAL HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281315","BRODSTONE MEMORIAL HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281315","BRODSTONE MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281315","BRODSTONE MEMORIAL HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281315","BRODSTONE MEMORIAL HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "281315","BRODSTONE MEMORIAL HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281315","BRODSTONE MEMORIAL HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1 ","1","PN-3B " "281315","BRODSTONE MEMORIAL HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281315","BRODSTONE MEMORIAL HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281315","BRODSTONE MEMORIAL HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,3 ","13","HF-2 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","6 patients","1,3 ","13","HF-1 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,3 ","13","PN-6 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","4 patients","1,3 ","13","PN-2 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1,3 ","13","PN-7 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281316","WEBSTER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281317","TILDEN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1,3 ","13","PN-2 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281317","TILDEN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "281317","TILDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281317","TILDEN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281317","TILDEN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,3 ","13","PN-5C " "281317","TILDEN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281317","TILDEN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","3 patients","1,3 ","13","PN-7 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281317","TILDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281317","TILDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281317","TILDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281317","TILDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281317","TILDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281317","TILDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281317","TILDEN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,3 ","13","PN-6 " "281317","TILDEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281317","TILDEN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1,3 ","13","PN-6 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","24 patients","1,3 ","13","SCIP-INF-1 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","17 patients","1 ","1","PN-7 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","24 patients","1,3 ","13","SCIP-INF-3 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1,3 ","13","HF-1 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","24 patients","1,3 ","13","SCIP-INF-2 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","21 patients","1,3 ","13","PN-2 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","15 patients","1,3 ","13","SCIP-VTE-2 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","15 patients","1,3 ","13","SCIP-VTE-1 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,3 ","13","PN-3B " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1,3 ","13","PN-5C " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","26 patients","3 ","3","SCIP-INF-6 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281319","JEFFERSON COMMUNITY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","6 patients","1,3 ","13","HF-2 " "281320","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","PN-4 " "281320","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","26 patients","2 ","2","PN-2 " "281320","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","15 patients","1 ","1","SCIP-INF-3 " "281320","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "281320","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281320","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281320","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "281320","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281320","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281320","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,2 ","12","PN-3B " "281320","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "281320","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","5 patients","1,3 ","13","HF-2 " "281320","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1,2 ","12","PN-6 " "281320","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","20 patients","1,2 ","12","PN-5C " "281320","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1 ","1","SCIP-VTE-2 " "281320","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","15 patients","1 ","1","SCIP-INF-6 " "281320","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,3 ","13","HF-1 " "281320","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","15 patients","1 ","1","SCIP-INF-2 " "281320","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281320","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281320","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "281320","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","15 patients","1 ","1","SCIP-INF-1 " "281320","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1,2 ","12","PN-7 " "281320","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1 ","1","SCIP-VTE-1 " "281320","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281321","OAKLAND MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","20 patients","1 ","1","PN-2 " "281321","OAKLAND MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281321","OAKLAND MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281321","OAKLAND MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,3 ","13","HF-2 " "281321","OAKLAND MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "281321","OAKLAND MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1 ","1","PN-7 " "281321","OAKLAND MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "281321","OAKLAND MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1 ","1","PN-6 " "281321","OAKLAND MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281321","OAKLAND MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281321","OAKLAND MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281321","OAKLAND MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281321","OAKLAND MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "281321","OAKLAND MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281321","OAKLAND MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281321","OAKLAND MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281321","OAKLAND MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281321","OAKLAND MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281321","OAKLAND MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281321","OAKLAND MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281321","OAKLAND MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281321","OAKLAND MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281321","OAKLAND MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1 ","1","PN-5C " "281321","OAKLAND MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281321","OAKLAND MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","12 patients","1,3 ","13","HF-1 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","67%","27 patients","3 ","3","SCIP-INF-6 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","9 patients","1,3 ","13","SCIP-VTE-1 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281322","ST FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","14 patients","1 ","1","PN-7 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1,3 ","13","PN-6 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","13 patients","1,3 ","13","SCIP-INF-2 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "281322","ST FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","13 patients","1,3 ","13","SCIP-INF-1 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","13 patients","1,3 ","13","SCIP-INF-3 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","9 patients","1,3 ","13","SCIP-VTE-2 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","19 patients","1,3 ","13","PN-2 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1,3 ","13","HF-3 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","25 patients","3 ","3","HF-2 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","16 patients","1,3 ","13","PN-5C " "281322","ST FRANCIS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,3 ","13","PN-4 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "281322","ST FRANCIS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1 ","1","PN-6 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1 ","1","HF-2 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","9 patients","1 ","1","PN-2 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1 ","1","PN-7 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","9 patients","1 ","1","PN-5C " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","6 patients","1 ","1","HF-1 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "281323","ALEGENT HEALTH MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "281324","NEMAHA COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1 ","1","PN-7 " "281324","NEMAHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "281324","NEMAHA COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "281324","NEMAHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281324","NEMAHA COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","2 patients","1,3 ","13","HF-2 " "281324","NEMAHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,3 ","13","SCIP-VTE-1 " "281324","NEMAHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "281324","NEMAHA COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","10 patients","1 ","1","PN-2 " "281324","NEMAHA COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "281324","NEMAHA COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "281324","NEMAHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281324","NEMAHA COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281324","NEMAHA COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281324","NEMAHA COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281324","NEMAHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,3 ","13","SCIP-VTE-2 " "281324","NEMAHA COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,3 ","13","HF-1 " "281324","NEMAHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,3 ","13","SCIP-INF-6 " "281324","NEMAHA COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281324","NEMAHA COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281324","NEMAHA COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281324","NEMAHA COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281324","NEMAHA COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281324","NEMAHA COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281324","NEMAHA COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","12 patients","1 ","1","PN-5C " "281324","NEMAHA COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "281325","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281325","BROWN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "281325","BROWN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","13 patients","1 ","1","PN-2 " "281325","BROWN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "281325","BROWN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "281325","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281325","BROWN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "281325","BROWN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281325","BROWN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281325","BROWN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281325","BROWN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1 ","1","PN-5C " "281325","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281325","BROWN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","8 patients","1 ","1","PN-7 " "281325","BROWN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281325","BROWN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","10 patients","1 ","1","PN-6 " "281325","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281325","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281325","BROWN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","3 patients","1,3 ","13","HF-1 " "281325","BROWN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281325","BROWN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "281325","BROWN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","3 patients","1,3 ","13","HF-2 " "281325","BROWN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "281325","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281325","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281325","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281326","ANTELOPE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281326","ANTELOPE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","12 patients","1 ","1","PN-5C " "281326","ANTELOPE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","8 patients","1 ","1","HF-2 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281326","ANTELOPE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281326","ANTELOPE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281326","ANTELOPE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","17 patients","1 ","1","PN-2 " "281326","ANTELOPE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "281326","ANTELOPE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "281326","ANTELOPE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281326","ANTELOPE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281326","ANTELOPE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","10 patients","1 ","1","PN-7 " "281326","ANTELOPE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281326","ANTELOPE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281326","ANTELOPE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281326","ANTELOPE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1 ","1","HF-1 " "281327","COZAD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281327","COZAD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281327","COZAD COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281327","COZAD COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","17%","6 patients","1 ","1","PN-4 " "281327","COZAD COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","20%","5 patients","1,3 ","13","HF-2 " "281327","COZAD COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","10 patients","1 ","1","PN-7 " "281327","COZAD COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281327","COZAD COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281327","COZAD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281327","COZAD COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281327","COZAD COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281327","COZAD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281327","COZAD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281327","COZAD COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","15 patients","1 ","1","PN-5C " "281327","COZAD COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281327","COZAD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281327","COZAD COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281327","COZAD COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","4 patients","1,3 ","13","HF-1 " "281327","COZAD COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","12 patients","1 ","1","PN-6 " "281327","COZAD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281327","COZAD COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281327","COZAD COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","4 patients","1 ","1","PN-3B " "281327","COZAD COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281327","COZAD COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","11 patients","1 ","1","PN-2 " "281327","COZAD COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","12 patients","1 ","1","HF-1 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients",,,"PN-5C " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","21 patients","1 ","1","HF-2 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","32 patients",,,"PN-2 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","13 patients","1 ","1","PN-6 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","21 patients","1 ","1","PN-7 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281328","LITZENBERG MEMORIAL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","19 patients","1 ","1","HF-2 " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281329","AVERA ST ANTHONY'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,2 ","12","PN-3B " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281329","AVERA ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","44 patients",,,"SCIP-INF-3 " "281329","AVERA ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","45 patients",,,"SCIP-INF-1 " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281329","AVERA ST ANTHONY'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","31 patients","2 ","2","PN-6 " "281329","AVERA ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","62%","45 patients",,,"SCIP-INF-2 " "281329","AVERA ST ANTHONY'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1,2 ","12","PN-4 " "281329","AVERA ST ANTHONY'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","59 patients","2 ","2","PN-5C " "281329","AVERA ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","57 patients",,,"SCIP-VTE-1 " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281329","AVERA ST ANTHONY'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","57 patients","2 ","2","PN-2 " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","HF-3 " "281329","AVERA ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281329","AVERA ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","57 patients",,,"SCIP-VTE-2 " "281329","AVERA ST ANTHONY'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","30 patients",,,"PN-7 " "281329","AVERA ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","68 patients",,,"SCIP-INF-6 " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","12 patients","1 ","1","HF-1 " "281329","AVERA ST ANTHONY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281329","AVERA ST ANTHONY'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281330","WARREN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281330","WARREN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281330","WARREN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "281330","WARREN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "281330","WARREN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281330","WARREN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281330","WARREN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281330","WARREN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "281330","WARREN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","3 ","3","PN-7 " "281330","WARREN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281330","WARREN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "281330","WARREN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281330","WARREN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281330","WARREN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281330","WARREN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281330","WARREN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281330","WARREN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "281330","WARREN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281330","WARREN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281330","WARREN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281330","WARREN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "281330","WARREN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "281330","WARREN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "281330","WARREN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "281330","WARREN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281331","CREIGHTON AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281331","CREIGHTON AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281331","CREIGHTON AREA HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","34 patients",,,"PN-5C " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281331","CREIGHTON AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281331","CREIGHTON AREA HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","PN-4 " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281331","CREIGHTON AREA HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","29 patients",,,"PN-6 " "281331","CREIGHTON AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281331","CREIGHTON AREA HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","30 patients",,,"PN-7 " "281331","CREIGHTON AREA HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","41 patients",,,"PN-2 " "281331","CREIGHTON AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281331","CREIGHTON AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281331","CREIGHTON AREA HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "281331","CREIGHTON AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281331","CREIGHTON AREA HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281331","CREIGHTON AREA HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281332","BUTLER COUNTY HEALTH CARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","6 patients","1 ","1","PN-5C " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","22%","9 patients","1,3 ","13","HF-2 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","PN-4 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "281332","BUTLER COUNTY HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","22 patients","1 ","1","SCIP-INF-6 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","21 patients","1 ","1","SCIP-INF-3 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","76%","21 patients","1 ","1","SCIP-INF-2 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","11 patients","1 ","1","SCIP-VTE-2 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1,3 ","13","AMI-7A " "281332","BUTLER COUNTY HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1 ","1","PN-2 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","9 patients","1,3 ","13","HF-1 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","57%","7 patients","1 ","1","PN-6 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","11 patients","1 ","1","SCIP-VTE-1 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","21 patients","1 ","1","SCIP-INF-1 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1 ","1","PN-7 " "281332","BUTLER COUNTY HEALTH CARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "281333","ROCK COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281333","ROCK COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281333","ROCK COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281333","ROCK COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281333","ROCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281333","ROCK COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281333","ROCK COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "281333","ROCK COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "281333","ROCK COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "281333","ROCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281333","ROCK COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "281333","ROCK COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281333","ROCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281333","ROCK COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "281333","ROCK COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281333","ROCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281333","ROCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281333","ROCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281333","ROCK COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "281333","ROCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281333","ROCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281333","ROCK COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281333","ROCK COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281333","ROCK COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281333","ROCK COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281334","BOONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","24 patients","1 ","1","SCIP-INF-6 " "281334","BOONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","15 patients","1 ","1","SCIP-VTE-1 " "281334","BOONE COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","35 patients",,,"PN-6 " "281334","BOONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281334","BOONE COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "281334","BOONE COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "281334","BOONE COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","42 patients",,,"PN-7 " "281334","BOONE COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "281334","BOONE COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "281334","BOONE COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "281334","BOONE COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","18 patients","1 ","1","HF-2 " "281334","BOONE COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","14 patients","1 ","1","HF-1 " "281334","BOONE COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "281334","BOONE COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","69 patients",,,"PN-2 " "281334","BOONE COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "281334","BOONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","15 patients","1 ","1","SCIP-VTE-2 " "281334","BOONE COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "281334","BOONE COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","PN-4 " "281334","BOONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","19 patients","1 ","1","SCIP-INF-3 " "281334","BOONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281334","BOONE COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "281334","BOONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","22 patients","1 ","1","SCIP-INF-2 " "281334","BOONE COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","21 patients","1 ","1","SCIP-INF-1 " "281334","BOONE COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","79 patients",,,"PN-5C " "281334","BOONE COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "281335","CALLAWAY DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281335","CALLAWAY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281335","CALLAWAY DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "281335","CALLAWAY DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281335","CALLAWAY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281335","CALLAWAY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281335","CALLAWAY DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "281335","CALLAWAY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281335","CALLAWAY DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281335","CALLAWAY DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "281335","CALLAWAY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281335","CALLAWAY DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281335","CALLAWAY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281335","CALLAWAY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281335","CALLAWAY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281336","YORK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281336","YORK GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "281336","YORK GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281336","YORK GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","17 patients","1 ","1","PN-7 " "281336","YORK GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281336","YORK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","67 patients",,,"SCIP-INF-2 " "281336","YORK GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281336","YORK GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281336","YORK GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281336","YORK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","68 patients",,,"SCIP-INF-6 " "281336","YORK GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","35 patients",,,"PN-5C " "281336","YORK GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281336","YORK GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281336","YORK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","37 patients",,,"SCIP-VTE-1 " "281336","YORK GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281336","YORK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","37 patients",,,"SCIP-VTE-2 " "281336","YORK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281336","YORK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","67 patients",,,"SCIP-INF-1 " "281336","YORK GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","22 patients","1 ","1","PN-6 " "281336","YORK GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281336","YORK GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1 ","1","PN-3B " "281336","YORK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","67 patients",,,"SCIP-INF-3 " "281336","YORK GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","27 patients",,,"PN-2 " "281336","YORK GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281336","YORK GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","17 patients","1 ","1","PN-2 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,3 ","13","HF-2 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1,3 ","13","SCIP-INF-2 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","13 patients","1 ","1","PN-7 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","13 patients","1 ","1","PN-6 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1,3 ","13","SCIP-INF-1 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","14 patients","1 ","1","PN-5C " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","25%","4 patients","1 ","1","PN-3B " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1,3 ","13","HF-1 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "281338","HOWARD COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1,3 ","13","SCIP-INF-3 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","15 patients","1 ","1","HF-1 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","24 patients","1 ","1","PN-7 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","22 patients","1 ","1","HF-2 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","28 patients",,,"PN-6 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","33 patients",,,"PN-2 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","13 patients","1,3 ","13","SCIP-INF-3 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","8%","13 patients","1,3 ","13","SCIP-INF-2 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","HF-3 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281339","MEMORIAL HEALTH CARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","15 patients","1,3 ","13","SCIP-INF-6 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","41 patients",,,"PN-5C " "281339","MEMORIAL HEALTH CARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","13 patients","1,3 ","13","SCIP-INF-1 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "281339","MEMORIAL HEALTH CARE SYSTEMS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "281339","MEMORIAL HEALTH CARE SYSTEMS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "281340","DUNDY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,3 ","13","SCIP-VTE-2 " "281340","DUNDY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","12 patients","1 ","1","PN-2 " "281340","DUNDY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "281340","DUNDY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "281340","DUNDY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "281340","DUNDY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281340","DUNDY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281340","DUNDY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "281340","DUNDY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1 ","1","PN-5C " "281340","DUNDY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "281340","DUNDY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "281340","DUNDY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281340","DUNDY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "281340","DUNDY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "281340","DUNDY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "281340","DUNDY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281340","DUNDY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","8 patients","1 ","1","PN-7 " "281340","DUNDY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "281340","DUNDY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "281340","DUNDY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","4 patients","1,3 ","13","HF-2 " "281340","DUNDY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","7 patients","1 ","1","PN-6 " "281340","DUNDY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "281340","DUNDY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "281340","DUNDY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281340","DUNDY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,3 ","13","SCIP-VTE-1 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","PN-4 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","10 patients","1 ","1","HF-1 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1,3 ","13","SCIP-INF-1 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","18 patients","1 ","1","PN-5C " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","9 patients","1,3 ","13","SCIP-VTE-1 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","53%","17 patients","1 ","1","PN-6 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","20 patients","1 ","1","PN-7 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1,3 ","13","SCIP-INF-3 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","25 patients",,,"PN-2 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","67%","12 patients","1,3 ","13","SCIP-INF-6 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","43%","14 patients","1 ","1","HF-2 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","9 patients","1,3 ","13","SCIP-VTE-2 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1,3 ","13","SCIP-INF-2 " "281341","CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281342","ST MARY'S COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281342","ST MARY'S COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1 ","1","SCIP-INF-6 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "281342","ST MARY'S COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","2 patients","1 ","1","SCIP-VTE-2 " "281342","ST MARY'S COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "281342","ST MARY'S COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "281342","ST MARY'S COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1 ","1","SCIP-VTE-1 " "281342","ST MARY'S COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","33 patients",,,"PN-5C " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","11 patients","1 ","1","HF-2 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281342","ST MARY'S COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-1 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281342","ST MARY'S COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1 ","1","SCIP-INF-3 " "281342","ST MARY'S COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-2 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","7 patients","1 ","1","HF-1 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "281342","ST MARY'S COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","22 patients","1 ","1","PN-7 " "281342","ST MARY'S COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","37 patients",,,"PN-2 " "281342","ST MARY'S COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","30 patients",,,"PN-6 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "281342","ST MARY'S COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "281342","ST MARY'S COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281343","WEST HOLT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281343","WEST HOLT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "281343","WEST HOLT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281343","WEST HOLT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281343","WEST HOLT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "281343","WEST HOLT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281343","WEST HOLT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1,3 ","13","PN-6 " "281343","WEST HOLT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","9 patients","1,3 ","13","PN-2 " "281343","WEST HOLT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281343","WEST HOLT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281343","WEST HOLT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281343","WEST HOLT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281343","WEST HOLT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","11 patients","1,3 ","13","PN-5C " "281343","WEST HOLT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281343","WEST HOLT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281344","CHERRY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","13 patients","1 ","1","PN-7 " "281344","CHERRY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281344","CHERRY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "281344","CHERRY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","16 patients","1 ","1","PN-6 " "281344","CHERRY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281344","CHERRY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "281344","CHERRY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281344","CHERRY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281344","CHERRY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281344","CHERRY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281344","CHERRY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "281344","CHERRY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","19 patients","1 ","1","PN-2 " "281344","CHERRY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281344","CHERRY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281344","CHERRY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281344","CHERRY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281344","CHERRY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281344","CHERRY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","17 patients","1 ","1","PN-5C " "281344","CHERRY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281344","CHERRY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "281344","CHERRY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281344","CHERRY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281344","CHERRY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281344","CHERRY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281344","CHERRY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","25%","4 patients","1,3 ","13","HF-2 " "281345","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1 ","1","SCIP-INF-3 " "281345","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","11 patients","1 ","1","SCIP-INF-6 " "281345","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281345","PROVIDENCE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","5 patients","1 ","1","HF-1 " "281345","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "281345","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1 ","1","SCIP-VTE-2 " "281345","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","17 patients","1 ","1","PN-7 " "281345","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281345","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "281345","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "281345","PROVIDENCE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","12 patients","1 ","1","HF-2 " "281345","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "281345","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281345","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281345","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1 ","1","PN-5C " "281345","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1 ","1","PN-6 " "281345","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "281345","PROVIDENCE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "281345","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281345","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-2 " "281345","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1 ","1","SCIP-VTE-1 " "281345","PROVIDENCE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "281345","PROVIDENCE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","22 patients","1 ","1","PN-2 " "281345","PROVIDENCE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "281345","PROVIDENCE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-1 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281346","PLAINVIEW PUBLIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281346","PLAINVIEW PUBLIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","9 patients","1 ","1","PN-5C " "281346","PLAINVIEW PUBLIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","7 patients","1 ","1","PN-6 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "281346","PLAINVIEW PUBLIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "281346","PLAINVIEW PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281346","PLAINVIEW PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "281346","PLAINVIEW PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281346","PLAINVIEW PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281346","PLAINVIEW PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281346","PLAINVIEW PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281346","PLAINVIEW PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281346","PLAINVIEW PUBLIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","14 patients","1 ","1","PN-2 " "281346","PLAINVIEW PUBLIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281346","PLAINVIEW PUBLIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281346","PLAINVIEW PUBLIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "281347","OSMOND GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "281347","OSMOND GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281347","OSMOND GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281347","OSMOND GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281347","OSMOND GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281347","OSMOND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281347","OSMOND GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281347","OSMOND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281347","OSMOND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281347","OSMOND GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","11 patients","1,3 ","13","PN-6 " "281347","OSMOND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281347","OSMOND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281347","OSMOND GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","18 patients","1,3 ","13","PN-5C " "281347","OSMOND GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","44%","9 patients","1 ","1","PN-7 " "281347","OSMOND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281347","OSMOND GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281347","OSMOND GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281347","OSMOND GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281347","OSMOND GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "281347","OSMOND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281347","OSMOND GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281347","OSMOND GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281347","OSMOND GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281347","OSMOND GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","15 patients","1,3 ","13","PN-2 " "281347","OSMOND GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281348","TRI VALLEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "281348","TRI VALLEY HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","46%","46 patients","2 ","2","PN-2 " "281348","TRI VALLEY HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1,2 ","12","PN-4 " "281348","TRI VALLEY HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","30 patients","2 ","2","PN-6 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281348","TRI VALLEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "281348","TRI VALLEY HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "281348","TRI VALLEY HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","38 patients","2 ","2","PN-5C " "281348","TRI VALLEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","21 patients","1 ","1","HF-1 " "281348","TRI VALLEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "281348","TRI VALLEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","27 patients",,,"HF-2 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281348","TRI VALLEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281348","TRI VALLEY HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","42%","31 patients",,,"PN-7 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281348","TRI VALLEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281348","TRI VALLEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "281348","TRI VALLEY HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281348","TRI VALLEY HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "281349","PENDER COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","22 patients","1,2,3 ","123","PN-2 " "281349","PENDER COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281349","PENDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "281349","PENDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281349","PENDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "281349","PENDER COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,2,3 ","123","PN-3B " "281349","PENDER COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281349","PENDER COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","26%","19 patients","1,3 ","13","HF-2 " "281349","PENDER COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281349","PENDER COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281349","PENDER COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281349","PENDER COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","15 patients","1,3 ","13","HF-1 " "281349","PENDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","2 patients","1,3 ","13","SCIP-INF-6 " "281349","PENDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "281349","PENDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "281349","PENDER COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1,2,3 ","123","PN-4 " "281349","PENDER COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281349","PENDER COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","26 patients","2,3 ","23","PN-5C " "281349","PENDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281349","PENDER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "281349","PENDER COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1,3 ","13","HF-3 " "281349","PENDER COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281349","PENDER COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "281349","PENDER COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","10 patients","1,3 ","13","PN-7 " "281349","PENDER COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","57%","28 patients","2,3 ","23","PN-6 " "281350","JOHNSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "281350","JOHNSON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "281350","JOHNSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "281350","JOHNSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1,3 ","13","SCIP-INF-1 " "281350","JOHNSON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "281350","JOHNSON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281350","JOHNSON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281350","JOHNSON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "281350","JOHNSON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","14 patients","1 ","1","PN-6 " "281350","JOHNSON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","23 patients","1 ","1","PN-2 " "281350","JOHNSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281350","JOHNSON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","55%","11 patients","1 ","1","HF-2 " "281350","JOHNSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1,3 ","13","SCIP-INF-3 " "281350","JOHNSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1,3 ","13","SCIP-INF-2 " "281350","JOHNSON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","25 patients",,,"PN-5C " "281350","JOHNSON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281350","JOHNSON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281350","JOHNSON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "281350","JOHNSON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","12 patients","1 ","1","PN-7 " "281350","JOHNSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "281350","JOHNSON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "281350","JOHNSON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "281350","JOHNSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281350","JOHNSON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "281350","JOHNSON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1 ","1","HF-1 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","7 patients","1 ","1","PN-7 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,3 ","13","PN-6 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1,3 ","13","PN-5C " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,3 ","13","HF-2 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","25%","8 patients","1,3 ","13","PN-2 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281351","CHASE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "281352","COMMUNITY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","6 patients","1,3 ","13","SCIP-INF-2 " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","5 patients","1 ","1","HF-1 " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281352","COMMUNITY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","5 patients","1,3 ","13","SCIP-VTE-2 " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","14 patients","1 ","1","HF-2 " "281352","COMMUNITY MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","19 patients","1 ","1","PN-7 " "281352","COMMUNITY MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","25 patients",,,"PN-2 " "281352","COMMUNITY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "281352","COMMUNITY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281352","COMMUNITY MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "281352","COMMUNITY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-1 " "281352","COMMUNITY MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","16 patients","1 ","1","PN-5C " "281352","COMMUNITY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281352","COMMUNITY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","6 patients","1,3 ","13","SCIP-INF-3 " "281352","COMMUNITY MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","18 patients","1 ","1","PN-6 " "281352","COMMUNITY MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281352","COMMUNITY MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "281352","COMMUNITY MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","5 patients","1,3 ","13","SCIP-VTE-1 " "281353","VALLEY COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1,3 ","13","HF-1 " "281353","VALLEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281353","VALLEY COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281353","VALLEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281353","VALLEY COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1,2 ","12","PN-3B " "281353","VALLEY COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281353","VALLEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281353","VALLEY COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","13 patients","1 ","1","PN-7 " "281353","VALLEY COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281353","VALLEY COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281353","VALLEY COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","23 patients","1,2 ","12","PN-5C " "281353","VALLEY COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281353","VALLEY COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","13 patients","1,2 ","12","PN-6 " "281353","VALLEY COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1,3 ","13","HF-2 " "281353","VALLEY COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","63%","27 patients","2 ","2","PN-2 " "281353","VALLEY COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "281353","VALLEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281353","VALLEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281353","VALLEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281353","VALLEY COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "281353","VALLEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281353","VALLEY COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,2 ","12","PN-4 " "281353","VALLEY COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281353","VALLEY COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281353","VALLEY COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281354","CRETE AREA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281354","CRETE AREA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","25 patients",,,"PN-5C " "281354","CRETE AREA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281354","CRETE AREA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281354","CRETE AREA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "281354","CRETE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281354","CRETE AREA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "281354","CRETE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281354","CRETE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281354","CRETE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281354","CRETE AREA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281354","CRETE AREA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281354","CRETE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281354","CRETE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281354","CRETE AREA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "281354","CRETE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281354","CRETE AREA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281354","CRETE AREA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","20 patients","1 ","1","PN-2 " "281354","CRETE AREA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","10 patients","1 ","1","HF-2 " "281354","CRETE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281354","CRETE AREA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","7 patients","1 ","1","HF-1 " "281354","CRETE AREA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","13 patients","1 ","1","PN-7 " "281354","CRETE AREA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "281354","CRETE AREA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281354","CRETE AREA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "281355","OGALLALA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281355","OGALLALA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281355","OGALLALA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","10 patients","1 ","1","SCIP-VTE-2 " "281355","OGALLALA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","40 patients",,,"PN-6 " "281355","OGALLALA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","24 patients","1 ","1","PN-7 " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "281355","OGALLALA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","26 patients",,,"SCIP-INF-3 " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","28 patients",,,"HF-1 " "281355","OGALLALA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients",,,"PN-5C " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281355","OGALLALA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","27 patients",,,"PN-2 " "281355","OGALLALA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","34 patients",,,"SCIP-INF-6 " "281355","OGALLALA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","26 patients",,,"SCIP-INF-1 " "281355","OGALLALA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","27 patients",,,"SCIP-INF-2 " "281355","OGALLALA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1 ","1","PN-3B " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281355","OGALLALA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","33 patients",,,"HF-2 " "281355","OGALLALA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281355","OGALLALA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","10 patients","1 ","1","SCIP-VTE-1 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281356","PERKINS COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281356","PERKINS COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281356","PERKINS COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281356","PERKINS COUNTY HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","8 patients","1 ","1","PN-5C " "281356","PERKINS COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281356","PERKINS COUNTY HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","12 patients","1 ","1","PN-2 " "281356","PERKINS COUNTY HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "281356","PERKINS COUNTY HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","6 patients","1 ","1","PN-6 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","4 patients","1,3 ","13","HF-2 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "281356","PERKINS COUNTY HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","2 patients","1 ","1","PN-3B " "281356","PERKINS COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281356","PERKINS COUNTY HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1,3 ","13","HF-1 " "281356","PERKINS COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281356","PERKINS COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281356","PERKINS COUNTY HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281356","PERKINS COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281357","MEMORIAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281357","MEMORIAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "281357","MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281357","MEMORIAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","41%","17 patients","1 ","1","PN-7 " "281357","MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281357","MEMORIAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","23 patients","1,3 ","13","PN-5C " "281357","MEMORIAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1,3 ","13","PN-3B " "281357","MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281357","MEMORIAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","3 patients","1,3 ","13","HF-2 " "281357","MEMORIAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","14%","7 patients","1,3 ","13","PN-4 " "281357","MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281357","MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281357","MEMORIAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281357","MEMORIAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "281357","MEMORIAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "281357","MEMORIAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "281357","MEMORIAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "281357","MEMORIAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281357","MEMORIAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1,3 ","13","HF-1 " "281357","MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281357","MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281357","MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281357","MEMORIAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","12 patients","1,3 ","13","PN-6 " "281357","MEMORIAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1,3 ","13","AMI-5 " "281357","MEMORIAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","19 patients","1,3 ","13","PN-2 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","12 patients","1 ","1","PN-6 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","25 patients",,,"PN-5C " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","14 patients","1 ","1","PN-7 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","23 patients","1 ","1","PN-2 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","PN-4 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281358","GORDON MEMORIAL HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "281359","MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "281359","MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","27 patients",,,"PN-6 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281359","MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1,3 ","13","SCIP-INF-3 " "281359","MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","32 patients",,,"PN-2 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "281359","MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281359","MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","25 patients",,,"PN-7 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","13 patients","1 ","1","HF-1 " "281359","MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1,3 ","13","SCIP-INF-2 " "281359","MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","41 patients",,,"PN-3B " "281359","MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1,3 ","13","SCIP-INF-6 " "281359","MEMORIAL COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","34 patients",,,"PN-5C " "281359","MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "281359","MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281359","MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1,3 ","13","SCIP-INF-1 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","21 patients","1 ","1","HF-2 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "281359","MEMORIAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281359","MEMORIAL COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "281360","BOX BUTTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "281360","BOX BUTTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281360","BOX BUTTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281360","BOX BUTTE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1,3 ","13","PN-3B " "281360","BOX BUTTE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281360","BOX BUTTE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","17%","6 patients","1,3 ","13","PN-4 " "281360","BOX BUTTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281360","BOX BUTTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281360","BOX BUTTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281360","BOX BUTTE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","53%","17 patients","1,3 ","13","PN-2 " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","9 patients","1,3 ","13","HF-1 " "281360","BOX BUTTE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1,3 ","13","PN-6 " "281360","BOX BUTTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281360","BOX BUTTE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","1 patients","1,3 ","13","PN-7 " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "281360","BOX BUTTE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "281360","BOX BUTTE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","11 patients","1,3 ","13","HF-2 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","21 patients","1,2 ","12","PN-3B " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","47 patients",,,"SCIP-INF-1 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","44 patients",,,"SCIP-INF-2 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","57 patients","2 ","2","PN-5C " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","27 patients","2 ","2","PN-6 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","41 patients","2 ","2","PN-7 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","22 patients","1 ","1","SCIP-VTE-1 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","17 patients","1 ","1","HF-1 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1,2 ","12","PN-4 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","21 patients","1 ","1","HF-2 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","57 patients","2 ","2","PN-2 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","22 patients","1 ","1","SCIP-VTE-2 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","44 patients",,,"SCIP-INF-3 " "281361","TRI-COUNTY AREA HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","53 patients",,,"SCIP-INF-6 " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","10 patients","1 ","1","HF-3 " "281362","PHELPS MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","62 patients",,,"SCIP-INF-1 " "281362","PHELPS MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","62 patients",,,"SCIP-INF-2 " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "281362","PHELPS MEMORIAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","18 patients","1 ","1","HF-1 " "281362","PHELPS MEMORIAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","35 patients",,,"PN-7 " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "281362","PHELPS MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "281362","PHELPS MEMORIAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","33 patients",,,"PN-6 " "281362","PHELPS MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","73 patients",,,"SCIP-INF-6 " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "281362","PHELPS MEMORIAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","45 patients",,,"PN-5C " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","28 patients",,,"HF-2 " "281362","PHELPS MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","61 patients",,,"SCIP-INF-3 " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "281362","PHELPS MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","30 patients",,,"SCIP-VTE-2 " "281362","PHELPS MEMORIAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1 ","1","PN-3B " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "281362","PHELPS MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","30 patients",,,"SCIP-VTE-1 " "281362","PHELPS MEMORIAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","57 patients",,,"PN-2 " "281362","PHELPS MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "281362","PHELPS MEMORIAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "281363","COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "281363","COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","21 patients","1 ","1","HF-2 " "281363","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","58 patients",,,"SCIP-INF-6 " "281363","COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","14 patients","1 ","1","PN-3B " "281363","COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients",,,"PN-5C " "281363","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","49 patients",,,"SCIP-INF-1 " "281363","COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "281363","COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","14 patients","1 ","1","PN-6 " "281363","COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","32 patients",,,"PN-2 " "281363","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281363","COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "281363","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281363","COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "281363","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","26 patients",,,"SCIP-VTE-1 " "281363","COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "281363","COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "281363","COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "281363","COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "281363","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","47 patients",,,"SCIP-INF-3 " "281363","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","26 patients",,,"SCIP-VTE-2 " "281363","COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","20 patients","1 ","1","PN-7 " "281363","COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "281363","COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "281363","COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","15 patients","1 ","1","HF-1 " "281363","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","48 patients",,,"SCIP-INF-2 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","47 patients",,,"SCIP-INF-1 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","20 patients","1 ","1","HF-1 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","47 patients",,,"SCIP-INF-2 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","69 patients",,,"PN-3B " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","27 patients",,,"HF-2 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","42 patients",,,"PN-6 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","69 patients",,,"PN-5C " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","28 patients",,,"SCIP-VTE-2 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1 ","1","PN-4 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","28 patients",,,"SCIP-VTE-1 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","55 patients",,,"SCIP-INF-6 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","47 patients",,,"SCIP-INF-3 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","50 patients",,,"PN-2 " "281364","BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","39 patients",,,"PN-7 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","35 patients",,,"PN-6 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,3 ","13","HF-3 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","69 patients",,,"PN-2 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","14 patients","1,3 ","13","HF-1 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,3 ","13","HF-4 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","22 patients","1,3 ","13","HF-2 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","12 patients","1 ","1","PN-4 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","67 patients",,,"PN-5C " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","9 patients","1 ","1","PN-3B " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "281365","JENNIE M MELHAM MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","51 patients",,,"PN-7 " "283301","CHILDREN'S HOSPITAL & MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","80%","50 patients",,,"CAC-3 " "283301","CHILDREN'S HOSPITAL & MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","50 patients",,,"CAC-2 " "283301","CHILDREN'S HOSPITAL & MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","50 patients",,,"CAC-1 " "290001","RENOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","575 patients","2 ","2","SCIP-INF-3 " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","169 patients","2 ","2","AMI-1 " "290001","RENOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","292 patients","2 ","2","SCIP-VTE-2 " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","106 patients","2 ","2","HF-3 " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","49 patients","2 ","2","AMI-3 " "290001","RENOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","138 patients","2 ","2","PN-3B " "290001","RENOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","292 patients","2 ","2","SCIP-VTE-1 " "290001","RENOWN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","0%","35 patients",,,"CAC-3 " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","290 patients","2 ","2","AMI-2 " "290001","RENOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","927 patients","2 ","2","SCIP-INF-6 " "290001","RENOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","625 patients","2 ","2","SCIP-INF-1 " "290001","RENOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","71 patients","2 ","2","SCIP-CARD-2 " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","129 patients","2 ","2","AMI-4 " "290001","RENOWN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","91%","35 patients",,,"CAC-2 " "290001","RENOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","101 patients","2 ","2","PN-4 " "290001","RENOWN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","94%","35 patients",,,"CAC-1 " "290001","RENOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","188 patients","2 ","2","SCIP-INF-4 " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","334 patients","2 ","2","HF-2 " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","87 patients","2 ","2","HF-4 " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","51 patients","2 ","2","AMI-8A " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","264 patients","2 ","2","AMI-5 " "290001","RENOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","129 patients","2 ","2","PN-2 " "290001","RENOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","148 patients","2 ","2","PN-5C " "290001","RENOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","104 patients","2 ","2","PN-7 " "290001","RENOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","643 patients","2 ","2","SCIP-INF-2 " "290001","RENOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","97 patients","2 ","2","PN-6 " "290001","RENOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","293 patients","2 ","2","HF-1 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","86 patients",,,"AMI-8A " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","586 patients","2 ","2","SCIP-INF-2 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","315 patients","2 ","2","SCIP-VTE-2 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","573 patients","2 ","2","SCIP-INF-1 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","522 patients","2 ","2","SCIP-INF-3 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","195 patients",,,"AMI-4 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","91 patients","2 ","2","PN-4 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","101 patients","2 ","2","PN-7 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","265 patients","2 ","2","HF-1 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","67 patients",,,"AMI-3 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","875 patients","2 ","2","SCIP-INF-6 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","315 patients","2 ","2","SCIP-VTE-1 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","93 patients","2 ","2","HF-4 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","340 patients",,,"AMI-1 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","407 patients",,,"AMI-2 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","186 patients","2 ","2","SCIP-INF-4 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","367 patients",,,"AMI-5 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","116 patients","2 ","2","PN-2 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","101 patients","2 ","2","PN-6 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","145 patients","2 ","2","PN-5C " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","128 patients","2 ","2","SCIP-CARD-2 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","309 patients","2 ","2","HF-2 " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","135 patients","2 ","2","PN-3B " "290003","SUNRISE HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","114 patients","2 ","2","HF-3 " "290005","NORTH VISTA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","23 patients","1 ","1","AMI-2 " "290005","NORTH VISTA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "290005","NORTH VISTA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","55 patients",,,"HF-3 " "290005","NORTH VISTA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","80 patients",,,"PN-7 " "290005","NORTH VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","187 patients","2 ","2","SCIP-INF-2 " "290005","NORTH VISTA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","49 patients",,,"AMI-1 " "290005","NORTH VISTA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "290005","NORTH VISTA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","142 patients",,,"HF-1 " "290005","NORTH VISTA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","28 patients",,,"SCIP-CARD-2 " "290005","NORTH VISTA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","167 patients","2 ","2","SCIP-VTE-2 " "290005","NORTH VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "290005","NORTH VISTA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","165 patients",,,"HF-2 " "290005","NORTH VISTA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "290005","NORTH VISTA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","25 patients",,,"AMI-5 " "290005","NORTH VISTA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","170 patients","2 ","2","SCIP-VTE-1 " "290005","NORTH VISTA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","96 patients",,,"PN-3B " "290005","NORTH VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","186 patients","2 ","2","SCIP-INF-1 " "290005","NORTH VISTA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","67 patients",,,"PN-4 " "290005","NORTH VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","283 patients","2 ","2","SCIP-INF-6 " "290005","NORTH VISTA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "290005","NORTH VISTA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","93 patients",,,"PN-2 " "290005","NORTH VISTA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","70 patients",,,"PN-6 " "290005","NORTH VISTA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "290005","NORTH VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","174 patients","2 ","2","SCIP-INF-3 " "290005","NORTH VISTA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","93 patients",,,"PN-5C " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","57 patients",,,"PN-7 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","76 patients",,,"PN-5C " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","86 patients",,,"SCIP-INF-2 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","50 patients",,,"HF-1 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","69 patients",,,"PN-2 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","85 patients",,,"SCIP-INF-1 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","83 patients",,,"SCIP-VTE-1 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","72 patients",,,"PN-6 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","60 patients",,,"HF-2 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","144 patients",,,"SCIP-INF-6 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","84 patients",,,"SCIP-INF-3 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","54 patients",,,"PN-3B " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","6 patients","1 ","1","SCIP-CARD-2 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "290006","BANNER CHURCHILL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","83 patients",,,"SCIP-VTE-2 " "290007","U M C OF SOUTHERN NEVADA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","153 patients","2 ","2","AMI-5 " "290007","U M C OF SOUTHERN NEVADA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","100 patients","2 ","2","PN-6 " "290007","U M C OF SOUTHERN NEVADA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "290007","U M C OF SOUTHERN NEVADA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","464 patients","2 ","2","SCIP-INF-6 " "290007","U M C OF SOUTHERN NEVADA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","65 patients","2 ","2","PN-2 " "290007","U M C OF SOUTHERN NEVADA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","63 patients","2 ","2","PN-7 " "290007","U M C OF SOUTHERN NEVADA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","188 patients","2 ","2","SCIP-VTE-1 " "290007","U M C OF SOUTHERN NEVADA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","293 patients","2 ","2","SCIP-INF-2 " "290007","U M C OF SOUTHERN NEVADA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","291 patients","2 ","2","SCIP-INF-1 " "290007","U M C OF SOUTHERN NEVADA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","188 patients","2 ","2","SCIP-VTE-2 " "290007","U M C OF SOUTHERN NEVADA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","289 patients","2 ","2","HF-2 " "290007","U M C OF SOUTHERN NEVADA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","71%","93 patients","2 ","2","SCIP-INF-4 " "290007","U M C OF SOUTHERN NEVADA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","125 patients","2 ","2","HF-4 " "290007","U M C OF SOUTHERN NEVADA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","69 patients","2 ","2","SCIP-CARD-2 " "290007","U M C OF SOUTHERN NEVADA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","34 patients","2 ","2","AMI-3 " "290007","U M C OF SOUTHERN NEVADA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","179 patients","2 ","2","AMI-1 " "290007","U M C OF SOUTHERN NEVADA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","268 patients","2 ","2","SCIP-INF-3 " "290007","U M C OF SOUTHERN NEVADA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","95 patients","2 ","2","PN-3B " "290007","U M C OF SOUTHERN NEVADA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","270 patients","2 ","2","HF-1 " "290007","U M C OF SOUTHERN NEVADA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","173 patients","2 ","2","AMI-2 " "290007","U M C OF SOUTHERN NEVADA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","94 patients","2 ","2","PN-4 " "290007","U M C OF SOUTHERN NEVADA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","148 patients","2 ","2","PN-5C " "290007","U M C OF SOUTHERN NEVADA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","32 patients","2 ","2","AMI-8A " "290007","U M C OF SOUTHERN NEVADA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","96 patients","2 ","2","AMI-4 " "290007","U M C OF SOUTHERN NEVADA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","139 patients","2 ","2","HF-3 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","62 patients",,,"SCIP-VTE-1 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","52 patients",,,"HF-1 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","112 patients",,,"SCIP-INF-3 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","97 patients",,,"PN-2 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","80%","5 patients","1 ","1","AMI-7A " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","62 patients",,,"SCIP-VTE-2 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","110 patients",,,"PN-5C " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","97 patients",,,"PN-6 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","112 patients",,,"SCIP-INF-1 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","21 patients","1 ","1","AMI-2 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","120 patients",,,"PN-3B " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","61 patients",,,"HF-2 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","154 patients",,,"SCIP-INF-6 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","115 patients",,,"SCIP-INF-2 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","70 patients",,,"PN-7 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1 ","1","SCIP-CARD-2 " "290008","NORTHEASTERN NV REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"PN-4 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","94 patients","2 ","2","PN-7 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","PN-4 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","124 patients","2 ","2","SCIP-INF-4 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","127 patients","2 ","2","PN-2 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","56 patients","2 ","2","SCIP-CARD-2 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","241 patients","2 ","2","HF-2 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","169 patients","2 ","2","PN-3B " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","413 patients","2 ","2","SCIP-INF-2 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","389 patients","2 ","2","SCIP-INF-3 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","43 patients",,,"AMI-8A " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","226 patients",,,"AMI-5 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients","2 ","2","HF-4 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","625 patients","2 ","2","SCIP-INF-6 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","403 patients","2 ","2","SCIP-INF-1 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","108 patients","2 ","2","PN-6 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","222 patients","2 ","2","SCIP-VTE-1 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"AMI-4 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","220 patients","2 ","2","SCIP-VTE-2 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","208 patients","2 ","2","HF-1 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients",,,"AMI-3 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","186 patients",,,"AMI-1 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","77 patients","2 ","2","HF-3 " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","117 patients","2 ","2","PN-5C " "290009","SAINT MARYS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","240 patients",,,"AMI-2 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","81 patients","2 ","2","PN-6 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","50 patients",,,"AMI-2 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","161 patients","2 ","2","PN-3B " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","152 patients","2 ","2","SCIP-VTE-2 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","111 patients","2 ","2","PN-5C " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","104 patients","2 ","2","PN-2 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","70 patients",,,"HF-3 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","236 patients","2 ","2","SCIP-INF-3 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","152 patients","2 ","2","SCIP-VTE-1 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","PN-4 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","72 patients",,,"AMI-1 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients","2 ","2","SCIP-CARD-2 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","176 patients",,,"HF-1 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","77 patients","2 ","2","PN-7 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","251 patients","2 ","2","SCIP-INF-2 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","387 patients","2 ","2","SCIP-INF-6 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","230 patients",,,"HF-2 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","251 patients","2 ","2","SCIP-INF-1 " "290012","ST ROSE DOMINICAN HOSPITAL-DE LIMA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","51 patients",,,"AMI-5 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","PN-4 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","427 patients","2 ","2","SCIP-INF-6 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","59 patients","2 ","2","HF-3 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","81 patients","2 ","2","SCIP-CARD-2 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","214 patients","2 ","2","HF-1 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","131 patients","2 ","2","PN-3B " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","201 patients","2 ","2","AMI-1 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","154 patients","2 ","2","SCIP-VTE-1 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","239 patients","2 ","2","AMI-2 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","142 patients","2 ","2","PN-2 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","83 patients","2 ","2","AMI-4 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","217 patients","2 ","2","AMI-5 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","77%","271 patients","2 ","2","SCIP-INF-1 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","275 patients","2 ","2","SCIP-INF-2 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","55 patients","2 ","2","AMI-8A " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","92 patients","2 ","2","PN-7 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","104 patients","2 ","2","SCIP-INF-4 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","128 patients","2 ","2","PN-5C " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","154 patients","2 ","2","SCIP-VTE-2 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","98 patients","2 ","2","PN-6 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","249 patients","2 ","2","HF-2 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","HF-4 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","252 patients","2 ","2","SCIP-INF-3 " "290019","CARSON TAHOE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1,2 ","12","AMI-3 " "290020","NYE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "290020","NYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "290020","NYE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "290020","NYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "290020","NYE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "290020","NYE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "290020","NYE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "290020","NYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "290020","NYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "290020","NYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "290020","NYE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "290020","NYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "290020","NYE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "290020","NYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "290020","NYE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "290020","NYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "290020","NYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "290020","NYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "290020","NYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "290020","NYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "290020","NYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "290020","NYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "290020","NYE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "290020","NYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "290020","NYE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","180 patients","2 ","2","SCIP-VTE-2 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","125 patients","2 ","2","AMI-4 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","102 patients","2 ","2","SCIP-CARD-2 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","47 patients","2 ","2","AMI-3 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","285 patients","2 ","2","AMI-1 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","116 patients","2 ","2","PN-2 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","52 patients","2 ","2","PN-6 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","430 patients","2 ","2","SCIP-INF-1 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","343 patients","2 ","2","HF-2 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","180 patients","2 ","2","SCIP-VTE-1 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","317 patients","2 ","2","AMI-2 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","PN-4 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","645 patients","2 ","2","SCIP-INF-6 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients","2 ","2","HF-4 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","131 patients","2 ","2","HF-3 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","115 patients","2 ","2","PN-5C " "290021","VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","148 patients","2 ","2","SCIP-INF-4 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","48 patients","2 ","2","AMI-8A " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","296 patients","2 ","2","AMI-5 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","89 patients","2 ","2","PN-3B " "290021","VALLEY HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","82 patients","2 ","2","PN-7 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","415 patients","2 ","2","SCIP-INF-3 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","261 patients","2 ","2","HF-1 " "290021","VALLEY HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","433 patients","2 ","2","SCIP-INF-2 " "290022","DESERT SPRINGS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","106 patients","2 ","2","PN-2 " "290022","DESERT SPRINGS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","91 patients","2 ","2","PN-5C " "290022","DESERT SPRINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","228 patients","2 ","2","SCIP-INF-3 " "290022","DESERT SPRINGS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","139 patients","2 ","2","SCIP-VTE-2 " "290022","DESERT SPRINGS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","39 patients","2 ","2","AMI-3 " "290022","DESERT SPRINGS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","108 patients","2 ","2","AMI-4 " "290022","DESERT SPRINGS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","46 patients","2 ","2","PN-4 " "290022","DESERT SPRINGS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","220 patients","2 ","2","HF-1 " "290022","DESERT SPRINGS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","292 patients","2 ","2","HF-2 " "290022","DESERT SPRINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","248 patients","2 ","2","SCIP-INF-2 " "290022","DESERT SPRINGS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","68 patients","2 ","2","HF-4 " "290022","DESERT SPRINGS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","76 patients","2 ","2","PN-7 " "290022","DESERT SPRINGS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "290022","DESERT SPRINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","162 patients","2 ","2","SCIP-INF-4 " "290022","DESERT SPRINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","240 patients","2 ","2","SCIP-INF-1 " "290022","DESERT SPRINGS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","37 patients","2 ","2","AMI-8A " "290022","DESERT SPRINGS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","240 patients","2 ","2","AMI-5 " "290022","DESERT SPRINGS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","265 patients","2 ","2","AMI-1 " "290022","DESERT SPRINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","495 patients","2 ","2","SCIP-INF-6 " "290022","DESERT SPRINGS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","97 patients","2 ","2","PN-3B " "290022","DESERT SPRINGS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","140 patients","2 ","2","SCIP-VTE-1 " "290022","DESERT SPRINGS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","62 patients","2 ","2","SCIP-CARD-2 " "290022","DESERT SPRINGS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","86 patients","2 ","2","HF-3 " "290022","DESERT SPRINGS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","53 patients","2 ","2","PN-6 " "290022","DESERT SPRINGS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","264 patients","2 ","2","AMI-2 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","63 patients",,,"PN-5C " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","155 patients","2 ","2","SCIP-VTE-1 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","82 patients","2 ","2","SCIP-CARD-2 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","223 patients","2 ","2","SCIP-INF-6 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","69 patients",,,"PN-3B " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","112 patients",,,"HF-2 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","155 patients","2 ","2","SCIP-VTE-2 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","125 patients",,,"SCIP-INF-1 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","43 patients",,,"HF-3 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","45 patients",,,"PN-6 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","126 patients",,,"SCIP-INF-2 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","62 patients",,,"PN-2 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","41 patients",,,"PN-7 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","103 patients",,,"HF-1 " "29002F","VA SIERRA NEVADA HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","120 patients",,,"SCIP-INF-3 " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","9 patients","1 ","1","AMI-2 " "290032","NORTHERN NEVADA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","163 patients","2 ","2","SCIP-VTE-2 " "290032","NORTHERN NEVADA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","279 patients","2 ","2","SCIP-INF-1 " "290032","NORTHERN NEVADA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","50 patients",,,"PN-7 " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","45 patients",,,"HF-2 " "290032","NORTHERN NEVADA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","35 patients","2 ","2","SCIP-CARD-2 " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "290032","NORTHERN NEVADA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "290032","NORTHERN NEVADA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","101 patients",,,"PN-5C " "290032","NORTHERN NEVADA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","33 patients",,,"PN-4 " "290032","NORTHERN NEVADA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","67 patients",,,"PN-6 " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "290032","NORTHERN NEVADA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","354 patients","2 ","2","SCIP-INF-6 " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","36 patients",,,"HF-1 " "290032","NORTHERN NEVADA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","57 patients",,,"PN-2 " "290032","NORTHERN NEVADA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","100 patients",,,"PN-3B " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "290032","NORTHERN NEVADA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","278 patients","2 ","2","SCIP-INF-2 " "290032","NORTHERN NEVADA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","AMI-4 " "290032","NORTHERN NEVADA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","163 patients","2 ","2","SCIP-VTE-1 " "290032","NORTHERN NEVADA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","56%","275 patients","2 ","2","SCIP-INF-3 " "290039","MOUNTAINVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","59 patients","2 ","2","PN-6 " "290039","MOUNTAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","347 patients","2 ","2","SCIP-INF-3 " "290039","MOUNTAINVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","101 patients",,,"AMI-4 " "290039","MOUNTAINVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","50 patients",,,"AMI-8A " "290039","MOUNTAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","226 patients","2 ","2","SCIP-VTE-1 " "290039","MOUNTAINVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","138 patients","2 ","2","PN-3B " "290039","MOUNTAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","381 patients","2 ","2","SCIP-INF-2 " "290039","MOUNTAINVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","164 patients",,,"AMI-5 " "290039","MOUNTAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","92 patients","2 ","2","SCIP-INF-4 " "290039","MOUNTAINVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","61 patients","2 ","2","PN-4 " "290039","MOUNTAINVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "290039","MOUNTAINVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","234 patients","2 ","2","HF-1 " "290039","MOUNTAINVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","240 patients",,,"AMI-1 " "290039","MOUNTAINVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","105 patients","2 ","2","PN-7 " "290039","MOUNTAINVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","HF-4 " "290039","MOUNTAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","608 patients","2 ","2","SCIP-INF-6 " "290039","MOUNTAINVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"AMI-3 " "290039","MOUNTAINVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","161 patients","2 ","2","PN-2 " "290039","MOUNTAINVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","233 patients",,,"AMI-2 " "290039","MOUNTAINVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","308 patients","2 ","2","HF-2 " "290039","MOUNTAINVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","109 patients","2 ","2","PN-5C " "290039","MOUNTAINVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","55 patients","2 ","2","HF-3 " "290039","MOUNTAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","75 patients","2 ","2","SCIP-CARD-2 " "290039","MOUNTAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","376 patients","2 ","2","SCIP-INF-1 " "290039","MOUNTAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","226 patients","2 ","2","SCIP-VTE-2 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","304 patients","2 ","2","HF-2 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","204 patients","2 ","2","SCIP-VTE-1 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","166 patients",,,"AMI-1 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","402 patients","2 ","2","SCIP-INF-3 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"AMI-4 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","235 patients","2 ","2","HF-1 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","203 patients","2 ","2","SCIP-VTE-2 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","86 patients","2 ","2","PN-7 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","182 patients",,,"AMI-2 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","78 patients","2 ","2","SCIP-CARD-2 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","HF-4 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","26 patients",,,"AMI-3 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","94 patients","2 ","2","PN-3B " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","180 patients",,,"AMI-5 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","129 patients","2 ","2","SCIP-INF-4 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","PN-4 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","44%","34 patients",,,"AMI-8A " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","124 patients","2 ","2","PN-5C " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","428 patients","2 ","2","SCIP-INF-2 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","613 patients","2 ","2","SCIP-INF-6 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","93 patients","2 ","2","HF-3 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","424 patients","2 ","2","SCIP-INF-1 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","77 patients","2 ","2","PN-6 " "290041","SUMMERLIN HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","136 patients","2 ","2","PN-2 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","198 patients","2 ","2","SCIP-VTE-2 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","650 patients","2 ","2","SCIP-INF-6 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","421 patients","2 ","2","SCIP-INF-3 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","PN-4 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","199 patients","2 ","2","SCIP-VTE-1 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","91 patients",,,"HF-3 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","475 patients","2 ","2","SCIP-INF-1 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","117 patients","2 ","2","PN-2 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","87 patients",,,"AMI-8A " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","109 patients","2 ","2","PN-5C " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","74 patients","2 ","2","PN-6 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","122 patients",,,"AMI-4 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","84 patients","2 ","2","PN-7 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","485 patients","2 ","2","SCIP-INF-2 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","45 patients",,,"AMI-3 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","137 patients","2 ","2","SCIP-INF-4 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","266 patients",,,"HF-1 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","148 patients","2 ","2","PN-3B " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","303 patients",,,"AMI-5 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","321 patients",,,"AMI-2 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","302 patients",,,"AMI-1 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","94 patients","2 ","2","SCIP-CARD-2 " "290045","ST ROSE DOMINICAN HOSPITAL-SIENA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","320 patients",,,"HF-2 " "290046","SPRING VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","62 patients","2 ","2","PN-3B " "290046","SPRING VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","80 patients","2 ","2","HF-3 " "290046","SPRING VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","66 patients","2 ","2","SCIP-CARD-2 " "290046","SPRING VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","579 patients","2 ","2","SCIP-INF-6 " "290046","SPRING VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "290046","SPRING VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","228 patients","2 ","2","AMI-1 " "290046","SPRING VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","444 patients","2 ","2","SCIP-INF-1 " "290046","SPRING VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","99 patients","2 ","2","PN-2 " "290046","SPRING VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","252 patients","2 ","2","HF-2 " "290046","SPRING VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","231 patients","2 ","2","AMI-5 " "290046","SPRING VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","454 patients","2 ","2","SCIP-INF-2 " "290046","SPRING VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","204 patients","2 ","2","HF-1 " "290046","SPRING VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","121 patients","2 ","2","PN-5C " "290046","SPRING VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","442 patients","2 ","2","SCIP-INF-3 " "290046","SPRING VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","35 patients","2 ","2","AMI-3 " "290046","SPRING VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","HF-4 " "290046","SPRING VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","209 patients","2 ","2","SCIP-VTE-1 " "290046","SPRING VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","88 patients","2 ","2","PN-7 " "290046","SPRING VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","239 patients","2 ","2","AMI-2 " "290046","SPRING VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","209 patients","2 ","2","SCIP-VTE-2 " "290046","SPRING VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","85 patients","2 ","2","SCIP-INF-4 " "290046","SPRING VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","91 patients","2 ","2","AMI-4 " "290046","SPRING VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","100 patients","2 ","2","PN-6 " "290046","SPRING VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","32 patients","2 ","2","AMI-8A " "290046","SPRING VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","58 patients","2 ","2","PN-4 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","39 patients",,,"PN-6 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","228 patients","2 ","2","SCIP-VTE-2 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","285 patients","2 ","2","SCIP-INF-2 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","32 patients",,,"AMI-5 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","32 patients","2 ","2","SCIP-CARD-2 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","84 patients",,,"PN-7 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","408 patients","2 ","2","SCIP-INF-6 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"HF-3 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","92 patients",,,"HF-2 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","46 patients",,,"AMI-1 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","33 patients",,,"AMI-2 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","228 patients","2 ","2","SCIP-VTE-1 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","285 patients","2 ","2","SCIP-INF-1 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","97 patients",,,"PN-2 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","81 patients",,,"HF-1 " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","95 patients",,,"PN-3B " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","77 patients",,,"PN-5C " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","14 patients","1 ","1","AMI-8A " "290047","SOUTHERN HILLS HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","267 patients","2 ","2","SCIP-INF-3 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","44 patients",,,"PN-7 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","164 patients","2 ","2","SCIP-VTE-2 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","60 patients",,,"PN-6 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","38 patients","2 ","2","HF-1 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","342 patients","2 ","2","SCIP-INF-2 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","164 patients","2 ","2","SCIP-VTE-1 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","76 patients",,,"PN-3B " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","76 patients",,,"PN-5C " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","330 patients","2 ","2","SCIP-INF-3 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","47 patients","2 ","2","HF-2 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","14 patients","1 ","1","AMI-1 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","53 patients",,,"SCIP-CARD-2 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","341 patients","2 ","2","SCIP-INF-1 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,2 ","12","HF-4 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","433 patients","2 ","2","SCIP-INF-6 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1,2 ","12","HF-3 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","80 patients",,,"PN-2 " "290049","RENOWN SOUTH MEADOWS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "290051","SIERRA SURGERY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "290051","SIERRA SURGERY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "290051","SIERRA SURGERY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "290051","SIERRA SURGERY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "290051","SIERRA SURGERY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "290051","SIERRA SURGERY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "290051","SIERRA SURGERY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "290051","SIERRA SURGERY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "290051","SIERRA SURGERY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","57 patients",,,"SCIP-CARD-2 " "290051","SIERRA SURGERY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "290051","SIERRA SURGERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","433 patients","2 ","2","SCIP-INF-1 " "290051","SIERRA SURGERY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","158 patients","2 ","2","SCIP-VTE-1 " "290051","SIERRA SURGERY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "290051","SIERRA SURGERY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "290051","SIERRA SURGERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","433 patients","2 ","2","SCIP-INF-3 " "290051","SIERRA SURGERY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "290051","SIERRA SURGERY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "290051","SIERRA SURGERY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "290051","SIERRA SURGERY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "290051","SIERRA SURGERY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "290051","SIERRA SURGERY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","158 patients","2 ","2","SCIP-VTE-2 " "290051","SIERRA SURGERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","434 patients","2 ","2","SCIP-INF-2 " "290051","SIERRA SURGERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","538 patients","2 ","2","SCIP-INF-6 " "290051","SIERRA SURGERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "290051","SIERRA SURGERY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","375 patients","2 ","2","SCIP-INF-2 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","82 patients","2 ","2","SCIP-CARD-2 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","369 patients","2 ","2","SCIP-INF-1 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","537 patients","2 ","2","SCIP-INF-6 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","92 patients",,,"PN-5C " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","201 patients",,,"HF-2 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","71 patients",,,"PN-6 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","176 patients","2 ","2","SCIP-VTE-1 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","353 patients","2 ","2","SCIP-INF-3 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","83 patients",,,"PN-7 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","176 patients",,,"HF-1 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","70 patients",,,"AMI-2 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","111 patients",,,"PN-2 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","65 patients",,,"AMI-5 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","110 patients",,,"PN-3B " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","49 patients",,,"HF-3 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","174 patients","2 ","2","SCIP-VTE-2 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","138 patients","2 ","2","SCIP-INF-4 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"HF-4 " "290053","ST ROSE DOMINICAN HOSP-SAN MARTIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","40%","10 patients","1 ","1","AMI-8A " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","71 patients",,,"AMI-5 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","74 patients",,,"AMI-2 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","80 patients","2 ","2","PN-6 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","35 patients",,,"HF-3 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","60 patients","2 ","2","PN-3B " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","168 patients","2 ","2","SCIP-VTE-1 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","194 patients","2 ","2","SCIP-INF-3 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","54 patients","2 ","2","PN-7 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","PN-4 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","208 patients","2 ","2","SCIP-INF-1 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","209 patients","2 ","2","SCIP-INF-2 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","168 patients","2 ","2","SCIP-VTE-2 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","349 patients","2 ","2","SCIP-INF-6 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","136 patients",,,"HF-2 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","AMI-3 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","110 patients","2 ","2","PN-5C " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","26 patients",,,"AMI-8A " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","119 patients",,,"AMI-1 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","39 patients","2 ","2","SCIP-CARD-2 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","49%","118 patients",,,"HF-1 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","AMI-4 " "290054","CENTENNIAL HILLS HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","69 patients","2 ","2","PN-2 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "291306","CARSON VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","40 patients","3 ","3","PN-2 " "291306","CARSON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","12 patients","1,3 ","13","SCIP-INF-3 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "291306","CARSON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","18 patients","1,3 ","13","HF-2 " "291306","CARSON VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1,3 ","13","PN-4 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","15 patients","1,3 ","13","HF-1 " "291306","CARSON VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","37 patients","3 ","3","PN-3B " "291306","CARSON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","6 patients","1,3 ","13","SCIP-VTE-2 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "291306","CARSON VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","16 patients","1,3 ","13","PN-7 " "291306","CARSON VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","29 patients","3 ","3","PN-6 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "291306","CARSON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","6 patients","1,3 ","13","SCIP-VTE-1 " "291306","CARSON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "291306","CARSON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","15 patients","1,3 ","13","SCIP-INF-2 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "291306","CARSON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","19 patients","1,3 ","13","SCIP-INF-6 " "291306","CARSON VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","38 patients","3 ","3","PN-5C " "291306","CARSON VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "291306","CARSON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","15 patients","1,3 ","13","SCIP-INF-1 " "291306","CARSON VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1,3 ","13","HF-3 " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","35 patients",,,"HF-2 " "291307","MESA VIEW REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "291307","MESA VIEW REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","28 patients",,,"PN-5C " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "291307","MESA VIEW REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","42 patients",,,"PN-3B " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","31 patients",,,"HF-1 " "291307","MESA VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","51 patients",,,"SCIP-VTE-1 " "291307","MESA VIEW REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","39 patients",,,"PN-2 " "291307","MESA VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "291307","MESA VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","107 patients",,,"SCIP-INF-1 " "291307","MESA VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","51 patients",,,"SCIP-VTE-2 " "291307","MESA VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","136 patients",,,"SCIP-INF-6 " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "291307","MESA VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","102 patients",,,"SCIP-INF-3 " "291307","MESA VIEW REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "291307","MESA VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","110 patients",,,"SCIP-INF-2 " "291307","MESA VIEW REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","24 patients","1 ","1","PN-7 " "291307","MESA VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "291307","MESA VIEW REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","38 patients",,,"PN-6 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "291308","HUMBOLDT GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","8 patients","1,2,3 ","123","PN-2 " "291308","HUMBOLDT GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","10 patients","1,2,3 ","123","PN-5C " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2,3 ","123","HF-4 " "291308","HUMBOLDT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "291308","HUMBOLDT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "291308","HUMBOLDT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "291308","HUMBOLDT GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2,3 ","123","PN-4 " "291308","HUMBOLDT GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1,2 ","12","PN-7 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "291308","HUMBOLDT GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","6 patients","1,2,3 ","123","PN-3B " "291308","HUMBOLDT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1,2,3 ","123","HF-3 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","10 patients","1,2,3 ","123","HF-2 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "291308","HUMBOLDT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "291308","HUMBOLDT GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","56%","9 patients","1,2,3 ","123","PN-6 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","10 patients","1,2,3 ","123","HF-1 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "291308","HUMBOLDT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "291308","HUMBOLDT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "291308","HUMBOLDT GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "291308","HUMBOLDT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "291309","BOULDER CITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","34 patients","3 ","3","SCIP-INF-2 " "291309","BOULDER CITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","53%","34 patients","3 ","3","SCIP-INF-3 " "291309","BOULDER CITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "291309","BOULDER CITY HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "291309","BOULDER CITY HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "291309","BOULDER CITY HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","20%","5 patients","1,3 ","13","HF-3 " "291309","BOULDER CITY HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "291309","BOULDER CITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","34 patients","3 ","3","SCIP-INF-1 " "291309","BOULDER CITY HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "291309","BOULDER CITY HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","10 patients","1,3 ","13","PN-6 " "291309","BOULDER CITY HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","9 patients","1,3 ","13","HF-2 " "291309","BOULDER CITY HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,3 ","13","PN-4 " "291309","BOULDER CITY HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","13 patients","1,3 ","13","PN-2 " "291309","BOULDER CITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "291309","BOULDER CITY HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","9 patients","1,3 ","13","HF-1 " "291309","BOULDER CITY HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1,3 ","13","PN-5C " "291309","BOULDER CITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "291309","BOULDER CITY HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "291309","BOULDER CITY HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "291309","BOULDER CITY HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","14 patients","1 ","1","PN-7 " "291309","BOULDER CITY HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","61%","23 patients","1,3 ","13","PN-3B " "291309","BOULDER CITY HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "291309","BOULDER CITY HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "291309","BOULDER CITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "291309","BOULDER CITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","44 patients","3 ","3","SCIP-INF-6 " "300001","CONCORD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","129 patients",,,"PN-4 " "300001","CONCORD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","202 patients",,,"AMI-2 " "300001","CONCORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","99 patients","2 ","2","SCIP-INF-4 " "300001","CONCORD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","319 patients",,,"HF-2 " "300001","CONCORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","159 patients","2 ","2","SCIP-VTE-1 " "300001","CONCORD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","160 patients",,,"AMI-1 " "300001","CONCORD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients",,,"AMI-3 " "300001","CONCORD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"AMI-4 " "300001","CONCORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","339 patients","2 ","2","SCIP-INF-3 " "300001","CONCORD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","338 patients",,,"PN-2 " "300001","CONCORD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","345 patients",,,"PN-3B " "300001","CONCORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","355 patients","2 ","2","SCIP-INF-2 " "300001","CONCORD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","230 patients",,,"PN-7 " "300001","CONCORD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "300001","CONCORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","345 patients","2 ","2","SCIP-INF-1 " "300001","CONCORD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","218 patients",,,"PN-6 " "300001","CONCORD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","93 patients","2 ","2","SCIP-CARD-2 " "300001","CONCORD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","159 patients","2 ","2","SCIP-VTE-2 " "300001","CONCORD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","35 patients",,,"AMI-8A " "300001","CONCORD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","449 patients","2 ","2","SCIP-INF-6 " "300001","CONCORD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","75 patients",,,"HF-3 " "300001","CONCORD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300001","CONCORD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","213 patients",,,"AMI-5 " "300001","CONCORD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","366 patients",,,"PN-5C " "300001","CONCORD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","245 patients",,,"HF-1 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","120 patients",,,"PN-7 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","147 patients","2 ","2","PN-2 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","92 patients","2 ","2","AMI-1 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","145 patients","2 ","2","AMI-4 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","125 patients","2 ","2","PN-3B " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","880 patients","2 ","2","SCIP-INF-6 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","77 patients","2 ","2","PN-6 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","464 patients","2 ","2","AMI-5 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","208 patients",,,"HF-1 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","62 patients",,,"HF-3 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","57 patients","2 ","2","AMI-3 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","170 patients","2 ","2","SCIP-CARD-2 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","677 patients","2 ","2","SCIP-INF-2 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","122 patients","2 ","2","PN-5C " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","639 patients","2 ","2","SCIP-INF-3 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","269 patients",,,"HF-2 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","342 patients","2 ","2","SCIP-VTE-2 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","669 patients","2 ","2","SCIP-INF-1 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","23 patients","1,2 ","12","AMI-8A " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","447 patients","2 ","2","AMI-2 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"HF-4 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","202 patients","2 ","2","SCIP-INF-4 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","343 patients","2 ","2","SCIP-VTE-1 " "300003","MARY HITCHCOCK MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","58 patients","2 ","2","PN-4 " "300005","LAKES REGION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","280 patients","2 ","2","SCIP-INF-2 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","HF-4 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","28 patients",,,"AMI-2 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "300005","LAKES REGION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","195 patients","2 ","2","SCIP-VTE-2 " "300005","LAKES REGION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","195 patients","2 ","2","SCIP-VTE-1 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","54 patients","2 ","2","HF-1 " "300005","LAKES REGION GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","66 patients",,,"PN-7 " "300005","LAKES REGION GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","67 patients",,,"PN-3B " "300005","LAKES REGION GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"PN-4 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300005","LAKES REGION GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","103 patients",,,"PN-5C " "300005","LAKES REGION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","279 patients","2 ","2","SCIP-INF-1 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","30 patients",,,"AMI-5 " "300005","LAKES REGION GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","61 patients",,,"PN-6 " "300005","LAKES REGION GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","93 patients",,,"PN-2 " "300005","LAKES REGION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","274 patients","2 ","2","SCIP-INF-3 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "300005","LAKES REGION GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "300005","LAKES REGION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","57 patients","2 ","2","SCIP-CARD-2 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","97 patients","2 ","2","HF-2 " "300005","LAKES REGION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","394 patients","2 ","2","SCIP-INF-6 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","48 patients",,,"AMI-1 " "300005","LAKES REGION GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","22 patients","1,2 ","12","HF-3 " "300005","LAKES REGION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "300011","ST JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1,2 ","12","AMI-3 " "300011","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","290 patients","2 ","2","SCIP-INF-6 " "300011","ST JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","51 patients","2 ","2","AMI-1 " "300011","ST JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "300011","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","202 patients","2 ","2","SCIP-INF-1 " "300011","ST JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","84 patients","2 ","2","PN-7 " "300011","ST JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","122 patients","2 ","2","PN-2 " "300011","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "300011","ST JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","126 patients","2 ","2","PN-5C " "300011","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","170 patients","2 ","2","SCIP-VTE-1 " "300011","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","170 patients","2 ","2","SCIP-VTE-2 " "300011","ST JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","52 patients","2 ","2","AMI-5 " "300011","ST JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","PN-4 " "300011","ST JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","201 patients","2 ","2","HF-2 " "300011","ST JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","HF-4 " "300011","ST JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","AMI-4 " "300011","ST JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","128 patients","2 ","2","PN-3B " "300011","ST JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","51 patients","2 ","2","AMI-2 " "300011","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","195 patients","2 ","2","SCIP-INF-3 " "300011","ST JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","136 patients","2 ","2","HF-1 " "300011","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","202 patients","2 ","2","SCIP-INF-2 " "300011","ST JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "300011","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients","2 ","2","SCIP-CARD-2 " "300011","ST JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","56 patients","2 ","2","PN-6 " "300011","ST JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients","2 ","2","HF-3 " "300012","ELLIOT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","99 patients",,,"AMI-2 " "300012","ELLIOT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","117 patients",,,"AMI-1 " "300012","ELLIOT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","177 patients","2 ","2","SCIP-VTE-1 " "300012","ELLIOT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","106 patients","2 ","2","PN-3B " "300012","ELLIOT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","16 patients","1 ","1","AMI-8A " "300012","ELLIOT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "300012","ELLIOT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","395 patients","2 ","2","SCIP-INF-6 " "300012","ELLIOT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","267 patients","2 ","2","SCIP-INF-2 " "300012","ELLIOT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","104 patients","2 ","2","PN-2 " "300012","ELLIOT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "300012","ELLIOT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"HF-3 " "300012","ELLIOT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "300012","ELLIOT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","54 patients","2 ","2","SCIP-CARD-2 " "300012","ELLIOT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","54 patients","2 ","2","PN-4 " "300012","ELLIOT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","105 patients",,,"HF-1 " "300012","ELLIOT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","73 patients","2 ","2","PN-7 " "300012","ELLIOT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","133 patients","2 ","2","PN-5C " "300012","ELLIOT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","176 patients","2 ","2","SCIP-VTE-2 " "300012","ELLIOT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","92 patients",,,"AMI-5 " "300012","ELLIOT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300012","ELLIOT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "300012","ELLIOT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","264 patients","2 ","2","SCIP-INF-1 " "300012","ELLIOT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","253 patients","2 ","2","SCIP-INF-3 " "300012","ELLIOT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","158 patients",,,"HF-2 " "300012","ELLIOT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","95 patients","2 ","2","PN-6 " "300014","FRISBIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","49 patients",,,"SCIP-CARD-2 " "300014","FRISBIE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","75 patients",,,"PN-5C " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","83 patients",,,"HF-1 " "300014","FRISBIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","121 patients",,,"SCIP-VTE-1 " "300014","FRISBIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","139 patients",,,"SCIP-INF-1 " "300014","FRISBIE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","52 patients",,,"PN-7 " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "300014","FRISBIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "300014","FRISBIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","237 patients",,,"SCIP-INF-6 " "300014","FRISBIE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","93 patients",,,"PN-3B " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","31 patients",,,"AMI-1 " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","110 patients",,,"HF-2 " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "300014","FRISBIE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","74 patients",,,"PN-2 " "300014","FRISBIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","143 patients",,,"SCIP-INF-2 " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "300014","FRISBIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","120 patients",,,"SCIP-VTE-2 " "300014","FRISBIE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "300014","FRISBIE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","77 patients",,,"PN-6 " "300014","FRISBIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","136 patients",,,"SCIP-INF-3 " "300014","FRISBIE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300017","PARKLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","90 patients",,,"SCIP-VTE-2 " "300017","PARKLAND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","63 patients",,,"AMI-2 " "300017","PARKLAND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "300017","PARKLAND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "300017","PARKLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","106 patients",,,"SCIP-INF-2 " "300017","PARKLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","90 patients",,,"SCIP-VTE-1 " "300017","PARKLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","104 patients",,,"SCIP-INF-1 " "300017","PARKLAND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","79 patients",,,"PN-7 " "300017","PARKLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","198 patients",,,"SCIP-INF-6 " "300017","PARKLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "300017","PARKLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","22 patients","1 ","1","SCIP-CARD-2 " "300017","PARKLAND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","109 patients",,,"PN-2 " "300017","PARKLAND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "300017","PARKLAND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300017","PARKLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","95 patients",,,"SCIP-INF-3 " "300017","PARKLAND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","81 patients",,,"PN-6 " "300017","PARKLAND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","135 patients",,,"PN-3B " "300017","PARKLAND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","109 patients",,,"HF-2 " "300017","PARKLAND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","62 patients",,,"AMI-5 " "300017","PARKLAND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","77 patients",,,"HF-1 " "300017","PARKLAND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","18 patients","1 ","1","AMI-8A " "300017","PARKLAND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"HF-3 " "300017","PARKLAND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","102 patients",,,"PN-5C " "300017","PARKLAND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","70 patients",,,"AMI-1 " "300017","PARKLAND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","AMI-4 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","88 patients",,,"AMI-2 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","172 patients","2 ","2","SCIP-VTE-1 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","76 patients","2 ","2","PN-6 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300018","WENTWORTH-DOUGLASS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","256 patients","2 ","2","SCIP-INF-2 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","255 patients","2 ","2","SCIP-INF-3 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","173 patients",,,"HF-1 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","172 patients","2 ","2","SCIP-VTE-2 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","137 patients","2 ","2","PN-5C " "300018","WENTWORTH-DOUGLASS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","384 patients","2 ","2","SCIP-INF-6 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","255 patients","2 ","2","SCIP-INF-1 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","115 patients","2 ","2","PN-2 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","133 patients","2 ","2","PN-3B " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","113 patients",,,"AMI-1 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","59 patients","2 ","2","SCIP-CARD-2 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","17 patients","1 ","1","AMI-3 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","12 patients","1 ","1","AMI-8A " "300018","WENTWORTH-DOUGLASS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","78 patients","2 ","2","PN-7 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","89 patients",,,"AMI-5 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","52 patients",,,"HF-3 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","211 patients",,,"HF-2 " "300018","WENTWORTH-DOUGLASS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "300019","CHESHIRE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "300019","CHESHIRE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "300019","CHESHIRE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "300019","CHESHIRE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "300019","CHESHIRE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","80 patients","2 ","2","PN-6 " "300019","CHESHIRE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","183 patients","2 ","2","SCIP-INF-1 " "300019","CHESHIRE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","157 patients","2 ","2","SCIP-VTE-1 " "300019","CHESHIRE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "300019","CHESHIRE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","184 patients","2 ","2","SCIP-INF-2 " "300019","CHESHIRE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","157 patients","2 ","2","SCIP-VTE-2 " "300019","CHESHIRE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","110 patients","2 ","2","PN-3B " "300019","CHESHIRE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","91 patients",,,"HF-1 " "300019","CHESHIRE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","124 patients","2 ","2","PN-5C " "300019","CHESHIRE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "300019","CHESHIRE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","32 patients",,,"AMI-1 " "300019","CHESHIRE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","126 patients","2 ","2","PN-2 " "300019","CHESHIRE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","35 patients",,,"SCIP-CARD-2 " "300019","CHESHIRE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","76 patients","2 ","2","PN-7 " "300019","CHESHIRE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","130 patients",,,"HF-2 " "300019","CHESHIRE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","38 patients",,,"HF-3 " "300019","CHESHIRE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "300019","CHESHIRE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "300019","CHESHIRE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","267 patients","2 ","2","SCIP-INF-6 " "300019","CHESHIRE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300019","CHESHIRE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","177 patients","2 ","2","SCIP-INF-3 " "300020","SOUTHERN NH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","123 patients",,,"PN-7 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","251 patients",,,"HF-2 " "300020","SOUTHERN NH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"PN-4 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","199 patients",,,"HF-1 " "300020","SOUTHERN NH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","425 patients",,,"SCIP-INF-3 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","129 patients",,,"AMI-1 " "300020","SOUTHERN NH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "300020","SOUTHERN NH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","305 patients",,,"SCIP-VTE-2 " "300020","SOUTHERN NH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","101 patients",,,"PN-6 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","33 patients",,,"AMI-3 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300020","SOUTHERN NH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","307 patients",,,"SCIP-VTE-1 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"AMI-4 " "300020","SOUTHERN NH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","81 patients",,,"SCIP-CARD-2 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","17 patients","1 ","1","AMI-8A " "300020","SOUTHERN NH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","165 patients",,,"PN-2 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","80 patients",,,"HF-3 " "300020","SOUTHERN NH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","113 patients",,,"AMI-2 " "300020","SOUTHERN NH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","434 patients",,,"SCIP-INF-1 " "300020","SOUTHERN NH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","202 patients",,,"PN-3B " "300020","SOUTHERN NH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","116 patients",,,"AMI-5 " "300020","SOUTHERN NH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","202 patients",,,"PN-5C " "300020","SOUTHERN NH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","436 patients",,,"SCIP-INF-2 " "300020","SOUTHERN NH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","625 patients",,,"SCIP-INF-6 " "300023","EXETER HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","155 patients",,,"PN-3B " "300023","EXETER HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "300023","EXETER HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","194 patients",,,"SCIP-VTE-1 " "300023","EXETER HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","41 patients",,,"HF-3 " "300023","EXETER HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","343 patients",,,"SCIP-INF-1 " "300023","EXETER HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","171 patients",,,"HF-2 " "300023","EXETER HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "300023","EXETER HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","87 patients",,,"AMI-2 " "300023","EXETER HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","194 patients",,,"SCIP-VTE-2 " "300023","EXETER HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","166 patients",,,"PN-5C " "300023","EXETER HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300023","EXETER HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","335 patients",,,"SCIP-INF-3 " "300023","EXETER HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","137 patients",,,"HF-1 " "300023","EXETER HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "300023","EXETER HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","515 patients",,,"SCIP-INF-6 " "300023","EXETER HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","114 patients",,,"PN-6 " "300023","EXETER HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","102 patients",,,"PN-7 " "300023","EXETER HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","108 patients",,,"AMI-1 " "300023","EXETER HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "300023","EXETER HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","346 patients",,,"SCIP-INF-2 " "300023","EXETER HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","79 patients",,,"AMI-5 " "300023","EXETER HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","170 patients",,,"PN-2 " "300023","EXETER HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "300023","EXETER HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","30 patients",,,"AMI-8A " "300023","EXETER HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","85 patients",,,"SCIP-CARD-2 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","92 patients",,,"PN-5C " "300029","PORTSMOUTH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","360 patients","2 ","2","SCIP-INF-3 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","630 patients","2 ","2","SCIP-INF-6 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","54 patients",,,"PN-7 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","83 patients",,,"HF-1 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","91 patients",,,"PN-2 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","114 patients",,,"HF-2 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","22 patients","1 ","1","AMI-8A " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"AMI-3 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","123 patients",,,"AMI-1 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","62 patients",,,"PN-6 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","107 patients",,,"PN-3B " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","270 patients",,,"AMI-2 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","136 patients","2 ","2","SCIP-CARD-2 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","286 patients",,,"AMI-5 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","205 patients","2 ","2","SCIP-VTE-1 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","94 patients",,,"AMI-4 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","184 patients","2 ","2","SCIP-INF-4 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","425 patients","2 ","2","SCIP-INF-2 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","387 patients","2 ","2","SCIP-INF-1 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "300029","PORTSMOUTH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","205 patients","2 ","2","SCIP-VTE-2 " "300034","CATHOLIC MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","136 patients","2 ","2","PN-2 " "300034","CATHOLIC MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","433 patients",,,"AMI-2 " "300034","CATHOLIC MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","108 patients","2 ","2","HF-3 " "300034","CATHOLIC MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "300034","CATHOLIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","143 patients","2 ","2","SCIP-VTE-2 " "300034","CATHOLIC MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","88 patients","2 ","2","PN-7 " "300034","CATHOLIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","119 patients","2 ","2","SCIP-CARD-2 " "300034","CATHOLIC MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","447 patients",,,"AMI-5 " "300034","CATHOLIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","386 patients","2 ","2","SCIP-INF-2 " "300034","CATHOLIC MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","152 patients",,,"AMI-4 " "300034","CATHOLIC MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","121 patients","2 ","2","PN-5C " "300034","CATHOLIC MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","228 patients",,,"AMI-1 " "300034","CATHOLIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","527 patients","2 ","2","SCIP-INF-6 " "300034","CATHOLIC MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","221 patients","2 ","2","HF-1 " "300034","CATHOLIC MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","61 patients",,,"AMI-8A " "300034","CATHOLIC MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","90 patients","2 ","2","PN-6 " "300034","CATHOLIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","143 patients","2 ","2","SCIP-VTE-1 " "300034","CATHOLIC MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","71 patients",,,"AMI-3 " "300034","CATHOLIC MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","274 patients","2 ","2","HF-2 " "300034","CATHOLIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","378 patients","2 ","2","SCIP-INF-1 " "300034","CATHOLIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","132 patients","2 ","2","SCIP-INF-4 " "300034","CATHOLIC MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","HF-4 " "300034","CATHOLIC MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "300034","CATHOLIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","364 patients","2 ","2","SCIP-INF-3 " "300034","CATHOLIC MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","128 patients","2 ","2","PN-3B " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1 ","1","SCIP-INF-3 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1 ","1","SCIP-VTE-2 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","9 patients","1 ","1","HF-2 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-1 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","20 patients","1 ","1","PN-3B " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","PN-4 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-2 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","26 patients",,,"PN-2 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","25 patients",,,"PN-5C " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","4 patients","1 ","1","HF-1 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","16 patients","1 ","1","PN-7 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1 ","1","SCIP-VTE-1 " "301300","UPPER CONNECTICUT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1 ","1","SCIP-INF-6 " "301301","COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "301301","COTTAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","28 patients",,,"PN-5C " "301301","COTTAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "301301","COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","49 patients",,,"SCIP-INF-2 " "301301","COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","59 patients",,,"SCIP-INF-6 " "301301","COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "301301","COTTAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "301301","COTTAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","13 patients","1 ","1","HF-1 " "301301","COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","42 patients",,,"SCIP-INF-1 " "301301","COTTAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","27 patients",,,"PN-7 " "301301","COTTAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","35 patients",,,"PN-2 " "301301","COTTAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "301301","COTTAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "301301","COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","34 patients",,,"SCIP-VTE-1 " "301301","COTTAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "301301","COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","34 patients",,,"SCIP-VTE-2 " "301301","COTTAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "301301","COTTAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","19 patients","1 ","1","HF-2 " "301301","COTTAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "301301","COTTAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","31 patients",,,"PN-3B " "301301","COTTAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","25 patients",,,"PN-6 " "301301","COTTAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "301301","COTTAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "301301","COTTAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "301301","COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","41 patients",,,"SCIP-INF-3 " "301302","LITTLETON REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","31 patients","2 ","2","PN-3B " "301302","LITTLETON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "301302","LITTLETON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","116 patients",,,"SCIP-INF-1 " "301302","LITTLETON REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "301302","LITTLETON REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","53 patients","2 ","2","PN-5C " "301302","LITTLETON REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "301302","LITTLETON REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "301302","LITTLETON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","155 patients",,,"SCIP-INF-6 " "301302","LITTLETON REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1 ","1","AMI-2 " "301302","LITTLETON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","87 patients",,,"SCIP-VTE-2 " "301302","LITTLETON REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "301302","LITTLETON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","87 patients",,,"SCIP-VTE-1 " "301302","LITTLETON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1 ","1","SCIP-CARD-2 " "301302","LITTLETON REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","38 patients",,,"PN-7 " "301302","LITTLETON REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "301302","LITTLETON REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1,2 ","12","PN-4 " "301302","LITTLETON REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","46 patients","2 ","2","PN-6 " "301302","LITTLETON REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "301302","LITTLETON REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "301302","LITTLETON REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "301302","LITTLETON REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","52 patients","2 ","2","PN-2 " "301302","LITTLETON REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","37 patients",,,"HF-1 " "301302","LITTLETON REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","44 patients",,,"HF-2 " "301302","LITTLETON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","108 patients",,,"SCIP-INF-3 " "301302","LITTLETON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","116 patients",,,"SCIP-INF-2 " "301303","WEEKS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "301303","WEEKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","37 patients",,,"SCIP-INF-1 " "301303","WEEKS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","36 patients",,,"HF-2 " "301303","WEEKS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "301303","WEEKS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "301303","WEEKS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","26 patients",,,"PN-6 " "301303","WEEKS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "301303","WEEKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","27 patients",,,"SCIP-VTE-1 " "301303","WEEKS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","39 patients",,,"PN-7 " "301303","WEEKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","37 patients",,,"SCIP-INF-2 " "301303","WEEKS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "301303","WEEKS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "301303","WEEKS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "301303","WEEKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","39 patients",,,"SCIP-INF-6 " "301303","WEEKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "301303","WEEKS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "301303","WEEKS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "301303","WEEKS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","48 patients",,,"PN-3B " "301303","WEEKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","36 patients",,,"SCIP-INF-3 " "301303","WEEKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","27 patients",,,"SCIP-VTE-2 " "301303","WEEKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "301303","WEEKS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","54 patients",,,"PN-2 " "301303","WEEKS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","51 patients",,,"PN-5C " "301303","WEEKS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","16 patients","1 ","1","HF-1 " "301303","WEEKS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","HF-4 " "301304","NEW LONDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","65 patients",,,"SCIP-INF-6 " "301304","NEW LONDON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","29 patients",,,"HF-1 " "301304","NEW LONDON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","27 patients",,,"PN-7 " "301304","NEW LONDON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "301304","NEW LONDON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "301304","NEW LONDON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","28 patients",,,"SCIP-VTE-1 " "301304","NEW LONDON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "301304","NEW LONDON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "301304","NEW LONDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","51 patients",,,"SCIP-INF-1 " "301304","NEW LONDON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","30 patients",,,"HF-2 " "301304","NEW LONDON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "301304","NEW LONDON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "301304","NEW LONDON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","38 patients",,,"PN-2 " "301304","NEW LONDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "301304","NEW LONDON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "301304","NEW LONDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","52 patients",,,"SCIP-INF-2 " "301304","NEW LONDON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "301304","NEW LONDON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","50 patients",,,"SCIP-INF-3 " "301304","NEW LONDON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "301304","NEW LONDON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "301304","NEW LONDON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients",,,"PN-6 " "301304","NEW LONDON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","29 patients",,,"PN-5C " "301304","NEW LONDON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","28 patients",,,"SCIP-VTE-2 " "301304","NEW LONDON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","PN-4 " "301304","NEW LONDON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","32 patients",,,"PN-3B " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","5 patients","1,3 ","13","HF-2 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","15 patients","1 ","1","PN-2 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","5 patients","1,3 ","13","HF-1 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","13 patients","1 ","1","PN-7 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","43 patients","2 ","2","SCIP-INF-2 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","45 patients","2 ","2","SCIP-INF-1 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","25 patients","2 ","2","SCIP-VTE-2 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","18 patients","1 ","1","PN-6 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1 ","1","PN-3B " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","25 patients","2 ","2","SCIP-VTE-1 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","41 patients","2 ","2","SCIP-INF-3 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","58 patients","2 ","2","SCIP-INF-6 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "301305","ALICE PECK DAY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1 ","1","PN-5C " "301306","FRANKLIN REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","71 patients",,,"PN-2 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "301306","FRANKLIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","29 patients","2 ","2","SCIP-VTE-1 " "301306","FRANKLIN REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","73 patients",,,"PN-5C " "301306","FRANKLIN REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","55 patients",,,"PN-3B " "301306","FRANKLIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","34 patients","2 ","2","SCIP-INF-2 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "301306","FRANKLIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","34 patients","2 ","2","SCIP-INF-1 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "301306","FRANKLIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "301306","FRANKLIN REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","29 patients",,,"PN-6 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "301306","FRANKLIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","29 patients","2 ","2","SCIP-VTE-2 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","14 patients","1 ","1","HF-1 " "301306","FRANKLIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","52 patients","2 ","2","SCIP-INF-6 " "301306","FRANKLIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","31 patients","2 ","2","SCIP-INF-3 " "301306","FRANKLIN REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","45 patients",,,"PN-7 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "301306","FRANKLIN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","32 patients",,,"HF-2 " "301306","FRANKLIN REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","14 patients","1 ","1","PN-4 " "301306","FRANKLIN REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "301307","MEMORIAL HOSPITAL, THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","17 patients","1 ","1","HF-1 " "301307","MEMORIAL HOSPITAL, THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "301307","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "301307","MEMORIAL HOSPITAL, THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "301307","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "301307","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","53 patients",,,"SCIP-INF-3 " "301307","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "301307","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","53 patients",,,"SCIP-INF-1 " "301307","MEMORIAL HOSPITAL, THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","30 patients",,,"PN-5C " "301307","MEMORIAL HOSPITAL, THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","31 patients",,,"PN-3B " "301307","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","64 patients",,,"SCIP-INF-6 " "301307","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","53 patients",,,"SCIP-INF-2 " "301307","MEMORIAL HOSPITAL, THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "301307","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "301307","MEMORIAL HOSPITAL, THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","27 patients",,,"PN-2 " "301307","MEMORIAL HOSPITAL, THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","32 patients",,,"HF-2 " "301307","MEMORIAL HOSPITAL, THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","31 patients",,,"PN-6 " "301307","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","38 patients",,,"SCIP-VTE-1 " "301307","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "301307","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","38 patients",,,"SCIP-VTE-2 " "301307","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "301307","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "301307","MEMORIAL HOSPITAL, THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "301307","MEMORIAL HOSPITAL, THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","20 patients","1 ","1","PN-7 " "301307","MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "301308","VALLEY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","23 patients","1,3 ","13","PN-5C " "301308","VALLEY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","20 patients","1,3 ","13","PN-3B " "301308","VALLEY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","14 patients","1,3 ","13","SCIP-VTE-1 " "301308","VALLEY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "301308","VALLEY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","30 patients",,,"PN-7 " "301308","VALLEY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "301308","VALLEY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","9 patients","1,3 ","13","HF-1 " "301308","VALLEY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "301308","VALLEY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","24 patients","1,3 ","13","PN-2 " "301308","VALLEY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,3 ","13","PN-4 " "301308","VALLEY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "301308","VALLEY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","33 patients","3 ","3","SCIP-INF-3 " "301308","VALLEY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "301308","VALLEY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "301308","VALLEY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","22 patients","1,3 ","13","PN-6 " "301308","VALLEY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","35 patients","3 ","3","SCIP-INF-2 " "301308","VALLEY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "301308","VALLEY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","35 patients","3 ","3","SCIP-INF-1 " "301308","VALLEY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","16 patients","1,3 ","13","HF-2 " "301308","VALLEY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "301308","VALLEY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","14 patients","1,3 ","13","SCIP-VTE-2 " "301308","VALLEY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "301308","VALLEY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","39 patients","3 ","3","SCIP-INF-6 " "301308","VALLEY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "301308","VALLEY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","30 patients",,,"HF-2 " "301309","MONADNOCK COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","59 patients",,,"PN-3B " "301309","MONADNOCK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "301309","MONADNOCK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","105 patients",,,"SCIP-INF-2 " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "301309","MONADNOCK COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","51 patients",,,"PN-5C " "301309","MONADNOCK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","94 patients",,,"SCIP-INF-1 " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","20 patients","1 ","1","HF-1 " "301309","MONADNOCK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","66 patients",,,"SCIP-VTE-1 " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "301309","MONADNOCK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "301309","MONADNOCK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","66 patients",,,"SCIP-VTE-2 " "301309","MONADNOCK COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","35 patients",,,"PN-6 " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "301309","MONADNOCK COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1 ","1","PN-4 " "301309","MONADNOCK COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","57 patients",,,"PN-2 " "301309","MONADNOCK COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","33 patients",,,"PN-7 " "301309","MONADNOCK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","89 patients",,,"SCIP-INF-3 " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "301309","MONADNOCK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","117 patients",,,"SCIP-INF-6 " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "301309","MONADNOCK COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","30 patients",,,"SCIP-INF-2 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","21 patients","1,3 ","13","SCIP-INF-6 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","30 patients",,,"SCIP-INF-1 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","34 patients",,,"PN-7 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","28 patients",,,"SCIP-INF-3 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1,3 ","13","SCIP-VTE-2 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,3 ","13","SCIP-VTE-1 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","35 patients",,,"PN-6 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","49 patients",,,"PN-3B " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","39 patients",,,"HF-1 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","52 patients",,,"PN-2 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","58 patients",,,"HF-2 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","15 patients","1 ","1","HF-3 " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "301310","ANDROSCOGGIN VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","55 patients",,,"PN-5C " "301311","SPEARE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","36 patients",,,"HF-2 " "301311","SPEARE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","31 patients",,,"HF-1 " "301311","SPEARE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "301311","SPEARE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1,2 ","12","PN-4 " "301311","SPEARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","28 patients",,,"SCIP-INF-3 " "301311","SPEARE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","56 patients","2 ","2","PN-3B " "301311","SPEARE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "301311","SPEARE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","40 patients",,,"PN-7 " "301311","SPEARE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "301311","SPEARE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "301311","SPEARE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "301311","SPEARE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","61 patients","2 ","2","PN-5C " "301311","SPEARE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","55 patients","2 ","2","PN-2 " "301311","SPEARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","27 patients",,,"SCIP-VTE-2 " "301311","SPEARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "301311","SPEARE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "301311","SPEARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","29 patients",,,"SCIP-INF-1 " "301311","SPEARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","47 patients",,,"SCIP-INF-6 " "301311","SPEARE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "301311","SPEARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","29 patients",,,"SCIP-INF-2 " "301311","SPEARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "301311","SPEARE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "301311","SPEARE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "301311","SPEARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","27 patients",,,"SCIP-VTE-1 " "301311","SPEARE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","39 patients","2 ","2","PN-6 " "301312","HUGGINS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "301312","HUGGINS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "301312","HUGGINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","44 patients","3 ","3","SCIP-INF-2 " "301312","HUGGINS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1,3 ","13","HF-3 " "301312","HUGGINS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","29 patients","3 ","3","SCIP-VTE-2 " "301312","HUGGINS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","14 patients","1 ","1","SCIP-CARD-2 " "301312","HUGGINS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "301312","HUGGINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "301312","HUGGINS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","54 patients","3 ","3","PN-2 " "301312","HUGGINS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","60 patients","3 ","3","PN-3B " "301312","HUGGINS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1,3 ","13","PN-4 " "301312","HUGGINS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,3 ","13","HF-4 " "301312","HUGGINS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "301312","HUGGINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","43 patients","3 ","3","SCIP-INF-3 " "301312","HUGGINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","43 patients","3 ","3","SCIP-INF-1 " "301312","HUGGINS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","35 patients","3 ","3","PN-6 " "301312","HUGGINS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "301312","HUGGINS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients","3 ","3","PN-5C " "301312","HUGGINS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","29 patients","3 ","3","SCIP-VTE-1 " "301312","HUGGINS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","29 patients","3 ","3","HF-2 " "301312","HUGGINS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","18 patients","1,3 ","13","HF-1 " "301312","HUGGINS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "301312","HUGGINS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","42 patients",,,"PN-7 " "301312","HUGGINS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "301312","HUGGINS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","63 patients","3 ","3","SCIP-INF-6 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","222 patients","2 ","2","SCIP-VTE-2 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","321 patients",,,"HF-3 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","94 patients",,,"HF-4 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","351 patients",,,"PN-5C " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","122 patients","2 ","2","SCIP-CARD-2 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","136 patients",,,"AMI-3 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","251 patients",,,"PN-6 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","126 patients","2 ","2","SCIP-INF-4 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","585 patients",,,"AMI-5 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","329 patients",,,"PN-7 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","165 patients",,,"AMI-4 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1011 patients",,,"HF-2 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","418 patients","2 ","2","SCIP-INF-1 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","436 patients",,,"AMI-1 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","223 patients","2 ","2","SCIP-VTE-1 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","716 patients",,,"HF-1 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","659 patients","2 ","2","SCIP-INF-6 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","442 patients",,,"PN-2 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","595 patients",,,"AMI-2 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","425 patients","2 ","2","SCIP-INF-2 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","381 patients","2 ","2","SCIP-INF-3 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","90 patients",,,"AMI-8A " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","104 patients",,,"PN-4 " "310001","HACKENSACK UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","267 patients",,,"PN-3B " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","283 patients","2 ","2","AMI-2 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","26 patients","2 ","2","AMI-8A " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","380 patients","2 ","2","SCIP-INF-3 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","440 patients","2 ","2","SCIP-INF-2 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","96 patients","2 ","2","PN-2 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","174 patients","2 ","2","SCIP-INF-4 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","PN-4 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","102 patients","2 ","2","SCIP-CARD-2 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","71 patients","2 ","2","AMI-3 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","134 patients","2 ","2","PN-3B " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","112 patients","2 ","2","PN-5C " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","284 patients","2 ","2","AMI-5 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","204 patients","2 ","2","SCIP-VTE-1 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","358 patients","2 ","2","HF-2 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","186 patients","2 ","2","HF-3 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","204 patients","2 ","2","SCIP-VTE-2 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","431 patients","2 ","2","SCIP-INF-1 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","192 patients","2 ","2","AMI-1 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","80 patients","2 ","2","AMI-4 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","HF-4 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","617 patients","2 ","2","SCIP-INF-6 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","82 patients","2 ","2","PN-7 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","310 patients","2 ","2","HF-1 " "310002","NEWARK BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","78 patients","2 ","2","PN-6 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","129 patients","2 ","2","PN-5C " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","257 patients","2 ","2","HF-2 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","67 patients",,,"SCIP-VTE-2 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,2 ","12","PN-4 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","67 patients",,,"SCIP-VTE-1 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","22 patients","1 ","1","SCIP-CARD-2 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","64 patients",,,"SCIP-INF-2 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","104 patients",,,"AMI-1 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","138 patients","2 ","2","PN-2 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","90 patients","2 ","2","PN-7 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","169 patients",,,"SCIP-INF-6 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","182 patients","2 ","2","HF-1 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","136 patients","2 ","2","PN-3B " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","55 patients",,,"SCIP-INF-3 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","38 patients",,,"AMI-5 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1,2 ","12","HF-4 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","63 patients",,,"SCIP-INF-1 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","87 patients","2 ","2","HF-3 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","29 patients",,,"AMI-2 " "310003","PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","88 patients","2 ","2","PN-6 " "310005","HUNTERDON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","67 patients",,,"AMI-2 " "310005","HUNTERDON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","33 patients",,,"AMI-8A " "310005","HUNTERDON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310005","HUNTERDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","179 patients","2 ","2","SCIP-VTE-1 " "310005","HUNTERDON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","121 patients",,,"HF-1 " "310005","HUNTERDON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","89 patients","2 ","2","PN-6 " "310005","HUNTERDON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "310005","HUNTERDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","50 patients","2 ","2","SCIP-CARD-2 " "310005","HUNTERDON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","148 patients",,,"HF-2 " "310005","HUNTERDON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "310005","HUNTERDON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","99 patients",,,"AMI-1 " "310005","HUNTERDON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","63 patients",,,"AMI-5 " "310005","HUNTERDON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","201 patients","2 ","2","PN-3B " "310005","HUNTERDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","256 patients","2 ","2","SCIP-INF-3 " "310005","HUNTERDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310005","HUNTERDON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","139 patients","2 ","2","PN-2 " "310005","HUNTERDON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","91 patients","2 ","2","PN-7 " "310005","HUNTERDON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","PN-4 " "310005","HUNTERDON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","161 patients","2 ","2","PN-5C " "310005","HUNTERDON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","56 patients",,,"HF-3 " "310005","HUNTERDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","383 patients","2 ","2","SCIP-INF-6 " "310005","HUNTERDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","265 patients","2 ","2","SCIP-INF-2 " "310005","HUNTERDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","179 patients","2 ","2","SCIP-VTE-2 " "310005","HUNTERDON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "310005","HUNTERDON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","262 patients","2 ","2","SCIP-INF-1 " "310006","ST MARY'S HOSPITAL, PASSAIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","182 patients","2 ","2","SCIP-VTE-1 " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","54%","26 patients",,,"AMI-8A " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","49 patients","2 ","2","HF-4 " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","69 patients",,,"AMI-5 " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","346 patients","2 ","2","HF-2 " "310006","ST MARY'S HOSPITAL, PASSAIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","157 patients","2 ","2","PN-5C " "310006","ST MARY'S HOSPITAL, PASSAIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","70 patients","2 ","2","SCIP-INF-4 " "310006","ST MARY'S HOSPITAL, PASSAIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","173 patients","2 ","2","PN-3B " "310006","ST MARY'S HOSPITAL, PASSAIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","194 patients","2 ","2","SCIP-INF-3 " "310006","ST MARY'S HOSPITAL, PASSAIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","112 patients","2 ","2","PN-7 " "310006","ST MARY'S HOSPITAL, PASSAIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","84%","432 patients","2 ","2","SCIP-INF-6 " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","266 patients","2 ","2","HF-1 " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","138 patients","2 ","2","HF-3 " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","74 patients",,,"AMI-1 " "310006","ST MARY'S HOSPITAL, PASSAIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","95 patients","2 ","2","PN-6 " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "310006","ST MARY'S HOSPITAL, PASSAIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","194 patients","2 ","2","PN-2 " "310006","ST MARY'S HOSPITAL, PASSAIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","37 patients","2 ","2","PN-4 " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","56 patients",,,"AMI-2 " "310006","ST MARY'S HOSPITAL, PASSAIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","223 patients","2 ","2","SCIP-INF-2 " "310006","ST MARY'S HOSPITAL, PASSAIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","182 patients","2 ","2","SCIP-VTE-2 " "310006","ST MARY'S HOSPITAL, PASSAIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "310006","ST MARY'S HOSPITAL, PASSAIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","66 patients","2 ","2","SCIP-CARD-2 " "310006","ST MARY'S HOSPITAL, PASSAIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","216 patients","2 ","2","SCIP-INF-1 " "310008","HOLY NAME HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "310008","HOLY NAME HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1,2 ","12","HF-4 " "310008","HOLY NAME HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","553 patients","2 ","2","SCIP-INF-6 " "310008","HOLY NAME HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","24 patients","1 ","1","AMI-8A " "310008","HOLY NAME HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","301 patients","2 ","2","SCIP-INF-3 " "310008","HOLY NAME HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","99 patients","2 ","2","PN-6 " "310008","HOLY NAME HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","240 patients","2 ","2","HF-1 " "310008","HOLY NAME HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","320 patients","2 ","2","SCIP-INF-2 " "310008","HOLY NAME HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","PN-4 " "310008","HOLY NAME HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","287 patients","2 ","2","SCIP-VTE-1 " "310008","HOLY NAME HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","199 patients",,,"AMI-1 " "310008","HOLY NAME HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","287 patients","2 ","2","SCIP-VTE-2 " "310008","HOLY NAME HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310008","HOLY NAME HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","320 patients","2 ","2","SCIP-INF-1 " "310008","HOLY NAME HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","129 patients",,,"AMI-2 " "310008","HOLY NAME HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","175 patients","2 ","2","PN-2 " "310008","HOLY NAME HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"AMI-3 " "310008","HOLY NAME HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","149 patients",,,"AMI-5 " "310008","HOLY NAME HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","109 patients","2 ","2","PN-7 " "310008","HOLY NAME HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","77 patients","2 ","2","HF-3 " "310008","HOLY NAME HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","202 patients","2 ","2","PN-5C " "310008","HOLY NAME HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","191 patients","2 ","2","PN-3B " "310008","HOLY NAME HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","65 patients","2 ","2","SCIP-CARD-2 " "310008","HOLY NAME HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","352 patients","2 ","2","HF-2 " "310008","HOLY NAME HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310009","CLARA MAASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","456 patients","2 ","2","SCIP-INF-3 " "310009","CLARA MAASS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","384 patients","2 ","2","HF-2 " "310009","CLARA MAASS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","67 patients","2 ","2","HF-4 " "310009","CLARA MAASS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","116 patients","2 ","2","HF-3 " "310009","CLARA MAASS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310009","CLARA MAASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","79 patients","2 ","2","SCIP-CARD-2 " "310009","CLARA MAASS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","85 patients",,,"AMI-5 " "310009","CLARA MAASS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","173 patients","2 ","2","PN-6 " "310009","CLARA MAASS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","93 patients",,,"AMI-2 " "310009","CLARA MAASS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","326 patients","2 ","2","PN-5C " "310009","CLARA MAASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","790 patients","2 ","2","SCIP-INF-6 " "310009","CLARA MAASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","490 patients","2 ","2","SCIP-INF-2 " "310009","CLARA MAASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","342 patients","2 ","2","SCIP-VTE-2 " "310009","CLARA MAASS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "310009","CLARA MAASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310009","CLARA MAASS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","98 patients","2 ","2","PN-4 " "310009","CLARA MAASS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "310009","CLARA MAASS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","385 patients","2 ","2","PN-3B " "310009","CLARA MAASS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","208 patients",,,"AMI-1 " "310009","CLARA MAASS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","288 patients","2 ","2","HF-1 " "310009","CLARA MAASS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","21 patients","1 ","1","AMI-8A " "310009","CLARA MAASS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","371 patients","2 ","2","PN-2 " "310009","CLARA MAASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","489 patients","2 ","2","SCIP-INF-1 " "310009","CLARA MAASS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","342 patients","2 ","2","SCIP-VTE-1 " "310009","CLARA MAASS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","250 patients","2 ","2","PN-7 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","141 patients","2 ","2","PN-5C " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","95 patients","2 ","2","PN-6 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","282 patients","2 ","2","SCIP-INF-2 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","267 patients","2 ","2","SCIP-INF-3 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","71 patients","2 ","2","HF-3 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","157 patients","2 ","2","PN-3B " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","280 patients","2 ","2","SCIP-INF-1 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","131 patients",,,"AMI-1 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","107 patients","2 ","2","PN-7 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","499 patients","2 ","2","SCIP-INF-6 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","72 patients",,,"AMI-2 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","69 patients",,,"AMI-5 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","10 patients","1 ","1","AMI-8A " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","231 patients","2 ","2","SCIP-VTE-1 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","155 patients","2 ","2","HF-1 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","66 patients","2 ","2","SCIP-CARD-2 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","161 patients","2 ","2","PN-2 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1,2 ","12","HF-4 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","PN-4 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","238 patients","2 ","2","HF-2 " "310010","UNIVERSITY MEDICAL CENTER AT PRINCETON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","231 patients","2 ","2","SCIP-VTE-2 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","310 patients",,,"HF-2 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","459 patients",,,"PN-3B " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","229 patients",,,"HF-1 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","27 patients",,,"AMI-2 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","226 patients","2 ","2","SCIP-INF-2 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","39 patients","2 ","2","SCIP-CARD-2 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","138 patients","2 ","2","SCIP-VTE-1 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","417 patients",,,"PN-5C " "310011","CAPE REGIONAL MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","138 patients",,,"PN-4 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","138 patients","2 ","2","SCIP-VTE-2 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","371 patients","2 ","2","SCIP-INF-6 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","81 patients",,,"HF-3 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","53 patients",,,"AMI-1 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","231 patients",,,"PN-7 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","228 patients","2 ","2","SCIP-INF-1 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","216 patients","2 ","2","SCIP-INF-3 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310011","CAPE REGIONAL MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","264 patients",,,"PN-6 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "310011","CAPE REGIONAL MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","325 patients",,,"PN-2 " "310012","VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","50 patients","2 ","2","AMI-8A " "310012","VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","289 patients","2 ","2","AMI-5 " "310012","VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","104 patients","2 ","2","PN-7 " "310012","VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","98 patients","2 ","2","PN-6 " "310012","VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients","2 ","2","PN-4 " "310012","VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","260 patients","2 ","2","SCIP-VTE-2 " "310012","VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","548 patients","2 ","2","SCIP-INF-1 " "310012","VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","90 patients","2 ","2","HF-3 " "310012","VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","183 patients","2 ","2","SCIP-INF-4 " "310012","VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","AMI-4 " "310012","VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1,2 ","12","HF-4 " "310012","VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","816 patients","2 ","2","SCIP-INF-6 " "310012","VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","256 patients","2 ","2","AMI-2 " "310012","VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "310012","VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","556 patients","2 ","2","SCIP-INF-2 " "310012","VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","355 patients","2 ","2","HF-2 " "310012","VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","149 patients","2 ","2","PN-5C " "310012","VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","261 patients","2 ","2","SCIP-VTE-1 " "310012","VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","233 patients","2 ","2","HF-1 " "310012","VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","125 patients","2 ","2","SCIP-CARD-2 " "310012","VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","40 patients","2 ","2","AMI-3 " "310012","VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","496 patients","2 ","2","SCIP-INF-3 " "310012","VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","247 patients","2 ","2","AMI-1 " "310012","VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","160 patients","2 ","2","PN-3B " "310012","VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","178 patients","2 ","2","PN-2 " "310014","COOPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1024 patients","2 ","2","SCIP-INF-3 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","443 patients",,,"AMI-2 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","425 patients",,,"AMI-5 " "310014","COOPER UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","109 patients",,,"PN-2 " "310014","COOPER UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"PN-4 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","174 patients",,,"HF-4 " "310014","COOPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","383 patients","2 ","2","SCIP-VTE-2 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310014","COOPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1289 patients","2 ","2","SCIP-INF-6 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","530 patients",,,"HF-2 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","53%","36 patients",,,"AMI-8A " "310014","COOPER UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","92 patients",,,"AMI-3 " "310014","COOPER UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","91 patients",,,"PN-6 " "310014","COOPER UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","144 patients",,,"PN-3B " "310014","COOPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","413 patients","2 ","2","SCIP-INF-4 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","456 patients",,,"HF-1 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","215 patients",,,"HF-3 " "310014","COOPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1062 patients","2 ","2","SCIP-INF-1 " "310014","COOPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","383 patients","2 ","2","SCIP-VTE-1 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","212 patients",,,"AMI-4 " "310014","COOPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1076 patients","2 ","2","SCIP-INF-2 " "310014","COOPER UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","211 patients","2 ","2","SCIP-CARD-2 " "310014","COOPER UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","92 patients",,,"PN-7 " "310014","COOPER UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","127 patients",,,"AMI-1 " "310014","COOPER UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","131 patients",,,"PN-5C " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","147 patients","2 ","2","AMI-1 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","253 patients","2 ","2","HF-1 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","324 patients","2 ","2","AMI-5 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","108 patients","2 ","2","PN-6 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","185 patients","2 ","2","PN-2 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","157 patients","2 ","2","PN-5C " "310015","MORRISTOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","169 patients","2 ","2","SCIP-INF-4 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","78 patients","2 ","2","AMI-4 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","48 patients","2 ","2","AMI-3 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","503 patients","2 ","2","SCIP-INF-3 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","352 patients","2 ","2","HF-2 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","118 patients","2 ","2","PN-7 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","818 patients","2 ","2","SCIP-INF-6 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","558 patients","2 ","2","SCIP-INF-1 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","138 patients","2 ","2","HF-3 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","304 patients","2 ","2","AMI-2 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","41 patients","2 ","2","AMI-8A " "310015","MORRISTOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","575 patients","2 ","2","SCIP-INF-2 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","HF-4 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","PN-4 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","191 patients","2 ","2","PN-3B " "310015","MORRISTOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","134 patients","2 ","2","SCIP-CARD-2 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","259 patients","2 ","2","SCIP-VTE-1 " "310015","MORRISTOWN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310015","MORRISTOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","259 patients","2 ","2","SCIP-VTE-2 " "310016","CHRIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","209 patients",,,"PN-3B " "310016","CHRIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","130 patients",,,"PN-6 " "310016","CHRIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","131 patients",,,"HF-3 " "310016","CHRIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","193 patients",,,"PN-5C " "310016","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","178 patients","2 ","2","SCIP-INF-3 " "310016","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","374 patients","2 ","2","SCIP-INF-6 " "310016","CHRIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"HF-4 " "310016","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","193 patients","2 ","2","SCIP-VTE-2 " "310016","CHRIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","112 patients",,,"PN-7 " "310016","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","202 patients","2 ","2","SCIP-INF-2 " "310016","CHRIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","478 patients",,,"HF-2 " "310016","CHRIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","68%","106 patients",,,"AMI-2 " "310016","CHRIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","344 patients",,,"HF-1 " "310016","CHRIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","21 patients","1 ","1","AMI-3 " "310016","CHRIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "310016","CHRIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","32 patients",,,"AMI-8A " "310016","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","199 patients","2 ","2","SCIP-INF-1 " "310016","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","193 patients","2 ","2","SCIP-VTE-1 " "310016","CHRIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","191 patients",,,"AMI-1 " "310016","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310016","CHRIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","167 patients",,,"PN-2 " "310016","CHRIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","76%","109 patients",,,"AMI-5 " "310016","CHRIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "310016","CHRIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310016","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","43 patients","2 ","2","SCIP-CARD-2 " "310017","CHILTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310017","CHILTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "310017","CHILTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310017","CHILTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","351 patients",,,"HF-2 " "310017","CHILTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","440 patients","2 ","2","SCIP-INF-6 " "310017","CHILTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","AMI-3 " "310017","CHILTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","279 patients","2 ","2","SCIP-INF-1 " "310017","CHILTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","75 patients",,,"HF-3 " "310017","CHILTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","60 patients","2 ","2","SCIP-CARD-2 " "310017","CHILTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","176 patients","2 ","2","PN-2 " "310017","CHILTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","150 patients","2 ","2","PN-5C " "310017","CHILTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","156 patients","2 ","2","PN-3B " "310017","CHILTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","83 patients",,,"AMI-5 " "310017","CHILTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","279 patients","2 ","2","SCIP-INF-2 " "310017","CHILTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","34 patients",,,"AMI-8A " "310017","CHILTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","82 patients",,,"AMI-2 " "310017","CHILTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","191 patients","2 ","2","SCIP-VTE-2 " "310017","CHILTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","93 patients","2 ","2","PN-6 " "310017","CHILTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","191 patients","2 ","2","SCIP-VTE-1 " "310017","CHILTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","124 patients","2 ","2","PN-7 " "310017","CHILTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","144 patients",,,"AMI-1 " "310017","CHILTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","267 patients","2 ","2","SCIP-INF-3 " "310017","CHILTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","PN-4 " "310017","CHILTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "310017","CHILTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","228 patients",,,"HF-1 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","366 patients",,,"PN-3B " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","278 patients",,,"AMI-1 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","808 patients","2 ","2","SCIP-INF-1 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","43 patients",,,"AMI-8A " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","814 patients","2 ","2","SCIP-INF-2 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"PN-4 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","366 patients","2 ","2","SCIP-VTE-2 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","142 patients",,,"HF-4 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","291 patients",,,"PN-2 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","375 patients","2 ","2","SCIP-VTE-1 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","781 patients","2 ","2","SCIP-INF-3 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","316 patients",,,"AMI-5 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","340 patients",,,"HF-3 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","222 patients",,,"PN-7 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","189 patients","2 ","2","SCIP-CARD-2 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","111 patients",,,"AMI-4 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","1061 patients","2 ","2","SCIP-INF-6 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","53 patients",,,"AMI-3 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","320 patients",,,"AMI-2 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","371 patients",,,"PN-5C " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","689 patients",,,"HF-1 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","903 patients",,,"HF-2 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","243 patients",,,"PN-6 " "310019","ST JOSEPH'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","301 patients","2 ","2","SCIP-INF-4 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","42 patients",,,"PN-2 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","71 patients",,,"SCIP-INF-3 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","31 patients",,,"PN-7 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"PN-4 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","98 patients","2 ","2","SCIP-VTE-2 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","99 patients",,,"HF-1 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","68 patients",,,"PN-3B " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","132 patients","2 ","2","SCIP-INF-6 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","73 patients",,,"SCIP-INF-2 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","43 patients","2 ","2","SCIP-CARD-2 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","61 patients",,,"HF-3 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","63 patients",,,"PN-5C " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","117 patients",,,"HF-2 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","75 patients",,,"SCIP-INF-1 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","40 patients",,,"PN-6 " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "31001F","VA NEW JERSEY HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","99 patients","2 ","2","SCIP-VTE-1 " "310021","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","44 patients",,,"AMI-3 " "310021","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","74 patients",,,"PN-6 " "310021","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","129 patients",,,"AMI-1 " "310021","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","268 patients",,,"AMI-5 " "310021","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","149 patients",,,"SCIP-VTE-1 " "310021","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","238 patients",,,"HF-1 " "310021","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","149 patients",,,"SCIP-VTE-2 " "310021","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310021","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"AMI-4 " "310021","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","127 patients",,,"PN-3B " "310021","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "310021","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"HF-4 " "310021","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","290 patients",,,"HF-2 " "310021","ST FRANCIS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","114 patients",,,"HF-3 " "310021","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","59 patients",,,"PN-7 " "310021","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","72%","145 patients",,,"SCIP-INF-4 " "310021","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","168 patients",,,"SCIP-INF-3 " "310021","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","117 patients",,,"PN-5C " "310021","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","108 patients",,,"SCIP-CARD-2 " "310021","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","182 patients",,,"SCIP-INF-1 " "310021","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","182 patients",,,"SCIP-INF-2 " "310021","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","28 patients",,,"AMI-8A " "310021","ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","265 patients",,,"AMI-2 " "310021","ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","402 patients",,,"SCIP-INF-6 " "310021","ST FRANCIS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","79 patients",,,"PN-2 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","696 patients",,,"PN-3B " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","528 patients",,,"PN-2 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","220 patients",,,"AMI-5 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","42 patients",,,"AMI-3 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","612 patients",,,"PN-5C " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","323 patients",,,"AMI-1 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","38 patients",,,"AMI-8A " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1154 patients","2 ","2","SCIP-INF-1 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","1112 patients","2 ","2","SCIP-INF-3 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","172 patients",,,"HF-3 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","405 patients",,,"PN-7 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1167 patients","2 ","2","SCIP-INF-2 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","208 patients",,,"AMI-2 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","75%","4 patients","1 ","1","AMI-7A " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","804 patients","2 ","2","SCIP-VTE-2 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","192 patients",,,"PN-4 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","478 patients",,,"PN-6 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","243 patients","2 ","2","SCIP-CARD-2 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","713 patients",,,"HF-2 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","4 patients","1,2 ","12","SCIP-INF-4 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","805 patients","2 ","2","SCIP-VTE-1 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","481 patients",,,"HF-1 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1752 patients","2 ","2","SCIP-INF-6 " "310022","VIRTUA WEST JERSEY HOSPITALS BERLIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"HF-4 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","134 patients",,,"HF-3 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","279 patients",,,"PN-2 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","127 patients",,,"SCIP-INF-1 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","272 patients",,,"PN-3B " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","72 patients",,,"PN-4 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","301 patients",,,"SCIP-INF-6 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","468 patients",,,"HF-2 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","151 patients",,,"SCIP-VTE-1 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","169 patients",,,"PN-7 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","43 patients",,,"AMI-2 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","141 patients",,,"PN-6 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","58%","12 patients","1 ","1","AMI-7A " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","151 patients",,,"SCIP-VTE-2 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","42 patients",,,"SCIP-CARD-2 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","128 patients",,,"SCIP-INF-2 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"HF-4 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1 ","1","SCIP-INF-4 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","50 patients",,,"AMI-5 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","120 patients",,,"SCIP-INF-3 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","292 patients",,,"HF-1 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","108 patients",,,"AMI-1 " "310024","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","244 patients",,,"PN-5C " "310025","BAYONNE HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","17 patients","1 ","1","AMI-8A " "310025","BAYONNE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","76%","70 patients","2 ","2","SCIP-INF-2 " "310025","BAYONNE HOSPITAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","94%","17 patients","1 ","1","CAC-3 " "310025","BAYONNE HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","98 patients",,,"AMI-2 " "310025","BAYONNE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","65 patients","2 ","2","SCIP-INF-3 " "310025","BAYONNE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","163 patients","2 ","2","SCIP-INF-6 " "310025","BAYONNE HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","152 patients","2 ","2","PN-2 " "310025","BAYONNE HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","47 patients","2 ","2","PN-4 " "310025","BAYONNE HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","141 patients","2 ","2","PN-3B " "310025","BAYONNE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310025","BAYONNE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","22 patients","1,2 ","12","SCIP-CARD-2 " "310025","BAYONNE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","68 patients","2 ","2","SCIP-INF-1 " "310025","BAYONNE HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","104 patients","2 ","2","PN-7 " "310025","BAYONNE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","106 patients","2 ","2","SCIP-VTE-2 " "310025","BAYONNE HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","202 patients","2 ","2","HF-1 " "310025","BAYONNE HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "310025","BAYONNE HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","317 patients","2 ","2","HF-2 " "310025","BAYONNE HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","73 patients","2 ","2","PN-6 " "310025","BAYONNE HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","30 patients","2 ","2","HF-4 " "310025","BAYONNE HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "310025","BAYONNE HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","60 patients","2 ","2","HF-3 " "310025","BAYONNE HOSPITAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","19 patients","1 ","1","CAC-1 " "310025","BAYONNE HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","107 patients",,,"AMI-5 " "310025","BAYONNE HOSPITAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","19 patients","1 ","1","CAC-2 " "310025","BAYONNE HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","133 patients",,,"AMI-1 " "310025","BAYONNE HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "310025","BAYONNE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","106 patients","2 ","2","SCIP-VTE-1 " "310025","BAYONNE HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","131 patients","2 ","2","PN-5C " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","258 patients","2 ","2","HF-1 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","123 patients","2 ","2","HF-3 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","460 patients","2 ","2","SCIP-INF-6 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","172 patients",,,"AMI-1 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","216 patients","2 ","2","SCIP-INF-2 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310027","TRINITAS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","51 patients","2 ","2","PN-4 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","37 patients",,,"AMI-8A " "310027","TRINITAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","235 patients","2 ","2","SCIP-VTE-1 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","111 patients",,,"AMI-5 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","117 patients","2 ","2","PN-2 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","109 patients","2 ","2","PN-3B " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","69 patients","2 ","2","HF-4 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","92 patients","2 ","2","PN-7 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"AMI-3 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","208 patients","2 ","2","SCIP-INF-3 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","341 patients","2 ","2","HF-2 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","84 patients","2 ","2","PN-6 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","109 patients",,,"AMI-2 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","46 patients","2 ","2","SCIP-CARD-2 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","144 patients","2 ","2","PN-5C " "310027","TRINITAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","215 patients","2 ","2","SCIP-INF-1 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "310027","TRINITAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","232 patients","2 ","2","SCIP-VTE-2 " "310028","NEWTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","182 patients","2 ","2","SCIP-INF-1 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","28 patients",,,"AMI-2 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","49 patients",,,"HF-3 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","232 patients",,,"HF-2 " "310028","NEWTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","188 patients","2 ","2","SCIP-VTE-2 " "310028","NEWTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","299 patients","2 ","2","SCIP-INF-6 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","156 patients",,,"HF-1 " "310028","NEWTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","41 patients",,,"SCIP-CARD-2 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "310028","NEWTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","188 patients","2 ","2","SCIP-VTE-1 " "310028","NEWTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","95 patients","2 ","2","PN-6 " "310028","NEWTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310028","NEWTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","210 patients","2 ","2","PN-3B " "310028","NEWTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","169 patients","2 ","2","PN-5C " "310028","NEWTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","50 patients",,,"AMI-1 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","39 patients",,,"AMI-5 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "310028","NEWTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","115 patients","2 ","2","PN-7 " "310028","NEWTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients","2 ","2","PN-4 " "310028","NEWTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","185 patients","2 ","2","PN-2 " "310028","NEWTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","182 patients","2 ","2","SCIP-INF-2 " "310028","NEWTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "310028","NEWTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","165 patients","2 ","2","SCIP-INF-3 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1,2 ","12","AMI-7A " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","399 patients","2 ","2","SCIP-INF-2 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","278 patients","2 ","2","AMI-5 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","306 patients","2 ","2","AMI-2 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","105 patients","2 ","2","AMI-4 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","91 patients","2 ","2","PN-6 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","HF-4 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","348 patients","2 ","2","SCIP-INF-3 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","73 patients","2 ","2","AMI-3 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","130 patients","2 ","2","PN-3B " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","304 patients","2 ","2","HF-2 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","187 patients","2 ","2","SCIP-VTE-2 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","394 patients","2 ","2","SCIP-INF-1 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","121 patients","2 ","2","AMI-1 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","163 patients","2 ","2","SCIP-INF-4 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","128 patients","2 ","2","PN-2 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","88 patients","2 ","2","PN-7 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","187 patients","2 ","2","SCIP-VTE-1 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","69 patients","2 ","2","HF-3 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","113 patients","2 ","2","SCIP-CARD-2 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","239 patients","2 ","2","HF-1 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","123 patients","2 ","2","PN-5C " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","601 patients","2 ","2","SCIP-INF-6 " "310029","OUR LADY OF LOURDES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","27 patients","2 ","2","AMI-8A " "310031","DEBORAH HEART AND LUNG CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","412 patients",,,"HF-2 " "310031","DEBORAH HEART AND LUNG CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "310031","DEBORAH HEART AND LUNG CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","7 patients","1 ","1","PN-2 " "310031","DEBORAH HEART AND LUNG CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "310031","DEBORAH HEART AND LUNG CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","471 patients",,,"SCIP-INF-6 " "310031","DEBORAH HEART AND LUNG CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","352 patients",,,"SCIP-INF-4 " "310031","DEBORAH HEART AND LUNG CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","379 patients",,,"SCIP-INF-2 " "310031","DEBORAH HEART AND LUNG CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","10 patients","1 ","1","PN-5C " "310031","DEBORAH HEART AND LUNG CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310031","DEBORAH HEART AND LUNG CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "310031","DEBORAH HEART AND LUNG CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","367 patients",,,"SCIP-INF-1 " "310031","DEBORAH HEART AND LUNG CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"HF-4 " "310031","DEBORAH HEART AND LUNG CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "310031","DEBORAH HEART AND LUNG CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","297 patients",,,"AMI-5 " "310031","DEBORAH HEART AND LUNG CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","95 patients",,,"AMI-3 " "310031","DEBORAH HEART AND LUNG CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","382 patients",,,"HF-1 " "310031","DEBORAH HEART AND LUNG CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","130 patients",,,"SCIP-CARD-2 " "310031","DEBORAH HEART AND LUNG CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "310031","DEBORAH HEART AND LUNG CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","331 patients",,,"AMI-2 " "310031","DEBORAH HEART AND LUNG CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","339 patients",,,"SCIP-INF-3 " "310031","DEBORAH HEART AND LUNG CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","27 patients",,,"SCIP-VTE-1 " "310031","DEBORAH HEART AND LUNG CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1 ","1","PN-6 " "310031","DEBORAH HEART AND LUNG CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","103 patients",,,"AMI-4 " "310031","DEBORAH HEART AND LUNG CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","27 patients",,,"SCIP-VTE-2 " "310031","DEBORAH HEART AND LUNG CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","254 patients",,,"HF-3 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","301 patients","2 ","2","SCIP-INF-1 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","201 patients","2 ","2","PN-5C " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","290 patients","2 ","2","SCIP-INF-3 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","99 patients","2 ","2","PN-7 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients","2 ","2","HF-4 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","132 patients","2 ","2","PN-2 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","513 patients","2 ","2","SCIP-INF-6 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","325 patients","2 ","2","HF-2 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","123 patients","2 ","2","AMI-1 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","245 patients","2 ","2","SCIP-VTE-2 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","22 patients","1,2 ","12","AMI-3 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","50 patients","2 ","2","AMI-2 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","119 patients","2 ","2","PN-6 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","242 patients","2 ","2","HF-1 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","185 patients","2 ","2","PN-3B " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","301 patients","2 ","2","SCIP-INF-2 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","110 patients","2 ","2","HF-3 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","AMI-4 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","65 patients","2 ","2","AMI-5 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","245 patients","2 ","2","SCIP-VTE-1 " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1,2 ","12","AMI-7A " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "310032","SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","74 patients","2 ","2","SCIP-CARD-2 " "310034","RIVERVIEW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","150 patients",,,"PN-5C " "310034","RIVERVIEW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","287 patients",,,"HF-2 " "310034","RIVERVIEW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","92 patients",,,"AMI-2 " "310034","RIVERVIEW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","175 patients",,,"PN-3B " "310034","RIVERVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","837 patients","2 ","2","SCIP-INF-6 " "310034","RIVERVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","115 patients","2 ","2","SCIP-CARD-2 " "310034","RIVERVIEW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "310034","RIVERVIEW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","118 patients",,,"PN-6 " "310034","RIVERVIEW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "310034","RIVERVIEW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","195 patients",,,"HF-1 " "310034","RIVERVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","529 patients","2 ","2","SCIP-INF-3 " "310034","RIVERVIEW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","174 patients",,,"PN-2 " "310034","RIVERVIEW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","150 patients",,,"AMI-1 " "310034","RIVERVIEW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","127 patients",,,"PN-7 " "310034","RIVERVIEW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "310034","RIVERVIEW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "310034","RIVERVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","390 patients","2 ","2","SCIP-VTE-2 " "310034","RIVERVIEW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "310034","RIVERVIEW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","101 patients",,,"AMI-5 " "310034","RIVERVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","567 patients","2 ","2","SCIP-INF-1 " "310034","RIVERVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310034","RIVERVIEW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310034","RIVERVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","390 patients","2 ","2","SCIP-VTE-1 " "310034","RIVERVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","568 patients","2 ","2","SCIP-INF-2 " "310034","RIVERVIEW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","25 patients",,,"AMI-8A " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1379 patients","2 ","2","SCIP-INF-2 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","552 patients","2 ","2","SCIP-VTE-2 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","140 patients",,,"HF-4 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","111 patients",,,"AMI-8A " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","266 patients",,,"PN-7 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","364 patients","2 ","2","SCIP-CARD-2 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1877 patients","2 ","2","SCIP-INF-6 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","1057 patients",,,"HF-2 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","358 patients",,,"PN-2 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","843 patients",,,"AMI-5 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","803 patients",,,"HF-1 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","552 patients","2 ","2","SCIP-VTE-1 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"PN-4 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","1360 patients","2 ","2","SCIP-INF-1 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","373 patients",,,"HF-3 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","111 patients",,,"AMI-3 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","719 patients","2 ","2","SCIP-INF-4 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","855 patients",,,"AMI-2 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","221 patients",,,"AMI-4 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","424 patients",,,"AMI-1 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","188 patients",,,"PN-6 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","379 patients",,,"PN-3B " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","1283 patients","2 ","2","SCIP-INF-3 " "310038","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","336 patients",,,"PN-5C " "310039","RARITAN BAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","142 patients",,,"AMI-2 " "310039","RARITAN BAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","194 patients","2 ","2","PN-6 " "310039","RARITAN BAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","53 patients",,,"AMI-3 " "310039","RARITAN BAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310039","RARITAN BAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","190 patients","2 ","2","PN-7 " "310039","RARITAN BAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","96 patients","2 ","2","PN-4 " "310039","RARITAN BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","67%","3 patients","1,2 ","12","SCIP-INF-4 " "310039","RARITAN BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","144 patients","2 ","2","SCIP-INF-3 " "310039","RARITAN BAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","27 patients",,,"AMI-8A " "310039","RARITAN BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","43 patients","2 ","2","SCIP-CARD-2 " "310039","RARITAN BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","156 patients","2 ","2","SCIP-INF-1 " "310039","RARITAN BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","344 patients","2 ","2","SCIP-INF-6 " "310039","RARITAN BAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","197 patients",,,"AMI-1 " "310039","RARITAN BAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","182 patients","2 ","2","HF-3 " "310039","RARITAN BAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","392 patients","2 ","2","HF-1 " "310039","RARITAN BAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","361 patients","2 ","2","PN-3B " "310039","RARITAN BAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","308 patients","2 ","2","PN-5C " "310039","RARITAN BAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","575 patients","2 ","2","HF-2 " "310039","RARITAN BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","156 patients","2 ","2","SCIP-INF-2 " "310039","RARITAN BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","186 patients","2 ","2","SCIP-VTE-1 " "310039","RARITAN BAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","161 patients",,,"AMI-5 " "310039","RARITAN BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","186 patients","2 ","2","SCIP-VTE-2 " "310039","RARITAN BAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients","2 ","2","HF-4 " "310039","RARITAN BAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","262 patients","2 ","2","PN-2 " "310039","RARITAN BAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","60 patients",,,"AMI-4 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","122 patients","2 ","2","SCIP-VTE-2 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","124 patients",,,"PN-2 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","25 patients","2 ","2","SCIP-CARD-2 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","118 patients",,,"PN-3B " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","241 patients",,,"HF-2 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","90 patients",,,"PN-6 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","83 patients",,,"PN-7 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","192 patients",,,"HF-1 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","123 patients","2 ","2","SCIP-VTE-1 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","62 patients",,,"AMI-1 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","138 patients",,,"PN-5C " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","115 patients","2 ","2","SCIP-INF-2 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","113 patients","2 ","2","SCIP-INF-3 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","105 patients",,,"HF-3 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","219 patients","2 ","2","SCIP-INF-6 " "310040","HOBOKEN UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","115 patients","2 ","2","SCIP-INF-1 " "310041","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","57 patients","2 ","2","AMI-8A " "310041","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","77 patients","2 ","2","SCIP-CARD-2 " "310041","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","327 patients","2 ","2","SCIP-VTE-1 " "310041","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","427 patients","2 ","2","SCIP-INF-1 " "310041","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients","2 ","2","AMI-3 " "310041","COMMUNITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","82 patients","2 ","2","PN-4 " "310041","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","224 patients","2 ","2","AMI-5 " "310041","COMMUNITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","358 patients","2 ","2","HF-1 " "310041","COMMUNITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","HF-4 " "310041","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","327 patients","2 ","2","SCIP-VTE-2 " "310041","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1,2 ","12","SCIP-INF-4 " "310041","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","197 patients","2 ","2","AMI-2 " "310041","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","409 patients","2 ","2","SCIP-INF-3 " "310041","COMMUNITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","218 patients","2 ","2","PN-7 " "310041","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","342 patients","2 ","2","AMI-1 " "310041","COMMUNITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","179 patients","2 ","2","PN-6 " "310041","COMMUNITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","339 patients","2 ","2","PN-3B " "310041","COMMUNITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","393 patients","2 ","2","PN-2 " "310041","COMMUNITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","286 patients","2 ","2","PN-5C " "310041","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","428 patients","2 ","2","SCIP-INF-2 " "310041","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","741 patients","2 ","2","SCIP-INF-6 " "310041","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310041","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","AMI-4 " "310041","COMMUNITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","568 patients","2 ","2","HF-2 " "310041","COMMUNITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","154 patients","2 ","2","HF-3 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","327 patients","2 ","2","SCIP-INF-2 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","237 patients",,,"HF-2 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","104 patients",,,"PN-6 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","153 patients",,,"PN-3B " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","77 patients",,,"PN-2 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","72 patients","2 ","2","SCIP-CARD-2 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","36 patients",,,"AMI-5 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","325 patients","2 ","2","SCIP-INF-1 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","319 patients","2 ","2","SCIP-INF-3 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","38 patients",,,"AMI-2 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","224 patients","2 ","2","SCIP-VTE-1 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","224 patients","2 ","2","SCIP-VTE-2 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","90 patients",,,"HF-3 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","68 patients",,,"AMI-1 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","522 patients","2 ","2","SCIP-INF-6 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","65 patients",,,"PN-7 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","8 patients","1 ","1","AMI-8A " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","201 patients",,,"HF-1 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","144 patients",,,"PN-5C " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "310044","CAPITAL HEALTH SYSTEM-MERCER CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"PN-4 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","385 patients","2 ","2","SCIP-VTE-2 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","242 patients",,,"PN-3B " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","146 patients",,,"HF-3 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","249 patients","2 ","2","AMI-2 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","386 patients","2 ","2","SCIP-VTE-1 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","185 patients",,,"PN-7 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","802 patients","2 ","2","SCIP-INF-2 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","258 patients","2 ","2","AMI-5 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","236 patients","2 ","2","SCIP-INF-4 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","327 patients",,,"HF-1 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","147 patients",,,"PN-6 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","803 patients","2 ","2","SCIP-INF-1 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","AMI-4 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","245 patients",,,"PN-2 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","438 patients",,,"HF-2 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","38 patients","2 ","2","AMI-8A " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","48 patients","2 ","2","AMI-3 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","779 patients","2 ","2","SCIP-INF-3 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","236 patients",,,"PN-5C " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","209 patients","2 ","2","SCIP-CARD-2 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","225 patients","2 ","2","AMI-1 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1103 patients","2 ","2","SCIP-INF-6 " "310045","ENGLEWOOD HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "310047","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","48 patients",,,"AMI-2 " "310047","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310047","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "310047","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","355 patients","2 ","2","SCIP-INF-1 " "310047","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","99 patients","2 ","2","PN-7 " "310047","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","330 patients","2 ","2","SCIP-INF-3 " "310047","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","146 patients","2 ","2","PN-2 " "310047","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","217 patients","2 ","2","SCIP-VTE-2 " "310047","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","89 patients",,,"AMI-1 " "310047","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310047","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","109 patients","2 ","2","PN-6 " "310047","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310047","SHORE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","HF-4 " "310047","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","358 patients","2 ","2","SCIP-INF-2 " "310047","SHORE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","193 patients","2 ","2","HF-1 " "310047","SHORE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","72 patients","2 ","2","HF-3 " "310047","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","PN-4 " "310047","SHORE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","269 patients","2 ","2","HF-2 " "310047","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","177 patients","2 ","2","PN-3B " "310047","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","AMI-3 " "310047","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","217 patients","2 ","2","SCIP-VTE-1 " "310047","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","554 patients","2 ","2","SCIP-INF-6 " "310047","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","52 patients",,,"AMI-5 " "310047","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","106 patients","2 ","2","SCIP-CARD-2 " "310047","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","153 patients","2 ","2","PN-5C " "310048","SOMERSET MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","339 patients","2 ","2","HF-2 " "310048","SOMERSET MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","322 patients","2 ","2","SCIP-INF-2 " "310048","SOMERSET MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","189 patients","2 ","2","AMI-5 " "310048","SOMERSET MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","307 patients","2 ","2","SCIP-INF-3 " "310048","SOMERSET MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","257 patients","2 ","2","AMI-1 " "310048","SOMERSET MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","117 patients","2 ","2","PN-7 " "310048","SOMERSET MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","73 patients","2 ","2","HF-3 " "310048","SOMERSET MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","317 patients","2 ","2","SCIP-INF-1 " "310048","SOMERSET MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","PN-4 " "310048","SOMERSET MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients","2 ","2","AMI-3 " "310048","SOMERSET MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","69 patients","2 ","2","AMI-8A " "310048","SOMERSET MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","110 patients","2 ","2","PN-6 " "310048","SOMERSET MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","85 patients","2 ","2","SCIP-CARD-2 " "310048","SOMERSET MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","141 patients","2 ","2","PN-3B " "310048","SOMERSET MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","152 patients","2 ","2","PN-5C " "310048","SOMERSET MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","232 patients","2 ","2","SCIP-VTE-1 " "310048","SOMERSET MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","222 patients","2 ","2","HF-1 " "310048","SOMERSET MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310048","SOMERSET MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","174 patients","2 ","2","AMI-2 " "310048","SOMERSET MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","187 patients","2 ","2","PN-2 " "310048","SOMERSET MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","230 patients","2 ","2","SCIP-VTE-2 " "310048","SOMERSET MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","51 patients","2 ","2","AMI-4 " "310048","SOMERSET MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","514 patients","2 ","2","SCIP-INF-6 " "310048","SOMERSET MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310048","SOMERSET MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","HF-4 " "310050","SAINT CLARE'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "310050","SAINT CLARE'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","372 patients","2 ","2","SCIP-VTE-2 " "310050","SAINT CLARE'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","87 patients",,,"AMI-5 " "310050","SAINT CLARE'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","31 patients",,,"AMI-8A " "310050","SAINT CLARE'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","85 patients",,,"AMI-2 " "310050","SAINT CLARE'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","258 patients",,,"PN-2 " "310050","SAINT CLARE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","480 patients","2 ","2","SCIP-INF-2 " "310050","SAINT CLARE'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","269 patients",,,"PN-5C " "310050","SAINT CLARE'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","96 patients",,,"PN-4 " "310050","SAINT CLARE'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","132 patients",,,"HF-3 " "310050","SAINT CLARE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","25%","4 patients","1,2 ","12","SCIP-INF-4 " "310050","SAINT CLARE'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","149 patients",,,"AMI-1 " "310050","SAINT CLARE'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "310050","SAINT CLARE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","478 patients","2 ","2","SCIP-INF-1 " "310050","SAINT CLARE'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","364 patients",,,"HF-1 " "310050","SAINT CLARE'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","503 patients",,,"HF-2 " "310050","SAINT CLARE'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310050","SAINT CLARE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","787 patients","2 ","2","SCIP-INF-6 " "310050","SAINT CLARE'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","210 patients",,,"PN-6 " "310050","SAINT CLARE'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "310050","SAINT CLARE'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","190 patients",,,"PN-7 " "310050","SAINT CLARE'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","95 patients","2 ","2","SCIP-CARD-2 " "310050","SAINT CLARE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","461 patients","2 ","2","SCIP-INF-3 " "310050","SAINT CLARE'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","372 patients","2 ","2","SCIP-VTE-1 " "310050","SAINT CLARE'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","323 patients",,,"PN-3B " "310051","OVERLOOK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","290 patients","2 ","2","SCIP-VTE-2 " "310051","OVERLOOK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","206 patients",,,"AMI-1 " "310051","OVERLOOK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","290 patients","2 ","2","SCIP-VTE-1 " "310051","OVERLOOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","622 patients","2 ","2","SCIP-INF-6 " "310051","OVERLOOK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","138 patients",,,"AMI-5 " "310051","OVERLOOK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","221 patients","2 ","2","PN-3B " "310051","OVERLOOK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","53 patients",,,"AMI-8A " "310051","OVERLOOK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","151 patients","2 ","2","PN-7 " "310051","OVERLOOK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","21 patients","1,2 ","12","HF-4 " "310051","OVERLOOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","377 patients","2 ","2","SCIP-INF-2 " "310051","OVERLOOK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","124 patients",,,"AMI-2 " "310051","OVERLOOK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"AMI-4 " "310051","OVERLOOK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","153 patients","2 ","2","PN-6 " "310051","OVERLOOK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","104 patients","2 ","2","HF-3 " "310051","OVERLOOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","363 patients","2 ","2","SCIP-INF-3 " "310051","OVERLOOK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","219 patients","2 ","2","PN-2 " "310051","OVERLOOK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","262 patients","2 ","2","HF-1 " "310051","OVERLOOK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","68 patients","2 ","2","SCIP-CARD-2 " "310051","OVERLOOK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","352 patients","2 ","2","HF-2 " "310051","OVERLOOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310051","OVERLOOK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310051","OVERLOOK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","213 patients","2 ","2","PN-5C " "310051","OVERLOOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","375 patients","2 ","2","SCIP-INF-1 " "310051","OVERLOOK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","41 patients","2 ","2","PN-4 " "310051","OVERLOOK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","32 patients",,,"AMI-3 " "310052","OCEAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","264 patients","2 ","2","SCIP-VTE-1 " "310052","OCEAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"AMI-4 " "310052","OCEAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","159 patients","2 ","2","PN-3B " "310052","OCEAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","51 patients",,,"AMI-8A " "310052","OCEAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","105 patients","2 ","2","PN-7 " "310052","OCEAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","309 patients","2 ","2","SCIP-INF-2 " "310052","OCEAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","69 patients","2 ","2","HF-3 " "310052","OCEAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","HF-4 " "310052","OCEAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","171 patients","2 ","2","PN-2 " "310052","OCEAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","156 patients","2 ","2","PN-5C " "310052","OCEAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310052","OCEAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","350 patients","2 ","2","HF-2 " "310052","OCEAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2 ","2","PN-4 " "310052","OCEAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","133 patients",,,"AMI-5 " "310052","OCEAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","288 patients","2 ","2","SCIP-INF-3 " "310052","OCEAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","233 patients","2 ","2","HF-1 " "310052","OCEAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","94 patients","2 ","2","SCIP-CARD-2 " "310052","OCEAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310052","OCEAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"AMI-3 " "310052","OCEAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","112 patients","2 ","2","PN-6 " "310052","OCEAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","217 patients",,,"AMI-1 " "310052","OCEAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","307 patients","2 ","2","SCIP-INF-1 " "310052","OCEAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","124 patients",,,"AMI-2 " "310052","OCEAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","264 patients","2 ","2","SCIP-VTE-2 " "310052","OCEAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","549 patients","2 ","2","SCIP-INF-6 " "310054","MOUNTAINSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","169 patients",,,"PN-6 " "310054","MOUNTAINSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","269 patients",,,"SCIP-INF-3 " "310054","MOUNTAINSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","132 patients",,,"AMI-1 " "310054","MOUNTAINSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","272 patients",,,"PN-2 " "310054","MOUNTAINSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","279 patients",,,"SCIP-INF-1 " "310054","MOUNTAINSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","81 patients",,,"AMI-5 " "310054","MOUNTAINSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","189 patients",,,"SCIP-VTE-2 " "310054","MOUNTAINSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"AMI-4 " "310054","MOUNTAINSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","512 patients",,,"SCIP-INF-6 " "310054","MOUNTAINSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","51 patients",,,"PN-4 " "310054","MOUNTAINSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","82 patients",,,"HF-3 " "310054","MOUNTAINSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","163 patients",,,"PN-7 " "310054","MOUNTAINSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","253 patients",,,"PN-3B " "310054","MOUNTAINSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1 ","1","SCIP-INF-4 " "310054","MOUNTAINSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","189 patients",,,"SCIP-VTE-1 " "310054","MOUNTAINSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","64 patients",,,"SCIP-CARD-2 " "310054","MOUNTAINSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","73 patients",,,"AMI-2 " "310054","MOUNTAINSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "310054","MOUNTAINSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310054","MOUNTAINSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","239 patients",,,"PN-5C " "310054","MOUNTAINSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","284 patients",,,"SCIP-INF-2 " "310054","MOUNTAINSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","58%","31 patients",,,"AMI-8A " "310054","MOUNTAINSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","247 patients",,,"HF-1 " "310054","MOUNTAINSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","359 patients",,,"HF-2 " "310054","MOUNTAINSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","AMI-3 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","332 patients",,,"PN-5C " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","256 patients","2 ","2","SCIP-CARD-2 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"AMI-3 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","565 patients","2 ","2","SCIP-VTE-2 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1488 patients","2 ","2","SCIP-INF-6 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","380 patients",,,"PN-3B " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","396 patients",,,"HF-2 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1143 patients","2 ","2","SCIP-INF-1 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1085 patients","2 ","2","SCIP-INF-3 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","AMI-4 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","253 patients",,,"PN-6 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","177 patients",,,"AMI-1 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","214 patients",,,"PN-7 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","102 patients",,,"AMI-2 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","99 patients",,,"PN-4 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","290 patients",,,"HF-1 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","113 patients",,,"HF-3 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","295 patients",,,"PN-2 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1145 patients","2 ","2","SCIP-INF-2 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","123 patients",,,"AMI-5 " "310057","VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","565 patients","2 ","2","SCIP-VTE-1 " "310058","BERGEN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","52 patients",,,"PN-3B " "310058","BERGEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","29 patients",,,"SCIP-INF-6 " "310058","BERGEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","19 patients","1 ","1","SCIP-INF-1 " "310058","BERGEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","22 patients","1 ","1","SCIP-VTE-1 " "310058","BERGEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "310058","BERGEN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","29 patients",,,"PN-5C " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "310058","BERGEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","19 patients","1 ","1","SCIP-INF-3 " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","24 patients","1 ","1","HF-2 " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "310058","BERGEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","19 patients","1 ","1","SCIP-INF-2 " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","21 patients","1 ","1","AMI-2 " "310058","BERGEN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","23 patients","1 ","1","PN-6 " "310058","BERGEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "310058","BERGEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","21 patients","1 ","1","SCIP-VTE-2 " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310058","BERGEN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","31 patients",,,"PN-7 " "310058","BERGEN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","14 patients","1 ","1","HF-1 " "310058","BERGEN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","42 patients",,,"PN-2 " "310058","BERGEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "310060","WARREN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","167 patients","2 ","2","SCIP-INF-1 " "310060","WARREN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310060","WARREN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","149 patients",,,"PN-5C " "310060","WARREN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "310060","WARREN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "310060","WARREN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","114 patients","2 ","2","SCIP-VTE-1 " "310060","WARREN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","285 patients","2 ","2","SCIP-INF-6 " "310060","WARREN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "310060","WARREN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310060","WARREN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","82 patients",,,"PN-6 " "310060","WARREN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310060","WARREN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","208 patients",,,"HF-2 " "310060","WARREN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","112 patients",,,"PN-7 " "310060","WARREN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","162 patients",,,"PN-2 " "310060","WARREN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","157 patients","2 ","2","SCIP-INF-3 " "310060","WARREN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "310060","WARREN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "310060","WARREN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","168 patients","2 ","2","SCIP-INF-2 " "310060","WARREN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","113 patients","2 ","2","SCIP-VTE-2 " "310060","WARREN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "310060","WARREN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","138 patients",,,"HF-1 " "310060","WARREN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"HF-3 " "310060","WARREN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","38 patients","2 ","2","SCIP-CARD-2 " "310060","WARREN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","137 patients",,,"PN-3B " "310060","WARREN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","32 patients",,,"AMI-1 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","291 patients","2 ","2","SCIP-INF-6 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","40 patients","2 ","2","SCIP-CARD-2 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","30 patients",,,"AMI-2 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","299 patients",,,"HF-2 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","73 patients",,,"PN-6 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","40 patients",,,"AMI-5 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","150 patients","2 ","2","SCIP-INF-1 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","49 patients",,,"PN-4 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","74 patients",,,"HF-3 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","147 patients","2 ","2","SCIP-VTE-2 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","147 patients","2 ","2","SCIP-VTE-1 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","108 patients",,,"PN-2 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","42 patients",,,"HF-4 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","138 patients",,,"PN-3B " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","79 patients",,,"PN-7 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","240 patients",,,"HF-1 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","144 patients","2 ","2","SCIP-INF-3 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","149 patients","2 ","2","SCIP-INF-2 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","136 patients",,,"PN-5C " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310061","LOURDES MEDICAL CENTER OF BURLINGTON COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","66 patients",,,"AMI-1 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","140 patients","2 ","2","HF-4 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","958 patients","2 ","2","SCIP-INF-6 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","317 patients","2 ","2","AMI-5 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","60 patients","2 ","2","AMI-8A " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","287 patients","2 ","2","AMI-2 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","374 patients","2 ","2","PN-3B " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","454 patients","2 ","2","SCIP-INF-3 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","237 patients","2 ","2","PN-2 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","145 patients","2 ","2","SCIP-INF-4 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients","2 ","2","AMI-3 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","106 patients","2 ","2","PN-4 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","179 patients","2 ","2","PN-6 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","602 patients","2 ","2","HF-2 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","174 patients","2 ","2","PN-7 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","333 patients","2 ","2","SCIP-VTE-2 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","337 patients","2 ","2","PN-5C " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","478 patients","2 ","2","HF-1 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","522 patients","2 ","2","SCIP-INF-2 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","112 patients","2 ","2","AMI-4 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","509 patients","2 ","2","SCIP-INF-1 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","333 patients","2 ","2","SCIP-VTE-1 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","154 patients","2 ","2","SCIP-CARD-2 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","194 patients","2 ","2","HF-3 " "310064","ATLANTICARE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","197 patients","2 ","2","AMI-1 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","38 patients",,,"HF-3 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","39 patients",,,"AMI-1 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","123 patients","2 ","2","SCIP-INF-3 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","196 patients","2 ","2","SCIP-INF-6 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","58 patients",,,"PN-7 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","96 patients",,,"HF-1 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","31 patients","2 ","2","SCIP-CARD-2 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","123 patients",,,"HF-2 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","133 patients","2 ","2","SCIP-INF-2 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","86 patients","2 ","2","SCIP-VTE-1 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","110 patients",,,"PN-5C " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","72 patients",,,"PN-6 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","119 patients",,,"PN-3B " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","86 patients","2 ","2","SCIP-VTE-2 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","133 patients","2 ","2","SCIP-INF-1 " "310069","SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","93 patients",,,"PN-2 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","AMI-4 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","155 patients","2 ","2","PN-7 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","67 patients","2 ","2","PN-4 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","238 patients","2 ","2","PN-2 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","111 patients",,,"AMI-1 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","57 patients",,,"AMI-2 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","69 patients",,,"AMI-5 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","221 patients","2 ","2","PN-5C " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","243 patients","2 ","2","SCIP-VTE-1 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","79%","34 patients",,,"HF-4 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","305 patients",,,"HF-2 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","158 patients","2 ","2","PN-6 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","337 patients","2 ","2","SCIP-INF-2 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","35%","26 patients",,,"AMI-8A " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","39%","240 patients",,,"HF-1 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","225 patients","2 ","2","PN-3B " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","242 patients","2 ","2","SCIP-VTE-2 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","311 patients","2 ","2","SCIP-INF-3 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","73 patients","2 ","2","SCIP-CARD-2 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","74 patients",,,"HF-3 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","340 patients","2 ","2","SCIP-INF-1 " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310070","SAINT PETER'S UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","576 patients","2 ","2","SCIP-INF-6 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","138 patients","2 ","2","AMI-4 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1181 patients","2 ","2","SCIP-INF-6 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","49 patients","2 ","2","AMI-3 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","188 patients",,,"PN-3B " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","376 patients","2 ","2","SCIP-INF-4 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","178 patients",,,"PN-5C " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","127 patients",,,"PN-6 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","239 patients","2 ","2","SCIP-CARD-2 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","337 patients","2 ","2","SCIP-VTE-1 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","808 patients","2 ","2","SCIP-INF-1 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","HF-4 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","419 patients","2 ","2","AMI-2 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","335 patients","2 ","2","SCIP-VTE-2 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","132 patients","2 ","2","HF-3 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","836 patients","2 ","2","SCIP-INF-2 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","175 patients","2 ","2","AMI-1 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","193 patients",,,"PN-2 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","393 patients","2 ","2","AMI-5 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","141 patients",,,"PN-7 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","370 patients","2 ","2","HF-2 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","263 patients","2 ","2","HF-1 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","85 patients",,,"PN-4 " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","43 patients","2 ","2","AMI-8A " "310073","JERSEY SHORE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","776 patients","2 ","2","SCIP-INF-3 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","358 patients","2 ","2","HF-2 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","34 patients","2 ","2","AMI-8A " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","310 patients","2 ","2","HF-1 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","86 patients","2 ","2","AMI-4 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","394 patients","2 ","2","SCIP-INF-6 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","274 patients","2 ","2","AMI-5 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","135 patients","2 ","2","PN-3B " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","108 patients","2 ","2","PN-6 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","85 patients","2 ","2","SCIP-INF-4 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","89 patients","2 ","2","PN-7 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","147 patients","2 ","2","PN-5C " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","184 patients","2 ","2","SCIP-INF-2 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","175 patients","2 ","2","SCIP-INF-3 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","148 patients","2 ","2","SCIP-VTE-2 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","102 patients","2 ","2","HF-4 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","182 patients","2 ","2","SCIP-INF-1 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","82 patients","2 ","2","AMI-3 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","182 patients","2 ","2","HF-3 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","148 patients","2 ","2","SCIP-VTE-1 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","PN-4 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","274 patients","2 ","2","AMI-2 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients","2 ","2","SCIP-CARD-2 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","106 patients","2 ","2","PN-2 " "310074","LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","253 patients","2 ","2","AMI-1 " "310075","MONMOUTH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","HF-4 " "310075","MONMOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","249 patients","2 ","2","SCIP-VTE-2 " "310075","MONMOUTH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","146 patients",,,"AMI-1 " "310075","MONMOUTH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "310075","MONMOUTH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "310075","MONMOUTH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","156 patients","2 ","2","PN-5C " "310075","MONMOUTH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","171 patients","2 ","2","PN-3B " "310075","MONMOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","330 patients","2 ","2","SCIP-INF-1 " "310075","MONMOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","542 patients","2 ","2","SCIP-INF-6 " "310075","MONMOUTH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","87 patients",,,"AMI-2 " "310075","MONMOUTH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"AMI-4 " "310075","MONMOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","249 patients","2 ","2","SCIP-VTE-1 " "310075","MONMOUTH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","193 patients","2 ","2","HF-1 " "310075","MONMOUTH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","117 patients","2 ","2","PN-6 " "310075","MONMOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","330 patients","2 ","2","SCIP-INF-2 " "310075","MONMOUTH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","58 patients","2 ","2","HF-3 " "310075","MONMOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "310075","MONMOUTH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","29 patients",,,"AMI-8A " "310075","MONMOUTH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","251 patients","2 ","2","HF-2 " "310075","MONMOUTH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","97 patients",,,"AMI-5 " "310075","MONMOUTH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","110 patients","2 ","2","PN-7 " "310075","MONMOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","304 patients","2 ","2","SCIP-INF-3 " "310075","MONMOUTH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","41 patients","2 ","2","PN-4 " "310075","MONMOUTH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","146 patients","2 ","2","PN-2 " "310075","MONMOUTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","58 patients","2 ","2","SCIP-CARD-2 " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","HF-4 " "310076","SAINT BARNABAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","PN-4 " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","235 patients",,,"AMI-1 " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","294 patients",,,"AMI-2 " "310076","SAINT BARNABAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","86 patients","2 ","2","PN-6 " "310076","SAINT BARNABAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","260 patients","2 ","2","SCIP-VTE-2 " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"AMI-4 " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","36 patients",,,"AMI-8A " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","97 patients","2 ","2","HF-3 " "310076","SAINT BARNABAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","147 patients","2 ","2","PN-2 " "310076","SAINT BARNABAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","491 patients","2 ","2","SCIP-INF-2 " "310076","SAINT BARNABAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","477 patients","2 ","2","SCIP-INF-1 " "310076","SAINT BARNABAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","122 patients","2 ","2","PN-5C " "310076","SAINT BARNABAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","454 patients","2 ","2","SCIP-INF-3 " "310076","SAINT BARNABAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","97 patients","2 ","2","PN-3B " "310076","SAINT BARNABAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","155 patients","2 ","2","SCIP-INF-4 " "310076","SAINT BARNABAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","131 patients","2 ","2","SCIP-CARD-2 " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","326 patients",,,"AMI-5 " "310076","SAINT BARNABAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","794 patients","2 ","2","SCIP-INF-6 " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"AMI-3 " "310076","SAINT BARNABAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","260 patients","2 ","2","SCIP-VTE-1 " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","279 patients","2 ","2","HF-1 " "310076","SAINT BARNABAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","110 patients","2 ","2","PN-7 " "310076","SAINT BARNABAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","348 patients","2 ","2","HF-2 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","178 patients",,,"PN-6 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","74 patients","2 ","2","SCIP-CARD-2 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","640 patients","2 ","2","SCIP-INF-6 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","78 patients",,,"AMI-5 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","384 patients","2 ","2","SCIP-INF-1 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","80%","10 patients","1 ","1","AMI-7A " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","98 patients",,,"PN-4 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","88 patients",,,"HF-4 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","239 patients",,,"PN-5C " "310081","UNDERWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","176 patients",,,"AMI-1 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "310081","UNDERWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","319 patients","2 ","2","SCIP-VTE-1 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","362 patients","2 ","2","SCIP-INF-3 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","212 patients",,,"PN-2 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","426 patients",,,"HF-2 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","232 patients",,,"PN-3B " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","79 patients",,,"AMI-2 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","144 patients",,,"PN-7 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","319 patients","2 ","2","SCIP-VTE-2 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","119 patients",,,"HF-3 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","390 patients","2 ","2","SCIP-INF-2 " "310081","UNDERWOOD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","334 patients",,,"HF-1 " "310083","EAST ORANGE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","36 patients","2 ","2","PN-6 " "310083","EAST ORANGE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","49 patients","2 ","2","SCIP-INF-2 " "310083","EAST ORANGE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","76 patients","2 ","2","SCIP-VTE-1 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "310083","EAST ORANGE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","76 patients","2 ","2","SCIP-VTE-2 " "310083","EAST ORANGE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","172 patients","2 ","2","PN-3B " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310083","EAST ORANGE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","11 patients","1,2 ","12","SCIP-CARD-2 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","87 patients","2 ","2","HF-3 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","214 patients","2 ","2","HF-1 " "310083","EAST ORANGE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","120 patients","2 ","2","SCIP-INF-6 " "310083","EAST ORANGE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","152 patients","2 ","2","PN-2 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "310083","EAST ORANGE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","46 patients","2 ","2","SCIP-INF-3 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","31 patients",,,"AMI-2 " "310083","EAST ORANGE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","49 patients","2 ","2","SCIP-INF-1 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","33 patients",,,"AMI-5 " "310083","EAST ORANGE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","162 patients","2 ","2","PN-5C " "310083","EAST ORANGE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","96 patients","2 ","2","PN-7 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","322 patients","2 ","2","HF-2 " "310083","EAST ORANGE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","86 patients","2 ","2","HF-4 " "310083","EAST ORANGE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1,2 ","12","SCIP-INF-4 " "310083","EAST ORANGE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","52 patients",,,"AMI-1 " "310084","KIMBALL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","322 patients",,,"PN-2 " "310084","KIMBALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "310084","KIMBALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","85 patients",,,"SCIP-VTE-2 " "310084","KIMBALL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","134 patients",,,"AMI-1 " "310084","KIMBALL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","356 patients",,,"HF-2 " "310084","KIMBALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","86 patients",,,"SCIP-VTE-1 " "310084","KIMBALL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "310084","KIMBALL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","53 patients",,,"AMI-5 " "310084","KIMBALL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","316 patients",,,"PN-3B " "310084","KIMBALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","115 patients",,,"SCIP-INF-1 " "310084","KIMBALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","20 patients","1 ","1","SCIP-CARD-2 " "310084","KIMBALL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","114 patients",,,"HF-3 " "310084","KIMBALL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","75%","4 patients","1 ","1","AMI-7A " "310084","KIMBALL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310084","KIMBALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","115 patients",,,"SCIP-INF-2 " "310084","KIMBALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","197 patients",,,"SCIP-INF-6 " "310084","KIMBALL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","286 patients",,,"PN-5C " "310084","KIMBALL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"PN-4 " "310084","KIMBALL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","228 patients",,,"PN-7 " "310084","KIMBALL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "310084","KIMBALL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","175 patients",,,"PN-6 " "310084","KIMBALL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","230 patients",,,"HF-1 " "310084","KIMBALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","102 patients",,,"SCIP-INF-3 " "310084","KIMBALL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "310084","KIMBALL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","50 patients",,,"AMI-2 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","883 patients",,,"HF-2 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","552 patients","2 ","2","SCIP-INF-3 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","166 patients",,,"HF-3 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","450 patients","2 ","2","SCIP-VTE-2 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","106 patients",,,"AMI-2 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","842 patients",,,"PN-3B " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","415 patients",,,"PN-7 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","447 patients",,,"PN-6 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","137 patients",,,"HF-4 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","269 patients",,,"PN-4 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","107 patients",,,"AMI-5 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","23 patients","1 ","1","AMI-3 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","563 patients",,,"PN-2 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","147 patients","2 ","2","SCIP-CARD-2 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","450 patients","2 ","2","SCIP-VTE-1 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","690 patients",,,"PN-5C " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","967 patients","2 ","2","SCIP-INF-6 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","570 patients","2 ","2","SCIP-INF-2 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","568 patients","2 ","2","SCIP-INF-1 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","227 patients",,,"AMI-1 " "310086","KENNEDY UNIVERSITY HOSPITAL, INC (STRATFORD DIVIS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","669 patients",,,"HF-1 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","186 patients","2 ","2","SCIP-INF-6 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","98 patients",,,"PN-7 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","90 patients",,,"PN-6 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","19 patients","1,2 ","12","SCIP-CARD-2 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","138 patients",,,"HF-1 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","133 patients",,,"PN-3B " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","113 patients","2 ","2","SCIP-INF-2 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","69 patients","2 ","2","SCIP-VTE-1 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","156 patients",,,"PN-5C " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","34 patients",,,"AMI-1 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","69 patients","2 ","2","SCIP-VTE-2 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","15 patients","1 ","1","AMI-5 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","113 patients","2 ","2","SCIP-INF-1 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"HF-3 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","171 patients",,,"HF-2 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","112 patients","2 ","2","SCIP-INF-3 " "310091","MEMORIAL HOSPITAL OF SALEM COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","119 patients",,,"PN-2 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","97 patients","2 ","2","SCIP-INF-2 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","111 patients",,,"PN-2 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","38 patients","2 ","2","SCIP-CARD-2 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","235 patients",,,"HF-1 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","98 patients","2 ","2","SCIP-INF-1 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","124 patients",,,"HF-3 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","90 patients","2 ","2","SCIP-INF-3 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","115 patients","2 ","2","SCIP-VTE-1 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","115 patients","2 ","2","SCIP-VTE-2 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","99 patients",,,"PN-7 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","103 patients",,,"PN-6 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","78 patients",,,"HF-4 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","186 patients",,,"PN-5C " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","212 patients","2 ","2","SCIP-INF-6 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","43 patients",,,"AMI-1 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","186 patients",,,"PN-3B " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","80 patients",,,"PN-4 " "310092","CAPITAL HEALTH SYSTEM-FULD CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","302 patients",,,"HF-2 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","333 patients","2 ","2","HF-2 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","313 patients","2 ","2","SCIP-INF-2 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","79 patients","2 ","2","AMI-4 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","147 patients","2 ","2","SCIP-VTE-1 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","53%","15 patients","1,2 ","12","AMI-8A " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","73 patients","2 ","2","PN-6 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","60 patients","2 ","2","PN-4 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","253 patients","2 ","2","HF-1 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","303 patients","2 ","2","SCIP-INF-1 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","147 patients","2 ","2","SCIP-VTE-2 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","248 patients","2 ","2","AMI-2 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","147 patients","2 ","2","SCIP-INF-4 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","78 patients","2 ","2","HF-4 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","96 patients","2 ","2","PN-7 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","137 patients","2 ","2","PN-5C " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","263 patients","2 ","2","AMI-5 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","85 patients","2 ","2","PN-3B " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","119 patients","2 ","2","PN-2 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","496 patients","2 ","2","SCIP-INF-6 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","63 patients","2 ","2","AMI-3 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","89 patients","2 ","2","SCIP-CARD-2 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","104 patients","2 ","2","AMI-1 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","281 patients","2 ","2","SCIP-INF-3 " "310096","SAINT MICHAEL'S MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","164 patients","2 ","2","HF-3 " "310108","JFK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","650 patients",,,"HF-2 " "310108","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","106 patients","2 ","2","SCIP-CARD-2 " "310108","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","649 patients","2 ","2","SCIP-INF-1 " "310108","JFK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","45 patients",,,"AMI-8A " "310108","JFK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","272 patients",,,"PN-6 " "310108","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","486 patients","2 ","2","SCIP-VTE-2 " "310108","JFK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","190 patients",,,"AMI-2 " "310108","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","614 patients","2 ","2","SCIP-INF-3 " "310108","JFK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","343 patients",,,"AMI-1 " "310108","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310108","JFK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","118 patients",,,"PN-4 " "310108","JFK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "310108","JFK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","243 patients",,,"PN-7 " "310108","JFK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","207 patients",,,"AMI-5 " "310108","JFK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","408 patients",,,"PN-5C " "310108","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","488 patients","2 ","2","SCIP-VTE-1 " "310108","JFK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "310108","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","651 patients","2 ","2","SCIP-INF-2 " "310108","JFK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","415 patients",,,"HF-1 " "310108","JFK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","22 patients","1 ","1","AMI-3 " "310108","JFK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","385 patients",,,"PN-2 " "310108","JFK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","421 patients",,,"PN-3B " "310108","JFK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310108","JFK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","846 patients","2 ","2","SCIP-INF-6 " "310108","JFK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","172 patients",,,"HF-3 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","186 patients","2 ","2","SCIP-VTE-1 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","238 patients","2 ","2","SCIP-INF-1 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","109 patients",,,"PN-4 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","116 patients",,,"HF-3 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"AMI-4 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","63 patients","2 ","2","SCIP-CARD-2 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","186 patients","2 ","2","SCIP-VTE-2 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","226 patients","2 ","2","SCIP-INF-3 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","378 patients",,,"HF-1 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","83 patients",,,"AMI-5 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","44%","25 patients",,,"AMI-8A " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","222 patients",,,"PN-7 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","267 patients",,,"PN-2 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","387 patients",,,"PN-3B " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","239 patients","2 ","2","SCIP-INF-2 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"HF-4 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","227 patients",,,"PN-6 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","91 patients",,,"AMI-2 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","178 patients",,,"AMI-1 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","482 patients",,,"HF-2 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","379 patients","2 ","2","SCIP-INF-6 " "310110","ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","361 patients",,,"PN-5C " "310111","CENTRASTATE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","43 patients",,,"AMI-2 " "310111","CENTRASTATE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","325 patients",,,"PN-2 " "310111","CENTRASTATE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","209 patients",,,"PN-7 " "310111","CENTRASTATE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310111","CENTRASTATE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-7A " "310111","CENTRASTATE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","109 patients",,,"AMI-1 " "310111","CENTRASTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "310111","CENTRASTATE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "310111","CENTRASTATE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","351 patients",,,"PN-3B " "310111","CENTRASTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","404 patients","2 ","2","SCIP-INF-3 " "310111","CENTRASTATE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","303 patients",,,"PN-5C " "310111","CENTRASTATE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "310111","CENTRASTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","89 patients","2 ","2","SCIP-CARD-2 " "310111","CENTRASTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","416 patients","2 ","2","SCIP-INF-1 " "310111","CENTRASTATE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","47 patients",,,"AMI-5 " "310111","CENTRASTATE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "310111","CENTRASTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","420 patients","2 ","2","SCIP-INF-2 " "310111","CENTRASTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","282 patients","2 ","2","SCIP-VTE-2 " "310111","CENTRASTATE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","416 patients",,,"HF-2 " "310111","CENTRASTATE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","193 patients",,,"PN-6 " "310111","CENTRASTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","709 patients","2 ","2","SCIP-INF-6 " "310111","CENTRASTATE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","279 patients",,,"HF-1 " "310111","CENTRASTATE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "310111","CENTRASTATE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","98 patients",,,"HF-3 " "310111","CENTRASTATE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","282 patients","2 ","2","SCIP-VTE-1 " "310112","BAYSHORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","105 patients","2 ","2","SCIP-INF-1 " "310112","BAYSHORE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","241 patients",,,"PN-2 " "310112","BAYSHORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","141 patients","2 ","2","SCIP-VTE-1 " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","181 patients",,,"HF-1 " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "310112","BAYSHORE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","153 patients",,,"PN-7 " "310112","BAYSHORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","96 patients","2 ","2","SCIP-INF-3 " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","49 patients",,,"AMI-2 " "310112","BAYSHORE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","212 patients",,,"PN-3B " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","111 patients",,,"AMI-1 " "310112","BAYSHORE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","93 patients",,,"PN-6 " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients",,,"HF-3 " "310112","BAYSHORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","230 patients","2 ","2","SCIP-INF-6 " "310112","BAYSHORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","141 patients","2 ","2","SCIP-VTE-2 " "310112","BAYSHORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","106 patients","2 ","2","SCIP-INF-2 " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","326 patients",,,"HF-2 " "310112","BAYSHORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients","2 ","2","SCIP-CARD-2 " "310112","BAYSHORE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "310112","BAYSHORE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310112","BAYSHORE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","54 patients",,,"AMI-5 " "310112","BAYSHORE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","186 patients",,,"PN-5C " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","42 patients",,,"SCIP-CARD-2 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","186 patients",,,"SCIP-INF-2 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","185 patients",,,"SCIP-VTE-1 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","310 patients",,,"SCIP-INF-6 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","48 patients",,,"AMI-5 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","111 patients",,,"PN-6 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","249 patients",,,"PN-2 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","221 patients",,,"HF-2 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","170 patients",,,"SCIP-INF-3 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","157 patients",,,"PN-7 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","232 patients",,,"PN-3B " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","AMI-3 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","65 patients",,,"HF-3 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","80 patients",,,"AMI-1 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","215 patients",,,"PN-5C " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","131 patients",,,"HF-1 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","37 patients",,,"AMI-2 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","185 patients",,,"SCIP-VTE-2 " "310113","SOUTHERN OCEAN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","184 patients",,,"SCIP-INF-1 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","44 patients",,,"HF-3 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","67 patients",,,"PN-6 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"PN-4 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","171 patients","2 ","2","SCIP-INF-2 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","198 patients",,,"HF-2 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients","2 ","2","SCIP-CARD-2 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","81 patients",,,"PN-7 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","39 patients",,,"AMI-2 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","113 patients",,,"PN-5C " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","126 patients",,,"PN-3B " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","163 patients","2 ","2","SCIP-INF-3 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","124 patients","2 ","2","SCIP-VTE-2 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","171 patients","2 ","2","SCIP-INF-1 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","77 patients",,,"AMI-1 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","132 patients",,,"HF-1 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","259 patients","2 ","2","SCIP-INF-6 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","124 patients","2 ","2","SCIP-VTE-1 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","120 patients",,,"PN-2 " "310115","HACKETTSTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "310116","ST JOSEPH'S WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","27 patients","2 ","2","SCIP-CARD-2 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","37 patients","2 ","2","AMI-2 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","83 patients","2 ","2","HF-3 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","226 patients","2 ","2","PN-5C " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","303 patients","2 ","2","HF-2 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","219 patients","2 ","2","PN-2 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","177 patients","2 ","2","PN-3B " "310116","ST JOSEPH'S WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","151 patients","2 ","2","SCIP-VTE-2 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","AMI-4 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","92 patients","2 ","2","SCIP-INF-3 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","93 patients","2 ","2","PN-6 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1,2 ","12","AMI-3 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","155 patients","2 ","2","PN-7 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients","2 ","2","PN-4 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1,2 ","12","AMI-7A " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","HF-4 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","198 patients","2 ","2","HF-1 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","110 patients","2 ","2","SCIP-INF-2 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","44 patients","2 ","2","AMI-5 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","151 patients","2 ","2","SCIP-VTE-1 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","92 patients","2 ","2","AMI-1 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","247 patients","2 ","2","SCIP-INF-6 " "310116","ST JOSEPH'S WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","110 patients","2 ","2","SCIP-INF-1 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","60 patients","2 ","2","SCIP-VTE-1 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","55 patients","2 ","2","SCIP-INF-2 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","142 patients",,,"HF-2 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","49 patients",,,"PN-6 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","43 patients",,,"PN-7 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","65%","51 patients","2 ","2","SCIP-INF-3 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","112 patients","2 ","2","SCIP-INF-6 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","60 patients","2 ","2","SCIP-VTE-2 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","93 patients",,,"HF-1 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","69 patients",,,"PN-2 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","55 patients","2 ","2","SCIP-INF-1 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","99 patients",,,"PN-3B " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","57 patients",,,"HF-3 " "310118","LIBERTYHEALTH-MEADOWLANDS HOSPITAL CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","96 patients",,,"PN-5C " "310119","UMDNJ UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","86 patients","2 ","2","PN-2 " "310119","UMDNJ UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","44 patients","2 ","2","SCIP-CARD-2 " "310119","UMDNJ UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","301 patients","2 ","2","SCIP-INF-2 " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","141 patients","2 ","2","AMI-2 " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","41 patients","2 ","2","AMI-8A " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","275 patients","2 ","2","HF-3 " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","373 patients","2 ","2","HF-1 " "310119","UMDNJ UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","107 patients","2 ","2","PN-6 " "310119","UMDNJ UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","416 patients","2 ","2","SCIP-INF-6 " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","128 patients","2 ","2","AMI-1 " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","425 patients","2 ","2","HF-2 " "310119","UMDNJ UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","325 patients","2 ","2","PN-5C " "310119","UMDNJ UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","201 patients","2 ","2","PN-4 " "310119","UMDNJ UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","272 patients","2 ","2","SCIP-INF-3 " "310119","UMDNJ UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","123 patients","2 ","2","PN-7 " "310119","UMDNJ UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","313 patients","2 ","2","PN-3B " "310119","UMDNJ UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","284 patients","2 ","2","SCIP-INF-1 " "310119","UMDNJ UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","77 patients","2 ","2","SCIP-INF-4 " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","46 patients","2 ","2","AMI-3 " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","157 patients","2 ","2","HF-4 " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","81 patients","2 ","2","AMI-4 " "310119","UMDNJ UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","134 patients","2 ","2","AMI-5 " "310119","UMDNJ UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","211 patients","2 ","2","SCIP-VTE-2 " "310119","UMDNJ UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","211 patients","2 ","2","SCIP-VTE-1 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","10 patients","1 ","1","SCIP-VTE-1 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","43 patients",,,"PN-6 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","47 patients",,,"HF-2 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","40 patients",,,"HF-1 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","10 patients","1 ","1","SCIP-VTE-2 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1 ","1","SCIP-INF-2 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","30 patients",,,"PN-7 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1 ","1","SCIP-INF-1 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","49 patients",,,"PN-5C " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","37 patients",,,"PN-2 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1 ","1","SCIP-INF-3 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","55 patients",,,"PN-3B " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "310120","SAINT CLARE'S HOSPITAL/SUSSEX","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","38 patients","2 ","2","AMI-8A " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","355 patients","2 ","2","SCIP-INF-2 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","84%","123 patients","2 ","2","CAC-3 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","123 patients","2 ","2","HF-3 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","239 patients","2 ","2","SCIP-VTE-2 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","123 patients","2 ","2","CAC-1 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","266 patients","2 ","2","HF-2 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","55 patients","2 ","2","SCIP-CARD-2 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","215 patients","2 ","2","AMI-5 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","238 patients","2 ","2","HF-1 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","123 patients","2 ","2","CAC-2 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","341 patients","2 ","2","SCIP-INF-1 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","323 patients","2 ","2","SCIP-INF-3 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","69 patients","2 ","2","PN-6 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","67 patients","2 ","2","PN-2 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","78 patients","2 ","2","HF-4 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","239 patients","2 ","2","SCIP-VTE-1 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","99 patients","2 ","2","PN-5C " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","71 patients","2 ","2","SCIP-INF-4 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","74 patients","2 ","2","PN-7 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","200 patients","2 ","2","AMI-2 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","494 patients","2 ","2","SCIP-INF-6 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","186 patients","2 ","2","AMI-1 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","101 patients","2 ","2","PN-3B " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","60 patients","2 ","2","AMI-3 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","99 patients","2 ","2","AMI-4 " "320001","UNIVERSITY OF NEW MEXICO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients","2 ","2","PN-4 " "320002","ST VINCENT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","97 patients","2 ","2","PN-2 " "320002","ST VINCENT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"AMI-3 " "320002","ST VINCENT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","201 patients",,,"HF-2 " "320002","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","267 patients","2 ","2","SCIP-INF-2 " "320002","ST VINCENT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","185 patients",,,"AMI-5 " "320002","ST VINCENT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","146 patients","2 ","2","PN-5C " "320002","ST VINCENT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","63 patients",,,"HF-3 " "320002","ST VINCENT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","31 patients",,,"AMI-8A " "320002","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","390 patients","2 ","2","SCIP-INF-6 " "320002","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","260 patients","2 ","2","SCIP-INF-3 " "320002","ST VINCENT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","149 patients","2 ","2","PN-3B " "320002","ST VINCENT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","188 patients",,,"AMI-2 " "320002","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","29 patients","2 ","2","SCIP-INF-4 " "320002","ST VINCENT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","140 patients",,,"AMI-1 " "320002","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","173 patients","2 ","2","SCIP-VTE-1 " "320002","ST VINCENT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320002","ST VINCENT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","56 patients",,,"AMI-4 " "320002","ST VINCENT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","190 patients",,,"HF-1 " "320002","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","30 patients","2 ","2","SCIP-CARD-2 " "320002","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","267 patients","2 ","2","SCIP-INF-1 " "320002","ST VINCENT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","173 patients","2 ","2","SCIP-VTE-2 " "320002","ST VINCENT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","54 patients","2 ","2","PN-4 " "320002","ST VINCENT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","78 patients","2 ","2","PN-7 " "320002","ST VINCENT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","105 patients","2 ","2","PN-6 " "320002","ST VINCENT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","39 patients",,,"HF-4 " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320003","ALTA VISTA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","49 patients","2 ","2","SCIP-VTE-1 " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","60 patients",,,"HF-1 " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "320003","ALTA VISTA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","59 patients",,,"PN-2 " "320003","ALTA VISTA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","74 patients",,,"PN-5C " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "320003","ALTA VISTA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","43 patients",,,"PN-6 " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","71 patients",,,"HF-2 " "320003","ALTA VISTA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","49 patients","2 ","2","SCIP-VTE-2 " "320003","ALTA VISTA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "320003","ALTA VISTA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","68 patients",,,"PN-3B " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","HF-3 " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320003","ALTA VISTA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","49 patients",,,"PN-7 " "320003","ALTA VISTA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","99 patients","2 ","2","SCIP-INF-6 " "320003","ALTA VISTA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320003","ALTA VISTA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","74 patients","2 ","2","SCIP-INF-2 " "320003","ALTA VISTA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","73 patients","2 ","2","SCIP-INF-1 " "320003","ALTA VISTA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1,2 ","12","SCIP-CARD-2 " "320003","ALTA VISTA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","69 patients","2 ","2","SCIP-INF-3 " "320003","ALTA VISTA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","58 patients",,,"PN-7 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","132 patients","2 ","2","SCIP-VTE-2 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","45%","31 patients","2 ","2","SCIP-CARD-2 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","193 patients","2 ","2","SCIP-INF-1 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","73 patients","2 ","2","PN-6 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","64 patients","2 ","2","PN-3B " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","75 patients","2 ","2","PN-2 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","66 patients",,,"HF-2 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","267 patients","2 ","2","SCIP-INF-6 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","179 patients","2 ","2","SCIP-INF-3 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","36 patients","2 ","2","PN-4 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","58 patients",,,"HF-1 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","197 patients","2 ","2","SCIP-INF-2 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","25 patients",,,"HF-3 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","146 patients","2 ","2","SCIP-VTE-1 " "320004","GERALD CHAMPION REGIONAL MEDICAL CENTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","97 patients","2 ","2","PN-5C " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","171 patients",,,"PN-3B " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","476 patients","2 ","2","SCIP-INF-6 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","55 patients",,,"HF-3 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","206 patients","2 ","2","SCIP-VTE-1 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","117 patients",,,"PN-6 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","209 patients",,,"PN-5C " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","HF-4 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","38%","8 patients","1 ","1","AMI-7A " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","90 patients",,,"AMI-2 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","100 patients",,,"AMI-1 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","206 patients","2 ","2","SCIP-VTE-2 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","52 patients",,,"PN-4 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","56 patients","2 ","2","SCIP-CARD-2 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","87 patients",,,"AMI-5 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","308 patients","2 ","2","SCIP-INF-3 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"AMI-4 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","185 patients",,,"PN-2 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","160 patients",,,"PN-7 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","318 patients","2 ","2","SCIP-INF-2 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","17 patients","1 ","1","AMI-8A " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","316 patients","2 ","2","SCIP-INF-1 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","144 patients",,,"HF-1 " "320005","SAN JUAN REGIONAL MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","167 patients",,,"HF-2 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","111 patients",,,"PN-3B " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","29 patients",,,"AMI-2 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","127 patients",,,"HF-2 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","178 patients","2 ","2","SCIP-INF-1 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","110 patients",,,"HF-1 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","82 patients",,,"PN-7 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","222 patients","2 ","2","SCIP-INF-6 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","173 patients","2 ","2","SCIP-INF-3 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","178 patients","2 ","2","SCIP-INF-2 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","28 patients",,,"AMI-5 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","116 patients",,,"PN-2 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","111 patients","2 ","2","SCIP-VTE-1 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","16 patients","1,2 ","12","SCIP-CARD-2 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","123 patients",,,"PN-5C " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","111 patients","2 ","2","SCIP-VTE-2 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","29 patients",,,"HF-3 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","37 patients",,,"AMI-1 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","22%","9 patients","1 ","1","AMI-7A " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","86 patients",,,"PN-6 " "320006","EASTERN NEW MEXICO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320009","LOVELACE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"AMI-4 " "320009","LOVELACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","254 patients","2 ","2","SCIP-INF-1 " "320009","LOVELACE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "320009","LOVELACE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","32 patients","2 ","2","PN-6 " "320009","LOVELACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","558 patients","2 ","2","SCIP-INF-6 " "320009","LOVELACE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","100 patients","2 ","2","PN-5C " "320009","LOVELACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","117 patients","2 ","2","SCIP-INF-4 " "320009","LOVELACE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","263 patients",,,"AMI-2 " "320009","LOVELACE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","201 patients",,,"HF-1 " "320009","LOVELACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","252 patients","2 ","2","SCIP-INF-3 " "320009","LOVELACE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","229 patients",,,"HF-2 " "320009","LOVELACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","307 patients","2 ","2","SCIP-INF-2 " "320009","LOVELACE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","111 patients","2 ","2","PN-3B " "320009","LOVELACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","219 patients","2 ","2","SCIP-VTE-2 " "320009","LOVELACE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320009","LOVELACE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","77 patients",,,"HF-3 " "320009","LOVELACE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "320009","LOVELACE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","79 patients","2 ","2","PN-7 " "320009","LOVELACE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","71 patients",,,"AMI-3 " "320009","LOVELACE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","259 patients",,,"AMI-5 " "320009","LOVELACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","59 patients","2 ","2","SCIP-CARD-2 " "320009","LOVELACE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","36 patients",,,"AMI-8A " "320009","LOVELACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","219 patients","2 ","2","SCIP-VTE-1 " "320009","LOVELACE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","108 patients","2 ","2","PN-2 " "320009","LOVELACE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","193 patients",,,"AMI-1 " "320011","ESPANOLA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","HF-3 " "320011","ESPANOLA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "320011","ESPANOLA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "320011","ESPANOLA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "320011","ESPANOLA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "320011","ESPANOLA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","55 patients",,,"SCIP-INF-1 " "320011","ESPANOLA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "320011","ESPANOLA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","58 patients",,,"SCIP-VTE-2 " "320011","ESPANOLA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "320011","ESPANOLA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","78 patients",,,"PN-6 " "320011","ESPANOLA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","100 patients",,,"PN-3B " "320011","ESPANOLA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","54 patients",,,"PN-7 " "320011","ESPANOLA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "320011","ESPANOLA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","58 patients",,,"SCIP-VTE-1 " "320011","ESPANOLA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","67 patients",,,"PN-5C " "320011","ESPANOLA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "320011","ESPANOLA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","54 patients",,,"SCIP-INF-3 " "320011","ESPANOLA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","29 patients",,,"HF-2 " "320011","ESPANOLA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "320011","ESPANOLA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1 ","1","SCIP-CARD-2 " "320011","ESPANOLA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","73 patients",,,"PN-2 " "320011","ESPANOLA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","86 patients",,,"SCIP-INF-6 " "320011","ESPANOLA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "320011","ESPANOLA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","28 patients",,,"HF-1 " "320011","ESPANOLA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","55 patients",,,"SCIP-INF-2 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","121 patients",,,"PN-2 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","48 patients",,,"HF-1 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","142 patients",,,"PN-5C " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","170 patients",,,"SCIP-INF-6 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","116 patients",,,"SCIP-INF-1 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1,3 ","13","AMI-2 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","HF-3 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","94 patients",,,"SCIP-VTE-1 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","93 patients",,,"SCIP-VTE-2 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","56 patients",,,"HF-2 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","145 patients",,,"PN-3B " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","93 patients",,,"PN-7 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","107 patients",,,"PN-6 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","30%","10 patients","1 ","1","SCIP-CARD-2 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","115 patients",,,"SCIP-INF-2 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","107 patients",,,"SCIP-INF-3 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","40 patients",,,"PN-4 " "320013","HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1,3 ","13","AMI-1 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "320014","MIMBRES MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","31 patients",,,"PN-3B " "320014","MIMBRES MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","22 patients","1 ","1","PN-7 " "320014","MIMBRES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","25 patients","2 ","2","SCIP-VTE-1 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "320014","MIMBRES MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "320014","MIMBRES MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","30 patients",,,"PN-5C " "320014","MIMBRES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","21 patients","1,2 ","12","SCIP-INF-3 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","65 patients",,,"HF-1 " "320014","MIMBRES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","22 patients","1,2 ","12","SCIP-INF-1 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "320014","MIMBRES MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","31 patients",,,"PN-2 " "320014","MIMBRES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320014","MIMBRES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","64%","22 patients","1,2 ","12","SCIP-INF-2 " "320014","MIMBRES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","57 patients","2 ","2","SCIP-INF-6 " "320014","MIMBRES MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "320014","MIMBRES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","25 patients","2 ","2","SCIP-VTE-2 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320014","MIMBRES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1,2 ","12","SCIP-CARD-2 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","HF-4 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","73 patients",,,"HF-2 " "320014","MIMBRES MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","16 patients","1 ","1","HF-3 " "320016","GILA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","55%","85 patients",,,"PN-2 " "320016","GILA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","3%","71 patients",,,"HF-1 " "320016","GILA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","252 patients",,,"SCIP-INF-1 " "320016","GILA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","234 patients",,,"SCIP-INF-3 " "320016","GILA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","64 patients",,,"PN-6 " "320016","GILA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "320016","GILA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","27 patients",,,"SCIP-CARD-2 " "320016","GILA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","70 patients",,,"PN-3B " "320016","GILA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","28 patients",,,"PN-4 " "320016","GILA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "320016","GILA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","45%","53 patients",,,"PN-7 " "320016","GILA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","72 patients",,,"HF-2 " "320016","GILA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320016","GILA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320016","GILA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "320016","GILA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","132 patients",,,"SCIP-VTE-1 " "320016","GILA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "320016","GILA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","314 patients",,,"SCIP-INF-6 " "320016","GILA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","132 patients",,,"SCIP-VTE-2 " "320016","GILA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","13 patients","1 ","1","HF-3 " "320016","GILA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","82 patients",,,"PN-5C " "320016","GILA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","251 patients",,,"SCIP-INF-2 " "320016","GILA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "320016","GILA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","45%","11 patients","1 ","1","HF-4 " "320016","GILA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "320017","LOVELACE WOMEN'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","80 patients","2 ","2","PN-3B " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","29 patients",,,"HF-1 " "320017","LOVELACE WOMEN'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","91 patients","2 ","2","PN-5C " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "320017","LOVELACE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","254 patients","2 ","2","SCIP-INF-3 " "320017","LOVELACE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","28 patients","2 ","2","SCIP-CARD-2 " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "320017","LOVELACE WOMEN'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "320017","LOVELACE WOMEN'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","80 patients","2 ","2","PN-2 " "320017","LOVELACE WOMEN'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","81 patients","2 ","2","PN-6 " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320017","LOVELACE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","170 patients","2 ","2","SCIP-VTE-2 " "320017","LOVELACE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","170 patients","2 ","2","SCIP-VTE-1 " "320017","LOVELACE WOMEN'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","57 patients","2 ","2","PN-7 " "320017","LOVELACE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","259 patients","2 ","2","SCIP-INF-1 " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "320017","LOVELACE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","374 patients","2 ","2","SCIP-INF-6 " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","35 patients",,,"HF-2 " "320017","LOVELACE WOMEN'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "320017","LOVELACE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320017","LOVELACE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","259 patients","2 ","2","SCIP-INF-2 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","154 patients",,,"HF-1 " "320018","MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","403 patients","2 ","2","SCIP-INF-3 " "320018","MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","270 patients","2 ","2","SCIP-VTE-2 " "320018","MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","198 patients",,,"PN-2 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","160 patients",,,"AMI-2 " "320018","MEMORIAL MEDICAL CENTER INC","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","30 patients",,,"CAC-1 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","176 patients",,,"HF-2 " "320018","MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","418 patients","2 ","2","SCIP-INF-1 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","29 patients",,,"AMI-8A " "320018","MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","186 patients",,,"PN-3B " "320018","MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","35 patients",,,"AMI-3 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"AMI-4 " "320018","MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","270 patients","2 ","2","SCIP-VTE-1 " "320018","MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","150 patients",,,"PN-6 " "320018","MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","199 patients",,,"PN-5C " "320018","MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"PN-4 " "320018","MEMORIAL MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","153 patients",,,"PN-7 " "320018","MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","103 patients","2 ","2","SCIP-INF-4 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","66 patients",,,"HF-3 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","109 patients",,,"AMI-1 " "320018","MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","55 patients","2 ","2","SCIP-CARD-2 " "320018","MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","425 patients","2 ","2","SCIP-INF-2 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","155 patients",,,"AMI-5 " "320018","MEMORIAL MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320018","MEMORIAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","578 patients","2 ","2","SCIP-INF-6 " "320018","MEMORIAL MEDICAL CENTER INC","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","57%","30 patients",,,"CAC-3 " "320018","MEMORIAL MEDICAL CENTER INC","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","29 patients",,,"CAC-2 " "320021","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","582 patients","2 ","2","SCIP-INF-1 " "320021","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","525 patients","2 ","2","SCIP-INF-3 " "320021","PRESBYTERIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","264 patients","2 ","2","HF-1 " "320021","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","132 patients","2 ","2","AMI-4 " "320021","PRESBYTERIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","184 patients","2 ","2","PN-3B " "320021","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","793 patients","2 ","2","SCIP-INF-6 " "320021","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","64 patients","2 ","2","AMI-3 " "320021","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","417 patients","2 ","2","AMI-2 " "320021","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "320021","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","592 patients","2 ","2","SCIP-INF-2 " "320021","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","184 patients","2 ","2","SCIP-INF-4 " "320021","PRESBYTERIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","103 patients","2 ","2","HF-3 " "320021","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","87 patients","2 ","2","AMI-8A " "320021","PRESBYTERIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","301 patients","2 ","2","HF-2 " "320021","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","288 patients","2 ","2","SCIP-VTE-2 " "320021","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","97 patients","2 ","2","SCIP-CARD-2 " "320021","PRESBYTERIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","176 patients","2 ","2","PN-2 " "320021","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","287 patients","2 ","2","AMI-1 " "320021","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","366 patients","2 ","2","AMI-5 " "320021","PRESBYTERIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","173 patients","2 ","2","PN-5C " "320021","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","288 patients","2 ","2","SCIP-VTE-1 " "320021","PRESBYTERIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","133 patients","2 ","2","PN-7 " "320021","PRESBYTERIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","PN-4 " "320021","PRESBYTERIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","143 patients","2 ","2","PN-6 " "320021","PRESBYTERIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","HF-4 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","62 patients",,,"PN-7 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","249 patients",,,"SCIP-INF-3 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","267 patients",,,"SCIP-INF-2 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","86 patients",,,"HF-1 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","93 patients",,,"PN-3B " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","81 patients",,,"PN-6 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","262 patients",,,"SCIP-INF-1 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","183 patients",,,"SCIP-VTE-1 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","105 patients",,,"PN-5C " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"PN-4 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","14 patients","1 ","1","AMI-2 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","181 patients",,,"SCIP-VTE-2 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","105 patients",,,"HF-2 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","43 patients",,,"HF-3 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","68 patients",,,"PN-2 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","28 patients",,,"SCIP-CARD-2 " "320022","PLAINS REGIONAL MEDICAL CENTER CLOVIS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","356 patients",,,"SCIP-INF-6 " "320030","ARTESIA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","24 patients","1 ","1","PN-2 " "320030","ARTESIA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","16 patients","1 ","1","PN-7 " "320030","ARTESIA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "320030","ARTESIA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1,3 ","13","HF-4 " "320030","ARTESIA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "320030","ARTESIA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "320030","ARTESIA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "320030","ARTESIA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "320030","ARTESIA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","27 patients",,,"PN-3B " "320030","ARTESIA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "320030","ARTESIA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "320030","ARTESIA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "320030","ARTESIA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "320030","ARTESIA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","32 patients",,,"PN-5C " "320030","ARTESIA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1,3 ","13","SCIP-INF-6 " "320030","ARTESIA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","29 patients",,,"PN-6 " "320030","ARTESIA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "320030","ARTESIA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","43%","7 patients","1,3 ","13","SCIP-VTE-1 " "320030","ARTESIA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","36%","14 patients","1,3 ","13","HF-1 " "320030","ARTESIA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","57%","14 patients","1,3 ","13","HF-2 " "320030","ARTESIA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "320030","ARTESIA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "320030","ARTESIA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","29%","7 patients","1,3 ","13","SCIP-VTE-2 " "320030","ARTESIA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "320030","ARTESIA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1,3 ","13","HF-3 " "320033","LOS ALAMOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","103 patients",,,"SCIP-INF-6 " "320033","LOS ALAMOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","56 patients",,,"SCIP-VTE-1 " "320033","LOS ALAMOS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","44 patients",,,"PN-2 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","16 patients","1 ","1","HF-1 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "320033","LOS ALAMOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","56 patients",,,"SCIP-VTE-2 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "320033","LOS ALAMOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","62 patients",,,"SCIP-INF-2 " "320033","LOS ALAMOS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","53 patients",,,"PN-3B " "320033","LOS ALAMOS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "320033","LOS ALAMOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1 ","1","SCIP-CARD-2 " "320033","LOS ALAMOS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","44 patients",,,"PN-5C " "320033","LOS ALAMOS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","36 patients",,,"PN-6 " "320033","LOS ALAMOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "320033","LOS ALAMOS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","21 patients","1 ","1","HF-2 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "320033","LOS ALAMOS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "320033","LOS ALAMOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","62 patients",,,"SCIP-INF-1 " "320033","LOS ALAMOS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","32 patients",,,"PN-7 " "320033","LOS ALAMOS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","61 patients",,,"SCIP-INF-3 " "320037","CIBOLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,2,3 ","123","SCIP-INF-3 " "320037","CIBOLA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "320037","CIBOLA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","52%","21 patients","1,3 ","13","HF-2 " "320037","CIBOLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","14 patients","1,2,3 ","123","SCIP-VTE-1 " "320037","CIBOLA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,3 ","13","HF-4 " "320037","CIBOLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","4 patients","1,2,3 ","123","SCIP-INF-2 " "320037","CIBOLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","4 patients","1,2,3 ","123","SCIP-INF-1 " "320037","CIBOLA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "320037","CIBOLA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1,2,3 ","123","PN-5C " "320037","CIBOLA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "320037","CIBOLA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","18 patients","1,3 ","13","HF-1 " "320037","CIBOLA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "320037","CIBOLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","14 patients","1,2,3 ","123","SCIP-VTE-2 " "320037","CIBOLA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,2,3 ","123","PN-4 " "320037","CIBOLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","20 patients","1,2,3 ","123","SCIP-INF-6 " "320037","CIBOLA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1,3 ","13","PN-7 " "320037","CIBOLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "320037","CIBOLA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","45%","11 patients","1,3 ","13","HF-3 " "320037","CIBOLA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "320037","CIBOLA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","11 patients","1,2,3 ","123","PN-6 " "320037","CIBOLA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "320037","CIBOLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "320037","CIBOLA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","13 patients","1,2,3 ","123","PN-3B " "320037","CIBOLA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "320037","CIBOLA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","10 patients","1,2,3 ","123","PN-2 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","87 patients",,,"PN-5C " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","71 patients",,,"PN-2 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","69 patients",,,"SCIP-VTE-1 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","32 patients",,,"HF-3 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","68 patients",,,"SCIP-VTE-2 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","115 patients",,,"SCIP-INF-2 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","115 patients",,,"SCIP-INF-1 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","112 patients",,,"SCIP-INF-3 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","10 patients","1 ","1","SCIP-CARD-2 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","53%","17 patients","1 ","1","PN-4 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","35%","65 patients",,,"HF-1 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","88 patients",,,"PN-3B " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","73 patients",,,"PN-6 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","136 patients",,,"SCIP-INF-6 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","67 patients",,,"PN-7 " "320038","REHOBOTH MCKINLEY CHRISTIAN HEALTH SER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","68 patients",,,"HF-2 " "320057","SANTA FE PHS INDIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,2,3 ","123","PN-6 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "320057","SANTA FE PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "320057","SANTA FE PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "320057","SANTA FE PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "320057","SANTA FE PHS INDIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","3 patients","1,2,3 ","123","HF-2 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "320057","SANTA FE PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "320057","SANTA FE PHS INDIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1,2,3 ","123","PN-2 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","3 patients","1,2,3 ","123","HF-1 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "320057","SANTA FE PHS INDIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,2 ","12","PN-7 " "320057","SANTA FE PHS INDIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "320057","SANTA FE PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "320057","SANTA FE PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "320057","SANTA FE PHS INDIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "320057","SANTA FE PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "320057","SANTA FE PHS INDIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "320057","SANTA FE PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "320058","MESCALERO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "320058","MESCALERO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "320058","MESCALERO PHS INDIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "320058","MESCALERO PHS INDIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","3 ","3","PN-7 " "320058","MESCALERO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "320058","MESCALERO PHS INDIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "320058","MESCALERO PHS INDIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,3 ","13","PN-2 " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "320058","MESCALERO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "320058","MESCALERO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "320058","MESCALERO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "320058","MESCALERO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "320058","MESCALERO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "320058","MESCALERO PHS INDIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "320058","MESCALERO PHS INDIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "320058","MESCALERO PHS INDIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","35 patients","2,3 ","23","PN-5C " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","5%","42 patients","2 ","2","HF-1 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","66%","41 patients","2 ","2","HF-2 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","13 patients","1,2 ","12","SCIP-INF-1 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1,2 ","12","SCIP-CARD-2 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,2,3 ","123","AMI-3 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","61 patients","2 ","2","PN-7 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","6 patients","1,2 ","12","PN-4 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,2,3 ","123","AMI-5 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","29%","7 patients","1,2 ","12","SCIP-VTE-2 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","12 patients","1,2 ","12","SCIP-INF-2 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1,2 ","12","HF-3 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","12 patients","1,2 ","12","SCIP-INF-3 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1,2,3 ","123","AMI-2 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","96 patients","2 ","2","PN-2 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1,2,3 ","123","AMI-1 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","66%","68 patients","2 ","2","PN-6 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","73%","63 patients","2 ","2","PN-3B " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","67%","24 patients","1,2 ","12","SCIP-INF-6 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","29%","7 patients","1,2 ","12","SCIP-VTE-1 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "320059","NORTHERN NAVAJO PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","151 patients",,,"PN-3B " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","42 patients",,,"PN-4 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","81 patients",,,"PN-6 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","131 patients",,,"PN-2 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","115 patients",,,"PN-5C " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","93 patients",,,"AMI-2 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","105 patients",,,"PN-7 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","38 patients",,,"HF-4 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","194 patients",,,"HF-2 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","331 patients",,,"SCIP-INF-1 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","338 patients",,,"SCIP-INF-2 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","185 patients",,,"HF-1 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","259 patients","2 ","2","SCIP-VTE-2 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","85 patients",,,"AMI-1 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","451 patients","2 ","2","SCIP-INF-6 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","322 patients",,,"SCIP-INF-3 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"AMI-4 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","12 patients","1 ","1","AMI-8A " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","95 patients","2 ","2","SCIP-INF-4 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","160 patients","2 ","2","SCIP-CARD-2 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","92 patients",,,"AMI-5 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","259 patients","2 ","2","SCIP-VTE-1 " "32005F","VA NEW MEXICO HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","78 patients",,,"HF-3 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","25%","12 patients","1,2 ","12","PN-5C " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","5 patients","1,2,3 ","123","HF-1 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","5 patients","1,2,3 ","123","HF-2 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2 ","12","PN-4 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","4 patients","1,2 ","12","PN-3B " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","17%","6 patients","1,2 ","12","PN-7 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","HF-4 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","54%","13 patients","1,2 ","12","PN-2 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "320060","ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","11 patients","1,2 ","12","PN-6 " "320061","GALLUP INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","26 patients","2 ","2","HF-3 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "320061","GALLUP INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","25%","20 patients","1,2 ","12","SCIP-VTE-2 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "320061","GALLUP INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","74%","31 patients","2 ","2","SCIP-INF-6 " "320061","GALLUP INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","10 patients","1,2 ","12","SCIP-INF-3 " "320061","GALLUP INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","10 patients","1,2 ","12","SCIP-INF-2 " "320061","GALLUP INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","64%","11 patients","1,2 ","12","SCIP-INF-1 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1,2 ","12","HF-4 " "320061","GALLUP INDIAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","89 patients","2 ","2","PN-6 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","44 patients","2 ","2","HF-1 " "320061","GALLUP INDIAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","104 patients","2 ","2","PN-5C " "320061","GALLUP INDIAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","80 patients","2 ","2","PN-2 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1,2 ","12","AMI-5 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","51 patients","2 ","2","HF-2 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,2 ","12","AMI-1 " "320061","GALLUP INDIAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","118 patients","2 ","2","PN-3B " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "320061","GALLUP INDIAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,2 ","12","AMI-2 " "320061","GALLUP INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "320061","GALLUP INDIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","24%","21 patients","1,2 ","12","SCIP-VTE-1 " "320061","GALLUP INDIAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","41%","54 patients",,,"PN-7 " "320061","GALLUP INDIAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","29%","7 patients","1,2 ","12","PN-4 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","11 patients","1,2 ","12","HF-2 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1,2 ","12","HF-3 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","35 patients","2 ","2","PN-6 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","10 patients","1,2 ","12","HF-1 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","41 patients","2 ","2","PN-5C " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,2 ","12","PN-4 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","28 patients","2 ","2","PN-2 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","28%","25 patients","2 ","2","PN-7 " "320062","CROWNPOINT PHS INDIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","30 patients","2 ","2","PN-3B " "320063","CARLSBAD MEDICAL CENTER -TCU","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","138 patients",,,"SCIP-VTE-1 " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "320063","CARLSBAD MEDICAL CENTER -TCU","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","129 patients",,,"PN-5C " "320063","CARLSBAD MEDICAL CENTER -TCU","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","132 patients",,,"PN-3B " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "320063","CARLSBAD MEDICAL CENTER -TCU","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","85 patients",,,"PN-7 " "320063","CARLSBAD MEDICAL CENTER -TCU","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","90 patients",,,"PN-6 " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","39 patients",,,"AMI-2 " "320063","CARLSBAD MEDICAL CENTER -TCU","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","183 patients",,,"SCIP-INF-2 " "320063","CARLSBAD MEDICAL CENTER -TCU","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-7A " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","38 patients",,,"AMI-5 " "320063","CARLSBAD MEDICAL CENTER -TCU","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","138 patients",,,"SCIP-VTE-2 " "320063","CARLSBAD MEDICAL CENTER -TCU","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "320063","CARLSBAD MEDICAL CENTER -TCU","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","182 patients",,,"SCIP-INF-1 " "320063","CARLSBAD MEDICAL CENTER -TCU","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","268 patients",,,"SCIP-INF-6 " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "320063","CARLSBAD MEDICAL CENTER -TCU","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","163 patients",,,"SCIP-INF-3 " "320063","CARLSBAD MEDICAL CENTER -TCU","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","110 patients",,,"PN-2 " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","40 patients",,,"AMI-1 " "320063","CARLSBAD MEDICAL CENTER -TCU","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","24 patients","1 ","1","SCIP-CARD-2 " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","64 patients",,,"HF-1 " "320063","CARLSBAD MEDICAL CENTER -TCU","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","78 patients",,,"HF-2 " "320065","LEA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "320065","LEA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","91 patients",,,"SCIP-VTE-2 " "320065","LEA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "320065","LEA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","35 patients",,,"PN-6 " "320065","LEA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "320065","LEA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320065","LEA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320065","LEA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","194 patients",,,"SCIP-INF-3 " "320065","LEA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "320065","LEA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","37 patients",,,"HF-1 " "320065","LEA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","40 patients",,,"PN-5C " "320065","LEA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "320065","LEA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","91 patients",,,"SCIP-VTE-1 " "320065","LEA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","236 patients",,,"SCIP-INF-6 " "320065","LEA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "320065","LEA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","29 patients",,,"PN-7 " "320065","LEA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "320065","LEA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","38 patients",,,"PN-2 " "320065","LEA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","206 patients",,,"SCIP-INF-1 " "320065","LEA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","46 patients",,,"HF-2 " "320065","LEA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "320065","LEA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","203 patients",,,"SCIP-INF-2 " "320065","LEA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "320065","LEA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","54 patients",,,"PN-3B " "320065","LEA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "320067","GUADALUPE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1,2 ","12","HF-1 " "320067","GUADALUPE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "320067","GUADALUPE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "320067","GUADALUPE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "320067","GUADALUPE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "320067","GUADALUPE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "320067","GUADALUPE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,3 ","13","PN-4 " "320067","GUADALUPE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "320067","GUADALUPE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","HF-3 " "320067","GUADALUPE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,3 ","13","PN-5C " "320067","GUADALUPE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","4 patients","1,3 ","13","PN-2 " "320067","GUADALUPE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "320067","GUADALUPE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1 ","1","PN-7 " "320067","GUADALUPE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "320067","GUADALUPE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "320067","GUADALUPE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "320067","GUADALUPE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "320067","GUADALUPE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "320067","GUADALUPE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "320067","GUADALUPE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "320067","GUADALUPE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,3 ","13","PN-6 " "320067","GUADALUPE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "320067","GUADALUPE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "320067","GUADALUPE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2,3 ","123","AMI-7A " "320067","GUADALUPE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","40%","15 patients","1,2 ","12","HF-2 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320069","MINERS' COLFAX MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","48 patients","2 ","2","PN-2 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "320069","MINERS' COLFAX MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","70%","30 patients","2 ","2","PN-3B " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","25 patients",,,"HF-2 " "320069","MINERS' COLFAX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","51 patients","2 ","2","SCIP-INF-3 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","21 patients","1 ","1","HF-1 " "320069","MINERS' COLFAX MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","30 patients","2 ","2","SCIP-VTE-2 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320069","MINERS' COLFAX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","55 patients","2 ","2","SCIP-INF-1 " "320069","MINERS' COLFAX MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","30 patients","2 ","2","SCIP-VTE-1 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "320069","MINERS' COLFAX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","80 patients","2 ","2","SCIP-INF-6 " "320069","MINERS' COLFAX MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "320069","MINERS' COLFAX MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1,2 ","12","PN-4 " "320069","MINERS' COLFAX MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","34 patients","2 ","2","PN-7 " "320069","MINERS' COLFAX MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "320069","MINERS' COLFAX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320069","MINERS' COLFAX MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","41 patients","2 ","2","PN-6 " "320069","MINERS' COLFAX MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","54 patients","2 ","2","SCIP-INF-2 " "320069","MINERS' COLFAX MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","53 patients","2 ","2","PN-5C " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1 ","1","HF-1 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","13 patients","1 ","1","PN-7 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","13 patients","1 ","1","PN-6 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","21 patients","1 ","1","PN-5C " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","15 patients","1 ","1","PN-3B " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","16 patients","1 ","1","PN-2 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1 ","1","HF-2 " "320070","ACOMA CANONCITO LAQUNA PHS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","48 patients",,,"HF-1 " "320074","LOVELACE WESTSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","82 patients","2 ","2","PN-2 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "320074","LOVELACE WESTSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","91 patients","2 ","2","PN-5C " "320074","LOVELACE WESTSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","118 patients","2 ","2","SCIP-VTE-1 " "320074","LOVELACE WESTSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","69%","116 patients","2 ","2","SCIP-VTE-2 " "320074","LOVELACE WESTSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","104 patients","2 ","2","PN-3B " "320074","LOVELACE WESTSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","PN-4 " "320074","LOVELACE WESTSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","138 patients","2 ","2","SCIP-INF-3 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","52 patients",,,"HF-2 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320074","LOVELACE WESTSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","142 patients","2 ","2","SCIP-INF-2 " "320074","LOVELACE WESTSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","82 patients","2 ","2","PN-6 " "320074","LOVELACE WESTSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","263 patients","2 ","2","SCIP-INF-6 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "320074","LOVELACE WESTSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","141 patients","2 ","2","SCIP-INF-1 " "320074","LOVELACE WESTSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320074","LOVELACE WESTSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","61 patients","2 ","2","PN-7 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","68%","19 patients","1 ","1","HF-3 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "320074","LOVELACE WESTSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1,2 ","12","SCIP-CARD-2 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "320074","LOVELACE WESTSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","111 patients",,,"AMI-1 " "320083","HEART HOSPITAL OF NEW MEXICO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","430 patients",,,"SCIP-INF-3 " "320083","HEART HOSPITAL OF NEW MEXICO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","33 patients",,,"PN-2 " "320083","HEART HOSPITAL OF NEW MEXICO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","75 patients",,,"SCIP-VTE-1 " "320083","HEART HOSPITAL OF NEW MEXICO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients",,,"PN-6 " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","32 patients",,,"AMI-8A " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","114 patients",,,"AMI-4 " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","213 patients",,,"HF-2 " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","201 patients",,,"HF-1 " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","78 patients",,,"AMI-3 " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","416 patients",,,"AMI-2 " "320083","HEART HOSPITAL OF NEW MEXICO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","449 patients",,,"SCIP-INF-2 " "320083","HEART HOSPITAL OF NEW MEXICO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","442 patients",,,"SCIP-INF-1 " "320083","HEART HOSPITAL OF NEW MEXICO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","20 patients","1 ","1","PN-7 " "320083","HEART HOSPITAL OF NEW MEXICO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","35 patients",,,"PN-3B " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","81 patients",,,"HF-3 " "320083","HEART HOSPITAL OF NEW MEXICO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","75 patients",,,"SCIP-VTE-2 " "320083","HEART HOSPITAL OF NEW MEXICO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","561 patients",,,"SCIP-INF-6 " "320083","HEART HOSPITAL OF NEW MEXICO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","29 patients",,,"PN-5C " "320083","HEART HOSPITAL OF NEW MEXICO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","130 patients",,,"SCIP-CARD-2 " "320083","HEART HOSPITAL OF NEW MEXICO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","264 patients",,,"SCIP-INF-4 " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","412 patients",,,"AMI-5 " "320083","HEART HOSPITAL OF NEW MEXICO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320083","HEART HOSPITAL OF NEW MEXICO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"HF-4 " "320084","ROOSEVELT GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","32 patients",,,"PN-7 " "320084","ROOSEVELT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","25%","4 patients","1,3 ","13","SCIP-INF-1 " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","19%","32 patients",,,"HF-2 " "320084","ROOSEVELT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1,3 ","13","SCIP-INF-6 " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "320084","ROOSEVELT GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","55 patients",,,"PN-5C " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","28 patients",,,"HF-1 " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","HF-4 " "320084","ROOSEVELT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","4 patients","1,3 ","13","SCIP-INF-3 " "320084","ROOSEVELT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","9 patients","1,3 ","13","SCIP-VTE-2 " "320084","ROOSEVELT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "320084","ROOSEVELT GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","33 patients",,,"PN-3B " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "320084","ROOSEVELT GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","38 patients",,,"PN-6 " "320084","ROOSEVELT GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","46 patients",,,"PN-2 " "320084","ROOSEVELT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "320084","ROOSEVELT GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","15 patients","1 ","1","PN-4 " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "320084","ROOSEVELT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","4 patients","1,3 ","13","SCIP-INF-2 " "320084","ROOSEVELT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","10 patients","1,3 ","13","SCIP-VTE-1 " "320084","ROOSEVELT GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","79 patients",,,"PN-3B " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","192 patients",,,"AMI-5 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","81 patients",,,"SCIP-INF-4 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","396 patients",,,"SCIP-INF-2 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","91 patients",,,"PN-7 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","217 patients",,,"AMI-2 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","47 patients",,,"AMI-3 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","78 patients",,,"AMI-4 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","63 patients",,,"SCIP-CARD-2 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","370 patients",,,"SCIP-INF-3 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","69 patients",,,"PN-6 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","291 patients",,,"SCIP-VTE-2 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","167 patients",,,"HF-2 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","51 patients",,,"PN-4 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","13 patients","1 ","1","AMI-8A " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","651 patients",,,"SCIP-INF-6 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","104 patients",,,"PN-5C " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","127 patients",,,"PN-2 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","293 patients",,,"SCIP-VTE-1 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","139 patients",,,"HF-1 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","70 patients",,,"HF-3 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","392 patients",,,"SCIP-INF-1 " "320085","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","84 patients",,,"AMI-1 " "320086","ROSWELL REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","10 patients","1,2 ","12","PN-3B " "320086","ROSWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","116 patients","2 ","2","SCIP-VTE-2 " "320086","ROSWELL REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,2,3 ","123","AMI-2 " "320086","ROSWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","288 patients","2 ","2","SCIP-INF-1 " "320086","ROSWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "320086","ROSWELL REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2 ","12","HF-4 " "320086","ROSWELL REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1,2 ","12","HF-3 " "320086","ROSWELL REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","19 patients","1,2 ","12","PN-5C " "320086","ROSWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","285 patients","2 ","2","SCIP-INF-2 " "320086","ROSWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","299 patients","2 ","2","SCIP-INF-6 " "320086","ROSWELL REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "320086","ROSWELL REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","63%","43 patients","2 ","2","HF-2 " "320086","ROSWELL REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","21%","39 patients","2 ","2","HF-1 " "320086","ROSWELL REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","29%","7 patients","1,2 ","12","PN-7 " "320086","ROSWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","282 patients","2 ","2","SCIP-INF-3 " "320086","ROSWELL REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "320086","ROSWELL REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","17 patients","1,2 ","12","PN-6 " "320086","ROSWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","116 patients","2 ","2","SCIP-VTE-1 " "320086","ROSWELL REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "320086","ROSWELL REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "320086","ROSWELL REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,2,3 ","123","AMI-3 " "320086","ROSWELL REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1,2 ","12","PN-4 " "320086","ROSWELL REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","45%","11 patients","1,2 ","12","PN-2 " "320086","ROSWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","22 patients","1 ","1","SCIP-CARD-2 " "320086","ROSWELL REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","53 patients",,,"SCIP-VTE-1 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","115 patients",,,"SCIP-INF-6 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","53 patients",,,"SCIP-VTE-2 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","104 patients",,,"SCIP-INF-1 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","104 patients",,,"SCIP-INF-3 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","104 patients",,,"SCIP-INF-2 " "320087","PHYSICIANS MEDICAL CENTER OF SANTA FE LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","8 patients","1 ","1","SCIP-CARD-2 " "321300","SIERRA VISTA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "321300","SIERRA VISTA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","71%","7 patients","1,2 ","12","PN-3B " "321300","SIERRA VISTA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "321300","SIERRA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "321300","SIERRA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "321300","SIERRA VISTA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","14 patients","1,2 ","12","HF-2 " "321300","SIERRA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "321300","SIERRA VISTA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","12 patients","1,2 ","12","PN-7 " "321300","SIERRA VISTA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1,2 ","12","PN-6 " "321300","SIERRA VISTA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","23 patients","1,2 ","12","PN-2 " "321300","SIERRA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "321300","SIERRA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "321300","SIERRA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "321300","SIERRA VISTA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "321300","SIERRA VISTA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","PN-4 " "321300","SIERRA VISTA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","26 patients","2 ","2","PN-5C " "321300","SIERRA VISTA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","7 patients","1,2 ","12","HF-1 " "321300","SIERRA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "321300","SIERRA VISTA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","HF-4 " "321300","SIERRA VISTA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "321300","SIERRA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "321300","SIERRA VISTA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "321300","SIERRA VISTA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "321300","SIERRA VISTA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "321300","SIERRA VISTA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "321301","SOCORRO GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "321301","SOCORRO GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "321301","SOCORRO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "321301","SOCORRO GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","49 patients",,,"PN-5C " "321301","SOCORRO GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","28 patients",,,"PN-2 " "321301","SOCORRO GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "321301","SOCORRO GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "321301","SOCORRO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "321301","SOCORRO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "321301","SOCORRO GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","44 patients",,,"PN-3B " "321301","SOCORRO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "321301","SOCORRO GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "321301","SOCORRO GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "321301","SOCORRO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "321301","SOCORRO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "321301","SOCORRO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "321301","SOCORRO GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "321301","SOCORRO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "321301","SOCORRO GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","38 patients",,,"HF-2 " "321301","SOCORRO GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "321301","SOCORRO GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","35 patients",,,"HF-1 " "321301","SOCORRO GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "321301","SOCORRO GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "321301","SOCORRO GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","42 patients",,,"PN-6 " "321301","SOCORRO GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","14 patients","1 ","1","PN-7 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","23 patients","1 ","1","PN-6 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","17 patients","1 ","1","PN-3B " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","2 patients","1,3 ","13","SCIP-VTE-2 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","18 patients","1 ","1","PN-5C " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","18 patients","1 ","1","PN-2 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","18 patients","1 ","1","HF-1 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","41%","22 patients","1 ","1","HF-2 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","2 patients","1,3 ","13","SCIP-VTE-1 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "321302","DR DAN C TRIGG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "321304","UNION COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,2 ","12","PN-3B " "321304","UNION COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","4 patients","1,2,3 ","123","SCIP-VTE-1 " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "321304","UNION COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","2 patients","1,2,3 ","123","SCIP-INF-1 " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "321304","UNION COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1,2 ","12","PN-7 " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "321304","UNION COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","25%","4 patients","1,2,3 ","123","SCIP-VTE-2 " "321304","UNION COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,2,3 ","123","SCIP-INF-2 " "321304","UNION COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","9 patients","1,2 ","12","PN-6 " "321304","UNION COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "321304","UNION COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","9 patients","1,2 ","12","PN-2 " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "321304","UNION COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","5 patients","1,2,3 ","123","HF-1 " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","6 patients","1,2,3 ","123","HF-2 " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "321304","UNION COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","2 patients","1,2,3 ","123","SCIP-INF-3 " "321304","UNION COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","33%","6 patients","1,2,3 ","123","SCIP-INF-6 " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "321304","UNION COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1,2 ","12","PN-5C " "321304","UNION COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "321304","UNION COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2 ","12","PN-4 " "321305","NOR LEA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1,2,3 ","123","PN-3B " "321305","NOR LEA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1,2,3 ","123","PN-4 " "321305","NOR LEA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","5 patients","1,2,3 ","123","HF-1 " "321305","NOR LEA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","71%","17 patients","1,2,3 ","123","PN-5C " "321305","NOR LEA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "321305","NOR LEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "321305","NOR LEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "321305","NOR LEA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","6 patients","1,2,3 ","123","HF-2 " "321305","NOR LEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "321305","NOR LEA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "321305","NOR LEA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","38%","13 patients","1,2,3 ","123","PN-7 " "321305","NOR LEA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","18 patients","1,2,3 ","123","PN-6 " "321305","NOR LEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "321305","NOR LEA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "321305","NOR LEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "321305","NOR LEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "321305","NOR LEA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","HF-4 " "321305","NOR LEA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "321305","NOR LEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "321305","NOR LEA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "321305","NOR LEA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "321305","NOR LEA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "321305","NOR LEA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "321305","NOR LEA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "321305","NOR LEA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","16 patients","1,2,3 ","123","PN-2 " "321306","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "321306","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","30 patients",,,"SCIP-VTE-1 " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "321306","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","30 patients",,,"SCIP-VTE-2 " "321306","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","27 patients",,,"HF-1 " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "321306","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","27 patients",,,"PN-2 " "321306","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","40 patients",,,"SCIP-INF-3 " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "321306","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","44 patients",,,"PN-5C " "321306","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","38 patients",,,"PN-6 " "321306","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "321306","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","44 patients",,,"SCIP-INF-2 " "321306","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","18 patients","1 ","1","PN-7 " "321306","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","42 patients",,,"SCIP-INF-1 " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "321306","LINCOLN COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","37 patients",,,"PN-3B " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "321306","LINCOLN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","70 patients",,,"SCIP-INF-6 " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "321306","LINCOLN COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","28 patients",,,"HF-2 " "330002","PENINSULA HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","168 patients",,,"HF-2 " "330002","PENINSULA HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","22 patients","1 ","1","AMI-1 " "330002","PENINSULA HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "330002","PENINSULA HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","101 patients",,,"SCIP-INF-6 " "330002","PENINSULA HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","136 patients",,,"HF-1 " "330002","PENINSULA HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","80 patients",,,"PN-6 " "330002","PENINSULA HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "330002","PENINSULA HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "330002","PENINSULA HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330002","PENINSULA HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "330002","PENINSULA HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","71 patients",,,"SCIP-VTE-1 " "330002","PENINSULA HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","150 patients",,,"PN-7 " "330002","PENINSULA HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "330002","PENINSULA HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","48 patients",,,"PN-4 " "330002","PENINSULA HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","10 patients","1 ","1","SCIP-CARD-2 " "330002","PENINSULA HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "330002","PENINSULA HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","54 patients",,,"HF-3 " "330002","PENINSULA HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330002","PENINSULA HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","43 patients",,,"SCIP-INF-1 " "330002","PENINSULA HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","185 patients",,,"PN-3B " "330002","PENINSULA HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","71 patients",,,"SCIP-VTE-2 " "330002","PENINSULA HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","193 patients",,,"PN-2 " "330002","PENINSULA HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","43 patients",,,"SCIP-INF-2 " "330002","PENINSULA HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","187 patients",,,"PN-5C " "330002","PENINSULA HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","39 patients",,,"SCIP-INF-3 " "330003","ALBANY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","52 patients","2 ","2","SCIP-CARD-2 " "330003","ALBANY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","88 patients","2 ","2","PN-6 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","96 patients",,,"HF-1 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "330003","ALBANY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","311 patients","2 ","2","SCIP-INF-3 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "330003","ALBANY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","143 patients","2 ","2","PN-2 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "330003","ALBANY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","217 patients","2 ","2","SCIP-VTE-1 " "330003","ALBANY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","312 patients","2 ","2","SCIP-INF-2 " "330003","ALBANY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","215 patients","2 ","2","SCIP-VTE-2 " "330003","ALBANY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","79%","460 patients","2 ","2","SCIP-INF-6 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","120 patients",,,"HF-2 " "330003","ALBANY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330003","ALBANY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","164 patients","2 ","2","PN-5C " "330003","ALBANY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","PN-4 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330003","ALBANY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","313 patients","2 ","2","SCIP-INF-1 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","27 patients",,,"AMI-1 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","HF-4 " "330003","ALBANY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","177 patients","2 ","2","PN-3B " "330003","ALBANY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","26 patients",,,"HF-3 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "330003","ALBANY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","101 patients","2 ","2","PN-7 " "330003","ALBANY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330004","KINGSTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","38 patients",,,"AMI-2 " "330004","KINGSTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","126 patients",,,"PN-7 " "330004","KINGSTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","137 patients",,,"HF-1 " "330004","KINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330004","KINGSTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","176 patients",,,"PN-2 " "330004","KINGSTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","181 patients",,,"HF-2 " "330004","KINGSTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","57%","7 patients","1 ","1","AMI-7A " "330004","KINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","158 patients",,,"SCIP-VTE-1 " "330004","KINGSTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "330004","KINGSTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "330004","KINGSTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "330004","KINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","294 patients",,,"SCIP-INF-6 " "330004","KINGSTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","138 patients",,,"PN-6 " "330004","KINGSTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330004","KINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","141 patients",,,"SCIP-INF-2 " "330004","KINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","139 patients",,,"SCIP-INF-1 " "330004","KINGSTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","218 patients",,,"PN-3B " "330004","KINGSTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "330004","KINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","137 patients",,,"SCIP-INF-3 " "330004","KINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","46 patients",,,"SCIP-CARD-2 " "330004","KINGSTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","208 patients",,,"PN-5C " "330004","KINGSTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","60 patients",,,"AMI-1 " "330004","KINGSTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","157 patients",,,"SCIP-VTE-2 " "330004","KINGSTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","46 patients",,,"HF-3 " "330004","KINGSTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","46 patients",,,"AMI-5 " "330005","KALEIDA HEALTH","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","379 patients",,,"CAC-1 " "330005","KALEIDA HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","844 patients",,,"PN-5C " "330005","KALEIDA HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","508 patients","2 ","2","SCIP-VTE-2 " "330005","KALEIDA HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","462 patients",,,"HF-3 " "330005","KALEIDA HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","1444 patients",,,"HF-2 " "330005","KALEIDA HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","509 patients","2 ","2","SCIP-VTE-1 " "330005","KALEIDA HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","512 patients",,,"PN-7 " "330005","KALEIDA HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","852 patients","2 ","2","SCIP-INF-1 " "330005","KALEIDA HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","164 patients",,,"AMI-3 " "330005","KALEIDA HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","216 patients","2 ","2","SCIP-INF-4 " "330005","KALEIDA HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","488 patients",,,"AMI-1 " "330005","KALEIDA HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","243 patients",,,"PN-4 " "330005","KALEIDA HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","792 patients",,,"PN-2 " "330005","KALEIDA HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","567 patients",,,"PN-6 " "330005","KALEIDA HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","1040 patients",,,"AMI-5 " "330005","KALEIDA HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","237 patients","2 ","2","SCIP-CARD-2 " "330005","KALEIDA HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","807 patients","2 ","2","SCIP-INF-3 " "330005","KALEIDA HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","861 patients","2 ","2","SCIP-INF-2 " "330005","KALEIDA HEALTH","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","379 patients",,,"CAC-2 " "330005","KALEIDA HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","319 patients",,,"AMI-4 " "330005","KALEIDA HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-7A " "330005","KALEIDA HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","1126 patients",,,"HF-1 " "330005","KALEIDA HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","970 patients",,,"AMI-2 " "330005","KALEIDA HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","849 patients",,,"PN-3B " "330005","KALEIDA HEALTH","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","0%","380 patients",,,"CAC-3 " "330005","KALEIDA HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1301 patients","2 ","2","SCIP-INF-6 " "330005","KALEIDA HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","46 patients",,,"AMI-8A " "330005","KALEIDA HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","224 patients",,,"HF-4 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","146 patients",,,"PN-2 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","70 patients",,,"SCIP-VTE-1 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330006","ST JOSEPH'S HOSPITAL YONKERS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","194 patients",,,"HF-2 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","200 patients",,,"PN-3B " "330006","ST JOSEPH'S HOSPITAL YONKERS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","70 patients",,,"SCIP-VTE-2 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","11 patients","1 ","1","SCIP-CARD-2 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","80 patients",,,"PN-6 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","120 patients",,,"HF-1 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","60 patients",,,"SCIP-INF-3 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","55 patients",,,"HF-3 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","66 patients",,,"SCIP-INF-1 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","186 patients",,,"PN-5C " "330006","ST JOSEPH'S HOSPITAL YONKERS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","99 patients",,,"PN-7 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330006","ST JOSEPH'S HOSPITAL YONKERS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","67 patients",,,"SCIP-INF-2 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","127 patients",,,"SCIP-INF-6 " "330006","ST JOSEPH'S HOSPITAL YONKERS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","62 patients",,,"PN-2 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","59 patients",,,"HF-1 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","109 patients",,,"SCIP-INF-6 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","41 patients",,,"PN-7 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","47 patients",,,"PN-6 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","14 patients","1 ","1","SCIP-CARD-2 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","87 patients",,,"SCIP-INF-1 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","87 patients",,,"SCIP-INF-2 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","63%","59 patients",,,"SCIP-VTE-1 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","20 patients","1 ","1","HF-4 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","PN-4 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","89 patients",,,"HF-2 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"HF-3 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","86 patients",,,"SCIP-INF-3 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","57 patients",,,"SCIP-VTE-2 " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","63 patients",,,"PN-3B " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","61 patients",,,"PN-5C " "330008","WYOMING COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "330009","BRONX-LEBANON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330009","BRONX-LEBANON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","169 patients","2 ","2","SCIP-VTE-1 " "330009","BRONX-LEBANON HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","121 patients","2 ","2","PN-6 " "330009","BRONX-LEBANON HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","59%","102 patients","2 ","2","PN-3B " "330009","BRONX-LEBANON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","19 patients","1,2 ","12","SCIP-CARD-2 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "330009","BRONX-LEBANON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","169 patients","2 ","2","SCIP-VTE-2 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","86 patients",,,"AMI-5 " "330009","BRONX-LEBANON HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","PN-4 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","137 patients","2 ","2","HF-3 " "330009","BRONX-LEBANON HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","77%","212 patients","2 ","2","PN-5C " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","89 patients",,,"AMI-2 " "330009","BRONX-LEBANON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","139 patients","2 ","2","SCIP-INF-3 " "330009","BRONX-LEBANON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","163 patients","2 ","2","SCIP-INF-2 " "330009","BRONX-LEBANON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","163 patients","2 ","2","SCIP-INF-1 " "330009","BRONX-LEBANON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","262 patients","2 ","2","SCIP-INF-6 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","315 patients","2 ","2","HF-2 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","292 patients","2 ","2","HF-1 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","HF-4 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-8A " "330009","BRONX-LEBANON HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","84 patients","2 ","2","PN-7 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","126 patients",,,"AMI-1 " "330009","BRONX-LEBANON HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "330009","BRONX-LEBANON HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","104 patients","2 ","2","PN-2 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","54 patients",,,"AMI-5 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","236 patients","2 ","2","SCIP-INF-1 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","157 patients","2 ","2","SCIP-VTE-1 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","38 patients","2 ","2","SCIP-CARD-2 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","311 patients",,,"PN-2 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","225 patients","2 ","2","SCIP-INF-3 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","346 patients",,,"PN-3B " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","230 patients",,,"PN-7 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","197 patients",,,"HF-1 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","345 patients",,,"PN-5C " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","206 patients",,,"PN-6 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","65 patients",,,"HF-3 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","78 patients",,,"AMI-1 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","238 patients","2 ","2","SCIP-INF-2 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","103 patients",,,"PN-4 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","157 patients","2 ","2","SCIP-VTE-2 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","56 patients",,,"AMI-2 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","374 patients","2 ","2","SCIP-INF-6 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","271 patients",,,"HF-2 " "330011","OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","168 patients","2 ","2","AMI-4 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","131 patients",,,"PN-2 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","198 patients",,,"PN-3B " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","162 patients",,,"HF-3 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","215 patients","2 ","2","SCIP-VTE-2 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","403 patients","2 ","2","SCIP-INF-3 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","610 patients","2 ","2","SCIP-INF-6 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","316 patients",,,"HF-1 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","403 patients","2 ","2","AMI-5 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","434 patients","2 ","2","AMI-2 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","412 patients","2 ","2","SCIP-INF-1 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","113 patients",,,"PN-6 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","215 patients","2 ","2","SCIP-VTE-1 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","424 patients","2 ","2","SCIP-INF-2 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","189 patients","2 ","2","AMI-1 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","90 patients","2 ","2","AMI-3 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","167 patients",,,"PN-5C " "330013","ALBANY MEDICAL CENTER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","69 patients",,,"PN-4 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","133 patients","2 ","2","SCIP-INF-4 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","125 patients",,,"PN-7 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"HF-4 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","58 patients","2 ","2","AMI-8A " "330013","ALBANY MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","99 patients","2 ","2","SCIP-CARD-2 " "330013","ALBANY MEDICAL CENTER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","355 patients",,,"HF-2 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","116 patients","2 ","2","PN-2 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","152 patients","2 ","2","SCIP-INF-1 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","37 patients","2 ","2","AMI-3 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","152 patients","2 ","2","SCIP-INF-2 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","116 patients","2 ","2","PN-5C " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","143 patients","2 ","2","SCIP-INF-3 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","235 patients","2 ","2","SCIP-VTE-1 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","143 patients","2 ","2","HF-3 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","46 patients","2 ","2","SCIP-CARD-2 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","305 patients","2 ","2","HF-1 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","137 patients","2 ","2","AMI-2 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","355 patients","2 ","2","HF-2 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","231 patients","2 ","2","SCIP-VTE-2 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","90 patients","2 ","2","PN-6 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","HF-4 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","47 patients","2 ","2","AMI-8A " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","AMI-4 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","394 patients","2 ","2","SCIP-INF-6 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","145 patients","2 ","2","AMI-5 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","80 patients","2 ","2","PN-7 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","PN-4 " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","119 patients","2 ","2","PN-3B " "330014","JAMAICA HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","240 patients","2 ","2","AMI-1 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","53 patients","2 ","2","SCIP-INF-3 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","149 patients","2 ","2","SCIP-INF-6 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","61 patients",,,"AMI-1 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","132 patients","2 ","2","PN-3B " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","91 patients","2 ","2","PN-6 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","221 patients","2 ","2","HF-1 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","68 patients","2 ","2","PN-7 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","32 patients","2 ","2","SCIP-CARD-2 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","122 patients","2 ","2","PN-2 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","90 patients","2 ","2","SCIP-VTE-2 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","66 patients","2 ","2","SCIP-INF-1 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","113 patients","2 ","2","PN-5C " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","37 patients",,,"AMI-2 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","HF-4 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1,2 ","12","PN-4 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","90 patients","2 ","2","SCIP-VTE-1 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","37 patients","2 ","2","HF-3 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","257 patients","2 ","2","HF-2 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","45 patients",,,"AMI-5 " "330019","NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","66 patients","2 ","2","SCIP-INF-2 " "330023","VASSAR BROTHERS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","77 patients","2 ","2","PN-3B " "330023","VASSAR BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","457 patients","2 ","2","SCIP-INF-3 " "330023","VASSAR BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","184 patients","2 ","2","SCIP-INF-4 " "330023","VASSAR BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","476 patients","2 ","2","SCIP-INF-2 " "330023","VASSAR BROTHERS MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","144 patients",,,"CAC-1 " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"HF-4 " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","467 patients",,,"HF-1 " "330023","VASSAR BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","219 patients","2 ","2","SCIP-VTE-1 " "330023","VASSAR BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","663 patients","2 ","2","SCIP-INF-6 " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","634 patients",,,"HF-2 " "330023","VASSAR BROTHERS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","109 patients","2 ","2","PN-5C " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","145 patients",,,"AMI-4 " "330023","VASSAR BROTHERS MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","85%","140 patients",,,"CAC-3 " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","144 patients",,,"HF-3 " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","396 patients",,,"AMI-5 " "330023","VASSAR BROTHERS MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","142 patients",,,"CAC-2 " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","79 patients",,,"AMI-8A " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","359 patients",,,"AMI-2 " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","76 patients",,,"AMI-3 " "330023","VASSAR BROTHERS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","72 patients","2 ","2","PN-6 " "330023","VASSAR BROTHERS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "330023","VASSAR BROTHERS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","125 patients","2 ","2","PN-2 " "330023","VASSAR BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","219 patients","2 ","2","SCIP-VTE-2 " "330023","VASSAR BROTHERS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","81 patients","2 ","2","PN-7 " "330023","VASSAR BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","475 patients","2 ","2","SCIP-INF-1 " "330023","VASSAR BROTHERS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","283 patients",,,"AMI-1 " "330023","VASSAR BROTHERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","115 patients","2 ","2","SCIP-CARD-2 " "330024","MOUNT SINAI HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","75 patients","2 ","2","PN-4 " "330024","MOUNT SINAI HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","85 patients","2 ","2","AMI-4 " "330024","MOUNT SINAI HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","164 patients","2 ","2","AMI-1 " "330024","MOUNT SINAI HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","300 patients","2 ","2","AMI-2 " "330024","MOUNT SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","685 patients","2 ","2","SCIP-INF-2 " "330024","MOUNT SINAI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","579 patients","2 ","2","SCIP-VTE-1 " "330024","MOUNT SINAI HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","229 patients","2 ","2","PN-2 " "330024","MOUNT SINAI HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients","2 ","2","HF-4 " "330024","MOUNT SINAI HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330024","MOUNT SINAI HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","254 patients","2 ","2","PN-5C " "330024","MOUNT SINAI HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","250 patients","2 ","2","AMI-5 " "330024","MOUNT SINAI HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","201 patients","2 ","2","PN-3B " "330024","MOUNT SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1124 patients","2 ","2","SCIP-INF-6 " "330024","MOUNT SINAI HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","198 patients","2 ","2","HF-3 " "330024","MOUNT SINAI HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","145 patients","2 ","2","SCIP-CARD-2 " "330024","MOUNT SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","182 patients","2 ","2","SCIP-INF-4 " "330024","MOUNT SINAI HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","589 patients","2 ","2","HF-2 " "330024","MOUNT SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","643 patients","2 ","2","SCIP-INF-3 " "330024","MOUNT SINAI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","579 patients","2 ","2","SCIP-VTE-2 " "330024","MOUNT SINAI HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","504 patients","2 ","2","HF-1 " "330024","MOUNT SINAI HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","44 patients","2 ","2","AMI-3 " "330024","MOUNT SINAI HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","673 patients","2 ","2","SCIP-INF-1 " "330024","MOUNT SINAI HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","167 patients","2 ","2","PN-7 " "330024","MOUNT SINAI HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","13 patients","1,2 ","12","AMI-8A " "330024","MOUNT SINAI HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","162 patients","2 ","2","PN-6 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","136 patients","2 ","2","SCIP-INF-1 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","48 patients",,,"AMI-5 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","45 patients",,,"AMI-2 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","245 patients","2 ","2","SCIP-INF-6 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","175 patients",,,"HF-1 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","150 patients","2 ","2","SCIP-VTE-2 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","73 patients","2 ","2","PN-6 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","211 patients",,,"HF-2 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","107 patients","2 ","2","PN-2 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","132 patients","2 ","2","SCIP-INF-3 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","112 patients","2 ","2","PN-3B " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","141 patients","2 ","2","SCIP-INF-2 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","150 patients","2 ","2","SCIP-VTE-1 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","74 patients","2 ","2","PN-7 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","117 patients","2 ","2","PN-5C " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","45 patients","2 ","2","PN-4 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","93 patients",,,"AMI-1 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1,2 ","12","SCIP-CARD-2 " "330027","NASSAU UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","68 patients",,,"HF-3 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","36 patients","2 ","2","AMI-2 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","131 patients","2 ","2","HF-1 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","72 patients","2 ","2","PN-6 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","167 patients","2 ","2","HF-2 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","75 patients","2 ","2","PN-7 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","75 patients","2 ","2","HF-3 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","118 patients","2 ","2","PN-5C " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","268 patients","2 ","2","SCIP-INF-2 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","264 patients","2 ","2","SCIP-INF-3 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","204 patients","2 ","2","SCIP-VTE-2 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","61 patients","2 ","2","SCIP-CARD-2 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","AMI-4 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","106 patients","2 ","2","PN-2 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","39 patients","2 ","2","AMI-5 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","HF-4 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","142 patients","2 ","2","PN-3B " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","PN-4 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","67%","402 patients","2 ","2","SCIP-INF-6 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","204 patients","2 ","2","SCIP-VTE-1 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1,2 ","12","AMI-3 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","97 patients","2 ","2","AMI-1 " "330028","RICHMOND UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","268 patients","2 ","2","SCIP-INF-1 " "330029","SHEEHAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "330029","SHEEHAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "330029","SHEEHAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "330029","SHEEHAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330029","SHEEHAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "330029","SHEEHAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "330029","SHEEHAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "330029","SHEEHAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "330029","SHEEHAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "330029","SHEEHAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "330029","SHEEHAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "330029","SHEEHAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330029","SHEEHAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "330029","SHEEHAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "330029","SHEEHAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","77 patients",,,"SCIP-INF-2 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","75 patients",,,"SCIP-INF-1 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1 ","1","SCIP-CARD-2 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","120 patients",,,"SCIP-INF-6 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","52 patients",,,"SCIP-VTE-2 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","52 patients",,,"SCIP-VTE-1 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","124 patients",,,"HF-2 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","111 patients",,,"PN-2 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","87 patients",,,"HF-1 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","HF-3 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","73 patients",,,"SCIP-INF-3 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","65 patients","3 ","3","PN-5C " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","118 patients",,,"PN-3B " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","84 patients",,,"PN-6 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","75 patients",,,"PN-7 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "330030","NEWARK-WAYNE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","21 patients","1 ","1","AMI-5 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","99 patients",,,"SCIP-VTE-2 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","64 patients",,,"HF-2 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","36 patients",,,"PN-7 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","61 patients",,,"PN-3B " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","24 patients","1 ","1","SCIP-CARD-2 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","143 patients",,,"SCIP-INF-3 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","156 patients",,,"SCIP-INF-1 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","100 patients",,,"SCIP-VTE-1 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","214 patients",,,"SCIP-INF-6 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","43 patients",,,"PN-2 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","32 patients",,,"PN-6 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","55 patients",,,"HF-1 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","147 patients",,,"SCIP-INF-2 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "330033","CHENANGO MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","52 patients",,,"PN-5C " "330037","LAKESIDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","58 patients",,,"SCIP-INF-3 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "330037","LAKESIDE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","102 patients",,,"PN-2 " "330037","LAKESIDE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","78 patients",,,"PN-6 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"HF-3 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","139 patients",,,"HF-2 " "330037","LAKESIDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","77 patients",,,"SCIP-VTE-2 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","37 patients",,,"AMI-1 " "330037","LAKESIDE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","149 patients",,,"PN-3B " "330037","LAKESIDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","23 patients","1 ","1","AMI-2 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","117 patients",,,"HF-1 " "330037","LAKESIDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","77 patients",,,"SCIP-VTE-1 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330037","LAKESIDE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","82 patients",,,"PN-7 " "330037","LAKESIDE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "330037","LAKESIDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","63 patients",,,"SCIP-INF-1 " "330037","LAKESIDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","112 patients",,,"SCIP-INF-6 " "330037","LAKESIDE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "330037","LAKESIDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","63 patients",,,"SCIP-INF-2 " "330037","LAKESIDE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","127 patients",,,"PN-5C " "330037","LAKESIDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1 ","1","SCIP-CARD-2 " "330043","SOUTHSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","151 patients","2 ","2","AMI-2 " "330043","SOUTHSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330043","SOUTHSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","HF-4 " "330043","SOUTHSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","179 patients","2 ","2","AMI-1 " "330043","SOUTHSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","AMI-4 " "330043","SOUTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","254 patients","2 ","2","SCIP-INF-1 " "330043","SOUTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","400 patients","2 ","2","SCIP-INF-6 " "330043","SOUTHSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","94 patients","2 ","2","PN-6 " "330043","SOUTHSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","285 patients","2 ","2","HF-2 " "330043","SOUTHSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","77 patients","2 ","2","HF-3 " "330043","SOUTHSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "330043","SOUTHSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients","2 ","2","AMI-3 " "330043","SOUTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","256 patients","2 ","2","SCIP-INF-2 " "330043","SOUTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","60 patients","2 ","2","SCIP-CARD-2 " "330043","SOUTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","232 patients","2 ","2","SCIP-VTE-1 " "330043","SOUTHSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","222 patients","2 ","2","HF-1 " "330043","SOUTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330043","SOUTHSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","81 patients","2 ","2","PN-7 " "330043","SOUTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","240 patients","2 ","2","SCIP-INF-3 " "330043","SOUTHSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","152 patients","2 ","2","AMI-5 " "330043","SOUTHSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","137 patients","2 ","2","PN-5C " "330043","SOUTHSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","106 patients","2 ","2","PN-3B " "330043","SOUTHSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","115 patients","2 ","2","PN-2 " "330043","SOUTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","232 patients","2 ","2","SCIP-VTE-2 " "330043","SOUTHSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","58 patients","2 ","2","AMI-8A " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","109 patients",,,"AMI-2 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","327 patients","2 ","2","SCIP-INF-3 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","157 patients",,,"PN-6 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","123 patients",,,"HF-3 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","133 patients",,,"AMI-1 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","388 patients",,,"HF-2 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","110 patients",,,"AMI-5 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","250 patients",,,"PN-3B " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","46%","13 patients","1 ","1","AMI-8A " "330044","FAXTON-ST LUKE'S HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","59 patients",,,"PN-4 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"AMI-4 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","308 patients",,,"PN-5C " "330044","FAXTON-ST LUKE'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","473 patients","2 ","2","SCIP-INF-6 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","201 patients","2 ","2","SCIP-VTE-2 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "330044","FAXTON-ST LUKE'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","332 patients","2 ","2","SCIP-INF-1 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","201 patients","2 ","2","SCIP-VTE-1 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","200 patients",,,"PN-7 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","293 patients",,,"PN-2 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","35 patients",,,"AMI-3 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","327 patients","2 ","2","SCIP-INF-2 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","90 patients","2 ","2","SCIP-CARD-2 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "330044","FAXTON-ST LUKE'S HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","250 patients",,,"HF-1 " "330045","HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","219 patients","2 ","2","SCIP-INF-3 " "330045","HUNTINGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1,2 ","12","AMI-3 " "330045","HUNTINGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","94 patients","2 ","2","PN-6 " "330045","HUNTINGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","120 patients","2 ","2","AMI-1 " "330045","HUNTINGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","271 patients","2 ","2","HF-2 " "330045","HUNTINGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","67 patients","2 ","2","HF-3 " "330045","HUNTINGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","42 patients","2 ","2","AMI-8A " "330045","HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330045","HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","229 patients","2 ","2","SCIP-INF-1 " "330045","HUNTINGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","97 patients","2 ","2","PN-7 " "330045","HUNTINGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","71 patients","2 ","2","AMI-5 " "330045","HUNTINGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","AMI-4 " "330045","HUNTINGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","PN-4 " "330045","HUNTINGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","193 patients","2 ","2","HF-1 " "330045","HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","378 patients","2 ","2","SCIP-INF-6 " "330045","HUNTINGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","137 patients","2 ","2","PN-5C " "330045","HUNTINGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","149 patients","2 ","2","PN-3B " "330045","HUNTINGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","163 patients","2 ","2","PN-2 " "330045","HUNTINGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330045","HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","187 patients","2 ","2","SCIP-VTE-1 " "330045","HUNTINGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","86 patients","2 ","2","AMI-2 " "330045","HUNTINGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1,2 ","12","HF-4 " "330045","HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","75 patients","2 ","2","SCIP-CARD-2 " "330045","HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","187 patients","2 ","2","SCIP-VTE-2 " "330045","HUNTINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","228 patients","2 ","2","SCIP-INF-2 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","318 patients","2 ","2","HF-2 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","35 patients","2 ","2","AMI-8A " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","271 patients","2 ","2","HF-1 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","651 patients","2 ","2","SCIP-INF-6 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","93 patients","2 ","2","PN-6 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","234 patients","2 ","2","AMI-1 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","94 patients","2 ","2","SCIP-CARD-2 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","58 patients","2 ","2","PN-4 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","75 patients","2 ","2","PN-7 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","489 patients","2 ","2","SCIP-INF-1 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","139 patients","2 ","2","PN-3B " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","327 patients","2 ","2","SCIP-VTE-1 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","266 patients","2 ","2","AMI-5 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","277 patients","2 ","2","AMI-2 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","121 patients","2 ","2","SCIP-INF-4 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","492 patients","2 ","2","SCIP-INF-2 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","467 patients","2 ","2","SCIP-INF-3 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","171 patients","2 ","2","HF-3 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","88 patients","2 ","2","AMI-3 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","326 patients","2 ","2","SCIP-VTE-2 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","72 patients","2 ","2","HF-4 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","95 patients","2 ","2","PN-2 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","82 patients","2 ","2","AMI-4 " "330046","ST LUKE'S ROOSEVELT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","154 patients","2 ","2","PN-5C " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","180 patients","2 ","2","SCIP-INF-2 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","176 patients","2 ","2","SCIP-INF-3 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","118 patients","2 ","2","SCIP-VTE-2 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","179 patients","2 ","2","HF-1 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1,2 ","12","HF-3 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","134 patients","2 ","2","PN-5C " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","41 patients",,,"AMI-2 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","45 patients",,,"AMI-5 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients","2 ","2","SCIP-CARD-2 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","70 patients",,,"AMI-1 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","135 patients","2 ","2","PN-3B " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","276 patients","2 ","2","SCIP-INF-6 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","232 patients","2 ","2","HF-2 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","180 patients","2 ","2","SCIP-INF-1 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients","2 ","2","HF-4 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","118 patients","2 ","2","SCIP-VTE-1 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","78 patients","2 ","2","PN-6 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","67 patients","2 ","2","PN-7 " "330047","ST MARY'S HOSPITAL AT AMSTERDAM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","108 patients","2 ","2","PN-2 " "330049","NORTHERN DUTCHESS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","35 patients",,,"PN-3B " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330049","NORTHERN DUTCHESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","377 patients","2 ","2","SCIP-INF-6 " "330049","NORTHERN DUTCHESS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","60 patients","2 ","2","SCIP-CARD-2 " "330049","NORTHERN DUTCHESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330049","NORTHERN DUTCHESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","259 patients","2 ","2","SCIP-INF-3 " "330049","NORTHERN DUTCHESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","132 patients","2 ","2","SCIP-VTE-2 " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "330049","NORTHERN DUTCHESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","133 patients","2 ","2","SCIP-VTE-1 " "330049","NORTHERN DUTCHESS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","43 patients",,,"PN-5C " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","45 patients",,,"HF-1 " "330049","NORTHERN DUTCHESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","260 patients","2 ","2","SCIP-INF-2 " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "330049","NORTHERN DUTCHESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","260 patients","2 ","2","SCIP-INF-1 " "330049","NORTHERN DUTCHESS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","56 patients",,,"PN-2 " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","63 patients",,,"HF-2 " "330049","NORTHERN DUTCHESS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","25 patients",,,"AMI-1 " "330049","NORTHERN DUTCHESS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","26 patients",,,"PN-6 " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330049","NORTHERN DUTCHESS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","37 patients",,,"PN-7 " "330049","NORTHERN DUTCHESS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","57 patients",,,"SCIP-INF-1 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","43 patients",,,"AMI-1 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","73 patients",,,"PN-3B " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","87 patients",,,"PN-2 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","50 patients",,,"SCIP-VTE-1 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","97 patients",,,"PN-5C " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","105 patients",,,"HF-2 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","50 patients",,,"SCIP-VTE-2 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","56 patients",,,"SCIP-INF-2 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1 ","1","SCIP-CARD-2 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","55 patients",,,"SCIP-INF-3 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","79 patients",,,"SCIP-INF-6 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","30 patients",,,"HF-3 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","74 patients",,,"PN-6 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","29 patients",,,"AMI-2 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","62 patients",,,"PN-7 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","33 patients",,,"AMI-5 " "330053","MEDINA MEMORIAL HEALTH CARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","72 patients",,,"HF-1 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","73 patients","2 ","2","PN-6 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","72 patients","2 ","2","SCIP-CARD-2 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","410 patients","2 ","2","SCIP-INF-1 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","649 patients","2 ","2","SCIP-INF-6 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","25 patients","2 ","2","HF-4 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","121 patients","2 ","2","PN-7 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","238 patients","2 ","2","AMI-2 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","324 patients","2 ","2","SCIP-VTE-1 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","324 patients","2 ","2","SCIP-VTE-2 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","35 patients","2 ","2","AMI-8A " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","81 patients","2 ","2","HF-3 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","306 patients","2 ","2","HF-2 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","179 patients","2 ","2","PN-2 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","138 patients","2 ","2","PN-5C " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","284 patients","2 ","2","AMI-1 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","66 patients","2 ","2","SCIP-INF-4 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","358 patients","2 ","2","SCIP-INF-3 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","26 patients","2 ","2","PN-4 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","76 patients","2 ","2","AMI-4 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","236 patients","2 ","2","AMI-5 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","230 patients","2 ","2","HF-1 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","43 patients","2 ","2","AMI-3 " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","182 patients","2 ","2","PN-3B " "330055","NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","414 patients","2 ","2","SCIP-INF-2 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","AMI-3 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","204 patients",,,"SCIP-INF-1 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","2 patients","1 ","1","SCIP-INF-4 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","315 patients",,,"SCIP-VTE-2 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","82 patients",,,"HF-4 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","54%","197 patients",,,"SCIP-INF-3 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","367 patients",,,"HF-1 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","317 patients",,,"SCIP-VTE-1 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","203 patients",,,"SCIP-INF-2 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","57 patients",,,"AMI-2 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","145 patients",,,"PN-2 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","87 patients",,,"PN-7 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","129 patients",,,"AMI-1 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","56 patients",,,"SCIP-CARD-2 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","57 patients",,,"AMI-5 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","76 patients",,,"PN-6 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","238 patients",,,"PN-5C " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","164 patients",,,"HF-3 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","493 patients",,,"SCIP-INF-6 " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","228 patients",,,"PN-3B " "330056","BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","431 patients",,,"HF-2 " "330057","ST PETER'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","372 patients",,,"HF-1 " "330057","ST PETER'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","703 patients","2 ","2","SCIP-INF-6 " "330057","ST PETER'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","519 patients","2 ","2","SCIP-INF-2 " "330057","ST PETER'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","465 patients",,,"HF-2 " "330057","ST PETER'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","282 patients","2 ","2","SCIP-VTE-1 " "330057","ST PETER'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","211 patients",,,"AMI-4 " "330057","ST PETER'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","160 patients","2 ","2","PN-2 " "330057","ST PETER'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "330057","ST PETER'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","99 patients","2 ","2","PN-7 " "330057","ST PETER'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","PN-4 " "330057","ST PETER'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","41 patients",,,"AMI-8A " "330057","ST PETER'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","647 patients",,,"AMI-2 " "330057","ST PETER'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","145 patients",,,"HF-3 " "330057","ST PETER'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","92 patients","2 ","2","SCIP-CARD-2 " "330057","ST PETER'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","101 patients",,,"AMI-3 " "330057","ST PETER'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","171 patients","2 ","2","PN-5C " "330057","ST PETER'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","184 patients","2 ","2","SCIP-INF-4 " "330057","ST PETER'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330057","ST PETER'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","505 patients","2 ","2","SCIP-INF-3 " "330057","ST PETER'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","99 patients","2 ","2","PN-6 " "330057","ST PETER'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","282 patients","2 ","2","SCIP-VTE-2 " "330057","ST PETER'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","352 patients",,,"AMI-1 " "330057","ST PETER'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","517 patients","2 ","2","SCIP-INF-1 " "330057","ST PETER'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","661 patients",,,"AMI-5 " "330057","ST PETER'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","125 patients","2 ","2","PN-3B " "330058","GENEVA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "330058","GENEVA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","209 patients","2 ","2","SCIP-INF-2 " "330058","GENEVA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "330058","GENEVA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","171 patients","2 ","2","SCIP-VTE-2 " "330058","GENEVA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","39 patients","2 ","2","PN-4 " "330058","GENEVA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330058","GENEVA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","132 patients",,,"HF-2 " "330058","GENEVA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","103 patients","2 ","2","PN-3B " "330058","GENEVA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "330058","GENEVA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","90 patients","2 ","2","PN-6 " "330058","GENEVA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330058","GENEVA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","54 patients","2 ","2","SCIP-CARD-2 " "330058","GENEVA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330058","GENEVA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","29 patients",,,"AMI-1 " "330058","GENEVA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","210 patients","2 ","2","SCIP-INF-1 " "330058","GENEVA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","124 patients","2 ","2","PN-5C " "330058","GENEVA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"HF-3 " "330058","GENEVA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "330058","GENEVA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","206 patients","2 ","2","SCIP-INF-3 " "330058","GENEVA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","172 patients","2 ","2","SCIP-VTE-1 " "330058","GENEVA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","117 patients","2 ","2","PN-2 " "330058","GENEVA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","113 patients",,,"HF-1 " "330058","GENEVA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "330058","GENEVA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","307 patients","2 ","2","SCIP-INF-6 " "330058","GENEVA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","91 patients","2 ","2","PN-7 " "330059","MONTEFIORE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","56 patients","2 ","2","AMI-8A " "330059","MONTEFIORE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","82 patients","2 ","2","HF-4 " "330059","MONTEFIORE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","642 patients","2 ","2","HF-2 " "330059","MONTEFIORE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","109 patients","2 ","2","AMI-4 " "330059","MONTEFIORE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","64 patients","2 ","2","AMI-3 " "330059","MONTEFIORE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients","2 ","2","PN-4 " "330059","MONTEFIORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","667 patients","2 ","2","SCIP-INF-3 " "330059","MONTEFIORE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "330059","MONTEFIORE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","242 patients","2 ","2","HF-3 " "330059","MONTEFIORE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","520 patients","2 ","2","HF-1 " "330059","MONTEFIORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","193 patients","2 ","2","SCIP-CARD-2 " "330059","MONTEFIORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","712 patients","2 ","2","SCIP-INF-2 " "330059","MONTEFIORE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","272 patients","2 ","2","AMI-1 " "330059","MONTEFIORE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","341 patients","2 ","2","AMI-2 " "330059","MONTEFIORE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","246 patients","2 ","2","PN-7 " "330059","MONTEFIORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","213 patients","2 ","2","SCIP-INF-4 " "330059","MONTEFIORE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","365 patients","2 ","2","AMI-5 " "330059","MONTEFIORE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","171 patients","2 ","2","PN-6 " "330059","MONTEFIORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","456 patients","2 ","2","SCIP-VTE-2 " "330059","MONTEFIORE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","354 patients","2 ","2","PN-2 " "330059","MONTEFIORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","458 patients","2 ","2","SCIP-VTE-1 " "330059","MONTEFIORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","64%","1170 patients","2 ","2","SCIP-INF-6 " "330059","MONTEFIORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","698 patients","2 ","2","SCIP-INF-1 " "330059","MONTEFIORE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","327 patients","2 ","2","PN-3B " "330059","MONTEFIORE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","364 patients","2 ","2","PN-5C " "330061","LAWRENCE HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","133 patients","2 ","2","PN-5C " "330061","LAWRENCE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","138 patients","2 ","2","SCIP-VTE-2 " "330061","LAWRENCE HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","128 patients","2 ","2","PN-2 " "330061","LAWRENCE HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","60 patients",,,"AMI-1 " "330061","LAWRENCE HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","198 patients","2 ","2","HF-1 " "330061","LAWRENCE HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","85 patients","2 ","2","PN-7 " "330061","LAWRENCE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","38 patients","2 ","2","SCIP-CARD-2 " "330061","LAWRENCE HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","250 patients","2 ","2","HF-2 " "330061","LAWRENCE HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","87 patients","2 ","2","PN-6 " "330061","LAWRENCE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","138 patients","2 ","2","SCIP-VTE-1 " "330061","LAWRENCE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","171 patients","2 ","2","SCIP-INF-3 " "330061","LAWRENCE HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","133 patients","2 ","2","PN-3B " "330061","LAWRENCE HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330061","LAWRENCE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","285 patients","2 ","2","SCIP-INF-6 " "330061","LAWRENCE HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","PN-4 " "330061","LAWRENCE HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","27 patients",,,"AMI-5 " "330061","LAWRENCE HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","25 patients",,,"AMI-2 " "330061","LAWRENCE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","174 patients","2 ","2","SCIP-INF-1 " "330061","LAWRENCE HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","63 patients","2 ","2","HF-3 " "330061","LAWRENCE HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330061","LAWRENCE HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1,2 ","12","HF-4 " "330061","LAWRENCE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "330061","LAWRENCE HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "330061","LAWRENCE HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "330061","LAWRENCE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","176 patients","2 ","2","SCIP-INF-2 " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "330064","NEW YORK DOWNTOWN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","35 patients","2 ","2","SCIP-CARD-2 " "330064","NEW YORK DOWNTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","178 patients","2 ","2","SCIP-VTE-2 " "330064","NEW YORK DOWNTOWN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","134 patients","2 ","2","PN-5C " "330064","NEW YORK DOWNTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","202 patients","2 ","2","SCIP-INF-1 " "330064","NEW YORK DOWNTOWN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","80 patients","2 ","2","PN-7 " "330064","NEW YORK DOWNTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","179 patients","2 ","2","SCIP-VTE-1 " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","134 patients",,,"HF-2 " "330064","NEW YORK DOWNTOWN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","22 patients","1,2 ","12","PN-4 " "330064","NEW YORK DOWNTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330064","NEW YORK DOWNTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","331 patients","2 ","2","SCIP-INF-6 " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "330064","NEW YORK DOWNTOWN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","131 patients","2 ","2","PN-3B " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","39 patients",,,"HF-3 " "330064","NEW YORK DOWNTOWN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","104 patients","2 ","2","PN-6 " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","23 patients","1 ","1","HF-4 " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","33 patients",,,"AMI-1 " "330064","NEW YORK DOWNTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","200 patients","2 ","2","SCIP-INF-3 " "330064","NEW YORK DOWNTOWN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","141 patients","2 ","2","PN-2 " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","121 patients",,,"HF-1 " "330064","NEW YORK DOWNTOWN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "330064","NEW YORK DOWNTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","203 patients","2 ","2","SCIP-INF-2 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","128 patients","2 ","2","SCIP-INF-6 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","171 patients",,,"HF-1 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","71 patients",,,"PN-7 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","58 patients","2 ","2","SCIP-INF-1 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","87 patients",,,"PN-5C " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","55 patients",,,"HF-3 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","31 patients",,,"AMI-5 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","57 patients","2 ","2","SCIP-INF-2 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","66 patients","2 ","2","SCIP-VTE-1 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","35 patients",,,"AMI-2 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","99 patients",,,"PN-2 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","56 patients","2 ","2","SCIP-INF-3 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","66 patients","2 ","2","SCIP-VTE-2 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","106 patients",,,"PN-3B " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","91 patients",,,"PN-6 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","67 patients",,,"PN-4 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","AMI-4 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","63%","19 patients","1,2 ","12","SCIP-CARD-2 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","199 patients",,,"HF-2 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","65 patients",,,"AMI-1 " "330065","NIAGARA FALLS MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "330067","ST FRANCIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "330067","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","239 patients","2 ","2","SCIP-INF-2 " "330067","ST FRANCIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","140 patients",,,"PN-2 " "330067","ST FRANCIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "330067","ST FRANCIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "330067","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","233 patients","2 ","2","SCIP-INF-1 " "330067","ST FRANCIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","98 patients",,,"PN-5C " "330067","ST FRANCIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","111 patients",,,"PN-3B " "330067","ST FRANCIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "330067","ST FRANCIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "330067","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","230 patients","2 ","2","SCIP-INF-3 " "330067","ST FRANCIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "330067","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","65 patients","2 ","2","SCIP-CARD-2 " "330067","ST FRANCIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "330067","ST FRANCIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "330067","ST FRANCIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","97 patients",,,"PN-7 " "330067","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","379 patients","2 ","2","SCIP-INF-6 " "330067","ST FRANCIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","47 patients",,,"HF-1 " "330067","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","170 patients","2 ","2","SCIP-VTE-2 " "330067","ST FRANCIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","67 patients",,,"PN-6 " "330067","ST FRANCIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","70 patients",,,"HF-2 " "330067","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330067","ST FRANCIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330067","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","170 patients","2 ","2","SCIP-VTE-1 " "330067","ST FRANCIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","11 patients","1 ","1","AMI-2 " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "330073","UNITED MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","41 patients",,,"PN-4 " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330073","UNITED MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","116 patients",,,"PN-7 " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330073","UNITED MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","63 patients",,,"SCIP-CARD-2 " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "330073","UNITED MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","204 patients",,,"PN-5C " "330073","UNITED MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","285 patients",,,"SCIP-INF-6 " "330073","UNITED MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","172 patients",,,"SCIP-VTE-1 " "330073","UNITED MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","174 patients",,,"PN-2 " "330073","UNITED MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","97 patients",,,"PN-6 " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","166 patients",,,"HF-1 " "330073","UNITED MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330073","UNITED MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","220 patients",,,"SCIP-INF-1 " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "330073","UNITED MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","219 patients",,,"SCIP-INF-2 " "330073","UNITED MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","190 patients",,,"PN-3B " "330073","UNITED MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","216 patients",,,"SCIP-INF-3 " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","210 patients",,,"HF-2 " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","28 patients",,,"HF-4 " "330073","UNITED MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","52 patients",,,"HF-3 " "330073","UNITED MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","172 patients",,,"SCIP-VTE-2 " "330074","F F THOMPSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","461 patients",,,"SCIP-INF-6 " "330074","F F THOMPSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","222 patients",,,"PN-3B " "330074","F F THOMPSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","386 patients",,,"SCIP-INF-3 " "330074","F F THOMPSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","129 patients",,,"PN-7 " "330074","F F THOMPSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","147 patients",,,"PN-6 " "330074","F F THOMPSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","85 patients",,,"SCIP-CARD-2 " "330074","F F THOMPSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","203 patients",,,"PN-5C " "330074","F F THOMPSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","123 patients",,,"HF-2 " "330074","F F THOMPSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","214 patients",,,"SCIP-VTE-2 " "330074","F F THOMPSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","AMI-4 " "330074","F F THOMPSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"HF-3 " "330074","F F THOMPSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","46 patients",,,"AMI-1 " "330074","F F THOMPSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","29 patients",,,"AMI-2 " "330074","F F THOMPSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","394 patients",,,"SCIP-INF-1 " "330074","F F THOMPSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"PN-4 " "330074","F F THOMPSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","95 patients",,,"HF-1 " "330074","F F THOMPSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330074","F F THOMPSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330074","F F THOMPSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "330074","F F THOMPSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330074","F F THOMPSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "330074","F F THOMPSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","395 patients",,,"SCIP-INF-2 " "330074","F F THOMPSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","182 patients",,,"PN-2 " "330074","F F THOMPSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","36 patients",,,"AMI-5 " "330074","F F THOMPSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","215 patients",,,"SCIP-VTE-1 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","373 patients",,,"HF-2 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","299 patients",,,"HF-1 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","64 patients",,,"AMI-2 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","75%","4 patients","1 ","1","AMI-7A " "330078","SISTERS OF CHARITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","65 patients","2 ","2","PN-4 " "330078","SISTERS OF CHARITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","174 patients","2 ","2","PN-5C " "330078","SISTERS OF CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","239 patients","2 ","2","SCIP-VTE-1 " "330078","SISTERS OF CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","400 patients","2 ","2","SCIP-INF-3 " "330078","SISTERS OF CHARITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","77 patients","2 ","2","PN-7 " "330078","SISTERS OF CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","430 patients","2 ","2","SCIP-INF-1 " "330078","SISTERS OF CHARITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","177 patients","2 ","2","PN-3B " "330078","SISTERS OF CHARITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","130 patients","2 ","2","PN-6 " "330078","SISTERS OF CHARITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","165 patients","2 ","2","PN-2 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","85 patients",,,"AMI-1 " "330078","SISTERS OF CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","116 patients","2 ","2","SCIP-CARD-2 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","100 patients",,,"HF-3 " "330078","SISTERS OF CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","631 patients","2 ","2","SCIP-INF-6 " "330078","SISTERS OF CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330078","SISTERS OF CHARITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","49 patients",,,"HF-4 " "330078","SISTERS OF CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","237 patients","2 ","2","SCIP-VTE-2 " "330078","SISTERS OF CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","429 patients","2 ","2","SCIP-INF-2 " "330078","SISTERS OF CHARITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","70 patients",,,"AMI-5 " "330079","ADIRONDACK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330079","ADIRONDACK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","186 patients",,,"SCIP-VTE-1 " "330079","ADIRONDACK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330079","ADIRONDACK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "330079","ADIRONDACK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","60 patients",,,"HF-1 " "330079","ADIRONDACK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","25 patients",,,"AMI-1 " "330079","ADIRONDACK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "330079","ADIRONDACK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","20 patients","1 ","1","AMI-2 " "330079","ADIRONDACK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","194 patients",,,"SCIP-INF-2 " "330079","ADIRONDACK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","HF-3 " "330079","ADIRONDACK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","63 patients",,,"PN-5C " "330079","ADIRONDACK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","72 patients",,,"HF-2 " "330079","ADIRONDACK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","44 patients",,,"SCIP-CARD-2 " "330079","ADIRONDACK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients",,,"PN-6 " "330079","ADIRONDACK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","191 patients",,,"SCIP-INF-3 " "330079","ADIRONDACK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","26 patients",,,"AMI-5 " "330079","ADIRONDACK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","73 patients",,,"PN-2 " "330079","ADIRONDACK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","186 patients",,,"SCIP-VTE-2 " "330079","ADIRONDACK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "330079","ADIRONDACK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","70%","43 patients",,,"PN-3B " "330079","ADIRONDACK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","43 patients",,,"PN-7 " "330079","ADIRONDACK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","193 patients",,,"SCIP-INF-1 " "330079","ADIRONDACK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "330079","ADIRONDACK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","281 patients",,,"SCIP-INF-6 " "330079","ADIRONDACK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","182 patients","2 ","2","SCIP-VTE-1 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","146 patients",,,"PN-7 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","453 patients",,,"PN-3B " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","182 patients","2 ","2","SCIP-VTE-2 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","485 patients",,,"HF-2 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","264 patients","2 ","2","SCIP-INF-6 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","164 patients","2 ","2","SCIP-INF-2 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","142 patients",,,"AMI-1 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","420 patients",,,"PN-5C " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","44%","16 patients","1 ","1","AMI-7A " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"HF-4 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","161 patients","2 ","2","SCIP-INF-1 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","263 patients",,,"PN-6 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","156 patients","2 ","2","SCIP-INF-3 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","53 patients",,,"AMI-5 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","184 patients",,,"HF-3 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","455 patients",,,"HF-1 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","145 patients",,,"PN-2 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","30 patients","2 ","2","SCIP-CARD-2 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","55 patients",,,"AMI-2 " "330080","LINCOLN MEDICAL & MENTAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","154 patients",,,"PN-4 " "330084","ALICE HYDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","102 patients",,,"SCIP-VTE-2 " "330084","ALICE HYDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","175 patients",,,"SCIP-INF-6 " "330084","ALICE HYDE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","37 patients",,,"HF-2 " "330084","ALICE HYDE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","62 patients",,,"PN-2 " "330084","ALICE HYDE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330084","ALICE HYDE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "330084","ALICE HYDE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","53 patients",,,"PN-7 " "330084","ALICE HYDE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330084","ALICE HYDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","104 patients",,,"SCIP-INF-1 " "330084","ALICE HYDE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","35 patients",,,"HF-1 " "330084","ALICE HYDE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330084","ALICE HYDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","103 patients",,,"SCIP-INF-2 " "330084","ALICE HYDE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","75 patients",,,"PN-3B " "330084","ALICE HYDE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "330084","ALICE HYDE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","61 patients",,,"PN-6 " "330084","ALICE HYDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","99 patients",,,"SCIP-INF-3 " "330084","ALICE HYDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330084","ALICE HYDE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "330084","ALICE HYDE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "330084","ALICE HYDE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "330084","ALICE HYDE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "330084","ALICE HYDE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","91 patients",,,"PN-5C " "330084","ALICE HYDE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "330084","ALICE HYDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","24 patients","1 ","1","SCIP-CARD-2 " "330084","ALICE HYDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","102 patients",,,"SCIP-VTE-1 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","58 patients",,,"PN-4 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","100 patients",,,"PN-7 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","104 patients",,,"SCIP-INF-3 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","40 patients",,,"AMI-5 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","40 patients",,,"AMI-2 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","110 patients",,,"SCIP-INF-2 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","51 patients",,,"HF-3 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","122 patients",,,"PN-2 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","35 patients",,,"SCIP-CARD-2 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","106 patients",,,"SCIP-VTE-2 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","106 patients",,,"SCIP-VTE-1 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","158 patients",,,"HF-2 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","209 patients",,,"SCIP-INF-6 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","117 patients",,,"HF-1 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","135 patients",,,"PN-3B " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","56 patients",,,"AMI-1 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","158 patients",,,"PN-5C " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","110 patients",,,"SCIP-INF-1 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","119 patients",,,"PN-6 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "330085","AURELIA OSBORN FOX MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "330086","MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","66%","67 patients",,,"SCIP-VTE-2 " "330086","MOUNT VERNON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","148 patients",,,"HF-2 " "330086","MOUNT VERNON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "330086","MOUNT VERNON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","91 patients",,,"PN-3B " "330086","MOUNT VERNON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","27 patients",,,"AMI-2 " "330086","MOUNT VERNON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "330086","MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330086","MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","30 patients",,,"SCIP-INF-3 " "330086","MOUNT VERNON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","62 patients",,,"PN-2 " "330086","MOUNT VERNON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","46 patients",,,"PN-6 " "330086","MOUNT VERNON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "330086","MOUNT VERNON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","87 patients",,,"PN-5C " "330086","MOUNT VERNON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","26 patients",,,"AMI-5 " "330086","MOUNT VERNON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","59 patients",,,"HF-3 " "330086","MOUNT VERNON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "330086","MOUNT VERNON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","93 patients",,,"HF-1 " "330086","MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","68 patients",,,"SCIP-VTE-1 " "330086","MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","31 patients",,,"SCIP-INF-2 " "330086","MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","104 patients",,,"SCIP-INF-6 " "330086","MOUNT VERNON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","44 patients",,,"AMI-1 " "330086","MOUNT VERNON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","42 patients",,,"PN-7 " "330086","MOUNT VERNON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330086","MOUNT VERNON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330086","MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","31 patients",,,"SCIP-INF-1 " "330086","MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","11 patients","1 ","1","SCIP-CARD-2 " "330088","EASTERN LONG ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","20 patients","1 ","1","SCIP-INF-3 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330088","EASTERN LONG ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-2 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "330088","EASTERN LONG ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","20 patients","1 ","1","SCIP-INF-1 " "330088","EASTERN LONG ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","32 patients",,,"SCIP-INF-6 " "330088","EASTERN LONG ISLAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","23 patients","1 ","1","PN-7 " "330088","EASTERN LONG ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","16 patients","1 ","1","SCIP-VTE-1 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330088","EASTERN LONG ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330088","EASTERN LONG ISLAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","29 patients",,,"PN-6 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","81 patients",,,"HF-2 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "330088","EASTERN LONG ISLAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","49 patients",,,"PN-3B " "330088","EASTERN LONG ISLAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","49 patients",,,"PN-5C " "330088","EASTERN LONG ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1 ","1","SCIP-CARD-2 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330088","EASTERN LONG ISLAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","39 patients",,,"PN-2 " "330088","EASTERN LONG ISLAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","68 patients",,,"HF-1 " "330088","EASTERN LONG ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","16 patients","1 ","1","SCIP-VTE-2 " "330088","EASTERN LONG ISLAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","74 patients",,,"HF-3 " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","222 patients",,,"HF-2 " "330090","ARNOT OGDEN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","210 patients",,,"PN-5C " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","96 patients",,,"AMI-3 " "330090","ARNOT OGDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","284 patients","2 ","2","SCIP-INF-3 " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","164 patients",,,"AMI-1 " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","182 patients",,,"HF-1 " "330090","ARNOT OGDEN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","241 patients",,,"PN-3B " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","123 patients",,,"AMI-4 " "330090","ARNOT OGDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","80 patients","2 ","2","SCIP-CARD-2 " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","278 patients",,,"AMI-2 " "330090","ARNOT OGDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","139 patients","2 ","2","SCIP-VTE-1 " "330090","ARNOT OGDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","468 patients","2 ","2","SCIP-INF-6 " "330090","ARNOT OGDEN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","73 patients",,,"PN-4 " "330090","ARNOT OGDEN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","119 patients",,,"PN-6 " "330090","ARNOT OGDEN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","138 patients",,,"PN-7 " "330090","ARNOT OGDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","97 patients","2 ","2","SCIP-INF-4 " "330090","ARNOT OGDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","139 patients","2 ","2","SCIP-VTE-2 " "330090","ARNOT OGDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","332 patients","2 ","2","SCIP-INF-2 " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","301 patients",,,"AMI-5 " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","49 patients",,,"AMI-8A " "330090","ARNOT OGDEN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330090","ARNOT OGDEN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","221 patients",,,"PN-2 " "330090","ARNOT OGDEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","327 patients","2 ","2","SCIP-INF-1 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","44 patients",,,"AMI-5 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","49 patients",,,"HF-3 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","49 patients",,,"AMI-2 " "330094","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","256 patients",,,"PN-5C " "330094","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","317 patients",,,"SCIP-INF-6 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "330094","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","178 patients",,,"PN-7 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330094","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","66 patients",,,"PN-4 " "330094","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","91 patients",,,"SCIP-INF-1 " "330094","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","73 patients",,,"AMI-1 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","214 patients",,,"HF-2 " "330094","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","142 patients",,,"PN-6 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"HF-4 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","148 patients",,,"HF-1 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "330094","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","228 patients",,,"PN-2 " "330094","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","210 patients",,,"SCIP-VTE-2 " "330094","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","90 patients",,,"SCIP-INF-3 " "330094","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","14 patients","1 ","1","AMI-3 " "330094","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","91 patients",,,"SCIP-INF-2 " "330094","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","211 patients",,,"SCIP-VTE-1 " "330094","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","269 patients",,,"PN-3B " "330094","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","59 patients",,,"SCIP-CARD-2 " "330096","JONES MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1,3 ","13","AMI-2 " "330096","JONES MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "330096","JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330096","JONES MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","80 patients",,,"HF-1 " "330096","JONES MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "330096","JONES MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","122 patients",,,"PN-5C " "330096","JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","49 patients",,,"SCIP-INF-3 " "330096","JONES MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","70 patients",,,"PN-6 " "330096","JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","51 patients",,,"SCIP-INF-2 " "330096","JONES MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","34 patients",,,"PN-4 " "330096","JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","74 patients",,,"SCIP-INF-6 " "330096","JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","30 patients",,,"SCIP-VTE-1 " "330096","JONES MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "330096","JONES MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","118 patients",,,"PN-2 " "330096","JONES MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1,3 ","13","AMI-1 " "330096","JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "330096","JONES MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"HF-3 " "330096","JONES MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","AMI-3 " "330096","JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","30 patients",,,"SCIP-VTE-2 " "330096","JONES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","50 patients",,,"SCIP-INF-1 " "330096","JONES MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1,3 ","13","AMI-5 " "330096","JONES MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","114 patients",,,"HF-2 " "330096","JONES MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","66 patients",,,"PN-7 " "330096","JONES MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","104 patients",,,"PN-3B " "330096","JONES MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "33009F","ALBANY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","85 patients","2 ","2","SCIP-VTE-1 " "33009F","ALBANY VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "33009F","ALBANY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "33009F","ALBANY VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "33009F","ALBANY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","140 patients","2 ","2","SCIP-INF-6 " "33009F","ALBANY VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","42 patients",,,"PN-7 " "33009F","ALBANY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","82 patients",,,"SCIP-INF-1 " "33009F","ALBANY VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","83 patients",,,"HF-2 " "33009F","ALBANY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","81 patients",,,"SCIP-INF-3 " "33009F","ALBANY VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","61 patients",,,"PN-3B " "33009F","ALBANY VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"HF-3 " "33009F","ALBANY VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "33009F","ALBANY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","84 patients","2 ","2","SCIP-VTE-2 " "33009F","ALBANY VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","52 patients",,,"PN-5C " "33009F","ALBANY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","83 patients",,,"SCIP-INF-2 " "33009F","ALBANY VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","35 patients",,,"AMI-1 " "33009F","ALBANY VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "33009F","ALBANY VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "33009F","ALBANY VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "33009F","ALBANY VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "33009F","ALBANY VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","20 patients","1 ","1","AMI-5 " "33009F","ALBANY VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","66 patients",,,"HF-1 " "33009F","ALBANY VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","47 patients",,,"PN-6 " "33009F","ALBANY VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","55 patients",,,"PN-2 " "33009F","ALBANY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","57 patients","2 ","2","SCIP-CARD-2 " "330100","NY EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "330100","NY EYE AND EAR INFIRMARY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "330100","NY EYE AND EAR INFIRMARY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "330100","NY EYE AND EAR INFIRMARY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "330100","NY EYE AND EAR INFIRMARY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "330100","NY EYE AND EAR INFIRMARY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "330100","NY EYE AND EAR INFIRMARY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "330100","NY EYE AND EAR INFIRMARY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "330100","NY EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "330100","NY EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "330100","NY EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "330100","NY EYE AND EAR INFIRMARY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330100","NY EYE AND EAR INFIRMARY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "330100","NY EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "330100","NY EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "330100","NY EYE AND EAR INFIRMARY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "330100","NY EYE AND EAR INFIRMARY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "330100","NY EYE AND EAR INFIRMARY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "330100","NY EYE AND EAR INFIRMARY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "330100","NY EYE AND EAR INFIRMARY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330100","NY EYE AND EAR INFIRMARY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "330100","NY EYE AND EAR INFIRMARY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "330100","NY EYE AND EAR INFIRMARY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "330100","NY EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "330100","NY EYE AND EAR INFIRMARY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","162 patients","2 ","2","AMI-4 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","46 patients","2 ","2","AMI-8A " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","320 patients",,,"CAC-1 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","806 patients","2 ","2","SCIP-INF-3 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","327 patients","2 ","2","SCIP-INF-4 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","319 patients",,,"CAC-2 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","453 patients","2 ","2","HF-3 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","45%","319 patients",,,"CAC-3 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","155 patients","2 ","2","PN-6 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","133 patients","2 ","2","PN-4 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1772 patients","2 ","2","SCIP-INF-6 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","373 patients","2 ","2","AMI-1 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","1091 patients","2 ","2","HF-2 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","711 patients","2 ","2","AMI-5 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","990 patients","2 ","2","SCIP-INF-2 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","237 patients","2 ","2","SCIP-CARD-2 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","898 patients","2 ","2","HF-1 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","859 patients","2 ","2","SCIP-INF-1 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","743 patients","2 ","2","AMI-2 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","536 patients","2 ","2","PN-2 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","122 patients","2 ","2","HF-4 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","746 patients","2 ","2","SCIP-VTE-1 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","136 patients","2 ","2","AMI-3 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","611 patients","2 ","2","PN-3B " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","746 patients","2 ","2","SCIP-VTE-2 " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","74%","549 patients","2 ","2","PN-5C " "330101","NEW YORK-PRESBYTERIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","382 patients","2 ","2","PN-7 " "330102","KENMORE MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","90 patients","2 ","2","PN-7 " "330102","KENMORE MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","95 patients",,,"AMI-1 " "330102","KENMORE MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","53 patients","2 ","2","PN-4 " "330102","KENMORE MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","240 patients","2 ","2","SCIP-INF-2 " "330102","KENMORE MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","238 patients","2 ","2","SCIP-INF-1 " "330102","KENMORE MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330102","KENMORE MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","228 patients","2 ","2","SCIP-INF-3 " "330102","KENMORE MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","136 patients","2 ","2","PN-3B " "330102","KENMORE MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330102","KENMORE MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","48 patients","2 ","2","SCIP-CARD-2 " "330102","KENMORE MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","335 patients","2 ","2","HF-2 " "330102","KENMORE MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","157 patients","2 ","2","PN-2 " "330102","KENMORE MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "330102","KENMORE MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","60 patients",,,"AMI-2 " "330102","KENMORE MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","175 patients","2 ","2","SCIP-VTE-2 " "330102","KENMORE MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","66 patients",,,"AMI-5 " "330102","KENMORE MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","77 patients","2 ","2","PN-6 " "330102","KENMORE MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330102","KENMORE MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","HF-4 " "330102","KENMORE MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","376 patients","2 ","2","SCIP-INF-6 " "330102","KENMORE MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","131 patients","2 ","2","PN-5C " "330102","KENMORE MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","71 patients","2 ","2","HF-3 " "330102","KENMORE MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","231 patients","2 ","2","HF-1 " "330102","KENMORE MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","175 patients","2 ","2","SCIP-VTE-1 " "330102","KENMORE MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "330103","OLEAN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","46 patients",,,"AMI-5 " "330103","OLEAN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","243 patients",,,"PN-5C " "330103","OLEAN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "330103","OLEAN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","61 patients",,,"HF-3 " "330103","OLEAN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","90 patients",,,"AMI-1 " "330103","OLEAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","49 patients",,,"SCIP-CARD-2 " "330103","OLEAN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "330103","OLEAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","233 patients",,,"SCIP-INF-3 " "330103","OLEAN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","273 patients",,,"PN-3B " "330103","OLEAN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","44 patients",,,"AMI-2 " "330103","OLEAN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","249 patients",,,"HF-2 " "330103","OLEAN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","163 patients",,,"PN-6 " "330103","OLEAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","250 patients",,,"SCIP-INF-2 " "330103","OLEAN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330103","OLEAN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330103","OLEAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330103","OLEAN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","258 patients",,,"PN-2 " "330103","OLEAN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","183 patients",,,"PN-7 " "330103","OLEAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","211 patients",,,"SCIP-VTE-2 " "330103","OLEAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","211 patients",,,"SCIP-VTE-1 " "330103","OLEAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","390 patients",,,"SCIP-INF-6 " "330103","OLEAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","249 patients",,,"SCIP-INF-1 " "330103","OLEAN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","79 patients",,,"PN-4 " "330103","OLEAN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","169 patients",,,"HF-1 " "330103","OLEAN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "330104","NYACK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","145 patients","2 ","2","PN-5C " "330104","NYACK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330104","NYACK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","173 patients","2 ","2","PN-2 " "330104","NYACK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","81 patients",,,"SCIP-CARD-2 " "330104","NYACK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","345 patients",,,"SCIP-INF-3 " "330104","NYACK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","277 patients",,,"SCIP-VTE-1 " "330104","NYACK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","622 patients",,,"SCIP-INF-6 " "330104","NYACK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","277 patients",,,"SCIP-VTE-2 " "330104","NYACK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","366 patients",,,"SCIP-INF-1 " "330104","NYACK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","201 patients",,,"HF-1 " "330104","NYACK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","85 patients",,,"HF-3 " "330104","NYACK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "330104","NYACK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","114 patients","2 ","2","PN-7 " "330104","NYACK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","PN-4 " "330104","NYACK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "330104","NYACK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","155 patients","2 ","2","PN-3B " "330104","NYACK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","38 patients",,,"AMI-2 " "330104","NYACK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "330104","NYACK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330104","NYACK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","36 patients",,,"AMI-5 " "330104","NYACK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330104","NYACK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","74 patients",,,"AMI-1 " "330104","NYACK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","292 patients",,,"HF-2 " "330104","NYACK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","368 patients",,,"SCIP-INF-2 " "330104","NYACK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","104 patients","2 ","2","PN-6 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","56 patients","2 ","2","AMI-3 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","142 patients","2 ","2","PN-6 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","114 patients","2 ","2","HF-3 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","897 patients","2 ","2","SCIP-INF-6 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","291 patients","2 ","2","HF-1 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","PN-4 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","167 patients","2 ","2","PN-7 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","363 patients","2 ","2","SCIP-VTE-2 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","206 patients","2 ","2","PN-5C " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","240 patients","2 ","2","PN-2 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","359 patients","2 ","2","HF-2 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","363 patients","2 ","2","SCIP-VTE-1 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","284 patients","2 ","2","AMI-2 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","AMI-4 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","546 patients","2 ","2","SCIP-INF-1 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","112 patients","2 ","2","AMI-1 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","132 patients","2 ","2","SCIP-CARD-2 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","549 patients","2 ","2","SCIP-INF-2 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","515 patients","2 ","2","SCIP-INF-3 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","234 patients","2 ","2","PN-3B " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","HF-4 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","17 patients","1,2 ","12","AMI-8A " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","237 patients","2 ","2","AMI-5 " "330106","NORTH SHORE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","148 patients","2 ","2","SCIP-INF-4 " "330107","PECONIC BAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","139 patients",,,"PN-3B " "330107","PECONIC BAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","255 patients",,,"HF-2 " "330107","PECONIC BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","214 patients",,,"SCIP-VTE-1 " "330107","PECONIC BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330107","PECONIC BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","58 patients",,,"SCIP-CARD-2 " "330107","PECONIC BAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","140 patients",,,"PN-2 " "330107","PECONIC BAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","115 patients",,,"PN-6 " "330107","PECONIC BAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","97 patients",,,"PN-7 " "330107","PECONIC BAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "330107","PECONIC BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","199 patients",,,"SCIP-INF-3 " "330107","PECONIC BAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330107","PECONIC BAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","203 patients",,,"HF-1 " "330107","PECONIC BAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","74 patients",,,"AMI-1 " "330107","PECONIC BAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","53 patients",,,"AMI-5 " "330107","PECONIC BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","214 patients",,,"SCIP-VTE-2 " "330107","PECONIC BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","207 patients",,,"SCIP-INF-2 " "330107","PECONIC BAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "330107","PECONIC BAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "330107","PECONIC BAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330107","PECONIC BAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","48 patients",,,"HF-3 " "330107","PECONIC BAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","142 patients",,,"PN-5C " "330107","PECONIC BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","208 patients",,,"SCIP-INF-1 " "330107","PECONIC BAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "330107","PECONIC BAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","40 patients",,,"AMI-2 " "330107","PECONIC BAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","370 patients",,,"SCIP-INF-6 " "330108","ST JOSEPH'S HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","167 patients",,,"SCIP-INF-3 " "330108","ST JOSEPH'S HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients",,,"SCIP-CARD-2 " "330108","ST JOSEPH'S HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","111 patients",,,"PN-7 " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "330108","ST JOSEPH'S HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","98 patients",,,"SCIP-VTE-1 " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","100 patients",,,"HF-2 " "330108","ST JOSEPH'S HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330108","ST JOSEPH'S HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","168 patients",,,"SCIP-INF-2 " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "330108","ST JOSEPH'S HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","98 patients",,,"SCIP-VTE-2 " "330108","ST JOSEPH'S HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"PN-4 " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"HF-3 " "330108","ST JOSEPH'S HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","88 patients",,,"PN-6 " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","25 patients",,,"AMI-1 " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "330108","ST JOSEPH'S HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","158 patients",,,"PN-3B " "330108","ST JOSEPH'S HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","158 patients",,,"PN-2 " "330108","ST JOSEPH'S HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","215 patients",,,"SCIP-INF-6 " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330108","ST JOSEPH'S HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","72 patients",,,"HF-1 " "330108","ST JOSEPH'S HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","167 patients",,,"SCIP-INF-1 " "330108","ST JOSEPH'S HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","167 patients",,,"PN-5C " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","35 patients",,,"HF-1 " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "330111","BERTRAND CHAFFEE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","PN-4 " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","44 patients",,,"HF-2 " "330111","BERTRAND CHAFFEE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","114 patients",,,"PN-2 " "330111","BERTRAND CHAFFEE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,3 ","13","SCIP-VTE-1 " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "330111","BERTRAND CHAFFEE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "330111","BERTRAND CHAFFEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "330111","BERTRAND CHAFFEE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","70 patients",,,"PN-7 " "330111","BERTRAND CHAFFEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","67%","3 patients","1,3 ","13","SCIP-INF-6 " "330111","BERTRAND CHAFFEE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","138 patients",,,"PN-5C " "330111","BERTRAND CHAFFEE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","122 patients",,,"PN-3B " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "330111","BERTRAND CHAFFEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "330111","BERTRAND CHAFFEE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330111","BERTRAND CHAFFEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "330111","BERTRAND CHAFFEE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "330111","BERTRAND CHAFFEE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","91 patients",,,"PN-6 " "330111","BERTRAND CHAFFEE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "330115","ONEIDA HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","38 patients",,,"HF-1 " "330115","ONEIDA HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "330115","ONEIDA HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "330115","ONEIDA HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330115","ONEIDA HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330115","ONEIDA HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","53 patients",,,"HF-2 " "330115","ONEIDA HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "330115","ONEIDA HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","205 patients","2 ","2","SCIP-INF-6 " "330115","ONEIDA HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","53 patients",,,"PN-6 " "330115","ONEIDA HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","40 patients",,,"PN-7 " "330115","ONEIDA HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","138 patients","2 ","2","SCIP-INF-2 " "330115","ONEIDA HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","19 patients","1,2 ","12","SCIP-CARD-2 " "330115","ONEIDA HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","59 patients",,,"PN-2 " "330115","ONEIDA HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "330115","ONEIDA HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","HF-3 " "330115","ONEIDA HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","69 patients",,,"PN-5C " "330115","ONEIDA HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","137 patients","2 ","2","SCIP-INF-1 " "330115","ONEIDA HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","47 patients",,,"PN-3B " "330115","ONEIDA HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","133 patients","2 ","2","SCIP-VTE-2 " "330115","ONEIDA HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","PN-4 " "330115","ONEIDA HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","133 patients","2 ","2","SCIP-VTE-1 " "330115","ONEIDA HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","134 patients","2 ","2","SCIP-INF-3 " "330115","ONEIDA HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "330115","ONEIDA HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330115","ONEIDA HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "330119","LENOX HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","618 patients","2 ","2","SCIP-INF-1 " "330119","LENOX HILL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","155 patients","2 ","2","AMI-1 " "330119","LENOX HILL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","292 patients","2 ","2","HF-1 " "330119","LENOX HILL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","155 patients","2 ","2","PN-5C " "330119","LENOX HILL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","357 patients","2 ","2","HF-2 " "330119","LENOX HILL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients","2 ","2","PN-4 " "330119","LENOX HILL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","84%","31 patients","2 ","2","HF-4 " "330119","LENOX HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","639 patients","2 ","2","SCIP-INF-2 " "330119","LENOX HILL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","136 patients","2 ","2","HF-3 " "330119","LENOX HILL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","159 patients","2 ","2","PN-2 " "330119","LENOX HILL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","88 patients","2 ","2","PN-7 " "330119","LENOX HILL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","61 patients","2 ","2","AMI-3 " "330119","LENOX HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","872 patients","2 ","2","SCIP-INF-6 " "330119","LENOX HILL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","89 patients","2 ","2","AMI-4 " "330119","LENOX HILL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","11 patients","1,2 ","12","AMI-8A " "330119","LENOX HILL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","341 patients","2 ","2","SCIP-VTE-2 " "330119","LENOX HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","600 patients","2 ","2","SCIP-INF-3 " "330119","LENOX HILL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","292 patients","2 ","2","AMI-5 " "330119","LENOX HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","199 patients","2 ","2","SCIP-INF-4 " "330119","LENOX HILL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330119","LENOX HILL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","341 patients","2 ","2","SCIP-VTE-1 " "330119","LENOX HILL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","101 patients","2 ","2","PN-6 " "330119","LENOX HILL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","181 patients","2 ","2","PN-3B " "330119","LENOX HILL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","175 patients","2 ","2","SCIP-CARD-2 " "330119","LENOX HILL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","317 patients","2 ","2","AMI-2 " "33011F","BATH VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "33011F","BATH VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "33011F","BATH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "33011F","BATH VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","32 patients",,,"HF-1 " "33011F","BATH VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "33011F","BATH VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","32 patients",,,"HF-2 " "33011F","BATH VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","PN-4 " "33011F","BATH VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","51 patients",,,"PN-5C " "33011F","BATH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "33011F","BATH VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "33011F","BATH VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "33011F","BATH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "33011F","BATH VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "33011F","BATH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "33011F","BATH VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "33011F","BATH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "33011F","BATH VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","43 patients",,,"PN-6 " "33011F","BATH VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","29 patients",,,"PN-7 " "33011F","BATH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "33011F","BATH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "33011F","BATH VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "33011F","BATH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "33011F","BATH VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "33011F","BATH VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","36 patients",,,"PN-2 " "33011F","BATH VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","30 patients",,,"PN-3B " "330125","ROCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2193 patients","2 ","2","SCIP-INF-6 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","178 patients","2 ","2","AMI-1 " "330125","ROCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1700 patients","2 ","2","SCIP-INF-1 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","250 patients","2 ","2","AMI-2 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","239 patients","2 ","2","HF-1 " "330125","ROCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1761 patients","2 ","2","SCIP-INF-2 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","HF-4 " "330125","ROCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","713 patients","2 ","2","SCIP-INF-4 " "330125","ROCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","597 patients","2 ","2","SCIP-VTE-1 " "330125","ROCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","1633 patients","2 ","2","SCIP-INF-3 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","291 patients","2 ","2","HF-2 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients","2 ","2","AMI-3 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","88 patients","2 ","2","AMI-4 " "330125","ROCHESTER GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","213 patients","3 ","3","PN-5C " "330125","ROCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","505 patients","2 ","2","SCIP-CARD-2 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","98 patients","2 ","2","HF-3 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","25 patients","2 ","2","AMI-8A " "330125","ROCHESTER GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","173 patients",,,"PN-4 " "330125","ROCHESTER GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","295 patients",,,"PN-7 " "330125","ROCHESTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","597 patients","2 ","2","SCIP-VTE-2 " "330125","ROCHESTER GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","279 patients",,,"PN-6 " "330125","ROCHESTER GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","330 patients",,,"PN-3B " "330125","ROCHESTER GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","410 patients",,,"PN-2 " "330125","ROCHESTER GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330125","ROCHESTER GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","260 patients","2 ","2","AMI-5 " "330126","ORANGE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","382 patients",,,"PN-7 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"AMI-4 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","451 patients",,,"HF-2 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","65 patients",,,"AMI-8A " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","336 patients",,,"HF-1 " "330126","ORANGE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","511 patients","2 ","2","SCIP-VTE-1 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","155 patients",,,"HF-3 " "330126","ORANGE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","671 patients","2 ","2","SCIP-INF-3 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","147 patients",,,"AMI-5 " "330126","ORANGE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","155 patients",,,"PN-4 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","128 patients",,,"AMI-2 " "330126","ORANGE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","549 patients",,,"PN-5C " "330126","ORANGE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","685 patients","2 ","2","SCIP-INF-1 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "330126","ORANGE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","683 patients","2 ","2","SCIP-INF-2 " "330126","ORANGE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","538 patients",,,"PN-3B " "330126","ORANGE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","465 patients",,,"PN-2 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330126","ORANGE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330126","ORANGE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","204 patients",,,"AMI-1 " "330126","ORANGE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","283 patients",,,"PN-6 " "330126","ORANGE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","132 patients","2 ","2","SCIP-CARD-2 " "330126","ORANGE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","510 patients","2 ","2","SCIP-VTE-2 " "330126","ORANGE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","918 patients","2 ","2","SCIP-INF-6 " "330127","JACOBI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","176 patients","2 ","2","SCIP-INF-2 " "330127","JACOBI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","297 patients","2 ","2","SCIP-VTE-1 " "330127","JACOBI MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","108 patients",,,"AMI-2 " "330127","JACOBI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","445 patients","2 ","2","SCIP-INF-6 " "330127","JACOBI MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","96 patients",,,"HF-3 " "330127","JACOBI MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","218 patients",,,"HF-1 " "330127","JACOBI MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"HF-4 " "330127","JACOBI MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "330127","JACOBI MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","156 patients",,,"AMI-1 " "330127","JACOBI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","297 patients","2 ","2","SCIP-VTE-2 " "330127","JACOBI MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","120 patients",,,"PN-7 " "330127","JACOBI MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","101 patients",,,"AMI-5 " "330127","JACOBI MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","96 patients",,,"PN-6 " "330127","JACOBI MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","147 patients",,,"PN-3B " "330127","JACOBI MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","262 patients",,,"HF-2 " "330127","JACOBI MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "330127","JACOBI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","182 patients","2 ","2","SCIP-INF-1 " "330127","JACOBI MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","121 patients",,,"PN-2 " "330127","JACOBI MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330127","JACOBI MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "330127","JACOBI MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","49 patients",,,"SCIP-CARD-2 " "330127","JACOBI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","3 patients","1,2 ","12","SCIP-INF-4 " "330127","JACOBI MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330127","JACOBI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","168 patients","2 ","2","SCIP-INF-3 " "330127","JACOBI MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","188 patients",,,"PN-5C " "330128","ELMHURST HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","217 patients",,,"PN-2 " "330128","ELMHURST HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-7A " "330128","ELMHURST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1 ","1","SCIP-INF-4 " "330128","ELMHURST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","38 patients",,,"SCIP-CARD-2 " "330128","ELMHURST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","332 patients",,,"SCIP-VTE-2 " "330128","ELMHURST HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","248 patients",,,"AMI-1 " "330128","ELMHURST HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","231 patients",,,"AMI-5 " "330128","ELMHURST HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","317 patients",,,"HF-2 " "330128","ELMHURST HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","242 patients",,,"PN-3B " "330128","ELMHURST HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","290 patients",,,"HF-1 " "330128","ELMHURST HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","44 patients",,,"AMI-3 " "330128","ELMHURST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","79 patients",,,"SCIP-INF-3 " "330128","ELMHURST HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"AMI-4 " "330128","ELMHURST HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","200 patients",,,"PN-6 " "330128","ELMHURST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","332 patients",,,"SCIP-VTE-1 " "330128","ELMHURST HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","243 patients",,,"AMI-2 " "330128","ELMHURST HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "330128","ELMHURST HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","140 patients",,,"HF-3 " "330128","ELMHURST HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","61 patients",,,"AMI-8A " "330128","ELMHURST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","86 patients",,,"SCIP-INF-2 " "330128","ELMHURST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","433 patients",,,"SCIP-INF-6 " "330128","ELMHURST HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","186 patients",,,"PN-7 " "330128","ELMHURST HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","85 patients",,,"SCIP-INF-1 " "330128","ELMHURST HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"PN-4 " "330128","ELMHURST HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","72%","305 patients",,,"PN-5C " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","66 patients",,,"PN-7 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","170 patients",,,"HF-2 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","346 patients","2 ","2","SCIP-INF-6 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","127 patients","2 ","2","SCIP-VTE-2 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","20 patients","1 ","1","AMI-3 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","4 patients","1 ","1","AMI-8A " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","81 patients",,,"PN-3B " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","65 patients",,,"AMI-1 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","106 patients","2 ","2","SCIP-INF-4 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","59 patients",,,"AMI-2 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","88 patients",,,"HF-3 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","93 patients",,,"PN-5C " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","192 patients","2 ","2","SCIP-CARD-2 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","186 patients",,,"SCIP-INF-3 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","101 patients",,,"PN-2 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","58 patients",,,"AMI-5 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","64 patients",,,"PN-6 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","136 patients",,,"HF-1 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","214 patients",,,"SCIP-INF-2 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","195 patients",,,"SCIP-INF-1 " "33012F","UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","127 patients","2 ","2","SCIP-VTE-1 " "330132","TLC HEALTH NETWORK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","127 patients",,,"SCIP-VTE-2 " "330132","TLC HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","124 patients",,,"SCIP-INF-3 " "330132","TLC HEALTH NETWORK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","90 patients",,,"HF-2 " "330132","TLC HEALTH NETWORK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "330132","TLC HEALTH NETWORK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","64 patients",,,"PN-3B " "330132","TLC HEALTH NETWORK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","55 patients",,,"PN-6 " "330132","TLC HEALTH NETWORK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","85 patients",,,"PN-2 " "330132","TLC HEALTH NETWORK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330132","TLC HEALTH NETWORK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","42%","26 patients",,,"SCIP-CARD-2 " "330132","TLC HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","164 patients",,,"SCIP-INF-6 " "330132","TLC HEALTH NETWORK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","127 patients",,,"SCIP-VTE-1 " "330132","TLC HEALTH NETWORK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","59 patients",,,"HF-1 " "330132","TLC HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","125 patients",,,"SCIP-INF-2 " "330132","TLC HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330132","TLC HEALTH NETWORK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","12 patients","1 ","1","AMI-1 " "330132","TLC HEALTH NETWORK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","85 patients",,,"PN-5C " "330132","TLC HEALTH NETWORK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","50 patients",,,"PN-7 " "330132","TLC HEALTH NETWORK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","40%","5 patients","1 ","1","AMI-3 " "330132","TLC HEALTH NETWORK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","65%","23 patients","1 ","1","HF-3 " "330132","TLC HEALTH NETWORK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330132","TLC HEALTH NETWORK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330132","TLC HEALTH NETWORK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "330132","TLC HEALTH NETWORK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "330132","TLC HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","126 patients",,,"SCIP-INF-1 " "330132","TLC HEALTH NETWORK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","14 patients","1 ","1","AMI-5 " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"HF-3 " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","111 patients",,,"HF-2 " "330135","BON SECOURS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","45 patients",,,"SCIP-INF-2 " "330135","BON SECOURS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","45 patients",,,"SCIP-INF-1 " "330135","BON SECOURS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","63 patients",,,"SCIP-VTE-2 " "330135","BON SECOURS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","73 patients",,,"PN-6 " "330135","BON SECOURS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "330135","BON SECOURS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","105 patients",,,"PN-2 " "330135","BON SECOURS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","69 patients",,,"PN-7 " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","83 patients",,,"HF-1 " "330135","BON SECOURS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","108 patients",,,"PN-5C " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330135","BON SECOURS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","116 patients",,,"PN-3B " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","23 patients","1 ","1","AMI-5 " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "330135","BON SECOURS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","24 patients","1 ","1","AMI-2 " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330135","BON SECOURS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "330135","BON SECOURS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","42 patients",,,"SCIP-INF-3 " "330135","BON SECOURS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","64 patients",,,"SCIP-VTE-1 " "330135","BON SECOURS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","127 patients",,,"SCIP-INF-6 " "330135","BON SECOURS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "330136","MARY IMOGENE BASSETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","587 patients","2 ","2","SCIP-INF-6 " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","184 patients",,,"AMI-2 " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","164 patients",,,"HF-1 " "330136","MARY IMOGENE BASSETT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","45 patients",,,"PN-4 " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","68 patients",,,"AMI-4 " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","180 patients",,,"AMI-5 " "330136","MARY IMOGENE BASSETT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","38 patients",,,"PN-6 " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","42 patients",,,"AMI-3 " "330136","MARY IMOGENE BASSETT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","266 patients","2 ","2","SCIP-VTE-1 " "330136","MARY IMOGENE BASSETT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","88 patients",,,"PN-5C " "330136","MARY IMOGENE BASSETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","435 patients","2 ","2","SCIP-INF-1 " "330136","MARY IMOGENE BASSETT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","95 patients","2 ","2","SCIP-CARD-2 " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "330136","MARY IMOGENE BASSETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","375 patients","2 ","2","SCIP-INF-3 " "330136","MARY IMOGENE BASSETT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","265 patients","2 ","2","SCIP-VTE-2 " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","86 patients",,,"AMI-1 " "330136","MARY IMOGENE BASSETT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","111 patients",,,"PN-7 " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","18 patients","1 ","1","AMI-8A " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","194 patients",,,"HF-2 " "330136","MARY IMOGENE BASSETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","89 patients","2 ","2","SCIP-INF-4 " "330136","MARY IMOGENE BASSETT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","63 patients",,,"HF-3 " "330136","MARY IMOGENE BASSETT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","140 patients",,,"PN-2 " "330136","MARY IMOGENE BASSETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","437 patients","2 ","2","SCIP-INF-2 " "330136","MARY IMOGENE BASSETT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","82 patients",,,"PN-3B " "33013F","CANANDAIGUA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "33013F","CANANDAIGUA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "33013F","CANANDAIGUA VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "33013F","CANANDAIGUA VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","139 patients",,,"HF-4 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","90 patients",,,"AMI-8A " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","447 patients","2 ","2","SCIP-INF-3 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","198 patients","2 ","2","SCIP-VTE-1 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","268 patients",,,"PN-4 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","446 patients",,,"PN-7 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","115 patients","2 ","2","SCIP-CARD-2 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","165 patients","2 ","2","SCIP-INF-4 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","515 patients",,,"HF-1 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","387 patients",,,"PN-6 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","362 patients",,,"AMI-1 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","550 patients",,,"PN-3B " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","537 patients",,,"PN-5C " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","663 patients",,,"AMI-5 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","634 patients",,,"HF-2 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","637 patients",,,"AMI-2 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","526 patients","2 ","2","SCIP-INF-2 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","198 patients","2 ","2","SCIP-VTE-2 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","663 patients",,,"PN-2 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","515 patients","2 ","2","SCIP-INF-1 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","104 patients",,,"AMI-3 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","381 patients",,,"AMI-4 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","745 patients","2 ","2","SCIP-INF-6 " "330140","ST JOSEPH'S HOSPITAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","225 patients",,,"HF-3 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","272 patients","2 ","2","SCIP-VTE-2 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","484 patients",,,"HF-2 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","264 patients","2 ","2","SCIP-INF-2 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","88 patients",,,"AMI-2 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","458 patients",,,"PN-2 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","96 patients",,,"HF-3 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","399 patients",,,"PN-5C " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","94 patients",,,"AMI-5 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","253 patients","2 ","2","SCIP-INF-3 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","267 patients","2 ","2","SCIP-INF-1 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","67 patients","2 ","2","SCIP-CARD-2 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","326 patients",,,"HF-1 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","448 patients","2 ","2","SCIP-INF-6 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","395 patients",,,"PN-3B " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","272 patients","2 ","2","SCIP-VTE-1 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"HF-4 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","155 patients",,,"AMI-1 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","149 patients",,,"PN-4 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","318 patients",,,"PN-7 " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330141","BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","252 patients",,,"PN-6 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"PN-4 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","50 patients",,,"PN-6 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-1 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","8 patients","1 ","1","SCIP-VTE-1 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-2 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","48 patients",,,"HF-1 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","64 patients",,,"HF-2 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","66 patients",,,"PN-3B " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","8 patients","1 ","1","SCIP-VTE-2 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","78 patients",,,"PN-5C " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","11 patients","1 ","1","SCIP-INF-3 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","7 patients","1 ","1","SCIP-INF-6 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","96 patients",,,"PN-2 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330144","IRA DAVENPORT MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","52 patients",,,"PN-7 " "330151","ST JAMES MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "330151","ST JAMES MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","83 patients",,,"SCIP-INF-3 " "330151","ST JAMES MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","83 patients",,,"SCIP-INF-2 " "330151","ST JAMES MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","44 patients",,,"PN-6 " "330151","ST JAMES MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "330151","ST JAMES MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","103 patients",,,"PN-3B " "330151","ST JAMES MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "330151","ST JAMES MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330151","ST JAMES MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330151","ST JAMES MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "330151","ST JAMES MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","80 patients",,,"SCIP-VTE-2 " "330151","ST JAMES MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1 ","1","SCIP-CARD-2 " "330151","ST JAMES MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "330151","ST JAMES MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","100 patients",,,"PN-5C " "330151","ST JAMES MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","80 patients",,,"SCIP-VTE-1 " "330151","ST JAMES MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","147 patients",,,"SCIP-INF-6 " "330151","ST JAMES MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "330151","ST JAMES MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","90 patients",,,"PN-7 " "330151","ST JAMES MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "330151","ST JAMES MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","26 patients",,,"HF-1 " "330151","ST JAMES MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330151","ST JAMES MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330151","ST JAMES MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","40 patients",,,"HF-2 " "330151","ST JAMES MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","84 patients",,,"SCIP-INF-1 " "330151","ST JAMES MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","119 patients",,,"PN-2 " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","42 patients","2 ","2","HF-4 " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","124 patients","2 ","2","HF-3 " "330152","LONG ISLAND COLLEGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","92 patients","2 ","2","PN-6 " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","192 patients","2 ","2","AMI-2 " "330152","LONG ISLAND COLLEGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","75 patients","2 ","2","PN-7 " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","20 patients","1,2 ","12","AMI-8A " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","43 patients","2 ","2","AMI-3 " "330152","LONG ISLAND COLLEGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","315 patients","2 ","2","SCIP-VTE-1 " "330152","LONG ISLAND COLLEGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","43 patients","2 ","2","PN-4 " "330152","LONG ISLAND COLLEGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","103 patients","2 ","2","PN-2 " "330152","LONG ISLAND COLLEGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","315 patients","2 ","2","SCIP-VTE-2 " "330152","LONG ISLAND COLLEGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","463 patients","2 ","2","SCIP-INF-6 " "330152","LONG ISLAND COLLEGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","57 patients","2 ","2","SCIP-CARD-2 " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","265 patients","2 ","2","AMI-1 " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","207 patients","2 ","2","AMI-5 " "330152","LONG ISLAND COLLEGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","122 patients","2 ","2","PN-3B " "330152","LONG ISLAND COLLEGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","312 patients","2 ","2","SCIP-INF-3 " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","313 patients","2 ","2","HF-2 " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","269 patients","2 ","2","HF-1 " "330152","LONG ISLAND COLLEGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330152","LONG ISLAND COLLEGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","324 patients","2 ","2","SCIP-INF-1 " "330152","LONG ISLAND COLLEGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","331 patients","2 ","2","SCIP-INF-2 " "330152","LONG ISLAND COLLEGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","51 patients","2 ","2","AMI-4 " "330152","LONG ISLAND COLLEGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","143 patients","2 ","2","PN-5C " "330153","ELLIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","143 patients","2 ","2","PN-4 " "330153","ELLIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","222 patients","2 ","2","SCIP-CARD-2 " "330153","ELLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","313 patients","2 ","2","SCIP-INF-4 " "330153","ELLIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","471 patients","2 ","2","AMI-5 " "330153","ELLIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","78 patients","2 ","2","AMI-3 " "330153","ELLIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","343 patients","2 ","2","PN-2 " "330153","ELLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1019 patients","2 ","2","SCIP-INF-1 " "330153","ELLIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","278 patients",,,"PN-7 " "330153","ELLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","995 patients","2 ","2","SCIP-INF-3 " "330153","ELLIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","299 patients","2 ","2","PN-3B " "330153","ELLIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","55 patients","2 ","2","AMI-8A " "330153","ELLIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","59%","173 patients","2 ","2","PN-6 " "330153","ELLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1032 patients","2 ","2","SCIP-INF-2 " "330153","ELLIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1457 patients","2 ","2","SCIP-INF-6 " "330153","ELLIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","476 patients","2 ","2","AMI-2 " "330153","ELLIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","129 patients","2 ","2","HF-3 " "330153","ELLIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","344 patients","2 ","2","AMI-1 " "330153","ELLIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","656 patients","2 ","2","HF-2 " "330153","ELLIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","554 patients","2 ","2","SCIP-VTE-2 " "330153","ELLIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","63%","317 patients","2 ","2","PN-5C " "330153","ELLIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","501 patients","2 ","2","HF-1 " "330153","ELLIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","71 patients","2 ","2","HF-4 " "330153","ELLIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","145 patients","2 ","2","AMI-4 " "330153","ELLIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330153","ELLIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","554 patients","2 ","2","SCIP-VTE-1 " "330157","SAMARITAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-7A " "330157","SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","67 patients",,,"SCIP-CARD-2 " "330157","SAMARITAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","147 patients",,,"PN-3B " "330157","SAMARITAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"HF-4 " "330157","SAMARITAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "330157","SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","259 patients",,,"SCIP-VTE-1 " "330157","SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","462 patients",,,"SCIP-INF-6 " "330157","SAMARITAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","90 patients",,,"PN-6 " "330157","SAMARITAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","87 patients",,,"PN-7 " "330157","SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","341 patients",,,"SCIP-INF-2 " "330157","SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330157","SAMARITAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","141 patients",,,"PN-2 " "330157","SAMARITAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","43 patients",,,"AMI-1 " "330157","SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","345 patients",,,"SCIP-INF-1 " "330157","SAMARITAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","203 patients",,,"HF-1 " "330157","SAMARITAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"PN-4 " "330157","SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","336 patients",,,"SCIP-INF-3 " "330157","SAMARITAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330157","SAMARITAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","24 patients","1 ","1","AMI-2 " "330157","SAMARITAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","145 patients",,,"PN-5C " "330157","SAMARITAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","259 patients",,,"SCIP-VTE-2 " "330157","SAMARITAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","216 patients",,,"HF-2 " "330157","SAMARITAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "330157","SAMARITAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","43 patients",,,"HF-3 " "330157","SAMARITAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","24 patients","1 ","1","AMI-5 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","338 patients",,,"PN-3B " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","707 patients","2 ","2","SCIP-INF-6 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","366 patients",,,"HF-2 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","175 patients",,,"PN-6 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","535 patients","2 ","2","SCIP-INF-1 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","268 patients",,,"HF-1 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","93 patients",,,"AMI-3 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","483 patients",,,"AMI-5 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","54 patients",,,"AMI-8A " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","168 patients","2 ","2","SCIP-VTE-1 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","228 patients",,,"PN-7 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","143 patients","2 ","2","SCIP-CARD-2 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","541 patients","2 ","2","SCIP-INF-2 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","299 patients",,,"PN-5C " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","521 patients","2 ","2","SCIP-INF-3 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","492 patients",,,"AMI-2 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","129 patients",,,"HF-3 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","167 patients","2 ","2","SCIP-VTE-2 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","273 patients","2 ","2","SCIP-INF-4 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","265 patients",,,"AMI-1 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"HF-4 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","140 patients",,,"AMI-4 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","359 patients",,,"PN-2 " "330158","GOOD SAMARITAN HOSPITAL OF SUFFERN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"PN-4 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","158 patients","2 ","2","PN-2 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","31 patients",,,"AMI-2 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","270 patients","2 ","2","SCIP-INF-2 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","276 patients","2 ","2","SCIP-INF-1 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","104 patients","2 ","2","PN-7 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","217 patients",,,"HF-2 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","63 patients","2 ","2","SCIP-CARD-2 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","PN-4 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","139 patients","2 ","2","PN-5C " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","59 patients",,,"HF-3 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","82 patients","2 ","2","PN-6 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","200 patients","2 ","2","SCIP-VTE-2 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","32 patients",,,"AMI-5 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","149 patients",,,"HF-1 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","262 patients","2 ","2","SCIP-INF-3 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","169 patients","2 ","2","PN-3B " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","200 patients","2 ","2","SCIP-VTE-1 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","429 patients","2 ","2","SCIP-INF-6 " "330159","COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","45 patients",,,"AMI-1 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1 ","1","PN-3B " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","23 patients","1 ","1","PN-5C " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","35 patients",,,"HF-2 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","19 patients","1 ","1","PN-7 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients",,,"PN-6 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","30 patients",,,"PN-2 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","31 patients",,,"HF-1 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "33015F","VA HUDSON VALLEY HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","232 patients","2 ","2","SCIP-VTE-1 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","HF-4 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","92 patients","2 ","2","PN-6 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","196 patients","2 ","2","PN-3B " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","232 patients","2 ","2","SCIP-VTE-2 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","213 patients","2 ","2","AMI-5 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","85 patients","2 ","2","SCIP-CARD-2 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","150 patients","2 ","2","PN-5C " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","233 patients","2 ","2","AMI-1 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","87 patients","2 ","2","HF-3 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","575 patients","2 ","2","SCIP-INF-6 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","283 patients","2 ","2","HF-2 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","235 patients","2 ","2","AMI-2 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients","2 ","2","AMI-3 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","95 patients","2 ","2","PN-7 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","376 patients","2 ","2","SCIP-INF-3 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","81 patients","2 ","2","AMI-4 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","207 patients","2 ","2","HF-1 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","PN-4 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","121 patients","2 ","2","SCIP-INF-4 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","393 patients","2 ","2","SCIP-INF-1 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","39 patients","2 ","2","AMI-8A " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","396 patients","2 ","2","SCIP-INF-2 " "330160","STATEN ISLAND UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","143 patients","2 ","2","PN-2 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","146 patients",,,"HF-1 " "330162","NORTHERN WESTCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","239 patients","2 ","2","SCIP-INF-3 " "330162","NORTHERN WESTCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","51 patients","2 ","2","SCIP-CARD-2 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","41 patients",,,"AMI-1 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","184 patients",,,"HF-2 " "330162","NORTHERN WESTCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","408 patients","2 ","2","SCIP-INF-6 " "330162","NORTHERN WESTCHESTER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","85 patients","2 ","2","PN-6 " "330162","NORTHERN WESTCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "330162","NORTHERN WESTCHESTER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","165 patients","2 ","2","PN-3B " "330162","NORTHERN WESTCHESTER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","107 patients","2 ","2","PN-7 " "330162","NORTHERN WESTCHESTER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","PN-4 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330162","NORTHERN WESTCHESTER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","165 patients","2 ","2","PN-2 " "330162","NORTHERN WESTCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","205 patients","2 ","2","SCIP-VTE-2 " "330162","NORTHERN WESTCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","259 patients","2 ","2","SCIP-INF-2 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","42 patients",,,"HF-3 " "330162","NORTHERN WESTCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","256 patients","2 ","2","SCIP-INF-1 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","25 patients",,,"AMI-2 " "330162","NORTHERN WESTCHESTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","205 patients","2 ","2","SCIP-VTE-1 " "330162","NORTHERN WESTCHESTER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "330162","NORTHERN WESTCHESTER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","153 patients","2 ","2","PN-5C " "330163","EASTERN NIAGARA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","126 patients",,,"PN-6 " "330163","EASTERN NIAGARA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","209 patients",,,"SCIP-INF-6 " "330163","EASTERN NIAGARA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","162 patients",,,"PN-3B " "330163","EASTERN NIAGARA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","21 patients","1,2 ","12","HF-4 " "330163","EASTERN NIAGARA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1,2 ","12","HF-3 " "330163","EASTERN NIAGARA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","187 patients",,,"PN-5C " "330163","EASTERN NIAGARA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","145 patients","2 ","2","HF-2 " "330163","EASTERN NIAGARA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330163","EASTERN NIAGARA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","95 patients",,,"SCIP-VTE-2 " "330163","EASTERN NIAGARA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","23 patients","1 ","1","SCIP-CARD-2 " "330163","EASTERN NIAGARA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1 ","1","AMI-2 " "330163","EASTERN NIAGARA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","145 patients",,,"SCIP-INF-2 " "330163","EASTERN NIAGARA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","144 patients",,,"SCIP-INF-3 " "330163","EASTERN NIAGARA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","95 patients",,,"SCIP-VTE-1 " "330163","EASTERN NIAGARA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","20 patients","1 ","1","AMI-5 " "330163","EASTERN NIAGARA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","117 patients",,,"PN-7 " "330163","EASTERN NIAGARA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "330163","EASTERN NIAGARA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330163","EASTERN NIAGARA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","33 patients",,,"AMI-1 " "330163","EASTERN NIAGARA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330163","EASTERN NIAGARA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","148 patients",,,"SCIP-INF-1 " "330163","EASTERN NIAGARA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","165 patients",,,"PN-2 " "330163","EASTERN NIAGARA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","96 patients","2 ","2","HF-1 " "330163","EASTERN NIAGARA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","58 patients",,,"PN-4 " "330163","EASTERN NIAGARA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "330164","HIGHLAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330164","HIGHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","885 patients","2 ","2","SCIP-INF-6 " "330164","HIGHLAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1,2 ","12","AMI-3 " "330164","HIGHLAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients","2 ","2","PN-4 " "330164","HIGHLAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","285 patients","2 ","2","PN-3B " "330164","HIGHLAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","190 patients","2 ","2","PN-6 " "330164","HIGHLAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","230 patients","2 ","2","HF-1 " "330164","HIGHLAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "330164","HIGHLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","351 patients","2 ","2","SCIP-VTE-1 " "330164","HIGHLAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","322 patients","2 ","2","PN-2 " "330164","HIGHLAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "330164","HIGHLAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","218 patients","2 ","2","PN-5C " "330164","HIGHLAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","335 patients","2 ","2","HF-2 " "330164","HIGHLAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","38 patients","2 ","2","AMI-2 " "330164","HIGHLAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients","2 ","2","HF-4 " "330164","HIGHLAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","246 patients","2 ","2","PN-7 " "330164","HIGHLAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","131 patients","2 ","2","SCIP-CARD-2 " "330164","HIGHLAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","48 patients","2 ","2","AMI-1 " "330164","HIGHLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","351 patients","2 ","2","SCIP-VTE-2 " "330164","HIGHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","693 patients","2 ","2","SCIP-INF-2 " "330164","HIGHLAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","83 patients","2 ","2","HF-3 " "330164","HIGHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330164","HIGHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","691 patients","2 ","2","SCIP-INF-1 " "330164","HIGHLAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","42 patients","2 ","2","AMI-5 " "330164","HIGHLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","670 patients","2 ","2","SCIP-INF-3 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1,3 ","13","HF-1 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-2 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","11 patients","1 ","1","PN-6 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","7 patients","1 ","1","PN-5C " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","14 patients","1 ","1","PN-2 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,3 ","13","SCIP-INF-3 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-1 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","14 patients","1 ","1","PN-3B " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "330166","WESTFIELD MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","99 patients","2 ","2","HF-3 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","552 patients","2 ","2","SCIP-INF-3 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","590 patients","2 ","2","SCIP-INF-1 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","110 patients","2 ","2","PN-7 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","300 patients",,,"AMI-1 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"AMI-4 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","HF-4 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","281 patients","2 ","2","HF-1 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","190 patients","2 ","2","PN-2 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","71 patients",,,"AMI-3 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","169 patients","2 ","2","PN-5C " "330167","WINTHROP-UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","206 patients","2 ","2","SCIP-INF-4 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","372 patients",,,"AMI-5 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","52 patients",,,"AMI-8A " "330167","WINTHROP-UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","342 patients","2 ","2","SCIP-VTE-1 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","606 patients","2 ","2","SCIP-INF-2 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","189 patients","2 ","2","PN-3B " "330167","WINTHROP-UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","110 patients","2 ","2","PN-6 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","327 patients","2 ","2","HF-2 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","182 patients","2 ","2","SCIP-CARD-2 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","342 patients","2 ","2","SCIP-VTE-2 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","395 patients",,,"AMI-2 " "330167","WINTHROP-UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","886 patients","2 ","2","SCIP-INF-6 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","244 patients","2 ","2","AMI-5 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","238 patients","2 ","2","AMI-2 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","HF-4 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","254 patients","2 ","2","HF-1 " "330169","BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","115 patients","2 ","2","PN-6 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","89 patients","2 ","2","HF-3 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","67 patients","2 ","2","AMI-4 " "330169","BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","284 patients","2 ","2","SCIP-VTE-1 " "330169","BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","165 patients","2 ","2","PN-3B " "330169","BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","152 patients","2 ","2","SCIP-INF-4 " "330169","BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","284 patients","2 ","2","SCIP-VTE-2 " "330169","BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","482 patients","2 ","2","SCIP-INF-3 " "330169","BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","509 patients","2 ","2","SCIP-INF-2 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","235 patients","2 ","2","AMI-1 " "330169","BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","101 patients","2 ","2","SCIP-CARD-2 " "330169","BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","689 patients","2 ","2","SCIP-INF-6 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","22 patients","1,2 ","12","AMI-8A " "330169","BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","90 patients","2 ","2","PN-7 " "330169","BETH ISRAEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","501 patients","2 ","2","SCIP-INF-1 " "330169","BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","141 patients","2 ","2","PN-2 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1,2 ","12","AMI-7A " "330169","BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","182 patients","2 ","2","PN-5C " "330169","BETH ISRAEL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","51 patients","2 ","2","PN-4 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","61 patients","2 ","2","AMI-3 " "330169","BETH ISRAEL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","316 patients","2 ","2","HF-2 " "33016F","BRONX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","80 patients",,,"SCIP-INF-1 " "33016F","BRONX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","105 patients","2 ","2","SCIP-VTE-2 " "33016F","BRONX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","111 patients","2 ","2","SCIP-VTE-1 " "33016F","BRONX VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "33016F","BRONX VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","110 patients",,,"HF-3 " "33016F","BRONX VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "33016F","BRONX VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","79 patients",,,"PN-2 " "33016F","BRONX VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "33016F","BRONX VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "33016F","BRONX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "33016F","BRONX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","146 patients","2 ","2","SCIP-INF-6 " "33016F","BRONX VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","197 patients",,,"HF-2 " "33016F","BRONX VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","84 patients",,,"PN-5C " "33016F","BRONX VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "33016F","BRONX VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "33016F","BRONX VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "33016F","BRONX VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","192 patients",,,"HF-1 " "33016F","BRONX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","57 patients","2 ","2","SCIP-CARD-2 " "33016F","BRONX VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "33016F","BRONX VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","73 patients",,,"PN-6 " "33016F","BRONX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","77 patients",,,"SCIP-INF-3 " "33016F","BRONX VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "33016F","BRONX VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","67 patients",,,"PN-7 " "33016F","BRONX VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","80 patients",,,"SCIP-INF-2 " "33016F","BRONX VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","105 patients",,,"PN-3B " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","124 patients",,,"HF-2 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","209 patients",,,"PN-6 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","52 patients",,,"SCIP-INF-2 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","286 patients",,,"PN-3B " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","53 patients",,,"SCIP-VTE-1 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","22 patients","1 ","1","HF-3 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","281 patients",,,"PN-5C " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","64 patients",,,"PN-4 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","11 patients","1 ","1","AMI-5 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","77 patients",,,"HF-1 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","52 patients",,,"SCIP-INF-1 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","146 patients",,,"PN-7 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","53 patients",,,"SCIP-VTE-2 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","229 patients",,,"PN-2 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","22 patients","1 ","1","AMI-1 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","49 patients",,,"SCIP-INF-3 " "330175","CORTLAND REGIONAL MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","102 patients",,,"SCIP-INF-6 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-2 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","14 patients","1 ","1","PN-6 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","19 patients","1 ","1","PN-3B " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","22 patients","1 ","1","PN-2 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","21 patients","1 ","1","SCIP-INF-6 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","18 patients","1 ","1","SCIP-INF-3 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","14 patients","1 ","1","PN-7 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","18 patients","1 ","1","SCIP-INF-1 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","11 patients","1 ","1","SCIP-VTE-1 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","28 patients",,,"PN-5C " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","27%","11 patients","1 ","1","SCIP-VTE-2 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,3 ","13","AMI-1 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","60 patients",,,"HF-1 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","74 patients",,,"HF-2 " "330177","EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-8A " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"HF-4 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","AMI-3 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","123 patients",,,"PN-3B " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","126 patients",,,"PN-2 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","349 patients",,,"HF-1 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","107 patients",,,"AMI-1 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","124 patients","2 ","2","SCIP-INF-4 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","112 patients",,,"PN-5C " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","193 patients","2 ","2","SCIP-CARD-2 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","144 patients","2 ","2","SCIP-VTE-2 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-7A " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","84 patients",,,"PN-6 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","104 patients",,,"AMI-2 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","350 patients",,,"HF-2 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","144 patients","2 ","2","SCIP-VTE-1 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","227 patients",,,"SCIP-INF-3 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","97 patients",,,"AMI-5 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","170 patients",,,"HF-3 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","238 patients",,,"SCIP-INF-2 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","99 patients",,,"PN-7 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","355 patients","2 ","2","SCIP-INF-6 " "33017F","VA NEW YORK HARBOR HEALTHCARE SYSTEM - NY DI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","233 patients",,,"SCIP-INF-1 " "330180","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","194 patients","2 ","2","SCIP-VTE-1 " "330180","SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","170 patients","2 ","2","PN-5C " "330180","SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "330180","SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","126 patients",,,"HF-2 " "330180","SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","138 patients","2 ","2","PN-2 " "330180","SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","98 patients","2 ","2","PN-6 " "330180","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","194 patients","2 ","2","SCIP-VTE-2 " "330180","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","58 patients","2 ","2","SCIP-CARD-2 " "330180","SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","67 patients","2 ","2","PN-4 " "330180","SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","102 patients","2 ","2","PN-7 " "330180","SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","156 patients","2 ","2","PN-3B " "330180","SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1 ","1","HF-4 " "330180","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","239 patients","2 ","2","SCIP-INF-3 " "330180","SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","43 patients",,,"HF-3 " "330180","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","251 patients","2 ","2","SCIP-INF-2 " "330180","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","406 patients","2 ","2","SCIP-INF-6 " "330180","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330180","SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "330180","SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1 ","1","AMI-2 " "330180","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","256 patients","2 ","2","SCIP-INF-1 " "330180","SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","25 patients",,,"AMI-5 " "330180","SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330180","SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","AMI-4 " "330180","SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","106 patients",,,"HF-1 " "330180","SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330181","GLEN COVE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330181","GLEN COVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","296 patients","2 ","2","SCIP-INF-6 " "330181","GLEN COVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","175 patients","2 ","2","SCIP-INF-2 " "330181","GLEN COVE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","171 patients","2 ","2","HF-1 " "330181","GLEN COVE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","39 patients","2 ","2","SCIP-CARD-2 " "330181","GLEN COVE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","147 patients","2 ","2","PN-5C " "330181","GLEN COVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330181","GLEN COVE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","260 patients","2 ","2","HF-2 " "330181","GLEN COVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","175 patients","2 ","2","SCIP-INF-1 " "330181","GLEN COVE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "330181","GLEN COVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","171 patients","2 ","2","SCIP-INF-3 " "330181","GLEN COVE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "330181","GLEN COVE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","36 patients","2 ","2","AMI-5 " "330181","GLEN COVE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1,2 ","12","AMI-3 " "330181","GLEN COVE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","60 patients","2 ","2","AMI-1 " "330181","GLEN COVE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","154 patients","2 ","2","PN-2 " "330181","GLEN COVE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients","2 ","2","HF-3 " "330181","GLEN COVE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1,2 ","12","PN-4 " "330181","GLEN COVE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","145 patients","2 ","2","PN-3B " "330181","GLEN COVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","184 patients","2 ","2","SCIP-VTE-1 " "330181","GLEN COVE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","87 patients","2 ","2","PN-6 " "330181","GLEN COVE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","94 patients","2 ","2","PN-7 " "330181","GLEN COVE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","30 patients","2 ","2","AMI-2 " "330181","GLEN COVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","184 patients","2 ","2","SCIP-VTE-2 " "330181","GLEN COVE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","HF-4 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","151 patients","2 ","2","HF-3 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","103 patients",,,"PN-7 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","175 patients","2 ","2","SCIP-VTE-2 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","112 patients","2 ","2","SCIP-CARD-2 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","126 patients","2 ","2","AMI-1 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","267 patients","2 ","2","AMI-2 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","606 patients","2 ","2","SCIP-INF-6 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","175 patients","2 ","2","SCIP-VTE-1 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","396 patients","2 ","2","SCIP-INF-1 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","127 patients",,,"PN-5C " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","303 patients","2 ","2","HF-1 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","171 patients",,,"PN-3B " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","69%","13 patients","1,2 ","12","AMI-8A " "330182","ST FRANCIS HOSPITAL, ROSLYN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","384 patients","2 ","2","SCIP-INF-3 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","HF-4 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","303 patients","2 ","2","AMI-5 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","406 patients","2 ","2","SCIP-INF-2 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","AMI-4 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","365 patients","2 ","2","HF-2 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","77 patients","2 ","2","AMI-3 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330182","ST FRANCIS HOSPITAL, ROSLYN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","175 patients",,,"PN-2 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","227 patients","2 ","2","SCIP-INF-4 " "330182","ST FRANCIS HOSPITAL, ROSLYN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","107 patients",,,"PN-6 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","106 patients",,,"AMI-1 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","102 patients",,,"PN-6 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","52 patients",,,"AMI-2 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","AMI-3 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","52 patients",,,"SCIP-CARD-2 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","280 patients",,,"SCIP-VTE-1 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","295 patients",,,"HF-2 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","145 patients",,,"PN-5C " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","191 patients",,,"HF-1 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","311 patients",,,"SCIP-INF-2 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","180 patients",,,"PN-2 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","86 patients",,,"HF-3 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","70%","10 patients","1 ","1","AMI-7A " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","297 patients",,,"SCIP-INF-1 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","466 patients",,,"SCIP-INF-6 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","122 patients",,,"PN-3B " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","63 patients",,,"AMI-5 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","279 patients",,,"SCIP-VTE-2 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","286 patients",,,"SCIP-INF-3 " "330184","SOUND SHORE MEDICAL CENTER OF WESTSCHESTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","141 patients",,,"PN-7 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","275 patients",,,"HF-1 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","236 patients","2 ","2","SCIP-INF-1 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","230 patients","2 ","2","SCIP-INF-3 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","297 patients",,,"PN-2 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","68 patients",,,"HF-3 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","231 patients","2 ","2","SCIP-VTE-1 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","457 patients","2 ","2","SCIP-INF-6 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","231 patients","2 ","2","SCIP-VTE-2 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","211 patients",,,"PN-7 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","85 patients",,,"AMI-2 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","154 patients",,,"AMI-1 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","204 patients",,,"PN-6 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","327 patients",,,"PN-3B " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","79 patients",,,"SCIP-CARD-2 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","82 patients",,,"AMI-5 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","250 patients","2 ","2","SCIP-INF-2 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","282 patients",,,"PN-5C " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","392 patients",,,"HF-2 " "330185","JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","48 patients",,,"PN-4 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","89%","9 patients","1 ","1","AMI-7A " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","350 patients","2 ","2","SCIP-INF-6 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","250 patients","2 ","2","SCIP-INF-1 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","247 patients","2 ","2","SCIP-INF-3 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","166 patients",,,"PN-2 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","137 patients","2 ","2","SCIP-VTE-2 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","100 patients",,,"AMI-5 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","202 patients",,,"HF-1 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","137 patients","2 ","2","SCIP-VTE-1 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","256 patients",,,"HF-2 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","96 patients",,,"AMI-2 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","151 patients",,,"AMI-1 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","249 patients","2 ","2","SCIP-INF-2 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","160 patients",,,"PN-3B " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","AMI-3 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","157 patients",,,"PN-5C " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","118 patients",,,"PN-7 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","55 patients",,,"HF-3 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","34 patients","2 ","2","SCIP-CARD-2 " "330188","MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","119 patients",,,"PN-6 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","2,3 ","23","SCIP-INF-1 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","2,3 ","23","SCIP-INF-3 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","2,3 ","23","SCIP-VTE-1 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","2,3 ","23","SCIP-VTE-2 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,2,3 ","123","SCIP-INF-6 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","2,3 ","23","SCIP-INF-2 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330189","ALBANY MEDICAL CENTER / SOUTH CLINICAL CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "330191","GLENS FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","579 patients","2 ","2","SCIP-INF-6 " "330191","GLENS FALLS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","127 patients","2 ","2","PN-6 " "330191","GLENS FALLS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","107 patients","2 ","2","SCIP-CARD-2 " "330191","GLENS FALLS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330191","GLENS FALLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","282 patients","2 ","2","SCIP-VTE-1 " "330191","GLENS FALLS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients","2 ","2","PN-4 " "330191","GLENS FALLS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","HF-4 " "330191","GLENS FALLS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","240 patients","2 ","2","AMI-1 " "330191","GLENS FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","396 patients","2 ","2","SCIP-INF-1 " "330191","GLENS FALLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","277 patients","2 ","2","SCIP-VTE-2 " "330191","GLENS FALLS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","196 patients","2 ","2","AMI-2 " "330191","GLENS FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","383 patients","2 ","2","SCIP-INF-3 " "330191","GLENS FALLS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","75 patients","2 ","2","AMI-4 " "330191","GLENS FALLS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","51 patients","2 ","2","AMI-3 " "330191","GLENS FALLS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","84 patients","2 ","2","HF-3 " "330191","GLENS FALLS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","247 patients","2 ","2","HF-1 " "330191","GLENS FALLS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","223 patients","2 ","2","PN-2 " "330191","GLENS FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","394 patients","2 ","2","SCIP-INF-2 " "330191","GLENS FALLS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","203 patients","2 ","2","PN-5C " "330191","GLENS FALLS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","307 patients","2 ","2","HF-2 " "330191","GLENS FALLS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","48 patients","2 ","2","AMI-8A " "330191","GLENS FALLS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","211 patients","2 ","2","AMI-5 " "330191","GLENS FALLS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","177 patients","2 ","2","PN-3B " "330191","GLENS FALLS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","135 patients","2 ","2","PN-7 " "330191","GLENS FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1,2 ","12","PN-4 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","53 patients","2 ","2","SCIP-CARD-2 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","214 patients","2 ","2","HF-2 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","117 patients",,,"AMI-5 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","242 patients","2 ","2","SCIP-INF-2 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","158 patients","2 ","2","PN-2 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","219 patients","2 ","2","SCIP-VTE-1 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","149 patients",,,"AMI-1 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","54 patients","2 ","2","PN-6 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","240 patients","2 ","2","SCIP-INF-1 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","81%","101 patients",,,"AMI-2 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","158 patients","2 ","2","PN-3B " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","68 patients","2 ","2","HF-3 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","129 patients","2 ","2","PN-5C " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","93 patients","2 ","2","PN-7 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1,2 ","12","HF-4 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","99 patients","2 ","2","HF-1 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","412 patients","2 ","2","SCIP-INF-6 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","21 patients","1 ","1","AMI-3 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","218 patients","2 ","2","SCIP-VTE-2 " "330193","FLUSHING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","234 patients","2 ","2","SCIP-INF-3 " "330194","MAIMONIDES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","112 patients","2 ","2","HF-3 " "330194","MAIMONIDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","390 patients","2 ","2","SCIP-INF-4 " "330194","MAIMONIDES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","132 patients","2 ","2","PN-3B " "330194","MAIMONIDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1013 patients","2 ","2","SCIP-INF-1 " "330194","MAIMONIDES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","172 patients","2 ","2","PN-2 " "330194","MAIMONIDES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330194","MAIMONIDES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","348 patients","2 ","2","HF-2 " "330194","MAIMONIDES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients","2 ","2","HF-4 " "330194","MAIMONIDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1348 patients","2 ","2","SCIP-INF-6 " "330194","MAIMONIDES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","PN-4 " "330194","MAIMONIDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1032 patients","2 ","2","SCIP-INF-2 " "330194","MAIMONIDES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","263 patients","2 ","2","AMI-5 " "330194","MAIMONIDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","980 patients","2 ","2","SCIP-INF-3 " "330194","MAIMONIDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","478 patients","2 ","2","SCIP-VTE-1 " "330194","MAIMONIDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","264 patients","2 ","2","SCIP-CARD-2 " "330194","MAIMONIDES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","37 patients","2 ","2","AMI-8A " "330194","MAIMONIDES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","64 patients","2 ","2","PN-6 " "330194","MAIMONIDES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","62 patients","2 ","2","AMI-3 " "330194","MAIMONIDES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","75 patients","2 ","2","AMI-4 " "330194","MAIMONIDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","475 patients","2 ","2","SCIP-VTE-2 " "330194","MAIMONIDES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","264 patients","2 ","2","AMI-1 " "330194","MAIMONIDES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","104 patients","2 ","2","PN-7 " "330194","MAIMONIDES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","114 patients","2 ","2","PN-5C " "330194","MAIMONIDES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","280 patients","2 ","2","HF-1 " "330194","MAIMONIDES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","270 patients","2 ","2","AMI-2 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","58 patients","2 ","2","AMI-3 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","129 patients","2 ","2","AMI-1 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","645 patients","2 ","2","SCIP-INF-6 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","123 patients","2 ","2","PN-2 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","33 patients","2 ","2","AMI-8A " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","155 patients","2 ","2","SCIP-INF-4 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","466 patients","2 ","2","SCIP-INF-2 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","280 patients","2 ","2","AMI-2 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","301 patients","2 ","2","HF-2 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients","2 ","2","HF-4 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","246 patients","2 ","2","AMI-5 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","82 patients","2 ","2","SCIP-CARD-2 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","128 patients","2 ","2","HF-3 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","26 patients","2 ","2","PN-4 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","236 patients","2 ","2","SCIP-VTE-2 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","81 patients","2 ","2","PN-6 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","132 patients","2 ","2","PN-5C " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","AMI-4 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","244 patients","2 ","2","HF-1 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","238 patients","2 ","2","SCIP-VTE-1 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","146 patients","2 ","2","PN-3B " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","444 patients","2 ","2","SCIP-INF-3 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","460 patients","2 ","2","SCIP-INF-1 " "330195","LONG ISLAND JEWISH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","78 patients","2 ","2","PN-7 " "330196","CONEY ISLAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","117 patients",,,"AMI-1 " "330196","CONEY ISLAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330196","CONEY ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","87 patients","2 ","2","SCIP-INF-2 " "330196","CONEY ISLAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","529 patients",,,"HF-2 " "330196","CONEY ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","165 patients","2 ","2","SCIP-VTE-1 " "330196","CONEY ISLAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","200 patients",,,"PN-3B " "330196","CONEY ISLAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"HF-4 " "330196","CONEY ISLAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "330196","CONEY ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330196","CONEY ISLAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","433 patients",,,"HF-1 " "330196","CONEY ISLAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","158 patients",,,"HF-3 " "330196","CONEY ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1,2 ","12","SCIP-CARD-2 " "330196","CONEY ISLAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","136 patients",,,"PN-7 " "330196","CONEY ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","286 patients","2 ","2","SCIP-INF-6 " "330196","CONEY ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","86 patients","2 ","2","SCIP-INF-1 " "330196","CONEY ISLAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","96 patients",,,"PN-6 " "330196","CONEY ISLAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","9 patients","1 ","1","AMI-7A " "330196","CONEY ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","165 patients","2 ","2","SCIP-VTE-2 " "330196","CONEY ISLAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","210 patients",,,"PN-2 " "330196","CONEY ISLAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","47 patients",,,"AMI-5 " "330196","CONEY ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","80 patients","2 ","2","SCIP-INF-3 " "330196","CONEY ISLAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "330196","CONEY ISLAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","178 patients",,,"PN-5C " "330196","CONEY ISLAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","47 patients",,,"AMI-2 " "330196","CONEY ISLAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "330197","CANTON-POTSDAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","175 patients",,,"SCIP-INF-1 " "330197","CANTON-POTSDAM HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","93 patients",,,"HF-1 " "330197","CANTON-POTSDAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330197","CANTON-POTSDAM HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "330197","CANTON-POTSDAM HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "330197","CANTON-POTSDAM HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330197","CANTON-POTSDAM HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","99 patients",,,"PN-3B " "330197","CANTON-POTSDAM HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","94 patients",,,"PN-2 " "330197","CANTON-POTSDAM HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "330197","CANTON-POTSDAM HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "330197","CANTON-POTSDAM HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "330197","CANTON-POTSDAM HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","64 patients",,,"PN-7 " "330197","CANTON-POTSDAM HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","121 patients",,,"PN-5C " "330197","CANTON-POTSDAM HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "330197","CANTON-POTSDAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","167 patients",,,"SCIP-INF-3 " "330197","CANTON-POTSDAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","168 patients",,,"SCIP-INF-2 " "330197","CANTON-POTSDAM HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","106 patients",,,"HF-2 " "330197","CANTON-POTSDAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","236 patients",,,"SCIP-INF-6 " "330197","CANTON-POTSDAM HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"HF-3 " "330197","CANTON-POTSDAM HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "330197","CANTON-POTSDAM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","137 patients",,,"SCIP-VTE-2 " "330197","CANTON-POTSDAM HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","40 patients",,,"SCIP-CARD-2 " "330197","CANTON-POTSDAM HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"PN-4 " "330197","CANTON-POTSDAM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","137 patients",,,"SCIP-VTE-1 " "330197","CANTON-POTSDAM HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","66 patients",,,"PN-6 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","580 patients","2 ","2","SCIP-INF-2 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","471 patients",,,"HF-1 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","876 patients","2 ","2","SCIP-INF-6 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","221 patients",,,"PN-7 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","448 patients","2 ","2","SCIP-VTE-2 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","592 patients",,,"HF-2 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","212 patients",,,"PN-6 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"AMI-4 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","217 patients",,,"HF-3 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","557 patients","2 ","2","SCIP-INF-3 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","313 patients",,,"PN-5C " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","323 patients",,,"PN-3B " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","311 patients",,,"AMI-1 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","53 patients",,,"AMI-8A " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","132 patients","2 ","2","SCIP-CARD-2 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","448 patients","2 ","2","SCIP-VTE-1 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","282 patients",,,"AMI-5 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","367 patients",,,"PN-2 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"HF-4 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","581 patients","2 ","2","SCIP-INF-1 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","260 patients",,,"AMI-2 " "330198","SOUTH NASSAU COMMUNITIES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","40 patients",,,"AMI-3 " "330199","METROPOLITAN HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330199","METROPOLITAN HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","164 patients","2 ","2","SCIP-INF-2 " "330199","METROPOLITAN HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","59 patients",,,"PN-2 " "330199","METROPOLITAN HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","84 patients",,,"PN-6 " "330199","METROPOLITAN HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","130 patients",,,"PN-3B " "330199","METROPOLITAN HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","62 patients",,,"PN-7 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330199","METROPOLITAN HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "330199","METROPOLITAN HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","149 patients","2 ","2","SCIP-INF-3 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","169 patients",,,"HF-2 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "330199","METROPOLITAN HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","163 patients","2 ","2","SCIP-VTE-1 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","42 patients",,,"AMI-1 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","87 patients",,,"HF-3 " "330199","METROPOLITAN HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","163 patients","2 ","2","SCIP-VTE-2 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330199","METROPOLITAN HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","150 patients",,,"HF-1 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "330199","METROPOLITAN HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "330199","METROPOLITAN HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","131 patients",,,"PN-5C " "330199","METROPOLITAN HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","262 patients","2 ","2","SCIP-INF-6 " "330199","METROPOLITAN HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","26 patients","2 ","2","SCIP-CARD-2 " "330199","METROPOLITAN HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","162 patients","2 ","2","SCIP-INF-1 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "33019F","NORTHPORT VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","88 patients",,,"PN-3B " "33019F","NORTHPORT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","69 patients","2 ","2","SCIP-CARD-2 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "33019F","NORTHPORT VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"PN-4 " "33019F","NORTHPORT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","128 patients","2 ","2","SCIP-VTE-2 " "33019F","NORTHPORT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","128 patients","2 ","2","SCIP-VTE-1 " "33019F","NORTHPORT VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","43 patients",,,"PN-6 " "33019F","NORTHPORT VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","89 patients",,,"PN-5C " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","55 patients",,,"HF-3 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "33019F","NORTHPORT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","79 patients",,,"SCIP-INF-2 " "33019F","NORTHPORT VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","80 patients",,,"PN-2 " "33019F","NORTHPORT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "33019F","NORTHPORT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","170 patients","2 ","2","SCIP-INF-6 " "33019F","NORTHPORT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","76 patients",,,"SCIP-INF-3 " "33019F","NORTHPORT VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","54 patients",,,"PN-7 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","132 patients",,,"HF-1 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "33019F","NORTHPORT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","78 patients",,,"SCIP-INF-1 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","139 patients",,,"HF-2 " "33019F","NORTHPORT VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","130 patients",,,"SCIP-VTE-1 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","211 patients",,,"HF-1 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","20 patients","1 ","1","AMI-5 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","108 patients",,,"HF-3 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","91 patients",,,"PN-6 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","64 patients",,,"SCIP-INF-3 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","301 patients",,,"HF-2 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1 ","1","SCIP-INF-4 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","90 patients",,,"SCIP-INF-2 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","21 patients","1 ","1","SCIP-CARD-2 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","248 patients",,,"PN-7 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","34 patients",,,"AMI-1 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","HF-4 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","40 patients",,,"PN-4 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","181 patients",,,"SCIP-INF-6 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","387 patients",,,"PN-2 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","216 patients",,,"PN-5C " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","90 patients",,,"SCIP-INF-1 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","207 patients",,,"PN-3B " "330201","KINGSBROOK JEWISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","130 patients",,,"SCIP-VTE-2 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330202","KINGS COUNTY HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","100 patients",,,"PN-4 " "330202","KINGS COUNTY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","316 patients","2 ","2","SCIP-INF-6 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","254 patients",,,"HF-3 " "330202","KINGS COUNTY HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","115 patients",,,"PN-7 " "330202","KINGS COUNTY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","164 patients","2 ","2","SCIP-INF-2 " "330202","KINGS COUNTY HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","111 patients",,,"PN-6 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","98 patients",,,"AMI-1 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "330202","KINGS COUNTY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","48 patients",,,"AMI-5 " "330202","KINGS COUNTY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","159 patients","2 ","2","SCIP-INF-3 " "330202","KINGS COUNTY HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","121 patients",,,"PN-2 " "330202","KINGS COUNTY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","164 patients","2 ","2","SCIP-INF-1 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","490 patients",,,"HF-1 " "330202","KINGS COUNTY HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","218 patients",,,"PN-5C " "330202","KINGS COUNTY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","28 patients","2 ","2","SCIP-CARD-2 " "330202","KINGS COUNTY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","211 patients","2 ","2","SCIP-VTE-2 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","84%","97 patients",,,"HF-4 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","49 patients",,,"AMI-2 " "330202","KINGS COUNTY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","211 patients","2 ","2","SCIP-VTE-1 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","508 patients",,,"HF-2 " "330202","KINGS COUNTY HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "330202","KINGS COUNTY HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","235 patients",,,"PN-3B " "330203","CROUSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","380 patients","2 ","2","SCIP-INF-1 " "330203","CROUSE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","217 patients","2 ","2","SCIP-VTE-2 " "330203","CROUSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","530 patients","2 ","2","SCIP-INF-6 " "330203","CROUSE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","39 patients",,,"AMI-8A " "330203","CROUSE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","173 patients",,,"PN-6 " "330203","CROUSE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","217 patients","2 ","2","SCIP-VTE-1 " "330203","CROUSE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","95 patients",,,"HF-3 " "330203","CROUSE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","49 patients",,,"HF-4 " "330203","CROUSE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","128 patients",,,"PN-4 " "330203","CROUSE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","337 patients",,,"HF-2 " "330203","CROUSE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330203","CROUSE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "330203","CROUSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","378 patients","2 ","2","SCIP-INF-2 " "330203","CROUSE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","171 patients",,,"AMI-5 " "330203","CROUSE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","314 patients",,,"PN-2 " "330203","CROUSE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","54 patients",,,"AMI-4 " "330203","CROUSE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","155 patients",,,"AMI-1 " "330203","CROUSE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","78 patients","2 ","2","SCIP-CARD-2 " "330203","CROUSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","371 patients","2 ","2","SCIP-INF-3 " "330203","CROUSE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","231 patients",,,"PN-7 " "330203","CROUSE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","442 patients",,,"PN-5C " "330203","CROUSE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","272 patients",,,"HF-1 " "330203","CROUSE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330203","CROUSE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","169 patients",,,"AMI-2 " "330203","CROUSE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","396 patients",,,"PN-3B " "330204","BELLEVUE HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","103 patients",,,"PN-7 " "330204","BELLEVUE HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","120 patients",,,"PN-6 " "330204","BELLEVUE HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","487 patients",,,"AMI-5 " "330204","BELLEVUE HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","187 patients",,,"AMI-1 " "330204","BELLEVUE HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","505 patients",,,"HF-2 " "330204","BELLEVUE HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","505 patients",,,"AMI-2 " "330204","BELLEVUE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","420 patients","2 ","2","SCIP-INF-1 " "330204","BELLEVUE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","376 patients","2 ","2","SCIP-VTE-1 " "330204","BELLEVUE HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330204","BELLEVUE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","891 patients","2 ","2","SCIP-INF-6 " "330204","BELLEVUE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","220 patients","2 ","2","SCIP-INF-4 " "330204","BELLEVUE HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","97 patients",,,"HF-4 " "330204","BELLEVUE HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","294 patients",,,"HF-3 " "330204","BELLEVUE HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","139 patients",,,"AMI-4 " "330204","BELLEVUE HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","103 patients",,,"PN-2 " "330204","BELLEVUE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","428 patients","2 ","2","SCIP-INF-2 " "330204","BELLEVUE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","410 patients","2 ","2","SCIP-INF-3 " "330204","BELLEVUE HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","433 patients",,,"HF-1 " "330204","BELLEVUE HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","200 patients",,,"PN-3B " "330204","BELLEVUE HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","146 patients",,,"AMI-3 " "330204","BELLEVUE HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","90 patients",,,"PN-4 " "330204","BELLEVUE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","376 patients","2 ","2","SCIP-VTE-2 " "330204","BELLEVUE HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","219 patients",,,"PN-5C " "330204","BELLEVUE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","87 patients",,,"SCIP-CARD-2 " "330204","BELLEVUE HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","30 patients",,,"AMI-8A " "330205","ST ANTHONY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","90 patients","2 ","2","SCIP-VTE-1 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","90 patients","2 ","2","SCIP-VTE-2 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","115 patients","2 ","2","SCIP-INF-1 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330205","ST ANTHONY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","12 patients","1 ","1","SCIP-CARD-2 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","60 patients",,,"HF-1 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","73 patients",,,"HF-2 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","88 patients",,,"PN-2 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","62 patients",,,"PN-7 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","79 patients",,,"PN-3B " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","177 patients","2 ","2","SCIP-INF-6 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","62 patients",,,"PN-6 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","113 patients","2 ","2","SCIP-INF-3 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","115 patients","2 ","2","SCIP-INF-2 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330205","ST ANTHONY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","86 patients",,,"PN-5C " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","183 patients","2 ","2","SCIP-INF-2 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","31 patients","2 ","2","PN-4 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","143 patients","2 ","2","PN-2 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","159 patients","2 ","2","PN-5C " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","292 patients","2 ","2","HF-2 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","184 patients","2 ","2","SCIP-VTE-1 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","176 patients","2 ","2","SCIP-INF-3 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","170 patients","2 ","2","PN-3B " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","68%","19 patients","1,2 ","12","HF-4 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","73 patients","2 ","2","PN-6 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","97 patients","2 ","2","PN-7 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","33 patients","2 ","2","AMI-1 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","22 patients","1,2 ","12","AMI-5 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","181 patients","2 ","2","SCIP-VTE-2 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","188 patients","2 ","2","SCIP-INF-1 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","41 patients","2 ","2","SCIP-CARD-2 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","76 patients","2 ","2","HF-3 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","301 patients","2 ","2","SCIP-INF-6 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","249 patients","2 ","2","HF-1 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,2 ","12","AMI-3 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "330208","ST JOHN'S RIVERSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","18 patients","1,2 ","12","AMI-2 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","43 patients",,,"PN-4 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","56 patients",,,"PN-6 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","25 patients",,,"HF-3 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","53 patients",,,"SCIP-INF-1 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","50 patients",,,"SCIP-INF-3 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","13 patients","1 ","1","AMI-5 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","92 patients",,,"SCIP-INF-6 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","96 patients",,,"HF-2 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","67 patients",,,"PN-7 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","51 patients",,,"SCIP-INF-2 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","85%","13 patients","1 ","1","AMI-2 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","61 patients",,,"SCIP-VTE-2 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","73 patients",,,"PN-2 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1 ","1","SCIP-CARD-2 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","89 patients",,,"PN-3B " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","90 patients",,,"PN-5C " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","17 patients","1 ","1","AMI-1 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","62 patients",,,"SCIP-VTE-1 " "330211","CLAXTON-HEPBURN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","78 patients",,,"HF-1 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","37 patients",,,"HF-2 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","64 patients",,,"PN-2 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","107 patients",,,"SCIP-INF-2 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","105 patients",,,"SCIP-INF-3 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","13 patients","1 ","1","SCIP-CARD-2 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","67 patients",,,"PN-6 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","87 patients",,,"SCIP-VTE-1 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","145 patients",,,"SCIP-INF-6 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","38 patients",,,"PN-7 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","66%","108 patients",,,"SCIP-INF-1 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","76 patients",,,"PN-5C " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","26 patients",,,"HF-1 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","65 patients",,,"PN-3B " "330213","LEWIS COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330213","LEWIS COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330213","LEWIS COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","87 patients",,,"SCIP-VTE-2 " "330214","NYU HOSPITALS CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","94 patients","2 ","2","SCIP-CARD-2 " "330214","NYU HOSPITALS CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","79 patients","2 ","2","PN-6 " "330214","NYU HOSPITALS CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","442 patients","2 ","2","SCIP-INF-2 " "330214","NYU HOSPITALS CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","135 patients","2 ","2","SCIP-INF-4 " "330214","NYU HOSPITALS CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","432 patients","2 ","2","SCIP-INF-1 " "330214","NYU HOSPITALS CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","308 patients","2 ","2","SCIP-VTE-1 " "330214","NYU HOSPITALS CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","82 patients","2 ","2","PN-7 " "330214","NYU HOSPITALS CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","141 patients","2 ","2","AMI-1 " "330214","NYU HOSPITALS CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","7%","28 patients",,,"CAC-3 " "330214","NYU HOSPITALS CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","153 patients","2 ","2","PN-3B " "330214","NYU HOSPITALS CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330214","NYU HOSPITALS CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","28 patients","2 ","2","CAC-2 " "330214","NYU HOSPITALS CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","147 patients","2 ","2","PN-2 " "330214","NYU HOSPITALS CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","240 patients","2 ","2","HF-1 " "330214","NYU HOSPITALS CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","33 patients","2 ","2","PN-4 " "330214","NYU HOSPITALS CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","295 patients","2 ","2","HF-2 " "330214","NYU HOSPITALS CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","166 patients","2 ","2","AMI-2 " "330214","NYU HOSPITALS CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","159 patients","2 ","2","AMI-5 " "330214","NYU HOSPITALS CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","308 patients","2 ","2","SCIP-VTE-2 " "330214","NYU HOSPITALS CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients","2 ","2","AMI-4 " "330214","NYU HOSPITALS CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","682 patients","2 ","2","SCIP-INF-6 " "330214","NYU HOSPITALS CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","128 patients","2 ","2","PN-5C " "330214","NYU HOSPITALS CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","28 patients","2 ","2","CAC-1 " "330214","NYU HOSPITALS CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","25 patients","2 ","2","AMI-8A " "330214","NYU HOSPITALS CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1,2 ","12","HF-4 " "330214","NYU HOSPITALS CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","407 patients","2 ","2","SCIP-INF-3 " "330214","NYU HOSPITALS CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","98 patients","2 ","2","HF-3 " "330214","NYU HOSPITALS CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","30 patients","2 ","2","AMI-3 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","131 patients",,,"HF-1 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","20 patients","1 ","1","AMI-2 " "330215","ROME MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","162 patients",,,"PN-5C " "330215","ROME MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","179 patients",,,"PN-3B " "330215","ROME MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","108 patients",,,"SCIP-VTE-1 " "330215","ROME MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","94 patients",,,"PN-6 " "330215","ROME MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","49 patients",,,"PN-4 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "330215","ROME MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","105 patients",,,"PN-7 " "330215","ROME MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","108 patients",,,"SCIP-VTE-2 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","58 patients",,,"HF-3 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "330215","ROME MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","139 patients",,,"SCIP-INF-2 " "330215","ROME MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","32 patients",,,"SCIP-CARD-2 " "330215","ROME MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","250 patients",,,"SCIP-INF-6 " "330215","ROME MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","136 patients",,,"PN-2 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "330215","ROME MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","138 patients",,,"SCIP-INF-1 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","45 patients",,,"AMI-1 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","177 patients",,,"HF-2 " "330215","ROME MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "330215","ROME MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330215","ROME MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","131 patients",,,"SCIP-INF-3 " "330218","OSWEGO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","122 patients",,,"SCIP-INF-2 " "330218","OSWEGO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","AMI-4 " "330218","OSWEGO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330218","OSWEGO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","154 patients",,,"PN-5C " "330218","OSWEGO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330218","OSWEGO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","113 patients",,,"SCIP-INF-3 " "330218","OSWEGO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","53 patients",,,"AMI-1 " "330218","OSWEGO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "330218","OSWEGO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","110 patients",,,"SCIP-VTE-2 " "330218","OSWEGO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","184 patients",,,"PN-2 " "330218","OSWEGO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","110 patients",,,"SCIP-VTE-1 " "330218","OSWEGO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","139 patients",,,"HF-2 " "330218","OSWEGO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","144 patients",,,"PN-3B " "330218","OSWEGO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","97 patients",,,"PN-6 " "330218","OSWEGO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","121 patients",,,"SCIP-INF-1 " "330218","OSWEGO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","31 patients",,,"HF-3 " "330218","OSWEGO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "330218","OSWEGO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330218","OSWEGO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","35 patients",,,"AMI-2 " "330218","OSWEGO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","75 patients",,,"PN-4 " "330218","OSWEGO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","193 patients",,,"SCIP-INF-6 " "330218","OSWEGO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","21 patients","1 ","1","SCIP-CARD-2 " "330218","OSWEGO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","38 patients",,,"AMI-5 " "330218","OSWEGO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","116 patients",,,"PN-7 " "330218","OSWEGO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","86 patients",,,"HF-1 " "330219","ERIE COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","298 patients",,,"HF-1 " "330219","ERIE COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","87 patients",,,"PN-4 " "330219","ERIE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","143 patients",,,"SCIP-INF-4 " "330219","ERIE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","306 patients",,,"SCIP-VTE-2 " "330219","ERIE COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","211 patients",,,"PN-5C " "330219","ERIE COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","146 patients",,,"AMI-4 " "330219","ERIE COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","122 patients",,,"HF-3 " "330219","ERIE COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","266 patients",,,"AMI-2 " "330219","ERIE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","304 patients",,,"SCIP-INF-2 " "330219","ERIE COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","102 patients",,,"PN-7 " "330219","ERIE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","693 patients",,,"SCIP-INF-6 " "330219","ERIE COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","366 patients",,,"HF-2 " "330219","ERIE COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","199 patients",,,"PN-3B " "330219","ERIE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","100 patients",,,"SCIP-CARD-2 " "330219","ERIE COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330219","ERIE COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","256 patients",,,"AMI-5 " "330219","ERIE COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","104 patients",,,"PN-2 " "330219","ERIE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","303 patients",,,"SCIP-INF-1 " "330219","ERIE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","308 patients",,,"SCIP-VTE-1 " "330219","ERIE COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","45 patients",,,"AMI-3 " "330219","ERIE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","284 patients",,,"SCIP-INF-3 " "330219","ERIE COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","95 patients",,,"HF-4 " "330219","ERIE COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","19 patients","1 ","1","AMI-8A " "330219","ERIE COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","99 patients",,,"PN-6 " "330219","ERIE COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","127 patients",,,"AMI-1 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","162 patients","2 ","2","PN-5C " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","42 patients","2 ","2","SCIP-CARD-2 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","291 patients","2 ","2","HF-2 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,2 ","12","AMI-4 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","333 patients","2 ","2","SCIP-INF-6 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","216 patients","2 ","2","SCIP-VTE-1 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","65%","155 patients","2 ","2","SCIP-INF-3 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","75 patients","2 ","2","AMI-2 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","77 patients","2 ","2","AMI-5 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","128 patients","2 ","2","AMI-1 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","133 patients","2 ","2","PN-2 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","172 patients","2 ","2","SCIP-INF-2 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1,2 ","12","AMI-7A " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","117 patients","2 ","2","PN-6 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","PN-4 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","241 patients","2 ","2","HF-1 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","HF-4 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1,2 ","12","AMI-3 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","130 patients","2 ","2","HF-3 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","99 patients","2 ","2","PN-7 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","92 patients","2 ","2","PN-3B " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","170 patients","2 ","2","SCIP-INF-1 " "330221","WYCKOFF HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","216 patients","2 ","2","SCIP-VTE-2 " "330222","SARATOGA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "330222","SARATOGA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","288 patients",,,"PN-3B " "330222","SARATOGA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "330222","SARATOGA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","77 patients",,,"SCIP-CARD-2 " "330222","SARATOGA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","164 patients",,,"PN-6 " "330222","SARATOGA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","7 patients","1 ","1","AMI-7A " "330222","SARATOGA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "330222","SARATOGA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "330222","SARATOGA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","273 patients",,,"HF-2 " "330222","SARATOGA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","270 patients",,,"PN-5C " "330222","SARATOGA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","542 patients",,,"SCIP-INF-6 " "330222","SARATOGA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","76 patients",,,"AMI-1 " "330222","SARATOGA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","295 patients",,,"SCIP-VTE-2 " "330222","SARATOGA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","301 patients",,,"SCIP-VTE-1 " "330222","SARATOGA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","39 patients",,,"AMI-2 " "330222","SARATOGA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","230 patients",,,"HF-1 " "330222","SARATOGA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"PN-4 " "330222","SARATOGA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","52 patients",,,"AMI-5 " "330222","SARATOGA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","327 patients",,,"SCIP-INF-3 " "330222","SARATOGA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","47 patients",,,"HF-3 " "330222","SARATOGA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330222","SARATOGA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","341 patients",,,"SCIP-INF-1 " "330222","SARATOGA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","172 patients",,,"PN-7 " "330222","SARATOGA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","268 patients",,,"PN-2 " "330222","SARATOGA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","341 patients",,,"SCIP-INF-2 " "330223","MASSENA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330223","MASSENA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","HF-3 " "330223","MASSENA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","108 patients",,,"PN-3B " "330223","MASSENA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","72 patients",,,"PN-6 " "330223","MASSENA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "330223","MASSENA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","81 patients",,,"PN-2 " "330223","MASSENA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","59 patients",,,"SCIP-VTE-2 " "330223","MASSENA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","61 patients",,,"PN-7 " "330223","MASSENA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "330223","MASSENA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330223","MASSENA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "330223","MASSENA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","59 patients",,,"SCIP-VTE-1 " "330223","MASSENA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "330223","MASSENA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","97 patients",,,"HF-2 " "330223","MASSENA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","67 patients",,,"HF-1 " "330223","MASSENA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","27 patients",,,"PN-4 " "330223","MASSENA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","48%","75 patients",,,"SCIP-INF-3 " "330223","MASSENA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "330223","MASSENA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","80 patients",,,"SCIP-INF-2 " "330223","MASSENA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","18 patients","1 ","1","AMI-1 " "330223","MASSENA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","101 patients",,,"SCIP-INF-6 " "330223","MASSENA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","81 patients",,,"SCIP-INF-1 " "330223","MASSENA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330223","MASSENA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "330223","MASSENA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","113 patients",,,"PN-5C " "330224","BENEDICTINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","101 patients",,,"SCIP-VTE-1 " "330224","BENEDICTINE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "330224","BENEDICTINE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","38%","8 patients","1 ","1","AMI-7A " "330224","BENEDICTINE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","58 patients",,,"AMI-1 " "330224","BENEDICTINE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330224","BENEDICTINE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","129 patients",,,"PN-2 " "330224","BENEDICTINE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","37 patients",,,"AMI-5 " "330224","BENEDICTINE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","238 patients",,,"HF-2 " "330224","BENEDICTINE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","179 patients",,,"HF-1 " "330224","BENEDICTINE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","33 patients",,,"AMI-2 " "330224","BENEDICTINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","227 patients",,,"SCIP-INF-6 " "330224","BENEDICTINE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","55 patients",,,"HF-3 " "330224","BENEDICTINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330224","BENEDICTINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","95 patients",,,"SCIP-INF-3 " "330224","BENEDICTINE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","142 patients",,,"PN-3B " "330224","BENEDICTINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","101 patients",,,"SCIP-VTE-2 " "330224","BENEDICTINE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "330224","BENEDICTINE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","66 patients",,,"PN-6 " "330224","BENEDICTINE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","82 patients",,,"PN-7 " "330224","BENEDICTINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","100 patients",,,"SCIP-INF-2 " "330224","BENEDICTINE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","32 patients",,,"HF-4 " "330224","BENEDICTINE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "330224","BENEDICTINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","102 patients",,,"SCIP-INF-1 " "330224","BENEDICTINE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","121 patients",,,"PN-5C " "330224","BENEDICTINE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","50 patients",,,"SCIP-CARD-2 " "330225","LONG BEACH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "330225","LONG BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","48 patients",,,"SCIP-VTE-2 " "330225","LONG BEACH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","26 patients","2 ","2","HF-3 " "330225","LONG BEACH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","138 patients","2 ","2","HF-2 " "330225","LONG BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-2 " "330225","LONG BEACH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","82 patients","2 ","2","HF-1 " "330225","LONG BEACH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "330225","LONG BEACH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1,2 ","12","HF-4 " "330225","LONG BEACH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","136 patients","2 ","2","PN-5C " "330225","LONG BEACH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","160 patients","2 ","2","PN-3B " "330225","LONG BEACH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "330225","LONG BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","15 patients","1 ","1","SCIP-CARD-2 " "330225","LONG BEACH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330225","LONG BEACH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1,2 ","12","PN-4 " "330225","LONG BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","74 patients",,,"SCIP-INF-6 " "330225","LONG BEACH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330225","LONG BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","48 patients",,,"SCIP-VTE-1 " "330225","LONG BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","13 patients","1 ","1","SCIP-INF-3 " "330225","LONG BEACH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","53 patients","2 ","2","PN-6 " "330225","LONG BEACH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330225","LONG BEACH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "330225","LONG BEACH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","99 patients",,,"PN-7 " "330225","LONG BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330225","LONG BEACH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","124 patients","2 ","2","PN-2 " "330225","LONG BEACH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","18 patients","1 ","1","SCIP-INF-1 " "330226","UNITY HOSPITAL OF ROCHESTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","114 patients","2 ","2","PN-6 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","HF-4 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","320 patients","2 ","2","HF-2 " "330226","UNITY HOSPITAL OF ROCHESTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","417 patients","2 ","2","SCIP-INF-2 " "330226","UNITY HOSPITAL OF ROCHESTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","416 patients","2 ","2","SCIP-INF-1 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients","2 ","2","AMI-3 " "330226","UNITY HOSPITAL OF ROCHESTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","270 patients","2 ","2","SCIP-VTE-2 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","52 patients","2 ","2","AMI-8A " "330226","UNITY HOSPITAL OF ROCHESTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","131 patients","2 ","2","SCIP-CARD-2 " "330226","UNITY HOSPITAL OF ROCHESTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","114 patients","2 ","2","PN-7 " "330226","UNITY HOSPITAL OF ROCHESTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","613 patients","2 ","2","SCIP-INF-6 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","208 patients","2 ","2","AMI-2 " "330226","UNITY HOSPITAL OF ROCHESTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","196 patients","2 ","2","PN-3B " "330226","UNITY HOSPITAL OF ROCHESTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","271 patients","2 ","2","SCIP-VTE-1 " "330226","UNITY HOSPITAL OF ROCHESTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","170 patients","2 ","2","PN-2 " "330226","UNITY HOSPITAL OF ROCHESTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","66 patients","2 ","2","HF-3 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","240 patients","2 ","2","AMI-5 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","80 patients","2 ","2","AMI-4 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","264 patients","2 ","2","HF-1 " "330226","UNITY HOSPITAL OF ROCHESTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","187 patients","2 ","2","PN-5C " "330226","UNITY HOSPITAL OF ROCHESTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","407 patients","2 ","2","SCIP-INF-3 " "330226","UNITY HOSPITAL OF ROCHESTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","PN-4 " "330226","UNITY HOSPITAL OF ROCHESTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","248 patients","2 ","2","AMI-1 " "330229","BROOKS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","102 patients",,,"PN-2 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "330229","BROOKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","280 patients",,,"SCIP-INF-1 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "330229","BROOKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330229","BROOKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","279 patients",,,"SCIP-INF-2 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "330229","BROOKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","318 patients",,,"SCIP-INF-6 " "330229","BROOKS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","65 patients",,,"PN-7 " "330229","BROOKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","173 patients",,,"SCIP-VTE-1 " "330229","BROOKS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","117 patients",,,"PN-3B " "330229","BROOKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","57 patients",,,"SCIP-CARD-2 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","16 patients","1 ","1","HF-4 " "330229","BROOKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","173 patients",,,"SCIP-VTE-2 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","64 patients",,,"HF-1 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","90 patients",,,"HF-2 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330229","BROOKS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","68%","22 patients","1 ","1","PN-4 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330229","BROOKS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","56 patients",,,"PN-6 " "330229","BROOKS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","277 patients",,,"SCIP-INF-3 " "330229","BROOKS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "330229","BROOKS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","117 patients",,,"PN-5C " "330229","BROOKS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330231","QUEENS HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","28 patients",,,"PN-4 " "330231","QUEENS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","153 patients",,,"SCIP-INF-1 " "330231","QUEENS HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "330231","QUEENS HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","20 patients","1 ","1","AMI-2 " "330231","QUEENS HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","AMI-3 " "330231","QUEENS HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","62 patients",,,"PN-7 " "330231","QUEENS HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330231","QUEENS HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","83 patients",,,"AMI-1 " "330231","QUEENS HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","259 patients",,,"HF-2 " "330231","QUEENS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","144 patients",,,"SCIP-INF-3 " "330231","QUEENS HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","84 patients",,,"PN-6 " "330231","QUEENS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","205 patients",,,"SCIP-VTE-2 " "330231","QUEENS HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","110 patients",,,"PN-3B " "330231","QUEENS HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","121 patients",,,"PN-5C " "330231","QUEENS HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","241 patients",,,"HF-1 " "330231","QUEENS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","27 patients",,,"SCIP-CARD-2 " "330231","QUEENS HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "330231","QUEENS HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","32 patients",,,"HF-4 " "330231","QUEENS HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","85 patients",,,"HF-3 " "330231","QUEENS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","148 patients",,,"SCIP-INF-2 " "330231","QUEENS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330231","QUEENS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","322 patients",,,"SCIP-INF-6 " "330231","QUEENS HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330231","QUEENS HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","77 patients",,,"PN-2 " "330231","QUEENS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","205 patients",,,"SCIP-VTE-1 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","149 patients",,,"PN-5C " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","50 patients","2 ","2","SCIP-CARD-2 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","101 patients",,,"PN-6 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","22 patients","1 ","1","AMI-5 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","249 patients",,,"HF-2 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","132 patients",,,"PN-2 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","83 patients",,,"PN-7 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","199 patients",,,"HF-1 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","224 patients","2 ","2","SCIP-INF-1 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","191 patients","2 ","2","SCIP-VTE-1 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","127 patients",,,"PN-3B " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","223 patients","2 ","2","SCIP-INF-2 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","219 patients","2 ","2","SCIP-INF-3 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","339 patients","2 ","2","SCIP-INF-6 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","36 patients",,,"AMI-1 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","20 patients","1 ","1","AMI-2 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","57 patients",,,"HF-3 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "330232","SETON HEALTH SYSTEM-ST MARY'S CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","191 patients","2 ","2","SCIP-VTE-2 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","102 patients","2 ","2","SCIP-INF-1 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","127 patients","2 ","2","AMI-2 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","59 patients","2 ","2","PN-6 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","73 patients","2 ","2","HF-4 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","141 patients","2 ","2","PN-5C " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","137 patients","2 ","2","AMI-5 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","356 patients","2 ","2","HF-2 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","288 patients","2 ","2","SCIP-INF-6 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","309 patients","2 ","2","HF-1 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","AMI-4 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","98 patients","2 ","2","SCIP-INF-3 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","79 patients","2 ","2","PN-2 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","234 patients","2 ","2","AMI-1 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","100 patients","2 ","2","SCIP-INF-2 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","188 patients","2 ","2","SCIP-VTE-1 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","36 patients","2 ","2","SCIP-CARD-2 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1,2 ","12","AMI-3 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","41 patients","2 ","2","AMI-8A " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","187 patients","2 ","2","SCIP-VTE-2 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","153 patients","2 ","2","PN-3B " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","141 patients","2 ","2","HF-3 " "330233","BROOKDALE HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","62 patients","2 ","2","PN-7 " "330234","WESTCHESTER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","49 patients","2 ","2","AMI-1 " "330234","WESTCHESTER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","88 patients","2 ","2","AMI-4 " "330234","WESTCHESTER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","12 patients","1,2 ","12","AMI-8A " "330234","WESTCHESTER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","18 patients","1 ","1","PN-4 " "330234","WESTCHESTER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","292 patients","2 ","2","AMI-5 " "330234","WESTCHESTER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","190 patients",,,"HF-3 " "330234","WESTCHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","442 patients","2 ","2","SCIP-VTE-1 " "330234","WESTCHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","270 patients","2 ","2","SCIP-CARD-2 " "330234","WESTCHESTER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","53 patients",,,"PN-3B " "330234","WESTCHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","467 patients","2 ","2","SCIP-INF-4 " "330234","WESTCHESTER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330234","WESTCHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","692 patients","2 ","2","SCIP-INF-1 " "330234","WESTCHESTER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","53 patients",,,"HF-4 " "330234","WESTCHESTER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","269 patients",,,"HF-1 " "330234","WESTCHESTER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","49 patients",,,"PN-7 " "330234","WESTCHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1285 patients","2 ","2","SCIP-INF-6 " "330234","WESTCHESTER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","280 patients","2 ","2","AMI-2 " "330234","WESTCHESTER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","311 patients",,,"HF-2 " "330234","WESTCHESTER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","63 patients",,,"PN-2 " "330234","WESTCHESTER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","69 patients","2 ","2","AMI-3 " "330234","WESTCHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","717 patients","2 ","2","SCIP-INF-2 " "330234","WESTCHESTER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","62 patients",,,"PN-5C " "330234","WESTCHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","657 patients","2 ","2","SCIP-INF-3 " "330234","WESTCHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","441 patients","2 ","2","SCIP-VTE-2 " "330234","WESTCHESTER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","32 patients",,,"PN-6 " "330235","AUBURN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","62 patients",,,"AMI-1 " "330235","AUBURN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330235","AUBURN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330235","AUBURN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "330235","AUBURN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","46 patients",,,"AMI-5 " "330235","AUBURN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","166 patients",,,"PN-7 " "330235","AUBURN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","245 patients",,,"PN-5C " "330235","AUBURN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","42 patients",,,"AMI-2 " "330235","AUBURN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","167 patients",,,"HF-1 " "330235","AUBURN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330235","AUBURN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","70 patients",,,"HF-3 " "330235","AUBURN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"PN-4 " "330235","AUBURN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","226 patients",,,"HF-2 " "330235","AUBURN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","36 patients",,,"SCIP-CARD-2 " "330235","AUBURN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","159 patients",,,"SCIP-INF-1 " "330235","AUBURN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","237 patients",,,"PN-3B " "330235","AUBURN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","210 patients",,,"PN-2 " "330235","AUBURN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","142 patients",,,"SCIP-INF-3 " "330235","AUBURN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330235","AUBURN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","142 patients",,,"SCIP-VTE-2 " "330235","AUBURN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","142 patients",,,"SCIP-VTE-1 " "330235","AUBURN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","255 patients",,,"SCIP-INF-6 " "330235","AUBURN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","AMI-3 " "330235","AUBURN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","180 patients",,,"PN-6 " "330235","AUBURN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","161 patients",,,"SCIP-INF-2 " "330236","NEW YORK METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","56 patients",,,"AMI-3 " "330236","NEW YORK METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","148 patients","2 ","2","SCIP-CARD-2 " "330236","NEW YORK METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","39 patients","2 ","2","HF-4 " "330236","NEW YORK METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","344 patients","2 ","2","HF-2 " "330236","NEW YORK METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","370 patients","2 ","2","SCIP-VTE-2 " "330236","NEW YORK METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","59%","100 patients","2 ","2","PN-3B " "330236","NEW YORK METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","93 patients","2 ","2","PN-6 " "330236","NEW YORK METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330236","NEW YORK METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","35 patients",,,"AMI-8A " "330236","NEW YORK METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","169 patients","2 ","2","PN-5C " "330236","NEW YORK METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","488 patients","2 ","2","SCIP-INF-3 " "330236","NEW YORK METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","137 patients","2 ","2","SCIP-INF-4 " "330236","NEW YORK METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","214 patients",,,"AMI-2 " "330236","NEW YORK METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","795 patients","2 ","2","SCIP-INF-6 " "330236","NEW YORK METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","94 patients","2 ","2","PN-7 " "330236","NEW YORK METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","370 patients","2 ","2","SCIP-VTE-1 " "330236","NEW YORK METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","174 patients","2 ","2","PN-2 " "330236","NEW YORK METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","123 patients","2 ","2","HF-3 " "330236","NEW YORK METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","519 patients","2 ","2","SCIP-INF-1 " "330236","NEW YORK METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","288 patients","2 ","2","HF-1 " "330236","NEW YORK METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","60 patients",,,"AMI-4 " "330236","NEW YORK METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","204 patients",,,"AMI-1 " "330236","NEW YORK METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","223 patients",,,"AMI-5 " "330236","NEW YORK METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","533 patients","2 ","2","SCIP-INF-2 " "330236","NEW YORK METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","PN-4 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","27 patients",,,"PN-4 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","84 patients",,,"HF-1 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","97 patients",,,"SCIP-VTE-1 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","81 patients",,,"PN-7 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","88 patients",,,"PN-3B " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","108 patients",,,"PN-5C " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","151 patients",,,"SCIP-INF-3 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","209 patients",,,"SCIP-INF-6 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","38 patients",,,"HF-3 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","153 patients",,,"SCIP-INF-2 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","72 patients",,,"PN-6 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","96 patients",,,"SCIP-VTE-2 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients",,,"SCIP-CARD-2 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","111 patients",,,"PN-2 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","103 patients",,,"HF-2 " "330238","NICHOLAS H NOYES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","155 patients",,,"SCIP-INF-1 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","174 patients","2 ","2","SCIP-VTE-1 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","478 patients","2 ","2","SCIP-INF-6 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","199 patients",,,"HF-1 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","56 patients",,,"AMI-5 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","171 patients","2 ","2","SCIP-VTE-2 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","89 patients",,,"AMI-1 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","100 patients",,,"PN-6 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","322 patients","2 ","2","SCIP-INF-3 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","65 patients","2 ","2","SCIP-CARD-2 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","332 patients","2 ","2","SCIP-INF-1 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","52 patients",,,"AMI-2 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","189 patients",,,"PN-3B " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","136 patients",,,"PN-7 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","47 patients",,,"HF-3 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","331 patients","2 ","2","SCIP-INF-2 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","247 patients",,,"HF-2 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","199 patients",,,"PN-5C " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","56 patients",,,"PN-4 " "330239","WOMAN'S CHRISTIAN ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","187 patients",,,"PN-2 " "330240","HARLEM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","100 patients","2 ","2","SCIP-VTE-1 " "330240","HARLEM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","100 patients","2 ","2","SCIP-VTE-2 " "330240","HARLEM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","63 patients","2 ","2","SCIP-INF-1 " "330240","HARLEM HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330240","HARLEM HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","91 patients",,,"HF-3 " "330240","HARLEM HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","84 patients",,,"PN-4 " "330240","HARLEM HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "330240","HARLEM HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330240","HARLEM HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "330240","HARLEM HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"HF-4 " "330240","HARLEM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1,2 ","12","SCIP-CARD-2 " "330240","HARLEM HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","224 patients",,,"HF-2 " "330240","HARLEM HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","211 patients",,,"HF-1 " "330240","HARLEM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","59 patients","2 ","2","SCIP-INF-2 " "330240","HARLEM HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","AMI-4 " "330240","HARLEM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","47 patients","2 ","2","SCIP-INF-3 " "330240","HARLEM HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","70 patients",,,"PN-2 " "330240","HARLEM HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","31 patients",,,"AMI-1 " "330240","HARLEM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330240","HARLEM HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "330240","HARLEM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","158 patients","2 ","2","SCIP-INF-6 " "330240","HARLEM HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","152 patients",,,"PN-3B " "330240","HARLEM HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","79 patients",,,"PN-7 " "330240","HARLEM HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","94 patients",,,"PN-6 " "330240","HARLEM HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","169 patients",,,"PN-5C " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","HF-4 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","38 patients","2 ","2","CAC-1 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","398 patients","2 ","2","SCIP-INF-1 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","177 patients","2 ","2","SCIP-VTE-1 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","89 patients","2 ","2","HF-3 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","170 patients","2 ","2","AMI-5 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","81 patients","2 ","2","AMI-1 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","177 patients","2 ","2","SCIP-VTE-2 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","50 patients","2 ","2","PN-6 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","98 patients","2 ","2","PN-3B " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","74 patients","2 ","2","PN-4 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","160 patients","2 ","2","HF-1 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","170 patients","2 ","2","AMI-2 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","77 patients","2 ","2","AMI-4 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","585 patients","2 ","2","SCIP-INF-6 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","104 patients","2 ","2","PN-5C " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","406 patients","2 ","2","SCIP-INF-2 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","187 patients","2 ","2","SCIP-INF-4 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","92 patients","2 ","2","PN-2 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","30 patients","2 ","2","AMI-8A " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","111 patients","2 ","2","SCIP-CARD-2 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","61%","38 patients","2 ","2","CAC-3 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","348 patients","2 ","2","SCIP-INF-3 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","87 patients","2 ","2","PN-7 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","48 patients","2 ","2","AMI-3 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","206 patients","2 ","2","HF-2 " "330241","UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","37 patients","2 ","2","CAC-2 " "330245","ST ELIZABETH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","273 patients",,,"HF-3 " "330245","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","747 patients","2 ","2","SCIP-INF-3 " "330245","ST ELIZABETH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "330245","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","344 patients",,,"AMI-2 " "330245","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","368 patients","2 ","2","SCIP-INF-4 " "330245","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","215 patients","2 ","2","SCIP-VTE-2 " "330245","ST ELIZABETH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","420 patients",,,"HF-1 " "330245","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","236 patients",,,"PN-5C " "330245","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","136 patients",,,"AMI-4 " "330245","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","144 patients",,,"PN-6 " "330245","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","69 patients",,,"AMI-8A " "330245","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","373 patients",,,"AMI-5 " "330245","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","182 patients",,,"PN-7 " "330245","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","766 patients","2 ","2","SCIP-INF-1 " "330245","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","215 patients","2 ","2","SCIP-VTE-1 " "330245","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","781 patients","2 ","2","SCIP-INF-2 " "330245","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "330245","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","259 patients",,,"PN-2 " "330245","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","216 patients",,,"AMI-1 " "330245","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","988 patients","2 ","2","SCIP-INF-6 " "330245","ST ELIZABETH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","267 patients","2 ","2","SCIP-CARD-2 " "330245","ST ELIZABETH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","590 patients",,,"HF-2 " "330245","ST ELIZABETH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","166 patients",,,"PN-3B " "330245","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","115 patients",,,"AMI-3 " "330245","ST ELIZABETH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330246","ST CHARLES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "330246","ST CHARLES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "330246","ST CHARLES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","74 patients",,,"HF-1 " "330246","ST CHARLES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","127 patients",,,"PN-3B " "330246","ST CHARLES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "330246","ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","727 patients","2 ","2","SCIP-INF-6 " "330246","ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","523 patients","2 ","2","SCIP-INF-3 " "330246","ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","545 patients","2 ","2","SCIP-INF-2 " "330246","ST CHARLES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","112 patients",,,"PN-5C " "330246","ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","537 patients","2 ","2","SCIP-INF-1 " "330246","ST CHARLES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "330246","ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","118 patients",,,"SCIP-CARD-2 " "330246","ST CHARLES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330246","ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","374 patients","2 ","2","SCIP-VTE-2 " "330246","ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","374 patients","2 ","2","SCIP-VTE-1 " "330246","ST CHARLES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "330246","ST CHARLES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "330246","ST CHARLES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","67 patients",,,"PN-7 " "330246","ST CHARLES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330246","ST CHARLES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","72 patients",,,"PN-2 " "330246","ST CHARLES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "330246","ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330246","ST CHARLES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330246","ST CHARLES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","89 patients",,,"HF-2 " "330246","ST CHARLES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","79 patients",,,"PN-6 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","64 patients",,,"PN-6 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","HF-3 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","92 patients",,,"PN-2 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","91 patients",,,"PN-5C " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","532 patients",,,"SCIP-INF-6 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","52 patients",,,"PN-7 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","96 patients",,,"PN-3B " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","535 patients",,,"SCIP-INF-3 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","287 patients",,,"SCIP-VTE-2 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","43 patients",,,"HF-1 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","539 patients",,,"SCIP-INF-2 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","60 patients",,,"HF-2 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","83 patients",,,"SCIP-CARD-2 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","PN-4 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","538 patients",,,"SCIP-INF-1 " "330249","COMMUNITY MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","287 patients",,,"SCIP-VTE-1 " "33024F","SYRACUSE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "33024F","SYRACUSE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","101 patients",,,"PN-2 " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "33024F","SYRACUSE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","110 patients",,,"PN-3B " "33024F","SYRACUSE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","118 patients",,,"PN-5C " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","112 patients",,,"HF-1 " "33024F","SYRACUSE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","123 patients",,,"SCIP-INF-2 " "33024F","SYRACUSE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","84 patients",,,"PN-6 " "33024F","SYRACUSE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","80 patients",,,"PN-7 " "33024F","SYRACUSE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","121 patients",,,"SCIP-INF-3 " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"HF-3 " "33024F","SYRACUSE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","157 patients","2 ","2","SCIP-VTE-1 " "33024F","SYRACUSE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","123 patients",,,"SCIP-INF-1 " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","120 patients",,,"HF-2 " "33024F","SYRACUSE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","156 patients","2 ","2","SCIP-VTE-2 " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","28 patients",,,"AMI-1 " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "33024F","SYRACUSE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "33024F","SYRACUSE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","197 patients","2 ","2","SCIP-INF-6 " "33024F","SYRACUSE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","87 patients","2 ","2","SCIP-CARD-2 " "33024F","SYRACUSE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","249 patients",,,"AMI-2 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","337 patients",,,"PN-3B " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","103 patients",,,"AMI-4 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","160 patients",,,"AMI-1 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","514 patients",,,"SCIP-INF-1 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","332 patients",,,"PN-2 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","213 patients",,,"PN-6 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","225 patients",,,"PN-7 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","346 patients",,,"PN-5C " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","33 patients",,,"AMI-8A " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","317 patients",,,"SCIP-VTE-1 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","740 patients",,,"SCIP-INF-6 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","127 patients",,,"PN-4 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","317 patients",,,"SCIP-VTE-2 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","503 patients",,,"SCIP-INF-3 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","109 patients",,,"SCIP-CARD-2 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","78 patients",,,"HF-3 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","286 patients",,,"HF-1 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","125 patients",,,"SCIP-INF-4 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","518 patients",,,"SCIP-INF-2 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","271 patients",,,"AMI-5 " "330250","CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","336 patients",,,"HF-2 " "330259","MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "330259","MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","107 patients",,,"PN-6 " "330259","MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "330259","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","330 patients","2 ","2","SCIP-INF-1 " "330259","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","3 patients","1,2 ","12","SCIP-INF-4 " "330259","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","113 patients","2 ","2","SCIP-CARD-2 " "330259","MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330259","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","285 patients","2 ","2","SCIP-VTE-1 " "330259","MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "330259","MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","31 patients",,,"AMI-2 " "330259","MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","59 patients",,,"AMI-1 " "330259","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","325 patients","2 ","2","SCIP-INF-3 " "330259","MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","127 patients",,,"PN-7 " "330259","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","285 patients","2 ","2","SCIP-VTE-2 " "330259","MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "330259","MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","229 patients",,,"PN-3B " "330259","MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","207 patients",,,"HF-1 " "330259","MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","208 patients",,,"PN-2 " "330259","MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330259","MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","281 patients",,,"HF-2 " "330259","MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","87 patients",,,"HF-3 " "330259","MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","36 patients",,,"AMI-5 " "330259","MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","208 patients",,,"PN-5C " "330259","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","334 patients","2 ","2","SCIP-INF-2 " "330259","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","502 patients","2 ","2","SCIP-INF-6 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","38 patients",,,"AMI-2 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","278 patients","2 ","2","SCIP-INF-1 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","137 patients",,,"HF-2 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","116 patients",,,"PN-5C " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","52 patients",,,"AMI-1 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","241 patients","2 ","2","SCIP-VTE-2 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","75 patients",,,"PN-6 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","110 patients",,,"PN-2 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","PN-4 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","282 patients","2 ","2","SCIP-INF-2 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","262 patients","2 ","2","SCIP-INF-3 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","76 patients",,,"PN-7 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","38 patients",,,"AMI-5 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","241 patients","2 ","2","SCIP-VTE-1 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","425 patients","2 ","2","SCIP-INF-6 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","88 patients",,,"HF-1 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","74 patients","2 ","2","SCIP-CARD-2 " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","129 patients",,,"PN-3B " "330261","PHELPS MEMORIAL HOSPITAL ASSN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "330263","CARTHAGE AREA HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","23 patients","1 ","1","PN-7 " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","74 patients",,,"HF-2 " "330263","CARTHAGE AREA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","43 patients",,,"SCIP-INF-2 " "330263","CARTHAGE AREA HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","20 patients","1 ","1","PN-6 " "330263","CARTHAGE AREA HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","35%","17 patients","1 ","1","SCIP-VTE-2 " "330263","CARTHAGE AREA HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","69%","26 patients",,,"PN-5C " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","20 patients","1 ","1","HF-3 " "330263","CARTHAGE AREA HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","PN-4 " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1,3 ","13","AMI-1 " "330263","CARTHAGE AREA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","65 patients",,,"SCIP-INF-6 " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "330263","CARTHAGE AREA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","43 patients",,,"SCIP-INF-1 " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "330263","CARTHAGE AREA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "330263","CARTHAGE AREA HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "330263","CARTHAGE AREA HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","56%","9 patients","1 ","1","PN-3B " "330263","CARTHAGE AREA HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","30 patients",,,"PN-2 " "330263","CARTHAGE AREA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","42 patients",,,"SCIP-INF-3 " "330263","CARTHAGE AREA HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","35%","17 patients","1 ","1","SCIP-VTE-1 " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "330263","CARTHAGE AREA HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","61 patients",,,"HF-1 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","94 patients",,,"AMI-5 " "330264","ST LUKE'S CORNWALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","413 patients","2 ","2","SCIP-INF-6 " "330264","ST LUKE'S CORNWALL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","67 patients","2 ","2","PN-4 " "330264","ST LUKE'S CORNWALL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","182 patients","2 ","2","SCIP-VTE-1 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","145 patients",,,"AMI-1 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","24 patients","1 ","1","AMI-4 " "330264","ST LUKE'S CORNWALL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","168 patients","2 ","2","PN-7 " "330264","ST LUKE'S CORNWALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","256 patients","2 ","2","SCIP-INF-2 " "330264","ST LUKE'S CORNWALL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","192 patients","2 ","2","PN-3B " "330264","ST LUKE'S CORNWALL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","143 patients","2 ","2","PN-6 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","7 patients","1 ","1","AMI-8A " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","435 patients",,,"HF-2 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","132 patients",,,"HF-3 " "330264","ST LUKE'S CORNWALL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","238 patients","2 ","2","PN-5C " "330264","ST LUKE'S CORNWALL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","68 patients","2 ","2","SCIP-CARD-2 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-7A " "330264","ST LUKE'S CORNWALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","76 patients",,,"AMI-2 " "330264","ST LUKE'S CORNWALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","256 patients","2 ","2","SCIP-INF-3 " "330264","ST LUKE'S CORNWALL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","247 patients","2 ","2","PN-2 " "330264","ST LUKE'S CORNWALL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","256 patients","2 ","2","SCIP-INF-1 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1 ","1","AMI-3 " "330264","ST LUKE'S CORNWALL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","182 patients","2 ","2","SCIP-VTE-2 " "330264","ST LUKE'S CORNWALL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","356 patients",,,"HF-1 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","86 patients",,,"PN-5C " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","307 patients",,,"SCIP-INF-6 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","101 patients",,,"SCIP-VTE-2 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","81 patients",,,"HF-2 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","60 patients",,,"PN-7 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","65 patients",,,"PN-6 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","101 patients",,,"SCIP-VTE-1 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","15 patients","1 ","1","AMI-5 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","70 patients",,,"HF-1 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","65 patients",,,"PN-2 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","80 patients",,,"PN-3B " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"HF-3 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","57 patients",,,"SCIP-CARD-2 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","218 patients",,,"SCIP-INF-2 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","190 patients",,,"SCIP-INF-3 " "330265","CLIFTON SPRINGS HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","191 patients",,,"SCIP-INF-1 " "330267","HUDSON VALLEY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","237 patients",,,"SCIP-VTE-2 " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","95 patients",,,"AMI-1 " "330267","HUDSON VALLEY HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","111 patients",,,"PN-6 " "330267","HUDSON VALLEY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","374 patients",,,"SCIP-INF-6 " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","64%","11 patients","1 ","1","AMI-7A " "330267","HUDSON VALLEY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","38 patients",,,"SCIP-CARD-2 " "330267","HUDSON VALLEY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","228 patients",,,"SCIP-INF-2 " "330267","HUDSON VALLEY HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","144 patients",,,"PN-7 " "330267","HUDSON VALLEY HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","210 patients",,,"PN-5C " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","242 patients",,,"HF-2 " "330267","HUDSON VALLEY HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","230 patients",,,"PN-2 " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","43 patients",,,"AMI-2 " "330267","HUDSON VALLEY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","237 patients",,,"SCIP-VTE-1 " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"HF-3 " "330267","HUDSON VALLEY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","228 patients",,,"SCIP-INF-1 " "330267","HUDSON VALLEY HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","128 patients",,,"PN-3B " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","157 patients",,,"HF-1 " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","AMI-4 " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "330267","HUDSON VALLEY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330267","HUDSON VALLEY HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330267","HUDSON VALLEY HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","221 patients",,,"SCIP-INF-3 " "330267","HUDSON VALLEY HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","45 patients",,,"AMI-5 " "330268","COBLESKILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-2 " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","42 patients",,,"HF-2 " "330268","COBLESKILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,3 ","13","SCIP-INF-6 " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "330268","COBLESKILL REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients",,,"PN-5C " "330268","COBLESKILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,3 ","13","SCIP-INF-3 " "330268","COBLESKILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","34 patients",,,"HF-1 " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "330268","COBLESKILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "330268","COBLESKILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-1 " "330268","COBLESKILL REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","55 patients",,,"PN-3B " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330268","COBLESKILL REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","42 patients",,,"PN-2 " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "330268","COBLESKILL REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "330268","COBLESKILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "330268","COBLESKILL REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","29 patients",,,"PN-7 " "330268","COBLESKILL REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","46 patients",,,"PN-6 " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "330268","COBLESKILL REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330268","COBLESKILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330270","HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "330270","HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","373 patients","2 ","2","SCIP-INF-3 " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "330270","HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","376 patients","2 ","2","SCIP-INF-1 " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "330270","HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "330270","HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "330270","HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","317 patients","2 ","2","SCIP-VTE-1 " "330270","HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","559 patients","2 ","2","SCIP-INF-6 " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "330270","HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","85 patients","2 ","2","SCIP-CARD-2 " "330270","HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "330270","HOSPITAL FOR SPECIAL SURGERY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "330270","HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","317 patients","2 ","2","SCIP-VTE-2 " "330270","HOSPITAL FOR SPECIAL SURGERY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","377 patients","2 ","2","SCIP-INF-2 " "330270","HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "330270","HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1,3 ","13","PN-2 " "330270","HOSPITAL FOR SPECIAL SURGERY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "330273","PUTNAM HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330273","PUTNAM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","373 patients","2 ","2","SCIP-VTE-1 " "330273","PUTNAM HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","127 patients",,,"PN-6 " "330273","PUTNAM HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","190 patients",,,"PN-3B " "330273","PUTNAM HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330273","PUTNAM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","617 patients","2 ","2","SCIP-INF-6 " "330273","PUTNAM HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","166 patients",,,"PN-2 " "330273","PUTNAM HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "330273","PUTNAM HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","27 patients",,,"AMI-2 " "330273","PUTNAM HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","129 patients",,,"HF-1 " "330273","PUTNAM HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330273","PUTNAM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","108 patients","2 ","2","SCIP-CARD-2 " "330273","PUTNAM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","481 patients","2 ","2","SCIP-INF-2 " "330273","PUTNAM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","476 patients","2 ","2","SCIP-INF-3 " "330273","PUTNAM HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","203 patients",,,"HF-2 " "330273","PUTNAM HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "330273","PUTNAM HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","129 patients",,,"PN-7 " "330273","PUTNAM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330273","PUTNAM HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","37 patients",,,"AMI-1 " "330273","PUTNAM HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","183 patients",,,"PN-5C " "330273","PUTNAM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","481 patients","2 ","2","SCIP-INF-1 " "330273","PUTNAM HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","43 patients",,,"HF-3 " "330273","PUTNAM HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "330273","PUTNAM HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","373 patients","2 ","2","SCIP-VTE-2 " "330273","PUTNAM HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "330276","NATHAN LITTAUER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "330276","NATHAN LITTAUER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","52 patients",,,"HF-1 " "330276","NATHAN LITTAUER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "330276","NATHAN LITTAUER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","50 patients",,,"AMI-1 " "330276","NATHAN LITTAUER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330276","NATHAN LITTAUER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","52 patients",,,"SCIP-INF-1 " "330276","NATHAN LITTAUER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","47 patients",,,"SCIP-INF-3 " "330276","NATHAN LITTAUER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","31 patients",,,"AMI-2 " "330276","NATHAN LITTAUER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","125 patients",,,"PN-5C " "330276","NATHAN LITTAUER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","60%","10 patients","1 ","1","HF-4 " "330276","NATHAN LITTAUER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "330276","NATHAN LITTAUER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","26 patients",,,"PN-4 " "330276","NATHAN LITTAUER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","115 patients",,,"SCIP-VTE-1 " "330276","NATHAN LITTAUER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","112 patients",,,"PN-3B " "330276","NATHAN LITTAUER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","115 patients",,,"SCIP-VTE-2 " "330276","NATHAN LITTAUER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "330276","NATHAN LITTAUER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients",,,"SCIP-CARD-2 " "330276","NATHAN LITTAUER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","111 patients",,,"PN-2 " "330276","NATHAN LITTAUER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","96 patients",,,"PN-6 " "330276","NATHAN LITTAUER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330276","NATHAN LITTAUER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","63 patients",,,"HF-2 " "330276","NATHAN LITTAUER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330276","NATHAN LITTAUER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","178 patients",,,"SCIP-INF-6 " "330276","NATHAN LITTAUER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","50 patients",,,"SCIP-INF-2 " "330276","NATHAN LITTAUER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","76 patients",,,"PN-7 " "330277","CORNING HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","20 patients","1 ","1","HF-4 " "330277","CORNING HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","114 patients",,,"PN-7 " "330277","CORNING HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","43 patients",,,"HF-3 " "330277","CORNING HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","83 patients",,,"PN-6 " "330277","CORNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330277","CORNING HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","146 patients",,,"HF-2 " "330277","CORNING HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","133 patients",,,"PN-3B " "330277","CORNING HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","163 patients",,,"PN-2 " "330277","CORNING HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "330277","CORNING HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "330277","CORNING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","161 patients",,,"SCIP-VTE-2 " "330277","CORNING HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","46 patients",,,"SCIP-CARD-2 " "330277","CORNING HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "330277","CORNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","236 patients",,,"SCIP-INF-2 " "330277","CORNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","233 patients",,,"SCIP-INF-3 " "330277","CORNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","334 patients",,,"SCIP-INF-6 " "330277","CORNING HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","120 patients",,,"PN-5C " "330277","CORNING HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330277","CORNING HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","237 patients",,,"SCIP-INF-1 " "330277","CORNING HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "330277","CORNING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","161 patients",,,"SCIP-VTE-1 " "330277","CORNING HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","109 patients",,,"HF-1 " "330277","CORNING HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "330277","CORNING HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","51 patients",,,"PN-4 " "330277","CORNING HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330279","MERCY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","129 patients","2 ","2","PN-3B " "330279","MERCY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "330279","MERCY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","620 patients","2 ","2","HF-2 " "330279","MERCY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","87 patients","2 ","2","PN-6 " "330279","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","494 patients","2 ","2","SCIP-INF-2 " "330279","MERCY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","263 patients","2 ","2","AMI-2 " "330279","MERCY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","143 patients","2 ","2","HF-3 " "330279","MERCY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","475 patients","2 ","2","HF-1 " "330279","MERCY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","131 patients","2 ","2","AMI-4 " "330279","MERCY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","277 patients","2 ","2","AMI-5 " "330279","MERCY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","93 patients","2 ","2","HF-4 " "330279","MERCY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","21 patients","1,2 ","12","AMI-8A " "330279","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","458 patients","2 ","2","SCIP-INF-3 " "330279","MERCY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1,2 ","12","AMI-7A " "330279","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","201 patients","2 ","2","SCIP-VTE-1 " "330279","MERCY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","90 patients","2 ","2","PN-7 " "330279","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","681 patients","2 ","2","SCIP-INF-6 " "330279","MERCY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","198 patients","2 ","2","AMI-1 " "330279","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","168 patients","2 ","2","SCIP-INF-4 " "330279","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","201 patients","2 ","2","SCIP-VTE-2 " "330279","MERCY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","120 patients","2 ","2","PN-5C " "330279","MERCY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","146 patients","2 ","2","PN-2 " "330279","MERCY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients","2 ","2","AMI-3 " "330279","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","486 patients","2 ","2","SCIP-INF-1 " "330279","MERCY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","114 patients","2 ","2","SCIP-CARD-2 " "330285","STRONG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","603 patients","2 ","2","SCIP-VTE-1 " "330285","STRONG MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","584 patients","2 ","2","AMI-5 " "330285","STRONG MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","124 patients","2 ","2","PN-5C " "330285","STRONG MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","554 patients","2 ","2","AMI-2 " "330285","STRONG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","1600 patients","2 ","2","SCIP-INF-6 " "330285","STRONG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","473 patients","2 ","2","SCIP-INF-4 " "330285","STRONG MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","136 patients","2 ","2","HF-4 " "330285","STRONG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","810 patients","2 ","2","SCIP-INF-3 " "330285","STRONG MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","74 patients","2 ","2","PN-6 " "330285","STRONG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","840 patients","2 ","2","SCIP-INF-1 " "330285","STRONG MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","168 patients","2 ","2","AMI-3 " "330285","STRONG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","241 patients","2 ","2","SCIP-CARD-2 " "330285","STRONG MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","631 patients","2 ","2","HF-1 " "330285","STRONG MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","214 patients","2 ","2","AMI-4 " "330285","STRONG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","603 patients","2 ","2","SCIP-VTE-2 " "330285","STRONG MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","724 patients","2 ","2","HF-2 " "330285","STRONG MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","66 patients","2 ","2","PN-7 " "330285","STRONG MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","276 patients","2 ","2","HF-3 " "330285","STRONG MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","89 patients","2 ","2","PN-2 " "330285","STRONG MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","866 patients","2 ","2","SCIP-INF-2 " "330285","STRONG MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","80 patients","2 ","2","AMI-8A " "330285","STRONG MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","143 patients","2 ","2","PN-3B " "330285","STRONG MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","296 patients","2 ","2","AMI-1 " "330285","STRONG MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330285","STRONG MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","48 patients","2 ","2","PN-4 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","PN-4 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","149 patients","2 ","2","PN-2 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","207 patients",,,"AMI-2 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","280 patients","2 ","2","HF-1 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"AMI-4 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","76 patients","2 ","2","PN-6 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","47 patients",,,"AMI-8A " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","100 patients","2 ","2","PN-7 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","76 patients","2 ","2","SCIP-CARD-2 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","346 patients","2 ","2","HF-2 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","249 patients",,,"AMI-1 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","301 patients","2 ","2","SCIP-INF-2 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","299 patients","2 ","2","SCIP-INF-1 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","121 patients","2 ","2","PN-5C " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","170 patients",,,"AMI-5 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","139 patients","2 ","2","PN-3B " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","63 patients","2 ","2","HF-3 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","299 patients","2 ","2","SCIP-VTE-2 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2 ","2","HF-4 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","507 patients","2 ","2","SCIP-INF-6 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","299 patients","2 ","2","SCIP-VTE-1 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330286","GOOD SAMARITAN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","279 patients","2 ","2","SCIP-INF-3 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","141 patients","2 ","2","PN-3B " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","85 patients","2 ","2","PN-6 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","157 patients","2 ","2","AMI-5 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","25 patients","2 ","2","AMI-8A " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","403 patients","2 ","2","SCIP-INF-2 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","297 patients","2 ","2","HF-2 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","370 patients","2 ","2","SCIP-INF-3 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","124 patients","2 ","2","HF-3 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","48 patients","2 ","2","PN-4 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","32 patients","2 ","2","AMI-3 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","393 patients","2 ","2","SCIP-INF-1 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","314 patients","2 ","2","SCIP-VTE-2 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","585 patients","2 ","2","SCIP-INF-6 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","90 patients","2 ","2","SCIP-INF-4 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","63 patients","2 ","2","SCIP-CARD-2 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","56 patients","2 ","2","HF-4 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","315 patients","2 ","2","SCIP-VTE-1 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","239 patients","2 ","2","HF-1 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","67 patients","2 ","2","PN-7 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","177 patients","2 ","2","AMI-2 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","63 patients","2 ","2","AMI-4 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","151 patients","2 ","2","PN-5C " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","80 patients","2 ","2","PN-2 " "330290","SVCMC-ST VINCENT'S CTRS NY & WEST BRANCHES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","130 patients","2 ","2","AMI-1 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","84 patients","2 ","2","HF-3 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","29 patients",,,"AMI-2 " "330304","WHITE PLAINS HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","102 patients","2 ","2","PN-6 " "330304","WHITE PLAINS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","204 patients","2 ","2","SCIP-INF-2 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","292 patients","2 ","2","HF-2 " "330304","WHITE PLAINS HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","147 patients","2 ","2","PN-5C " "330304","WHITE PLAINS HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","102 patients","2 ","2","PN-7 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","59%","17 patients","1,2 ","12","HF-4 " "330304","WHITE PLAINS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","216 patients","2 ","2","SCIP-VTE-2 " "330304","WHITE PLAINS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","410 patients","2 ","2","SCIP-INF-6 " "330304","WHITE PLAINS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","192 patients","2 ","2","SCIP-INF-3 " "330304","WHITE PLAINS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","203 patients","2 ","2","SCIP-INF-1 " "330304","WHITE PLAINS HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","25 patients","2 ","2","PN-4 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","61 patients",,,"AMI-1 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","207 patients","2 ","2","HF-1 " "330304","WHITE PLAINS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330304","WHITE PLAINS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","216 patients","2 ","2","SCIP-VTE-1 " "330304","WHITE PLAINS HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","171 patients","2 ","2","PN-2 " "330304","WHITE PLAINS HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330304","WHITE PLAINS HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","61 patients","2 ","2","SCIP-CARD-2 " "330304","WHITE PLAINS HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","175 patients","2 ","2","PN-3B " "330306","LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "330306","LUTHERAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","319 patients",,,"HF-1 " "330306","LUTHERAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","154 patients",,,"PN-7 " "330306","LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","558 patients","2 ","2","SCIP-INF-3 " "330306","LUTHERAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","271 patients",,,"PN-2 " "330306","LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","511 patients","2 ","2","SCIP-VTE-1 " "330306","LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","575 patients","2 ","2","SCIP-INF-2 " "330306","LUTHERAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","46 patients",,,"HF-4 " "330306","LUTHERAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","AMI-4 " "330306","LUTHERAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","246 patients",,,"PN-5C " "330306","LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","511 patients","2 ","2","SCIP-VTE-2 " "330306","LUTHERAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","88 patients",,,"AMI-2 " "330306","LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","575 patients","2 ","2","SCIP-INF-1 " "330306","LUTHERAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330306","LUTHERAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","413 patients",,,"HF-2 " "330306","LUTHERAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","AMI-3 " "330306","LUTHERAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "330306","LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","861 patients","2 ","2","SCIP-INF-6 " "330306","LUTHERAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","53 patients",,,"PN-4 " "330306","LUTHERAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","100 patients",,,"HF-3 " "330306","LUTHERAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","295 patients",,,"PN-3B " "330306","LUTHERAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","176 patients",,,"PN-6 " "330306","LUTHERAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","99 patients",,,"AMI-5 " "330306","LUTHERAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","116 patients","2 ","2","SCIP-CARD-2 " "330306","LUTHERAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","172 patients",,,"AMI-1 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","83 patients",,,"HF-1 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","200 patients",,,"SCIP-VTE-1 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","200 patients",,,"SCIP-VTE-2 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","45 patients",,,"SCIP-CARD-2 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","32 patients",,,"AMI-5 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","414 patients",,,"SCIP-INF-6 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","134 patients",,,"PN-2 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","93 patients",,,"PN-7 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","35 patients",,,"AMI-2 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","30 patients",,,"HF-3 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","160 patients",,,"PN-3B " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","265 patients",,,"SCIP-INF-1 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","102 patients",,,"HF-2 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","110 patients",,,"PN-6 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","178 patients",,,"PN-5C " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","53 patients",,,"AMI-1 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","261 patients",,,"SCIP-INF-3 " "330307","CAYUGA MEDICAL CENTER AT ITHACA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","266 patients",,,"SCIP-INF-2 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","308 patients",,,"SCIP-INF-6 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","169 patients",,,"SCIP-INF-1 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","199 patients",,,"SCIP-VTE-1 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","321 patients",,,"PN-5C " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","292 patients",,,"HF-2 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","152 patients",,,"PN-7 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","166 patients",,,"SCIP-INF-3 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","53 patients",,,"AMI-1 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","169 patients",,,"SCIP-INF-2 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","199 patients",,,"SCIP-VTE-2 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","208 patients",,,"HF-1 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","139 patients",,,"PN-6 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","245 patients",,,"PN-2 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","330 patients",,,"PN-3B " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","73 patients",,,"HF-3 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","20 patients","1 ","1","AMI-2 " "330316","NEW YORK WESTCHESTER SQUARE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","38 patients",,,"SCIP-CARD-2 " "330331","PLAINVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1,2 ","12","HF-4 " "330331","PLAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","430 patients","2 ","2","SCIP-INF-6 " "330331","PLAINVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","87 patients","2 ","2","AMI-1 " "330331","PLAINVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "330331","PLAINVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","42 patients","2 ","2","AMI-5 " "330331","PLAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","256 patients","2 ","2","SCIP-INF-1 " "330331","PLAINVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","150 patients","2 ","2","PN-2 " "330331","PLAINVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330331","PLAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","258 patients","2 ","2","SCIP-INF-2 " "330331","PLAINVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1,2 ","12","AMI-3 " "330331","PLAINVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","89 patients","2 ","2","PN-7 " "330331","PLAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","58 patients","2 ","2","SCIP-CARD-2 " "330331","PLAINVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","125 patients","2 ","2","PN-5C " "330331","PLAINVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","266 patients","2 ","2","HF-2 " "330331","PLAINVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","78 patients","2 ","2","PN-6 " "330331","PLAINVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","186 patients","2 ","2","HF-1 " "330331","PLAINVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","56 patients","2 ","2","HF-3 " "330331","PLAINVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","AMI-4 " "330331","PLAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330331","PLAINVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","47 patients","2 ","2","AMI-2 " "330331","PLAINVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","150 patients","2 ","2","PN-3B " "330331","PLAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","245 patients","2 ","2","SCIP-INF-3 " "330331","PLAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","264 patients","2 ","2","SCIP-VTE-1 " "330331","PLAINVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","264 patients","2 ","2","SCIP-VTE-2 " "330331","PLAINVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1,2 ","12","PN-4 " "330332","NEW ISLAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","128 patients","2 ","2","PN-5C " "330332","NEW ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","149 patients","2 ","2","SCIP-VTE-1 " "330332","NEW ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","327 patients","2 ","2","SCIP-INF-6 " "330332","NEW ISLAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","HF-4 " "330332","NEW ISLAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","39 patients","2 ","2","AMI-5 " "330332","NEW ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","184 patients","2 ","2","SCIP-INF-2 " "330332","NEW ISLAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","129 patients","2 ","2","PN-2 " "330332","NEW ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","47 patients","2 ","2","SCIP-CARD-2 " "330332","NEW ISLAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","280 patients","2 ","2","HF-2 " "330332","NEW ISLAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","36 patients","2 ","2","AMI-2 " "330332","NEW ISLAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1,2 ","12","AMI-3 " "330332","NEW ISLAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","81 patients","2 ","2","PN-7 " "330332","NEW ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","149 patients","2 ","2","SCIP-VTE-2 " "330332","NEW ISLAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "330332","NEW ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","185 patients","2 ","2","SCIP-INF-1 " "330332","NEW ISLAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","57 patients","2 ","2","HF-3 " "330332","NEW ISLAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","232 patients","2 ","2","HF-1 " "330332","NEW ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330332","NEW ISLAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","PN-4 " "330332","NEW ISLAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "330332","NEW ISLAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","156 patients","2 ","2","PN-3B " "330332","NEW ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","175 patients","2 ","2","SCIP-INF-3 " "330332","NEW ISLAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330332","NEW ISLAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","120 patients","2 ","2","PN-6 " "330332","NEW ISLAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","91 patients","2 ","2","AMI-1 " "330340","SOUTHAMPTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients",,,"SCIP-CARD-2 " "330340","SOUTHAMPTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "330340","SOUTHAMPTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","149 patients",,,"SCIP-VTE-2 " "330340","SOUTHAMPTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","149 patients",,,"SCIP-VTE-1 " "330340","SOUTHAMPTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","18 patients","1 ","1","AMI-2 " "330340","SOUTHAMPTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "330340","SOUTHAMPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","158 patients",,,"SCIP-INF-3 " "330340","SOUTHAMPTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330340","SOUTHAMPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","163 patients",,,"SCIP-INF-1 " "330340","SOUTHAMPTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","188 patients",,,"PN-5C " "330340","SOUTHAMPTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "330340","SOUTHAMPTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "330340","SOUTHAMPTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","31 patients",,,"HF-3 " "330340","SOUTHAMPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "330340","SOUTHAMPTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","28 patients",,,"AMI-1 " "330340","SOUTHAMPTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "330340","SOUTHAMPTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","182 patients",,,"PN-2 " "330340","SOUTHAMPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","241 patients",,,"SCIP-INF-6 " "330340","SOUTHAMPTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","213 patients",,,"PN-3B " "330340","SOUTHAMPTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","104 patients",,,"PN-7 " "330340","SOUTHAMPTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","80 patients",,,"HF-1 " "330340","SOUTHAMPTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","162 patients",,,"SCIP-INF-2 " "330340","SOUTHAMPTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330340","SOUTHAMPTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","97 patients",,,"HF-2 " "330340","SOUTHAMPTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","110 patients",,,"PN-6 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","66 patients","2 ","2","AMI-4 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","123 patients","2 ","2","PN-3B " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","195 patients","2 ","2","AMI-1 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","138 patients","2 ","2","PN-5C " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","276 patients","2 ","2","SCIP-INF-3 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","25 patients","2 ","2","AMI-8A " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","285 patients","2 ","2","HF-1 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","103 patients","2 ","2","SCIP-INF-4 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","64 patients","2 ","2","SCIP-CARD-2 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","421 patients","2 ","2","SCIP-INF-6 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","31 patients","2 ","2","PN-4 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","277 patients","2 ","2","SCIP-INF-1 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","298 patients","2 ","2","HF-2 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","280 patients","2 ","2","SCIP-INF-2 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","HF-4 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","69 patients","2 ","2","PN-7 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","66 patients","2 ","2","PN-6 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","188 patients","2 ","2","SCIP-VTE-2 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","83 patients","2 ","2","AMI-3 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","188 patients","2 ","2","SCIP-VTE-1 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","149 patients","2 ","2","HF-3 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","55%","93 patients","2 ","2","PN-2 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","269 patients","2 ","2","AMI-5 " "330350","UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","252 patients","2 ","2","AMI-2 " "330353","FOREST HILLS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","152 patients","2 ","2","PN-2 " "330353","FOREST HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","393 patients","2 ","2","SCIP-INF-6 " "330353","FOREST HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","256 patients","2 ","2","SCIP-INF-1 " "330353","FOREST HILLS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","95 patients","2 ","2","PN-7 " "330353","FOREST HILLS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","88 patients","2 ","2","AMI-1 " "330353","FOREST HILLS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,2 ","12","AMI-4 " "330353","FOREST HILLS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","HF-4 " "330353","FOREST HILLS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","247 patients","2 ","2","HF-2 " "330353","FOREST HILLS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","125 patients","2 ","2","PN-5C " "330353","FOREST HILLS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","43 patients","2 ","2","HF-3 " "330353","FOREST HILLS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","42 patients","2 ","2","AMI-2 " "330353","FOREST HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","257 patients","2 ","2","SCIP-INF-2 " "330353","FOREST HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","241 patients","2 ","2","SCIP-INF-3 " "330353","FOREST HILLS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","62 patients","2 ","2","SCIP-CARD-2 " "330353","FOREST HILLS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","PN-4 " "330353","FOREST HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330353","FOREST HILLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","212 patients","2 ","2","SCIP-VTE-1 " "330353","FOREST HILLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","212 patients","2 ","2","SCIP-VTE-2 " "330353","FOREST HILLS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330353","FOREST HILLS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","135 patients","2 ","2","PN-3B " "330353","FOREST HILLS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","171 patients","2 ","2","HF-1 " "330353","FOREST HILLS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","77 patients","2 ","2","PN-6 " "330353","FOREST HILLS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","41 patients","2 ","2","AMI-5 " "330353","FOREST HILLS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "330353","FOREST HILLS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1,2 ","12","AMI-3 " "330372","FRANKLIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","196 patients","2 ","2","SCIP-VTE-1 " "330372","FRANKLIN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1,2 ","12","AMI-3 " "330372","FRANKLIN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","97 patients","2 ","2","PN-6 " "330372","FRANKLIN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","HF-4 " "330372","FRANKLIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","192 patients","2 ","2","SCIP-INF-1 " "330372","FRANKLIN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","19 patients","1,2 ","12","AMI-2 " "330372","FRANKLIN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","255 patients","2 ","2","HF-2 " "330372","FRANKLIN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1,2 ","12","AMI-5 " "330372","FRANKLIN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","AMI-4 " "330372","FRANKLIN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","PN-4 " "330372","FRANKLIN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","157 patients","2 ","2","PN-3B " "330372","FRANKLIN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","158 patients","2 ","2","PN-5C " "330372","FRANKLIN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","54 patients","2 ","2","HF-3 " "330372","FRANKLIN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","95 patients","2 ","2","PN-7 " "330372","FRANKLIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","176 patients","2 ","2","SCIP-INF-3 " "330372","FRANKLIN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330372","FRANKLIN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","189 patients","2 ","2","HF-1 " "330372","FRANKLIN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","155 patients","2 ","2","PN-2 " "330372","FRANKLIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","315 patients","2 ","2","SCIP-INF-6 " "330372","FRANKLIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330372","FRANKLIN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "330372","FRANKLIN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","42 patients","2 ","2","SCIP-CARD-2 " "330372","FRANKLIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","192 patients","2 ","2","SCIP-INF-2 " "330372","FRANKLIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","196 patients","2 ","2","SCIP-VTE-2 " "330372","FRANKLIN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","51 patients","2 ","2","AMI-1 " "330385","NORTH CENTRAL BRONX HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"PN-4 " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","118 patients",,,"HF-2 " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","98 patients",,,"HF-1 " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "330385","NORTH CENTRAL BRONX HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","95 patients",,,"PN-3B " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "330385","NORTH CENTRAL BRONX HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "330385","NORTH CENTRAL BRONX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","60 patients",,,"SCIP-VTE-1 " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330385","NORTH CENTRAL BRONX HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330385","NORTH CENTRAL BRONX HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","62 patients",,,"PN-6 " "330385","NORTH CENTRAL BRONX HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","44 patients",,,"SCIP-INF-1 " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "330385","NORTH CENTRAL BRONX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","60 patients",,,"SCIP-VTE-2 " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","39 patients",,,"AMI-1 " "330385","NORTH CENTRAL BRONX HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","49 patients",,,"PN-2 " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","43 patients",,,"HF-3 " "330385","NORTH CENTRAL BRONX HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","42 patients",,,"SCIP-INF-2 " "330385","NORTH CENTRAL BRONX HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "330385","NORTH CENTRAL BRONX HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","42 patients",,,"PN-7 " "330385","NORTH CENTRAL BRONX HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","103 patients",,,"SCIP-INF-6 " "330385","NORTH CENTRAL BRONX HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","100 patients",,,"PN-5C " "330385","NORTH CENTRAL BRONX HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","42 patients",,,"SCIP-INF-3 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","123 patients",,,"SCIP-INF-1 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","54 patients",,,"PN-4 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","84 patients",,,"SCIP-VTE-1 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","160 patients",,,"PN-3B " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","74 patients",,,"HF-1 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","146 patients",,,"PN-2 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","21 patients","1 ","1","SCIP-CARD-2 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","31 patients",,,"AMI-1 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","112 patients",,,"HF-2 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","34 patients",,,"HF-3 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","118 patients",,,"SCIP-INF-3 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330386","CATSKILL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","153 patients",,,"PN-5C " "330386","CATSKILL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","120 patients",,,"SCIP-INF-2 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","84 patients",,,"SCIP-VTE-2 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","87 patients",,,"PN-6 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330386","CATSKILL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","195 patients",,,"SCIP-INF-6 " "330386","CATSKILL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","94 patients",,,"PN-7 " "330390","NORTH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","23 patients","1 ","1","SCIP-VTE-2 " "330390","NORTH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","15 patients","1 ","1","SCIP-INF-3 " "330390","NORTH GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","94 patients",,,"PN-7 " "330390","NORTH GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","41 patients",,,"AMI-5 " "330390","NORTH GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330390","NORTH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "330390","NORTH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "330390","NORTH GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","149 patients",,,"HF-1 " "330390","NORTH GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","208 patients",,,"PN-5C " "330390","NORTH GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330390","NORTH GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "330390","NORTH GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","62 patients",,,"HF-4 " "330390","NORTH GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","41 patients",,,"AMI-2 " "330390","NORTH GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","79 patients",,,"HF-3 " "330390","NORTH GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","184 patients",,,"PN-3B " "330390","NORTH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","15 patients","1 ","1","SCIP-INF-1 " "330390","NORTH GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","87 patients",,,"PN-4 " "330390","NORTH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","23 patients","1 ","1","SCIP-VTE-1 " "330390","NORTH GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","164 patients",,,"HF-2 " "330390","NORTH GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","114 patients",,,"PN-6 " "330390","NORTH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","17 patients","1 ","1","SCIP-INF-2 " "330390","NORTH GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "330390","NORTH GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","132 patients",,,"PN-2 " "330390","NORTH GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","60 patients",,,"AMI-1 " "330390","NORTH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","31 patients",,,"SCIP-INF-6 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","PN-4 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","28 patients","2 ","2","AMI-8A " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","98 patients","2 ","2","PN-2 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","HF-4 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","116 patients","2 ","2","SCIP-INF-4 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","139 patients","2 ","2","HF-3 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","359 patients","2 ","2","SCIP-INF-2 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","205 patients","2 ","2","SCIP-VTE-1 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","99 patients","2 ","2","PN-5C " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","336 patients","2 ","2","SCIP-INF-3 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","96 patients","2 ","2","PN-3B " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","532 patients","2 ","2","SCIP-INF-6 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","163 patients","2 ","2","AMI-4 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","240 patients","2 ","2","HF-1 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","77 patients","2 ","2","PN-6 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","114 patients","2 ","2","AMI-3 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","351 patients","2 ","2","AMI-5 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","180 patients","2 ","2","AMI-1 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","350 patients","2 ","2","SCIP-INF-1 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","371 patients","2 ","2","AMI-2 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","93 patients","2 ","2","SCIP-CARD-2 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","282 patients","2 ","2","HF-2 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","204 patients","2 ","2","SCIP-VTE-2 " "330393","UNIVERSITY HOSPITAL ( STONY BROOK )","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","60 patients","2 ","2","PN-7 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","829 patients",,,"SCIP-INF-3 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","242 patients",,,"SCIP-INF-4 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","444 patients",,,"AMI-5 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","884 patients",,,"SCIP-INF-2 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","247 patients",,,"PN-7 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","516 patients",,,"SCIP-VTE-1 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","869 patients",,,"SCIP-INF-1 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1408 patients",,,"SCIP-INF-6 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","515 patients",,,"SCIP-VTE-2 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","368 patients",,,"PN-2 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","125 patients",,,"AMI-3 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","438 patients",,,"HF-1 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","137 patients",,,"PN-4 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","383 patients",,,"PN-3B " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","171 patients",,,"AMI-4 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","184 patients",,,"HF-3 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","203 patients",,,"SCIP-CARD-2 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","549 patients",,,"HF-2 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","212 patients",,,"PN-6 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","371 patients",,,"PN-5C " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","70 patients",,,"AMI-8A " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","449 patients",,,"AMI-2 " "330394","UNITED HEALTH SERVICES HOSPITALS, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","333 patients",,,"AMI-1 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1 ","1","SCIP-CARD-2 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","44 patients",,,"SCIP-INF-3 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","51 patients",,,"SCIP-INF-2 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","122 patients","2 ","2","PN-2 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","121 patients",,,"SCIP-INF-6 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","79 patients",,,"SCIP-VTE-1 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","88 patients","2 ","2","PN-7 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","82 patients",,,"HF-1 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","35 patients","2 ","2","PN-6 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","154 patients",,,"HF-2 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","138 patients","2 ","2","PN-3B " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","139 patients","2 ","2","PN-5C " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","51 patients",,,"SCIP-INF-1 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","79 patients",,,"SCIP-VTE-2 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","29 patients",,,"AMI-1 " "330395","ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","48 patients",,,"HF-3 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","93 patients","2 ","2","SCIP-INF-2 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","142 patients",,,"PN-7 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","131 patients","2 ","2","SCIP-VTE-2 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","287 patients",,,"PN-3B " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","93 patients","2 ","2","SCIP-INF-1 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","149 patients",,,"HF-4 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","88 patients","2 ","2","SCIP-INF-3 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","180 patients",,,"HF-3 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","328 patients",,,"HF-1 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","347 patients",,,"HF-2 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","160 patients",,,"PN-6 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","147 patients",,,"PN-4 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","131 patients","2 ","2","SCIP-VTE-1 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","263 patients",,,"PN-5C " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","209 patients","2 ","2","SCIP-INF-6 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","42 patients",,,"AMI-1 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","153 patients",,,"PN-2 " "330396","WOODHULL MEDICAL AND MENTAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1,2 ","12","SCIP-CARD-2 " "330397","INTERFAITH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","49 patients",,,"AMI-2 " "330397","INTERFAITH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "330397","INTERFAITH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "330397","INTERFAITH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","64%","176 patients",,,"PN-3B " "330397","INTERFAITH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","71 patients",,,"AMI-1 " "330397","INTERFAITH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","64 patients",,,"SCIP-VTE-2 " "330397","INTERFAITH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","43 patients",,,"SCIP-INF-2 " "330397","INTERFAITH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","58%","189 patients",,,"PN-5C " "330397","INTERFAITH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","75 patients",,,"PN-7 " "330397","INTERFAITH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","64 patients",,,"SCIP-VTE-1 " "330397","INTERFAITH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","88 patients",,,"PN-6 " "330397","INTERFAITH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","87 patients",,,"HF-4 " "330397","INTERFAITH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","43 patients",,,"SCIP-INF-1 " "330397","INTERFAITH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","191 patients",,,"HF-1 " "330397","INTERFAITH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","AMI-3 " "330397","INTERFAITH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","215 patients",,,"HF-2 " "330397","INTERFAITH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","87 patients",,,"PN-2 " "330397","INTERFAITH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","90 patients",,,"HF-3 " "330397","INTERFAITH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","71 patients",,,"PN-4 " "330397","INTERFAITH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330397","INTERFAITH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330397","INTERFAITH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","40 patients",,,"SCIP-INF-3 " "330397","INTERFAITH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","50 patients",,,"AMI-5 " "330397","INTERFAITH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","90 patients",,,"SCIP-INF-6 " "330397","INTERFAITH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1 ","1","SCIP-CARD-2 " "330399","ST BARNABAS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","138 patients",,,"PN-6 " "330399","ST BARNABAS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","38 patients",,,"AMI-2 " "330399","ST BARNABAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","129 patients","2 ","2","SCIP-VTE-2 " "330399","ST BARNABAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","100 patients","2 ","2","SCIP-INF-2 " "330399","ST BARNABAS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","370 patients",,,"HF-1 " "330399","ST BARNABAS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","393 patients",,,"HF-2 " "330399","ST BARNABAS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","37 patients",,,"AMI-5 " "330399","ST BARNABAS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","64 patients",,,"AMI-1 " "330399","ST BARNABAS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","21 patients","1,2 ","12","SCIP-CARD-2 " "330399","ST BARNABAS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","117 patients",,,"PN-2 " "330399","ST BARNABAS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","140 patients",,,"HF-4 " "330399","ST BARNABAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "330399","ST BARNABAS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "330399","ST BARNABAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","130 patients","2 ","2","SCIP-VTE-1 " "330399","ST BARNABAS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "330399","ST BARNABAS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","104 patients",,,"PN-7 " "330399","ST BARNABAS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","239 patients",,,"PN-5C " "330399","ST BARNABAS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "330399","ST BARNABAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","205 patients","2 ","2","SCIP-INF-6 " "330399","ST BARNABAS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","233 patients",,,"PN-3B " "330399","ST BARNABAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","94 patients","2 ","2","SCIP-INF-3 " "330399","ST BARNABAS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","189 patients",,,"HF-3 " "330399","ST BARNABAS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","107 patients",,,"PN-4 " "330399","ST BARNABAS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "330399","ST BARNABAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","101 patients","2 ","2","SCIP-INF-1 " "330401","ST CATHERINE OF SIENA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","246 patients","2 ","2","SCIP-VTE-2 " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","92 patients",,,"AMI-5 " "330401","ST CATHERINE OF SIENA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","277 patients",,,"PN-2 " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","78 patients",,,"HF-3 " "330401","ST CATHERINE OF SIENA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","201 patients",,,"PN-7 " "330401","ST CATHERINE OF SIENA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","141 patients",,,"AMI-1 " "330401","ST CATHERINE OF SIENA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","64 patients","2 ","2","SCIP-CARD-2 " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","78 patients",,,"AMI-2 " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","279 patients",,,"HF-1 " "330401","ST CATHERINE OF SIENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","249 patients","2 ","2","SCIP-INF-3 " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","450 patients",,,"HF-2 " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "330401","ST CATHERINE OF SIENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","75%","4 patients","1,2 ","12","SCIP-INF-4 " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","33 patients",,,"AMI-8A " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "330401","ST CATHERINE OF SIENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","464 patients","2 ","2","SCIP-INF-6 " "330401","ST CATHERINE OF SIENA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "330401","ST CATHERINE OF SIENA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","282 patients",,,"PN-5C " "330401","ST CATHERINE OF SIENA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","246 patients","2 ","2","SCIP-VTE-1 " "330401","ST CATHERINE OF SIENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","265 patients","2 ","2","SCIP-INF-2 " "330401","ST CATHERINE OF SIENA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "330401","ST CATHERINE OF SIENA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","113 patients",,,"PN-6 " "330401","ST CATHERINE OF SIENA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","262 patients","2 ","2","SCIP-INF-1 " "330403","MONROE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "330403","MONROE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "330403","MONROE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "330403","MONROE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "330403","MONROE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "330403","MONROE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "330403","MONROE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "330403","MONROE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "330403","MONROE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "330403","MONROE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "330403","MONROE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "330403","MONROE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "330403","MONROE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "330403","MONROE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "330403","MONROE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "330403","MONROE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "330403","MONROE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "330403","MONROE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330403","MONROE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330403","MONROE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "330403","MONROE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "330403","MONROE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","2,3 ","23","PN-2 " "330403","MONROE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "330403","MONROE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "330403","MONROE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "330404","WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "330405","HELEN HAYES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330405","HELEN HAYES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "330405","HELEN HAYES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "330405","HELEN HAYES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "330405","HELEN HAYES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "330405","HELEN HAYES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "330405","HELEN HAYES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "330405","HELEN HAYES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "330405","HELEN HAYES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "330405","HELEN HAYES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "330405","HELEN HAYES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330405","HELEN HAYES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "330405","HELEN HAYES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "330405","HELEN HAYES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "330405","HELEN HAYES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "330405","HELEN HAYES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "330405","HELEN HAYES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "330405","HELEN HAYES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "330405","HELEN HAYES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "330405","HELEN HAYES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "330405","HELEN HAYES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "330405","HELEN HAYES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "330405","HELEN HAYES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "330405","HELEN HAYES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "330405","HELEN HAYES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "330406","SUNNYVIEW HOSPITAL AND REHABILITATION CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","19 patients","1 ","1","HF-2 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","13 patients","1 ","1","PN-7 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","20 patients","1 ","1","PN-2 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","20 patients","1 ","1","PN-3B " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","12 patients","1 ","1","HF-1 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1,3 ","13","PN-5C " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "331302","ELIZABETHTOWN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","8 patients","1 ","1","PN-2 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1 ","1","PN-7 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1 ","1","PN-6 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1,3 ","13","HF-1 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","7 patients","1 ","1","PN-3B " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1 ","1","PN-5C " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","9 patients","1,3 ","13","HF-2 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "331304","MARGARETVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "331306","MOSES-LUDINGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "331306","MOSES-LUDINGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "331306","MOSES-LUDINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "331306","MOSES-LUDINGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "331306","MOSES-LUDINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "331306","MOSES-LUDINGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "331306","MOSES-LUDINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "331306","MOSES-LUDINGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "331306","MOSES-LUDINGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "331306","MOSES-LUDINGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "331306","MOSES-LUDINGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","15 patients","1 ","1","HF-1 " "331306","MOSES-LUDINGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients",,,"PN-5C " "331306","MOSES-LUDINGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "331306","MOSES-LUDINGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "331306","MOSES-LUDINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "331306","MOSES-LUDINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "331306","MOSES-LUDINGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "331306","MOSES-LUDINGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","18 patients","1 ","1","HF-2 " "331306","MOSES-LUDINGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","22 patients","1 ","1","PN-3B " "331306","MOSES-LUDINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "331306","MOSES-LUDINGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "331306","MOSES-LUDINGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","14 patients","1 ","1","PN-7 " "331306","MOSES-LUDINGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "331306","MOSES-LUDINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "331306","MOSES-LUDINGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","16 patients","1 ","1","PN-2 " "331309","RIVER HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","44%","16 patients","1,3 ","13","PN-2 " "331309","RIVER HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "331309","RIVER HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "331309","RIVER HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","17 patients","1,3 ","13","PN-6 " "331309","RIVER HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "331309","RIVER HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "331309","RIVER HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "331309","RIVER HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","24 patients","1,3 ","13","PN-5C " "331309","RIVER HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "331309","RIVER HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","14 patients","1,3 ","13","HF-2 " "331309","RIVER HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","20%","5 patients","1,3 ","13","PN-4 " "331309","RIVER HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "331309","RIVER HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","10 patients","1,3 ","13","PN-3B " "331309","RIVER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "331309","RIVER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "331309","RIVER HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "331309","RIVER HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "331309","RIVER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "331309","RIVER HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "331309","RIVER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "331309","RIVER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "331309","RIVER HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","13 patients","1 ","1","PN-7 " "331309","RIVER HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "331309","RIVER HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","8 patients","1,3 ","13","HF-1 " "331309","RIVER HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "331311","LITTLE FALLS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","56 patients",,,"PN-3B " "331311","LITTLE FALLS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","53 patients",,,"HF-2 " "331311","LITTLE FALLS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","60 patients",,,"PN-2 " "331311","LITTLE FALLS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "331311","LITTLE FALLS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1 ","1","PN-4 " "331311","LITTLE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "331311","LITTLE FALLS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "331311","LITTLE FALLS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "331311","LITTLE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1,3 ","13","SCIP-INF-2 " "331311","LITTLE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "331311","LITTLE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","43%","7 patients","1,3 ","13","SCIP-INF-1 " "331311","LITTLE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1,3 ","13","SCIP-INF-3 " "331311","LITTLE FALLS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "331311","LITTLE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","57%","7 patients","1,3 ","13","SCIP-INF-6 " "331311","LITTLE FALLS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "331311","LITTLE FALLS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","65 patients",,,"PN-5C " "331311","LITTLE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,3 ","13","SCIP-VTE-1 " "331311","LITTLE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1,3 ","13","SCIP-VTE-2 " "331311","LITTLE FALLS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "331311","LITTLE FALLS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "331311","LITTLE FALLS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","39 patients",,,"PN-6 " "331311","LITTLE FALLS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "331311","LITTLE FALLS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","38 patients",,,"PN-7 " "331311","LITTLE FALLS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "331311","LITTLE FALLS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","36 patients",,,"HF-1 " "331312","DELAWARE VALLEY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","44 patients",,,"HF-2 " "331312","DELAWARE VALLEY HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "331312","DELAWARE VALLEY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "331312","DELAWARE VALLEY HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","27 patients",,,"PN-5C " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","18 patients","1,3 ","13","HF-1 " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "331312","DELAWARE VALLEY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","11 patients","1 ","1","HF-3 " "331312","DELAWARE VALLEY HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "331312","DELAWARE VALLEY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "331312","DELAWARE VALLEY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "331312","DELAWARE VALLEY HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","20 patients","1 ","1","PN-2 " "331312","DELAWARE VALLEY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "331312","DELAWARE VALLEY HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "331312","DELAWARE VALLEY HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1,3 ","13","PN-7 " "331312","DELAWARE VALLEY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "331312","DELAWARE VALLEY HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,3 ","13","PN-4 " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "331312","DELAWARE VALLEY HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "331313","SCHUYLER HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","23 patients","1 ","1","HF-1 " "331313","SCHUYLER HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","32 patients",,,"PN-7 " "331313","SCHUYLER HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "331313","SCHUYLER HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","54 patients",,,"PN-5C " "331313","SCHUYLER HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "331313","SCHUYLER HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "331313","SCHUYLER HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","PN-4 " "331313","SCHUYLER HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "331313","SCHUYLER HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "331313","SCHUYLER HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "331313","SCHUYLER HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "331313","SCHUYLER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","48 patients",,,"SCIP-INF-6 " "331313","SCHUYLER HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "331313","SCHUYLER HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","47 patients",,,"PN-2 " "331313","SCHUYLER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "331313","SCHUYLER HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","53 patients",,,"PN-3B " "331313","SCHUYLER HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "331313","SCHUYLER HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","36 patients",,,"HF-2 " "331313","SCHUYLER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "331313","SCHUYLER HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "331313","SCHUYLER HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "331313","SCHUYLER HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "331313","SCHUYLER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "331313","SCHUYLER HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "331313","SCHUYLER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","50 patients",,,"HF-2 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","38 patients",,,"PN-5C " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","74%","31 patients",,,"PN-3B " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","26 patients",,,"PN-7 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","41 patients",,,"PN-2 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","36 patients",,,"HF-1 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","29 patients",,,"PN-6 " "331314","SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","439 patients",,,"AMI-5 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","944 patients","2 ","2","SCIP-INF-3 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1213 patients","2 ","2","SCIP-INF-6 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","771 patients",,,"HF-2 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-1 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","980 patients","2 ","2","SCIP-INF-1 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","230 patients",,,"HF-3 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","74 patients",,,"AMI-8A " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","558 patients",,,"PN-3B " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","56%","9 patients","1 ","1","CAC-3 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","490 patients",,,"PN-2 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","674 patients",,,"HF-1 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","186 patients",,,"AMI-4 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","558 patients","2 ","2","SCIP-VTE-2 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","175 patients",,,"HF-4 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","552 patients",,,"PN-5C " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","108 patients",,,"AMI-3 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","200 patients","2 ","2","SCIP-CARD-2 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","379 patients",,,"PN-7 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","984 patients","2 ","2","SCIP-INF-2 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","213 patients",,,"PN-4 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","558 patients","2 ","2","SCIP-VTE-1 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","445 patients",,,"AMI-2 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","400 patients",,,"AMI-1 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","89%","9 patients","1 ","1","CAC-2 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","190 patients","2 ","2","SCIP-INF-4 " "340001","CAROLINAS MEDICAL CENTER-NORTHEAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","393 patients",,,"PN-6 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","387 patients","2 ","2","AMI-1 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","176 patients","2 ","2","HF-3 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","80 patients","2 ","2","AMI-8A " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","368 patients","2 ","2","PN-2 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1381 patients","2 ","2","SCIP-INF-3 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","29 patients",,,"CAC-1 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","277 patients","2 ","2","PN-7 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","218 patients","2 ","2","PN-3B " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","513 patients","2 ","2","HF-2 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","0%","29 patients",,,"CAC-3 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","233 patients","2 ","2","PN-5C " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","413 patients","2 ","2","SCIP-CARD-2 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","224 patients","2 ","2","PN-4 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1440 patients","2 ","2","SCIP-INF-1 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","550 patients","2 ","2","SCIP-VTE-1 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","29 patients",,,"CAC-2 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","170 patients","2 ","2","AMI-3 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","675 patients","2 ","2","AMI-2 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","83 patients","2 ","2","HF-4 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","425 patients","2 ","2","HF-1 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","377 patients","2 ","2","SCIP-INF-4 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1881 patients","2 ","2","SCIP-INF-6 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","706 patients","2 ","2","AMI-5 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","549 patients","2 ","2","SCIP-VTE-2 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1457 patients","2 ","2","SCIP-INF-2 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","287 patients","2 ","2","AMI-4 " "340002","MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","129 patients","2 ","2","PN-6 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","36 patients",,,"HF-3 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","148 patients",,,"HF-2 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","66 patients",,,"SCIP-CARD-2 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","124 patients",,,"PN-3B " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","191 patients",,,"PN-5C " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","90 patients",,,"PN-6 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","26 patients",,,"AMI-2 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","HF-4 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","146 patients",,,"PN-7 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","234 patients",,,"SCIP-INF-2 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","115 patients",,,"HF-1 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","344 patients",,,"SCIP-INF-6 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","233 patients",,,"SCIP-INF-1 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","222 patients",,,"SCIP-INF-3 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","132 patients",,,"SCIP-VTE-2 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","211 patients",,,"PN-2 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","32 patients",,,"AMI-1 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","132 patients",,,"SCIP-VTE-1 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","66 patients",,,"PN-4 " "340003","NORTHERN HOSPITAL OF SURRY COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "340004","HIGH POINT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","98 patients","2 ","2","SCIP-INF-4 " "340004","HIGH POINT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","173 patients","2 ","2","SCIP-VTE-1 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340004","HIGH POINT REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","463 patients",,,"PN-5C " "340004","HIGH POINT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","354 patients","2 ","2","SCIP-INF-2 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","235 patients",,,"AMI-4 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","80 patients",,,"AMI-8A " "340004","HIGH POINT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","173 patients","2 ","2","SCIP-VTE-2 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","340 patients",,,"AMI-1 " "340004","HIGH POINT REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","400 patients",,,"PN-3B " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","319 patients",,,"HF-1 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","487 patients",,,"AMI-2 " "340004","HIGH POINT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","507 patients","2 ","2","SCIP-INF-6 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","395 patients",,,"HF-2 " "340004","HIGH POINT REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","183 patients",,,"PN-4 " "340004","HIGH POINT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","85 patients","2 ","2","SCIP-CARD-2 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","139 patients",,,"HF-3 " "340004","HIGH POINT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","343 patients","2 ","2","SCIP-INF-1 " "340004","HIGH POINT REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","293 patients",,,"PN-7 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","95 patients",,,"AMI-3 " "340004","HIGH POINT REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","493 patients",,,"AMI-5 " "340004","HIGH POINT REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","224 patients",,,"PN-6 " "340004","HIGH POINT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","319 patients","2 ","2","SCIP-INF-3 " "340004","HIGH POINT REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","376 patients",,,"PN-2 " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","89 patients",,,"HF-3 " "340008","SCOTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","56 patients",,,"SCIP-CARD-2 " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","296 patients",,,"HF-1 " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","30 patients",,,"AMI-2 " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","AMI-3 " "340008","SCOTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","226 patients",,,"SCIP-INF-1 " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","325 patients",,,"HF-2 " "340008","SCOTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","220 patients",,,"SCIP-INF-3 " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340008","SCOTLAND MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"PN-4 " "340008","SCOTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","233 patients",,,"SCIP-VTE-2 " "340008","SCOTLAND MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","115 patients",,,"PN-3B " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"HF-4 " "340008","SCOTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","349 patients",,,"SCIP-INF-6 " "340008","SCOTLAND MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","75 patients",,,"PN-2 " "340008","SCOTLAND MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","115 patients",,,"PN-5C " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","65 patients",,,"AMI-1 " "340008","SCOTLAND MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","62 patients",,,"PN-7 " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","34 patients",,,"AMI-5 " "340008","SCOTLAND MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","79 patients",,,"PN-6 " "340008","SCOTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340008","SCOTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","233 patients",,,"SCIP-VTE-1 " "340008","SCOTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340008","SCOTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","226 patients",,,"SCIP-INF-2 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"HF-4 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","442 patients",,,"HF-2 " "340010","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","215 patients","2 ","2","SCIP-INF-2 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","352 patients",,,"HF-1 " "340010","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","180 patients","2 ","2","SCIP-VTE-2 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","40 patients",,,"AMI-1 " "340010","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","186 patients",,,"PN-2 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340010","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","143 patients",,,"PN-7 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","164 patients",,,"HF-3 " "340010","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","180 patients","2 ","2","SCIP-VTE-1 " "340010","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","40 patients","2 ","2","SCIP-CARD-2 " "340010","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","111 patients",,,"PN-6 " "340010","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","344 patients","2 ","2","SCIP-INF-6 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "340010","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","75 patients",,,"PN-4 " "340010","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","95 patients","3 ","3","PN-5C " "340010","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "340010","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","97 patients",,,"PN-3B " "340010","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340010","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","203 patients","2 ","2","SCIP-INF-3 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340010","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","215 patients","2 ","2","SCIP-INF-1 " "340010","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","64 patients",,,"SCIP-VTE-2 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","113 patients",,,"PN-2 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","6 patients","1 ","1","AMI-5 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1 ","1","SCIP-CARD-2 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","99 patients",,,"PN-6 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","69%","35 patients",,,"PN-4 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","64 patients",,,"SCIP-VTE-1 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1 ","1","HF-4 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","19 patients","1 ","1","HF-3 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","109 patients",,,"PN-3B " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","73%","11 patients","1 ","1","AMI-1 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","57 patients",,,"HF-1 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","81 patients",,,"PN-7 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","93 patients",,,"SCIP-INF-3 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","127 patients",,,"PN-5C " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","95 patients",,,"SCIP-INF-1 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","95 patients",,,"SCIP-INF-2 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","125 patients",,,"SCIP-INF-6 " "340011","SPRUCE PINE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","73 patients",,,"HF-2 " "340013","RUTHERFORD HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "340013","RUTHERFORD HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "340013","RUTHERFORD HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","168 patients",,,"PN-2 " "340013","RUTHERFORD HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "340013","RUTHERFORD HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","27 patients",,,"SCIP-CARD-2 " "340013","RUTHERFORD HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","42 patients",,,"AMI-1 " "340013","RUTHERFORD HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","43 patients",,,"HF-3 " "340013","RUTHERFORD HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340013","RUTHERFORD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","276 patients",,,"SCIP-INF-2 " "340013","RUTHERFORD HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "340013","RUTHERFORD HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340013","RUTHERFORD HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","165 patients",,,"PN-5C " "340013","RUTHERFORD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","399 patients",,,"SCIP-INF-6 " "340013","RUTHERFORD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","264 patients",,,"SCIP-INF-3 " "340013","RUTHERFORD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340013","RUTHERFORD HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","175 patients",,,"PN-3B " "340013","RUTHERFORD HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","121 patients",,,"HF-1 " "340013","RUTHERFORD HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","180 patients",,,"SCIP-VTE-2 " "340013","RUTHERFORD HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "340013","RUTHERFORD HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","105 patients",,,"PN-7 " "340013","RUTHERFORD HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "340013","RUTHERFORD HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","180 patients",,,"SCIP-VTE-1 " "340013","RUTHERFORD HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","120 patients",,,"PN-6 " "340013","RUTHERFORD HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","145 patients",,,"HF-2 " "340013","RUTHERFORD HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","274 patients",,,"SCIP-INF-1 " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","235 patients",,,"HF-3 " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","180 patients",,,"HF-4 " "340014","FORSYTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","1852 patients","2 ","2","SCIP-INF-3 " "340014","FORSYTH MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","447 patients",,,"PN-6 " "340014","FORSYTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","2007 patients","2 ","2","SCIP-INF-1 " "340014","FORSYTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2751 patients","2 ","2","SCIP-INF-6 " "340014","FORSYTH MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","572 patients",,,"PN-7 " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","101 patients",,,"AMI-3 " "340014","FORSYTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","1086 patients","2 ","2","SCIP-VTE-2 " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","507 patients",,,"AMI-1 " "340014","FORSYTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","447 patients","2 ","2","SCIP-CARD-2 " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","128 patients",,,"AMI-8A " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","921 patients",,,"HF-2 " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","548 patients",,,"AMI-5 " "340014","FORSYTH MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","342 patients",,,"PN-4 " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","604 patients",,,"AMI-2 " "340014","FORSYTH MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","736 patients",,,"PN-2 " "340014","FORSYTH MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","778 patients",,,"PN-3B " "340014","FORSYTH MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","703 patients",,,"PN-5C " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","303 patients",,,"AMI-4 " "340014","FORSYTH MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","822 patients",,,"HF-1 " "340014","FORSYTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","1086 patients","2 ","2","SCIP-VTE-1 " "340014","FORSYTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","2029 patients","2 ","2","SCIP-INF-2 " "340014","FORSYTH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","487 patients","2 ","2","SCIP-INF-4 " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","114 patients",,,"AMI-1 " "340015","ROWAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","668 patients","2 ","2","SCIP-INF-2 " "340015","ROWAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","362 patients","2 ","2","SCIP-VTE-1 " "340015","ROWAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","620 patients","2 ","2","SCIP-INF-3 " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","71 patients",,,"HF-3 " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "340015","ROWAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","857 patients","2 ","2","SCIP-INF-6 " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","85 patients",,,"AMI-5 " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","84 patients",,,"AMI-2 " "340015","ROWAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "340015","ROWAN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","5 patients","1 ","1","CAC-2 " "340015","ROWAN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","212 patients",,,"PN-7 " "340015","ROWAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","112 patients","2 ","2","SCIP-CARD-2 " "340015","ROWAN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","340 patients",,,"PN-5C " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","173 patients",,,"HF-1 " "340015","ROWAN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","60%","5 patients","1 ","1","CAC-3 " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "340015","ROWAN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","135 patients",,,"PN-4 " "340015","ROWAN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","279 patients",,,"PN-3B " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","226 patients",,,"HF-2 " "340015","ROWAN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","5 patients","1 ","1","CAC-1 " "340015","ROWAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "340015","ROWAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","667 patients","2 ","2","SCIP-INF-1 " "340015","ROWAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","361 patients","2 ","2","SCIP-VTE-2 " "340015","ROWAN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","304 patients",,,"PN-2 " "340015","ROWAN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","188 patients",,,"PN-6 " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","97 patients",,,"HF-2 " "340016","HARRIS REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","172 patients","2 ","2","SCIP-INF-1 " "340016","HARRIS REGIONAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","163 patients",,,"PN-6 " "340016","HARRIS REGIONAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","197 patients",,,"PN-2 " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "340016","HARRIS REGIONAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","148 patients",,,"PN-3B " "340016","HARRIS REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","134 patients","2 ","2","SCIP-VTE-2 " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","36 patients",,,"HF-3 " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "340016","HARRIS REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","134 patients","2 ","2","SCIP-VTE-1 " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "340016","HARRIS REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","172 patients","2 ","2","SCIP-INF-2 " "340016","HARRIS REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","156 patients","2 ","2","SCIP-INF-3 " "340016","HARRIS REGIONAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"PN-4 " "340016","HARRIS REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","213 patients","2 ","2","SCIP-INF-6 " "340016","HARRIS REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340016","HARRIS REGIONAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","168 patients",,,"PN-5C " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","17 patients","1 ","1","AMI-1 " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","81 patients",,,"HF-1 " "340016","HARRIS REGIONAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","157 patients",,,"PN-7 " "340016","HARRIS REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","28 patients","2 ","2","SCIP-CARD-2 " "340016","HARRIS REGIONAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","34 patients",,,"AMI-5 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","64 patients",,,"AMI-1 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","197 patients",,,"PN-3B " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","265 patients","2 ","2","SCIP-INF-2 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","135 patients",,,"PN-7 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","108 patients",,,"HF-1 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","132 patients",,,"HF-2 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","190 patients",,,"PN-5C " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","238 patients","2 ","2","SCIP-VTE-2 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","265 patients","2 ","2","SCIP-INF-1 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","41 patients",,,"HF-3 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","256 patients","2 ","2","SCIP-INF-3 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","37 patients","2 ","2","SCIP-CARD-2 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","400 patients","2 ","2","SCIP-INF-6 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","130 patients",,,"PN-6 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","193 patients",,,"PN-2 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","31 patients",,,"AMI-2 " "340017","MARGARET R PARDEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","238 patients","2 ","2","SCIP-VTE-1 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","13 patients","1 ","1","AMI-5 " "340020","CENTRAL CAROLINA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","144 patients",,,"PN-5C " "340020","CENTRAL CAROLINA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","217 patients",,,"HF-1 " "340020","CENTRAL CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "340020","CENTRAL CAROLINA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","117 patients",,,"PN-2 " "340020","CENTRAL CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","131 patients","2 ","2","SCIP-VTE-1 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "340020","CENTRAL CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1,2 ","12","SCIP-CARD-2 " "340020","CENTRAL CAROLINA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340020","CENTRAL CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","131 patients","2 ","2","SCIP-VTE-2 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","242 patients",,,"HF-2 " "340020","CENTRAL CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","218 patients","2 ","2","SCIP-INF-6 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","44 patients",,,"AMI-1 " "340020","CENTRAL CAROLINA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","85 patients",,,"PN-7 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "340020","CENTRAL CAROLINA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","145 patients",,,"PN-3B " "340020","CENTRAL CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","116 patients","2 ","2","SCIP-INF-2 " "340020","CENTRAL CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","114 patients","2 ","2","SCIP-INF-1 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","88 patients",,,"HF-3 " "340020","CENTRAL CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","105 patients","2 ","2","SCIP-INF-3 " "340020","CENTRAL CAROLINA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","123 patients",,,"PN-6 " "340020","CENTRAL CAROLINA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","76 patients","2 ","2","SCIP-CARD-2 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","198 patients",,,"PN-2 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","59 patients",,,"AMI-1 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","300 patients",,,"HF-2 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","410 patients","2 ","2","SCIP-INF-1 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","413 patients","2 ","2","SCIP-INF-2 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","34 patients",,,"AMI-2 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","246 patients",,,"HF-1 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","AMI-3 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","398 patients","2 ","2","SCIP-INF-3 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","230 patients","2 ","2","SCIP-VTE-2 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"PN-4 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","209 patients",,,"PN-3B " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","230 patients","2 ","2","SCIP-VTE-1 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","38 patients",,,"AMI-5 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"HF-4 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","104 patients",,,"HF-3 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","151 patients",,,"PN-6 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","556 patients","2 ","2","SCIP-INF-6 " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","194 patients",,,"PN-5C " "340021","CLEVELAND REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","126 patients",,,"PN-7 " "340023","PARK RIDGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "340023","PARK RIDGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "340023","PARK RIDGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","36 patients",,,"HF-1 " "340023","PARK RIDGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "340023","PARK RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","290 patients",,,"SCIP-INF-6 " "340023","PARK RIDGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340023","PARK RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","157 patients",,,"SCIP-VTE-1 " "340023","PARK RIDGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","77 patients",,,"PN-2 " "340023","PARK RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","188 patients",,,"SCIP-INF-1 " "340023","PARK RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","157 patients",,,"SCIP-VTE-2 " "340023","PARK RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","23 patients","1 ","1","SCIP-CARD-2 " "340023","PARK RIDGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","66 patients",,,"PN-6 " "340023","PARK RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340023","PARK RIDGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "340023","PARK RIDGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340023","PARK RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","172 patients",,,"SCIP-INF-3 " "340023","PARK RIDGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "340023","PARK RIDGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "340023","PARK RIDGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "340023","PARK RIDGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","25 patients",,,"AMI-1 " "340023","PARK RIDGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","50 patients",,,"HF-2 " "340023","PARK RIDGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","85 patients",,,"PN-3B " "340023","PARK RIDGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","188 patients",,,"SCIP-INF-2 " "340023","PARK RIDGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","94 patients",,,"PN-5C " "340023","PARK RIDGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","48 patients",,,"PN-7 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","151 patients",,,"HF-1 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"PN-4 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","59 patients",,,"HF-3 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","156 patients",,,"SCIP-INF-6 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","190 patients",,,"HF-2 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","87 patients",,,"SCIP-VTE-1 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","AMI-3 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","106 patients",,,"PN-7 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","95 patients",,,"PN-6 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","145 patients",,,"PN-3B " "340024","SAMPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","87 patients",,,"SCIP-VTE-2 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","127 patients",,,"PN-2 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","96 patients",,,"SCIP-INF-2 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","96 patients",,,"SCIP-INF-1 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","13 patients","1 ","1","AMI-1 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","90 patients",,,"SCIP-INF-3 " "340024","SAMPSON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","136 patients",,,"PN-5C " "340024","SAMPSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","18 patients","1 ","1","SCIP-CARD-2 " "340027","LENOIR MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","246 patients",,,"PN-2 " "340027","LENOIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","291 patients","2 ","2","SCIP-INF-2 " "340027","LENOIR MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","79%","77 patients",,,"AMI-2 " "340027","LENOIR MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","122 patients",,,"HF-3 " "340027","LENOIR MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","AMI-4 " "340027","LENOIR MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","91 patients",,,"AMI-5 " "340027","LENOIR MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","429 patients",,,"HF-2 " "340027","LENOIR MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","188 patients",,,"PN-7 " "340027","LENOIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","283 patients","2 ","2","SCIP-INF-3 " "340027","LENOIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","449 patients","2 ","2","SCIP-INF-6 " "340027","LENOIR MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","98 patients",,,"PN-4 " "340027","LENOIR MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","262 patients",,,"PN-5C " "340027","LENOIR MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "340027","LENOIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","291 patients","2 ","2","SCIP-INF-1 " "340027","LENOIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","223 patients","2 ","2","SCIP-VTE-1 " "340027","LENOIR MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","119 patients",,,"AMI-1 " "340027","LENOIR MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","180 patients",,,"PN-3B " "340027","LENOIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340027","LENOIR MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340027","LENOIR MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","351 patients",,,"HF-1 " "340027","LENOIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","26%","50 patients",,,"SCIP-CARD-2 " "340027","LENOIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","205 patients","2 ","2","SCIP-VTE-2 " "340027","LENOIR MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","169 patients",,,"PN-6 " "340027","LENOIR MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "340027","LENOIR MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","484 patients",,,"AMI-2 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","462 patients",,,"AMI-1 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","433 patients","2 ","2","SCIP-INF-1 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","66 patients",,,"AMI-8A " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","486 patients",,,"AMI-5 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","165 patients","2 ","2","SCIP-VTE-1 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","225 patients",,,"PN-4 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","359 patients",,,"HF-3 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","541 patients",,,"PN-5C " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","84 patients","2 ","2","SCIP-CARD-2 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","346 patients",,,"PN-7 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","444 patients","2 ","2","SCIP-INF-2 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","1023 patients",,,"HF-2 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","102 patients","2 ","2","SCIP-INF-4 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","211 patients",,,"AMI-4 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","97 patients",,,"AMI-3 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","235 patients",,,"HF-4 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","874 patients",,,"HF-1 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","574 patients",,,"PN-3B " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","604 patients","2 ","2","SCIP-INF-6 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","164 patients","2 ","2","SCIP-VTE-2 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","415 patients","2 ","2","SCIP-INF-3 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","431 patients",,,"PN-2 " "340028","CAPE FEAR VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","362 patients",,,"PN-6 " "340030","DUKE UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","486 patients",,,"AMI-5 " "340030","DUKE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","110 patients","2 ","2","SCIP-INF-4 " "340030","DUKE UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","431 patients",,,"HF-3 " "340030","DUKE UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","204 patients",,,"PN-2 " "340030","DUKE UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","236 patients",,,"AMI-4 " "340030","DUKE UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","786 patients",,,"HF-1 " "340030","DUKE UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","160 patients",,,"HF-4 " "340030","DUKE UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"PN-4 " "340030","DUKE UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","92 patients",,,"PN-6 " "340030","DUKE UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","181 patients",,,"PN-7 " "340030","DUKE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","402 patients","2 ","2","SCIP-INF-2 " "340030","DUKE UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","76 patients",,,"AMI-8A " "340030","DUKE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","89 patients","2 ","2","SCIP-CARD-2 " "340030","DUKE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","360 patients","2 ","2","SCIP-INF-3 " "340030","DUKE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","250 patients","2 ","2","SCIP-VTE-1 " "340030","DUKE UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "340030","DUKE UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","90 patients",,,"AMI-3 " "340030","DUKE UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","226 patients",,,"PN-5C " "340030","DUKE UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","555 patients",,,"AMI-2 " "340030","DUKE UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","239 patients",,,"PN-3B " "340030","DUKE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","250 patients","2 ","2","SCIP-VTE-2 " "340030","DUKE UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","324 patients",,,"AMI-1 " "340030","DUKE UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","887 patients",,,"HF-2 " "340030","DUKE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","636 patients","2 ","2","SCIP-INF-6 " "340030","DUKE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","391 patients","2 ","2","SCIP-INF-1 " "340032","GASTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","592 patients",,,"HF-2 " "340032","GASTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","198 patients",,,"SCIP-CARD-2 " "340032","GASTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340032","GASTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","189 patients",,,"HF-3 " "340032","GASTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","80 patients",,,"AMI-8A " "340032","GASTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","801 patients",,,"PN-3B " "340032","GASTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","453 patients",,,"AMI-1 " "340032","GASTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","421 patients",,,"AMI-2 " "340032","GASTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","85 patients",,,"AMI-3 " "340032","GASTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","369 patients",,,"PN-4 " "340032","GASTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","122 patients",,,"SCIP-INF-4 " "340032","GASTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","357 patients",,,"AMI-5 " "340032","GASTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","611 patients",,,"PN-2 " "340032","GASTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","182 patients",,,"AMI-4 " "340032","GASTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","115 patients",,,"HF-4 " "340032","GASTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","522 patients",,,"HF-1 " "340032","GASTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1436 patients",,,"SCIP-INF-6 " "340032","GASTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","507 patients",,,"PN-7 " "340032","GASTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","859 patients",,,"SCIP-INF-3 " "340032","GASTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","949 patients",,,"SCIP-INF-2 " "340032","GASTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","942 patients",,,"SCIP-INF-1 " "340032","GASTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","353 patients",,,"PN-6 " "340032","GASTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","526 patients",,,"SCIP-VTE-1 " "340032","GASTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","666 patients",,,"PN-5C " "340032","GASTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","526 patients",,,"SCIP-VTE-2 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","48 patients",,,"AMI-5 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","28 patients",,,"SCIP-VTE-1 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","40 patients",,,"PN-7 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","48 patients",,,"SCIP-INF-1 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","88 patients",,,"PN-5C " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","57 patients",,,"HF-3 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","48 patients",,,"SCIP-INF-2 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","44 patients",,,"AMI-2 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","61 patients",,,"PN-2 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","47 patients",,,"SCIP-INF-3 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","78 patients",,,"PN-6 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","127 patients",,,"HF-1 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","135 patients",,,"HF-2 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","68 patients",,,"PN-3B " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","76 patients",,,"SCIP-INF-6 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","71 patients",,,"AMI-1 " "340035","FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","28 patients",,,"SCIP-VTE-2 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","24 patients","1,2 ","12","SCIP-VTE-1 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","18 patients","1,2 ","12","SCIP-INF-1 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","91 patients",,,"HF-2 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","40 patients",,,"PN-6 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","18 patients","1,2 ","12","SCIP-INF-2 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","76 patients",,,"HF-1 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","49 patients",,,"PN-7 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","30 patients","2 ","2","SCIP-INF-6 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","32 patients",,,"PN-4 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","72 patients",,,"PN-2 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","18 patients","1,2 ","12","SCIP-INF-3 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","24 patients","1,2 ","12","SCIP-VTE-2 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","86 patients",,,"PN-5C " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","93 patients",,,"PN-3B " "340036","FRANKLIN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","38 patients",,,"HF-2 " "340037","KINGS MOUNTAIN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340037","KINGS MOUNTAIN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-2 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "340037","KINGS MOUNTAIN HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","56 patients",,,"PN-6 " "340037","KINGS MOUNTAIN HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","51 patients",,,"PN-2 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "340037","KINGS MOUNTAIN HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","69%","13 patients","1 ","1","SCIP-VTE-1 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "340037","KINGS MOUNTAIN HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","13 patients","1 ","1","SCIP-VTE-2 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "340037","KINGS MOUNTAIN HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","70 patients",,,"PN-3B " "340037","KINGS MOUNTAIN HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","54 patients",,,"PN-7 " "340037","KINGS MOUNTAIN HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","82 patients",,,"PN-5C " "340037","KINGS MOUNTAIN HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "340037","KINGS MOUNTAIN HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "340037","KINGS MOUNTAIN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","14 patients","1 ","1","SCIP-INF-6 " "340037","KINGS MOUNTAIN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "340037","KINGS MOUNTAIN HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1 ","1","SCIP-INF-1 " "340037","KINGS MOUNTAIN HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","31 patients",,,"HF-1 " "340038","BEAUFORT COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","47 patients",,,"PN-6 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","AMI-4 " "340038","BEAUFORT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","134 patients",,,"SCIP-VTE-1 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340038","BEAUFORT COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","54 patients",,,"PN-5C " "340038","BEAUFORT COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","20 patients","1 ","1","AMI-1 " "340038","BEAUFORT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","20 patients","1 ","1","SCIP-CARD-2 " "340038","BEAUFORT COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","51 patients",,,"PN-7 " "340038","BEAUFORT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","279 patients",,,"SCIP-INF-6 " "340038","BEAUFORT COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "340038","BEAUFORT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","151 patients",,,"SCIP-INF-3 " "340038","BEAUFORT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","158 patients",,,"SCIP-INF-1 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","108 patients",,,"HF-2 " "340038","BEAUFORT COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","57 patients",,,"PN-3B " "340038","BEAUFORT COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","59 patients",,,"PN-2 " "340038","BEAUFORT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","158 patients",,,"SCIP-INF-2 " "340038","BEAUFORT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","30 patients",,,"HF-3 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","17 patients","1 ","1","AMI-2 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","101 patients",,,"HF-1 " "340038","BEAUFORT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","134 patients",,,"SCIP-VTE-2 " "340038","BEAUFORT COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","62 patients",,,"AMI-5 " "340039","IREDELL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","226 patients","2 ","2","SCIP-INF-2 " "340039","IREDELL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","301 patients","2 ","2","SCIP-INF-6 " "340039","IREDELL MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"PN-4 " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","93 patients",,,"AMI-1 " "340039","IREDELL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","226 patients","2 ","2","SCIP-INF-1 " "340039","IREDELL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","180 patients","2 ","2","SCIP-VTE-2 " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","14 patients","1 ","1","AMI-3 " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","307 patients",,,"HF-2 " "340039","IREDELL MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","240 patients",,,"PN-2 " "340039","IREDELL MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","249 patients",,,"PN-5C " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","83 patients",,,"HF-3 " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","67 patients",,,"AMI-2 " "340039","IREDELL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","35 patients","2 ","2","SCIP-CARD-2 " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"HF-4 " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340039","IREDELL MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","166 patients",,,"PN-6 " "340039","IREDELL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","222 patients","2 ","2","SCIP-INF-3 " "340039","IREDELL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","181 patients","2 ","2","SCIP-VTE-1 " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","267 patients",,,"HF-1 " "340039","IREDELL MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340039","IREDELL MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","6 patients","1 ","1","AMI-8A " "340039","IREDELL MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","192 patients",,,"PN-7 " "340039","IREDELL MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","205 patients",,,"PN-3B " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","464 patients","2 ","2","HF-3 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","356 patients",,,"AMI-1 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","615 patients","2 ","2","SCIP-CARD-2 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","37 patients",,,"AMI-8A " "340040","PITT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","681 patients","2 ","2","SCIP-INF-4 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1152 patients",,,"AMI-5 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","227 patients","2 ","2","HF-4 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","260 patients",,,"AMI-3 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","221 patients","2 ","2","PN-4 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","2504 patients","2 ","2","SCIP-INF-6 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","646 patients","2 ","2","SCIP-VTE-2 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","172 patients","2 ","2","PN-6 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","529 patients",,,"AMI-4 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1586 patients","2 ","2","SCIP-INF-1 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","948 patients","2 ","2","HF-2 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","350 patients","2 ","2","PN-2 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","314 patients","2 ","2","PN-3B " "340040","PITT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","300 patients","2 ","2","PN-7 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","646 patients","2 ","2","SCIP-VTE-1 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","1128 patients",,,"AMI-2 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","860 patients","2 ","2","HF-1 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","1481 patients","2 ","2","SCIP-INF-3 " "340040","PITT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","282 patients","2 ","2","PN-5C " "340040","PITT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1607 patients","2 ","2","SCIP-INF-2 " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "340041","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","135 patients",,,"SCIP-VTE-1 " "340041","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","99 patients",,,"PN-7 " "340041","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","149 patients",,,"PN-5C " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","99 patients",,,"HF-1 " "340041","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","72 patients",,,"PN-4 " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340041","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","95 patients",,,"PN-6 " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","38 patients",,,"HF-3 " "340041","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","33 patients",,,"SCIP-CARD-2 " "340041","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","213 patients",,,"SCIP-INF-2 " "340041","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","190 patients",,,"SCIP-INF-3 " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","27 patients",,,"AMI-1 " "340041","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","135 patients",,,"SCIP-VTE-2 " "340041","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","312 patients",,,"SCIP-INF-6 " "340041","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "340041","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","146 patients",,,"PN-3B " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","108 patients",,,"HF-2 " "340041","CALDWELL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","136 patients",,,"PN-2 " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","AMI-3 " "340041","CALDWELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","215 patients",,,"SCIP-INF-1 " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "340041","CALDWELL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340042","ONSLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","163 patients",,,"SCIP-INF-1 " "340042","ONSLOW MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","149 patients",,,"PN-3B " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "340042","ONSLOW MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","119 patients",,,"PN-7 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","49 patients",,,"AMI-1 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","193 patients",,,"HF-1 " "340042","ONSLOW MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","170 patients",,,"PN-5C " "340042","ONSLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","263 patients",,,"SCIP-INF-6 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340042","ONSLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","134 patients",,,"SCIP-VTE-1 " "340042","ONSLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340042","ONSLOW MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","161 patients",,,"PN-2 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340042","ONSLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","134 patients",,,"SCIP-VTE-2 " "340042","ONSLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","28 patients",,,"SCIP-CARD-2 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","222 patients",,,"HF-2 " "340042","ONSLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","164 patients",,,"SCIP-INF-2 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "340042","ONSLOW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","157 patients",,,"SCIP-INF-3 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","37 patients",,,"AMI-5 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","72 patients",,,"HF-3 " "340042","ONSLOW MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","82 patients",,,"PN-4 " "340042","ONSLOW MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","112 patients",,,"PN-6 " "340042","ONSLOW MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","34 patients",,,"AMI-2 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","720 patients","2 ","2","HF-2 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","402 patients","2 ","2","SCIP-INF-2 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","223 patients","2 ","2","AMI-4 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","393 patients","2 ","2","SCIP-INF-1 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","476 patients","2 ","2","AMI-2 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","109 patients","2 ","2","SCIP-INF-4 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","199 patients","2 ","2","HF-4 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","303 patients","2 ","2","HF-3 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","363 patients","2 ","2","PN-5C " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","58 patients","2 ","2","AMI-8A " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","191 patients","2 ","2","PN-4 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","270 patients","2 ","2","SCIP-VTE-2 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","211 patients","2 ","2","AMI-1 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","34%","50 patients","2 ","2","CAC-3 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","122 patients","2 ","2","AMI-3 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","100 patients","2 ","2","SCIP-CARD-2 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","270 patients","2 ","2","SCIP-VTE-1 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","399 patients","2 ","2","PN-3B " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","48 patients","2 ","2","CAC-2 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","633 patients","2 ","2","SCIP-INF-6 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","150 patients","2 ","2","PN-6 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","467 patients","2 ","2","AMI-5 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","281 patients","2 ","2","PN-7 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","376 patients","2 ","2","SCIP-INF-3 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","307 patients","2 ","2","PN-2 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","676 patients","2 ","2","HF-1 " "340047","NORTH CAROLINA BAPTIST HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","49 patients","2 ","2","CAC-1 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","239 patients","2 ","2","SCIP-INF-6 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","37 patients","2 ","2","SCIP-CARD-2 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","194 patients","2 ","2","SCIP-INF-1 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","86 patients","2 ","2","SCIP-VTE-1 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","194 patients","2 ","2","SCIP-INF-2 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","86 patients","2 ","2","SCIP-VTE-2 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","192 patients","2 ","2","SCIP-INF-3 " "340049","NORTH CAROLINA SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","52 patients",,,"SCIP-CARD-2 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","242 patients",,,"SCIP-VTE-1 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","176 patients",,,"PN-7 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","207 patients",,,"PN-6 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","241 patients",,,"PN-3B " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","158 patients",,,"AMI-5 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","190 patients",,,"AMI-1 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","158 patients",,,"AMI-2 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","216 patients",,,"PN-2 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","336 patients",,,"SCIP-INF-2 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","75 patients",,,"AMI-4 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","537 patients",,,"HF-2 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","482 patients",,,"SCIP-INF-6 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","133 patients",,,"HF-4 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","336 patients",,,"SCIP-INF-1 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","43 patients",,,"SCIP-INF-4 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","288 patients",,,"PN-5C " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","472 patients",,,"HF-1 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","131 patients",,,"HF-3 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","242 patients",,,"SCIP-VTE-2 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","152 patients",,,"PN-4 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","61%","18 patients","1 ","1","AMI-3 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","320 patients",,,"SCIP-INF-3 " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "340050","SOUTHEASTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","13 patients","1 ","1","AMI-8A " "340051","WATAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340051","WATAUGA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","99 patients",,,"HF-1 " "340051","WATAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","331 patients",,,"SCIP-INF-6 " "340051","WATAUGA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","133 patients",,,"PN-5C " "340051","WATAUGA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"PN-4 " "340051","WATAUGA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "340051","WATAUGA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","88 patients",,,"PN-6 " "340051","WATAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","237 patients",,,"SCIP-INF-2 " "340051","WATAUGA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "340051","WATAUGA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340051","WATAUGA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","111 patients",,,"PN-7 " "340051","WATAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","237 patients",,,"SCIP-INF-1 " "340051","WATAUGA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","174 patients",,,"PN-2 " "340051","WATAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","162 patients",,,"SCIP-VTE-1 " "340051","WATAUGA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","136 patients",,,"PN-3B " "340051","WATAUGA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","59 patients",,,"AMI-1 " "340051","WATAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","162 patients",,,"SCIP-VTE-2 " "340051","WATAUGA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"HF-3 " "340051","WATAUGA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "340051","WATAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","225 patients",,,"SCIP-INF-3 " "340051","WATAUGA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","125 patients",,,"HF-2 " "340051","WATAUGA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","29 patients",,,"AMI-2 " "340051","WATAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","35 patients",,,"SCIP-CARD-2 " "340051","WATAUGA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "340051","WATAUGA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340053","PRESBYTERIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","341 patients",,,"PN-3B " "340053","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","560 patients","2 ","2","SCIP-VTE-2 " "340053","PRESBYTERIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","217 patients",,,"PN-7 " "340053","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1052 patients","2 ","2","SCIP-INF-2 " "340053","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","110 patients",,,"AMI-3 " "340053","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","191 patients","2 ","2","SCIP-CARD-2 " "340053","PRESBYTERIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","221 patients",,,"PN-6 " "340053","PRESBYTERIAN HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","97 patients",,,"CAC-1 " "340053","PRESBYTERIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","273 patients",,,"PN-2 " "340053","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","515 patients",,,"AMI-2 " "340053","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1020 patients","2 ","2","SCIP-INF-1 " "340053","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340053","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","560 patients","2 ","2","SCIP-VTE-1 " "340053","PRESBYTERIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","334 patients",,,"PN-5C " "340053","PRESBYTERIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","219 patients",,,"HF-3 " "340053","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1418 patients","2 ","2","SCIP-INF-6 " "340053","PRESBYTERIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","522 patients",,,"HF-1 " "340053","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","955 patients","2 ","2","SCIP-INF-3 " "340053","PRESBYTERIAN HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","53%","96 patients",,,"CAC-3 " "340053","PRESBYTERIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","620 patients",,,"HF-2 " "340053","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","528 patients",,,"AMI-5 " "340053","PRESBYTERIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","139 patients",,,"PN-4 " "340053","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","276 patients",,,"AMI-1 " "340053","PRESBYTERIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"HF-4 " "340053","PRESBYTERIAN HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","97 patients",,,"CAC-2 " "340053","PRESBYTERIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","360 patients","2 ","2","SCIP-INF-4 " "340053","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","86 patients",,,"AMI-8A " "340053","PRESBYTERIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","183 patients",,,"AMI-4 " "340055","VALDESE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","121 patients",,,"SCIP-INF-3 " "340055","VALDESE GENERAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","86 patients",,,"PN-5C " "340055","VALDESE GENERAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "340055","VALDESE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","130 patients",,,"SCIP-VTE-1 " "340055","VALDESE GENERAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340055","VALDESE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","127 patients",,,"SCIP-INF-1 " "340055","VALDESE GENERAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","54 patients",,,"PN-4 " "340055","VALDESE GENERAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","54 patients",,,"HF-1 " "340055","VALDESE GENERAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340055","VALDESE GENERAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "340055","VALDESE GENERAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "340055","VALDESE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","127 patients",,,"SCIP-VTE-2 " "340055","VALDESE GENERAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","66 patients",,,"PN-6 " "340055","VALDESE GENERAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "340055","VALDESE GENERAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","68%","22 patients","1 ","1","HF-3 " "340055","VALDESE GENERAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","96 patients",,,"PN-3B " "340055","VALDESE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","185 patients",,,"SCIP-INF-6 " "340055","VALDESE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","18 patients","1 ","1","SCIP-CARD-2 " "340055","VALDESE GENERAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","73 patients",,,"HF-2 " "340055","VALDESE GENERAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "340055","VALDESE GENERAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "340055","VALDESE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","127 patients",,,"SCIP-INF-2 " "340055","VALDESE GENERAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","75 patients",,,"PN-7 " "340055","VALDESE GENERAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","104 patients",,,"PN-2 " "340055","VALDESE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340060","MOREHEAD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","177 patients",,,"SCIP-INF-6 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "340060","MOREHEAD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","115 patients",,,"SCIP-INF-2 " "340060","MOREHEAD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","112 patients",,,"SCIP-INF-3 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","27 patients",,,"AMI-5 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","67 patients",,,"HF-3 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","24 patients","1 ","1","AMI-2 " "340060","MOREHEAD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","98 patients",,,"SCIP-VTE-1 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"HF-4 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "340060","MOREHEAD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","118 patients",,,"SCIP-INF-1 " "340060","MOREHEAD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","220 patients",,,"PN-5C " "340060","MOREHEAD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","215 patients",,,"PN-3B " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340060","MOREHEAD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340060","MOREHEAD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","168 patients",,,"PN-6 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","228 patients",,,"HF-2 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","196 patients",,,"HF-1 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","32 patients",,,"AMI-1 " "340060","MOREHEAD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340060","MOREHEAD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","148 patients",,,"PN-7 " "340060","MOREHEAD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","61%","28 patients",,,"SCIP-CARD-2 " "340060","MOREHEAD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","76 patients",,,"PN-4 " "340060","MOREHEAD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","180 patients",,,"PN-2 " "340060","MOREHEAD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","98 patients",,,"SCIP-VTE-2 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","135 patients","2 ","2","HF-3 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","50 patients","2 ","2","PN-6 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","70 patients","2 ","2","PN-2 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","369 patients","2 ","2","SCIP-INF-2 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","86 patients","2 ","2","AMI-4 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","59 patients","2 ","2","PN-7 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","70 patients","2 ","2","SCIP-CARD-2 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","35 patients","2 ","2","AMI-3 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","HF-4 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","293 patients","2 ","2","HF-2 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","361 patients","2 ","2","SCIP-INF-1 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","192 patients","2 ","2","AMI-1 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","224 patients","2 ","2","AMI-2 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","100 patients","2 ","2","SCIP-INF-4 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","294 patients","2 ","2","SCIP-VTE-1 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","598 patients","2 ","2","SCIP-INF-6 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","211 patients","2 ","2","AMI-5 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","36 patients","2 ","2","AMI-8A " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","90 patients","2 ","2","PN-3B " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","261 patients","2 ","2","HF-1 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","86 patients","2 ","2","PN-5C " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","294 patients","2 ","2","SCIP-VTE-2 " "340061","UNIVERSITY OF NORTH CAROLINA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","349 patients","2 ","2","SCIP-INF-3 " "340064","WILKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","189 patients",,,"SCIP-INF-6 " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1 ","1","HF-4 " "340064","WILKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340064","WILKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","118 patients",,,"SCIP-INF-2 " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "340064","WILKES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","183 patients",,,"PN-2 " "340064","WILKES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","143 patients",,,"PN-6 " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","HF-3 " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340064","WILKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","108 patients",,,"SCIP-INF-3 " "340064","WILKES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","135 patients",,,"PN-7 " "340064","WILKES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","197 patients",,,"PN-5C " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "340064","WILKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","96 patients",,,"SCIP-VTE-1 " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","99 patients",,,"HF-1 " "340064","WILKES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","243 patients",,,"PN-3B " "340064","WILKES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","86 patients",,,"PN-4 " "340064","WILKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1 ","1","SCIP-CARD-2 " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","118 patients",,,"HF-2 " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "340064","WILKES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "340064","WILKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","96 patients",,,"SCIP-VTE-2 " "340064","WILKES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","114 patients",,,"SCIP-INF-1 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","169 patients",,,"SCIP-VTE-1 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","146 patients",,,"HF-2 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","123 patients",,,"HF-1 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","85 patients",,,"PN-6 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"PN-4 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","133 patients",,,"PN-5C " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","43%","37 patients",,,"SCIP-CARD-2 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","169 patients",,,"SCIP-VTE-2 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","123 patients",,,"SCIP-INF-3 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"HF-4 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","59%","39 patients",,,"HF-3 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","125 patients",,,"SCIP-INF-2 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","122 patients",,,"PN-2 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","86 patients",,,"PN-3B " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","247 patients",,,"SCIP-INF-6 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","127 patients",,,"SCIP-INF-1 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","86 patients",,,"PN-7 " "340068","COLUMBUS REGIONAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340069","WAKEMED, RALEIGH CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","444 patients","2 ","2","SCIP-INF-3 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","111 patients",,,"AMI-8A " "340069","WAKEMED, RALEIGH CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","182 patients",,,"AMI-3 " "340069","WAKEMED, RALEIGH CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","264 patients",,,"PN-7 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","273 patients","2 ","2","HF-1 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","1089 patients",,,"AMI-5 " "340069","WAKEMED, RALEIGH CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","729 patients","2 ","2","SCIP-INF-6 " "340069","WAKEMED, RALEIGH CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","177 patients","2 ","2","SCIP-INF-4 " "340069","WAKEMED, RALEIGH CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","480 patients","2 ","2","SCIP-INF-1 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","85 patients","2 ","2","HF-4 " "340069","WAKEMED, RALEIGH CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","133 patients","2 ","2","SCIP-CARD-2 " "340069","WAKEMED, RALEIGH CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","284 patients","2 ","2","SCIP-VTE-1 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","1335 patients",,,"AMI-2 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","491 patients",,,"AMI-1 " "340069","WAKEMED, RALEIGH CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","267 patients",,,"PN-5C " "340069","WAKEMED, RALEIGH CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","289 patients",,,"PN-3B " "340069","WAKEMED, RALEIGH CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","190 patients",,,"PN-4 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","305 patients","2 ","2","HF-2 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340069","WAKEMED, RALEIGH CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","299 patients",,,"PN-2 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","121 patients","2 ","2","HF-3 " "340069","WAKEMED, RALEIGH CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","283 patients","2 ","2","SCIP-VTE-2 " "340069","WAKEMED, RALEIGH CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","625 patients",,,"AMI-4 " "340069","WAKEMED, RALEIGH CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","497 patients","2 ","2","SCIP-INF-2 " "340069","WAKEMED, RALEIGH CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","176 patients",,,"PN-6 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","201 patients",,,"HF-1 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","487 patients",,,"SCIP-INF-1 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","403 patients",,,"SCIP-VTE-1 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"AMI-4 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","115 patients",,,"AMI-5 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","258 patients",,,"HF-2 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","87 patients",,,"HF-3 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","191 patients",,,"PN-2 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","473 patients",,,"SCIP-INF-3 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","236 patients",,,"PN-5C " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","141 patients",,,"AMI-1 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","674 patients",,,"SCIP-INF-6 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","111 patients",,,"AMI-2 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","85 patients",,,"PN-4 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"HF-4 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","488 patients",,,"SCIP-INF-2 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","168 patients",,,"PN-6 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","99 patients",,,"SCIP-CARD-2 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","400 patients",,,"SCIP-VTE-2 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","214 patients",,,"PN-3B " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","156 patients",,,"PN-7 " "340070","ALAMANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","20 patients","1 ","1","AMI-3 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","185 patients",,,"HF-1 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","46 patients",,,"HF-4 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","59 patients",,,"PN-4 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","111 patients",,,"SCIP-VTE-1 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","129 patients",,,"PN-6 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","58 patients",,,"HF-3 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","150 patients",,,"PN-2 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","17 patients","1 ","1","AMI-1 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","117 patients",,,"SCIP-INF-1 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","162 patients",,,"PN-5C " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","109 patients",,,"SCIP-INF-3 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","22 patients","1 ","1","SCIP-CARD-2 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","115 patients",,,"SCIP-INF-2 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","136 patients",,,"PN-3B " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","111 patients",,,"SCIP-VTE-2 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","230 patients",,,"HF-2 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","115 patients",,,"PN-7 " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340071","BETSY JOHNSON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","198 patients",,,"SCIP-INF-6 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","113 patients",,,"HF-1 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340073","DUKE HEALTH RALEIGH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","86 patients",,,"PN-2 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"PN-4 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","80 patients",,,"PN-6 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","100 patients",,,"PN-5C " "340073","DUKE HEALTH RALEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","515 patients",,,"SCIP-INF-1 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","506 patients",,,"SCIP-INF-3 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","517 patients",,,"SCIP-INF-2 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","41 patients",,,"AMI-2 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","119 patients",,,"SCIP-CARD-2 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","58 patients",,,"AMI-1 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","HF-4 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","810 patients",,,"SCIP-INF-6 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","75%","4 patients","1 ","1","SCIP-INF-4 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340073","DUKE HEALTH RALEIGH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","458 patients",,,"SCIP-VTE-2 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","40 patients",,,"HF-3 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","67 patients",,,"PN-7 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","98 patients",,,"PN-3B " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","131 patients",,,"HF-2 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","42 patients",,,"AMI-5 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "340073","DUKE HEALTH RALEIGH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","458 patients",,,"SCIP-VTE-1 " "340075","GRACE HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "340075","GRACE HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","36 patients",,,"HF-3 " "340075","GRACE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","106 patients",,,"SCIP-INF-2 " "340075","GRACE HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1 ","1","AMI-2 " "340075","GRACE HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "340075","GRACE HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","24 patients","1 ","1","HF-4 " "340075","GRACE HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","85 patients",,,"HF-1 " "340075","GRACE HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","107 patients",,,"HF-2 " "340075","GRACE HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340075","GRACE HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","68%","111 patients",,,"SCIP-VTE-1 " "340075","GRACE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "340075","GRACE HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340075","GRACE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","108 patients",,,"SCIP-INF-1 " "340075","GRACE HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","164 patients",,,"PN-2 " "340075","GRACE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","208 patients",,,"SCIP-INF-6 " "340075","GRACE HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","22 patients","1 ","1","AMI-5 " "340075","GRACE HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","81 patients",,,"PN-4 " "340075","GRACE HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1 ","1","SCIP-CARD-2 " "340075","GRACE HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","95 patients",,,"SCIP-INF-3 " "340075","GRACE HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","181 patients",,,"PN-5C " "340075","GRACE HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","128 patients",,,"PN-6 " "340075","GRACE HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","132 patients",,,"PN-7 " "340075","GRACE HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","40 patients",,,"AMI-1 " "340075","GRACE HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","186 patients",,,"PN-3B " "340075","GRACE HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","61%","106 patients",,,"SCIP-VTE-2 " "340084","ANSON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "340084","ANSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","16 patients","1 ","1","SCIP-INF-3 " "340084","ANSON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "340084","ANSON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "340084","ANSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","7 patients","1 ","1","SCIP-VTE-1 " "340084","ANSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","7 patients","1 ","1","SCIP-VTE-2 " "340084","ANSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-2 " "340084","ANSON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "340084","ANSON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","74 patients",,,"PN-2 " "340084","ANSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients",,,"SCIP-INF-6 " "340084","ANSON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","37 patients",,,"HF-1 " "340084","ANSON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "340084","ANSON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "340084","ANSON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","74 patients",,,"PN-5C " "340084","ANSON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","49 patients",,,"PN-7 " "340084","ANSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340084","ANSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "340084","ANSON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "340084","ANSON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","70 patients",,,"PN-3B " "340084","ANSON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"HF-3 " "340084","ANSON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "340084","ANSON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","PN-4 " "340084","ANSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","18 patients","1 ","1","SCIP-INF-1 " "340084","ANSON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","51 patients",,,"PN-6 " "340084","ANSON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","69 patients",,,"HF-2 " "340085","THOMASVILLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "340085","THOMASVILLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340085","THOMASVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","105 patients",,,"SCIP-VTE-2 " "340085","THOMASVILLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","34 patients",,,"AMI-1 " "340085","THOMASVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","98 patients",,,"SCIP-INF-3 " "340085","THOMASVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","108 patients",,,"SCIP-INF-1 " "340085","THOMASVILLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340085","THOMASVILLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","126 patients",,,"PN-5C " "340085","THOMASVILLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","HF-3 " "340085","THOMASVILLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","101 patients",,,"HF-2 " "340085","THOMASVILLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","77 patients",,,"PN-6 " "340085","THOMASVILLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","124 patients",,,"PN-3B " "340085","THOMASVILLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "340085","THOMASVILLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","107 patients",,,"PN-2 " "340085","THOMASVILLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "340085","THOMASVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340085","THOMASVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","105 patients",,,"SCIP-VTE-1 " "340085","THOMASVILLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","74 patients",,,"PN-7 " "340085","THOMASVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","195 patients",,,"SCIP-INF-6 " "340085","THOMASVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","16 patients","1 ","1","SCIP-CARD-2 " "340085","THOMASVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","109 patients",,,"SCIP-INF-2 " "340085","THOMASVILLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","83 patients",,,"HF-1 " "340085","THOMASVILLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "340085","THOMASVILLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "340085","THOMASVILLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "340087","THE MCDOWELL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","62 patients",,,"HF-2 " "340087","THE MCDOWELL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","58 patients",,,"PN-2 " "340087","THE MCDOWELL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "340087","THE MCDOWELL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340087","THE MCDOWELL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","76 patients",,,"SCIP-INF-2 " "340087","THE MCDOWELL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","49 patients",,,"PN-6 " "340087","THE MCDOWELL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","118 patients",,,"SCIP-INF-6 " "340087","THE MCDOWELL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340087","THE MCDOWELL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "340087","THE MCDOWELL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "340087","THE MCDOWELL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340087","THE MCDOWELL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","34 patients",,,"PN-7 " "340087","THE MCDOWELL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","75 patients",,,"SCIP-INF-1 " "340087","THE MCDOWELL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "340087","THE MCDOWELL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","HF-3 " "340087","THE MCDOWELL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "340087","THE MCDOWELL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","70 patients",,,"SCIP-VTE-2 " "340087","THE MCDOWELL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","70 patients",,,"SCIP-VTE-1 " "340087","THE MCDOWELL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","50 patients",,,"HF-1 " "340087","THE MCDOWELL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","69%","68 patients",,,"SCIP-INF-3 " "340087","THE MCDOWELL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","12 patients","1 ","1","AMI-1 " "340087","THE MCDOWELL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","81 patients",,,"PN-5C " "340087","THE MCDOWELL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","55 patients",,,"PN-3B " "340087","THE MCDOWELL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "340087","THE MCDOWELL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","13 patients","1 ","1","SCIP-CARD-2 " "340090","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","226 patients",,,"SCIP-VTE-2 " "340090","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","166 patients",,,"PN-7 " "340090","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","213 patients",,,"PN-3B " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","57 patients",,,"HF-3 " "340090","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","393 patients",,,"SCIP-INF-6 " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","224 patients",,,"HF-2 " "340090","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","76 patients",,,"SCIP-CARD-2 " "340090","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","248 patients",,,"SCIP-INF-2 " "340090","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","61%","238 patients",,,"SCIP-INF-3 " "340090","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","84 patients",,,"PN-4 " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-7A " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "340090","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","249 patients",,,"PN-5C " "340090","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","228 patients",,,"SCIP-VTE-1 " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340090","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","147 patients",,,"PN-6 " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","99 patients",,,"AMI-1 " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","16 patients","1 ","1","AMI-2 " "340090","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","22 patients","1 ","1","AMI-5 " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "340090","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","248 patients",,,"SCIP-INF-1 " "340090","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","189 patients",,,"PN-2 " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","192 patients",,,"HF-1 " "340090","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"HF-4 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","387 patients","2 ","2","SCIP-VTE-2 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","455 patients","2 ","2","AMI-2 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","372 patients","2 ","2","PN-2 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","86 patients","2 ","2","AMI-8A " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","387 patients","2 ","2","SCIP-VTE-1 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","302 patients","2 ","2","PN-6 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","225 patients","2 ","2","SCIP-INF-4 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","53 patients","2 ","2","AMI-3 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","224 patients","2 ","2","HF-3 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","458 patients","2 ","2","AMI-5 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","171 patients","2 ","2","AMI-4 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","757 patients","2 ","2","SCIP-INF-2 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","258 patients","2 ","2","PN-3B " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","139 patients","2 ","2","SCIP-CARD-2 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","163 patients","2 ","2","HF-4 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","748 patients","2 ","2","SCIP-INF-1 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","705 patients","2 ","2","SCIP-INF-3 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","694 patients","2 ","2","HF-2 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","600 patients","2 ","2","HF-1 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1066 patients","2 ","2","SCIP-INF-6 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","202 patients","2 ","2","PN-4 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","340 patients","2 ","2","AMI-1 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","312 patients","2 ","2","PN-7 " "340091","MOSES H CONE MEMORIAL HOSPITAL, THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","416 patients","2 ","2","PN-5C " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","242 patients",,,"SCIP-INF-2 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","109 patients",,,"SCIP-VTE-2 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","107 patients",,,"PN-6 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","165 patients",,,"HF-2 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"PN-4 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","244 patients",,,"SCIP-INF-1 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","106 patients",,,"PN-7 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","186 patients",,,"PN-3B " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","114 patients",,,"SCIP-VTE-1 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","147 patients",,,"PN-2 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","312 patients",,,"SCIP-INF-6 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","34 patients",,,"SCIP-CARD-2 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","31 patients",,,"AMI-2 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","234 patients",,,"SCIP-INF-3 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","132 patients",,,"HF-1 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","59 patients",,,"HF-3 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","174 patients",,,"PN-5C " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","34 patients",,,"AMI-5 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","49 patients",,,"AMI-1 " "340096","LEXINGTON MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","63 patients",,,"AMI-1 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","174 patients",,,"SCIP-VTE-1 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","267 patients",,,"SCIP-INF-1 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","323 patients",,,"SCIP-INF-6 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","117 patients",,,"PN-7 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","255 patients",,,"SCIP-INF-3 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","158 patients",,,"PN-5C " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","51 patients",,,"SCIP-CARD-2 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","126 patients",,,"PN-6 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","147 patients",,,"PN-2 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","44 patients",,,"AMI-5 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","115 patients",,,"HF-1 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","270 patients",,,"SCIP-INF-2 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"HF-4 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","142 patients",,,"HF-2 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","HF-3 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","174 patients",,,"SCIP-VTE-2 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","143 patients",,,"PN-3B " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","47 patients",,,"AMI-2 " "340097","HUGH CHATHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340098","CAROLINAS MED CENTER-MERCY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","40 patients",,,"AMI-8A " "340098","CAROLINAS MED CENTER-MERCY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","718 patients","2 ","2","SCIP-VTE-1 " "340098","CAROLINAS MED CENTER-MERCY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"PN-4 " "340098","CAROLINAS MED CENTER-MERCY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","360 patients",,,"HF-2 " "340098","CAROLINAS MED CENTER-MERCY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","54 patients",,,"AMI-3 " "340098","CAROLINAS MED CENTER-MERCY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","173 patients",,,"PN-7 " "340098","CAROLINAS MED CENTER-MERCY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","718 patients","2 ","2","SCIP-VTE-2 " "340098","CAROLINAS MED CENTER-MERCY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","243 patients",,,"AMI-2 " "340098","CAROLINAS MED CENTER-MERCY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","192 patients",,,"PN-3B " "340098","CAROLINAS MED CENTER-MERCY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1287 patients","2 ","2","SCIP-INF-2 " "340098","CAROLINAS MED CENTER-MERCY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","208 patients","2 ","2","SCIP-CARD-2 " "340098","CAROLINAS MED CENTER-MERCY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1282 patients","2 ","2","SCIP-INF-1 " "340098","CAROLINAS MED CENTER-MERCY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","160 patients",,,"PN-6 " "340098","CAROLINAS MED CENTER-MERCY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","101 patients",,,"HF-3 " "340098","CAROLINAS MED CENTER-MERCY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "340098","CAROLINAS MED CENTER-MERCY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","60 patients","2 ","2","SCIP-INF-4 " "340098","CAROLINAS MED CENTER-MERCY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1569 patients","2 ","2","SCIP-INF-6 " "340098","CAROLINAS MED CENTER-MERCY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","299 patients",,,"HF-1 " "340098","CAROLINAS MED CENTER-MERCY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","181 patients",,,"PN-2 " "340098","CAROLINAS MED CENTER-MERCY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","255 patients",,,"AMI-5 " "340098","CAROLINAS MED CENTER-MERCY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","102 patients",,,"AMI-4 " "340098","CAROLINAS MED CENTER-MERCY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1252 patients","2 ","2","SCIP-INF-3 " "340098","CAROLINAS MED CENTER-MERCY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","141 patients",,,"AMI-1 " "340098","CAROLINAS MED CENTER-MERCY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","234 patients",,,"PN-5C " "340098","CAROLINAS MED CENTER-MERCY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340099","ROANOKE CHOWAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","59 patients",,,"PN-6 " "340099","ROANOKE CHOWAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","100 patients",,,"PN-3B " "340099","ROANOKE CHOWAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340099","ROANOKE CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","140 patients",,,"SCIP-INF-1 " "340099","ROANOKE CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","79 patients",,,"SCIP-VTE-2 " "340099","ROANOKE CHOWAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "340099","ROANOKE CHOWAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","29 patients",,,"AMI-1 " "340099","ROANOKE CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340099","ROANOKE CHOWAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "340099","ROANOKE CHOWAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340099","ROANOKE CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","201 patients",,,"SCIP-INF-6 " "340099","ROANOKE CHOWAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "340099","ROANOKE CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","134 patients",,,"SCIP-INF-3 " "340099","ROANOKE CHOWAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","144 patients",,,"HF-1 " "340099","ROANOKE CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1 ","1","SCIP-CARD-2 " "340099","ROANOKE CHOWAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","51 patients",,,"HF-3 " "340099","ROANOKE CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","140 patients",,,"SCIP-INF-2 " "340099","ROANOKE CHOWAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","101 patients",,,"PN-5C " "340099","ROANOKE CHOWAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","158 patients",,,"HF-2 " "340099","ROANOKE CHOWAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","62 patients",,,"PN-7 " "340099","ROANOKE CHOWAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "340099","ROANOKE CHOWAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","85%","26 patients",,,"AMI-2 " "340099","ROANOKE CHOWAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "340099","ROANOKE CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","80 patients",,,"SCIP-VTE-1 " "340099","ROANOKE CHOWAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","107 patients",,,"PN-2 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","28 patients",,,"AMI-1 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","54 patients",,,"PN-6 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","198 patients",,,"HF-2 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","74 patients",,,"HF-3 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","48 patients",,,"SCIP-INF-6 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","38 patients",,,"SCIP-INF-1 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","63 patients",,,"PN-5C " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","35 patients",,,"PN-2 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","187 patients",,,"HF-1 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1 ","1","SCIP-CARD-2 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","36 patients",,,"SCIP-VTE-1 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","36 patients",,,"SCIP-VTE-2 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-1 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-2 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","40 patients",,,"PN-7 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-3 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","38 patients",,,"SCIP-INF-2 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","68 patients",,,"PN-3B " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","34 patients",,,"SCIP-INF-3 " "340106","SANDHILLS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "340107","HERITAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","86 patients",,,"HF-3 " "340107","HERITAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","89 patients",,,"PN-2 " "340107","HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","95 patients",,,"SCIP-VTE-2 " "340107","HERITAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","19 patients","1 ","1","AMI-2 " "340107","HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","175 patients",,,"SCIP-INF-6 " "340107","HERITAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","189 patients",,,"HF-1 " "340107","HERITAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "340107","HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","101 patients",,,"SCIP-INF-3 " "340107","HERITAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "340107","HERITAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "340107","HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","104 patients",,,"SCIP-INF-2 " "340107","HERITAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","23 patients","1 ","1","AMI-5 " "340107","HERITAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "340107","HERITAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","95 patients",,,"PN-5C " "340107","HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","23 patients","1 ","1","SCIP-CARD-2 " "340107","HERITAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340107","HERITAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","71 patients",,,"PN-7 " "340107","HERITAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","114 patients",,,"PN-3B " "340107","HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340107","HERITAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","32 patients",,,"PN-4 " "340107","HERITAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340107","HERITAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","70 patients",,,"PN-6 " "340107","HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","96 patients",,,"SCIP-VTE-1 " "340107","HERITAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","103 patients",,,"SCIP-INF-1 " "340107","HERITAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","226 patients",,,"HF-2 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1,2 ","12","AMI-2 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","105 patients","2 ","2","HF-3 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","150 patients","2 ","2","SCIP-INF-2 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","199 patients","2 ","2","HF-1 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","63 patients","2 ","2","PN-7 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients","2 ","2","AMI-1 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","129 patients","2 ","2","SCIP-VTE-1 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","93 patients","2 ","2","PN-2 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","243 patients","2 ","2","SCIP-INF-6 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","AMI-4 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","147 patients","2 ","2","SCIP-INF-1 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","98 patients","2 ","2","PN-5C " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "340109","ALBEMARLE HOSPITAL AUTHORITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","59 patients","2 ","2","PN-6 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","36 patients","2 ","2","PN-4 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1,2 ","12","AMI-3 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1,2 ","12","AMI-5 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","140 patients","2 ","2","SCIP-INF-3 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","HF-4 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","26 patients","2 ","2","SCIP-CARD-2 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","85 patients","2 ","2","PN-3B " "340109","ALBEMARLE HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","129 patients","2 ","2","SCIP-VTE-2 " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "340109","ALBEMARLE HOSPITAL AUTHORITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","239 patients","2 ","2","HF-2 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","691 patients",,,"HF-1 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","267 patients","2 ","2","SCIP-CARD-2 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","377 patients",,,"HF-3 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","316 patients",,,"AMI-1 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","102 patients",,,"AMI-8A " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1636 patients","2 ","2","SCIP-INF-1 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","199 patients",,,"PN-7 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","966 patients",,,"AMI-2 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","454 patients","2 ","2","SCIP-INF-4 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","242 patients",,,"PN-5C " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","147 patients",,,"PN-6 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","918 patients",,,"AMI-5 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","223 patients",,,"HF-4 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","198 patients",,,"AMI-3 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","679 patients","2 ","2","SCIP-VTE-1 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","1572 patients","2 ","2","SCIP-INF-3 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","236 patients",,,"CAC-1 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","176 patients",,,"PN-4 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2124 patients","2 ","2","SCIP-INF-6 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","409 patients",,,"AMI-4 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","190 patients",,,"PN-3B " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","783 patients",,,"HF-2 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1658 patients","2 ","2","SCIP-INF-2 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","236 patients",,,"CAC-2 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","679 patients","2 ","2","SCIP-VTE-2 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","202 patients",,,"PN-2 " "340113","CAROLINAS MEDICAL CENTER/BEHAV HEALTH","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","64%","236 patients",,,"CAC-3 " "340114","REX HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","312 patients","2 ","2","HF-2 " "340114","REX HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","609 patients","2 ","2","SCIP-INF-2 " "340114","REX HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","125 patients","2 ","2","PN-7 " "340114","REX HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","298 patients","2 ","2","AMI-5 " "340114","REX HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","261 patients","2 ","2","AMI-1 " "340114","REX HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","583 patients","2 ","2","SCIP-INF-3 " "340114","REX HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","67 patients","2 ","2","AMI-3 " "340114","REX HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","157 patients","2 ","2","SCIP-INF-4 " "340114","REX HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","287 patients","2 ","2","AMI-2 " "340114","REX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","286 patients","2 ","2","SCIP-VTE-2 " "340114","REX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","286 patients","2 ","2","SCIP-VTE-1 " "340114","REX HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","255 patients","2 ","2","HF-1 " "340114","REX HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","95 patients","2 ","2","HF-3 " "340114","REX HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","132 patients","2 ","2","PN-6 " "340114","REX HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","74 patients","2 ","2","AMI-4 " "340114","REX HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","179 patients","2 ","2","PN-5C " "340114","REX HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","64 patients","2 ","2","AMI-8A " "340114","REX HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","PN-4 " "340114","REX HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","191 patients","2 ","2","PN-2 " "340114","REX HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "340114","REX HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","139 patients","2 ","2","SCIP-CARD-2 " "340114","REX HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","604 patients","2 ","2","SCIP-INF-1 " "340114","REX HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","883 patients","2 ","2","SCIP-INF-6 " "340114","REX HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","HF-4 " "340114","REX HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","197 patients","2 ","2","PN-3B " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","696 patients",,,"HF-2 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","615 patients",,,"AMI-5 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","15 patients","1 ","1","CAC-1 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","391 patients",,,"SCIP-CARD-2 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","142 patients",,,"PN-4 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","314 patients",,,"PN-5C " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2240 patients",,,"SCIP-INF-6 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","704 patients",,,"SCIP-VTE-2 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","705 patients",,,"SCIP-VTE-1 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1506 patients",,,"SCIP-INF-3 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","221 patients",,,"PN-6 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","65 patients",,,"AMI-8A " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","602 patients",,,"HF-1 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","640 patients",,,"AMI-2 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1546 patients",,,"SCIP-INF-1 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"HF-4 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","270 patients",,,"PN-7 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","236 patients",,,"HF-3 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","79%","14 patients","1 ","1","CAC-3 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1565 patients",,,"SCIP-INF-2 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","15 patients","1 ","1","CAC-2 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","123 patients",,,"AMI-3 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","300 patients",,,"PN-3B " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","366 patients",,,"SCIP-INF-4 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","323 patients",,,"AMI-1 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","384 patients",,,"PN-2 " "340115","FIRSTHEALTH MOORE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","273 patients",,,"AMI-4 " "340116","FRYE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","248 patients",,,"PN-5C " "340116","FRYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","547 patients","2 ","2","SCIP-INF-3 " "340116","FRYE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","256 patients",,,"PN-3B " "340116","FRYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","575 patients","2 ","2","SCIP-INF-1 " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","226 patients",,,"AMI-4 " "340116","FRYE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","185 patients",,,"PN-7 " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","275 patients",,,"HF-1 " "340116","FRYE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","172 patients",,,"PN-6 " "340116","FRYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","123 patients","2 ","2","SCIP-CARD-2 " "340116","FRYE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","252 patients",,,"PN-2 " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","109 patients",,,"HF-3 " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","122 patients",,,"AMI-8A " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","281 patients",,,"AMI-1 " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","314 patients",,,"HF-2 " "340116","FRYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","579 patients","2 ","2","SCIP-INF-2 " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","511 patients",,,"AMI-2 " "340116","FRYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","190 patients","2 ","2","SCIP-VTE-1 " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","498 patients",,,"AMI-5 " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"HF-4 " "340116","FRYE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","72 patients",,,"AMI-3 " "340116","FRYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","730 patients","2 ","2","SCIP-INF-6 " "340116","FRYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","327 patients","2 ","2","SCIP-INF-4 " "340116","FRYE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","81 patients",,,"PN-4 " "340116","FRYE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","190 patients","2 ","2","SCIP-VTE-2 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","37 patients",,,"HF-3 " "340119","STANLY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","105 patients",,,"PN-6 " "340119","STANLY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","150 patients",,,"PN-3B " "340119","STANLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","98 patients",,,"SCIP-VTE-2 " "340119","STANLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","116 patients",,,"SCIP-INF-1 " "340119","STANLY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","110 patients",,,"PN-7 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","102 patients",,,"HF-1 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340119","STANLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","108 patients",,,"SCIP-INF-3 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","50 patients",,,"AMI-1 " "340119","STANLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","205 patients",,,"SCIP-INF-6 " "340119","STANLY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","134 patients",,,"PN-2 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-7A " "340119","STANLY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","61 patients",,,"PN-4 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "340119","STANLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","118 patients",,,"SCIP-INF-2 " "340119","STANLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","98 patients",,,"SCIP-VTE-1 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","41 patients",,,"AMI-2 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","140 patients",,,"HF-2 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "340119","STANLY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","39 patients",,,"AMI-5 " "340119","STANLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","24 patients","1 ","1","SCIP-CARD-2 " "340119","STANLY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340119","STANLY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","142 patients",,,"PN-5C " "340120","DUPLIN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"HF-3 " "340120","DUPLIN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","80 patients",,,"PN-5C " "340120","DUPLIN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340120","DUPLIN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","49 patients",,,"PN-6 " "340120","DUPLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340120","DUPLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","18 patients","1,2 ","12","SCIP-VTE-1 " "340120","DUPLIN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "340120","DUPLIN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340120","DUPLIN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","65 patients",,,"HF-1 " "340120","DUPLIN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","56 patients",,,"PN-7 " "340120","DUPLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","41 patients","2 ","2","SCIP-INF-6 " "340120","DUPLIN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "340120","DUPLIN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","88 patients",,,"HF-2 " "340120","DUPLIN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "340120","DUPLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","26 patients","2 ","2","SCIP-INF-1 " "340120","DUPLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","26 patients","2 ","2","SCIP-INF-2 " "340120","DUPLIN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "340120","DUPLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "340120","DUPLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","26 patients","2 ","2","SCIP-INF-3 " "340120","DUPLIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","18 patients","1,2 ","12","SCIP-VTE-2 " "340120","DUPLIN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "340120","DUPLIN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "340120","DUPLIN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","86 patients",,,"PN-3B " "340120","DUPLIN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","64 patients",,,"PN-2 " "340120","DUPLIN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","24 patients","1 ","1","PN-3B " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","PN-4 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","30 patients",,,"PN-5C " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1 ","1","AMI-5 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","109 patients",,,"SCIP-INF-1 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","33 patients",,,"HF-1 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","80 patients",,,"SCIP-VTE-2 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients",,,"PN-6 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","109 patients",,,"SCIP-INF-2 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","84 patients",,,"SCIP-VTE-1 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","158 patients",,,"SCIP-INF-6 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","108 patients",,,"SCIP-INF-3 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","21 patients","1 ","1","PN-7 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","36 patients",,,"PN-2 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","HF-3 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","63%","41 patients",,,"HF-2 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1 ","1","AMI-1 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","10 patients","1 ","1","SCIP-CARD-2 " "340121","J ARTHUR DOSHER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "340123","RANDOLPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340123","RANDOLPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","127 patients","2 ","2","PN-3B " "340123","RANDOLPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "340123","RANDOLPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","138 patients","2 ","2","SCIP-INF-3 " "340123","RANDOLPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","156 patients","2 ","2","SCIP-VTE-1 " "340123","RANDOLPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","151 patients","2 ","2","SCIP-INF-1 " "340123","RANDOLPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","49 patients",,,"AMI-1 " "340123","RANDOLPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","257 patients","2 ","2","SCIP-INF-6 " "340123","RANDOLPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","60 patients","2 ","2","PN-4 " "340123","RANDOLPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","253 patients","2 ","2","HF-2 " "340123","RANDOLPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "340123","RANDOLPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","37 patients","2 ","2","SCIP-CARD-2 " "340123","RANDOLPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","194 patients","2 ","2","HF-1 " "340123","RANDOLPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","123 patients","2 ","2","PN-2 " "340123","RANDOLPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","128 patients","2 ","2","PN-5C " "340123","RANDOLPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","152 patients","2 ","2","SCIP-INF-2 " "340123","RANDOLPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","48 patients","2 ","2","HF-3 " "340123","RANDOLPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","80 patients","2 ","2","PN-7 " "340123","RANDOLPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340123","RANDOLPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340123","RANDOLPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","24 patients","1 ","1","AMI-2 " "340123","RANDOLPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","155 patients","2 ","2","SCIP-VTE-2 " "340123","RANDOLPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients","2 ","2","HF-4 " "340123","RANDOLPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","24 patients","1 ","1","AMI-5 " "340123","RANDOLPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","93 patients","2 ","2","PN-6 " "340126","WILSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"HF-4 " "340126","WILSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","211 patients",,,"HF-1 " "340126","WILSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","44 patients",,,"AMI-1 " "340126","WILSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","138 patients",,,"PN-6 " "340126","WILSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","247 patients",,,"HF-2 " "340126","WILSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","97 patients",,,"HF-3 " "340126","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","211 patients","2 ","2","SCIP-INF-3 " "340126","WILSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","205 patients",,,"PN-3B " "340126","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","335 patients","2 ","2","SCIP-INF-6 " "340126","WILSON MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","25 patients",,,"CAC-2 " "340126","WILSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "340126","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","227 patients","2 ","2","SCIP-INF-2 " "340126","WILSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","29 patients",,,"AMI-2 " "340126","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340126","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","155 patients","2 ","2","SCIP-VTE-2 " "340126","WILSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","207 patients",,,"PN-5C " "340126","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","219 patients","2 ","2","SCIP-INF-1 " "340126","WILSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","184 patients",,,"PN-7 " "340126","WILSON MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","25 patients",,,"CAC-1 " "340126","WILSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "340126","WILSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","226 patients",,,"PN-2 " "340126","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","156 patients","2 ","2","SCIP-VTE-1 " "340126","WILSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340126","WILSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "340126","WILSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","116 patients",,,"PN-4 " "340126","WILSON MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","48%","25 patients",,,"CAC-3 " "340126","WILSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","34 patients","2 ","2","SCIP-CARD-2 " "340126","WILSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "340127","GRANVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","95 patients",,,"SCIP-VTE-1 " "340127","GRANVILLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "340127","GRANVILLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","49 patients",,,"PN-7 " "340127","GRANVILLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","16 patients","1 ","1","AMI-1 " "340127","GRANVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","154 patients",,,"SCIP-INF-2 " "340127","GRANVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","207 patients",,,"SCIP-INF-6 " "340127","GRANVILLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "340127","GRANVILLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","59 patients",,,"PN-3B " "340127","GRANVILLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "340127","GRANVILLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","83 patients",,,"PN-5C " "340127","GRANVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","26 patients",,,"SCIP-CARD-2 " "340127","GRANVILLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "340127","GRANVILLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","73 patients",,,"HF-1 " "340127","GRANVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340127","GRANVILLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "340127","GRANVILLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340127","GRANVILLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340127","GRANVILLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "340127","GRANVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","95 patients",,,"SCIP-VTE-2 " "340127","GRANVILLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "340127","GRANVILLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","65 patients",,,"PN-2 " "340127","GRANVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","154 patients",,,"SCIP-INF-1 " "340127","GRANVILLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","84 patients",,,"HF-2 " "340127","GRANVILLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","66 patients",,,"PN-6 " "340127","GRANVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","147 patients",,,"SCIP-INF-3 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","59 patients",,,"AMI-5 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","224 patients","2 ","2","SCIP-INF-2 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","140 patients",,,"HF-1 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","18 patients","1 ","1","CAC-3 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","223 patients","2 ","2","SCIP-INF-1 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","172 patients",,,"HF-2 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","203 patients","2 ","2","SCIP-INF-3 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","101 patients",,,"PN-5C " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","53 patients",,,"AMI-2 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","378 patients","2 ","2","SCIP-INF-6 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","30 patients","2 ","2","SCIP-CARD-2 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","95%","19 patients","1 ","1","CAC-2 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","204 patients","2 ","2","SCIP-VTE-2 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","82 patients",,,"AMI-1 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","105 patients",,,"PN-3B " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","103 patients",,,"PN-2 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","90 patients",,,"PN-7 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","54 patients",,,"HF-3 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","204 patients","2 ","2","SCIP-VTE-1 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","70 patients",,,"PN-6 " "340129","LAKE NORMAN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","19 patients","1 ","1","CAC-1 " "34012F","DURHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","383 patients",,,"SCIP-INF-1 " "34012F","DURHAM VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","57 patients",,,"PN-3B " "34012F","DURHAM VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "34012F","DURHAM VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","50 patients",,,"AMI-5 " "34012F","DURHAM VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","76 patients",,,"HF-3 " "34012F","DURHAM VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","57 patients",,,"PN-5C " "34012F","DURHAM VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","144 patients",,,"HF-1 " "34012F","DURHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","506 patients","2 ","2","SCIP-INF-6 " "34012F","DURHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","197 patients","2 ","2","SCIP-VTE-1 " "34012F","DURHAM VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","AMI-4 " "34012F","DURHAM VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","59 patients",,,"PN-2 " "34012F","DURHAM VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","151 patients",,,"HF-2 " "34012F","DURHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","197 patients","2 ","2","SCIP-VTE-2 " "34012F","DURHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","145 patients","2 ","2","SCIP-INF-4 " "34012F","DURHAM VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","58 patients",,,"PN-7 " "34012F","DURHAM VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "34012F","DURHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","387 patients",,,"SCIP-INF-2 " "34012F","DURHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","368 patients",,,"SCIP-INF-3 " "34012F","DURHAM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","154 patients","2 ","2","SCIP-CARD-2 " "34012F","DURHAM VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","30 patients",,,"PN-6 " "34012F","DURHAM VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","54 patients",,,"AMI-1 " "34012F","DURHAM VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"PN-4 " "34012F","DURHAM VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "34012F","DURHAM VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","53 patients",,,"AMI-2 " "34012F","DURHAM VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","35 patients",,,"HF-4 " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340130","CAROLINAS MEDICAL CENTER-UNION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","234 patients","2 ","2","SCIP-VTE-1 " "340130","CAROLINAS MEDICAL CENTER-UNION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","247 patients","2 ","2","SCIP-INF-1 " "340130","CAROLINAS MEDICAL CENTER-UNION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","83 patients","2 ","2","PN-7 " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "340130","CAROLINAS MEDICAL CENTER-UNION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients","2 ","2","PN-4 " "340130","CAROLINAS MEDICAL CENTER-UNION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","131 patients","2 ","2","PN-5C " "340130","CAROLINAS MEDICAL CENTER-UNION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","41 patients","2 ","2","SCIP-CARD-2 " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","146 patients","2 ","2","HF-3 " "340130","CAROLINAS MEDICAL CENTER-UNION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","116 patients","2 ","2","PN-2 " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "340130","CAROLINAS MEDICAL CENTER-UNION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","382 patients","2 ","2","SCIP-INF-6 " "340130","CAROLINAS MEDICAL CENTER-UNION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","138 patients","2 ","2","PN-3B " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","76 patients",,,"AMI-1 " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","57 patients",,,"AMI-5 " "340130","CAROLINAS MEDICAL CENTER-UNION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","72 patients","2 ","2","PN-6 " "340130","CAROLINAS MEDICAL CENTER-UNION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","235 patients","2 ","2","SCIP-INF-3 " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","52 patients",,,"AMI-2 " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","76 patients","2 ","2","HF-4 " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","258 patients","2 ","2","HF-1 " "340130","CAROLINAS MEDICAL CENTER-UNION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","252 patients","2 ","2","SCIP-INF-2 " "340130","CAROLINAS MEDICAL CENTER-UNION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","310 patients","2 ","2","HF-2 " "340130","CAROLINAS MEDICAL CENTER-UNION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340130","CAROLINAS MEDICAL CENTER-UNION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","234 patients","2 ","2","SCIP-VTE-2 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","291 patients",,,"AMI-2 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","64 patients",,,"AMI-3 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","534 patients",,,"HF-2 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","157 patients",,,"PN-6 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","261 patients",,,"AMI-5 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","154 patients",,,"HF-3 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","274 patients",,,"PN-5C " "340131","CRAVEN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","87 patients",,,"PN-4 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","471 patients",,,"HF-1 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","239 patients",,,"PN-2 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","155 patients",,,"PN-7 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","214 patients",,,"SCIP-CARD-2 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1394 patients",,,"SCIP-INF-6 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","654 patients",,,"SCIP-VTE-2 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","655 patients",,,"SCIP-VTE-1 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1013 patients",,,"SCIP-INF-1 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","227 patients",,,"AMI-1 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","69%","210 patients",,,"SCIP-INF-4 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","1023 patients",,,"SCIP-INF-2 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","978 patients",,,"SCIP-INF-3 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","53 patients",,,"AMI-8A " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"HF-4 " "340131","CRAVEN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","271 patients",,,"PN-3B " "340131","CRAVEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","151 patients",,,"AMI-4 " "340132","MARIA PARHAM HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","81 patients",,,"HF-3 " "340132","MARIA PARHAM HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","105 patients",,,"PN-5C " "340132","MARIA PARHAM HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340132","MARIA PARHAM HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","145 patients",,,"HF-1 " "340132","MARIA PARHAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340132","MARIA PARHAM HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","32 patients",,,"AMI-2 " "340132","MARIA PARHAM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","86 patients",,,"SCIP-VTE-1 " "340132","MARIA PARHAM HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "340132","MARIA PARHAM HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","94 patients",,,"PN-3B " "340132","MARIA PARHAM HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "340132","MARIA PARHAM HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","175 patients",,,"HF-2 " "340132","MARIA PARHAM HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","127 patients",,,"PN-2 " "340132","MARIA PARHAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","46 patients",,,"SCIP-INF-1 " "340132","MARIA PARHAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","161 patients",,,"SCIP-INF-6 " "340132","MARIA PARHAM HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","86 patients",,,"PN-7 " "340132","MARIA PARHAM HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","18 patients","1 ","1","SCIP-CARD-2 " "340132","MARIA PARHAM HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","43 patients",,,"AMI-1 " "340132","MARIA PARHAM HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","64 patients",,,"PN-6 " "340132","MARIA PARHAM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","86 patients",,,"SCIP-VTE-2 " "340132","MARIA PARHAM HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","33 patients",,,"AMI-5 " "340132","MARIA PARHAM HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "340132","MARIA PARHAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","47 patients",,,"SCIP-INF-2 " "340132","MARIA PARHAM HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "340132","MARIA PARHAM HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340132","MARIA PARHAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","44 patients",,,"SCIP-INF-3 " "340133","MARTIN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "340133","MARTIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","44 patients","2 ","2","SCIP-VTE-1 " "340133","MARTIN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","117 patients",,,"HF-2 " "340133","MARTIN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","51 patients",,,"PN-3B " "340133","MARTIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1,2 ","12","SCIP-CARD-2 " "340133","MARTIN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "340133","MARTIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","70 patients","2 ","2","SCIP-INF-2 " "340133","MARTIN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340133","MARTIN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340133","MARTIN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "340133","MARTIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","79 patients","2 ","2","SCIP-INF-6 " "340133","MARTIN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","41 patients",,,"HF-3 " "340133","MARTIN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","67 patients",,,"PN-5C " "340133","MARTIN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "340133","MARTIN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","47 patients",,,"PN-6 " "340133","MARTIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","68 patients","2 ","2","SCIP-INF-3 " "340133","MARTIN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "340133","MARTIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","71 patients","2 ","2","SCIP-INF-1 " "340133","MARTIN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","40 patients",,,"PN-7 " "340133","MARTIN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "340133","MARTIN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","61 patients",,,"PN-2 " "340133","MARTIN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","91 patients",,,"HF-1 " "340133","MARTIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340133","MARTIN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "340133","MARTIN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","44 patients","2 ","2","SCIP-VTE-2 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","67 patients",,,"HF-3 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","60 patients",,,"PN-3B " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1 ","1","PN-5C " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","156 patients",,,"HF-1 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","42 patients",,,"PN-2 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","36 patients",,,"PN-7 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","51 patients",,,"PN-6 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","159 patients",,,"HF-2 " "34013F","FAYETTEVILLE NC VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","HF-4 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","99 patients","2 ","2","PN-3B " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","84 patients","2 ","2","PN-6 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","66 patients","2,3 ","23","PN-5C " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","52 patients","2 ","2","AMI-8A " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","579 patients","2 ","2","SCIP-INF-3 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","273 patients","2 ","2","AMI-2 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","358 patients","2 ","2","SCIP-VTE-2 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","615 patients","2 ","2","SCIP-INF-1 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","132 patients","2 ","2","SCIP-CARD-2 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","PN-4 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","361 patients","2 ","2","SCIP-VTE-1 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","900 patients","2 ","2","SCIP-INF-6 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","138 patients","2 ","2","SCIP-INF-4 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","86 patients","2 ","2","PN-7 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","165 patients","2 ","2","AMI-1 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","51%","226 patients","2 ","2","HF-1 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","116 patients","2 ","2","AMI-4 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","274 patients","2 ","2","HF-2 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","39 patients","2 ","2","AMI-3 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","56 patients","2 ","2","HF-4 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","86 patients","2 ","2","HF-3 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","624 patients","2 ","2","SCIP-INF-2 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","127 patients","2 ","2","PN-2 " "340141","NEW HANOVER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","245 patients","2 ","2","AMI-5 " "340142","CARTERET GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "340142","CARTERET GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340142","CARTERET GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","92 patients",,,"PN-6 " "340142","CARTERET GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","273 patients",,,"SCIP-INF-3 " "340142","CARTERET GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "340142","CARTERET GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","125 patients",,,"PN-2 " "340142","CARTERET GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","43 patients",,,"SCIP-CARD-2 " "340142","CARTERET GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","175 patients",,,"HF-1 " "340142","CARTERET GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","54 patients",,,"HF-4 " "340142","CARTERET GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","136 patients",,,"PN-5C " "340142","CARTERET GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "340142","CARTERET GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","235 patients",,,"HF-2 " "340142","CARTERET GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","218 patients",,,"SCIP-VTE-1 " "340142","CARTERET GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","218 patients",,,"SCIP-VTE-2 " "340142","CARTERET GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","34 patients",,,"AMI-2 " "340142","CARTERET GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","78 patients",,,"AMI-1 " "340142","CARTERET GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","38 patients",,,"AMI-5 " "340142","CARTERET GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","86 patients",,,"HF-3 " "340142","CARTERET GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","469 patients",,,"SCIP-INF-6 " "340142","CARTERET GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","12 patients","1 ","1","AMI-3 " "340142","CARTERET GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","131 patients",,,"PN-3B " "340142","CARTERET GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"PN-4 " "340142","CARTERET GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","70 patients",,,"PN-7 " "340142","CARTERET GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","286 patients",,,"SCIP-INF-1 " "340142","CARTERET GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","288 patients",,,"SCIP-INF-2 " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "340143","CATAWBA VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "340143","CATAWBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","505 patients",,,"SCIP-INF-1 " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","156 patients",,,"HF-2 " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","106 patients",,,"AMI-1 " "340143","CATAWBA VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","133 patients",,,"PN-6 " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-8A " "340143","CATAWBA VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","191 patients",,,"PN-3B " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","126 patients",,,"HF-1 " "340143","CATAWBA VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","104 patients",,,"PN-7 " "340143","CATAWBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","383 patients",,,"SCIP-VTE-1 " "340143","CATAWBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340143","CATAWBA VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","137 patients",,,"PN-2 " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","84 patients",,,"AMI-2 " "340143","CATAWBA VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","173 patients",,,"PN-5C " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"AMI-4 " "340143","CATAWBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","512 patients",,,"SCIP-INF-2 " "340143","CATAWBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","730 patients",,,"SCIP-INF-6 " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","84 patients",,,"AMI-5 " "340143","CATAWBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","497 patients",,,"SCIP-INF-3 " "340143","CATAWBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","87 patients",,,"SCIP-CARD-2 " "340143","CATAWBA VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","383 patients",,,"SCIP-VTE-2 " "340143","CATAWBA VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","44 patients",,,"HF-3 " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"HF-4 " "340144","DAVIS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","71%","28 patients",,,"CAC-3 " "340144","DAVIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","147 patients",,,"SCIP-VTE-2 " "340144","DAVIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","138 patients",,,"SCIP-INF-2 " "340144","DAVIS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","80 patients",,,"PN-2 " "340144","DAVIS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","77 patients",,,"PN-7 " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "340144","DAVIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","135 patients",,,"SCIP-INF-1 " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "340144","DAVIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","221 patients",,,"SCIP-INF-6 " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340144","DAVIS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","29 patients",,,"CAC-1 " "340144","DAVIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","147 patients",,,"SCIP-VTE-1 " "340144","DAVIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","29 patients",,,"SCIP-CARD-2 " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","226 patients",,,"HF-2 " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","211 patients",,,"HF-1 " "340144","DAVIS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","106 patients",,,"PN-5C " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "340144","DAVIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","128 patients",,,"SCIP-INF-3 " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "340144","DAVIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "340144","DAVIS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "340144","DAVIS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","106 patients",,,"PN-3B " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"HF-3 " "340144","DAVIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "340144","DAVIS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","86 patients",,,"PN-6 " "340144","DAVIS REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","97%","29 patients",,,"CAC-2 " "340145","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","51 patients",,,"SCIP-VTE-2 " "340145","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "340145","LINCOLN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "340145","LINCOLN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","121 patients",,,"PN-6 " "340145","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","51 patients",,,"SCIP-VTE-1 " "340145","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","114 patients",,,"SCIP-INF-6 " "340145","LINCOLN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "340145","LINCOLN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "340145","LINCOLN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "340145","LINCOLN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","18 patients","1 ","1","AMI-1 " "340145","LINCOLN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"PN-4 " "340145","LINCOLN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340145","LINCOLN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","115 patients",,,"PN-2 " "340145","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","69 patients",,,"SCIP-INF-3 " "340145","LINCOLN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","83 patients",,,"HF-1 " "340145","LINCOLN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","105 patients",,,"PN-7 " "340145","LINCOLN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients",,,"HF-3 " "340145","LINCOLN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","96 patients",,,"HF-2 " "340145","LINCOLN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","149 patients",,,"PN-5C " "340145","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","75 patients",,,"SCIP-INF-1 " "340145","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","77 patients",,,"SCIP-INF-2 " "340145","LINCOLN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340145","LINCOLN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","125 patients",,,"PN-3B " "340145","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340145","LINCOLN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "340147","NASH GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","341 patients",,,"AMI-1 " "340147","NASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","508 patients","2 ","2","SCIP-INF-2 " "340147","NASH GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","266 patients",,,"PN-7 " "340147","NASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","205 patients","2 ","2","SCIP-VTE-2 " "340147","NASH GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","34 patients",,,"AMI-3 " "340147","NASH GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","447 patients",,,"HF-1 " "340147","NASH GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","301 patients",,,"PN-2 " "340147","NASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","626 patients","2 ","2","SCIP-INF-6 " "340147","NASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","484 patients","2 ","2","SCIP-INF-3 " "340147","NASH GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","317 patients",,,"PN-5C " "340147","NASH GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340147","NASH GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","119 patients",,,"HF-3 " "340147","NASH GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","239 patients",,,"AMI-5 " "340147","NASH GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340147","NASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340147","NASH GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","229 patients",,,"AMI-2 " "340147","NASH GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","163 patients",,,"PN-6 " "340147","NASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","502 patients","2 ","2","SCIP-INF-1 " "340147","NASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","205 patients","2 ","2","SCIP-VTE-1 " "340147","NASH GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","519 patients",,,"HF-2 " "340147","NASH GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"AMI-4 " "340147","NASH GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","148 patients",,,"PN-4 " "340147","NASH GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","298 patients",,,"PN-3B " "340147","NASH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","85 patients","2 ","2","SCIP-CARD-2 " "340147","NASH GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","129 patients",,,"HF-4 " "340148","MEDICAL PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "340148","MEDICAL PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "340148","MEDICAL PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "340148","MEDICAL PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "340148","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340148","MEDICAL PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "340148","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","445 patients","2 ","2","SCIP-INF-6 " "340148","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","250 patients","2 ","2","SCIP-INF-1 " "340148","MEDICAL PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "340148","MEDICAL PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "340148","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients","2 ","2","SCIP-CARD-2 " "340148","MEDICAL PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "340148","MEDICAL PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "340148","MEDICAL PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "340148","MEDICAL PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "340148","MEDICAL PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "340148","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","214 patients","2 ","2","SCIP-VTE-1 " "340148","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","237 patients","2 ","2","SCIP-INF-3 " "340148","MEDICAL PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "340148","MEDICAL PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "340148","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","251 patients","2 ","2","SCIP-INF-2 " "340148","MEDICAL PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "340148","MEDICAL PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "340148","MEDICAL PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "340148","MEDICAL PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","214 patients","2 ","2","SCIP-VTE-2 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","27 patients",,,"AMI-5 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","28 patients",,,"AMI-2 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","51 patients","2 ","2","SCIP-CARD-2 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","424 patients","2 ","2","SCIP-INF-6 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","149 patients","2 ","2","SCIP-VTE-2 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","152 patients","2 ","2","SCIP-VTE-1 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"HF-4 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","145 patients",,,"PN-2 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","186 patients",,,"PN-5C " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","281 patients","2 ","2","SCIP-INF-3 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","107 patients",,,"PN-7 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","137 patients",,,"PN-3B " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","111 patients",,,"HF-3 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","291 patients",,,"HF-1 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","56 patients",,,"AMI-1 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"PN-4 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","292 patients","2 ","2","SCIP-INF-2 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","290 patients","2 ","2","SCIP-INF-1 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","331 patients",,,"HF-2 " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340151","HALIFAX REGIONAL MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","130 patients",,,"PN-6 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1262 patients","2 ","2","SCIP-INF-2 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1554 patients","2 ","2","SCIP-INF-6 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","1218 patients","2 ","2","SCIP-INF-3 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","761 patients","2 ","2","SCIP-VTE-1 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1256 patients","2 ","2","SCIP-INF-1 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","761 patients","2 ","2","SCIP-VTE-2 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","227 patients","2 ","2","SCIP-CARD-2 " "340153","PRESBYTERIAN-ORTHOPAEDIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "340155","DURHAM REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","656 patients","2 ","2","SCIP-INF-1 " "340155","DURHAM REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","193 patients",,,"PN-6 " "340155","DURHAM REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","329 patients",,,"HF-1 " "340155","DURHAM REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","66 patients","2 ","2","SCIP-INF-4 " "340155","DURHAM REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","183 patients",,,"AMI-5 " "340155","DURHAM REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","829 patients","2 ","2","SCIP-INF-6 " "340155","DURHAM REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","130 patients","2 ","2","SCIP-CARD-2 " "340155","DURHAM REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","205 patients",,,"AMI-1 " "340155","DURHAM REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","347 patients",,,"PN-3B " "340155","DURHAM REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","658 patients","2 ","2","SCIP-INF-2 " "340155","DURHAM REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","199 patients",,,"AMI-2 " "340155","DURHAM REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","124 patients",,,"PN-4 " "340155","DURHAM REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","291 patients",,,"PN-2 " "340155","DURHAM REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340155","DURHAM REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","239 patients","2 ","2","SCIP-VTE-1 " "340155","DURHAM REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","194 patients",,,"PN-7 " "340155","DURHAM REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","156 patients",,,"HF-3 " "340155","DURHAM REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","129 patients",,,"HF-4 " "340155","DURHAM REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"AMI-4 " "340155","DURHAM REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","37 patients",,,"AMI-8A " "340155","DURHAM REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","393 patients",,,"HF-2 " "340155","DURHAM REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","299 patients",,,"PN-5C " "340155","DURHAM REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","43 patients",,,"AMI-3 " "340155","DURHAM REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","239 patients","2 ","2","SCIP-VTE-2 " "340155","DURHAM REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","624 patients","2 ","2","SCIP-INF-3 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","17 patients","1 ","1","PN-3B " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","18 patients","1 ","1","PN-7 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","10 patients","1 ","1","HF-2 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","17 patients","1 ","1","PN-2 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","10 patients","1 ","1","HF-1 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","14 patients","1 ","1","PN-4 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","31 patients",,,"PN-6 " "340156","CHEROKEE INDIAN HOSPITAL AUTHORITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","9 patients","1,3 ","13","PN-5C " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","84 patients",,,"HF-1 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","148 patients",,,"SCIP-VTE-1 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","256 patients",,,"SCIP-INF-2 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","255 patients",,,"SCIP-INF-1 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","92 patients",,,"PN-2 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340158","BRUNSWICK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","42 patients",,,"SCIP-CARD-2 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","102 patients",,,"HF-2 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","329 patients",,,"SCIP-INF-6 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","111 patients",,,"PN-3B " "340158","BRUNSWICK COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","71 patients",,,"PN-7 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340158","BRUNSWICK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","238 patients",,,"SCIP-INF-3 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","148 patients",,,"SCIP-VTE-2 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","92 patients",,,"PN-5C " "340158","BRUNSWICK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"HF-3 " "340158","BRUNSWICK COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","79 patients",,,"PN-6 " "340159","PERSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340159","PERSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "340159","PERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","112 patients",,,"SCIP-VTE-2 " "340159","PERSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","26 patients",,,"PN-4 " "340159","PERSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "340159","PERSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "340159","PERSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","65 patients",,,"PN-2 " "340159","PERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","165 patients",,,"SCIP-INF-1 " "340159","PERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","117 patients",,,"SCIP-VTE-1 " "340159","PERSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","99 patients",,,"HF-2 " "340159","PERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","226 patients",,,"SCIP-INF-6 " "340159","PERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","52%","31 patients",,,"SCIP-CARD-2 " "340159","PERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","167 patients",,,"SCIP-INF-2 " "340159","PERSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "340159","PERSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","49 patients",,,"PN-7 " "340159","PERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","163 patients",,,"SCIP-INF-3 " "340159","PERSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340159","PERSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","54 patients",,,"PN-6 " "340159","PERSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","70 patients",,,"HF-1 " "340159","PERSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","77 patients",,,"PN-3B " "340159","PERSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "340159","PERSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","84 patients",,,"PN-5C " "340159","PERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340159","PERSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "340159","PERSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"HF-3 " "340160","MURPHY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340160","MURPHY MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","112 patients",,,"PN-3B " "340160","MURPHY MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"PN-4 " "340160","MURPHY MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "340160","MURPHY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","120 patients",,,"SCIP-INF-2 " "340160","MURPHY MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "340160","MURPHY MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340160","MURPHY MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","80 patients",,,"PN-6 " "340160","MURPHY MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","108 patients",,,"PN-2 " "340160","MURPHY MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "340160","MURPHY MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","86 patients",,,"PN-7 " "340160","MURPHY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","118 patients",,,"SCIP-INF-1 " "340160","MURPHY MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "340160","MURPHY MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","58 patients",,,"HF-1 " "340160","MURPHY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","83 patients",,,"SCIP-VTE-2 " "340160","MURPHY MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "340160","MURPHY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","83 patients",,,"SCIP-VTE-1 " "340160","MURPHY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","113 patients",,,"SCIP-INF-3 " "340160","MURPHY MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","63 patients",,,"HF-2 " "340160","MURPHY MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "340160","MURPHY MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","134 patients",,,"PN-5C " "340160","MURPHY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","16 patients","1 ","1","SCIP-CARD-2 " "340160","MURPHY MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "340160","MURPHY MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","167 patients",,,"SCIP-INF-6 " "340160","MURPHY MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "340166","CAROLINAS MED CTR-UNIVERSITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","69 patients","2 ","2","PN-2 " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","27 patients",,,"AMI-1 " "340166","CAROLINAS MED CTR-UNIVERSITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","71 patients","2 ","2","PN-7 " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340166","CAROLINAS MED CTR-UNIVERSITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","185 patients","2 ","2","SCIP-INF-3 " "340166","CAROLINAS MED CTR-UNIVERSITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","165 patients","2 ","2","SCIP-VTE-1 " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","146 patients","2 ","2","HF-2 " "340166","CAROLINAS MED CTR-UNIVERSITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","196 patients","2 ","2","SCIP-INF-2 " "340166","CAROLINAS MED CTR-UNIVERSITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","118 patients","2 ","2","PN-3B " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","143 patients","2 ","2","HF-1 " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","HF-4 " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "340166","CAROLINAS MED CTR-UNIVERSITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","PN-4 " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "340166","CAROLINAS MED CTR-UNIVERSITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","277 patients","2 ","2","SCIP-INF-6 " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","57 patients","2 ","2","HF-3 " "340166","CAROLINAS MED CTR-UNIVERSITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","124 patients","2 ","2","PN-5C " "340166","CAROLINAS MED CTR-UNIVERSITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","165 patients","2 ","2","SCIP-VTE-2 " "340166","CAROLINAS MED CTR-UNIVERSITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","195 patients","2 ","2","SCIP-INF-1 " "340166","CAROLINAS MED CTR-UNIVERSITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "340166","CAROLINAS MED CTR-UNIVERSITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340166","CAROLINAS MED CTR-UNIVERSITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","93 patients","2 ","2","PN-6 " "340166","CAROLINAS MED CTR-UNIVERSITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","20 patients","1,2 ","12","SCIP-CARD-2 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","189 patients",,,"PN-5C " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","284 patients","2 ","2","SCIP-INF-1 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","459 patients","2 ","2","SCIP-INF-6 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","44 patients",,,"AMI-1 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","44 patients",,,"HF-3 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","210 patients",,,"PN-3B " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","267 patients","2 ","2","SCIP-VTE-2 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","171 patients",,,"HF-2 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","131 patients",,,"PN-7 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","284 patients","2 ","2","SCIP-INF-2 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","138 patients",,,"HF-1 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","267 patients","2 ","2","SCIP-VTE-1 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","167 patients",,,"PN-6 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","162 patients",,,"PN-2 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","43 patients","2 ","2","SCIP-CARD-2 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","273 patients","2 ","2","SCIP-INF-3 " "340171","PRESBYTERIAN HOSPITAL MATTHEWS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","38 patients",,,"AMI-2 " "340173","WAKEMED, CARY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","47 patients","2 ","2","SCIP-CARD-2 " "340173","WAKEMED, CARY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","134 patients",,,"PN-5C " "340173","WAKEMED, CARY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","211 patients","2 ","2","SCIP-VTE-2 " "340173","WAKEMED, CARY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","28 patients",,,"AMI-2 " "340173","WAKEMED, CARY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "340173","WAKEMED, CARY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","211 patients","2 ","2","SCIP-VTE-1 " "340173","WAKEMED, CARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","220 patients","2 ","2","SCIP-INF-1 " "340173","WAKEMED, CARY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","39 patients",,,"AMI-1 " "340173","WAKEMED, CARY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","150 patients",,,"PN-3B " "340173","WAKEMED, CARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","221 patients","2 ","2","SCIP-INF-2 " "340173","WAKEMED, CARY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","91 patients",,,"PN-6 " "340173","WAKEMED, CARY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "340173","WAKEMED, CARY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","272 patients",,,"HF-2 " "340173","WAKEMED, CARY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","147 patients",,,"PN-2 " "340173","WAKEMED, CARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","201 patients","2 ","2","SCIP-INF-3 " "340173","WAKEMED, CARY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "340173","WAKEMED, CARY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","28 patients",,,"AMI-5 " "340173","WAKEMED, CARY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "340173","WAKEMED, CARY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340173","WAKEMED, CARY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","228 patients",,,"HF-1 " "340173","WAKEMED, CARY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","127 patients",,,"PN-7 " "340173","WAKEMED, CARY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340173","WAKEMED, CARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","381 patients","2 ","2","SCIP-INF-6 " "340173","WAKEMED, CARY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","61 patients",,,"HF-3 " "340173","WAKEMED, CARY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1,2 ","12","SCIP-CARD-2 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","13 patients","1 ","1","SCIP-INF-1 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","13 patients","1 ","1","SCIP-INF-2 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","20 patients","1 ","1","PN-2 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","28 patients","2 ","2","SCIP-INF-6 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","22 patients","1,2 ","12","SCIP-VTE-1 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","22 patients","1 ","1","PN-7 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","32 patients",,,"HF-1 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","38 patients",,,"HF-2 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","34 patients",,,"PN-5C " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","26 patients",,,"PN-3B " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","19 patients","1 ","1","PN-6 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","22 patients","1,2 ","12","SCIP-VTE-2 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","11 patients","1 ","1","SCIP-INF-3 " "34017F","W.G. (BILL) HEFNER SALISBURY VA MEDICAL CENT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","95 patients",,,"PN-5C " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","223 patients","2 ","2","SCIP-VTE-1 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","81 patients",,,"PN-6 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","223 patients","2 ","2","SCIP-VTE-2 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","67 patients",,,"PN-7 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","96 patients",,,"PN-2 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","515 patients","2 ","2","SCIP-INF-6 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","378 patients","2 ","2","SCIP-INF-1 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","65 patients","2 ","2","SCIP-CARD-2 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","92 patients",,,"HF-1 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","102 patients",,,"HF-2 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"HF-3 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","366 patients","2 ","2","SCIP-INF-3 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","381 patients","2 ","2","SCIP-INF-2 " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","110 patients",,,"PN-3B " "340183","PRESBYTERIAN HOSPITAL HUNTERSVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","73 patients",,,"HF-1 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","38 patients",,,"SCIP-CARD-2 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","174 patients",,,"PN-6 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","32 patients",,,"HF-3 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","223 patients",,,"SCIP-INF-2 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","172 patients",,,"PN-2 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","64%","90 patients",,,"PN-4 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","192 patients",,,"PN-5C " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","95 patients",,,"HF-2 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","219 patients",,,"SCIP-INF-3 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","363 patients",,,"SCIP-INF-6 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","AMI-4 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","140 patients",,,"PN-7 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","146 patients",,,"SCIP-VTE-1 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","235 patients",,,"SCIP-INF-1 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","132 patients",,,"PN-3B " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","69%","13 patients","1 ","1","HF-4 " "340184","HAYWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","146 patients",,,"SCIP-VTE-2 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","93 patients",,,"HF-1 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","90 patients",,,"PN-7 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","40 patients",,,"AMI-2 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","151 patients",,,"PN-3B " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","165 patients","2 ","2","SCIP-VTE-2 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","38 patients",,,"AMI-5 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","421 patients",,,"SCIP-INF-3 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","438 patients",,,"SCIP-INF-1 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","127 patients",,,"PN-5C " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","103 patients",,,"PN-6 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","53 patients",,,"HF-3 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","14%","7 patients","1 ","1","AMI-8A " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","165 patients","2 ","2","SCIP-VTE-1 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","554 patients","2 ","2","SCIP-INF-6 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","196 patients","2 ","2","SCIP-INF-4 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","243 patients","2 ","2","SCIP-CARD-2 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","104 patients",,,"HF-2 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","440 patients",,,"SCIP-INF-2 " "34036F","ASHEVILLE-OTEEN VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","126 patients",,,"PN-2 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients","3 ","3","PN-5C " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","21 patients","1,3 ","13","HF-1 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","17 patients","1,3 ","13","PN-2 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","20 patients","1,3 ","13","HF-2 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,3 ","13","PN-4 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1,3 ","13","HF-3 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","23 patients","1 ","1","PN-7 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","1 patients","1,3 ","13","SCIP-INF-6 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,2,3 ","123","AMI-2 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","32 patients","3 ","3","PN-3B " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,2,3 ","123","AMI-1 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","19 patients","1,3 ","13","PN-6 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,2,3 ","123","AMI-5 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "341303","FIRSTHEALTH MONTGOMERY MEMORIAL HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "341304","BERTIE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","9 patients","1,3 ","13","PN-3B " "341304","BERTIE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "341304","BERTIE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "341304","BERTIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341304","BERTIE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","24 patients","1,3 ","13","HF-1 " "341304","BERTIE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1,3 ","13","HF-3 " "341304","BERTIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341304","BERTIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341304","BERTIE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","29 patients","3 ","3","HF-2 " "341304","BERTIE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "341304","BERTIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341304","BERTIE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "341304","BERTIE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","8 patients","1,3 ","13","PN-6 " "341304","BERTIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341304","BERTIE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "341304","BERTIE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "341304","BERTIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341304","BERTIE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "341304","BERTIE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","6 patients","1,3 ","13","PN-2 " "341304","BERTIE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1,3 ","13","PN-7 " "341304","BERTIE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "341304","BERTIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341304","BERTIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341304","BERTIE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "341304","BERTIE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","11 patients","1,3 ","13","PN-5C " "341307","PENDER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "341307","PENDER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "341307","PENDER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "341307","PENDER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,3 ","13","PN-6 " "341307","PENDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "341307","PENDER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1,3 ","13","PN-3B " "341307","PENDER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "341307","PENDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341307","PENDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","2 patients","1,3 ","13","SCIP-VTE-2 " "341307","PENDER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","14 patients","1,3 ","13","HF-2 " "341307","PENDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,3 ","13","SCIP-INF-6 " "341307","PENDER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "341307","PENDER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "341307","PENDER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,3 ","13","PN-4 " "341307","PENDER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","9 patients","1,3 ","13","PN-2 " "341307","PENDER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","17 patients","1,3 ","13","PN-5C " "341307","PENDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "341307","PENDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "341307","PENDER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "341307","PENDER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","10 patients","1,3 ","13","HF-1 " "341307","PENDER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "341307","PENDER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "341307","PENDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "341307","PENDER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "341307","PENDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","2 patients","1,3 ","13","SCIP-VTE-1 " "341308","HOOTS MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1 ","1","PN-5C " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "341308","HOOTS MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "341308","HOOTS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","4 patients","1,3 ","13","HF-2 " "341308","HOOTS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "341308","HOOTS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341308","HOOTS MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","11 patients","1 ","1","PN-2 " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "341308","HOOTS MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "341308","HOOTS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341308","HOOTS MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "341308","HOOTS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341308","HOOTS MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "341308","HOOTS MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "341308","HOOTS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341308","HOOTS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341308","HOOTS MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341310","PUNGO DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","19 patients","1 ","1","PN-7 " "341310","PUNGO DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","19 patients","1 ","1","PN-3B " "341310","PUNGO DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341310","PUNGO DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "341310","PUNGO DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "341310","PUNGO DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341310","PUNGO DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "341310","PUNGO DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341310","PUNGO DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","48%","27 patients",,,"PN-6 " "341310","PUNGO DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341310","PUNGO DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341310","PUNGO DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "341310","PUNGO DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "341310","PUNGO DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1 ","1","HF-1 " "341310","PUNGO DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","40%","5 patients","1 ","1","HF-3 " "341310","PUNGO DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341310","PUNGO DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "341310","PUNGO DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341310","PUNGO DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","31 patients",,,"PN-2 " "341310","PUNGO DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341310","PUNGO DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "341310","PUNGO DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","18 patients","1 ","1","HF-2 " "341310","PUNGO DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","40 patients",,,"PN-5C " "341310","PUNGO DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "341310","PUNGO DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "341311","CHATHAM HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "341311","CHATHAM HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","4 patients","1 ","1","SCIP-INF-2 " "341311","CHATHAM HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1,3 ","13","AMI-1 " "341311","CHATHAM HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "341311","CHATHAM HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","PN-4 " "341311","CHATHAM HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","29%","7 patients","1 ","1","SCIP-VTE-1 " "341311","CHATHAM HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","20%","5 patients","1 ","1","HF-4 " "341311","CHATHAM HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","32 patients",,,"HF-2 " "341311","CHATHAM HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "341311","CHATHAM HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1,3 ","13","AMI-2 " "341311","CHATHAM HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "341311","CHATHAM HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","61 patients",,,"PN-6 " "341311","CHATHAM HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","59 patients",,,"PN-3B " "341311","CHATHAM HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "341311","CHATHAM HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1 ","1","SCIP-INF-1 " "341311","CHATHAM HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "341311","CHATHAM HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","17%","23 patients","1 ","1","HF-1 " "341311","CHATHAM HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341311","CHATHAM HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","40%","5 patients","1 ","1","SCIP-VTE-2 " "341311","CHATHAM HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","13 patients","1 ","1","SCIP-INF-6 " "341311","CHATHAM HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","48 patients",,,"PN-7 " "341311","CHATHAM HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","64 patients",,,"PN-2 " "341311","CHATHAM HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","77 patients",,,"PN-5C " "341311","CHATHAM HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "341311","CHATHAM HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "341313","DAVIE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341313","DAVIE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","15 patients","1 ","1","PN-7 " "341313","DAVIE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "341313","DAVIE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","37 patients",,,"PN-5C " "341313","DAVIE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "341313","DAVIE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "341313","DAVIE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "341313","DAVIE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341313","DAVIE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","26 patients",,,"PN-2 " "341313","DAVIE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341313","DAVIE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341313","DAVIE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","6 patients","1 ","1","HF-1 " "341313","DAVIE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","31 patients",,,"PN-6 " "341313","DAVIE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","3 patients","1 ","1","HF-2 " "341313","DAVIE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "341313","DAVIE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "341313","DAVIE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341313","DAVIE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "341313","DAVIE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "341313","DAVIE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","38 patients",,,"PN-3B " "341313","DAVIE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341313","DAVIE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1 ","1","PN-4 " "341313","DAVIE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341313","DAVIE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341313","DAVIE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "341314","WASHINGTON COUNTY HOSP INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "341314","WASHINGTON COUNTY HOSP INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "341314","WASHINGTON COUNTY HOSP INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","32 patients",,,"HF-1 " "341314","WASHINGTON COUNTY HOSP INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "341314","WASHINGTON COUNTY HOSP INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341314","WASHINGTON COUNTY HOSP INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "341314","WASHINGTON COUNTY HOSP INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","29 patients",,,"PN-3B " "341314","WASHINGTON COUNTY HOSP INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341314","WASHINGTON COUNTY HOSP INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "341314","WASHINGTON COUNTY HOSP INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341314","WASHINGTON COUNTY HOSP INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341314","WASHINGTON COUNTY HOSP INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341314","WASHINGTON COUNTY HOSP INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341314","WASHINGTON COUNTY HOSP INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","29 patients",,,"PN-2 " "341314","WASHINGTON COUNTY HOSP INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341314","WASHINGTON COUNTY HOSP INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341314","WASHINGTON COUNTY HOSP INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","22 patients","1 ","1","HF-3 " "341314","WASHINGTON COUNTY HOSP INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "341314","WASHINGTON COUNTY HOSP INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","24 patients","1 ","1","PN-7 " "341314","WASHINGTON COUNTY HOSP INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","27 patients",,,"PN-6 " "341314","WASHINGTON COUNTY HOSP INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","41 patients",,,"HF-2 " "341314","WASHINGTON COUNTY HOSP INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1 ","1","PN-4 " "341314","WASHINGTON COUNTY HOSP INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","38 patients",,,"PN-5C " "341314","WASHINGTON COUNTY HOSP INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "341314","WASHINGTON COUNTY HOSP INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","36 patients",,,"PN-5C " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","20 patients","1 ","1","HF-2 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","26 patients",,,"SCIP-INF-3 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","26 patients",,,"SCIP-INF-2 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","24 patients","1 ","1","PN-7 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","26 patients",,,"SCIP-INF-1 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","9 patients","1 ","1","SCIP-VTE-2 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","21 patients","1 ","1","HF-1 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","39 patients",,,"PN-3B " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","34 patients",,,"PN-2 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","9 patients","1 ","1","SCIP-VTE-1 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","31 patients",,,"PN-6 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients",,,"SCIP-INF-6 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "341315","CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients",,,"PN-5C " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","9 patients","1 ","1","PN-2 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","4 patients","1 ","1","PN-7 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","7 patients","1 ","1","PN-6 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","55%","11 patients","1,3 ","13","HF-2 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1 ","1","PN-3B " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1,3 ","13","HF-1 " "341316","HIGHLANDS CASHIERS HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","14 patients","1 ","1","PN-5C " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","3 patients","1,3 ","13","HF-2 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","9 patients","1 ","1","PN-3B " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1 ","1","PN-7 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1 ","1","PN-4 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1,3 ","13","HF-1 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","10 patients","1 ","1","PN-2 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341317","STOKES-REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "341318","CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","128 patients",,,"SCIP-INF-1 " "341318","CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","126 patients",,,"SCIP-INF-3 " "341318","CHOWAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","50 patients",,,"PN-2 " "341318","CHOWAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","56 patients",,,"PN-5C " "341318","CHOWAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","94 patients",,,"HF-2 " "341318","CHOWAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "341318","CHOWAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","75 patients",,,"HF-1 " "341318","CHOWAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "341318","CHOWAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "341318","CHOWAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","32 patients",,,"PN-6 " "341318","CHOWAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "341318","CHOWAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "341318","CHOWAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "341318","CHOWAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "341318","CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","22 patients","1 ","1","SCIP-CARD-2 " "341318","CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "341318","CHOWAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","35 patients",,,"PN-7 " "341318","CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","181 patients",,,"SCIP-INF-6 " "341318","CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","128 patients",,,"SCIP-INF-2 " "341318","CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","99 patients",,,"SCIP-VTE-1 " "341318","CHOWAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"HF-3 " "341318","CHOWAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","54 patients",,,"PN-3B " "341318","CHOWAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","98 patients",,,"SCIP-VTE-2 " "341318","CHOWAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "341318","CHOWAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","85 patients",,,"SCIP-INF-3 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","18 patients","1 ","1","HF-1 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","52 patients",,,"PN-5C " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","70 patients",,,"SCIP-VTE-1 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","28 patients",,,"HF-2 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","60 patients",,,"PN-2 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1 ","1","SCIP-CARD-2 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","70 patients",,,"SCIP-VTE-2 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","52 patients",,,"PN-6 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","63 patients",,,"PN-3B " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","86 patients",,,"SCIP-INF-2 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","37 patients",,,"PN-7 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","85 patients",,,"SCIP-INF-1 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "341319","TRANSYLVANIA REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","128 patients",,,"SCIP-INF-6 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","14 patients","1 ","1","AMI-1 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","59 patients",,,"PN-3B " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","66 patients",,,"PN-5C " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","33 patients",,,"PN-7 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","25 patients",,,"HF-1 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","53 patients",,,"PN-6 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","71 patients",,,"PN-2 " "341320","ALLEGHANY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","31 patients",,,"HF-2 " "341321","BLOWING ROCK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","12 patients","1 ","1","PN-7 " "341321","BLOWING ROCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341321","BLOWING ROCK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341321","BLOWING ROCK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "341321","BLOWING ROCK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "341321","BLOWING ROCK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341321","BLOWING ROCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341321","BLOWING ROCK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "341321","BLOWING ROCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341321","BLOWING ROCK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "341321","BLOWING ROCK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "341321","BLOWING ROCK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","10 patients","1,3 ","13","PN-3B " "341321","BLOWING ROCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341321","BLOWING ROCK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "341321","BLOWING ROCK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "341321","BLOWING ROCK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","6 patients","1,3 ","13","PN-6 " "341321","BLOWING ROCK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","14 patients","1,3 ","13","PN-5C " "341321","BLOWING ROCK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","4 patients","1,3 ","13","HF-1 " "341321","BLOWING ROCK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","6 patients","1,3 ","13","HF-2 " "341321","BLOWING ROCK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,3 ","13","HF-3 " "341321","BLOWING ROCK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341321","BLOWING ROCK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "341321","BLOWING ROCK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "341321","BLOWING ROCK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","14 patients","1,3 ","13","PN-2 " "341321","BLOWING ROCK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341322","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","145 patients",,,"SCIP-INF-1 " "341322","ST LUKES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "341322","ST LUKES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "341322","ST LUKES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","49 patients",,,"HF-2 " "341322","ST LUKES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "341322","ST LUKES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "341322","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","51 patients",,,"SCIP-VTE-2 " "341322","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1 ","1","SCIP-CARD-2 " "341322","ST LUKES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","47 patients",,,"PN-5C " "341322","ST LUKES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","58 patients",,,"PN-2 " "341322","ST LUKES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "341322","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","51 patients",,,"SCIP-VTE-1 " "341322","ST LUKES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","62 patients",,,"PN-3B " "341322","ST LUKES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","33 patients",,,"HF-1 " "341322","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","168 patients",,,"SCIP-INF-6 " "341322","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","138 patients",,,"SCIP-INF-3 " "341322","ST LUKES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","38 patients",,,"PN-7 " "341322","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "341322","ST LUKES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "341322","ST LUKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","145 patients",,,"SCIP-INF-2 " "341322","ST LUKES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "341322","ST LUKES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "341322","ST LUKES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","37 patients",,,"PN-6 " "341322","ST LUKES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","17 patients","1 ","1","PN-4 " "341322","ST LUKES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1,3 ","13","HF-3 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","65 patients","3 ","3","PN-2 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","56 patients","3 ","3","PN-6 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","60 patients",,,"PN-7 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1,3 ","13","PN-4 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,3 ","13","HF-4 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","59 patients","3 ","3","PN-3B " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","35 patients","3 ","3","HF-1 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","87 patients","3 ","3","PN-5C " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","38 patients","3 ","3","HF-2 " "341323","CHARLES A CANNON JR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "341324","THE OUTER BANKS HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","40 patients",,,"PN-5C " "341324","THE OUTER BANKS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","50 patients",,,"SCIP-INF-1 " "341324","THE OUTER BANKS HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","33 patients",,,"PN-6 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","8 patients","1 ","1","HF-2 " "341324","THE OUTER BANKS HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","44 patients",,,"PN-3B " "341324","THE OUTER BANKS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","50 patients",,,"SCIP-INF-3 " "341324","THE OUTER BANKS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","50 patients",,,"SCIP-INF-2 " "341324","THE OUTER BANKS HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "341324","THE OUTER BANKS HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","50 patients",,,"SCIP-VTE-2 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "341324","THE OUTER BANKS HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","50 patients",,,"SCIP-VTE-1 " "341324","THE OUTER BANKS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","84 patients",,,"SCIP-INF-6 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "341324","THE OUTER BANKS HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","35 patients",,,"PN-2 " "341324","THE OUTER BANKS HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "341324","THE OUTER BANKS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","5 patients","1 ","1","HF-1 " "341324","THE OUTER BANKS HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "341324","THE OUTER BANKS HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","36 patients",,,"PN-7 " "341325","ASHE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "341325","ASHE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","29 patients",,,"HF-1 " "341325","ASHE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "341325","ASHE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "341325","ASHE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "341325","ASHE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "341325","ASHE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","40 patients",,,"HF-2 " "341325","ASHE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "341325","ASHE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "341325","ASHE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "341325","ASHE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "341325","ASHE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "341325","ASHE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","60%","5 patients","1 ","1","SCIP-INF-2 " "341325","ASHE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "341325","ASHE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","87 patients",,,"PN-6 " "341325","ASHE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","11 patients","1 ","1","SCIP-VTE-2 " "341325","ASHE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","119 patients",,,"PN-2 " "341325","ASHE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","69 patients",,,"PN-7 " "341325","ASHE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "341325","ASHE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","107 patients",,,"PN-5C " "341325","ASHE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","55 patients",,,"PN-3B " "341325","ASHE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1 ","1","SCIP-INF-6 " "341325","ASHE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","11 patients","1 ","1","SCIP-VTE-1 " "341325","ASHE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","37 patients",,,"PN-4 " "341325","ASHE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "341326","ANGEL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","45 patients",,,"PN-7 " "341326","ANGEL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "341326","ANGEL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "341326","ANGEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","63 patients","2 ","2","SCIP-INF-6 " "341326","ANGEL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","56 patients",,,"PN-3B " "341326","ANGEL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "341326","ANGEL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "341326","ANGEL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","47 patients",,,"PN-6 " "341326","ANGEL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","46 patients",,,"PN-5C " "341326","ANGEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","33 patients","2 ","2","SCIP-INF-2 " "341326","ANGEL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","58 patients",,,"PN-2 " "341326","ANGEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "341326","ANGEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","32 patients","2 ","2","SCIP-INF-1 " "341326","ANGEL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","23 patients","1 ","1","PN-4 " "341326","ANGEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","30 patients","2 ","2","SCIP-INF-3 " "341326","ANGEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","13 patients","1,2 ","12","SCIP-CARD-2 " "341326","ANGEL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "341326","ANGEL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "341326","ANGEL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "341326","ANGEL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "341326","ANGEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","51 patients","2 ","2","SCIP-VTE-1 " "341326","ANGEL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","32 patients",,,"HF-1 " "341326","ANGEL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "341326","ANGEL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","51 patients","2 ","2","SCIP-VTE-2 " "341326","ANGEL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","39 patients",,,"HF-2 " "350002","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","185 patients","2 ","2","SCIP-VTE-2 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","194 patients",,,"HF-2 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","92 patients",,,"AMI-1 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","67 patients",,,"HF-3 " "350002","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","145 patients","2 ","2","SCIP-INF-4 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","18 patients","1 ","1","AMI-8A " "350002","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","98 patients","2 ","2","SCIP-CARD-2 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","161 patients",,,"HF-1 " "350002","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","133 patients","2 ","2","PN-2 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","193 patients",,,"AMI-5 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "350002","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","89 patients","2 ","2","PN-7 " "350002","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","463 patients","2 ","2","SCIP-INF-1 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","199 patients",,,"AMI-2 " "350002","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","99 patients","2 ","2","PN-3B " "350002","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","AMI-3 " "350002","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "350002","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","629 patients","2 ","2","SCIP-INF-6 " "350002","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","118 patients","2 ","2","PN-5C " "350002","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","445 patients","2 ","2","SCIP-INF-3 " "350002","ST ALEXIUS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","51 patients","2 ","2","PN-6 " "350002","ST ALEXIUS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"AMI-4 " "350002","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","187 patients","2 ","2","SCIP-VTE-1 " "350002","ST ALEXIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","464 patients","2 ","2","SCIP-INF-2 " "350006","TRINITY HOSPITALS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","206 patients",,,"AMI-5 " "350006","TRINITY HOSPITALS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","222 patients",,,"PN-3B " "350006","TRINITY HOSPITALS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","315 patients","2 ","2","SCIP-VTE-2 " "350006","TRINITY HOSPITALS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","86 patients",,,"HF-3 " "350006","TRINITY HOSPITALS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"AMI-4 " "350006","TRINITY HOSPITALS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","208 patients",,,"AMI-2 " "350006","TRINITY HOSPITALS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","177 patients",,,"HF-1 " "350006","TRINITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","613 patients","2 ","2","SCIP-INF-2 " "350006","TRINITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","590 patients","2 ","2","SCIP-INF-3 " "350006","TRINITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","838 patients","2 ","2","SCIP-INF-6 " "350006","TRINITY HOSPITALS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "350006","TRINITY HOSPITALS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","144 patients",,,"PN-6 " "350006","TRINITY HOSPITALS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","316 patients","2 ","2","SCIP-VTE-1 " "350006","TRINITY HOSPITALS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","229 patients",,,"PN-5C " "350006","TRINITY HOSPITALS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","76 patients",,,"PN-4 " "350006","TRINITY HOSPITALS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","10 patients","1 ","1","AMI-8A " "350006","TRINITY HOSPITALS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","258 patients",,,"PN-2 " "350006","TRINITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","70 patients","2 ","2","SCIP-INF-4 " "350006","TRINITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","606 patients","2 ","2","SCIP-INF-1 " "350006","TRINITY HOSPITALS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "350006","TRINITY HOSPITALS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "350006","TRINITY HOSPITALS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","118 patients",,,"AMI-1 " "350006","TRINITY HOSPITALS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","239 patients",,,"HF-2 " "350006","TRINITY HOSPITALS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","130 patients",,,"SCIP-CARD-2 " "350006","TRINITY HOSPITALS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","162 patients",,,"PN-7 " "350011","MERITCARE HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","316 patients","2 ","2","SCIP-VTE-1 " "350011","MERITCARE HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","581 patients","2 ","2","SCIP-INF-1 " "350011","MERITCARE HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "350011","MERITCARE HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","549 patients","2 ","2","SCIP-INF-3 " "350011","MERITCARE HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","215 patients",,,"PN-3B " "350011","MERITCARE HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","173 patients","2 ","2","SCIP-CARD-2 " "350011","MERITCARE HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","513 patients",,,"AMI-2 " "350011","MERITCARE HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","102 patients",,,"AMI-3 " "350011","MERITCARE HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","296 patients",,,"HF-1 " "350011","MERITCARE HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","168 patients",,,"AMI-4 " "350011","MERITCARE HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","206 patients",,,"PN-5C " "350011","MERITCARE HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "350011","MERITCARE HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","137 patients",,,"PN-4 " "350011","MERITCARE HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","115 patients",,,"HF-3 " "350011","MERITCARE HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","305 patients",,,"PN-2 " "350011","MERITCARE HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","53 patients",,,"AMI-8A " "350011","MERITCARE HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","316 patients","2 ","2","SCIP-VTE-2 " "350011","MERITCARE HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","119 patients",,,"PN-6 " "350011","MERITCARE HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","227 patients",,,"PN-7 " "350011","MERITCARE HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","554 patients",,,"AMI-5 " "350011","MERITCARE HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","900 patients","2 ","2","SCIP-INF-6 " "350011","MERITCARE HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","183 patients",,,"AMI-1 " "350011","MERITCARE HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","189 patients","2 ","2","SCIP-INF-4 " "350011","MERITCARE HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","602 patients","2 ","2","SCIP-INF-2 " "350011","MERITCARE HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","377 patients",,,"HF-2 " "350015","MEDCENTER ONE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","18 patients","1 ","1","AMI-8A " "350015","MEDCENTER ONE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","136 patients",,,"AMI-2 " "350015","MEDCENTER ONE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","108 patients","2 ","2","SCIP-INF-4 " "350015","MEDCENTER ONE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","243 patients","2 ","2","SCIP-VTE-1 " "350015","MEDCENTER ONE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","135 patients",,,"PN-2 " "350015","MEDCENTER ONE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","90 patients",,,"PN-7 " "350015","MEDCENTER ONE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","677 patients","2 ","2","SCIP-INF-6 " "350015","MEDCENTER ONE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","558 patients","2 ","2","SCIP-INF-2 " "350015","MEDCENTER ONE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "350015","MEDCENTER ONE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "350015","MEDCENTER ONE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","56 patients",,,"PN-4 " "350015","MEDCENTER ONE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","241 patients","2 ","2","SCIP-VTE-2 " "350015","MEDCENTER ONE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","103 patients",,,"HF-1 " "350015","MEDCENTER ONE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","47 patients",,,"HF-3 " "350015","MEDCENTER ONE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"AMI-4 " "350015","MEDCENTER ONE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","136 patients",,,"HF-2 " "350015","MEDCENTER ONE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","134 patients",,,"PN-5C " "350015","MEDCENTER ONE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","94 patients",,,"AMI-1 " "350015","MEDCENTER ONE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","129 patients",,,"PN-3B " "350015","MEDCENTER ONE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","78 patients",,,"PN-6 " "350015","MEDCENTER ONE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","542 patients","2 ","2","SCIP-INF-3 " "350015","MEDCENTER ONE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","89 patients","2 ","2","SCIP-CARD-2 " "350015","MEDCENTER ONE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","135 patients",,,"AMI-5 " "350015","MEDCENTER ONE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","555 patients","2 ","2","SCIP-INF-1 " "350015","MEDCENTER ONE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "350019","ALTRU HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","228 patients",,,"AMI-5 " "350019","ALTRU HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","444 patients","2 ","2","SCIP-INF-3 " "350019","ALTRU HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "350019","ALTRU HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","90 patients","2 ","2","SCIP-CARD-2 " "350019","ALTRU HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "350019","ALTRU HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","482 patients","2 ","2","SCIP-INF-1 " "350019","ALTRU HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","85 patients","2 ","2","PN-4 " "350019","ALTRU HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","109 patients","2 ","2","SCIP-INF-4 " "350019","ALTRU HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"AMI-3 " "350019","ALTRU HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","175 patients","2 ","2","PN-2 " "350019","ALTRU HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","102 patients","2 ","2","PN-6 " "350019","ALTRU HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","633 patients","2 ","2","SCIP-INF-6 " "350019","ALTRU HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","200 patients",,,"HF-1 " "350019","ALTRU HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","11 patients","1 ","1","AMI-8A " "350019","ALTRU HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","162 patients","2 ","2","PN-3B " "350019","ALTRU HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","269 patients",,,"HF-2 " "350019","ALTRU HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","80 patients",,,"HF-3 " "350019","ALTRU HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","485 patients","2 ","2","SCIP-INF-2 " "350019","ALTRU HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","238 patients",,,"AMI-2 " "350019","ALTRU HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","66 patients",,,"AMI-4 " "350019","ALTRU HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","131 patients","2 ","2","PN-7 " "350019","ALTRU HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","134 patients","2 ","2","PN-5C " "350019","ALTRU HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","113 patients",,,"AMI-1 " "350019","ALTRU HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","301 patients","2 ","2","SCIP-VTE-1 " "350019","ALTRU HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","301 patients","2 ","2","SCIP-VTE-2 " "35002F","FARGO VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","26 patients",,,"PN-5C " "35002F","FARGO VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","45 patients",,,"PN-2 " "35002F","FARGO VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "35002F","FARGO VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "35002F","FARGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "35002F","FARGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","101 patients",,,"SCIP-INF-1 " "35002F","FARGO VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","33 patients",,,"PN-7 " "35002F","FARGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","137 patients","2 ","2","SCIP-INF-6 " "35002F","FARGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","99 patients",,,"SCIP-INF-3 " "35002F","FARGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","103 patients","2 ","2","SCIP-VTE-1 " "35002F","FARGO VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","PN-4 " "35002F","FARGO VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "35002F","FARGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","44 patients","2 ","2","SCIP-CARD-2 " "35002F","FARGO VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","67 patients",,,"HF-2 " "35002F","FARGO VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "35002F","FARGO VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","22 patients","1 ","1","PN-6 " "35002F","FARGO VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","20 patients","1 ","1","HF-3 " "35002F","FARGO VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "35002F","FARGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","103 patients","2 ","2","SCIP-VTE-2 " "35002F","FARGO VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "35002F","FARGO VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","102 patients",,,"SCIP-INF-2 " "35002F","FARGO VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","15 patients","1 ","1","PN-3B " "35002F","FARGO VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "35002F","FARGO VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "35002F","FARGO VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","61 patients",,,"HF-1 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","37%","19 patients","1,2 ","12","SCIP-INF-2 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","18 patients","1,2 ","12","SCIP-INF-3 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,2,3 ","123","HF-2 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","63%","19 patients","1,2 ","12","SCIP-INF-1 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,2,3 ","123","PN-5C " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","19 patients","1,2 ","12","SCIP-INF-6 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1,2 ","12","PN-3B " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1,2 ","12","PN-7 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","7 patients","1,2 ","12","SCIP-VTE-2 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","7 patients","1,2 ","12","SCIP-VTE-1 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","23 patients","1,2 ","12","PN-2 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,2,3 ","123","HF-1 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,2 ","12","SCIP-CARD-2 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1,2 ","12","PN-4 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","20 patients","1,2 ","12","PN-6 " "350063","P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","1 patients","1 ","1","PN-7 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","67%","3 patients","1,3 ","13","PN-5C " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","5 patients","1 ","1","PN-6 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1,3 ","13","HF-1 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1 ","1","PN-2 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","4 patients","1,3 ","13","HF-2 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "350064","P H S INDIAN HOSPITAL AT FORT YATES-STANDING ROC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "350070","INNOVIS HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","77 patients","2 ","2","SCIP-CARD-2 " "350070","INNOVIS HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","169 patients",,,"HF-2 " "350070","INNOVIS HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","317 patients","2 ","2","SCIP-INF-3 " "350070","INNOVIS HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","33 patients",,,"AMI-8A " "350070","INNOVIS HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","106 patients",,,"AMI-1 " "350070","INNOVIS HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","176 patients","2 ","2","SCIP-VTE-1 " "350070","INNOVIS HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","98 patients",,,"PN-3B " "350070","INNOVIS HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","27 patients",,,"PN-4 " "350070","INNOVIS HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "350070","INNOVIS HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","90 patients",,,"PN-5C " "350070","INNOVIS HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","90 patients","2 ","2","SCIP-INF-4 " "350070","INNOVIS HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","71 patients",,,"AMI-4 " "350070","INNOVIS HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","122 patients",,,"HF-1 " "350070","INNOVIS HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","175 patients","2 ","2","SCIP-VTE-2 " "350070","INNOVIS HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","49 patients",,,"HF-3 " "350070","INNOVIS HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "350070","INNOVIS HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","69 patients",,,"PN-6 " "350070","INNOVIS HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","351 patients","2 ","2","SCIP-INF-1 " "350070","INNOVIS HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","47 patients",,,"PN-7 " "350070","INNOVIS HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","496 patients","2 ","2","SCIP-INF-6 " "350070","INNOVIS HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","45 patients",,,"AMI-3 " "350070","INNOVIS HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","196 patients",,,"AMI-2 " "350070","INNOVIS HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","356 patients","2 ","2","SCIP-INF-2 " "350070","INNOVIS HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","199 patients",,,"AMI-5 " "350070","INNOVIS HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","94 patients",,,"PN-2 " "351300","TIOGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351300","TIOGA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "351300","TIOGA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1 ","1","PN-4 " "351300","TIOGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351300","TIOGA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "351300","TIOGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351300","TIOGA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","16 patients","1 ","1","PN-5C " "351300","TIOGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351300","TIOGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351300","TIOGA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "351300","TIOGA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "351300","TIOGA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "351300","TIOGA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "351300","TIOGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351300","TIOGA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "351300","TIOGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351300","TIOGA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "351300","TIOGA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","12 patients","1 ","1","PN-7 " "351300","TIOGA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","24 patients","1 ","1","HF-2 " "351300","TIOGA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "351300","TIOGA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "351300","TIOGA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "351300","TIOGA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","16 patients","1 ","1","HF-1 " "351300","TIOGA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","29 patients",,,"PN-2 " "351300","TIOGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","3 patients","1 ","1","PN-7 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients",,,"PN-5C " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","6 patients","1 ","1","PN-2 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "351301","MOUNTRAIL COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","31%","13 patients","1 ","1","PN-2 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1 ","1","PN-4 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","12 patients","1 ","1","PN-6 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","9 patients","1 ","1","HF-1 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","14 patients","1 ","1","HF-2 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","20 patients","1 ","1","PN-5C " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "351302","MCKENZIE COUNTY HEALTHCARE SYSTEMS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","11 patients","1 ","1","PN-7 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","40%","5 patients","1 ","1","HF-2 " "351307","ST ANDREWS HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351307","ST ANDREWS HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "351307","ST ANDREWS HEALTH CENTER - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","9 patients","1 ","1","PN-7 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "351307","ST ANDREWS HEALTH CENTER - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","11 patients","1 ","1","PN-6 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1 ","1","HF-1 " "351307","ST ANDREWS HEALTH CENTER - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1 ","1","PN-3B " "351307","ST ANDREWS HEALTH CENTER - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "351307","ST ANDREWS HEALTH CENTER - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","13 patients","1 ","1","PN-5C " "351307","ST ANDREWS HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351307","ST ANDREWS HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "351307","ST ANDREWS HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351307","ST ANDREWS HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "351307","ST ANDREWS HEALTH CENTER - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","15 patients","1 ","1","PN-2 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1 ","1","AMI-1 " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "351307","ST ANDREWS HEALTH CENTER - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "351307","ST ANDREWS HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351307","ST ANDREWS HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351309","UNION HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "351309","UNION HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351309","UNION HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "351309","UNION HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","11 patients","1 ","1","PN-6 " "351309","UNION HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351309","UNION HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351309","UNION HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "351309","UNION HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","17 patients","1 ","1","HF-2 " "351309","UNION HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351309","UNION HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "351309","UNION HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "351309","UNION HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1,3 ","13","AMI-5 " "351309","UNION HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "351309","UNION HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","23 patients","1 ","1","PN-2 " "351309","UNION HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","18 patients","1 ","1","PN-5C " "351309","UNION HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "351309","UNION HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351309","UNION HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351309","UNION HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351309","UNION HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351309","UNION HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "351309","UNION HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","8 patients","1 ","1","HF-1 " "351309","UNION HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","16 patients","1 ","1","PN-7 " "351309","UNION HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "351309","UNION HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","3 patients","1,3 ","13","HF-2 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1 ","1","PN-7 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","7 patients","1,3 ","13","PN-2 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1,3 ","13","PN-6 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "351314","JACOBSON MEMORIAL HOSPITAL & CARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "351316","PRESENTATION MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","7 patients","1 ","1","PN-3B " "351316","PRESENTATION MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","17 patients","1 ","1","HF-2 " "351316","PRESENTATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351316","PRESENTATION MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "351316","PRESENTATION MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "351316","PRESENTATION MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","7 patients","1 ","1","HF-1 " "351316","PRESENTATION MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "351316","PRESENTATION MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "351316","PRESENTATION MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","29 patients",,,"PN-5C " "351316","PRESENTATION MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "351316","PRESENTATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351316","PRESENTATION MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "351316","PRESENTATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351316","PRESENTATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351316","PRESENTATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351316","PRESENTATION MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "351316","PRESENTATION MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "351316","PRESENTATION MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","HF-3 " "351316","PRESENTATION MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","17 patients","1 ","1","PN-7 " "351316","PRESENTATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351316","PRESENTATION MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "351316","PRESENTATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351316","PRESENTATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351316","PRESENTATION MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","27 patients",,,"PN-2 " "351316","PRESENTATION MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1 ","1","PN-6 " "351318","CARRINGTON HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","17 patients","1 ","1","PN-5C " "351318","CARRINGTON HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351318","CARRINGTON HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "351318","CARRINGTON HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351318","CARRINGTON HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "351318","CARRINGTON HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "351318","CARRINGTON HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351318","CARRINGTON HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","7 patients","1 ","1","HF-1 " "351318","CARRINGTON HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "351318","CARRINGTON HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351318","CARRINGTON HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","18 patients","1 ","1","HF-2 " "351318","CARRINGTON HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351318","CARRINGTON HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "351318","CARRINGTON HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "351318","CARRINGTON HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","21 patients","1 ","1","PN-2 " "351318","CARRINGTON HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "351318","CARRINGTON HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351318","CARRINGTON HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "351318","CARRINGTON HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351318","CARRINGTON HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "351318","CARRINGTON HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "351318","CARRINGTON HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "351318","CARRINGTON HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "351318","CARRINGTON HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","12 patients","1 ","1","PN-6 " "351318","CARRINGTON HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","11 patients","1 ","1","PN-2 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","11 patients","1 ","1","PN-6 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","5 patients","1 ","1","PN-7 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1,3 ","13","AMI-7A " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","14 patients","1 ","1","HF-2 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","11 patients","1 ","1","HF-1 " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "351319","PEMBINA COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1 ","1","PN-5C " "351321","WISHEK COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "351321","WISHEK COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1 ","1","PN-3B " "351321","WISHEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","6%","18 patients","1 ","1","HF-2 " "351321","WISHEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351321","WISHEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351321","WISHEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351321","WISHEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "351321","WISHEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351321","WISHEK COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","17 patients","1 ","1","PN-2 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "351321","WISHEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351321","WISHEK COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","9 patients","1 ","1","PN-7 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","9 patients","1 ","1","HF-1 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "351321","WISHEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351321","WISHEK COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","8 patients","1 ","1","PN-6 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "351321","WISHEK COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "351321","WISHEK COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "351321","WISHEK COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","6 patients","1 ","1","PN-5C " "351327","ST ALOISIUS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "351327","ST ALOISIUS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "351327","ST ALOISIUS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","56%","18 patients","1 ","1","HF-2 " "351327","ST ALOISIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351327","ST ALOISIUS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "351327","ST ALOISIUS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","12 patients","1 ","1","HF-1 " "351327","ST ALOISIUS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "351327","ST ALOISIUS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "351327","ST ALOISIUS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","33 patients",,,"PN-2 " "351327","ST ALOISIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351327","ST ALOISIUS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "351327","ST ALOISIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351327","ST ALOISIUS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","15 patients","1 ","1","PN-6 " "351327","ST ALOISIUS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "351327","ST ALOISIUS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "351327","ST ALOISIUS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","15 patients","1 ","1","PN-7 " "351327","ST ALOISIUS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "351327","ST ALOISIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351327","ST ALOISIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351327","ST ALOISIUS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","9 patients","1 ","1","PN-5C " "351327","ST ALOISIUS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "351327","ST ALOISIUS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "351327","ST ALOISIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351327","ST ALOISIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351327","ST ALOISIUS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351328","LINTON HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","10 patients","1 ","1","PN-7 " "351328","LINTON HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "351328","LINTON HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351328","LINTON HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "351328","LINTON HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "351328","LINTON HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351328","LINTON HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","29%","17 patients","1 ","1","HF-2 " "351328","LINTON HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351328","LINTON HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351328","LINTON HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","10 patients","1 ","1","PN-6 " "351328","LINTON HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351328","LINTON HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351328","LINTON HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "351328","LINTON HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351328","LINTON HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "351328","LINTON HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351328","LINTON HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","13 patients","1 ","1","PN-5C " "351328","LINTON HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "351328","LINTON HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1 ","1","AMI-1 " "351328","LINTON HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","14 patients","1 ","1","PN-2 " "351328","LINTON HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "351328","LINTON HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "351328","LINTON HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "351328","LINTON HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "351328","LINTON HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","7 patients","1 ","1","HF-1 " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "351329","HILLSBORO MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "351329","HILLSBORO MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351329","HILLSBORO MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "351329","HILLSBORO MEDICAL CENTER - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "351329","HILLSBORO MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "351329","HILLSBORO MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "351329","HILLSBORO MEDICAL CENTER - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "351329","HILLSBORO MEDICAL CENTER - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "351329","HILLSBORO MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "351329","HILLSBORO MEDICAL CENTER - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "351329","HILLSBORO MEDICAL CENTER - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "351329","HILLSBORO MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "351329","HILLSBORO MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "351329","HILLSBORO MEDICAL CENTER - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "351329","HILLSBORO MEDICAL CENTER - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","15 patients","1 ","1","SCIP-INF-2 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","HF-4 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","38%","8 patients","1 ","1","SCIP-VTE-1 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","9 patients","1 ","1","PN-3B " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","56 patients",,,"PN-2 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","15 patients","1 ","1","SCIP-INF-1 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","16 patients","1 ","1","SCIP-INF-6 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","25 patients",,,"PN-6 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","34 patients",,,"PN-7 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","49 patients",,,"PN-5C " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","26 patients","2 ","2","HF-1 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1,2 ","12","HF-3 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","14 patients","1 ","1","SCIP-INF-3 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","43 patients","2 ","2","HF-2 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","38%","8 patients","1 ","1","SCIP-VTE-2 " "351330","WEST RIVER REGIONAL MEDICAL CENTER-CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351332","HEART OF AMERICA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","67%","3 patients","1,3 ","13","SCIP-INF-2 " "351332","HEART OF AMERICA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","20 patients","1 ","1","PN-7 " "351332","HEART OF AMERICA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "351332","HEART OF AMERICA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","22 patients","1 ","1","PN-6 " "351332","HEART OF AMERICA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","4 patients","1,3 ","13","SCIP-INF-6 " "351332","HEART OF AMERICA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "351332","HEART OF AMERICA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,3 ","13","SCIP-INF-3 " "351332","HEART OF AMERICA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-1 " "351332","HEART OF AMERICA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","20 patients","1,2 ","12","HF-1 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1,2 ","12","HF-3 " "351332","HEART OF AMERICA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","HF-4 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","43 patients","2 ","2","HF-2 " "351332","HEART OF AMERICA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "351332","HEART OF AMERICA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","22 patients","1 ","1","PN-5C " "351332","HEART OF AMERICA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,3 ","13","SCIP-VTE-1 " "351332","HEART OF AMERICA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","23 patients","1 ","1","PN-2 " "351332","HEART OF AMERICA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1 ","1","PN-3B " "351334","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","51 patients",,,"SCIP-VTE-1 " "351334","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","113 patients",,,"SCIP-INF-6 " "351334","MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","35 patients",,,"PN-7 " "351334","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "351334","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "351334","MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "351334","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","71 patients",,,"SCIP-INF-3 " "351334","MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "351334","MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","30 patients",,,"HF-2 " "351334","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","72 patients",,,"SCIP-INF-2 " "351334","MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","27 patients",,,"HF-1 " "351334","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","51 patients",,,"SCIP-VTE-2 " "351334","MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "351334","MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","68 patients",,,"PN-5C " "351334","MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "351334","MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "351334","MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "351334","MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","51 patients",,,"PN-2 " "351334","MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "351334","MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "351334","MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "351334","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","73 patients",,,"SCIP-INF-1 " "351334","MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","68 patients",,,"PN-3B " "351334","MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","39 patients",,,"PN-6 " "351334","MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","22 patients","1 ","1","PN-4 " "351335","JAMESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","60 patients",,,"SCIP-INF-3 " "351335","JAMESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","37 patients",,,"SCIP-VTE-1 " "351335","JAMESTOWN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "351335","JAMESTOWN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","66 patients",,,"PN-2 " "351335","JAMESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1 ","1","SCIP-CARD-2 " "351335","JAMESTOWN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "351335","JAMESTOWN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "351335","JAMESTOWN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "351335","JAMESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","37 patients",,,"SCIP-VTE-2 " "351335","JAMESTOWN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "351335","JAMESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","60 patients",,,"SCIP-INF-1 " "351335","JAMESTOWN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","41 patients",,,"PN-3B " "351335","JAMESTOWN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "351335","JAMESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","61 patients",,,"SCIP-INF-2 " "351335","JAMESTOWN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "351335","JAMESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "351335","JAMESTOWN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","19 patients","1 ","1","HF-1 " "351335","JAMESTOWN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","29 patients",,,"PN-7 " "351335","JAMESTOWN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "351335","JAMESTOWN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","58 patients",,,"PN-5C " "351335","JAMESTOWN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "351335","JAMESTOWN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","32 patients",,,"HF-2 " "351335","JAMESTOWN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "351335","JAMESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","68 patients",,,"SCIP-INF-6 " "351335","JAMESTOWN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","48 patients",,,"PN-6 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","97 patients","2 ","2","SCIP-INF-3 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","137 patients","2 ","2","SCIP-INF-6 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","34 patients",,,"PN-7 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","50 patients",,,"PN-3B " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","72 patients","2 ","2","SCIP-VTE-1 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","68 patients",,,"PN-2 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","45 patients",,,"HF-1 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","53 patients",,,"PN-5C " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","72 patients","2 ","2","SCIP-VTE-2 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","106 patients","2 ","2","SCIP-INF-1 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","16 patients","1 ","1","SCIP-CARD-2 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","73 patients",,,"HF-2 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","30 patients",,,"PN-6 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","107 patients","2 ","2","SCIP-INF-2 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "351336","ST JOSEPH'S HOSPITAL & HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "360001","MERCY HOSPITAL ANDERSON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","274 patients",,,"HF-2 " "360001","MERCY HOSPITAL ANDERSON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "360001","MERCY HOSPITAL ANDERSON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","181 patients",,,"PN-6 " "360001","MERCY HOSPITAL ANDERSON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","698 patients","2 ","2","SCIP-INF-1 " "360001","MERCY HOSPITAL ANDERSON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","243 patients",,,"AMI-5 " "360001","MERCY HOSPITAL ANDERSON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","211 patients",,,"PN-3B " "360001","MERCY HOSPITAL ANDERSON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","325 patients","2 ","2","SCIP-VTE-1 " "360001","MERCY HOSPITAL ANDERSON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","236 patients",,,"AMI-1 " "360001","MERCY HOSPITAL ANDERSON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","55 patients",,,"AMI-3 " "360001","MERCY HOSPITAL ANDERSON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","301 patients",,,"PN-5C " "360001","MERCY HOSPITAL ANDERSON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","48 patients",,,"AMI-8A " "360001","MERCY HOSPITAL ANDERSON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","248 patients",,,"AMI-2 " "360001","MERCY HOSPITAL ANDERSON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","710 patients","2 ","2","SCIP-INF-2 " "360001","MERCY HOSPITAL ANDERSON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","661 patients","2 ","2","SCIP-INF-3 " "360001","MERCY HOSPITAL ANDERSON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","946 patients","2 ","2","SCIP-INF-6 " "360001","MERCY HOSPITAL ANDERSON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","89 patients",,,"HF-3 " "360001","MERCY HOSPITAL ANDERSON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360001","MERCY HOSPITAL ANDERSON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","215 patients",,,"HF-1 " "360001","MERCY HOSPITAL ANDERSON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","202 patients",,,"PN-7 " "360001","MERCY HOSPITAL ANDERSON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","117 patients",,,"PN-4 " "360001","MERCY HOSPITAL ANDERSON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"AMI-4 " "360001","MERCY HOSPITAL ANDERSON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","120 patients","2 ","2","SCIP-CARD-2 " "360001","MERCY HOSPITAL ANDERSON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","325 patients","2 ","2","SCIP-VTE-2 " "360001","MERCY HOSPITAL ANDERSON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","285 patients",,,"PN-2 " "360001","MERCY HOSPITAL ANDERSON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","95 patients","2 ","2","SCIP-INF-4 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","101 patients",,,"HF-2 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","85 patients",,,"PN-6 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","395 patients",,,"SCIP-INF-3 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","PN-4 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","119 patients",,,"PN-5C " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","73 patients",,,"HF-1 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","462 patients",,,"SCIP-INF-6 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","112 patients",,,"PN-3B " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","68 patients",,,"PN-7 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","399 patients",,,"SCIP-INF-1 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","27 patients",,,"HF-3 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","86 patients",,,"SCIP-CARD-2 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","130 patients",,,"SCIP-VTE-2 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","130 patients",,,"SCIP-VTE-1 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","399 patients",,,"SCIP-INF-2 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","106 patients",,,"PN-2 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360002","SAMARITAN HOSPITAL - PEOPLES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "360003","UNIVERSITY HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","36 patients","2 ","2","PN-6 " "360003","UNIVERSITY HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","230 patients",,,"AMI-1 " "360003","UNIVERSITY HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","154 patients",,,"AMI-4 " "360003","UNIVERSITY HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","418 patients",,,"HF-1 " "360003","UNIVERSITY HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","48 patients","2 ","2","PN-2 " "360003","UNIVERSITY HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "360003","UNIVERSITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","439 patients","2 ","2","SCIP-INF-1 " "360003","UNIVERSITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","125 patients","2 ","2","SCIP-INF-4 " "360003","UNIVERSITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","652 patients","2 ","2","SCIP-INF-6 " "360003","UNIVERSITY HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","288 patients",,,"AMI-2 " "360003","UNIVERSITY HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","52 patients","2 ","2","PN-7 " "360003","UNIVERSITY HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","284 patients",,,"HF-3 " "360003","UNIVERSITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","419 patients","2 ","2","SCIP-INF-3 " "360003","UNIVERSITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","109 patients","2 ","2","SCIP-CARD-2 " "360003","UNIVERSITY HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","478 patients",,,"HF-2 " "360003","UNIVERSITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","265 patients","2 ","2","SCIP-VTE-1 " "360003","UNIVERSITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","264 patients","2 ","2","SCIP-VTE-2 " "360003","UNIVERSITY HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","173 patients",,,"HF-4 " "360003","UNIVERSITY HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","261 patients",,,"AMI-5 " "360003","UNIVERSITY HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","34 patients",,,"AMI-8A " "360003","UNIVERSITY HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","61 patients","2 ","2","PN-5C " "360003","UNIVERSITY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","461 patients","2 ","2","SCIP-INF-2 " "360003","UNIVERSITY HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","80 patients",,,"AMI-3 " "360003","UNIVERSITY HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","65 patients","2 ","2","PN-4 " "360003","UNIVERSITY HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","103 patients","2 ","2","PN-3B " "360006","RIVERSIDE METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","137 patients","2 ","2","PN-5C " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","123 patients","2 ","2","AMI-4 " "360006","RIVERSIDE METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","213 patients","2 ","2","SCIP-CARD-2 " "360006","RIVERSIDE METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1310 patients","2 ","2","SCIP-INF-6 " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","289 patients","2 ","2","AMI-5 " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","300 patients","2 ","2","HF-2 " "360006","RIVERSIDE METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","989 patients","2 ","2","SCIP-INF-2 " "360006","RIVERSIDE METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","288 patients","2 ","2","SCIP-INF-4 " "360006","RIVERSIDE METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","130 patients","2 ","2","PN-3B " "360006","RIVERSIDE METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","149 patients","2 ","2","AMI-1 " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","221 patients","2 ","2","HF-1 " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","148 patients","2 ","2","HF-3 " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","43 patients","2 ","2","AMI-8A " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","HF-4 " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","53 patients","2 ","2","AMI-3 " "360006","RIVERSIDE METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","81 patients","2 ","2","PN-6 " "360006","RIVERSIDE METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","416 patients","2 ","2","SCIP-VTE-2 " "360006","RIVERSIDE METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","295 patients","2 ","2","AMI-2 " "360006","RIVERSIDE METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","124 patients","2 ","2","PN-2 " "360006","RIVERSIDE METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","961 patients","2 ","2","SCIP-INF-1 " "360006","RIVERSIDE METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","90 patients","2 ","2","PN-7 " "360006","RIVERSIDE METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","416 patients","2 ","2","SCIP-VTE-1 " "360006","RIVERSIDE METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","928 patients","2 ","2","SCIP-INF-3 " "360008","SOUTHERN OHIO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","854 patients",,,"SCIP-INF-6 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","148 patients",,,"AMI-1 " "360008","SOUTHERN OHIO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","349 patients",,,"SCIP-VTE-2 " "360008","SOUTHERN OHIO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","142 patients",,,"SCIP-CARD-2 " "360008","SOUTHERN OHIO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","221 patients",,,"PN-6 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","136 patients",,,"HF-3 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"HF-4 " "360008","SOUTHERN OHIO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","593 patients",,,"SCIP-INF-1 " "360008","SOUTHERN OHIO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","593 patients",,,"SCIP-INF-2 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","133 patients",,,"AMI-2 " "360008","SOUTHERN OHIO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","159 patients",,,"PN-4 " "360008","SOUTHERN OHIO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","552 patients",,,"SCIP-INF-3 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","143 patients",,,"AMI-5 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","431 patients",,,"HF-2 " "360008","SOUTHERN OHIO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","264 patients",,,"PN-3B " "360008","SOUTHERN OHIO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","218 patients",,,"PN-7 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "360008","SOUTHERN OHIO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","74 patients",,,"SCIP-INF-4 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","44 patients",,,"AMI-8A " "360008","SOUTHERN OHIO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","353 patients",,,"SCIP-VTE-1 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","349 patients",,,"HF-1 " "360008","SOUTHERN OHIO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","283 patients",,,"PN-5C " "360008","SOUTHERN OHIO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","235 patients",,,"PN-2 " "360008","SOUTHERN OHIO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"AMI-3 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","81 patients",,,"HF-3 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","138 patients","2 ","2","SCIP-VTE-1 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","245 patients",,,"AMI-5 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","104 patients",,,"PN-6 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","154 patients",,,"AMI-1 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","141 patients",,,"PN-3B " "360009","LIMA MEMORIAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","662 patients","2 ","2","SCIP-INF-6 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","58 patients",,,"AMI-3 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","134 patients",,,"PN-5C " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","216 patients",,,"HF-2 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","101 patients","2 ","2","SCIP-CARD-2 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","183 patients",,,"HF-1 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","138 patients","2 ","2","SCIP-VTE-2 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","467 patients","2 ","2","SCIP-INF-2 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","237 patients",,,"AMI-2 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","12 patients","1 ","1","AMI-7A " "360009","LIMA MEMORIAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","437 patients","2 ","2","SCIP-INF-3 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","105 patients",,,"PN-7 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","59 patients",,,"PN-4 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","22 patients","1 ","1","AMI-8A " "360009","LIMA MEMORIAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"AMI-4 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","290 patients","2 ","2","SCIP-INF-4 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","460 patients","2 ","2","SCIP-INF-1 " "360009","LIMA MEMORIAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","131 patients",,,"PN-2 " "360010","UNION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360010","UNION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "360010","UNION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "360010","UNION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","81 patients",,,"PN-4 " "360010","UNION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","277 patients","2 ","2","SCIP-INF-2 " "360010","UNION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","156 patients","2 ","2","SCIP-VTE-1 " "360010","UNION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","31 patients",,,"AMI-1 " "360010","UNION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360010","UNION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","236 patients",,,"PN-2 " "360010","UNION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","238 patients",,,"PN-5C " "360010","UNION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","156 patients","2 ","2","SCIP-VTE-2 " "360010","UNION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "360010","UNION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","167 patients",,,"PN-6 " "360010","UNION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","277 patients","2 ","2","SCIP-INF-1 " "360010","UNION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","170 patients",,,"HF-1 " "360010","UNION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","257 patients","2 ","2","SCIP-INF-3 " "360010","UNION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","189 patients",,,"PN-7 " "360010","UNION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","184 patients",,,"PN-3B " "360010","UNION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "360010","UNION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","374 patients","2 ","2","SCIP-INF-6 " "360010","UNION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","210 patients",,,"HF-2 " "360010","UNION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360010","UNION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","58 patients",,,"HF-3 " "360010","UNION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "360010","UNION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","62 patients","2 ","2","SCIP-CARD-2 " "360011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","46 patients","2 ","2","SCIP-INF-4 " "360011","MARION GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"PN-4 " "360011","MARION GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","196 patients",,,"PN-5C " "360011","MARION GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"AMI-4 " "360011","MARION GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","142 patients",,,"PN-6 " "360011","MARION GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","99 patients",,,"HF-3 " "360011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","317 patients","2 ","2","SCIP-VTE-2 " "360011","MARION GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","176 patients",,,"AMI-5 " "360011","MARION GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"HF-4 " "360011","MARION GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","177 patients",,,"AMI-2 " "360011","MARION GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","163 patients",,,"AMI-1 " "360011","MARION GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","159 patients",,,"PN-2 " "360011","MARION GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","AMI-3 " "360011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","108 patients","2 ","2","SCIP-CARD-2 " "360011","MARION GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","359 patients",,,"HF-2 " "360011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","317 patients","2 ","2","SCIP-VTE-1 " "360011","MARION GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","179 patients",,,"PN-3B " "360011","MARION GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","137 patients",,,"PN-7 " "360011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","584 patients","2 ","2","SCIP-INF-6 " "360011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","448 patients","2 ","2","SCIP-INF-1 " "360011","MARION GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","302 patients",,,"HF-1 " "360011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","435 patients","2 ","2","SCIP-INF-3 " "360011","MARION GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360011","MARION GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","50 patients",,,"AMI-8A " "360011","MARION GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","451 patients","2 ","2","SCIP-INF-2 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","186 patients","2 ","2","SCIP-VTE-2 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","191 patients",,,"PN-2 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","297 patients",,,"PN-3B " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","542 patients","2 ","2","SCIP-INF-6 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","184 patients",,,"PN-6 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","232 patients",,,"HF-1 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","90 patients","2 ","2","SCIP-CARD-2 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","159 patients",,,"PN-7 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","335 patients",,,"HF-2 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","50 patients",,,"AMI-1 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","366 patients","2 ","2","SCIP-INF-2 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","186 patients","2 ","2","SCIP-VTE-1 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","106 patients",,,"PN-4 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","358 patients","2 ","2","SCIP-INF-1 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","21 patients","1 ","1","AMI-2 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","113 patients",,,"HF-3 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","342 patients","2 ","2","SCIP-INF-3 " "360012","MOUNT CARMEL ST ANN'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","256 patients",,,"PN-5C " "360013","WILSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "360013","WILSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "360013","WILSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "360013","WILSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","88 patients",,,"PN-7 " "360013","WILSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "360013","WILSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","158 patients",,,"PN-5C " "360013","WILSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"HF-3 " "360013","WILSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","25 patients",,,"SCIP-CARD-2 " "360013","WILSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","108 patients",,,"SCIP-VTE-2 " "360013","WILSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","75 patients",,,"HF-1 " "360013","WILSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","108 patients",,,"SCIP-VTE-1 " "360013","WILSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","44 patients",,,"PN-4 " "360013","WILSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","148 patients",,,"PN-2 " "360013","WILSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","96 patients",,,"PN-6 " "360013","WILSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","116 patients",,,"SCIP-INF-3 " "360013","WILSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "360013","WILSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "360013","WILSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","98 patients",,,"HF-2 " "360013","WILSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1,3 ","13","AMI-1 " "360013","WILSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","119 patients",,,"SCIP-INF-1 " "360013","WILSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","119 patients",,,"SCIP-INF-2 " "360013","WILSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","173 patients",,,"SCIP-INF-6 " "360013","WILSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","156 patients",,,"PN-3B " "360013","WILSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1,3 ","13","AMI-2 " "360013","WILSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360014","O'BLENESS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","109 patients",,,"PN-5C " "360014","O'BLENESS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","87 patients",,,"PN-3B " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","41 patients",,,"HF-3 " "360014","O'BLENESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","40%","10 patients","1 ","1","SCIP-CARD-2 " "360014","O'BLENESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","77 patients",,,"SCIP-INF-2 " "360014","O'BLENESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","101 patients",,,"SCIP-INF-6 " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360014","O'BLENESS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","29 patients",,,"PN-4 " "360014","O'BLENESS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","61 patients",,,"PN-6 " "360014","O'BLENESS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","71 patients",,,"PN-2 " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","83 patients",,,"HF-1 " "360014","O'BLENESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","75 patients",,,"SCIP-INF-1 " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "360014","O'BLENESS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","64 patients",,,"PN-7 " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","104 patients",,,"HF-2 " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","AMI-3 " "360014","O'BLENESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","63 patients",,,"SCIP-VTE-1 " "360014","O'BLENESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360014","O'BLENESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","72 patients",,,"SCIP-INF-3 " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "360014","O'BLENESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","63 patients",,,"SCIP-VTE-2 " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","62%","8 patients","1 ","1","AMI-1 " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "360014","O'BLENESS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "360016","JEWISH HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","378 patients","2 ","2","SCIP-INF-2 " "360016","JEWISH HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","349 patients","2 ","2","SCIP-INF-3 " "360016","JEWISH HOSPITAL, THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","139 patients","2 ","2","HF-3 " "360016","JEWISH HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","181 patients","2 ","2","SCIP-VTE-2 " "360016","JEWISH HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","375 patients","2 ","2","SCIP-INF-1 " "360016","JEWISH HOSPITAL, THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","227 patients",,,"AMI-2 " "360016","JEWISH HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","541 patients","2 ","2","SCIP-INF-6 " "360016","JEWISH HOSPITAL, THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","159 patients","2 ","2","PN-3B " "360016","JEWISH HOSPITAL, THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","85 patients","2 ","2","PN-7 " "360016","JEWISH HOSPITAL, THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","42 patients","2 ","2","PN-4 " "360016","JEWISH HOSPITAL, THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","234 patients",,,"AMI-1 " "360016","JEWISH HOSPITAL, THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","44 patients",,,"AMI-8A " "360016","JEWISH HOSPITAL, THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","94 patients","2 ","2","SCIP-CARD-2 " "360016","JEWISH HOSPITAL, THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","HF-4 " "360016","JEWISH HOSPITAL, THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360016","JEWISH HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","181 patients","2 ","2","SCIP-VTE-1 " "360016","JEWISH HOSPITAL, THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","95 patients","2 ","2","PN-6 " "360016","JEWISH HOSPITAL, THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","230 patients",,,"AMI-5 " "360016","JEWISH HOSPITAL, THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","38 patients",,,"AMI-3 " "360016","JEWISH HOSPITAL, THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","136 patients","2 ","2","PN-5C " "360016","JEWISH HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","104 patients","2 ","2","SCIP-INF-4 " "360016","JEWISH HOSPITAL, THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","290 patients","2 ","2","HF-1 " "360016","JEWISH HOSPITAL, THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"AMI-4 " "360016","JEWISH HOSPITAL, THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","383 patients","2 ","2","HF-2 " "360016","JEWISH HOSPITAL, THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","129 patients","2 ","2","PN-2 " "360017","GRANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","302 patients","2 ","2","SCIP-VTE-1 " "360017","GRANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","651 patients","2 ","2","SCIP-INF-1 " "360017","GRANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","302 patients","2 ","2","SCIP-VTE-2 " "360017","GRANT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","189 patients",,,"AMI-1 " "360017","GRANT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","144 patients","2 ","2","HF-3 " "360017","GRANT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","58 patients","2 ","2","PN-7 " "360017","GRANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","869 patients","2 ","2","SCIP-INF-6 " "360017","GRANT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","97 patients","2 ","2","PN-3B " "360017","GRANT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","331 patients","2 ","2","HF-2 " "360017","GRANT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","286 patients",,,"AMI-5 " "360017","GRANT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","289 patients",,,"AMI-2 " "360017","GRANT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360017","GRANT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients","2 ","2","PN-4 " "360017","GRANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","146 patients","2 ","2","SCIP-INF-4 " "360017","GRANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","615 patients","2 ","2","SCIP-INF-3 " "360017","GRANT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","78 patients","2 ","2","PN-6 " "360017","GRANT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","93 patients","2 ","2","HF-4 " "360017","GRANT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","63 patients","2 ","2","PN-2 " "360017","GRANT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","46 patients",,,"AMI-8A " "360017","GRANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","143 patients","2 ","2","SCIP-CARD-2 " "360017","GRANT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","127 patients",,,"AMI-4 " "360017","GRANT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","58 patients",,,"AMI-3 " "360017","GRANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","654 patients","2 ","2","SCIP-INF-2 " "360017","GRANT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","137 patients","2 ","2","PN-5C " "360017","GRANT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","301 patients","2 ","2","HF-1 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","485 patients",,,"SCIP-INF-6 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","303 patients",,,"SCIP-INF-1 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","231 patients",,,"SCIP-VTE-1 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","17 patients","1 ","1","AMI-8A " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","305 patients",,,"SCIP-INF-2 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","305 patients",,,"HF-1 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","108 patients",,,"AMI-1 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","62 patients",,,"SCIP-CARD-2 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","231 patients",,,"SCIP-VTE-2 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","98 patients",,,"AMI-2 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","191 patients",,,"PN-3B " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","181 patients",,,"PN-5C " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","36 patients",,,"SCIP-INF-4 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","121 patients",,,"PN-7 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","116 patients",,,"PN-6 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","166 patients",,,"PN-2 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","97 patients",,,"AMI-5 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"PN-4 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","371 patients",,,"HF-2 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","67 patients",,,"HF-3 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","271 patients",,,"SCIP-INF-3 " "360019","SUMMA HEALTH SYSTEM BARBERTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","324 patients",,,"HF-1 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","39 patients",,,"AMI-2 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","89 patients",,,"PN-7 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","224 patients","2 ","2","SCIP-VTE-1 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","302 patients","2 ","2","SCIP-CARD-2 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","364 patients",,,"SCIP-INF-3 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-8A " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","386 patients",,,"SCIP-INF-2 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","531 patients","2 ","2","SCIP-INF-6 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","76 patients",,,"PN-2 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","224 patients","2 ","2","SCIP-VTE-2 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","40 patients",,,"AMI-1 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","353 patients",,,"HF-2 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","60 patients",,,"PN-6 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","83 patients",,,"PN-5C " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","152 patients","2 ","2","SCIP-INF-4 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","66 patients",,,"PN-4 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","376 patients",,,"SCIP-INF-1 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"HF-4 " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","60 patients",,,"PN-3B " "36001F","CLEVELAND-WADE PARK VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","171 patients",,,"HF-3 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","65 patients","2 ","2","PN-6 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","237 patients","2 ","2","SCIP-VTE-2 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","99 patients","2 ","2","HF-3 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","265 patients","2 ","2","AMI-2 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","86 patients","2 ","2","PN-7 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","142 patients","2 ","2","PN-5C " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","265 patients","2 ","2","AMI-5 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","98 patients","2 ","2","AMI-4 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","213 patients","2 ","2","HF-1 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients","2 ","2","HF-4 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","144 patients","2 ","2","SCIP-INF-4 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","107 patients","2 ","2","PN-2 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","41 patients","2 ","2","AMI-8A " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","110 patients","2 ","2","PN-3B " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","259 patients","2 ","2","HF-2 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","132 patients","2 ","2","SCIP-CARD-2 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","63 patients","2 ","2","AMI-3 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","484 patients","2 ","2","SCIP-INF-3 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","696 patients","2 ","2","SCIP-INF-6 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","187 patients","2 ","2","AMI-1 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","508 patients","2 ","2","SCIP-INF-1 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","237 patients","2 ","2","SCIP-VTE-1 " "360020","SUMMA HEALTH SYSTEMS HOSPITALS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","516 patients","2 ","2","SCIP-INF-2 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","510 patients","2 ","2","SCIP-INF-6 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","345 patients","2 ","2","SCIP-INF-2 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","74 patients","2 ","2","SCIP-CARD-2 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","60 patients",,,"HF-4 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","18 patients","1 ","1","AMI-8A " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","96 patients",,,"AMI-5 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","108 patients",,,"PN-6 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","48 patients",,,"PN-4 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","99 patients",,,"AMI-2 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"AMI-4 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","90 patients",,,"HF-3 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","129 patients",,,"PN-3B " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","178 patients","2 ","2","SCIP-VTE-2 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"AMI-3 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","171 patients",,,"PN-5C " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","102 patients",,,"AMI-1 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","343 patients","2 ","2","SCIP-INF-3 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","86 patients",,,"PN-7 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","238 patients",,,"HF-2 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","190 patients",,,"HF-1 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","127 patients",,,"PN-2 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","178 patients","2 ","2","SCIP-VTE-1 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","44 patients","2 ","2","SCIP-INF-4 " "360025","FIRELANDS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","355 patients","2 ","2","SCIP-INF-1 " "360026","GREENE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "360026","GREENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","124 patients",,,"SCIP-INF-3 " "360026","GREENE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","163 patients",,,"HF-1 " "360026","GREENE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients",,,"AMI-1 " "360026","GREENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","95 patients",,,"SCIP-VTE-2 " "360026","GREENE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360026","GREENE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","108 patients",,,"PN-6 " "360026","GREENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360026","GREENE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","63 patients",,,"PN-4 " "360026","GREENE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","49 patients",,,"HF-3 " "360026","GREENE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","13 patients","1 ","1","AMI-5 " "360026","GREENE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","97 patients",,,"PN-7 " "360026","GREENE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","156 patients",,,"PN-3B " "360026","GREENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","95 patients",,,"SCIP-VTE-1 " "360026","GREENE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","33 patients",,,"HF-4 " "360026","GREENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","25 patients",,,"SCIP-CARD-2 " "360026","GREENE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360026","GREENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","130 patients",,,"SCIP-INF-1 " "360026","GREENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","198 patients",,,"SCIP-INF-6 " "360026","GREENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","131 patients",,,"SCIP-INF-2 " "360026","GREENE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","153 patients",,,"PN-5C " "360026","GREENE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360026","GREENE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "360026","GREENE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","135 patients",,,"PN-2 " "360026","GREENE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","206 patients",,,"HF-2 " "360027","AKRON GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","496 patients","2 ","2","SCIP-INF-2 " "360027","AKRON GENERAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","54 patients","2 ","2","PN-4 " "360027","AKRON GENERAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","124 patients","2 ","2","HF-3 " "360027","AKRON GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","276 patients","2 ","2","SCIP-VTE-2 " "360027","AKRON GENERAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","104 patients","2 ","2","PN-3B " "360027","AKRON GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","137 patients","2 ","2","SCIP-INF-4 " "360027","AKRON GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","491 patients","2 ","2","SCIP-INF-1 " "360027","AKRON GENERAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","72 patients","2 ","2","AMI-3 " "360027","AKRON GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","84 patients","2 ","2","SCIP-CARD-2 " "360027","AKRON GENERAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360027","AKRON GENERAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","223 patients","2 ","2","AMI-1 " "360027","AKRON GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","276 patients","2 ","2","SCIP-VTE-1 " "360027","AKRON GENERAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","89 patients","2 ","2","PN-6 " "360027","AKRON GENERAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","115 patients","2 ","2","AMI-4 " "360027","AKRON GENERAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","43 patients","2 ","2","AMI-8A " "360027","AKRON GENERAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","295 patients","2 ","2","HF-2 " "360027","AKRON GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","665 patients","2 ","2","SCIP-INF-6 " "360027","AKRON GENERAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients","2 ","2","HF-4 " "360027","AKRON GENERAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","464 patients","2 ","2","SCIP-INF-3 " "360027","AKRON GENERAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","242 patients","2 ","2","HF-1 " "360027","AKRON GENERAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","136 patients","2 ","2","PN-5C " "360027","AKRON GENERAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","269 patients","2 ","2","AMI-5 " "360027","AKRON GENERAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","285 patients","2 ","2","AMI-2 " "360027","AKRON GENERAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","98 patients","2 ","2","PN-7 " "360027","AKRON GENERAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","136 patients","2 ","2","PN-2 " "360029","WOOD COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "360029","WOOD COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1,3 ","13","AMI-1 " "360029","WOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","144 patients",,,"SCIP-INF-1 " "360029","WOOD COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","112 patients",,,"PN-3B " "360029","WOOD COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","63 patients",,,"PN-7 " "360029","WOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","196 patients",,,"SCIP-INF-6 " "360029","WOOD COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "360029","WOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360029","WOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","111 patients",,,"SCIP-VTE-1 " "360029","WOOD COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","123 patients",,,"PN-6 " "360029","WOOD COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","96 patients",,,"HF-2 " "360029","WOOD COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","83 patients",,,"HF-1 " "360029","WOOD COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "360029","WOOD COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "360029","WOOD COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "360029","WOOD COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","41 patients",,,"PN-4 " "360029","WOOD COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "360029","WOOD COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "360029","WOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","108 patients",,,"SCIP-VTE-2 " "360029","WOOD COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","102 patients",,,"PN-5C " "360029","WOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","142 patients",,,"SCIP-INF-2 " "360029","WOOD COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","35 patients",,,"HF-3 " "360029","WOOD COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","87 patients",,,"PN-2 " "360029","WOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","23 patients","1 ","1","SCIP-CARD-2 " "360029","WOOD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","141 patients",,,"SCIP-INF-3 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","60 patients",,,"PN-2 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","118 patients",,,"HF-2 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","114 patients",,,"SCIP-INF-2 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","50 patients",,,"PN-7 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","63 patients",,,"SCIP-VTE-2 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","100 patients",,,"HF-1 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","104 patients",,,"SCIP-INF-3 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","63 patients",,,"SCIP-VTE-1 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","55 patients",,,"PN-6 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","27 patients",,,"SCIP-CARD-2 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","72 patients",,,"PN-5C " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","48 patients",,,"PN-3B " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","36 patients",,,"HF-3 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","114 patients",,,"SCIP-INF-1 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","164 patients",,,"SCIP-INF-6 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360032","JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360035","MOUNT CARMEL HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","201 patients","2 ","2","SCIP-CARD-2 " "360035","MOUNT CARMEL HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","822 patients","2 ","2","SCIP-INF-2 " "360035","MOUNT CARMEL HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","296 patients","2 ","2","PN-2 " "360035","MOUNT CARMEL HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1089 patients","2 ","2","SCIP-INF-6 " "360035","MOUNT CARMEL HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","761 patients",,,"AMI-1 " "360035","MOUNT CARMEL HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","229 patients","2 ","2","SCIP-INF-4 " "360035","MOUNT CARMEL HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1074 patients",,,"HF-1 " "360035","MOUNT CARMEL HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","982 patients",,,"AMI-5 " "360035","MOUNT CARMEL HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","372 patients","2 ","2","PN-3B " "360035","MOUNT CARMEL HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","233 patients",,,"AMI-3 " "360035","MOUNT CARMEL HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","212 patients",,,"HF-4 " "360035","MOUNT CARMEL HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360035","MOUNT CARMEL HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","329 patients","2 ","2","PN-5C " "360035","MOUNT CARMEL HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","213 patients","2 ","2","PN-6 " "360035","MOUNT CARMEL HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","430 patients",,,"HF-3 " "360035","MOUNT CARMEL HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1013 patients",,,"AMI-2 " "360035","MOUNT CARMEL HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","284 patients","2 ","2","SCIP-VTE-2 " "360035","MOUNT CARMEL HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","284 patients","2 ","2","SCIP-VTE-1 " "360035","MOUNT CARMEL HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","144 patients","2 ","2","PN-4 " "360035","MOUNT CARMEL HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1318 patients",,,"HF-2 " "360035","MOUNT CARMEL HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","810 patients","2 ","2","SCIP-INF-1 " "360035","MOUNT CARMEL HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","228 patients","2 ","2","PN-7 " "360035","MOUNT CARMEL HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","185 patients",,,"AMI-8A " "360035","MOUNT CARMEL HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","786 patients","2 ","2","SCIP-INF-3 " "360035","MOUNT CARMEL HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","403 patients",,,"AMI-4 " "360036","WOOSTER COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","136 patients",,,"PN-2 " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","20 patients","1 ","1","AMI-1 " "360036","WOOSTER COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","110 patients",,,"PN-7 " "360036","WOOSTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","448 patients",,,"SCIP-INF-6 " "360036","WOOSTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","373 patients",,,"SCIP-INF-2 " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","15 patients","1 ","1","AMI-2 " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360036","WOOSTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","376 patients",,,"SCIP-INF-1 " "360036","WOOSTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","182 patients",,,"SCIP-VTE-2 " "360036","WOOSTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360036","WOOSTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","182 patients",,,"SCIP-VTE-1 " "360036","WOOSTER COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","166 patients",,,"PN-5C " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","101 patients",,,"HF-2 " "360036","WOOSTER COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","107 patients",,,"PN-6 " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","15 patients","1 ","1","AMI-5 " "360036","WOOSTER COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","85 patients",,,"PN-3B " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","70 patients",,,"HF-1 " "360036","WOOSTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","363 patients",,,"SCIP-INF-3 " "360036","WOOSTER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","54 patients",,,"SCIP-CARD-2 " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "360036","WOOSTER COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"PN-4 " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "360036","WOOSTER COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360037","ST VINCENT CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","214 patients","2 ","2","SCIP-INF-3 " "360037","ST VINCENT CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","42 patients","2 ","2","SCIP-INF-4 " "360037","ST VINCENT CHARITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","10 patients","1,2 ","12","AMI-8A " "360037","ST VINCENT CHARITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","12 patients","1,2 ","12","AMI-3 " "360037","ST VINCENT CHARITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","83 patients","2 ","2","PN-5C " "360037","ST VINCENT CHARITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","32 patients","2 ","2","PN-6 " "360037","ST VINCENT CHARITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","54 patients","2 ","2","PN-2 " "360037","ST VINCENT CHARITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","57 patients","2 ","2","AMI-1 " "360037","ST VINCENT CHARITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","228 patients","2 ","2","HF-1 " "360037","ST VINCENT CHARITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","PN-4 " "360037","ST VINCENT CHARITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","280 patients","2 ","2","HF-2 " "360037","ST VINCENT CHARITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","74 patients","2 ","2","AMI-2 " "360037","ST VINCENT CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","55 patients","2 ","2","SCIP-CARD-2 " "360037","ST VINCENT CHARITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","44 patients","2 ","2","PN-7 " "360037","ST VINCENT CHARITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","84 patients","2 ","2","HF-4 " "360037","ST VINCENT CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","153 patients","2 ","2","SCIP-VTE-2 " "360037","ST VINCENT CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","224 patients","2 ","2","SCIP-INF-2 " "360037","ST VINCENT CHARITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","70 patients","2 ","2","PN-3B " "360037","ST VINCENT CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","154 patients","2 ","2","SCIP-VTE-1 " "360037","ST VINCENT CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","332 patients","2 ","2","SCIP-INF-6 " "360037","ST VINCENT CHARITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","225 patients","2 ","2","SCIP-INF-1 " "360037","ST VINCENT CHARITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","72 patients","2 ","2","AMI-5 " "360037","ST VINCENT CHARITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360037","ST VINCENT CHARITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","112 patients","2 ","2","HF-3 " "360037","ST VINCENT CHARITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","AMI-4 " "360038","DEACONESS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","4 patients","1 ","1","AMI-8A " "360038","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","51 patients","2 ","2","SCIP-CARD-2 " "360038","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","142 patients","2 ","2","SCIP-INF-2 " "360038","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","262 patients","2 ","2","SCIP-INF-6 " "360038","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","86 patients","2 ","2","SCIP-VTE-1 " "360038","DEACONESS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","58 patients",,,"PN-5C " "360038","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","139 patients","2 ","2","SCIP-INF-3 " "360038","DEACONESS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","60 patients",,,"PN-2 " "360038","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","86 patients","2 ","2","SCIP-VTE-2 " "360038","DEACONESS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "360038","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","68%","53 patients","2 ","2","SCIP-INF-4 " "360038","DEACONESS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","14 patients","1 ","1","HF-4 " "360038","DEACONESS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","36 patients",,,"PN-7 " "360038","DEACONESS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","55 patients",,,"PN-3B " "360038","DEACONESS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","37 patients",,,"HF-3 " "360038","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","141 patients","2 ","2","SCIP-INF-1 " "360038","DEACONESS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","20 patients","1 ","1","PN-4 " "360038","DEACONESS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","9 patients","1 ","1","AMI-2 " "360038","DEACONESS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","40 patients",,,"PN-6 " "360038","DEACONESS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "360038","DEACONESS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","AMI-4 " "360038","DEACONESS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","101 patients",,,"HF-2 " "360038","DEACONESS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360038","DEACONESS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","6%","65 patients",,,"HF-1 " "360038","DEACONESS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","AMI-3 " "360039","GENESIS HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","356 patients",,,"AMI-2 " "360039","GENESIS HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","241 patients",,,"PN-6 " "360039","GENESIS HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","393 patients",,,"PN-5C " "360039","GENESIS HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","163 patients",,,"AMI-4 " "360039","GENESIS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","385 patients","2 ","2","SCIP-INF-1 " "360039","GENESIS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","105 patients","2 ","2","SCIP-INF-4 " "360039","GENESIS HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","418 patients",,,"HF-2 " "360039","GENESIS HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360039","GENESIS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","95 patients","2 ","2","SCIP-CARD-2 " "360039","GENESIS HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","243 patients",,,"PN-7 " "360039","GENESIS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","371 patients","2 ","2","SCIP-INF-3 " "360039","GENESIS HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","262 patients",,,"AMI-1 " "360039","GENESIS HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","70 patients",,,"AMI-3 " "360039","GENESIS HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","48 patients",,,"AMI-8A " "360039","GENESIS HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","350 patients",,,"HF-1 " "360039","GENESIS HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","79 patients",,,"HF-4 " "360039","GENESIS HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","348 patients",,,"AMI-5 " "360039","GENESIS HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","336 patients",,,"PN-2 " "360039","GENESIS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","146 patients","2 ","2","SCIP-VTE-1 " "360039","GENESIS HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","324 patients",,,"PN-3B " "360039","GENESIS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","394 patients","2 ","2","SCIP-INF-2 " "360039","GENESIS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","144 patients","2 ","2","SCIP-VTE-2 " "360039","GENESIS HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","114 patients",,,"HF-3 " "360039","GENESIS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","528 patients","2 ","2","SCIP-INF-6 " "360039","GENESIS HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","168 patients",,,"PN-4 " "36003F","CINCINNATI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "36003F","CINCINNATI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","163 patients",,,"SCIP-INF-2 " "36003F","CINCINNATI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","146 patients","2 ","2","SCIP-VTE-2 " "36003F","CINCINNATI VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","114 patients",,,"PN-3B " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "36003F","CINCINNATI VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","117 patients",,,"PN-5C " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","54 patients",,,"AMI-1 " "36003F","CINCINNATI VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","72 patients",,,"PN-7 " "36003F","CINCINNATI VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"PN-4 " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","42 patients",,,"AMI-5 " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","155 patients",,,"HF-1 " "36003F","CINCINNATI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","235 patients","2 ","2","SCIP-INF-6 " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "36003F","CINCINNATI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","112 patients","2 ","2","SCIP-CARD-2 " "36003F","CINCINNATI VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","77 patients",,,"PN-6 " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "36003F","CINCINNATI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","157 patients",,,"SCIP-INF-3 " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "36003F","CINCINNATI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","160 patients",,,"SCIP-INF-1 " "36003F","CINCINNATI VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","146 patients","2 ","2","SCIP-VTE-1 " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","169 patients",,,"HF-2 " "36003F","CINCINNATI VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","92 patients",,,"PN-2 " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","84 patients",,,"HF-3 " "36003F","CINCINNATI VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","41 patients",,,"AMI-2 " "360040","KNOX COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","179 patients",,,"SCIP-VTE-2 " "360040","KNOX COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","456 patients",,,"SCIP-INF-6 " "360040","KNOX COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","63 patients",,,"AMI-1 " "360040","KNOX COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360040","KNOX COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "360040","KNOX COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","110 patients",,,"PN-5C " "360040","KNOX COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","AMI-4 " "360040","KNOX COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","386 patients",,,"SCIP-INF-1 " "360040","KNOX COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","61 patients",,,"HF-3 " "360040","KNOX COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360040","KNOX COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360040","KNOX COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","39 patients",,,"AMI-2 " "360040","KNOX COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "360040","KNOX COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","180 patients",,,"SCIP-VTE-1 " "360040","KNOX COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","108 patients",,,"HF-1 " "360040","KNOX COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","166 patients",,,"HF-2 " "360040","KNOX COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","95 patients",,,"PN-2 " "360040","KNOX COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1 ","1","HF-4 " "360040","KNOX COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","389 patients",,,"SCIP-INF-2 " "360040","KNOX COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","39 patients",,,"AMI-5 " "360040","KNOX COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","118 patients",,,"PN-3B " "360040","KNOX COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","110 patients",,,"PN-6 " "360040","KNOX COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","375 patients",,,"SCIP-INF-3 " "360040","KNOX COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","58 patients",,,"SCIP-CARD-2 " "360040","KNOX COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","69 patients",,,"PN-7 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","826 patients",,,"SCIP-INF-3 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","109 patients",,,"SCIP-INF-4 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","88 patients",,,"AMI-4 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","628 patients",,,"HF-2 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","343 patients",,,"PN-3B " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","436 patients",,,"HF-1 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","58 patients",,,"AMI-8A " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","457 patients",,,"SCIP-VTE-1 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","271 patients",,,"AMI-2 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","271 patients",,,"AMI-1 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","69 patients",,,"PN-4 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","226 patients",,,"PN-6 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","245 patients",,,"PN-7 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","853 patients",,,"SCIP-INF-2 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","457 patients",,,"SCIP-VTE-2 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","61 patients",,,"AMI-3 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","208 patients",,,"HF-3 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","849 patients",,,"SCIP-INF-1 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","370 patients",,,"PN-2 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","325 patients",,,"PN-5C " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","203 patients",,,"SCIP-CARD-2 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1176 patients",,,"SCIP-INF-6 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","52 patients",,,"HF-4 " "360041","PARMA COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","272 patients",,,"AMI-5 " "360044","WAYNE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","42 patients",,,"PN-7 " "360044","WAYNE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360044","WAYNE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","79 patients",,,"HF-1 " "360044","WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","187 patients",,,"SCIP-INF-6 " "360044","WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","74 patients",,,"SCIP-VTE-2 " "360044","WAYNE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "360044","WAYNE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360044","WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","121 patients",,,"SCIP-INF-1 " "360044","WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","74 patients",,,"SCIP-VTE-1 " "360044","WAYNE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "360044","WAYNE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "360044","WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360044","WAYNE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","101 patients",,,"HF-2 " "360044","WAYNE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "360044","WAYNE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","57 patients",,,"PN-6 " "360044","WAYNE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "360044","WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","121 patients",,,"SCIP-INF-3 " "360044","WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","121 patients",,,"SCIP-INF-2 " "360044","WAYNE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","87 patients",,,"PN-3B " "360044","WAYNE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","HF-3 " "360044","WAYNE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","86 patients",,,"PN-5C " "360044","WAYNE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360044","WAYNE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "360044","WAYNE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","17 patients","1 ","1","SCIP-CARD-2 " "360044","WAYNE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","60 patients",,,"PN-2 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","20 patients","1,2 ","12","SCIP-CARD-2 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","126 patients","2 ","2","SCIP-VTE-1 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","52 patients",,,"PN-6 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","134 patients",,,"HF-2 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","189 patients","2 ","2","SCIP-INF-1 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","74 patients",,,"PN-3B " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","76 patients",,,"PN-5C " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","186 patients","2 ","2","SCIP-INF-3 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","30 patients",,,"HF-3 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","125 patients","2 ","2","SCIP-VTE-2 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","51 patients",,,"PN-7 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","243 patients","2 ","2","SCIP-INF-6 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","73 patients",,,"PN-2 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","101 patients",,,"HF-1 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","189 patients","2 ","2","SCIP-INF-2 " "360046","MCCULLOUGH-HYDE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","13 patients","1 ","1","AMI-1 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","189 patients","2 ","2","HF-1 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","HF-4 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","81 patients","2 ","2","PN-5C " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","231 patients","2 ","2","HF-2 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","28 patients","2 ","2","AMI-8A " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","42 patients","2 ","2","PN-6 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","263 patients","2 ","2","SCIP-INF-1 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","239 patients","2 ","2","SCIP-INF-3 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","87 patients","2 ","2","SCIP-CARD-2 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","270 patients","2 ","2","SCIP-INF-2 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","71 patients","2 ","2","PN-7 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","89 patients","2 ","2","SCIP-INF-4 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","96 patients","2 ","2","AMI-4 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","193 patients","2 ","2","AMI-5 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","91 patients","2 ","2","PN-2 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","95 patients","2 ","2","AMI-1 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","202 patients","2 ","2","AMI-2 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","155 patients","2 ","2","SCIP-VTE-2 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","155 patients","2 ","2","SCIP-VTE-1 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","80 patients","2 ","2","PN-3B " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","53 patients","2 ","2","AMI-3 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","81 patients","2 ","2","HF-3 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","429 patients","2 ","2","SCIP-INF-6 " "360048","UNIVERSITY OF TOLEDO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","59 patients","2 ","2","PN-4 " "360051","MIAMI VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","679 patients","2 ","2","SCIP-INF-6 " "360051","MIAMI VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","124 patients","2 ","2","SCIP-CARD-2 " "360051","MIAMI VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","263 patients","2 ","2","AMI-5 " "360051","MIAMI VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","56 patients","2 ","2","AMI-3 " "360051","MIAMI VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","466 patients","2 ","2","SCIP-INF-1 " "360051","MIAMI VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","68 patients","2 ","2","HF-4 " "360051","MIAMI VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","140 patients","2 ","2","SCIP-INF-4 " "360051","MIAMI VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","104 patients","2 ","2","PN-4 " "360051","MIAMI VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","228 patients","2 ","2","SCIP-VTE-1 " "360051","MIAMI VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","243 patients","2 ","2","AMI-1 " "360051","MIAMI VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","270 patients","2 ","2","HF-1 " "360051","MIAMI VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","191 patients","2 ","2","PN-3B " "360051","MIAMI VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","327 patients","2 ","2","HF-2 " "360051","MIAMI VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","123 patients","2 ","2","PN-6 " "360051","MIAMI VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","180 patients","2 ","2","PN-2 " "360051","MIAMI VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","481 patients","2 ","2","SCIP-INF-2 " "360051","MIAMI VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","72 patients","2 ","2","AMI-8A " "360051","MIAMI VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","124 patients","2 ","2","AMI-4 " "360051","MIAMI VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","292 patients","2 ","2","AMI-2 " "360051","MIAMI VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","122 patients","2 ","2","HF-3 " "360051","MIAMI VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360051","MIAMI VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","168 patients","2 ","2","PN-5C " "360051","MIAMI VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","438 patients","2 ","2","SCIP-INF-3 " "360051","MIAMI VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","126 patients","2 ","2","PN-7 " "360051","MIAMI VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","228 patients","2 ","2","SCIP-VTE-2 " "360052","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","640 patients","2 ","2","SCIP-INF-2 " "360052","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","177 patients","2 ","2","PN-5C " "360052","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","632 patients","2 ","2","SCIP-INF-1 " "360052","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","177 patients","2 ","2","HF-3 " "360052","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","78 patients","2 ","2","PN-4 " "360052","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","97 patients",,,"AMI-3 " "360052","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","322 patients",,,"AMI-1 " "360052","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","259 patients","2 ","2","SCIP-VTE-2 " "360052","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","126 patients","2 ","2","PN-7 " "360052","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","500 patients","2 ","2","HF-2 " "360052","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","423 patients","2 ","2","HF-1 " "360052","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","118 patients","2 ","2","PN-6 " "360052","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","166 patients","2 ","2","SCIP-CARD-2 " "360052","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","537 patients",,,"AMI-2 " "360052","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","174 patients","2 ","2","PN-2 " "360052","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","96 patients","2 ","2","HF-4 " "360052","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","569 patients","2 ","2","SCIP-INF-3 " "360052","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360052","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","72 patients",,,"AMI-8A " "360052","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","536 patients",,,"AMI-5 " "360052","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","307 patients","2 ","2","SCIP-INF-4 " "360052","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","204 patients","2 ","2","PN-3B " "360052","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","201 patients",,,"AMI-4 " "360052","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","263 patients","2 ","2","SCIP-VTE-1 " "360052","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","987 patients","2 ","2","SCIP-INF-6 " "360054","HOLZER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","284 patients",,,"HF-1 " "360054","HOLZER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","130 patients","2 ","2","SCIP-VTE-2 " "360054","HOLZER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","127 patients","2 ","2","PN-7 " "360054","HOLZER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","207 patients","2 ","2","SCIP-INF-1 " "360054","HOLZER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"AMI-4 " "360054","HOLZER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","197 patients","2 ","2","SCIP-INF-3 " "360054","HOLZER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","179 patients","2 ","2","PN-2 " "360054","HOLZER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","131 patients","2 ","2","SCIP-VTE-1 " "360054","HOLZER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","119 patients",,,"AMI-5 " "360054","HOLZER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","55 patients","2 ","2","SCIP-INF-4 " "360054","HOLZER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","95 patients",,,"AMI-1 " "360054","HOLZER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","AMI-3 " "360054","HOLZER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","111 patients",,,"AMI-2 " "360054","HOLZER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","209 patients","2 ","2","SCIP-INF-2 " "360054","HOLZER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","128 patients","2 ","2","PN-6 " "360054","HOLZER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360054","HOLZER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","346 patients",,,"HF-2 " "360054","HOLZER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","68 patients","2 ","2","PN-4 " "360054","HOLZER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","57%","14 patients","1 ","1","AMI-8A " "360054","HOLZER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","116 patients",,,"HF-3 " "360054","HOLZER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","134 patients","2 ","2","PN-3B " "360054","HOLZER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","337 patients","2 ","2","SCIP-INF-6 " "360054","HOLZER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","60 patients","2 ","2","SCIP-CARD-2 " "360054","HOLZER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","161 patients","2 ","2","PN-5C " "360054","HOLZER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","55 patients",,,"HF-4 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","240 patients","2 ","2","PN-3B " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","699 patients","2 ","2","SCIP-INF-6 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","173 patients",,,"AMI-1 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","326 patients",,,"HF-1 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","251 patients","2 ","2","SCIP-VTE-2 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","187 patients","2 ","2","PN-7 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"AMI-4 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","110 patients","2 ","2","SCIP-CARD-2 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","171 patients",,,"AMI-5 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","394 patients",,,"HF-2 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"AMI-3 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","42 patients",,,"AMI-8A " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","469 patients","2 ","2","SCIP-INF-3 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","276 patients","2 ","2","PN-5C " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","482 patients","2 ","2","SCIP-INF-1 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","103 patients","2 ","2","PN-4 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","252 patients","2 ","2","PN-2 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","97 patients",,,"HF-3 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","120 patients","2 ","2","SCIP-INF-4 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"HF-4 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","251 patients","2 ","2","SCIP-VTE-1 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","227 patients","2 ","2","PN-6 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","488 patients","2 ","2","SCIP-INF-2 " "360055","FORUM HEALTH TRUMBULL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","161 patients",,,"AMI-2 " "360056","MERCY HOSPITAL FAIRFIELD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","398 patients","2 ","2","SCIP-VTE-2 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","131 patients",,,"HF-3 " "360056","MERCY HOSPITAL FAIRFIELD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","108 patients",,,"PN-4 " "360056","MERCY HOSPITAL FAIRFIELD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","906 patients","2 ","2","SCIP-INF-1 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","318 patients",,,"HF-1 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","388 patients",,,"HF-2 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","281 patients",,,"AMI-5 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","60 patients",,,"AMI-3 " "360056","MERCY HOSPITAL FAIRFIELD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","185 patients",,,"PN-6 " "360056","MERCY HOSPITAL FAIRFIELD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","924 patients","2 ","2","SCIP-INF-2 " "360056","MERCY HOSPITAL FAIRFIELD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","398 patients","2 ","2","SCIP-VTE-1 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","276 patients",,,"AMI-1 " "360056","MERCY HOSPITAL FAIRFIELD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1191 patients","2 ","2","SCIP-INF-6 " "360056","MERCY HOSPITAL FAIRFIELD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","188 patients","2 ","2","SCIP-INF-4 " "360056","MERCY HOSPITAL FAIRFIELD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","874 patients","2 ","2","SCIP-INF-3 " "360056","MERCY HOSPITAL FAIRFIELD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","308 patients",,,"PN-5C " "360056","MERCY HOSPITAL FAIRFIELD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","319 patients",,,"AMI-2 " "360056","MERCY HOSPITAL FAIRFIELD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","254 patients",,,"PN-2 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360056","MERCY HOSPITAL FAIRFIELD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","124 patients","2 ","2","SCIP-CARD-2 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","134 patients",,,"AMI-4 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","59 patients",,,"AMI-8A " "360056","MERCY HOSPITAL FAIRFIELD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","347 patients",,,"PN-3B " "360056","MERCY HOSPITAL FAIRFIELD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","192 patients",,,"PN-7 " "360056","MERCY HOSPITAL FAIRFIELD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","51 patients",,,"SCIP-VTE-1 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","64 patients",,,"PN-5C " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","135 patients",,,"SCIP-INF-6 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","50 patients",,,"SCIP-VTE-2 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","22 patients","1 ","1","HF-1 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","58 patients",,,"PN-6 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","81 patients",,,"SCIP-INF-1 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","44 patients",,,"HF-2 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","PN-4 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","35 patients",,,"PN-7 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","58 patients",,,"PN-3B " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","80 patients",,,"SCIP-INF-3 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","14 patients","1 ","1","SCIP-CARD-2 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","80 patients",,,"SCIP-INF-2 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","68 patients",,,"PN-2 " "360058","MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360059","METRO HEALTH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","211 patients",,,"AMI-5 " "360059","METRO HEALTH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","192 patients","2 ","2","PN-5C " "360059","METRO HEALTH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","123 patients",,,"AMI-4 " "360059","METRO HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","256 patients","2 ","2","SCIP-VTE-2 " "360059","METRO HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","456 patients","2 ","2","SCIP-INF-3 " "360059","METRO HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","115 patients","2 ","2","SCIP-CARD-2 " "360059","METRO HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","476 patients","2 ","2","SCIP-INF-2 " "360059","METRO HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","256 patients","2 ","2","SCIP-VTE-1 " "360059","METRO HEALTH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","34 patients",,,"AMI-8A " "360059","METRO HEALTH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360059","METRO HEALTH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","146 patients","2 ","2","PN-7 " "360059","METRO HEALTH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","166 patients","2 ","2","HF-4 " "360059","METRO HEALTH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","422 patients","2 ","2","HF-1 " "360059","METRO HEALTH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","214 patients","2 ","2","HF-3 " "360059","METRO HEALTH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","480 patients","2 ","2","HF-2 " "360059","METRO HEALTH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","193 patients",,,"AMI-1 " "360059","METRO HEALTH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","113 patients","2 ","2","PN-6 " "360059","METRO HEALTH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","206 patients",,,"AMI-2 " "360059","METRO HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","470 patients","2 ","2","SCIP-INF-1 " "360059","METRO HEALTH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","121 patients","2 ","2","PN-2 " "360059","METRO HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","108 patients","2 ","2","SCIP-INF-4 " "360059","METRO HEALTH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"AMI-3 " "360059","METRO HEALTH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","672 patients","2 ","2","SCIP-INF-6 " "360059","METRO HEALTH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","178 patients","2 ","2","PN-4 " "360059","METRO HEALTH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","89 patients","2 ","2","PN-3B " "360064","ST ELIZABETH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","493 patients","2 ","2","SCIP-INF-1 " "360064","ST ELIZABETH HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","182 patients",,,"AMI-4 " "360064","ST ELIZABETH HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","71 patients","2 ","2","HF-3 " "360064","ST ELIZABETH HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","78 patients","2 ","2","PN-5C " "360064","ST ELIZABETH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","683 patients","2 ","2","SCIP-INF-6 " "360064","ST ELIZABETH HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","402 patients",,,"AMI-2 " "360064","ST ELIZABETH HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","382 patients",,,"AMI-5 " "360064","ST ELIZABETH HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","52 patients","2 ","2","PN-6 " "360064","ST ELIZABETH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","501 patients","2 ","2","SCIP-INF-2 " "360064","ST ELIZABETH HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","53 patients",,,"AMI-8A " "360064","ST ELIZABETH HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","49 patients",,,"AMI-3 " "360064","ST ELIZABETH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","156 patients","2 ","2","SCIP-INF-4 " "360064","ST ELIZABETH HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","80 patients","2 ","2","PN-7 " "360064","ST ELIZABETH HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","PN-4 " "360064","ST ELIZABETH HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","226 patients",,,"AMI-1 " "360064","ST ELIZABETH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","196 patients","2 ","2","SCIP-VTE-1 " "360064","ST ELIZABETH HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","114 patients","2 ","2","SCIP-CARD-2 " "360064","ST ELIZABETH HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","HF-4 " "360064","ST ELIZABETH HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","297 patients","2 ","2","HF-2 " "360064","ST ELIZABETH HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","120 patients","2 ","2","PN-2 " "360064","ST ELIZABETH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","472 patients","2 ","2","SCIP-INF-3 " "360064","ST ELIZABETH HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360064","ST ELIZABETH HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","82 patients","2 ","2","PN-3B " "360064","ST ELIZABETH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","196 patients","2 ","2","SCIP-VTE-2 " "360064","ST ELIZABETH HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","224 patients","2 ","2","HF-1 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","124 patients",,,"PN-2 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","104 patients",,,"PN-6 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","146 patients",,,"PN-5C " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360065","FISHER TITUS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","82 patients",,,"HF-1 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","201 patients","2 ","2","SCIP-INF-3 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","215 patients","2 ","2","SCIP-INF-1 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","119 patients","2 ","2","SCIP-VTE-1 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","63 patients","2 ","2","SCIP-CARD-2 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","218 patients","2 ","2","SCIP-INF-2 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","316 patients","2 ","2","SCIP-INF-6 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","96 patients",,,"PN-3B " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","35 patients",,,"HF-3 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","80 patients",,,"PN-7 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","119 patients","2 ","2","SCIP-VTE-2 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","104 patients",,,"HF-2 " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360065","FISHER TITUS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "360066","ST RITA'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","205 patients",,,"PN-7 " "360066","ST RITA'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "360066","ST RITA'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","116 patients",,,"HF-3 " "360066","ST RITA'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","628 patients","2 ","2","SCIP-INF-1 " "360066","ST RITA'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","219 patients",,,"AMI-2 " "360066","ST RITA'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","203 patients","2 ","2","SCIP-CARD-2 " "360066","ST RITA'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","210 patients",,,"AMI-5 " "360066","ST RITA'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"AMI-3 " "360066","ST RITA'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","639 patients","2 ","2","SCIP-INF-2 " "360066","ST RITA'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","37 patients",,,"AMI-8A " "360066","ST RITA'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","329 patients","2 ","2","SCIP-VTE-1 " "360066","ST RITA'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","943 patients","2 ","2","SCIP-INF-6 " "360066","ST RITA'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"PN-4 " "360066","ST RITA'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","316 patients",,,"HF-2 " "360066","ST RITA'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","247 patients",,,"PN-2 " "360066","ST RITA'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","98 patients",,,"AMI-4 " "360066","ST RITA'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","195 patients",,,"PN-5C " "360066","ST RITA'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","183 patients",,,"PN-6 " "360066","ST RITA'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","180 patients",,,"AMI-1 " "360066","ST RITA'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","281 patients",,,"PN-3B " "360066","ST RITA'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "360066","ST RITA'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","146 patients","2 ","2","SCIP-INF-4 " "360066","ST RITA'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","328 patients","2 ","2","SCIP-VTE-2 " "360066","ST RITA'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","252 patients",,,"HF-1 " "360066","ST RITA'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","592 patients","2 ","2","SCIP-INF-3 " "360068","TOLEDO HOSPITAL THE","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","189 patients",,,"CAC-1 " "360068","TOLEDO HOSPITAL THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","64 patients","2 ","2","PN-6 " "360068","TOLEDO HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","497 patients","2 ","2","SCIP-INF-2 " "360068","TOLEDO HOSPITAL THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","50 patients","2 ","2","PN-4 " "360068","TOLEDO HOSPITAL THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","216 patients","2 ","2","SCIP-VTE-2 " "360068","TOLEDO HOSPITAL THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","86 patients","2 ","2","HF-3 " "360068","TOLEDO HOSPITAL THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","116 patients","2 ","2","AMI-4 " "360068","TOLEDO HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","682 patients","2 ","2","SCIP-INF-6 " "360068","TOLEDO HOSPITAL THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360068","TOLEDO HOSPITAL THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","274 patients","2 ","2","AMI-5 " "360068","TOLEDO HOSPITAL THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","103 patients","2 ","2","PN-2 " "360068","TOLEDO HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","476 patients","2 ","2","SCIP-INF-3 " "360068","TOLEDO HOSPITAL THE","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","88%","188 patients",,,"CAC-3 " "360068","TOLEDO HOSPITAL THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","64 patients","2 ","2","PN-7 " "360068","TOLEDO HOSPITAL THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","98 patients","2 ","2","PN-3B " "360068","TOLEDO HOSPITAL THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","272 patients","2 ","2","HF-2 " "360068","TOLEDO HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","156 patients","2 ","2","SCIP-INF-4 " "360068","TOLEDO HOSPITAL THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","148 patients","2 ","2","SCIP-CARD-2 " "360068","TOLEDO HOSPITAL THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","115 patients","2 ","2","AMI-1 " "360068","TOLEDO HOSPITAL THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","90 patients","2 ","2","PN-5C " "360068","TOLEDO HOSPITAL THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","218 patients","2 ","2","SCIP-VTE-1 " "360068","TOLEDO HOSPITAL THE","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","189 patients",,,"CAC-2 " "360068","TOLEDO HOSPITAL THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","491 patients","2 ","2","SCIP-INF-1 " "360068","TOLEDO HOSPITAL THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","242 patients","2 ","2","AMI-2 " "360068","TOLEDO HOSPITAL THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","220 patients","2 ","2","HF-1 " "360068","TOLEDO HOSPITAL THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients","2 ","2","AMI-3 " "360068","TOLEDO HOSPITAL THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","19 patients","1,2 ","12","AMI-8A " "360068","TOLEDO HOSPITAL THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","48 patients","2 ","2","HF-4 " "360070","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","271 patients","2 ","2","SCIP-VTE-1 " "360070","MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","76 patients",,,"AMI-8A " "360070","MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","104 patients",,,"PN-4 " "360070","MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","179 patients",,,"PN-7 " "360070","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","153 patients","2 ","2","SCIP-INF-4 " "360070","MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","222 patients",,,"PN-2 " "360070","MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","441 patients",,,"AMI-2 " "360070","MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","430 patients",,,"HF-2 " "360070","MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"HF-4 " "360070","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","271 patients","2 ","2","SCIP-VTE-2 " "360070","MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","343 patients",,,"HF-1 " "360070","MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","162 patients",,,"HF-3 " "360070","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","588 patients","2 ","2","SCIP-INF-2 " "360070","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","755 patients","2 ","2","SCIP-INF-6 " "360070","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","581 patients","2 ","2","SCIP-INF-1 " "360070","MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","295 patients",,,"PN-3B " "360070","MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","171 patients",,,"PN-6 " "360070","MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360070","MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","287 patients",,,"PN-5C " "360070","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","100 patients","2 ","2","SCIP-CARD-2 " "360070","MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","327 patients",,,"AMI-1 " "360070","MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","102 patients",,,"AMI-3 " "360070","MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","455 patients",,,"AMI-5 " "360070","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","551 patients","2 ","2","SCIP-INF-3 " "360070","MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","198 patients",,,"AMI-4 " "360071","VAN WERT COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "360071","VAN WERT COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","43 patients",,,"HF-1 " "360071","VAN WERT COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","48 patients",,,"PN-2 " "360071","VAN WERT COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","50 patients",,,"HF-2 " "360071","VAN WERT COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "360071","VAN WERT COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","41 patients",,,"PN-3B " "360071","VAN WERT COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "360071","VAN WERT COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "360071","VAN WERT COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "360071","VAN WERT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","130 patients",,,"SCIP-INF-2 " "360071","VAN WERT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","58%","80 patients",,,"SCIP-VTE-1 " "360071","VAN WERT COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients",,,"PN-5C " "360071","VAN WERT COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360071","VAN WERT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","156 patients",,,"SCIP-INF-6 " "360071","VAN WERT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","79 patients",,,"SCIP-VTE-2 " "360071","VAN WERT COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360071","VAN WERT COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","49 patients",,,"PN-6 " "360071","VAN WERT COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "360071","VAN WERT COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "360071","VAN WERT COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "360071","VAN WERT COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","40 patients",,,"PN-7 " "360071","VAN WERT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "360071","VAN WERT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","131 patients",,,"SCIP-INF-1 " "360071","VAN WERT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","123 patients",,,"SCIP-INF-3 " "360071","VAN WERT COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360072","FAIRFIELD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "360072","FAIRFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1028 patients","2 ","2","SCIP-INF-6 " "360072","FAIRFIELD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","301 patients",,,"HF-1 " "360072","FAIRFIELD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","369 patients",,,"HF-2 " "360072","FAIRFIELD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360072","FAIRFIELD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","148 patients",,,"AMI-1 " "360072","FAIRFIELD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","128 patients",,,"PN-4 " "360072","FAIRFIELD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","132 patients",,,"AMI-2 " "360072","FAIRFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","808 patients","2 ","2","SCIP-INF-2 " "360072","FAIRFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","735 patients","2 ","2","SCIP-INF-3 " "360072","FAIRFIELD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","216 patients",,,"PN-3B " "360072","FAIRFIELD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "360072","FAIRFIELD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","247 patients",,,"PN-5C " "360072","FAIRFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","269 patients","2 ","2","SCIP-VTE-1 " "360072","FAIRFIELD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","24 patients","1 ","1","AMI-8A " "360072","FAIRFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","798 patients","2 ","2","SCIP-INF-1 " "360072","FAIRFIELD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","131 patients",,,"AMI-5 " "360072","FAIRFIELD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","86 patients",,,"HF-3 " "360072","FAIRFIELD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "360072","FAIRFIELD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","141 patients",,,"PN-6 " "360072","FAIRFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","204 patients","2 ","2","SCIP-INF-4 " "360072","FAIRFIELD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","209 patients",,,"PN-7 " "360072","FAIRFIELD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","284 patients",,,"PN-2 " "360072","FAIRFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","269 patients","2 ","2","SCIP-VTE-2 " "360072","FAIRFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","177 patients","2 ","2","SCIP-CARD-2 " "360074","FLOWER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","229 patients","2 ","2","SCIP-VTE-2 " "360074","FLOWER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","48 patients",,,"AMI-5 " "360074","FLOWER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","201 patients",,,"PN-3B " "360074","FLOWER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","338 patients","2 ","2","SCIP-INF-1 " "360074","FLOWER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","43 patients",,,"HF-3 " "360074","FLOWER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","123 patients",,,"PN-7 " "360074","FLOWER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","235 patients",,,"HF-2 " "360074","FLOWER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","47 patients",,,"PN-4 " "360074","FLOWER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "360074","FLOWER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","479 patients","2 ","2","SCIP-INF-6 " "360074","FLOWER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360074","FLOWER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","46 patients",,,"AMI-2 " "360074","FLOWER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "360074","FLOWER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","75 patients","2 ","2","SCIP-CARD-2 " "360074","FLOWER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","229 patients","2 ","2","SCIP-VTE-1 " "360074","FLOWER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "360074","FLOWER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","136 patients",,,"PN-6 " "360074","FLOWER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360074","FLOWER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","188 patients",,,"HF-1 " "360074","FLOWER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360074","FLOWER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","187 patients",,,"PN-5C " "360074","FLOWER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","165 patients",,,"PN-2 " "360074","FLOWER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","321 patients","2 ","2","SCIP-INF-3 " "360074","FLOWER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","339 patients","2 ","2","SCIP-INF-2 " "360074","FLOWER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","69 patients",,,"AMI-1 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","96 patients",,,"SCIP-INF-3 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","168 patients",,,"SCIP-INF-6 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","69 patients",,,"SCIP-VTE-1 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","62 patients",,,"PN-2 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","99 patients",,,"SCIP-INF-2 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","23 patients","1 ","1","AMI-5 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","58 patients",,,"PN-3B " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","36 patients",,,"PN-7 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","138 patients",,,"HF-1 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1 ","1","SCIP-CARD-2 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","40 patients",,,"HF-3 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","209 patients",,,"HF-2 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","69 patients",,,"SCIP-VTE-2 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","21 patients","1 ","1","AMI-2 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","99 patients",,,"SCIP-INF-1 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","73 patients",,,"PN-5C " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","29 patients",,,"AMI-1 " "360075","UHHS RICHMOND HEIGHTS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","47 patients",,,"PN-6 " "360076","ATRIUM MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","33 patients",,,"AMI-8A " "360076","ATRIUM MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"AMI-4 " "360076","ATRIUM MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","187 patients",,,"AMI-5 " "360076","ATRIUM MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","142 patients","2 ","2","PN-6 " "360076","ATRIUM MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","214 patients","2 ","2","PN-5C " "360076","ATRIUM MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","168 patients","2 ","2","PN-4 " "360076","ATRIUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","367 patients","2 ","2","SCIP-VTE-2 " "360076","ATRIUM MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","275 patients","2 ","2","HF-2 " "360076","ATRIUM MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"AMI-3 " "360076","ATRIUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","596 patients","2 ","2","SCIP-INF-2 " "360076","ATRIUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","367 patients","2 ","2","SCIP-VTE-1 " "360076","ATRIUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","834 patients","2 ","2","SCIP-INF-6 " "360076","ATRIUM MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "360076","ATRIUM MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","185 patients",,,"AMI-2 " "360076","ATRIUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","90 patients","2 ","2","SCIP-CARD-2 " "360076","ATRIUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","589 patients","2 ","2","SCIP-INF-1 " "360076","ATRIUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","73 patients","2 ","2","SCIP-INF-4 " "360076","ATRIUM MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","54 patients","2 ","2","HF-3 " "360076","ATRIUM MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","249 patients","2 ","2","PN-2 " "360076","ATRIUM MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","183 patients",,,"PN-7 " "360076","ATRIUM MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","232 patients","2 ","2","HF-1 " "360076","ATRIUM MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","211 patients","2 ","2","PN-3B " "360076","ATRIUM MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","554 patients","2 ","2","SCIP-INF-3 " "360076","ATRIUM MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","206 patients",,,"AMI-1 " "360076","ATRIUM MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","HF-4 " "360077","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","499 patients","2 ","2","SCIP-INF-1 " "360077","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","112 patients","2 ","2","SCIP-CARD-2 " "360077","FAIRVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360077","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","146 patients","2 ","2","SCIP-INF-4 " "360077","FAIRVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","760 patients",,,"HF-2 " "360077","FAIRVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","96 patients",,,"AMI-4 " "360077","FAIRVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"HF-4 " "360077","FAIRVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","53 patients",,,"AMI-8A " "360077","FAIRVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","301 patients",,,"AMI-5 " "360077","FAIRVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","39 patients",,,"AMI-3 " "360077","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","311 patients","2 ","2","SCIP-VTE-1 " "360077","FAIRVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","283 patients",,,"AMI-2 " "360077","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","502 patients","2 ","2","SCIP-INF-2 " "360077","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","682 patients","2 ","2","SCIP-INF-6 " "360077","FAIRVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "360077","FAIRVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","244 patients",,,"AMI-1 " "360077","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","487 patients","2 ","2","SCIP-INF-3 " "360077","FAIRVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","231 patients",,,"PN-5C " "360077","FAIRVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","571 patients",,,"HF-1 " "360077","FAIRVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","236 patients",,,"PN-2 " "360077","FAIRVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","233 patients",,,"HF-3 " "360077","FAIRVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","156 patients",,,"PN-7 " "360077","FAIRVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","254 patients",,,"PN-3B " "360077","FAIRVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","165 patients",,,"PN-6 " "360077","FAIRVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","310 patients","2 ","2","SCIP-VTE-2 " "360078","ROBINSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","49 patients","2 ","2","PN-4 " "360078","ROBINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","306 patients","2 ","2","SCIP-INF-1 " "360078","ROBINSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","94 patients","2 ","2","PN-6 " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","309 patients",,,"HF-2 " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","65 patients",,,"AMI-1 " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","38 patients",,,"AMI-2 " "360078","ROBINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","294 patients","2 ","2","SCIP-INF-3 " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","86 patients",,,"HF-3 " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","55 patients",,,"HF-4 " "360078","ROBINSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","104 patients","2 ","2","PN-3B " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "360078","ROBINSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","113 patients","2 ","2","PN-2 " "360078","ROBINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","465 patients","2 ","2","SCIP-INF-6 " "360078","ROBINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","226 patients","2 ","2","SCIP-VTE-2 " "360078","ROBINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","308 patients","2 ","2","SCIP-INF-2 " "360078","ROBINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","72 patients","2 ","2","SCIP-CARD-2 " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "360078","ROBINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","226 patients","2 ","2","SCIP-VTE-1 " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","278 patients",,,"HF-1 " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","44 patients",,,"AMI-5 " "360078","ROBINSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","138 patients","2 ","2","PN-5C " "360078","ROBINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360078","ROBINSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360078","ROBINSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","80 patients","2 ","2","PN-7 " "360079","KETTERING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","305 patients","2 ","2","SCIP-INF-4 " "360079","KETTERING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","2218 patients","2 ","2","SCIP-INF-1 " "360079","KETTERING MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","840 patients","2 ","2","SCIP-VTE-1 " "360079","KETTERING MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","113 patients",,,"AMI-4 " "360079","KETTERING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","2126 patients","2 ","2","SCIP-INF-3 " "360079","KETTERING MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"HF-4 " "360079","KETTERING MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360079","KETTERING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2244 patients","2 ","2","SCIP-INF-2 " "360079","KETTERING MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","357 patients",,,"AMI-5 " "360079","KETTERING MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","370 patients",,,"AMI-2 " "360079","KETTERING MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","275 patients",,,"AMI-1 " "360079","KETTERING MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","218 patients",,,"PN-2 " "360079","KETTERING MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"PN-4 " "360079","KETTERING MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","435 patients",,,"HF-2 " "360079","KETTERING MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","840 patients","2 ","2","SCIP-VTE-2 " "360079","KETTERING MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","156 patients",,,"PN-7 " "360079","KETTERING MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","136 patients",,,"PN-6 " "360079","KETTERING MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","421 patients","2 ","2","SCIP-CARD-2 " "360079","KETTERING MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","371 patients",,,"HF-1 " "360079","KETTERING MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","59 patients",,,"AMI-8A " "360079","KETTERING MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","213 patients",,,"PN-5C " "360079","KETTERING MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","79 patients",,,"AMI-3 " "360079","KETTERING MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","180 patients",,,"HF-3 " "360079","KETTERING MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","250 patients",,,"PN-3B " "360079","KETTERING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2613 patients","2 ","2","SCIP-INF-6 " "36007F","DAYTON VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","172 patients",,,"HF-2 " "36007F","DAYTON VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","139 patients",,,"HF-1 " "36007F","DAYTON VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","AMI-4 " "36007F","DAYTON VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "36007F","DAYTON VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","49 patients",,,"HF-4 " "36007F","DAYTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","181 patients",,,"SCIP-INF-1 " "36007F","DAYTON VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","21 patients","1 ","1","AMI-5 " "36007F","DAYTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","87 patients","2 ","2","SCIP-CARD-2 " "36007F","DAYTON VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","18 patients","1 ","1","AMI-2 " "36007F","DAYTON VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "36007F","DAYTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","173 patients",,,"SCIP-INF-3 " "36007F","DAYTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","252 patients","2 ","2","SCIP-INF-6 " "36007F","DAYTON VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "36007F","DAYTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "36007F","DAYTON VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","60 patients",,,"HF-3 " "36007F","DAYTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","180 patients",,,"SCIP-INF-2 " "36007F","DAYTON VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","119 patients",,,"PN-5C " "36007F","DAYTON VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","101 patients",,,"PN-3B " "36007F","DAYTON VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","102 patients",,,"PN-2 " "36007F","DAYTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","138 patients","2 ","2","SCIP-VTE-1 " "36007F","DAYTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","138 patients","2 ","2","SCIP-VTE-2 " "36007F","DAYTON VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "36007F","DAYTON VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","65 patients",,,"PN-6 " "36007F","DAYTON VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","68 patients",,,"PN-4 " "36007F","DAYTON VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","83 patients",,,"PN-7 " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","22 patients","1 ","1","AMI-2 " "360080","EAST OHIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","115 patients",,,"SCIP-VTE-2 " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","27 patients",,,"AMI-5 " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360080","EAST OHIO REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","166 patients",,,"PN-3B " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","43 patients",,,"HF-3 " "360080","EAST OHIO REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","160 patients",,,"PN-5C " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "360080","EAST OHIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","291 patients",,,"SCIP-INF-2 " "360080","EAST OHIO REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","58%","108 patients",,,"PN-7 " "360080","EAST OHIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "360080","EAST OHIO REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","144 patients",,,"PN-2 " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "360080","EAST OHIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","292 patients",,,"SCIP-INF-1 " "360080","EAST OHIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","115 patients",,,"SCIP-VTE-1 " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","219 patients",,,"HF-2 " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","160 patients",,,"HF-1 " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "360080","EAST OHIO REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","63 patients",,,"AMI-1 " "360080","EAST OHIO REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","122 patients",,,"PN-6 " "360080","EAST OHIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","57 patients",,,"SCIP-CARD-2 " "360080","EAST OHIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","282 patients",,,"SCIP-INF-3 " "360080","EAST OHIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","70%","341 patients",,,"SCIP-INF-6 " "360080","EAST OHIO REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "360081","MERCY ST CHARLES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","100 patients",,,"PN-6 " "360081","MERCY ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","240 patients","2 ","2","SCIP-VTE-1 " "360081","MERCY ST CHARLES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "360081","MERCY ST CHARLES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360081","MERCY ST CHARLES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","106 patients",,,"PN-7 " "360081","MERCY ST CHARLES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","139 patients",,,"PN-5C " "360081","MERCY ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","402 patients","2 ","2","SCIP-INF-2 " "360081","MERCY ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","381 patients","2 ","2","SCIP-INF-1 " "360081","MERCY ST CHARLES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients",,,"AMI-1 " "360081","MERCY ST CHARLES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","132 patients",,,"PN-2 " "360081","MERCY ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","363 patients","2 ","2","SCIP-INF-3 " "360081","MERCY ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","98 patients","2 ","2","SCIP-CARD-2 " "360081","MERCY ST CHARLES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","170 patients",,,"HF-1 " "360081","MERCY ST CHARLES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","122 patients",,,"PN-3B " "360081","MERCY ST CHARLES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360081","MERCY ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360081","MERCY ST CHARLES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","69 patients",,,"HF-3 " "360081","MERCY ST CHARLES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "360081","MERCY ST CHARLES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "360081","MERCY ST CHARLES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","226 patients",,,"HF-2 " "360081","MERCY ST CHARLES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360081","MERCY ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","562 patients","2 ","2","SCIP-INF-6 " "360081","MERCY ST CHARLES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "360081","MERCY ST CHARLES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "360081","MERCY ST CHARLES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","240 patients","2 ","2","SCIP-VTE-2 " "360082","EUCLID HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","348 patients","2 ","2","SCIP-VTE-1 " "360082","EUCLID HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360082","EUCLID HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "360082","EUCLID HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "360082","EUCLID HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","347 patients","2 ","2","SCIP-VTE-2 " "360082","EUCLID HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","876 patients","2 ","2","SCIP-INF-6 " "360082","EUCLID HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","708 patients","2 ","2","SCIP-INF-3 " "360082","EUCLID HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","139 patients",,,"PN-2 " "360082","EUCLID HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","138 patients",,,"PN-3B " "360082","EUCLID HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","166 patients",,,"PN-5C " "360082","EUCLID HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","722 patients","2 ","2","SCIP-INF-2 " "360082","EUCLID HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","222 patients",,,"HF-1 " "360082","EUCLID HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","72 patients",,,"PN-4 " "360082","EUCLID HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","111 patients",,,"PN-7 " "360082","EUCLID HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "360082","EUCLID HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "360082","EUCLID HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","722 patients","2 ","2","SCIP-INF-1 " "360082","EUCLID HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","28 patients",,,"AMI-2 " "360082","EUCLID HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","95 patients",,,"PN-6 " "360082","EUCLID HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","107 patients","2 ","2","SCIP-CARD-2 " "360082","EUCLID HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","317 patients",,,"HF-2 " "360082","EUCLID HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","83 patients",,,"HF-3 " "360082","EUCLID HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360082","EUCLID HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"HF-4 " "360082","EUCLID HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360084","AULTMAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","563 patients",,,"AMI-2 " "360084","AULTMAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","652 patients",,,"HF-2 " "360084","AULTMAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","123 patients","2 ","2","SCIP-CARD-2 " "360084","AULTMAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","225 patients","2 ","2","SCIP-VTE-1 " "360084","AULTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","171 patients","2 ","2","SCIP-INF-4 " "360084","AULTMAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","246 patients",,,"PN-4 " "360084","AULTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","723 patients","2 ","2","SCIP-INF-6 " "360084","AULTMAN HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","96%","26 patients",,,"CAC-2 " "360084","AULTMAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","225 patients","2 ","2","SCIP-VTE-2 " "360084","AULTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","524 patients","2 ","2","SCIP-INF-1 " "360084","AULTMAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","520 patients",,,"HF-1 " "360084","AULTMAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","504 patients",,,"PN-3B " "360084","AULTMAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","320 patients",,,"PN-6 " "360084","AULTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","540 patients","2 ","2","SCIP-INF-2 " "360084","AULTMAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","216 patients",,,"AMI-4 " "360084","AULTMAN HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","11%","27 patients",,,"CAC-3 " "360084","AULTMAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","367 patients",,,"AMI-1 " "360084","AULTMAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360084","AULTMAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","125 patients",,,"HF-4 " "360084","AULTMAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","505 patients",,,"PN-2 " "360084","AULTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","510 patients","2 ","2","SCIP-INF-3 " "360084","AULTMAN HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","27 patients",,,"CAC-1 " "360084","AULTMAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","390 patients",,,"PN-7 " "360084","AULTMAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","470 patients",,,"AMI-5 " "360084","AULTMAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","198 patients",,,"HF-3 " "360084","AULTMAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","483 patients",,,"PN-5C " "360084","AULTMAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","107 patients",,,"AMI-8A " "360084","AULTMAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","103 patients",,,"AMI-3 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","83 patients","2 ","2","HF-4 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","393 patients","2 ","2","SCIP-INF-1 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","122 patients","2 ","2","AMI-4 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","131 patients","2 ","2","SCIP-CARD-2 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","610 patients","2 ","2","SCIP-INF-6 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","134 patients","2 ","2","SCIP-INF-4 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","84 patients","2 ","2","PN-5C " "360085","OHIO STATE UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","380 patients","2 ","2","SCIP-INF-3 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","77 patients","2 ","2","PN-3B " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","265 patients","2 ","2","AMI-5 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","107 patients","2 ","2","AMI-1 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","37 patients","2 ","2","PN-6 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","255 patients","2 ","2","AMI-2 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","130 patients","2 ","2","HF-3 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","244 patients","2 ","2","HF-1 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","287 patients","2 ","2","HF-2 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","14 patients","1,2 ","12","AMI-8A " "360085","OHIO STATE UNIVERSITY HOSPITALS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","78 patients","2 ","2","PN-2 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","399 patients","2 ","2","SCIP-INF-2 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","64 patients","2 ","2","PN-7 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","225 patients","2 ","2","SCIP-VTE-1 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","84 patients","2 ","2","PN-4 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","69 patients","2 ","2","AMI-3 " "360085","OHIO STATE UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","225 patients","2 ","2","SCIP-VTE-2 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","48 patients",,,"AMI-3 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","336 patients",,,"PN-5C " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1371 patients",,,"SCIP-INF-6 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","214 patients",,,"SCIP-CARD-2 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","190 patients",,,"PN-6 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","518 patients",,,"HF-2 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","910 patients",,,"SCIP-INF-3 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","929 patients",,,"SCIP-INF-2 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","308 patients",,,"PN-2 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","370 patients",,,"HF-1 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","588 patients",,,"SCIP-VTE-1 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","206 patients",,,"SCIP-INF-4 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","94 patients",,,"AMI-4 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","128 patients",,,"PN-4 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","225 patients",,,"PN-7 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","242 patients",,,"AMI-5 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","588 patients",,,"SCIP-VTE-2 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","31 patients",,,"AMI-8A " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","253 patients",,,"AMI-2 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","84 patients",,,"HF-4 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","179 patients",,,"HF-3 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","204 patients",,,"AMI-1 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","924 patients",,,"SCIP-INF-1 " "360086","SPRINGFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","319 patients",,,"PN-3B " "360087","LUTHERAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360087","LUTHERAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","29 patients",,,"AMI-1 " "360087","LUTHERAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360087","LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360087","LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","157 patients","2 ","2","SCIP-VTE-1 " "360087","LUTHERAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","42 patients",,,"HF-4 " "360087","LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","202 patients","2 ","2","SCIP-INF-2 " "360087","LUTHERAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","29 patients",,,"HF-3 " "360087","LUTHERAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","82 patients","2 ","2","PN-2 " "360087","LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","47 patients","2 ","2","SCIP-CARD-2 " "360087","LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","157 patients","2 ","2","SCIP-VTE-2 " "360087","LUTHERAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","100 patients","2 ","2","PN-3B " "360087","LUTHERAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","18 patients","1 ","1","AMI-2 " "360087","LUTHERAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "360087","LUTHERAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","90 patients",,,"HF-1 " "360087","LUTHERAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","64 patients","2 ","2","PN-7 " "360087","LUTHERAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","130 patients",,,"HF-2 " "360087","LUTHERAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","155 patients","2 ","2","PN-5C " "360087","LUTHERAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","65 patients","2 ","2","PN-4 " "360087","LUTHERAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","26 patients","2 ","2","PN-6 " "360087","LUTHERAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "360087","LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","284 patients","2 ","2","SCIP-INF-6 " "360087","LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","199 patients","2 ","2","SCIP-INF-1 " "360087","LUTHERAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","199 patients","2 ","2","SCIP-INF-3 " "360087","LUTHERAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","AMI-4 " "360089","MERCY TIFFIN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "360089","MERCY TIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1 ","1","SCIP-CARD-2 " "360089","MERCY TIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","84 patients",,,"SCIP-VTE-2 " "360089","MERCY TIFFIN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360089","MERCY TIFFIN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "360089","MERCY TIFFIN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360089","MERCY TIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","145 patients",,,"SCIP-INF-1 " "360089","MERCY TIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","145 patients",,,"SCIP-INF-2 " "360089","MERCY TIFFIN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "360089","MERCY TIFFIN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","55 patients",,,"PN-6 " "360089","MERCY TIFFIN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","93 patients",,,"PN-2 " "360089","MERCY TIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360089","MERCY TIFFIN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","110 patients",,,"HF-2 " "360089","MERCY TIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","192 patients",,,"SCIP-INF-6 " "360089","MERCY TIFFIN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","71 patients",,,"PN-3B " "360089","MERCY TIFFIN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","61 patients",,,"PN-7 " "360089","MERCY TIFFIN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "360089","MERCY TIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","84 patients",,,"SCIP-VTE-1 " "360089","MERCY TIFFIN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","85 patients",,,"PN-5C " "360089","MERCY TIFFIN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","85 patients",,,"HF-1 " "360089","MERCY TIFFIN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "360089","MERCY TIFFIN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "360089","MERCY TIFFIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","142 patients",,,"SCIP-INF-3 " "360089","MERCY TIFFIN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360089","MERCY TIFFIN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","10 patients","1 ","1","AMI-1 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","48 patients",,,"PN-7 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","59 patients",,,"PN-6 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"HF-3 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","105 patients",,,"HF-2 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","107 patients",,,"HF-1 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","36 patients",,,"PN-5C " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "36008F","CHILLICOTHE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","46 patients",,,"PN-2 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "36008F","CHILLICOTHE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360090","ST LUKE'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","147 patients",,,"PN-2 " "360090","ST LUKE'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","254 patients",,,"HF-1 " "360090","ST LUKE'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","21 patients","1 ","1","HF-4 " "360090","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","302 patients","2 ","2","SCIP-VTE-1 " "360090","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","509 patients","2 ","2","SCIP-INF-3 " "360090","ST LUKE'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","138 patients",,,"AMI-5 " "360090","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","528 patients","2 ","2","SCIP-INF-1 " "360090","ST LUKE'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"AMI-3 " "360090","ST LUKE'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","111 patients",,,"AMI-1 " "360090","ST LUKE'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","150 patients",,,"PN-3B " "360090","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","182 patients","2 ","2","SCIP-CARD-2 " "360090","ST LUKE'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","108 patients",,,"PN-5C " "360090","ST LUKE'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","119 patients",,,"PN-6 " "360090","ST LUKE'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","104 patients",,,"HF-3 " "360090","ST LUKE'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360090","ST LUKE'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","21 patients","1 ","1","AMI-8A " "360090","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","99 patients","2 ","2","SCIP-INF-4 " "360090","ST LUKE'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"AMI-4 " "360090","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","534 patients","2 ","2","SCIP-INF-2 " "360090","ST LUKE'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","136 patients",,,"AMI-2 " "360090","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","816 patients","2 ","2","SCIP-INF-6 " "360090","ST LUKE'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "360090","ST LUKE'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","302 patients","2 ","2","SCIP-VTE-2 " "360090","ST LUKE'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","131 patients",,,"PN-7 " "360090","ST LUKE'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","299 patients",,,"HF-2 " "360091","MEDINA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","232 patients","2 ","2","SCIP-INF-3 " "360091","MEDINA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "360091","MEDINA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","49 patients","2 ","2","SCIP-CARD-2 " "360091","MEDINA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","40 patients",,,"HF-3 " "360091","MEDINA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","34 patients",,,"AMI-1 " "360091","MEDINA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","186 patients",,,"HF-2 " "360091","MEDINA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","173 patients",,,"PN-2 " "360091","MEDINA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "360091","MEDINA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","335 patients","2 ","2","SCIP-INF-6 " "360091","MEDINA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","21 patients","1 ","1","AMI-5 " "360091","MEDINA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","161 patients",,,"PN-3B " "360091","MEDINA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360091","MEDINA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","237 patients","2 ","2","SCIP-INF-2 " "360091","MEDINA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "360091","MEDINA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","177 patients",,,"PN-5C " "360091","MEDINA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","145 patients",,,"PN-6 " "360091","MEDINA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","127 patients",,,"PN-7 " "360091","MEDINA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","41 patients",,,"PN-4 " "360091","MEDINA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","149 patients",,,"HF-1 " "360091","MEDINA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","163 patients","2 ","2","SCIP-VTE-2 " "360091","MEDINA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","65%","20 patients","1 ","1","AMI-2 " "360091","MEDINA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360091","MEDINA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","239 patients","2 ","2","SCIP-INF-1 " "360091","MEDINA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360091","MEDINA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","166 patients","2 ","2","SCIP-VTE-1 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","37 patients",,,"HF-1 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","13 patients","1 ","1","SCIP-CARD-2 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","114 patients",,,"SCIP-INF-6 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","HF-3 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","PN-4 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","73 patients",,,"SCIP-INF-3 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","77 patients",,,"SCIP-INF-1 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","52 patients",,,"SCIP-VTE-1 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","46 patients",,,"PN-2 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","52 patients",,,"SCIP-VTE-2 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","61 patients",,,"PN-5C " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","34 patients",,,"PN-7 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","50 patients",,,"PN-6 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","51 patients",,,"PN-3B " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","77 patients",,,"SCIP-INF-2 " "360092","MEMORIAL HOSPITAL OF UNION COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","54 patients",,,"HF-2 " "360095","BLANCHARD VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","124 patients",,,"AMI-2 " "360095","BLANCHARD VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","78 patients",,,"PN-7 " "360095","BLANCHARD VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","106 patients",,,"PN-2 " "360095","BLANCHARD VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","116 patients",,,"AMI-5 " "360095","BLANCHARD VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","30 patients",,,"AMI-8A " "360095","BLANCHARD VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","97 patients",,,"HF-1 " "360095","BLANCHARD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","104 patients","2 ","2","SCIP-CARD-2 " "360095","BLANCHARD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","617 patients","2 ","2","SCIP-INF-3 " "360095","BLANCHARD VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "360095","BLANCHARD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","271 patients","2 ","2","SCIP-VTE-2 " "360095","BLANCHARD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","82 patients","2 ","2","SCIP-INF-4 " "360095","BLANCHARD VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360095","BLANCHARD VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "360095","BLANCHARD VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","88 patients",,,"PN-3B " "360095","BLANCHARD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","271 patients","2 ","2","SCIP-VTE-1 " "360095","BLANCHARD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","649 patients","2 ","2","SCIP-INF-2 " "360095","BLANCHARD VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","115 patients",,,"AMI-1 " "360095","BLANCHARD VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "360095","BLANCHARD VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","70 patients",,,"PN-6 " "360095","BLANCHARD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","792 patients","2 ","2","SCIP-INF-6 " "360095","BLANCHARD VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "360095","BLANCHARD VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","118 patients",,,"HF-2 " "360095","BLANCHARD VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","638 patients","2 ","2","SCIP-INF-1 " "360095","BLANCHARD VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","105 patients",,,"PN-5C " "360095","BLANCHARD VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","51 patients",,,"HF-3 " "360096","EAST LIVERPOOL CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","136 patients","2 ","2","SCIP-INF-2 " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","156 patients",,,"HF-1 " "360096","EAST LIVERPOOL CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "360096","EAST LIVERPOOL CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","132 patients","2 ","2","PN-3B " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360096","EAST LIVERPOOL CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","45 patients","2 ","2","PN-4 " "360096","EAST LIVERPOOL CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","85 patients","2 ","2","SCIP-VTE-1 " "360096","EAST LIVERPOOL CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","184 patients","2 ","2","SCIP-INF-6 " "360096","EAST LIVERPOOL CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","136 patients","2 ","2","SCIP-INF-1 " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "360096","EAST LIVERPOOL CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","109 patients","2 ","2","PN-2 " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"HF-4 " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","193 patients",,,"HF-2 " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","56 patients",,,"HF-3 " "360096","EAST LIVERPOOL CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","145 patients","2 ","2","PN-5C " "360096","EAST LIVERPOOL CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","71%","7 patients","1 ","1","AMI-5 " "360096","EAST LIVERPOOL CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","81 patients","2 ","2","PN-7 " "360096","EAST LIVERPOOL CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","84 patients","2 ","2","SCIP-VTE-2 " "360096","EAST LIVERPOOL CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","34 patients","2 ","2","SCIP-CARD-2 " "360096","EAST LIVERPOOL CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","133 patients","2 ","2","SCIP-INF-3 " "360096","EAST LIVERPOOL CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","125 patients","2 ","2","PN-6 " "360098","TRIPOINT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","232 patients","2 ","2","AMI-5 " "360098","TRIPOINT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","79 patients","2 ","2","PN-6 " "360098","TRIPOINT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","216 patients","2 ","2","AMI-2 " "360098","TRIPOINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","334 patients","2 ","2","SCIP-INF-3 " "360098","TRIPOINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","92 patients","2 ","2","SCIP-INF-4 " "360098","TRIPOINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","88 patients","2 ","2","SCIP-CARD-2 " "360098","TRIPOINT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360098","TRIPOINT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","35 patients","2 ","2","HF-4 " "360098","TRIPOINT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients","2 ","2","AMI-3 " "360098","TRIPOINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","352 patients","2 ","2","SCIP-INF-1 " "360098","TRIPOINT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","127 patients","2 ","2","PN-5C " "360098","TRIPOINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","366 patients","2 ","2","SCIP-INF-2 " "360098","TRIPOINT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","51 patients","2 ","2","HF-3 " "360098","TRIPOINT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","181 patients","2 ","2","HF-1 " "360098","TRIPOINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","173 patients","2 ","2","SCIP-VTE-2 " "360098","TRIPOINT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","52 patients","2 ","2","AMI-8A " "360098","TRIPOINT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","107 patients","2 ","2","PN-2 " "360098","TRIPOINT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","49 patients","2 ","2","PN-4 " "360098","TRIPOINT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","77 patients","2 ","2","AMI-4 " "360098","TRIPOINT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","76 patients","2 ","2","PN-7 " "360098","TRIPOINT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","233 patients","2 ","2","HF-2 " "360098","TRIPOINT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","84 patients","2 ","2","PN-3B " "360098","TRIPOINT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","213 patients","2 ","2","AMI-1 " "360098","TRIPOINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","517 patients","2 ","2","SCIP-INF-6 " "360098","TRIPOINT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","173 patients","2 ","2","SCIP-VTE-1 " "360101","HURON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","65 patients","2 ","2","PN-4 " "360101","HURON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1,2 ","12","SCIP-CARD-2 " "360101","HURON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","16 patients","1 ","1","AMI-2 " "360101","HURON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","153 patients","2 ","2","HF-3 " "360101","HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360101","HURON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","324 patients","2 ","2","HF-2 " "360101","HURON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","123 patients","2 ","2","SCIP-VTE-1 " "360101","HURON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360101","HURON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","123 patients","2 ","2","SCIP-VTE-2 " "360101","HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","66 patients","2 ","2","SCIP-INF-3 " "360101","HURON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "360101","HURON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","107 patients","2 ","2","PN-3B " "360101","HURON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","91 patients","2 ","2","PN-2 " "360101","HURON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","278 patients","2 ","2","HF-1 " "360101","HURON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "360101","HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","72 patients","2 ","2","SCIP-INF-2 " "360101","HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","72 patients","2 ","2","SCIP-INF-1 " "360101","HURON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "360101","HURON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","56 patients","2 ","2","PN-6 " "360101","HURON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","115 patients","2 ","2","PN-5C " "360101","HURON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","195 patients","2 ","2","SCIP-INF-6 " "360101","HURON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","114 patients","2 ","2","HF-4 " "360101","HURON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","84 patients","2 ","2","PN-7 " "360101","HURON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360101","HURON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","26 patients",,,"AMI-1 " "360107","BELLEVUE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","27 patients",,,"HF-1 " "360107","BELLEVUE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360107","BELLEVUE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "360107","BELLEVUE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","42 patients",,,"HF-2 " "360107","BELLEVUE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360107","BELLEVUE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "360107","BELLEVUE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","156 patients",,,"SCIP-INF-2 " "360107","BELLEVUE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","62 patients",,,"PN-6 " "360107","BELLEVUE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","77 patients",,,"PN-5C " "360107","BELLEVUE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","154 patients",,,"SCIP-INF-3 " "360107","BELLEVUE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360107","BELLEVUE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","99 patients",,,"SCIP-VTE-2 " "360107","BELLEVUE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","84 patients",,,"PN-3B " "360107","BELLEVUE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","38 patients",,,"PN-4 " "360107","BELLEVUE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","225 patients",,,"SCIP-INF-6 " "360107","BELLEVUE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","75 patients",,,"PN-2 " "360107","BELLEVUE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","101 patients",,,"SCIP-VTE-1 " "360107","BELLEVUE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","156 patients",,,"SCIP-INF-1 " "360107","BELLEVUE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","25 patients",,,"SCIP-CARD-2 " "360107","BELLEVUE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "360107","BELLEVUE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "360107","BELLEVUE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "360107","BELLEVUE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","59 patients",,,"PN-7 " "360107","BELLEVUE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "360107","BELLEVUE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","14 patients","1 ","1","HF-3 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","37 patients",,,"SCIP-INF-3 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","38 patients",,,"SCIP-INF-1 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","45 patients",,,"PN-7 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","15 patients","1 ","1","SCIP-CARD-2 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","54 patients",,,"SCIP-VTE-2 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","57 patients",,,"PN-2 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","57 patients",,,"HF-2 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","45 patients",,,"HF-1 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","91 patients",,,"SCIP-INF-6 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","38 patients",,,"SCIP-INF-2 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients","3 ","3","PN-5C " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","39 patients",,,"PN-6 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","53 patients",,,"PN-3B " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","53%","15 patients","1 ","1","PN-4 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","56 patients",,,"SCIP-VTE-1 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "360109","COSHOCTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "360112","MERCY ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","182 patients","2 ","2","SCIP-VTE-1 " "360112","MERCY ST VINCENT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","200 patients",,,"PN-3B " "360112","MERCY ST VINCENT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","98 patients",,,"PN-4 " "360112","MERCY ST VINCENT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","91 patients",,,"PN-6 " "360112","MERCY ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","641 patients","2 ","2","SCIP-INF-2 " "360112","MERCY ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","607 patients","2 ","2","SCIP-INF-3 " "360112","MERCY ST VINCENT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","180 patients",,,"PN-5C " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","587 patients",,,"AMI-2 " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","262 patients",,,"AMI-4 " "360112","MERCY ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","152 patients","2 ","2","SCIP-CARD-2 " "360112","MERCY ST VINCENT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","133 patients",,,"PN-2 " "360112","MERCY ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","293 patients","2 ","2","SCIP-INF-4 " "360112","MERCY ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","182 patients","2 ","2","SCIP-VTE-2 " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","269 patients",,,"AMI-1 " "360112","MERCY ST VINCENT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","142 patients",,,"PN-7 " "360112","MERCY ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","831 patients","2 ","2","SCIP-INF-6 " "360112","MERCY ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","624 patients","2 ","2","SCIP-INF-1 " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","615 patients",,,"AMI-5 " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","268 patients",,,"HF-3 " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","523 patients",,,"HF-2 " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","57 patients",,,"AMI-8A " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","142 patients",,,"HF-4 " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","436 patients",,,"HF-1 " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360112","MERCY ST VINCENT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","132 patients",,,"AMI-3 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","105 patients",,,"PN-4 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","354 patients","2 ","2","SCIP-INF-6 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","179 patients","2 ","2","SCIP-VTE-1 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","188 patients","2 ","2","SCIP-INF-3 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","52 patients",,,"AMI-1 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","197 patients","2 ","2","SCIP-INF-1 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","62 patients",,,"HF-3 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","62 patients","2 ","2","SCIP-CARD-2 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","179 patients","2 ","2","SCIP-VTE-2 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","222 patients",,,"PN-3B " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","197 patients",,,"PN-5C " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","23 patients","1 ","1","AMI-5 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","142 patients",,,"PN-7 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","230 patients",,,"HF-2 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","178 patients",,,"HF-1 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","197 patients","2 ","2","SCIP-INF-2 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","186 patients",,,"PN-2 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","160 patients",,,"PN-6 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","20 patients","1 ","1","AMI-2 " "360113","MERCY FRANCISCAN HOSPITAL WESTERN HILLS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360115","UHHS BEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","118 patients",,,"SCIP-INF-2 " "360115","UHHS BEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","118 patients",,,"SCIP-INF-1 " "360115","UHHS BEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","49 patients",,,"HF-3 " "360115","UHHS BEDFORD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","68 patients",,,"PN-7 " "360115","UHHS BEDFORD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","79 patients",,,"PN-5C " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","32 patients",,,"AMI-1 " "360115","UHHS BEDFORD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","30 patients",,,"PN-6 " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360115","UHHS BEDFORD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "360115","UHHS BEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","200 patients",,,"SCIP-INF-6 " "360115","UHHS BEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients",,,"SCIP-CARD-2 " "360115","UHHS BEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","109 patients",,,"SCIP-INF-3 " "360115","UHHS BEDFORD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","103 patients",,,"PN-2 " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "360115","UHHS BEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","107 patients",,,"SCIP-VTE-1 " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","180 patients",,,"HF-2 " "360115","UHHS BEDFORD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","97 patients",,,"PN-3B " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "360115","UHHS BEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","107 patients",,,"SCIP-VTE-2 " "360115","UHHS BEDFORD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","128 patients",,,"HF-1 " "360116","BROWN COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "360116","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","26 patients","2 ","2","SCIP-VTE-2 " "360116","BROWN COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","40 patients","2,3 ","23","PN-5C " "360116","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","26 patients","2 ","2","SCIP-VTE-1 " "360116","BROWN COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360116","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","66 patients","2 ","2","SCIP-INF-6 " "360116","BROWN COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","71 patients","2 ","2","PN-3B " "360116","BROWN COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","34 patients",,,"HF-1 " "360116","BROWN COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360116","BROWN COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "360116","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360116","BROWN COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","50 patients",,,"HF-2 " "360116","BROWN COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","48 patients","2 ","2","PN-7 " "360116","BROWN COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "360116","BROWN COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "360116","BROWN COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "360116","BROWN COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "360116","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","26 patients","2 ","2","SCIP-INF-2 " "360116","BROWN COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","73 patients","2 ","2","PN-2 " "360116","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","28 patients","2 ","2","SCIP-INF-1 " "360116","BROWN COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients","2 ","2","PN-6 " "360116","BROWN COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360116","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","26 patients","2 ","2","SCIP-INF-3 " "360116","BROWN COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","29 patients","2 ","2","PN-4 " "360116","BROWN COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1,2 ","12","SCIP-CARD-2 " "360118","MEDCENTRAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","187 patients","2 ","2","SCIP-CARD-2 " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","251 patients","2 ","2","AMI-1 " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","369 patients","2 ","2","AMI-2 " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","386 patients","2 ","2","AMI-5 " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","71 patients","2 ","2","AMI-3 " "360118","MEDCENTRAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","146 patients","2 ","2","PN-6 " "360118","MEDCENTRAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","339 patients","2 ","2","SCIP-VTE-2 " "360118","MEDCENTRAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","286 patients","2 ","2","SCIP-INF-4 " "360118","MEDCENTRAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","356 patients","2 ","2","PN-2 " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","285 patients","2 ","2","HF-1 " "360118","MEDCENTRAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","389 patients","2 ","2","PN-5C " "360118","MEDCENTRAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","287 patients","2 ","2","PN-7 " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","48 patients","2 ","2","HF-4 " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","62 patients","2 ","2","AMI-8A " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","97 patients","2 ","2","HF-3 " "360118","MEDCENTRAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","126 patients","2 ","2","PN-4 " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","158 patients","2 ","2","AMI-4 " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360118","MEDCENTRAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","382 patients","2 ","2","HF-2 " "360118","MEDCENTRAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","339 patients","2 ","2","SCIP-VTE-1 " "360118","MEDCENTRAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1005 patients","2 ","2","SCIP-INF-6 " "360118","MEDCENTRAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","650 patients","2 ","2","SCIP-INF-1 " "360118","MEDCENTRAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","341 patients","2 ","2","PN-3B " "360118","MEDCENTRAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","656 patients","2 ","2","SCIP-INF-2 " "360118","MEDCENTRAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","641 patients","2 ","2","SCIP-INF-3 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","57 patients",,,"PN-5C " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","69 patients",,,"AMI-2 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","110 patients",,,"SCIP-VTE-1 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","46 patients",,,"PN-3B " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","163 patients",,,"SCIP-INF-2 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","222 patients",,,"SCIP-INF-6 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients",,,"SCIP-CARD-2 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","58 patients",,,"PN-2 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","82 patients",,,"HF-1 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","71 patients",,,"AMI-5 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","52%","25 patients",,,"AMI-8A " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","162 patients",,,"SCIP-INF-1 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","93 patients",,,"HF-2 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","110 patients",,,"SCIP-VTE-2 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","35 patients",,,"HF-3 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","47 patients",,,"PN-6 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","63 patients",,,"AMI-1 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","41 patients",,,"PN-7 " "360121","COMMUNITY HOSPITALS AND WELLNESS CENTERS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","153 patients",,,"SCIP-INF-3 " "360123","ST JOHN WEST SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","71 patients","2 ","2","SCIP-INF-4 " "360123","ST JOHN WEST SHORE HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","79%","33 patients","2 ","2","CAC-3 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","AMI-4 " "360123","ST JOHN WEST SHORE HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","33 patients","2 ","2","CAC-1 " "360123","ST JOHN WEST SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","393 patients","2 ","2","SCIP-INF-6 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","148 patients","2 ","2","HF-1 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","HF-4 " "360123","ST JOHN WEST SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","260 patients","2 ","2","SCIP-INF-2 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients","2 ","2","AMI-3 " "360123","ST JOHN WEST SHORE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2 ","2","PN-4 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","170 patients","2 ","2","AMI-5 " "360123","ST JOHN WEST SHORE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","67 patients","2 ","2","PN-7 " "360123","ST JOHN WEST SHORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","166 patients","2 ","2","SCIP-VTE-1 " "360123","ST JOHN WEST SHORE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","114 patients","2 ","2","PN-5C " "360123","ST JOHN WEST SHORE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","107 patients","2 ","2","PN-3B " "360123","ST JOHN WEST SHORE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","83 patients","2 ","2","PN-6 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","160 patients","2 ","2","AMI-1 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","209 patients","2 ","2","HF-2 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","153 patients","2 ","2","AMI-2 " "360123","ST JOHN WEST SHORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","166 patients","2 ","2","SCIP-VTE-2 " "360123","ST JOHN WEST SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","268 patients","2 ","2","SCIP-INF-1 " "360123","ST JOHN WEST SHORE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","97 patients","2 ","2","PN-2 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360123","ST JOHN WEST SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","246 patients","2 ","2","SCIP-INF-3 " "360123","ST JOHN WEST SHORE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","73 patients","2 ","2","SCIP-CARD-2 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","52 patients","2 ","2","HF-3 " "360123","ST JOHN WEST SHORE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","33 patients","2 ","2","AMI-8A " "360123","ST JOHN WEST SHORE HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","33 patients","2 ","2","CAC-2 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","94 patients",,,"PN-7 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","52 patients",,,"HF-3 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","198 patients",,,"HF-2 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","119 patients",,,"SCIP-VTE-1 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360125","ASHTABULA COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","157 patients",,,"PN-3B " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","145 patients",,,"SCIP-INF-3 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","158 patients",,,"HF-1 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","157 patients",,,"SCIP-INF-1 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","169 patients",,,"PN-5C " "360125","ASHTABULA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","27 patients",,,"SCIP-CARD-2 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","17 patients","1 ","1","AMI-1 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","119 patients",,,"SCIP-VTE-2 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","158 patients",,,"SCIP-INF-2 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","245 patients",,,"SCIP-INF-6 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","135 patients",,,"PN-2 " "360125","ASHTABULA COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","91 patients",,,"PN-6 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","74 patients","2 ","2","SCIP-VTE-2 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","32 patients",,,"PN-7 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","244 patients","2 ","2","SCIP-INF-6 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","32 patients",,,"PN-2 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","198 patients","2 ","2","SCIP-INF-3 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","202 patients","2 ","2","SCIP-INF-2 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","34 patients",,,"PN-5C " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","74 patients","2 ","2","SCIP-VTE-1 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","204 patients","2 ","2","SCIP-INF-1 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","22 patients","1,2 ","12","SCIP-CARD-2 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","9 patients","1 ","1","PN-3B " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","30 patients",,,"PN-6 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1 ","1","HF-1 " "360130","HOSPITAL FOR ORTHOPAEDIC AND SPECIALTY SERVICE,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","14 patients","1 ","1","HF-2 " "360131","ALLIANCE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","155 patients","2 ","2","SCIP-VTE-1 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","25 patients",,,"HF-4 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "360131","ALLIANCE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","192 patients",,,"PN-2 " "360131","ALLIANCE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","39 patients","2 ","2","SCIP-CARD-2 " "360131","ALLIANCE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","206 patients","2 ","2","SCIP-INF-2 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","44 patients",,,"HF-3 " "360131","ALLIANCE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","63 patients",,,"PN-4 " "360131","ALLIANCE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","148 patients",,,"PN-7 " "360131","ALLIANCE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","99 patients",,,"PN-6 " "360131","ALLIANCE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","197 patients","2 ","2","SCIP-INF-3 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "360131","ALLIANCE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","155 patients","2 ","2","SCIP-VTE-2 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360131","ALLIANCE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","328 patients","2 ","2","SCIP-INF-6 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","19 patients","1 ","1","AMI-2 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","153 patients",,,"HF-2 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","117 patients",,,"HF-1 " "360131","ALLIANCE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","187 patients",,,"PN-5C " "360131","ALLIANCE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","181 patients",,,"PN-3B " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","25 patients",,,"AMI-1 " "360131","ALLIANCE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "360131","ALLIANCE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","206 patients","2 ","2","SCIP-INF-1 " "360131","ALLIANCE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","188 patients","2 ","2","PN-5C " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","356 patients","2 ","2","SCIP-INF-6 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","146 patients","2 ","2","SCIP-VTE-1 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","173 patients","2 ","2","PN-2 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","226 patients",,,"HF-2 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","146 patients","2 ","2","SCIP-VTE-2 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","211 patients","2 ","2","SCIP-INF-1 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","61 patients",,,"HF-3 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","35 patients","2 ","2","SCIP-CARD-2 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","103 patients","2 ","2","PN-4 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","159 patients","2 ","2","PN-3B " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","174 patients",,,"HF-1 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","215 patients","2 ","2","SCIP-INF-2 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","51 patients",,,"AMI-1 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","198 patients","2 ","2","SCIP-INF-3 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","109 patients","2 ","2","PN-6 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","138 patients","2 ","2","PN-7 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","30 patients",,,"AMI-2 " "360132","FORT HAMILTON HUGHES MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","891 patients","2 ","2","SCIP-INF-6 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","40 patients",,,"AMI-8A " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","292 patients","2 ","2","SCIP-VTE-1 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","122 patients",,,"PN-4 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","228 patients",,,"PN-5C " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","260 patients",,,"PN-3B " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","101 patients","2 ","2","SCIP-INF-4 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"AMI-4 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"HF-4 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","101 patients",,,"AMI-1 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","224 patients",,,"PN-2 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","149 patients","2 ","2","SCIP-CARD-2 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","128 patients",,,"AMI-2 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","153 patients",,,"PN-6 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","656 patients","2 ","2","SCIP-INF-3 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","171 patients",,,"PN-7 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","303 patients",,,"HF-1 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","690 patients","2 ","2","SCIP-INF-1 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","107 patients",,,"HF-3 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","134 patients",,,"AMI-5 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","371 patients",,,"HF-2 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","292 patients","2 ","2","SCIP-VTE-2 " "360133","GRANDVIEW HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","693 patients","2 ","2","SCIP-INF-2 " "360134","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","317 patients",,,"PN-3B " "360134","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","207 patients",,,"PN-7 " "360134","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","166 patients","2 ","2","SCIP-VTE-1 " "360134","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","160 patients",,,"AMI-4 " "360134","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360134","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","105 patients","2 ","2","SCIP-CARD-2 " "360134","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","416 patients","2 ","2","SCIP-INF-2 " "360134","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","127 patients",,,"HF-4 " "360134","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","166 patients","2 ","2","SCIP-VTE-2 " "360134","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","33 patients",,,"AMI-8A " "360134","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","594 patients","2 ","2","SCIP-INF-6 " "360134","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","537 patients",,,"HF-2 " "360134","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","209 patients",,,"HF-3 " "360134","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","341 patients",,,"AMI-2 " "360134","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","455 patients",,,"HF-1 " "360134","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","159 patients",,,"AMI-1 " "360134","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","315 patients",,,"PN-5C " "360134","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","395 patients","2 ","2","SCIP-INF-3 " "360134","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","295 patients",,,"AMI-5 " "360134","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","135 patients",,,"PN-4 " "360134","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","102 patients","2 ","2","SCIP-INF-4 " "360134","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","193 patients",,,"PN-6 " "360134","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","413 patients","2 ","2","SCIP-INF-1 " "360134","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","255 patients",,,"PN-2 " "360134","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","47 patients",,,"AMI-3 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","173 patients","2 ","2","SCIP-INF-4 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","278 patients",,,"CAC-1 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","305 patients","2 ","2","SCIP-VTE-1 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","221 patients",,,"PN-3B " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","74 patients",,,"AMI-3 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","147 patients",,,"PN-4 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","389 patients",,,"AMI-2 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","815 patients","2 ","2","SCIP-INF-6 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","488 patients","2 ","2","SCIP-INF-3 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","179 patients",,,"AMI-1 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","95%","277 patients",,,"CAC-3 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","190 patients",,,"HF-4 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","21 patients","1 ","1","AMI-8A " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","525 patients","2 ","2","SCIP-INF-2 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","703 patients",,,"HF-1 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","520 patients","2 ","2","SCIP-INF-1 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","274 patients",,,"CAC-2 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","136 patients","2 ","2","SCIP-CARD-2 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","290 patients",,,"PN-2 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","396 patients",,,"AMI-5 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","217 patients",,,"PN-7 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","841 patients",,,"HF-2 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","304 patients","2 ","2","SCIP-VTE-2 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","115 patients",,,"PN-6 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","147 patients",,,"AMI-4 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","347 patients",,,"HF-3 " "360137","UNIVERSITY HOSPITALS OF CLEVELAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","244 patients",,,"PN-5C " "360141","NORTHSIDE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","145 patients",,,"PN-7 " "360141","NORTHSIDE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","18 patients","1,2 ","12","AMI-8A " "360141","NORTHSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","159 patients",,,"SCIP-INF-4 " "360141","NORTHSIDE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","112 patients","2 ","2","AMI-1 " "360141","NORTHSIDE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"HF-4 " "360141","NORTHSIDE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","354 patients",,,"HF-2 " "360141","NORTHSIDE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","82 patients",,,"PN-4 " "360141","NORTHSIDE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","200 patients",,,"PN-2 " "360141","NORTHSIDE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","171 patients","2 ","2","AMI-5 " "360141","NORTHSIDE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","AMI-4 " "360141","NORTHSIDE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "360141","NORTHSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","192 patients",,,"SCIP-CARD-2 " "360141","NORTHSIDE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","172 patients","2 ","2","AMI-2 " "360141","NORTHSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","902 patients",,,"SCIP-INF-3 " "360141","NORTHSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","914 patients",,,"SCIP-INF-1 " "360141","NORTHSIDE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients","2 ","2","AMI-3 " "360141","NORTHSIDE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","279 patients",,,"HF-1 " "360141","NORTHSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","426 patients",,,"SCIP-VTE-1 " "360141","NORTHSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","425 patients",,,"SCIP-VTE-2 " "360141","NORTHSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","923 patients",,,"SCIP-INF-2 " "360141","NORTHSIDE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","198 patients",,,"PN-5C " "360141","NORTHSIDE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","184 patients",,,"PN-3B " "360141","NORTHSIDE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","130 patients",,,"PN-6 " "360141","NORTHSIDE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","86 patients",,,"HF-3 " "360141","NORTHSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1189 patients",,,"SCIP-INF-6 " "360143","MARYMOUNT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","350 patients","2 ","2","SCIP-INF-1 " "360143","MARYMOUNT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","243 patients",,,"PN-7 " "360143","MARYMOUNT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360143","MARYMOUNT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","426 patients",,,"HF-1 " "360143","MARYMOUNT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "360143","MARYMOUNT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","123 patients",,,"PN-4 " "360143","MARYMOUNT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","223 patients","2 ","2","SCIP-VTE-1 " "360143","MARYMOUNT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","348 patients","2 ","2","SCIP-INF-2 " "360143","MARYMOUNT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","352 patients",,,"PN-2 " "360143","MARYMOUNT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360143","MARYMOUNT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360143","MARYMOUNT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","223 patients","2 ","2","SCIP-VTE-2 " "360143","MARYMOUNT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","82 patients","2 ","2","SCIP-CARD-2 " "360143","MARYMOUNT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","557 patients",,,"HF-2 " "360143","MARYMOUNT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","165 patients",,,"PN-6 " "360143","MARYMOUNT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","286 patients",,,"PN-5C " "360143","MARYMOUNT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","338 patients","2 ","2","SCIP-INF-3 " "360143","MARYMOUNT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","301 patients",,,"PN-3B " "360143","MARYMOUNT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "360143","MARYMOUNT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","509 patients","2 ","2","SCIP-INF-6 " "360143","MARYMOUNT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","54 patients",,,"AMI-2 " "360143","MARYMOUNT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","100 patients",,,"AMI-1 " "360143","MARYMOUNT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","164 patients",,,"HF-3 " "360143","MARYMOUNT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","67 patients",,,"HF-4 " "360143","MARYMOUNT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","62 patients",,,"AMI-5 " "360144","SOUTH POINTE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "360144","SOUTH POINTE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients","2 ","2","PN-4 " "360144","SOUTH POINTE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","296 patients","2 ","2","HF-1 " "360144","SOUTH POINTE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","203 patients","2 ","2","PN-5C " "360144","SOUTH POINTE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "360144","SOUTH POINTE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "360144","SOUTH POINTE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","48 patients",,,"AMI-1 " "360144","SOUTH POINTE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","133 patients","2 ","2","HF-3 " "360144","SOUTH POINTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","177 patients",,,"SCIP-INF-2 " "360144","SOUTH POINTE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","84 patients","2 ","2","HF-4 " "360144","SOUTH POINTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","304 patients",,,"SCIP-INF-6 " "360144","SOUTH POINTE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","140 patients","2 ","2","PN-3B " "360144","SOUTH POINTE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","38 patients",,,"SCIP-CARD-2 " "360144","SOUTH POINTE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360144","SOUTH POINTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "360144","SOUTH POINTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","159 patients",,,"SCIP-VTE-2 " "360144","SOUTH POINTE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","70 patients","2 ","2","PN-6 " "360144","SOUTH POINTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","159 patients",,,"SCIP-VTE-1 " "360144","SOUTH POINTE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","453 patients","2 ","2","HF-2 " "360144","SOUTH POINTE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","82 patients","2 ","2","PN-7 " "360144","SOUTH POINTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","178 patients",,,"SCIP-INF-1 " "360144","SOUTH POINTE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360144","SOUTH POINTE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","157 patients","2 ","2","PN-2 " "360144","SOUTH POINTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","167 patients",,,"SCIP-INF-3 " "360144","SOUTH POINTE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","29 patients",,,"AMI-2 " "360145","EMH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","443 patients","2 ","2","SCIP-INF-1 " "360145","EMH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","225 patients","2 ","2","SCIP-VTE-2 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","66 patients","2 ","2","AMI-3 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","249 patients","2 ","2","HF-1 " "360145","EMH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","230 patients","2 ","2","SCIP-VTE-1 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","137 patients","2 ","2","HF-3 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","181 patients","2 ","2","AMI-1 " "360145","EMH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","644 patients","2 ","2","SCIP-INF-6 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","111 patients","2 ","2","AMI-4 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","249 patients","2 ","2","AMI-2 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360145","EMH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","96 patients","2 ","2","SCIP-CARD-2 " "360145","EMH REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","49 patients","2 ","2","PN-3B " "360145","EMH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","112 patients","2 ","2","SCIP-INF-4 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","286 patients","2 ","2","HF-2 " "360145","EMH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","399 patients","2 ","2","SCIP-INF-3 " "360145","EMH REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","453 patients","2 ","2","SCIP-INF-2 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","46 patients","2 ","2","HF-4 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","27 patients","2 ","2","AMI-8A " "360145","EMH REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","89 patients","2 ","2","PN-7 " "360145","EMH REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","246 patients","2 ","2","AMI-5 " "360145","EMH REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","121 patients","2 ","2","PN-2 " "360145","EMH REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","119 patients","2 ","2","PN-5C " "360145","EMH REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","87 patients","2 ","2","PN-6 " "360145","EMH REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","68 patients","2 ","2","PN-4 " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360147","MARIETTA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","68 patients","2 ","2","PN-4 " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "360147","MARIETTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","465 patients",,,"SCIP-INF-1 " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","159 patients",,,"HF-1 " "360147","MARIETTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","83 patients",,,"SCIP-CARD-2 " "360147","MARIETTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","86 patients",,,"AMI-2 " "360147","MARIETTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","467 patients",,,"SCIP-INF-2 " "360147","MARIETTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","447 patients",,,"SCIP-INF-3 " "360147","MARIETTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","294 patients",,,"SCIP-VTE-1 " "360147","MARIETTA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","61 patients","2 ","2","PN-6 " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","88 patients",,,"AMI-5 " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","26 patients",,,"AMI-8A " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","111 patients",,,"AMI-1 " "360147","MARIETTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","294 patients",,,"SCIP-VTE-2 " "360147","MARIETTA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","106 patients","2 ","2","PN-2 " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","204 patients",,,"HF-2 " "360147","MARIETTA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","133 patients","2 ","2","PN-5C " "360147","MARIETTA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"HF-3 " "360147","MARIETTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","597 patients",,,"SCIP-INF-6 " "360147","MARIETTA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","87 patients","2 ","2","PN-7 " "360147","MARIETTA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","119 patients","2 ","2","PN-3B " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","45 patients",,,"HF-1 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","84 patients",,,"PN-2 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","59 patients",,,"SCIP-INF-3 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","62 patients",,,"SCIP-INF-2 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","61 patients",,,"SCIP-VTE-2 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","77 patients",,,"HF-2 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","63 patients",,,"SCIP-INF-1 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","49 patients",,,"PN-6 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients",,,"AMI-1 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","104 patients",,,"SCIP-INF-6 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","89 patients",,,"PN-3B " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","68 patients",,,"PN-7 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","61 patients",,,"SCIP-VTE-1 " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","81 patients",,,"PN-5C " "360148","JOEL POMERENE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360150","SUMMA WESTERN RESERVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","166 patients","2 ","2","SCIP-INF-1 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","80 patients",,,"PN-5C " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","69 patients",,,"PN-3B " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","26 patients",,,"HF-4 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","108 patients","2 ","2","SCIP-VTE-2 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","261 patients","2 ","2","SCIP-INF-6 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","166 patients","2 ","2","SCIP-INF-2 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","76 patients",,,"HF-2 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","70 patients",,,"PN-2 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","59 patients",,,"HF-1 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","38 patients",,,"PN-4 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","30 patients","2 ","2","SCIP-CARD-2 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","69 patients",,,"PN-6 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","154 patients","2 ","2","SCIP-INF-3 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","55 patients",,,"PN-7 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","109 patients","2 ","2","SCIP-VTE-1 " "360150","SUMMA WESTERN RESERVE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "360151","AFFINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","300 patients",,,"SCIP-INF-2 " "360151","AFFINITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "360151","AFFINITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","51 patients",,,"AMI-1 " "360151","AFFINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","148 patients",,,"SCIP-VTE-2 " "360151","AFFINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","393 patients",,,"SCIP-INF-6 " "360151","AFFINITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"HF-3 " "360151","AFFINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","148 patients",,,"SCIP-VTE-1 " "360151","AFFINITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","160 patients",,,"PN-5C " "360151","AFFINITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "360151","AFFINITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","42%","12 patients","1 ","1","AMI-8A " "360151","AFFINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","59 patients",,,"SCIP-INF-4 " "360151","AFFINITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","118 patients",,,"PN-6 " "360151","AFFINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","75 patients",,,"SCIP-CARD-2 " "360151","AFFINITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "360151","AFFINITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","156 patients",,,"PN-2 " "360151","AFFINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","289 patients",,,"SCIP-INF-3 " "360151","AFFINITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","98 patients",,,"HF-1 " "360151","AFFINITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "360151","AFFINITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","57 patients",,,"AMI-5 " "360151","AFFINITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","48 patients",,,"AMI-2 " "360151","AFFINITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","99 patients",,,"PN-7 " "360151","AFFINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","301 patients",,,"SCIP-INF-1 " "360151","AFFINITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360151","AFFINITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","134 patients",,,"HF-2 " "360151","AFFINITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","161 patients",,,"PN-3B " "360152","DOCTORS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "360152","DOCTORS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","257 patients",,,"PN-5C " "360152","DOCTORS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","226 patients",,,"PN-3B " "360152","DOCTORS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"AMI-4 " "360152","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","440 patients","2 ","2","SCIP-INF-2 " "360152","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","419 patients","2 ","2","SCIP-INF-3 " "360152","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","114 patients","2 ","2","SCIP-INF-4 " "360152","DOCTORS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360152","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","83 patients","2 ","2","SCIP-CARD-2 " "360152","DOCTORS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","145 patients",,,"PN-4 " "360152","DOCTORS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","165 patients",,,"HF-1 " "360152","DOCTORS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"AMI-3 " "360152","DOCTORS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","149 patients",,,"PN-7 " "360152","DOCTORS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","44 patients",,,"AMI-8A " "360152","DOCTORS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","180 patients",,,"AMI-2 " "360152","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","218 patients","2 ","2","SCIP-VTE-1 " "360152","DOCTORS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","68 patients",,,"HF-3 " "360152","DOCTORS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","171 patients",,,"AMI-1 " "360152","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","218 patients","2 ","2","SCIP-VTE-2 " "360152","DOCTORS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","113 patients",,,"HF-2 " "360152","DOCTORS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","164 patients",,,"PN-6 " "360152","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","434 patients","2 ","2","SCIP-INF-1 " "360152","DOCTORS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","160 patients",,,"PN-2 " "360152","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","590 patients","2 ","2","SCIP-INF-6 " "360152","DOCTORS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","184 patients",,,"AMI-5 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360153","BELMONT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","8 patients","1 ","1","SCIP-INF-2 " "360153","BELMONT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","8 patients","1 ","1","SCIP-INF-3 " "360153","BELMONT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "360153","BELMONT COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","41 patients",,,"PN-3B " "360153","BELMONT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","8 patients","1 ","1","SCIP-INF-1 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","13 patients","1 ","1","AMI-5 " "360153","BELMONT COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","41 patients",,,"PN-6 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","34 patients",,,"HF-2 " "360153","BELMONT COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","35 patients",,,"PN-7 " "360153","BELMONT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","14 patients","1 ","1","SCIP-INF-6 " "360153","BELMONT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","6 patients","1 ","1","SCIP-VTE-1 " "360153","BELMONT COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","PN-4 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","17 patients","1 ","1","AMI-1 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","39%","33 patients",,,"HF-1 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360153","BELMONT COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "360153","BELMONT COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","50 patients",,,"PN-2 " "360153","BELMONT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","6 patients","1 ","1","SCIP-VTE-2 " "360153","BELMONT COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","46 patients",,,"PN-5C " "360153","BELMONT COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "360153","BELMONT COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","73 patients",,,"AMI-3 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","179 patients",,,"HF-3 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","368 patients",,,"PN-5C " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","74 patients",,,"AMI-8A " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","422 patients",,,"HF-1 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"PN-4 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","842 patients","2 ","2","SCIP-INF-2 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","92 patients","2 ","2","SCIP-INF-4 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","318 patients",,,"AMI-2 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","320 patients",,,"AMI-1 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","321 patients",,,"AMI-5 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","827 patients","2 ","2","SCIP-INF-3 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1031 patients","2 ","2","SCIP-INF-6 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","291 patients","2 ","2","SCIP-VTE-1 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","536 patients",,,"HF-2 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","842 patients","2 ","2","SCIP-INF-1 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","380 patients",,,"PN-3B " "360155","SOUTHWEST GENERAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","339 patients",,,"PN-2 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360155","SOUTHWEST GENERAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","289 patients","2 ","2","SCIP-VTE-2 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","239 patients","2 ","2","SCIP-CARD-2 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","211 patients",,,"PN-6 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","223 patients",,,"PN-7 " "360155","SOUTHWEST GENERAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"AMI-4 " "360156","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "360156","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","65%","149 patients",,,"SCIP-INF-3 " "360156","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","56 patients",,,"HF-1 " "360156","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","77%","52 patients",,,"PN-5C " "360156","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "360156","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","60 patients",,,"HF-2 " "360156","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","94 patients",,,"SCIP-VTE-2 " "360156","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","47 patients",,,"PN-6 " "360156","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360156","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","156 patients",,,"SCIP-INF-1 " "360156","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "360156","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "360156","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","70 patients",,,"PN-3B " "360156","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360156","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "360156","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","202 patients",,,"SCIP-INF-6 " "360156","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","40 patients",,,"PN-7 " "360156","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","53 patients",,,"PN-2 " "360156","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","30 patients",,,"SCIP-CARD-2 " "360156","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","PN-4 " "360156","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","95 patients",,,"SCIP-VTE-1 " "360156","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","65%","20 patients","1 ","1","HF-3 " "360156","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360156","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","153 patients",,,"SCIP-INF-2 " "360156","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360159","ADENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","341 patients",,,"SCIP-VTE-2 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","312 patients",,,"HF-2 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","265 patients",,,"AMI-2 " "360159","ADENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","99 patients",,,"SCIP-INF-4 " "360159","ADENA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","225 patients",,,"PN-7 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","39 patients",,,"AMI-8A " "360159","ADENA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","288 patients",,,"PN-2 " "360159","ADENA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","102 patients",,,"PN-3B " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","264 patients",,,"HF-1 " "360159","ADENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","677 patients",,,"SCIP-INF-2 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","65 patients",,,"AMI-3 " "360159","ADENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","169 patients",,,"SCIP-CARD-2 " "360159","ADENA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","187 patients",,,"PN-6 " "360159","ADENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","341 patients",,,"SCIP-VTE-1 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","106 patients",,,"AMI-4 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","110 patients",,,"HF-3 " "360159","ADENA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","268 patients",,,"PN-5C " "360159","ADENA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","187 patients",,,"PN-4 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360159","ADENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","664 patients",,,"SCIP-INF-1 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","269 patients",,,"AMI-5 " "360159","ADENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","635 patients",,,"SCIP-INF-3 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","72 patients",,,"HF-4 " "360159","ADENA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","230 patients",,,"AMI-1 " "360159","ADENA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","813 patients",,,"SCIP-INF-6 " "360161","ST JOSEPH HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","215 patients","2 ","2","HF-1 " "360161","ST JOSEPH HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "360161","ST JOSEPH HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","37 patients",,,"AMI-1 " "360161","ST JOSEPH HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","121 patients","2 ","2","PN-3B " "360161","ST JOSEPH HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360161","ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","216 patients","2 ","2","SCIP-VTE-2 " "360161","ST JOSEPH HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","11 patients","1 ","1","AMI-2 " "360161","ST JOSEPH HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","87 patients","2 ","2","PN-6 " "360161","ST JOSEPH HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360161","ST JOSEPH HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","257 patients","2 ","2","HF-2 " "360161","ST JOSEPH HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","PN-4 " "360161","ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","296 patients","2 ","2","SCIP-INF-2 " "360161","ST JOSEPH HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "360161","ST JOSEPH HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","HF-4 " "360161","ST JOSEPH HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360161","ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","298 patients","2 ","2","SCIP-INF-1 " "360161","ST JOSEPH HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","54 patients","2 ","2","HF-3 " "360161","ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","289 patients","2 ","2","SCIP-INF-3 " "360161","ST JOSEPH HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","80 patients","2 ","2","PN-7 " "360161","ST JOSEPH HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","144 patients","2 ","2","PN-5C " "360161","ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360161","ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","57 patients","2 ","2","SCIP-CARD-2 " "360161","ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","448 patients","2 ","2","SCIP-INF-6 " "360161","ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","217 patients","2 ","2","SCIP-VTE-1 " "360161","ST JOSEPH HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","111 patients","2 ","2","PN-2 " "360163","CHRIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","198 patients",,,"HF-4 " "360163","CHRIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","91 patients","2 ","2","PN-5C " "360163","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","529 patients","2 ","2","SCIP-INF-2 " "360163","CHRIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","55 patients","2 ","2","PN-6 " "360163","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","206 patients","2 ","2","SCIP-VTE-2 " "360163","CHRIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","237 patients",,,"AMI-1 " "360163","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","465 patients","2 ","2","SCIP-INF-3 " "360163","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","752 patients","2 ","2","SCIP-INF-6 " "360163","CHRIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","396 patients",,,"AMI-5 " "360163","CHRIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","368 patients",,,"HF-3 " "360163","CHRIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","82 patients",,,"AMI-3 " "360163","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","170 patients","2 ","2","SCIP-INF-4 " "360163","CHRIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","820 patients",,,"HF-2 " "360163","CHRIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","92 patients","2 ","2","PN-7 " "360163","CHRIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","51 patients",,,"AMI-8A " "360163","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","104 patients","2 ","2","SCIP-CARD-2 " "360163","CHRIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","685 patients",,,"HF-1 " "360163","CHRIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","197 patients",,,"AMI-4 " "360163","CHRIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","PN-4 " "360163","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","520 patients","2 ","2","SCIP-INF-1 " "360163","CHRIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","448 patients",,,"AMI-2 " "360163","CHRIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","128 patients","2 ","2","PN-2 " "360163","CHRIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","86 patients","2 ","2","PN-3B " "360163","CHRIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","206 patients","2 ","2","SCIP-VTE-1 " "360163","CHRIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360170","BERGER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","85 patients",,,"HF-2 " "360170","BERGER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360170","BERGER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","209 patients",,,"SCIP-INF-1 " "360170","BERGER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "360170","BERGER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "360170","BERGER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","103 patients",,,"SCIP-VTE-1 " "360170","BERGER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","299 patients",,,"SCIP-INF-6 " "360170","BERGER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients",,,"SCIP-CARD-2 " "360170","BERGER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","72 patients",,,"HF-1 " "360170","BERGER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360170","BERGER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "360170","BERGER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "360170","BERGER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","53 patients",,,"PN-7 " "360170","BERGER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","103 patients",,,"SCIP-VTE-2 " "360170","BERGER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360170","BERGER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","88 patients",,,"PN-5C " "360170","BERGER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360170","BERGER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","78 patients",,,"PN-3B " "360170","BERGER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "360170","BERGER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","212 patients",,,"SCIP-INF-2 " "360170","BERGER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","59 patients",,,"PN-6 " "360170","BERGER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","201 patients",,,"SCIP-INF-3 " "360170","BERGER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "360170","BERGER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "360170","BERGER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","70 patients",,,"PN-2 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","224 patients",,,"AMI-1 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","293 patients","2 ","2","SCIP-VTE-1 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","294 patients",,,"PN-5C " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","201 patients",,,"PN-6 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","525 patients","2 ","2","SCIP-INF-1 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","43 patients","2 ","2","SCIP-INF-4 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","67 patients",,,"HF-4 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","307 patients",,,"HF-1 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","293 patients","2 ","2","SCIP-VTE-2 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","50 patients",,,"AMI-3 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","237 patients",,,"AMI-2 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","531 patients","2 ","2","SCIP-INF-2 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","166 patients","2 ","2","SCIP-CARD-2 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","211 patients",,,"PN-7 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","485 patients","2 ","2","SCIP-INF-3 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","321 patients",,,"PN-3B " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","412 patients",,,"HF-2 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","226 patients",,,"AMI-5 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"AMI-4 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","36 patients",,,"AMI-8A " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","104 patients",,,"PN-4 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","684 patients","2 ","2","SCIP-INF-6 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","292 patients",,,"PN-2 " "360172","COMMUNITY HEALTH PARTNERS OF OH-WEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","132 patients",,,"HF-3 " "360174","UPPER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","218 patients","2 ","2","SCIP-INF-2 " "360174","UPPER VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","85 patients",,,"PN-4 " "360174","UPPER VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","191 patients",,,"PN-6 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360174","UPPER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","49 patients",,,"SCIP-CARD-2 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","62 patients",,,"HF-3 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "360174","UPPER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","86 patients",,,"AMI-1 " "360174","UPPER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","210 patients","2 ","2","SCIP-INF-3 " "360174","UPPER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","205 patients","2 ","2","SCIP-VTE-2 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","56 patients",,,"AMI-2 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360174","UPPER VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","182 patients",,,"PN-7 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","228 patients",,,"HF-1 " "360174","UPPER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","205 patients","2 ","2","SCIP-VTE-1 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","23 patients","1 ","1","AMI-4 " "360174","UPPER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","216 patients","2 ","2","SCIP-INF-1 " "360174","UPPER VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","251 patients",,,"PN-2 " "360174","UPPER VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","271 patients",,,"PN-3B " "360174","UPPER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","390 patients","2 ","2","SCIP-INF-6 " "360174","UPPER VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","297 patients",,,"HF-2 " "360174","UPPER VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","271 patients",,,"PN-5C " "360174","UPPER VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","54 patients",,,"AMI-5 " "360175","CMH REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","69%","35 patients",,,"PN-4 " "360175","CMH REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","186 patients","2 ","2","SCIP-INF-3 " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","71%","24 patients","1 ","1","HF-4 " "360175","CMH REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","121 patients",,,"PN-3B " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360175","CMH REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","97 patients","2 ","2","SCIP-VTE-2 " "360175","CMH REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","91 patients",,,"PN-6 " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","13 patients","1 ","1","AMI-1 " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","47 patients",,,"HF-3 " "360175","CMH REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","98 patients","2 ","2","SCIP-VTE-1 " "360175","CMH REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","84 patients",,,"PN-7 " "360175","CMH REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","192 patients","2 ","2","SCIP-INF-2 " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","146 patients",,,"HF-1 " "360175","CMH REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360175","CMH REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","113 patients",,,"PN-5C " "360175","CMH REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","192 patients","2 ","2","SCIP-INF-1 " "360175","CMH REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","33 patients","2 ","2","SCIP-CARD-2 " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","179 patients",,,"HF-2 " "360175","CMH REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","249 patients","2 ","2","SCIP-INF-6 " "360175","CMH REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","122 patients",,,"PN-2 " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "360175","CMH REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","12 patients","1 ","1","AMI-2 " "360179","BETHESDA NORTH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","589 patients",,,"HF-1 " "360179","BETHESDA NORTH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","547 patients",,,"PN-5C " "360179","BETHESDA NORTH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","335 patients",,,"AMI-1 " "360179","BETHESDA NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","152 patients","2 ","2","SCIP-INF-4 " "360179","BETHESDA NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","428 patients","2 ","2","SCIP-INF-1 " "360179","BETHESDA NORTH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360179","BETHESDA NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","404 patients","2 ","2","SCIP-INF-3 " "360179","BETHESDA NORTH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","741 patients",,,"HF-2 " "360179","BETHESDA NORTH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","103 patients",,,"HF-4 " "360179","BETHESDA NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","634 patients","2 ","2","SCIP-INF-6 " "360179","BETHESDA NORTH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","108 patients",,,"AMI-3 " "360179","BETHESDA NORTH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","388 patients",,,"PN-7 " "360179","BETHESDA NORTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","201 patients","2 ","2","SCIP-VTE-1 " "360179","BETHESDA NORTH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","504 patients",,,"PN-2 " "360179","BETHESDA NORTH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","201 patients","2 ","2","SCIP-VTE-2 " "360179","BETHESDA NORTH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","434 patients","2 ","2","SCIP-INF-2 " "360179","BETHESDA NORTH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","232 patients",,,"HF-3 " "360179","BETHESDA NORTH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","435 patients",,,"AMI-5 " "360179","BETHESDA NORTH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","356 patients",,,"PN-6 " "360179","BETHESDA NORTH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","151 patients",,,"AMI-4 " "360179","BETHESDA NORTH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","565 patients",,,"PN-3B " "360179","BETHESDA NORTH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","446 patients",,,"AMI-2 " "360179","BETHESDA NORTH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","100 patients","2 ","2","SCIP-CARD-2 " "360179","BETHESDA NORTH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","82 patients",,,"AMI-8A " "360179","BETHESDA NORTH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","215 patients",,,"PN-4 " "360180","CLEVELAND CLINIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","151 patients",,,"AMI-1 " "360180","CLEVELAND CLINIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","179 patients",,,"PN-7 " "360180","CLEVELAND CLINIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","131 patients",,,"PN-5C " "360180","CLEVELAND CLINIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","505 patients","2 ","2","SCIP-VTE-2 " "360180","CLEVELAND CLINIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","92 patients",,,"PN-3B " "360180","CLEVELAND CLINIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1076 patients",,,"HF-2 " "360180","CLEVELAND CLINIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","1002 patients","2 ","2","SCIP-INF-2 " "360180","CLEVELAND CLINIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","425 patients",,,"HF-3 " "360180","CLEVELAND CLINIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","980 patients","2 ","2","SCIP-INF-1 " "360180","CLEVELAND CLINIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","100 patients",,,"PN-4 " "360180","CLEVELAND CLINIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","112 patients",,,"AMI-3 " "360180","CLEVELAND CLINIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","193 patients",,,"PN-2 " "360180","CLEVELAND CLINIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","195 patients",,,"HF-4 " "360180","CLEVELAND CLINIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","910 patients",,,"HF-1 " "360180","CLEVELAND CLINIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","274 patients","2 ","2","SCIP-CARD-2 " "360180","CLEVELAND CLINIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","1411 patients","2 ","2","SCIP-INF-6 " "360180","CLEVELAND CLINIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","596 patients",,,"AMI-5 " "360180","CLEVELAND CLINIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","505 patients","2 ","2","SCIP-VTE-1 " "360180","CLEVELAND CLINIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","20 patients","1 ","1","AMI-8A " "360180","CLEVELAND CLINIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","661 patients",,,"AMI-2 " "360180","CLEVELAND CLINIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360180","CLEVELAND CLINIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","362 patients","2 ","2","SCIP-INF-4 " "360180","CLEVELAND CLINIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","66 patients",,,"PN-6 " "360180","CLEVELAND CLINIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","231 patients",,,"AMI-4 " "360180","CLEVELAND CLINIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","917 patients","2 ","2","SCIP-INF-3 " "360185","SALEM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","188 patients",,,"SCIP-VTE-2 " "360185","SALEM COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-7A " "360185","SALEM COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","18 patients","1 ","1","HF-4 " "360185","SALEM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","262 patients",,,"SCIP-INF-1 " "360185","SALEM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","250 patients",,,"SCIP-INF-3 " "360185","SALEM COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","111 patients",,,"HF-2 " "360185","SALEM COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","92 patients",,,"HF-1 " "360185","SALEM COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","86 patients",,,"PN-7 " "360185","SALEM COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","21 patients","1 ","1","HF-3 " "360185","SALEM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360185","SALEM COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","54 patients",,,"PN-4 " "360185","SALEM COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","22 patients","1 ","1","AMI-2 " "360185","SALEM COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "360185","SALEM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","377 patients",,,"SCIP-INF-6 " "360185","SALEM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","263 patients",,,"SCIP-INF-2 " "360185","SALEM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","45 patients",,,"SCIP-CARD-2 " "360185","SALEM COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","145 patients",,,"PN-3B " "360185","SALEM COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","157 patients",,,"PN-5C " "360185","SALEM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","188 patients",,,"SCIP-VTE-1 " "360185","SALEM COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","26 patients",,,"AMI-5 " "360185","SALEM COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "360185","SALEM COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360185","SALEM COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","102 patients",,,"PN-6 " "360185","SALEM COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","119 patients",,,"PN-2 " "360185","SALEM COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","54 patients",,,"AMI-1 " "360189","MADISON COUNTY HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","43 patients",,,"PN-7 " "360189","MADISON COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","39 patients",,,"SCIP-VTE-2 " "360189","MADISON COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","75 patients",,,"SCIP-INF-3 " "360189","MADISON COUNTY HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "360189","MADISON COUNTY HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "360189","MADISON COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","106 patients",,,"SCIP-INF-6 " "360189","MADISON COUNTY HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "360189","MADISON COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","78 patients",,,"SCIP-INF-1 " "360189","MADISON COUNTY HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "360189","MADISON COUNTY HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","58 patients",,,"HF-2 " "360189","MADISON COUNTY HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","72 patients",,,"PN-5C " "360189","MADISON COUNTY HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "360189","MADISON COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","39 patients",,,"SCIP-VTE-1 " "360189","MADISON COUNTY HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","73%","11 patients","1 ","1","HF-4 " "360189","MADISON COUNTY HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"PN-4 " "360189","MADISON COUNTY HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "360189","MADISON COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","80 patients",,,"SCIP-INF-2 " "360189","MADISON COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360189","MADISON COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","47%","15 patients","1 ","1","SCIP-CARD-2 " "360189","MADISON COUNTY HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","70 patients",,,"PN-6 " "360189","MADISON COUNTY HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","49 patients",,,"PN-3B " "360189","MADISON COUNTY HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","51 patients",,,"HF-1 " "360189","MADISON COUNTY HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "360189","MADISON COUNTY HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1,3 ","13","AMI-1 " "360189","MADISON COUNTY HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","62 patients",,,"PN-2 " "360192","UH GEAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","296 patients","2 ","2","SCIP-VTE-2 " "360192","UH GEAUGA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "360192","UH GEAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","457 patients","2 ","2","SCIP-INF-2 " "360192","UH GEAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","104 patients","2 ","2","SCIP-CARD-2 " "360192","UH GEAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","610 patients","2 ","2","SCIP-INF-6 " "360192","UH GEAUGA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","128 patients",,,"PN-3B " "360192","UH GEAUGA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","78 patients",,,"AMI-1 " "360192","UH GEAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","456 patients","2 ","2","SCIP-INF-1 " "360192","UH GEAUGA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","88 patients",,,"PN-7 " "360192","UH GEAUGA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","158 patients",,,"HF-2 " "360192","UH GEAUGA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "360192","UH GEAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","442 patients","2 ","2","SCIP-INF-3 " "360192","UH GEAUGA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","91 patients",,,"PN-6 " "360192","UH GEAUGA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","102 patients",,,"HF-1 " "360192","UH GEAUGA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "360192","UH GEAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360192","UH GEAUGA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","125 patients",,,"PN-5C " "360192","UH GEAUGA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "360192","UH GEAUGA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"HF-3 " "360192","UH GEAUGA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","45 patients",,,"AMI-2 " "360192","UH GEAUGA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360192","UH GEAUGA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","129 patients",,,"PN-2 " "360192","UH GEAUGA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360192","UH GEAUGA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","55 patients",,,"AMI-5 " "360192","UH GEAUGA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","296 patients","2 ","2","SCIP-VTE-1 " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360195","WADSWORTH RITTMAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","109 patients",,,"SCIP-VTE-2 " "360195","WADSWORTH RITTMAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","156 patients",,,"PN-3B " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","93 patients",,,"HF-2 " "360195","WADSWORTH RITTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","169 patients",,,"SCIP-INF-1 " "360195","WADSWORTH RITTMAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","130 patients",,,"PN-6 " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients",,,"HF-3 " "360195","WADSWORTH RITTMAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","111 patients",,,"PN-2 " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","77 patients",,,"HF-1 " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360195","WADSWORTH RITTMAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","143 patients",,,"PN-5C " "360195","WADSWORTH RITTMAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","109 patients",,,"SCIP-VTE-1 " "360195","WADSWORTH RITTMAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","81 patients",,,"PN-7 " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "360195","WADSWORTH RITTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","169 patients",,,"SCIP-INF-2 " "360195","WADSWORTH RITTMAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","21 patients","1 ","1","SCIP-CARD-2 " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "360195","WADSWORTH RITTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","161 patients",,,"SCIP-INF-3 " "360195","WADSWORTH RITTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "360195","WADSWORTH RITTMAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","225 patients",,,"SCIP-INF-6 " "360195","WADSWORTH RITTMAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "360195","WADSWORTH RITTMAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "360197","MARY RUTAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "360197","MARY RUTAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "360197","MARY RUTAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","86 patients",,,"PN-6 " "360197","MARY RUTAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","46 patients",,,"HF-1 " "360197","MARY RUTAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","109 patients",,,"PN-5C " "360197","MARY RUTAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "360197","MARY RUTAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","63 patients",,,"PN-7 " "360197","MARY RUTAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","33 patients",,,"SCIP-CARD-2 " "360197","MARY RUTAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360197","MARY RUTAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","229 patients",,,"SCIP-INF-6 " "360197","MARY RUTAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","179 patients",,,"SCIP-INF-3 " "360197","MARY RUTAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "360197","MARY RUTAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","51 patients",,,"PN-3B " "360197","MARY RUTAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","184 patients",,,"SCIP-INF-1 " "360197","MARY RUTAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "360197","MARY RUTAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "360197","MARY RUTAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","88 patients",,,"SCIP-VTE-1 " "360197","MARY RUTAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","73 patients",,,"HF-2 " "360197","MARY RUTAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360197","MARY RUTAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","86 patients",,,"PN-2 " "360197","MARY RUTAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","184 patients",,,"SCIP-INF-2 " "360197","MARY RUTAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "360197","MARY RUTAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360197","MARY RUTAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "360197","MARY RUTAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","86 patients",,,"SCIP-VTE-2 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","129 patients","2 ","2","PN-6 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","145 patients","2 ","2","SCIP-INF-1 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","35 patients",,,"HF-3 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","112 patients",,,"HF-2 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","85 patients","2 ","2","PN-7 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","147 patients","2 ","2","PN-5C " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","78 patients","2 ","2","SCIP-VTE-1 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","85 patients",,,"HF-1 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","138 patients","2 ","2","SCIP-INF-3 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","212 patients","2 ","2","SCIP-INF-6 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","80 patients","2 ","2","PN-4 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","143 patients","2 ","2","SCIP-INF-2 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","154 patients","2 ","2","PN-3B " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","131 patients","2 ","2","PN-2 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","19 patients","1,2 ","12","SCIP-CARD-2 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","78 patients","2 ","2","SCIP-VTE-2 " "360203","SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "360210","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","207 patients",,,"SCIP-INF-6 " "360210","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360210","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","82 patients",,,"PN-6 " "360210","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","109 patients",,,"SCIP-VTE-2 " "360210","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "360210","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","87 patients",,,"PN-2 " "360210","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","124 patients",,,"SCIP-INF-2 " "360210","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","37 patients",,,"SCIP-CARD-2 " "360210","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "360210","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","96 patients",,,"HF-2 " "360210","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "360210","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","109 patients",,,"SCIP-VTE-1 " "360210","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","126 patients",,,"SCIP-INF-1 " "360210","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360210","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","71 patients",,,"PN-7 " "360210","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360210","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "360210","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"HF-3 " "360210","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "360210","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"PN-4 " "360210","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","82 patients",,,"HF-1 " "360210","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","120 patients",,,"SCIP-INF-3 " "360210","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","81 patients",,,"PN-3B " "360210","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","104 patients",,,"PN-5C " "360210","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360211","TRINITY HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","65 patients",,,"AMI-3 " "360211","TRINITY HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","297 patients",,,"PN-3B " "360211","TRINITY HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","431 patients",,,"HF-1 " "360211","TRINITY HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"HF-4 " "360211","TRINITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","344 patients","2 ","2","SCIP-INF-3 " "360211","TRINITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","120 patients","2 ","2","SCIP-CARD-2 " "360211","TRINITY HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","236 patients",,,"AMI-1 " "360211","TRINITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","156 patients","2 ","2","SCIP-VTE-1 " "360211","TRINITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","156 patients","2 ","2","SCIP-VTE-2 " "360211","TRINITY HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","295 patients",,,"PN-5C " "360211","TRINITY HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","602 patients",,,"HF-2 " "360211","TRINITY HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","182 patients",,,"PN-6 " "360211","TRINITY HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","289 patients",,,"AMI-2 " "360211","TRINITY HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","194 patients",,,"PN-7 " "360211","TRINITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","494 patients","2 ","2","SCIP-INF-6 " "360211","TRINITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","360 patients","2 ","2","SCIP-INF-2 " "360211","TRINITY HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","308 patients",,,"AMI-5 " "360211","TRINITY HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"PN-4 " "360211","TRINITY HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","42 patients",,,"AMI-8A " "360211","TRINITY HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360211","TRINITY HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","121 patients",,,"AMI-4 " "360211","TRINITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","349 patients","2 ","2","SCIP-INF-1 " "360211","TRINITY HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","254 patients",,,"PN-2 " "360211","TRINITY HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","221 patients",,,"HF-3 " "360211","TRINITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","97 patients","2 ","2","SCIP-INF-4 " "360212","LAKEWOOD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","23 patients","1 ","1","AMI-8A " "360212","LAKEWOOD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","110 patients",,,"AMI-2 " "360212","LAKEWOOD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"PN-4 " "360212","LAKEWOOD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","AMI-3 " "360212","LAKEWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","273 patients",,,"SCIP-INF-1 " "360212","LAKEWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","440 patients",,,"SCIP-INF-6 " "360212","LAKEWOOD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","181 patients",,,"HF-1 " "360212","LAKEWOOD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","168 patients",,,"PN-3B " "360212","LAKEWOOD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","49 patients",,,"SCIP-CARD-2 " "360212","LAKEWOOD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","74 patients",,,"HF-3 " "360212","LAKEWOOD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","155 patients",,,"PN-2 " "360212","LAKEWOOD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","111 patients",,,"AMI-5 " "360212","LAKEWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360212","LAKEWOOD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","296 patients",,,"HF-2 " "360212","LAKEWOOD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","194 patients",,,"PN-5C " "360212","LAKEWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","271 patients",,,"SCIP-INF-2 " "360212","LAKEWOOD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","119 patients",,,"AMI-1 " "360212","LAKEWOOD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","103 patients",,,"PN-7 " "360212","LAKEWOOD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","117 patients",,,"PN-6 " "360212","LAKEWOOD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"AMI-4 " "360212","LAKEWOOD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360212","LAKEWOOD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "360212","LAKEWOOD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","181 patients",,,"SCIP-VTE-1 " "360212","LAKEWOOD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","255 patients",,,"SCIP-INF-3 " "360212","LAKEWOOD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","181 patients",,,"SCIP-VTE-2 " "360218","LICKING MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","204 patients",,,"HF-2 " "360218","LICKING MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","174 patients",,,"PN-3B " "360218","LICKING MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "360218","LICKING MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360218","LICKING MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","206 patients",,,"PN-2 " "360218","LICKING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","253 patients","2 ","2","SCIP-INF-3 " "360218","LICKING MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","262 patients",,,"PN-5C " "360218","LICKING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","276 patients","2 ","2","SCIP-INF-2 " "360218","LICKING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","63 patients","2 ","2","SCIP-CARD-2 " "360218","LICKING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","433 patients","2 ","2","SCIP-INF-6 " "360218","LICKING MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "360218","LICKING MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","167 patients",,,"HF-1 " "360218","LICKING MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","45 patients",,,"HF-4 " "360218","LICKING MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","39 patients",,,"AMI-1 " "360218","LICKING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360218","LICKING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","158 patients","2 ","2","SCIP-VTE-1 " "360218","LICKING MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","73 patients",,,"HF-3 " "360218","LICKING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","158 patients","2 ","2","SCIP-VTE-2 " "360218","LICKING MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","191 patients",,,"PN-7 " "360218","LICKING MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","277 patients","2 ","2","SCIP-INF-1 " "360218","LICKING MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","23 patients","1 ","1","AMI-2 " "360218","LICKING MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","128 patients",,,"PN-4 " "360218","LICKING MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","179 patients",,,"PN-6 " "360218","LICKING MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "360218","LICKING MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360230","HILLCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","253 patients","2 ","2","SCIP-INF-4 " "360230","HILLCREST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "360230","HILLCREST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","278 patients","2 ","2","AMI-1 " "360230","HILLCREST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","385 patients","2 ","2","AMI-5 " "360230","HILLCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","627 patients","2 ","2","SCIP-INF-2 " "360230","HILLCREST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","348 patients",,,"PN-5C " "360230","HILLCREST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","228 patients",,,"PN-7 " "360230","HILLCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","623 patients","2 ","2","SCIP-INF-1 " "360230","HILLCREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","311 patients","2 ","2","SCIP-VTE-1 " "360230","HILLCREST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","382 patients",,,"PN-2 " "360230","HILLCREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","311 patients","2 ","2","SCIP-VTE-2 " "360230","HILLCREST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","50 patients","2 ","2","AMI-8A " "360230","HILLCREST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","364 patients","2 ","2","AMI-2 " "360230","HILLCREST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","234 patients",,,"PN-6 " "360230","HILLCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","876 patients","2 ","2","SCIP-INF-6 " "360230","HILLCREST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","118 patients","2 ","2","AMI-4 " "360230","HILLCREST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","776 patients",,,"HF-2 " "360230","HILLCREST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"HF-4 " "360230","HILLCREST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "360230","HILLCREST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","154 patients","2 ","2","SCIP-CARD-2 " "360230","HILLCREST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","66 patients","2 ","2","AMI-3 " "360230","HILLCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","600 patients","2 ","2","SCIP-INF-3 " "360230","HILLCREST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","187 patients",,,"HF-3 " "360230","HILLCREST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","533 patients",,,"HF-1 " "360230","HILLCREST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","301 patients",,,"PN-3B " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","153 patients","2 ","2","SCIP-VTE-1 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","153 patients","2 ","2","SCIP-VTE-2 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","65 patients",,,"HF-3 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","293 patients","2 ","2","SCIP-INF-2 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","AMI-4 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","292 patients","2 ","2","SCIP-INF-1 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","287 patients",,,"PN-3B " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","49 patients",,,"AMI-5 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","275 patients",,,"PN-5C " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","284 patients","2 ","2","SCIP-INF-3 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","254 patients",,,"HF-2 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","85 patients",,,"AMI-1 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","206 patients",,,"PN-2 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","118 patients",,,"PN-4 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","410 patients","2 ","2","SCIP-INF-6 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","180 patients",,,"PN-6 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","162 patients",,,"PN-7 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","47 patients",,,"AMI-2 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","216 patients",,,"HF-1 " "360234","MERCY FRANCISCAN HOSPITAL - MT AIRY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","61 patients","2 ","2","SCIP-CARD-2 " "360236","MERCY HOSPITAL CLERMONT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","282 patients","2 ","2","SCIP-INF-1 " "360236","MERCY HOSPITAL CLERMONT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","145 patients",,,"PN-6 " "360236","MERCY HOSPITAL CLERMONT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","161 patients",,,"PN-3B " "360236","MERCY HOSPITAL CLERMONT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","127 patients",,,"PN-4 " "360236","MERCY HOSPITAL CLERMONT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","170 patients","2 ","2","SCIP-VTE-2 " "360236","MERCY HOSPITAL CLERMONT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","138 patients",,,"HF-2 " "360236","MERCY HOSPITAL CLERMONT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360236","MERCY HOSPITAL CLERMONT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","272 patients","2 ","2","SCIP-INF-3 " "360236","MERCY HOSPITAL CLERMONT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","141 patients",,,"PN-7 " "360236","MERCY HOSPITAL CLERMONT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","283 patients","2 ","2","SCIP-INF-2 " "360236","MERCY HOSPITAL CLERMONT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "360236","MERCY HOSPITAL CLERMONT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","51 patients",,,"HF-3 " "360236","MERCY HOSPITAL CLERMONT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "360236","MERCY HOSPITAL CLERMONT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","241 patients",,,"PN-5C " "360236","MERCY HOSPITAL CLERMONT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","170 patients","2 ","2","SCIP-VTE-1 " "360236","MERCY HOSPITAL CLERMONT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "360236","MERCY HOSPITAL CLERMONT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360236","MERCY HOSPITAL CLERMONT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","179 patients",,,"PN-2 " "360236","MERCY HOSPITAL CLERMONT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","48 patients",,,"AMI-1 " "360236","MERCY HOSPITAL CLERMONT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "360236","MERCY HOSPITAL CLERMONT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","111 patients",,,"HF-1 " "360236","MERCY HOSPITAL CLERMONT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360236","MERCY HOSPITAL CLERMONT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","47 patients","2 ","2","SCIP-CARD-2 " "360236","MERCY HOSPITAL CLERMONT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "360236","MERCY HOSPITAL CLERMONT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","396 patients","2 ","2","SCIP-INF-6 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","106 patients",,,"PN-5C " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","110 patients",,,"PN-2 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","108 patients",,,"HF-2 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","82 patients",,,"PN-7 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","300 patients","2 ","2","SCIP-INF-3 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","229 patients","2 ","2","SCIP-VTE-2 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","450 patients","2 ","2","SCIP-INF-6 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","76 patients",,,"PN-6 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","135 patients",,,"PN-3B " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","316 patients","2 ","2","SCIP-INF-2 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","81 patients","2 ","2","SCIP-CARD-2 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","92 patients",,,"HF-1 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","313 patients","2 ","2","SCIP-INF-1 " "360239","KETTERING MEDICAL CENTER - SYCAMORE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","229 patients","2 ","2","SCIP-VTE-1 " "360241","EDWIN SHAW REHAB, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360241","EDWIN SHAW REHAB, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360241","EDWIN SHAW REHAB, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "360241","EDWIN SHAW REHAB, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "360241","EDWIN SHAW REHAB, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "360241","EDWIN SHAW REHAB, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360241","EDWIN SHAW REHAB, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "360241","EDWIN SHAW REHAB, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "360241","EDWIN SHAW REHAB, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360241","EDWIN SHAW REHAB, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360241","EDWIN SHAW REHAB, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360241","EDWIN SHAW REHAB, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360241","EDWIN SHAW REHAB, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360241","EDWIN SHAW REHAB, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360241","EDWIN SHAW REHAB, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360241","EDWIN SHAW REHAB, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360241","EDWIN SHAW REHAB, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360241","EDWIN SHAW REHAB, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360241","EDWIN SHAW REHAB, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "360241","EDWIN SHAW REHAB, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360241","EDWIN SHAW REHAB, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "360241","EDWIN SHAW REHAB, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360241","EDWIN SHAW REHAB, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360241","EDWIN SHAW REHAB, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360241","EDWIN SHAW REHAB, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360245","GLENBEIGH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "360245","GLENBEIGH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360245","GLENBEIGH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360245","GLENBEIGH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "360245","GLENBEIGH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360245","GLENBEIGH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360245","GLENBEIGH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360245","GLENBEIGH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360245","GLENBEIGH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360245","GLENBEIGH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "360245","GLENBEIGH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "360245","GLENBEIGH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360245","GLENBEIGH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "360245","GLENBEIGH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360245","GLENBEIGH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360245","GLENBEIGH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "360245","GLENBEIGH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360245","GLENBEIGH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360245","GLENBEIGH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360245","GLENBEIGH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360245","GLENBEIGH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360245","GLENBEIGH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360245","GLENBEIGH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "360245","GLENBEIGH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360245","GLENBEIGH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360247","WOODS AT PARKSIDE,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "360247","WOODS AT PARKSIDE,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360247","WOODS AT PARKSIDE,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360247","WOODS AT PARKSIDE,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360247","WOODS AT PARKSIDE,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360247","WOODS AT PARKSIDE,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360247","WOODS AT PARKSIDE,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360247","WOODS AT PARKSIDE,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360247","WOODS AT PARKSIDE,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360247","WOODS AT PARKSIDE,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360247","WOODS AT PARKSIDE,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "360247","WOODS AT PARKSIDE,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360247","WOODS AT PARKSIDE,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360247","WOODS AT PARKSIDE,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360247","WOODS AT PARKSIDE,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360247","WOODS AT PARKSIDE,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360247","WOODS AT PARKSIDE,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "360247","WOODS AT PARKSIDE,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "360247","WOODS AT PARKSIDE,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360247","WOODS AT PARKSIDE,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "360247","WOODS AT PARKSIDE,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360247","WOODS AT PARKSIDE,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "360247","WOODS AT PARKSIDE,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360247","WOODS AT PARKSIDE,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "360247","WOODS AT PARKSIDE,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360259","BAY PARK COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "360259","BAY PARK COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","141 patients",,,"PN-5C " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","87 patients",,,"HF-1 " "360259","BAY PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","344 patients",,,"SCIP-INF-6 " "360259","BAY PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","153 patients",,,"SCIP-VTE-1 " "360259","BAY PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","253 patients",,,"SCIP-INF-3 " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360259","BAY PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","73 patients",,,"SCIP-CARD-2 " "360259","BAY PARK COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","81 patients",,,"PN-7 " "360259","BAY PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","265 patients",,,"SCIP-INF-2 " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"HF-3 " "360259","BAY PARK COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","98 patients",,,"PN-3B " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "360259","BAY PARK COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","96 patients",,,"PN-6 " "360259","BAY PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","260 patients",,,"SCIP-INF-1 " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","125 patients",,,"HF-2 " "360259","BAY PARK COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","114 patients",,,"PN-2 " "360259","BAY PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "360259","BAY PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","153 patients",,,"SCIP-VTE-2 " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "360259","BAY PARK COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "360261","THREE GABLES SURGERY CENTER, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360261","THREE GABLES SURGERY CENTER, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360261","THREE GABLES SURGERY CENTER, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360261","THREE GABLES SURGERY CENTER, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "360261","THREE GABLES SURGERY CENTER, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360261","THREE GABLES SURGERY CENTER, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360261","THREE GABLES SURGERY CENTER, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360261","THREE GABLES SURGERY CENTER, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360261","THREE GABLES SURGERY CENTER, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "360261","THREE GABLES SURGERY CENTER, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360261","THREE GABLES SURGERY CENTER, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360261","THREE GABLES SURGERY CENTER, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "360261","THREE GABLES SURGERY CENTER, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360261","THREE GABLES SURGERY CENTER, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "360261","THREE GABLES SURGERY CENTER, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360262","MERCY ST ANNE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","37 patients",,,"HF-3 " "360262","MERCY ST ANNE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","86 patients",,,"PN-2 " "360262","MERCY ST ANNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","311 patients","2 ","2","SCIP-INF-1 " "360262","MERCY ST ANNE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","160 patients",,,"PN-3B " "360262","MERCY ST ANNE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360262","MERCY ST ANNE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","66 patients","2 ","2","SCIP-CARD-2 " "360262","MERCY ST ANNE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","78 patients",,,"PN-4 " "360262","MERCY ST ANNE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","138 patients",,,"HF-1 " "360262","MERCY ST ANNE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "360262","MERCY ST ANNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","305 patients","2 ","2","SCIP-INF-3 " "360262","MERCY ST ANNE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","18 patients","1 ","1","AMI-2 " "360262","MERCY ST ANNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360262","MERCY ST ANNE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","162 patients",,,"HF-2 " "360262","MERCY ST ANNE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","28 patients",,,"AMI-1 " "360262","MERCY ST ANNE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "360262","MERCY ST ANNE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","40 patients",,,"HF-4 " "360262","MERCY ST ANNE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","120 patients",,,"PN-6 " "360262","MERCY ST ANNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","312 patients","2 ","2","SCIP-INF-2 " "360262","MERCY ST ANNE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","148 patients",,,"PN-5C " "360262","MERCY ST ANNE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360262","MERCY ST ANNE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","216 patients","2 ","2","SCIP-VTE-1 " "360262","MERCY ST ANNE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","92 patients",,,"PN-7 " "360262","MERCY ST ANNE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","447 patients","2 ","2","SCIP-INF-6 " "360262","MERCY ST ANNE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","21 patients","1 ","1","AMI-5 " "360262","MERCY ST ANNE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","216 patients","2 ","2","SCIP-VTE-2 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","56 patients","2 ","2","SCIP-VTE-1 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","188 patients","2 ","2","SCIP-INF-1 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","220 patients","2 ","2","SCIP-INF-6 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","35 patients","2 ","2","SCIP-CARD-2 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","187 patients","2 ","2","SCIP-INF-3 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","56 patients","2 ","2","SCIP-VTE-2 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","188 patients","2 ","2","SCIP-INF-2 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360263","INSTITUTE FOR ORTHOPEDIC SURGERY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","469 patients","2 ","2","SCIP-INF-3 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","139 patients","2 ","2","SCIP-VTE-1 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","82 patients","2 ","2","SCIP-CARD-2 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","139 patients","2 ","2","SCIP-VTE-2 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","475 patients","2 ","2","SCIP-INF-2 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","475 patients","2 ","2","SCIP-INF-1 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","572 patients","2 ","2","SCIP-INF-6 " "360266","MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360269","BUTLER COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","144 patients",,,"SCIP-INF-1 " "360269","BUTLER COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360269","BUTLER COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","160 patients",,,"SCIP-INF-6 " "360269","BUTLER COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360269","BUTLER COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360269","BUTLER COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360269","BUTLER COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","143 patients",,,"SCIP-INF-3 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360269","BUTLER COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360269","BUTLER COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","38 patients",,,"SCIP-VTE-2 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360269","BUTLER COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360269","BUTLER COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","143 patients",,,"SCIP-INF-2 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360269","BUTLER COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360269","BUTLER COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","68%","19 patients","1 ","1","SCIP-CARD-2 " "360269","BUTLER COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","38 patients",,,"SCIP-VTE-1 " "360269","BUTLER COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "360270","MERCY HOSPITAL OF DEFIANCE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","129 patients",,,"SCIP-INF-6 " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "360270","MERCY HOSPITAL OF DEFIANCE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","90 patients",,,"SCIP-INF-3 " "360270","MERCY HOSPITAL OF DEFIANCE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","58 patients",,,"HF-2 " "360270","MERCY HOSPITAL OF DEFIANCE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","89 patients",,,"SCIP-VTE-2 " "360270","MERCY HOSPITAL OF DEFIANCE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","56 patients",,,"PN-7 " "360270","MERCY HOSPITAL OF DEFIANCE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","67 patients",,,"PN-6 " "360270","MERCY HOSPITAL OF DEFIANCE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "360270","MERCY HOSPITAL OF DEFIANCE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","100 patients",,,"PN-3B " "360270","MERCY HOSPITAL OF DEFIANCE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","82 patients",,,"PN-2 " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "360270","MERCY HOSPITAL OF DEFIANCE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","90 patients",,,"SCIP-INF-1 " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "360270","MERCY HOSPITAL OF DEFIANCE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","89 patients",,,"SCIP-VTE-1 " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","HF-3 " "360270","MERCY HOSPITAL OF DEFIANCE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","93 patients",,,"SCIP-INF-2 " "360270","MERCY HOSPITAL OF DEFIANCE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "360270","MERCY HOSPITAL OF DEFIANCE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","47 patients",,,"HF-1 " "360270","MERCY HOSPITAL OF DEFIANCE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","97 patients",,,"PN-5C " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "360271","UNIVERSITY POINTE SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","145 patients",,,"SCIP-INF-6 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","112 patients",,,"SCIP-INF-3 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","34%","32 patients",,,"SCIP-VTE-1 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","112 patients",,,"SCIP-INF-1 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","38%","29 patients",,,"SCIP-VTE-2 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360274","MEDICAL CENTER AT ELIZABETH PLACE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","112 patients",,,"SCIP-INF-2 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","185 patients",,,"PN-3B " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","32 patients",,,"AMI-5 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","57 patients",,,"SCIP-CARD-2 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","337 patients",,,"SCIP-INF-1 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","328 patients",,,"SCIP-INF-3 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","199 patients",,,"PN-5C " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","132 patients",,,"PN-7 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","24 patients","1 ","1","AMI-2 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","178 patients",,,"PN-2 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","242 patients",,,"HF-2 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","48 patients",,,"HF-3 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","216 patients",,,"SCIP-VTE-2 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","492 patients",,,"SCIP-INF-6 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","145 patients",,,"PN-6 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","216 patients",,,"SCIP-VTE-1 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","337 patients",,,"SCIP-INF-2 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","42 patients",,,"AMI-1 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","189 patients",,,"HF-1 " "360276","ST ELIZABETH BOARDMAN HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","12 patients","1 ","1","HF-2 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","22%","9 patients","1 ","1","HF-1 " "360347","MEDICAL CENTER OF NEWARK LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","30 patients",,,"SCIP-INF-1 " "360347","MEDICAL CENTER OF NEWARK LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","20 patients","1 ","1","PN-5C " "360347","MEDICAL CENTER OF NEWARK LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "360347","MEDICAL CENTER OF NEWARK LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","19%","16 patients","1 ","1","PN-7 " "360347","MEDICAL CENTER OF NEWARK LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","5%","19 patients","1 ","1","PN-2 " "360347","MEDICAL CENTER OF NEWARK LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "360347","MEDICAL CENTER OF NEWARK LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","23 patients","1 ","1","PN-6 " "360347","MEDICAL CENTER OF NEWARK LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","30%","10 patients","1 ","1","SCIP-CARD-2 " "360347","MEDICAL CENTER OF NEWARK LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","45 patients",,,"SCIP-VTE-2 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","HF-4 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "360347","MEDICAL CENTER OF NEWARK LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","30 patients",,,"SCIP-INF-2 " "360347","MEDICAL CENTER OF NEWARK LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","76 patients",,,"SCIP-INF-6 " "360347","MEDICAL CENTER OF NEWARK LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "360347","MEDICAL CENTER OF NEWARK LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","47%","30 patients",,,"SCIP-INF-3 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "360347","MEDICAL CENTER OF NEWARK LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","45 patients",,,"SCIP-VTE-1 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "360347","MEDICAL CENTER OF NEWARK LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "360348","DUBLIN METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","83 patients",,,"SCIP-VTE-1 " "360348","DUBLIN METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","53 patients",,,"HF-2 " "360348","DUBLIN METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "360348","DUBLIN METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","41 patients",,,"HF-1 " "360348","DUBLIN METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","67 patients",,,"SCIP-INF-1 " "360348","DUBLIN METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "360348","DUBLIN METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients",,,"PN-5C " "360348","DUBLIN METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"PN-4 " "360348","DUBLIN METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","83 patients",,,"SCIP-VTE-2 " "360348","DUBLIN METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","42 patients",,,"PN-7 " "360348","DUBLIN METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","69 patients",,,"PN-6 " "360348","DUBLIN METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "360348","DUBLIN METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "360348","DUBLIN METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","154 patients",,,"SCIP-INF-6 " "360348","DUBLIN METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","67 patients",,,"SCIP-INF-3 " "360348","DUBLIN METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","29 patients",,,"HF-3 " "360348","DUBLIN METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "360348","DUBLIN METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","71 patients",,,"PN-3B " "360348","DUBLIN METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "360348","DUBLIN METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "360348","DUBLIN METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","69 patients",,,"SCIP-INF-2 " "360348","DUBLIN METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","48 patients",,,"PN-2 " "360348","DUBLIN METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "360348","DUBLIN METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "360348","DUBLIN METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360349","ADVANCED SPECIALTY HOSPITAL OF TOLEDO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360350","EVENDALE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360350","EVENDALE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360350","EVENDALE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360350","EVENDALE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360350","EVENDALE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360350","EVENDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","49 patients","3 ","3","SCIP-INF-2 " "360350","EVENDALE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360350","EVENDALE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360350","EVENDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "360350","EVENDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","49 patients","3 ","3","SCIP-INF-3 " "360350","EVENDALE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360350","EVENDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","56%","9 patients","1,3 ","13","SCIP-CARD-2 " "360350","EVENDALE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360350","EVENDALE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360350","EVENDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","49 patients","3 ","3","SCIP-INF-1 " "360350","EVENDALE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360350","EVENDALE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360350","EVENDALE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360350","EVENDALE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360350","EVENDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","57 patients","3 ","3","SCIP-INF-6 " "360350","EVENDALE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360350","EVENDALE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360350","EVENDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "360350","EVENDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "360350","EVENDALE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360351","CRYSTAL CLINIC ORTHOPAEDIC CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360352","SURGICAL HOSPITAL AT SOUTHWOODS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360354","WEST CHESTER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360354","WEST CHESTER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360354","WEST CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "360354","WEST CHESTER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360354","WEST CHESTER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360354","WEST CHESTER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360354","WEST CHESTER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360354","WEST CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "360354","WEST CHESTER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360354","WEST CHESTER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360354","WEST CHESTER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360354","WEST CHESTER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360354","WEST CHESTER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360354","WEST CHESTER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360354","WEST CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "360354","WEST CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "360354","WEST CHESTER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360354","WEST CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "360354","WEST CHESTER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360354","WEST CHESTER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360354","WEST CHESTER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360354","WEST CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "360354","WEST CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "360354","WEST CHESTER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360354","WEST CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "360355","OHIO VALLEY MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "361300","PAULDING COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","31 patients",,,"PN-2 " "361300","PAULDING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "361300","PAULDING COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","15 patients","1 ","1","HF-1 " "361300","PAULDING COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","20 patients","1 ","1","HF-2 " "361300","PAULDING COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","38 patients",,,"PN-3B " "361300","PAULDING COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","38 patients",,,"PN-5C " "361300","PAULDING COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","32 patients",,,"PN-6 " "361300","PAULDING COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "361300","PAULDING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,3 ","13","SCIP-VTE-2 " "361300","PAULDING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,3 ","13","SCIP-VTE-1 " "361300","PAULDING COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "361300","PAULDING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","11 patients","1,3 ","13","SCIP-INF-6 " "361300","PAULDING COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "361300","PAULDING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361300","PAULDING COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","27 patients",,,"PN-7 " "361300","PAULDING COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361300","PAULDING COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "361300","PAULDING COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "361300","PAULDING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","10 patients","1,3 ","13","SCIP-INF-1 " "361300","PAULDING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1,3 ","13","SCIP-INF-3 " "361300","PAULDING COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","10 patients","1,3 ","13","SCIP-INF-2 " "361300","PAULDING COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "361300","PAULDING COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "361300","PAULDING COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361300","PAULDING COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361302","TWIN CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "361302","TWIN CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361302","TWIN CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","13 patients","1 ","1","PN-6 " "361302","TWIN CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","16 patients","1 ","1","HF-1 " "361302","TWIN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "361302","TWIN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "361302","TWIN CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "361302","TWIN CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "361302","TWIN CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "361302","TWIN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "361302","TWIN CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","16 patients","1 ","1","HF-2 " "361302","TWIN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "361302","TWIN CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","14 patients","1 ","1","PN-2 " "361302","TWIN CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1 ","1","PN-5C " "361302","TWIN CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","19 patients","1 ","1","PN-3B " "361302","TWIN CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "361302","TWIN CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "361302","TWIN CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "361302","TWIN CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "361302","TWIN CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "361302","TWIN CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "361302","TWIN CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "361302","TWIN CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "361302","TWIN CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "361302","TWIN CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "361303","LODI COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "361303","LODI COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","21 patients","1 ","1","PN-6 " "361303","LODI COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "361303","LODI COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "361303","LODI COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "361303","LODI COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","11 patients","1 ","1","PN-5C " "361303","LODI COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "361303","LODI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "361303","LODI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "361303","LODI COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "361303","LODI COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "361303","LODI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361303","LODI COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "361303","LODI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "361303","LODI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "361303","LODI COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "361303","LODI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "361303","LODI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "361303","LODI COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "361303","LODI COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","11 patients","1 ","1","PN-7 " "361303","LODI COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","20 patients","1 ","1","PN-3B " "361303","LODI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "361303","LODI COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "361303","LODI COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "361303","LODI COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","13 patients","1 ","1","PN-2 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","HF-3 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","5 patients","1,3 ","13","HF-1 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,3 ","13","SCIP-INF-6 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","5 patients","1,3 ","13","HF-2 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","14 patients","1 ","1","PN-2 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","12 patients","1 ","1","PN-7 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","14 patients","1 ","1","PN-3B " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","18 patients","1 ","1","PN-5C " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "361305","DOCTORS HOSPITAL OF NELSONVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361306","ALLEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","70 patients","3 ","3","SCIP-INF-6 " "361306","ALLEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361306","ALLEN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361306","ALLEN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","28 patients","3 ","3","PN-6 " "361306","ALLEN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","36%","14 patients","1,3 ","13","HF-1 " "361306","ALLEN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","28 patients",,,"PN-7 " "361306","ALLEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","8 patients","1,3 ","13","SCIP-VTE-1 " "361306","ALLEN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","32 patients","3 ","3","PN-2 " "361306","ALLEN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "361306","ALLEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","23 patients","1,3 ","13","SCIP-INF-1 " "361306","ALLEN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1,3 ","13","HF-3 " "361306","ALLEN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361306","ALLEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "361306","ALLEN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "361306","ALLEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","23 patients","1,3 ","13","SCIP-INF-2 " "361306","ALLEN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "361306","ALLEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","23 patients","1,3 ","13","SCIP-INF-3 " "361306","ALLEN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,3 ","13","PN-4 " "361306","ALLEN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","8 patients","1,3 ","13","SCIP-VTE-2 " "361306","ALLEN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","28 patients","3 ","3","PN-3B " "361306","ALLEN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361306","ALLEN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "361306","ALLEN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361306","ALLEN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","31 patients","3 ","3","PN-5C " "361306","ALLEN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","20 patients","1,3 ","13","HF-2 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","91 patients",,,"PN-5C " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","74 patients",,,"HF-2 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","46 patients",,,"SCIP-INF-1 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","54 patients",,,"PN-6 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","92 patients",,,"PN-3B " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","42 patients",,,"HF-1 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","46 patients",,,"SCIP-INF-2 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","66 patients",,,"SCIP-INF-6 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","38 patients",,,"SCIP-VTE-1 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","91 patients",,,"PN-2 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","70 patients",,,"PN-7 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","38 patients",,,"SCIP-VTE-2 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","39 patients",,,"SCIP-INF-3 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "361307","UHHS MEMORIAL HOSPITAL OF GENEVA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","39 patients",,,"PN-2 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","26 patients",,,"PN-7 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","109 patients",,,"SCIP-INF-2 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","47 patients",,,"SCIP-VTE-2 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","30 patients",,,"HF-1 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","39 patients",,,"HF-2 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","107 patients",,,"SCIP-INF-3 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","108 patients",,,"SCIP-INF-1 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","23 patients","1 ","1","PN-6 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","35 patients",,,"PN-3B " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","166 patients",,,"SCIP-INF-6 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","47 patients",,,"SCIP-VTE-1 " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361308","UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","32 patients",,,"PN-5C " "361309","HENRY COUNTY HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361309","HENRY COUNTY HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "361309","HENRY COUNTY HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","19 patients","1 ","1","HF-2 " "361309","HENRY COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1 ","1","SCIP-CARD-2 " "361309","HENRY COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","56%","32 patients",,,"SCIP-INF-3 " "361309","HENRY COUNTY HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "361309","HENRY COUNTY HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "361309","HENRY COUNTY HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","19 patients","1 ","1","PN-2 " "361309","HENRY COUNTY HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361309","HENRY COUNTY HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1 ","1","PN-5C " "361309","HENRY COUNTY HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "361309","HENRY COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","32 patients",,,"SCIP-INF-1 " "361309","HENRY COUNTY HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","12 patients","1 ","1","HF-1 " "361309","HENRY COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","32 patients",,,"SCIP-INF-2 " "361309","HENRY COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361309","HENRY COUNTY HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "361309","HENRY COUNTY HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","13 patients","1 ","1","PN-7 " "361309","HENRY COUNTY HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "361309","HENRY COUNTY HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361309","HENRY COUNTY HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "361309","HENRY COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","28 patients",,,"SCIP-VTE-1 " "361309","HENRY COUNTY HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361309","HENRY COUNTY HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","56%","9 patients","1 ","1","PN-3B " "361309","HENRY COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","28 patients",,,"SCIP-VTE-2 " "361309","HENRY COUNTY HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","45 patients",,,"SCIP-INF-6 " "361310","MERCY HOSPITAL OF WILLARD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","22 patients","1 ","1","PN-2 " "361310","MERCY HOSPITAL OF WILLARD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361310","MERCY HOSPITAL OF WILLARD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","23 patients","1 ","1","SCIP-VTE-1 " "361310","MERCY HOSPITAL OF WILLARD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","47 patients",,,"SCIP-INF-3 " "361310","MERCY HOSPITAL OF WILLARD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "361310","MERCY HOSPITAL OF WILLARD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","14 patients","1 ","1","HF-1 " "361310","MERCY HOSPITAL OF WILLARD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "361310","MERCY HOSPITAL OF WILLARD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "361310","MERCY HOSPITAL OF WILLARD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "361310","MERCY HOSPITAL OF WILLARD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1 ","1","PN-5C " "361310","MERCY HOSPITAL OF WILLARD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","23 patients","1 ","1","SCIP-VTE-2 " "361310","MERCY HOSPITAL OF WILLARD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361310","MERCY HOSPITAL OF WILLARD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","49 patients",,,"SCIP-INF-2 " "361310","MERCY HOSPITAL OF WILLARD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","16 patients","1 ","1","PN-3B " "361310","MERCY HOSPITAL OF WILLARD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361310","MERCY HOSPITAL OF WILLARD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","49 patients",,,"SCIP-INF-1 " "361310","MERCY HOSPITAL OF WILLARD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","18 patients","1 ","1","PN-6 " "361310","MERCY HOSPITAL OF WILLARD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","11 patients","1 ","1","PN-7 " "361310","MERCY HOSPITAL OF WILLARD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","16 patients","1 ","1","HF-2 " "361310","MERCY HOSPITAL OF WILLARD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "361310","MERCY HOSPITAL OF WILLARD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","59 patients",,,"SCIP-INF-6 " "361310","MERCY HOSPITAL OF WILLARD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "361310","MERCY HOSPITAL OF WILLARD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361310","MERCY HOSPITAL OF WILLARD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361310","MERCY HOSPITAL OF WILLARD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","7 patients","1 ","1","HF-1 " "361311","HARRISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1 ","1","SCIP-VTE-2 " "361311","HARRISON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","15 patients","1 ","1","PN-4 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361311","HARRISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1 ","1","SCIP-VTE-1 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361311","HARRISON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361311","HARRISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","17 patients","1 ","1","SCIP-INF-3 " "361311","HARRISON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","23 patients","1 ","1","PN-2 " "361311","HARRISON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","40 patients",,,"PN-5C " "361311","HARRISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "361311","HARRISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","17 patients","1 ","1","SCIP-INF-1 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","14 patients","1 ","1","HF-2 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1,3 ","13","AMI-2 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361311","HARRISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","17 patients","1 ","1","SCIP-INF-2 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "361311","HARRISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361311","HARRISON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","13 patients","1 ","1","SCIP-INF-6 " "361311","HARRISON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","33 patients",,,"PN-6 " "361311","HARRISON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "361311","HARRISON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","28 patients",,,"PN-3B " "361311","HARRISON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","22 patients","1 ","1","PN-7 " "361312","MERCY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","36 patients",,,"PN-7 " "361312","MERCY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "361312","MERCY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "361312","MERCY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "361312","MERCY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361312","MERCY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","6 patients","1 ","1","SCIP-INF-1 " "361312","MERCY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","29 patients",,,"SCIP-INF-6 " "361312","MERCY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","8 patients","1 ","1","AMI-2 " "361312","MERCY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","41 patients",,,"PN-6 " "361312","MERCY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","14 patients","1 ","1","HF-3 " "361312","MERCY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","24 patients","1 ","1","SCIP-VTE-2 " "361312","MERCY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361312","MERCY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361312","MERCY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361312","MERCY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","6 patients","1 ","1","SCIP-INF-3 " "361312","MERCY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","66 patients",,,"PN-3B " "361312","MERCY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "361312","MERCY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","71%","7 patients","1 ","1","SCIP-INF-2 " "361312","MERCY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","52 patients",,,"PN-2 " "361312","MERCY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "361312","MERCY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","40 patients",,,"HF-1 " "361312","MERCY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","64 patients",,,"PN-5C " "361312","MERCY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "361312","MERCY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","52 patients",,,"HF-2 " "361312","MERCY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","24 patients","1 ","1","SCIP-VTE-1 " "361313","MORROW COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","60 patients",,,"PN-3B " "361313","MORROW COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","11 patients","1 ","1","SCIP-VTE-1 " "361313","MORROW COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361313","MORROW COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","16 patients","1 ","1","SCIP-INF-1 " "361313","MORROW COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "361313","MORROW COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "361313","MORROW COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "361313","MORROW COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","11 patients","1 ","1","SCIP-VTE-2 " "361313","MORROW COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "361313","MORROW COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","39 patients",,,"PN-5C " "361313","MORROW COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","PN-4 " "361313","MORROW COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","28 patients",,,"HF-1 " "361313","MORROW COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "361313","MORROW COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "361313","MORROW COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "361313","MORROW COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","16 patients","1 ","1","SCIP-INF-3 " "361313","MORROW COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","18 patients","1 ","1","SCIP-INF-2 " "361313","MORROW COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","37 patients",,,"PN-2 " "361313","MORROW COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361313","MORROW COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","41 patients",,,"PN-6 " "361313","MORROW COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","21 patients","1 ","1","SCIP-INF-6 " "361313","MORROW COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361313","MORROW COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","65%","43 patients",,,"HF-2 " "361313","MORROW COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361313","MORROW COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","29 patients",,,"PN-7 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","60 patients",,,"PN-3B " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","50 patients",,,"PN-2 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","66%","32 patients",,,"SCIP-VTE-1 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","42 patients",,,"SCIP-INF-1 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","54 patients",,,"PN-5C " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","66%","32 patients",,,"SCIP-VTE-2 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","56%","39 patients",,,"SCIP-INF-3 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","76 patients",,,"HF-2 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","62 patients",,,"SCIP-INF-6 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","24 patients","1 ","1","PN-7 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","58 patients",,,"HF-1 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","42 patients",,,"SCIP-INF-2 " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "361314","H B MAGRUDER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "361315","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "361315","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","41 patients","2 ","2","PN-2 " "361315","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361315","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","34 patients","2 ","2","PN-7 " "361315","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361315","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "361315","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "361315","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "361315","HARDIN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","51 patients","2 ","2","HF-2 " "361315","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","53 patients","2 ","2","PN-3B " "361315","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "361315","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "361315","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "361315","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "361315","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","36 patients","2 ","2","PN-6 " "361315","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361315","HARDIN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","HF-4 " "361315","HARDIN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","13 patients","1,2 ","12","HF-3 " "361315","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "361315","HARDIN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","35 patients","2 ","2","HF-1 " "361315","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","49 patients","2 ","2","PN-5C " "361315","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "361315","HARDIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361315","HARDIN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","PN-4 " "361315","HARDIN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","21 patients","1 ","1","HF-1 " "361316","BUCYRUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","98 patients",,,"SCIP-INF-2 " "361316","BUCYRUS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients",,,"PN-5C " "361316","BUCYRUS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "361316","BUCYRUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","97 patients",,,"SCIP-INF-1 " "361316","BUCYRUS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","35 patients",,,"PN-3B " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361316","BUCYRUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","41 patients",,,"SCIP-VTE-2 " "361316","BUCYRUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","115 patients",,,"SCIP-INF-6 " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "361316","BUCYRUS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","31 patients",,,"PN-6 " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","25 patients",,,"HF-2 " "361316","BUCYRUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","41 patients",,,"SCIP-VTE-1 " "361316","BUCYRUS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","23 patients","1 ","1","PN-2 " "361316","BUCYRUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","96 patients",,,"SCIP-INF-3 " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "361316","BUCYRUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "361316","BUCYRUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361316","BUCYRUS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "361316","BUCYRUS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","15 patients","1 ","1","PN-7 " "361318","FOSTORIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","104 patients",,,"SCIP-INF-2 " "361318","FOSTORIA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","PN-4 " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","9 patients","1 ","1","HF-3 " "361318","FOSTORIA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","35 patients",,,"PN-7 " "361318","FOSTORIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","7 patients","1 ","1","AMI-2 " "361318","FOSTORIA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","33 patients",,,"PN-6 " "361318","FOSTORIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","41 patients",,,"SCIP-VTE-2 " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","49 patients",,,"HF-2 " "361318","FOSTORIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","122 patients",,,"SCIP-INF-6 " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "361318","FOSTORIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","41 patients",,,"SCIP-VTE-1 " "361318","FOSTORIA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","46 patients",,,"PN-2 " "361318","FOSTORIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","104 patients",,,"SCIP-INF-1 " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "361318","FOSTORIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","103 patients",,,"SCIP-INF-3 " "361318","FOSTORIA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361318","FOSTORIA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","27 patients",,,"PN-3B " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","35 patients",,,"HF-1 " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361318","FOSTORIA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361318","FOSTORIA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","49 patients",,,"PN-5C " "361319","SELBY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","PN-4 " "361319","SELBY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","34%","88 patients",,,"SCIP-INF-2 " "361319","SELBY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "361319","SELBY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "361319","SELBY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","56%","9 patients","1 ","1","PN-7 " "361319","SELBY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","10 patients","1 ","1","HF-4 " "361319","SELBY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "361319","SELBY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","102 patients",,,"SCIP-INF-6 " "361319","SELBY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361319","SELBY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","31%","29 patients",,,"HF-1 " "361319","SELBY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361319","SELBY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","20 patients","1 ","1","PN-5C " "361319","SELBY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "361319","SELBY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361319","SELBY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "361319","SELBY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","7 patients","1 ","1","PN-2 " "361319","SELBY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "361319","SELBY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","53%","92 patients",,,"SCIP-INF-1 " "361319","SELBY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","54 patients",,,"SCIP-VTE-2 " "361319","SELBY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","90 patients",,,"SCIP-INF-3 " "361319","SELBY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","34 patients",,,"HF-2 " "361319","SELBY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361319","SELBY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1 ","1","PN-3B " "361319","SELBY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","16 patients","1 ","1","PN-6 " "361319","SELBY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","54 patients",,,"SCIP-VTE-1 " "361320","HOLZER MEDICAL CENTER JACKSON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","48 patients",,,"SCIP-VTE-1 " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","98 patients",,,"HF-2 " "361320","HOLZER MEDICAL CENTER JACKSON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","75 patients",,,"HF-1 " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "361320","HOLZER MEDICAL CENTER JACKSON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","92 patients",,,"PN-2 " "361320","HOLZER MEDICAL CENTER JACKSON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","142 patients",,,"PN-5C " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients",,,"HF-3 " "361320","HOLZER MEDICAL CENTER JACKSON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","121 patients",,,"SCIP-INF-6 " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "361320","HOLZER MEDICAL CENTER JACKSON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","98 patients",,,"SCIP-INF-1 " "361320","HOLZER MEDICAL CENTER JACKSON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","118 patients",,,"PN-6 " "361320","HOLZER MEDICAL CENTER JACKSON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","98 patients",,,"SCIP-INF-2 " "361320","HOLZER MEDICAL CENTER JACKSON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361320","HOLZER MEDICAL CENTER JACKSON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","118 patients",,,"PN-3B " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "361320","HOLZER MEDICAL CENTER JACKSON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361320","HOLZER MEDICAL CENTER JACKSON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","48 patients",,,"SCIP-VTE-2 " "361320","HOLZER MEDICAL CENTER JACKSON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","5 patients","1 ","1","AMI-5 " "361320","HOLZER MEDICAL CENTER JACKSON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","62 patients",,,"PN-7 " "361320","HOLZER MEDICAL CENTER JACKSON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","94 patients",,,"SCIP-INF-3 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","59 patients",,,"PN-7 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","78 patients",,,"PN-5C " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","88 patients",,,"HF-2 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","89 patients",,,"PN-6 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","87 patients",,,"PN-2 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","56 patients",,,"PN-3B " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","4 patients","1 ","1","AMI-2 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "361321","BARNESVILLE HOSPITAL ASSOCIATION, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","71 patients",,,"HF-1 " "361322","BLUFFTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "361322","BLUFFTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","11 patients","1,2 ","12","SCIP-VTE-2 " "361322","BLUFFTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","11 patients","1,2 ","12","SCIP-VTE-1 " "361322","BLUFFTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "361322","BLUFFTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "361322","BLUFFTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","4 patients","1 ","1","HF-1 " "361322","BLUFFTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1 ","1","PN-5C " "361322","BLUFFTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","20 patients","1 ","1","PN-3B " "361322","BLUFFTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "361322","BLUFFTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361322","BLUFFTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","22 patients","1,2 ","12","SCIP-INF-2 " "361322","BLUFFTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "361322","BLUFFTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","16 patients","1 ","1","PN-2 " "361322","BLUFFTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "361322","BLUFFTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "361322","BLUFFTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "361322","BLUFFTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361322","BLUFFTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361322","BLUFFTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361322","BLUFFTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1 ","1","HF-2 " "361322","BLUFFTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1 ","1","PN-7 " "361322","BLUFFTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","22 patients","1,2 ","12","SCIP-INF-3 " "361322","BLUFFTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "361322","BLUFFTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","23 patients","1,2 ","12","SCIP-INF-1 " "361322","BLUFFTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients","2 ","2","SCIP-INF-6 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "361324","MEDCENTRAL HEALTH SYSTEM SHELBY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "361325","GALION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","156 patients",,,"SCIP-INF-6 " "361325","GALION COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,2 ","12","HF-3 " "361325","GALION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","141 patients",,,"SCIP-INF-3 " "361325","GALION COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","18 patients","1 ","1","PN-4 " "361325","GALION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","64 patients",,,"SCIP-VTE-2 " "361325","GALION COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361325","GALION COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","28 patients",,,"PN-3B " "361325","GALION COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","19 patients","1,2 ","12","HF-1 " "361325","GALION COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "361325","GALION COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","26 patients","2 ","2","HF-2 " "361325","GALION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","64 patients",,,"SCIP-VTE-1 " "361325","GALION COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361325","GALION COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "361325","GALION COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","26 patients",,,"PN-2 " "361325","GALION COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","HF-4 " "361325","GALION COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "361325","GALION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","147 patients",,,"SCIP-INF-2 " "361325","GALION COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "361325","GALION COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","24 patients","1 ","1","PN-6 " "361325","GALION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","147 patients",,,"SCIP-INF-1 " "361325","GALION COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "361325","GALION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361325","GALION COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","23 patients","1 ","1","PN-5C " "361325","GALION COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","13 patients","1 ","1","PN-7 " "361325","GALION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","25 patients",,,"SCIP-CARD-2 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1,3 ","13","SCIP-INF-6 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,3 ","13","SCIP-INF-3 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,3 ","13","SCIP-VTE-1 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","56 patients",,,"PN-2 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","38 patients",,,"PN-7 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","47 patients",,,"HF-2 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","39 patients",,,"PN-4 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","73 patients",,,"PN-5C " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","40%","5 patients","1,3 ","13","SCIP-INF-2 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","35 patients",,,"HF-1 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-1 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","88 patients",,,"PN-3B " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","68 patients",,,"PN-6 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361326","ADAMS COUNTY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","HF-4 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","27 patients",,,"HF-2 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","42 patients",,,"SCIP-VTE-1 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","86 patients",,,"SCIP-INF-1 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","82 patients",,,"SCIP-INF-3 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","42 patients",,,"SCIP-VTE-2 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","41 patients",,,"PN-3B " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","51 patients",,,"PN-2 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","48 patients",,,"PN-7 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","56 patients",,,"PN-5C " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","124 patients",,,"SCIP-INF-6 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","65 patients",,,"PN-6 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","19 patients","1 ","1","HF-1 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "361328","DEFIANCE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","87 patients",,,"SCIP-INF-2 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "361329","WYANDOT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","28 patients",,,"PN-5C " "361329","WYANDOT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","24 patients","1 ","1","PN-6 " "361329","WYANDOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","28 patients",,,"SCIP-INF-2 " "361329","WYANDOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","27 patients",,,"SCIP-INF-1 " "361329","WYANDOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361329","WYANDOT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1 ","1","PN-7 " "361329","WYANDOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","29 patients",,,"SCIP-INF-6 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "361329","WYANDOT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","27 patients",,,"PN-3B " "361329","WYANDOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "361329","WYANDOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","11 patients","1 ","1","SCIP-VTE-1 " "361329","WYANDOT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "361329","WYANDOT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","18 patients","1 ","1","PN-2 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","35 patients",,,"HF-2 " "361329","WYANDOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","26 patients",,,"SCIP-INF-3 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361329","WYANDOT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","11 patients","1 ","1","SCIP-VTE-2 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","24 patients","1 ","1","HF-1 " "361329","WYANDOT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","64 patients",,,"SCIP-INF-3 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","31 patients",,,"HF-1 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","49 patients",,,"PN-3B " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","44%","18 patients","1 ","1","PN-4 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","69 patients",,,"SCIP-INF-1 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","35 patients",,,"HF-2 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","73 patients",,,"SCIP-INF-6 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","42 patients",,,"PN-6 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","55 patients",,,"PN-5C " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","18 patients","1 ","1","HF-3 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","41 patients",,,"SCIP-VTE-1 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","41 patients",,,"SCIP-VTE-2 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","69 patients",,,"SCIP-INF-2 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","35 patients",,,"PN-2 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","31 patients",,,"PN-7 " "361330","HOCKING VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1 ","1","AMI-1 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","25 patients",,,"PN-7 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","36 patients",,,"SCIP-VTE-1 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","34 patients",,,"PN-3B " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","37 patients",,,"SCIP-INF-3 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","51 patients",,,"HF-2 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","40 patients",,,"SCIP-INF-1 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","62 patients",,,"SCIP-INF-6 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","38 patients",,,"PN-5C " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1 ","1","SCIP-CARD-2 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","PN-4 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","49 patients",,,"HF-1 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","36 patients",,,"SCIP-VTE-2 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","29 patients",,,"PN-6 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","39 patients",,,"PN-2 " "361331","FAYETTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","36 patients",,,"SCIP-INF-2 " "361332","HIGHLAND DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "361332","HIGHLAND DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","52 patients",,,"SCIP-INF-2 " "361332","HIGHLAND DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "361332","HIGHLAND DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","70 patients",,,"PN-6 " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "361332","HIGHLAND DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","88 patients",,,"PN-3B " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients",,,"HF-3 " "361332","HIGHLAND DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","65 patients",,,"HF-1 " "361332","HIGHLAND DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","50 patients",,,"SCIP-INF-3 " "361332","HIGHLAND DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","65 patients",,,"PN-2 " "361332","HIGHLAND DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "361332","HIGHLAND DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","53 patients",,,"SCIP-INF-1 " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","93 patients",,,"HF-2 " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","22 patients","1 ","1","HF-4 " "361332","HIGHLAND DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "361332","HIGHLAND DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","94 patients",,,"PN-5C " "361332","HIGHLAND DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","42 patients",,,"PN-7 " "361332","HIGHLAND DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "361332","HIGHLAND DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "361333","FULTON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","60 patients",,,"SCIP-CARD-2 " "361333","FULTON COUNTY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","54 patients",,,"PN-2 " "361333","FULTON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","200 patients",,,"SCIP-INF-2 " "361333","FULTON COUNTY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "361333","FULTON COUNTY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "361333","FULTON COUNTY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361333","FULTON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","61%","89 patients",,,"SCIP-VTE-2 " "361333","FULTON COUNTY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "361333","FULTON COUNTY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361333","FULTON COUNTY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "361333","FULTON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","203 patients",,,"SCIP-INF-1 " "361333","FULTON COUNTY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","38 patients",,,"PN-7 " "361333","FULTON COUNTY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","66 patients",,,"PN-5C " "361333","FULTON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","197 patients",,,"SCIP-INF-3 " "361333","FULTON COUNTY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "361333","FULTON COUNTY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "361333","FULTON COUNTY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361333","FULTON COUNTY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","31 patients",,,"HF-1 " "361333","FULTON COUNTY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","44 patients",,,"PN-6 " "361333","FULTON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "361333","FULTON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","271 patients",,,"SCIP-INF-6 " "361333","FULTON COUNTY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","62 patients",,,"PN-3B " "361333","FULTON COUNTY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","89 patients",,,"SCIP-VTE-1 " "361333","FULTON COUNTY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","41 patients",,,"HF-2 " "361333","FULTON COUNTY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361334","PIKE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1 ","1","HF-4 " "361334","PIKE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","23 patients","1 ","1","HF-1 " "361334","PIKE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","56 patients","2 ","2","PN-5C " "361334","PIKE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "361334","PIKE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "361334","PIKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "361334","PIKE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "361334","PIKE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "361334","PIKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "361334","PIKE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","15 patients","1,2 ","12","PN-4 " "361334","PIKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "361334","PIKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "361334","PIKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "361334","PIKE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "361334","PIKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "361334","PIKE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "361334","PIKE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","29 patients","2 ","2","PN-7 " "361334","PIKE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","41 patients","2 ","2","PN-3B " "361334","PIKE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","43%","37 patients",,,"HF-2 " "361334","PIKE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","16 patients","1 ","1","HF-3 " "361334","PIKE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "361334","PIKE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","42 patients","2 ","2","PN-6 " "361334","PIKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "361334","PIKE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "361334","PIKE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","35 patients","2 ","2","PN-2 " "370001","HILLCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","599 patients","2 ","2","SCIP-INF-6 " "370001","HILLCREST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","198 patients",,,"PN-5C " "370001","HILLCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","447 patients","2 ","2","SCIP-INF-2 " "370001","HILLCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","85 patients","2 ","2","SCIP-CARD-2 " "370001","HILLCREST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","118 patients",,,"HF-4 " "370001","HILLCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","156 patients","2 ","2","SCIP-VTE-1 " "370001","HILLCREST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370001","HILLCREST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","152 patients",,,"PN-3B " "370001","HILLCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","415 patients","2 ","2","SCIP-INF-3 " "370001","HILLCREST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","164 patients",,,"AMI-4 " "370001","HILLCREST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","410 patients",,,"HF-1 " "370001","HILLCREST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","453 patients",,,"HF-2 " "370001","HILLCREST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","172 patients",,,"AMI-1 " "370001","HILLCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","155 patients","2 ","2","SCIP-VTE-2 " "370001","HILLCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","145 patients","2 ","2","SCIP-INF-4 " "370001","HILLCREST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","366 patients",,,"AMI-5 " "370001","HILLCREST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","147 patients",,,"PN-6 " "370001","HILLCREST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","192 patients",,,"HF-3 " "370001","HILLCREST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","157 patients",,,"PN-2 " "370001","HILLCREST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","92 patients",,,"AMI-3 " "370001","HILLCREST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","140 patients",,,"PN-4 " "370001","HILLCREST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","361 patients",,,"AMI-2 " "370001","HILLCREST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","31 patients",,,"AMI-8A " "370001","HILLCREST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","157 patients",,,"PN-7 " "370001","HILLCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","431 patients","2 ","2","SCIP-INF-1 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370002","WOODWARD REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "370002","WOODWARD REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","69 patients",,,"PN-2 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370002","WOODWARD REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","76 patients",,,"PN-5C " "370002","WOODWARD REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","74 patients",,,"PN-3B " "370002","WOODWARD REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","43 patients",,,"PN-7 " "370002","WOODWARD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","27 patients",,,"SCIP-INF-3 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "370002","WOODWARD REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "370002","WOODWARD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","27 patients",,,"SCIP-INF-1 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "370002","WOODWARD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","61 patients",,,"SCIP-INF-6 " "370002","WOODWARD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","44 patients",,,"SCIP-VTE-2 " "370002","WOODWARD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","103 patients",,,"HF-2 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370002","WOODWARD REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","64 patients",,,"PN-6 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","81 patients",,,"HF-1 " "370002","WOODWARD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","44 patients",,,"SCIP-VTE-1 " "370002","WOODWARD REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "370002","WOODWARD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1 ","1","SCIP-CARD-2 " "370002","WOODWARD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","31 patients",,,"SCIP-INF-2 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","192 patients",,,"PN-3B " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","127 patients",,,"PN-6 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","17 patients","1 ","1","HF-3 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","146 patients",,,"PN-2 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1 ","1","SCIP-CARD-2 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","77 patients",,,"PN-4 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","73 patients",,,"HF-1 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","96 patients",,,"PN-7 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","199 patients",,,"PN-5C " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","112 patients",,,"SCIP-INF-2 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","82 patients",,,"SCIP-VTE-1 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","109 patients",,,"SCIP-INF-3 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","18 patients","1 ","1","AMI-1 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","113 patients",,,"SCIP-INF-1 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","156 patients",,,"SCIP-INF-6 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","82 patients",,,"SCIP-VTE-2 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","97 patients",,,"HF-2 " "370004","INTEGRIS BAPTIST REG HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "370006","PONCA CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","120 patients","2 ","2","SCIP-VTE-2 " "370006","PONCA CITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "370006","PONCA CITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "370006","PONCA CITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "370006","PONCA CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","20 patients","1,2 ","12","SCIP-CARD-2 " "370006","PONCA CITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","105 patients",,,"PN-3B " "370006","PONCA CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","120 patients","2 ","2","SCIP-VTE-1 " "370006","PONCA CITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","77 patients",,,"HF-2 " "370006","PONCA CITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","26 patients",,,"HF-3 " "370006","PONCA CITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "370006","PONCA CITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","57 patients",,,"PN-6 " "370006","PONCA CITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "370006","PONCA CITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "370006","PONCA CITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","108 patients",,,"PN-5C " "370006","PONCA CITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","67 patients",,,"HF-1 " "370006","PONCA CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","166 patients","2 ","2","SCIP-INF-2 " "370006","PONCA CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370006","PONCA CITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","73 patients",,,"PN-2 " "370006","PONCA CITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "370006","PONCA CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","245 patients","2 ","2","SCIP-INF-6 " "370006","PONCA CITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","61 patients",,,"PN-7 " "370006","PONCA CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","166 patients","2 ","2","SCIP-INF-1 " "370006","PONCA CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","160 patients","2 ","2","SCIP-INF-3 " "370006","PONCA CITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370006","PONCA CITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","27 patients",,,"AMI-1 " "370007","NEWMAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","26 patients",,,"PN-2 " "370007","NEWMAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","6 patients","1 ","1","AMI-2 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "370007","NEWMAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","17 patients","1 ","1","PN-7 " "370007","NEWMAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "370007","NEWMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","8 patients","1 ","1","SCIP-INF-1 " "370007","NEWMAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","24 patients","1 ","1","PN-5C " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370007","NEWMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "370007","NEWMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1 ","1","SCIP-INF-2 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "370007","NEWMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","8 patients","1 ","1","SCIP-VTE-2 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","21 patients","1 ","1","HF-1 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370007","NEWMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","8 patients","1 ","1","SCIP-INF-3 " "370007","NEWMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","8 patients","1 ","1","SCIP-VTE-1 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","6 patients","1 ","1","AMI-5 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "370007","NEWMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370007","NEWMAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","63%","30 patients",,,"HF-2 " "370007","NEWMAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","17 patients","1 ","1","PN-6 " "370007","NEWMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1 ","1","SCIP-INF-6 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","620 patients",,,"SCIP-VTE-1 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","618 patients",,,"SCIP-VTE-2 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","209 patients",,,"AMI-2 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","129 patients",,,"SCIP-CARD-2 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","32 patients",,,"AMI-3 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","63 patients",,,"SCIP-INF-4 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","104 patients",,,"HF-3 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","947 patients",,,"SCIP-INF-1 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","959 patients",,,"SCIP-INF-2 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","238 patients",,,"PN-6 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","256 patients",,,"HF-1 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","446 patients",,,"PN-5C " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","333 patients",,,"HF-2 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","205 patients",,,"AMI-5 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","898 patients",,,"SCIP-INF-3 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","105 patients",,,"AMI-4 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","44 patients",,,"AMI-8A " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","90 patients",,,"HF-4 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1436 patients",,,"SCIP-INF-6 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","479 patients",,,"PN-3B " "370008","NORMAN REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","391 patients",,,"PN-2 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","170 patients",,,"AMI-1 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","229 patients",,,"PN-4 " "370008","NORMAN REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","314 patients",,,"PN-7 " "370011","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","17 patients","1 ","1","SCIP-VTE-1 " "370011","PARKVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","21 patients","1 ","1","PN-4 " "370011","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","71%","24 patients","1 ","1","SCIP-INF-2 " "370011","PARKVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1 ","1","AMI-5 " "370011","PARKVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "370011","PARKVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370011","PARKVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","20 patients","1 ","1","HF-1 " "370011","PARKVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","33 patients",,,"HF-2 " "370011","PARKVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","8 patients","1 ","1","PN-3B " "370011","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","24 patients","1 ","1","SCIP-INF-1 " "370011","PARKVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","41 patients",,,"PN-6 " "370011","PARKVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "370011","PARKVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","32 patients",,,"PN-7 " "370011","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","31 patients",,,"SCIP-INF-6 " "370011","PARKVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "370011","PARKVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","34 patients",,,"PN-2 " "370011","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","24 patients","1 ","1","SCIP-INF-3 " "370011","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370011","PARKVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1 ","1","AMI-1 " "370011","PARKVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370011","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","17 patients","1 ","1","SCIP-VTE-2 " "370011","PARKVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "370011","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "370011","PARKVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","59 patients",,,"PN-5C " "370011","PARKVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "370013","MERCY HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","216 patients","2 ","2","SCIP-INF-3 " "370013","MERCY HEALTH CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","282 patients",,,"PN-3B " "370013","MERCY HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","175 patients","2 ","2","SCIP-VTE-1 " "370013","MERCY HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","235 patients","2 ","2","SCIP-INF-1 " "370013","MERCY HEALTH CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","128 patients",,,"PN-6 " "370013","MERCY HEALTH CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","82 patients",,,"HF-1 " "370013","MERCY HEALTH CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","254 patients",,,"PN-5C " "370013","MERCY HEALTH CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370013","MERCY HEALTH CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "370013","MERCY HEALTH CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "370013","MERCY HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","175 patients","2 ","2","SCIP-VTE-2 " "370013","MERCY HEALTH CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370013","MERCY HEALTH CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","222 patients",,,"PN-7 " "370013","MERCY HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","239 patients","2 ","2","SCIP-INF-2 " "370013","MERCY HEALTH CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","27 patients",,,"AMI-2 " "370013","MERCY HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","360 patients","2 ","2","SCIP-INF-6 " "370013","MERCY HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","39 patients","2 ","2","SCIP-CARD-2 " "370013","MERCY HEALTH CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"HF-3 " "370013","MERCY HEALTH CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","24 patients","1 ","1","AMI-1 " "370013","MERCY HEALTH CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","89 patients",,,"PN-4 " "370013","MERCY HEALTH CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","28 patients",,,"AMI-5 " "370013","MERCY HEALTH CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370013","MERCY HEALTH CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","121 patients",,,"HF-2 " "370013","MERCY HEALTH CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","298 patients",,,"PN-2 " "370013","MERCY HEALTH CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","204 patients",,,"SCIP-INF-6 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-3 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","174 patients",,,"PN-3B " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","119 patients",,,"SCIP-INF-2 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","23 patients","1 ","1","SCIP-CARD-2 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"HF-4 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","90 patients",,,"SCIP-VTE-2 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","98 patients",,,"PN-6 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","117 patients",,,"SCIP-INF-1 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","10 patients","1 ","1","CAC-1 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","165 patients",,,"PN-7 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","35 patients",,,"AMI-1 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","10 patients","1 ","1","CAC-2 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1 ","1","AMI-2 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","341 patients",,,"HF-2 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","132 patients",,,"PN-4 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","201 patients",,,"PN-2 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","188 patients",,,"PN-5C " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","90 patients",,,"SCIP-VTE-1 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","115 patients",,,"SCIP-INF-3 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","69 patients",,,"HF-3 " "370014","MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","256 patients",,,"HF-1 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","11 patients","1,2 ","12","SCIP-VTE-2 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","56 patients",,,"PN-6 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","46 patients","2 ","2","SCIP-INF-2 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","11 patients","1,2 ","12","SCIP-VTE-1 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","61 patients",,,"HF-2 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","41 patients",,,"HF-1 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,2 ","12","AMI-1 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","46 patients","2 ","2","SCIP-INF-1 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","59 patients","2 ","2","SCIP-INF-6 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2 ","12","AMI-2 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","46 patients","2 ","2","SCIP-INF-3 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","91 patients",,,"PN-3B " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","56 patients",,,"PN-7 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","91 patients",,,"PN-5C " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2 ","12","AMI-5 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","59 patients",,,"PN-2 " "370015","INTEGRIS MAYES COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","83 patients",,,"AMI-5 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","184 patients","2 ","2","SCIP-INF-1 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","114 patients",,,"PN-5C " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","26 patients","2 ","2","SCIP-CARD-2 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","73 patients",,,"HF-1 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","55 patients","2 ","2","SCIP-INF-4 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","315 patients","2 ","2","SCIP-INF-6 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","117 patients",,,"PN-2 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","79 patients",,,"AMI-1 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","119 patients",,,"HF-2 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","89 patients",,,"AMI-2 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","77 patients",,,"PN-6 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","173 patients","2 ","2","SCIP-INF-3 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","109 patients","2 ","2","SCIP-VTE-2 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","111 patients","2 ","2","SCIP-VTE-1 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","135 patients",,,"PN-3B " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","185 patients","2 ","2","SCIP-INF-2 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","14 patients","1 ","1","AMI-8A " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","97 patients",,,"PN-7 " "370016","INTEGRIS BASS BAPTIST HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","45 patients",,,"HF-3 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","160 patients",,,"HF-2 " "370018","JANE PHILLIPS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","145 patients",,,"PN-2 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","147 patients",,,"AMI-2 " "370018","JANE PHILLIPS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","297 patients","2 ","2","SCIP-VTE-1 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"AMI-4 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","35 patients",,,"AMI-8A " "370018","JANE PHILLIPS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","142 patients",,,"PN-3B " "370018","JANE PHILLIPS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","542 patients","2 ","2","SCIP-INF-6 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","122 patients",,,"AMI-1 " "370018","JANE PHILLIPS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","406 patients","2 ","2","SCIP-INF-3 " "370018","JANE PHILLIPS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","68 patients",,,"PN-4 " "370018","JANE PHILLIPS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","417 patients","2 ","2","SCIP-INF-1 " "370018","JANE PHILLIPS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","296 patients","2 ","2","SCIP-VTE-2 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","128 patients",,,"HF-1 " "370018","JANE PHILLIPS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","142 patients",,,"AMI-5 " "370018","JANE PHILLIPS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","142 patients",,,"PN-5C " "370018","JANE PHILLIPS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","108 patients",,,"PN-7 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "370018","JANE PHILLIPS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","46 patients","2 ","2","SCIP-CARD-2 " "370018","JANE PHILLIPS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","88 patients",,,"PN-6 " "370018","JANE PHILLIPS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","416 patients","2 ","2","SCIP-INF-2 " "370018","JANE PHILLIPS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","82 patients",,,"SCIP-VTE-2 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","152 patients",,,"SCIP-INF-6 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1,3 ","13","AMI-5 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","23 patients","1 ","1","HF-3 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","86 patients",,,"PN-2 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","106 patients",,,"SCIP-INF-3 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","88 patients",,,"PN-5C " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","70 patients",,,"HF-2 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","55 patients",,,"HF-1 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","106 patients",,,"SCIP-INF-1 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","108 patients",,,"SCIP-INF-2 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","69 patients",,,"PN-6 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","82 patients",,,"SCIP-VTE-1 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","90 patients",,,"PN-3B " "370019","GREAT PLAINS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","59 patients",,,"PN-7 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","124 patients",,,"PN-5C " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","110 patients",,,"PN-2 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","217 patients","2 ","2","SCIP-VTE-2 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","97 patients",,,"PN-7 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","242 patients","2 ","2","SCIP-INF-1 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","399 patients","2 ","2","SCIP-INF-6 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","236 patients","2 ","2","SCIP-INF-3 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","95 patients",,,"HF-2 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","42 patients",,,"SCIP-CARD-2 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","106 patients",,,"PN-6 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","77 patients",,,"HF-1 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","57 patients",,,"PN-4 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","125 patients",,,"PN-3B " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","27 patients",,,"HF-3 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370020","VALLEY VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","217 patients","2 ","2","SCIP-VTE-1 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370020","VALLEY VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","243 patients","2 ","2","SCIP-INF-2 " "370020","VALLEY VIEW REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","252 patients","2 ","2","SCIP-VTE-1 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","24 patients","1 ","1","AMI-1 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","43 patients",,,"PN-3B " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","217 patients","2 ","2","SCIP-INF-3 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","89 patients",,,"PN-2 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"PN-4 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","251 patients","2 ","2","SCIP-VTE-2 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","123 patients",,,"HF-2 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","52 patients","2 ","2","SCIP-CARD-2 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","378 patients","2 ","2","SCIP-INF-6 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","85 patients",,,"HF-1 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","54 patients",,,"HF-3 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","82 patients",,,"PN-5C " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","227 patients","2 ","2","SCIP-INF-1 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","229 patients","2 ","2","SCIP-INF-2 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","67 patients",,,"PN-7 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","62 patients",,,"PN-6 " "370022","JACKSON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","19 patients","1 ","1","AMI-2 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","113 patients",,,"PN-6 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370023","DUNCAN REGIONAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","169 patients",,,"PN-2 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","158 patients",,,"PN-3B " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","52 patients",,,"SCIP-CARD-2 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"HF-3 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370023","DUNCAN REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","199 patients","2 ","2","SCIP-INF-3 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","68 patients",,,"PN-4 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","165 patients","2 ","2","SCIP-VTE-1 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","208 patients","2 ","2","SCIP-INF-2 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","165 patients","2 ","2","SCIP-VTE-2 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","129 patients",,,"PN-7 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","292 patients","2 ","2","SCIP-INF-6 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","106 patients",,,"HF-2 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","155 patients",,,"PN-5C " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","77 patients",,,"HF-1 " "370023","DUNCAN REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","208 patients","2 ","2","SCIP-INF-1 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1,2 ","12","AMI-4 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","181 patients","2 ","2","SCIP-VTE-1 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","46 patients",,,"SCIP-CARD-2 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","112 patients","2 ","2","AMI-1 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","252 patients","2 ","2","SCIP-INF-3 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","269 patients","2 ","2","SCIP-INF-2 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","144 patients","2 ","2","PN-6 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","123 patients","2 ","2","PN-4 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","187 patients","2 ","2","PN-3B " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","181 patients","2 ","2","SCIP-VTE-2 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","241 patients","2 ","2","PN-2 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","69 patients","2 ","2","AMI-5 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","188 patients",,,"PN-7 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","100 patients","2 ","2","HF-3 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","213 patients","2 ","2","HF-1 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","HF-4 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","255 patients","2 ","2","PN-5C " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","62 patients","2 ","2","AMI-2 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1,2 ","12","AMI-3 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","274 patients","2 ","2","HF-2 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","419 patients","2 ","2","SCIP-INF-6 " "370025","MUSKOGEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","267 patients","2 ","2","SCIP-INF-1 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","57 patients",,,"HF-3 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","55 patients",,,"AMI-2 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","125 patients",,,"PN-7 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","109 patients",,,"HF-1 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","96 patients",,,"PN-6 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","422 patients","2 ","2","SCIP-INF-1 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","129 patients",,,"PN-3B " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","149 patients",,,"PN-5C " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","209 patients","2 ","2","SCIP-VTE-1 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-8A " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","69 patients","2 ","2","SCIP-CARD-2 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","77 patients",,,"PN-4 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","579 patients","2 ","2","SCIP-INF-6 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","422 patients","2 ","2","SCIP-INF-2 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","163 patients",,,"PN-2 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","HF-4 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","53 patients","2 ","2","SCIP-INF-4 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","58 patients",,,"AMI-5 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","412 patients","2 ","2","SCIP-INF-3 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","206 patients","2 ","2","SCIP-VTE-2 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","165 patients",,,"HF-2 " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370026","ST MARY'S REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","57 patients",,,"AMI-1 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","565 patients",,,"HF-1 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","119 patients",,,"HF-4 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","71 patients",,,"AMI-8A " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","464 patients","2 ","2","SCIP-INF-3 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","630 patients",,,"HF-2 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","224 patients","2 ","2","SCIP-VTE-2 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","107 patients","2 ","2","PN-6 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","357 patients",,,"HF-3 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","468 patients",,,"AMI-5 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","742 patients","2 ","2","SCIP-INF-6 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","224 patients","2 ","2","SCIP-VTE-1 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","525 patients","2 ","2","SCIP-INF-2 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","219 patients","2 ","2","PN-2 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","161 patients","2 ","2","SCIP-INF-4 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","203 patients","2 ","2","PN-5C " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","168 patients","2 ","2","PN-7 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","125 patients",,,"AMI-3 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","516 patients","2 ","2","SCIP-INF-1 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","91 patients","2 ","2","PN-4 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","570 patients",,,"AMI-2 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","120 patients","2 ","2","SCIP-CARD-2 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","98 patients","2 ","2","PN-3B " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","234 patients",,,"AMI-4 " "370028","INTEGRIS BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","266 patients",,,"AMI-1 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","61 patients",,,"PN-7 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","123 patients",,,"PN-5C " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","16 patients","1 ","1","SCIP-INF-3 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","55 patients",,,"HF-2 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","17 patients","1 ","1","SCIP-VTE-2 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","18 patients","1 ","1","SCIP-INF-2 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","43 patients",,,"PN-3B " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","29 patients",,,"SCIP-INF-6 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","18 patients","1 ","1","SCIP-INF-1 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","32 patients",,,"HF-3 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","84 patients",,,"PN-2 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","45 patients",,,"HF-1 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","17 patients","1 ","1","SCIP-VTE-1 " "370029","INTEGRIS CLINTON REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","84 patients",,,"PN-6 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","18 patients","1 ","1","SCIP-INF-1 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","18 patients","1 ","1","SCIP-VTE-2 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","61 patients",,,"PN-2 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","18 patients","1 ","1","SCIP-INF-3 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","57 patients",,,"PN-7 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","70 patients",,,"PN-3B " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","29 patients",,,"SCIP-INF-6 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","35 patients",,,"HF-1 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","18 patients","1 ","1","SCIP-VTE-1 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","93 patients",,,"PN-5C " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","43 patients",,,"HF-2 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","67 patients",,,"PN-6 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","18 patients","1 ","1","SCIP-INF-2 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "370030","INTEGRIS BLACKWELL REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients",,,"AMI-1 " "370032","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","293 patients",,,"SCIP-VTE-1 " "370032","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","408 patients",,,"SCIP-INF-3 " "370032","DEACONESS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","75 patients",,,"AMI-5 " "370032","DEACONESS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","94 patients",,,"AMI-2 " "370032","DEACONESS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","AMI-3 " "370032","DEACONESS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "370032","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","423 patients",,,"SCIP-INF-2 " "370032","DEACONESS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","90 patients",,,"AMI-1 " "370032","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","732 patients",,,"SCIP-INF-6 " "370032","DEACONESS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","172 patients",,,"PN-5C " "370032","DEACONESS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","34 patients",,,"HF-3 " "370032","DEACONESS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","14 patients","1 ","1","AMI-8A " "370032","DEACONESS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","181 patients",,,"PN-3B " "370032","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","286 patients",,,"SCIP-VTE-2 " "370032","DEACONESS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","175 patients",,,"PN-2 " "370032","DEACONESS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","110 patients",,,"PN-6 " "370032","DEACONESS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370032","DEACONESS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"AMI-4 " "370032","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","69 patients",,,"SCIP-CARD-2 " "370032","DEACONESS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","110 patients",,,"HF-1 " "370032","DEACONESS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","117 patients",,,"PN-7 " "370032","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","69 patients",,,"SCIP-INF-4 " "370032","DEACONESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","422 patients",,,"SCIP-INF-1 " "370032","DEACONESS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"PN-4 " "370032","DEACONESS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","147 patients",,,"HF-2 " "370034","MCALESTER REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","139 patients","2 ","2","SCIP-VTE-2 " "370034","MCALESTER REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients","2 ","2","PN-4 " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","23 patients","1 ","1","AMI-1 " "370034","MCALESTER REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","112 patients",,,"PN-7 " "370034","MCALESTER REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","90 patients",,,"HF-1 " "370034","MCALESTER REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients",,,"SCIP-CARD-2 " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","43 patients",,,"HF-3 " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","15 patients","1 ","1","AMI-5 " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","126 patients",,,"HF-2 " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "370034","MCALESTER REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","149 patients","2 ","2","PN-3B " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370034","MCALESTER REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","160 patients","2 ","2","PN-5C " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"HF-4 " "370034","MCALESTER REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","291 patients","2 ","2","SCIP-INF-3 " "370034","MCALESTER REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","141 patients","2 ","2","SCIP-VTE-1 " "370034","MCALESTER REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","296 patients","2 ","2","SCIP-INF-2 " "370034","MCALESTER REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","110 patients","2 ","2","PN-6 " "370034","MCALESTER REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","293 patients","2 ","2","SCIP-INF-1 " "370034","MCALESTER REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","171 patients","2 ","2","PN-2 " "370034","MCALESTER REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","402 patients","2 ","2","SCIP-INF-6 " "370034","MCALESTER REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "370036","HARMON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "370036","HARMON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370036","HARMON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370036","HARMON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","30%","23 patients","1,2 ","12","PN-3B " "370036","HARMON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370036","HARMON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "370036","HARMON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","38%","8 patients","1 ","1","HF-4 " "370036","HARMON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","47%","15 patients","1,2 ","12","PN-4 " "370036","HARMON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370036","HARMON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","33 patients","2 ","2","PN-7 " "370036","HARMON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370036","HARMON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "370036","HARMON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370036","HARMON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370036","HARMON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370036","HARMON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370036","HARMON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","71%","48 patients","2 ","2","PN-5C " "370036","HARMON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","53%","32 patients","2 ","2","PN-6 " "370036","HARMON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370036","HARMON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","22 patients","1 ","1","HF-1 " "370036","HARMON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","26%","27 patients",,,"HF-2 " "370036","HARMON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370036","HARMON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "370036","HARMON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","46 patients","2 ","2","PN-2 " "370036","HARMON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "370037","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","290 patients","2 ","2","SCIP-VTE-2 " "370037","ST ANTHONY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","217 patients",,,"AMI-5 " "370037","ST ANTHONY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","176 patients",,,"PN-6 " "370037","ST ANTHONY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370037","ST ANTHONY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","285 patients",,,"PN-3B " "370037","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","769 patients","2 ","2","SCIP-INF-3 " "370037","ST ANTHONY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","375 patients",,,"HF-2 " "370037","ST ANTHONY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","91 patients",,,"AMI-4 " "370037","ST ANTHONY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","230 patients",,,"PN-2 " "370037","ST ANTHONY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","328 patients",,,"HF-1 " "370037","ST ANTHONY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","218 patients",,,"PN-7 " "370037","ST ANTHONY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","93 patients",,,"HF-4 " "370037","ST ANTHONY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","268 patients",,,"PN-5C " "370037","ST ANTHONY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","172 patients",,,"PN-4 " "370037","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","817 patients","2 ","2","SCIP-INF-1 " "370037","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","176 patients","2 ","2","SCIP-CARD-2 " "370037","ST ANTHONY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"AMI-3 " "370037","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","145 patients","2 ","2","SCIP-INF-4 " "370037","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","291 patients","2 ","2","SCIP-VTE-1 " "370037","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1044 patients","2 ","2","SCIP-INF-6 " "370037","ST ANTHONY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","217 patients",,,"AMI-2 " "370037","ST ANTHONY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","136 patients",,,"AMI-1 " "370037","ST ANTHONY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","32 patients",,,"AMI-8A " "370037","ST ANTHONY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","149 patients",,,"HF-3 " "370037","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","824 patients","2 ","2","SCIP-INF-2 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370039","CLAREMORE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","113 patients",,,"PN-2 " "370039","CLAREMORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","149 patients",,,"SCIP-INF-2 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","57 patients",,,"HF-2 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "370039","CLAREMORE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","104 patients",,,"PN-6 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"HF-3 " "370039","CLAREMORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","90 patients",,,"SCIP-VTE-2 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370039","CLAREMORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","39 patients",,,"HF-1 " "370039","CLAREMORE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","159 patients",,,"PN-3B " "370039","CLAREMORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","144 patients",,,"SCIP-INF-3 " "370039","CLAREMORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","90 patients",,,"SCIP-VTE-1 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1,3 ","13","AMI-1 " "370039","CLAREMORE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","141 patients",,,"PN-5C " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "370039","CLAREMORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","187 patients",,,"SCIP-INF-6 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "370039","CLAREMORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","146 patients",,,"SCIP-INF-1 " "370039","CLAREMORE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","70 patients",,,"PN-4 " "370039","CLAREMORE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","86 patients",,,"PN-7 " "370039","CLAREMORE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370039","CLAREMORE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","115 patients",,,"PN-5C " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","37%","132 patients",,,"HF-1 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","78 patients",,,"PN-2 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","177 patients",,,"HF-2 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","22%","18 patients","1 ","1","SCIP-VTE-2 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","25 patients",,,"HF-4 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","48 patients",,,"PN-4 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","46 patients",,,"SCIP-INF-6 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","19 patients","1 ","1","SCIP-INF-3 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","75 patients",,,"PN-7 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","12 patients","1 ","1","AMI-1 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","78 patients",,,"PN-6 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","87 patients",,,"PN-3B " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","19%","21 patients","1 ","1","SCIP-VTE-1 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","57 patients",,,"HF-3 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","20 patients","1 ","1","SCIP-INF-2 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","48%","31 patients",,,"SCIP-INF-1 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "370040","EASTERN OKLAHOMA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370041","BRISTOW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "370041","BRISTOW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "370041","BRISTOW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","20 patients","1 ","1","PN-3B " "370041","BRISTOW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","31 patients",,,"PN-6 " "370041","BRISTOW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","21 patients","1 ","1","HF-1 " "370041","BRISTOW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370041","BRISTOW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370041","BRISTOW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370041","BRISTOW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370041","BRISTOW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370041","BRISTOW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "370041","BRISTOW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370041","BRISTOW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370041","BRISTOW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","18 patients","1 ","1","PN-7 " "370041","BRISTOW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370041","BRISTOW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370041","BRISTOW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "370041","BRISTOW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "370041","BRISTOW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","23 patients","1 ","1","HF-2 " "370041","BRISTOW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370041","BRISTOW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370041","BRISTOW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","36 patients",,,"PN-2 " "370041","BRISTOW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "370041","BRISTOW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370041","BRISTOW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","38 patients",,,"PN-5C " "370047","MERCY MEMORIAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","195 patients",,,"PN-5C " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","147 patients",,,"AMI-1 " "370047","MERCY MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","365 patients","2 ","2","SCIP-INF-2 " "370047","MERCY MEMORIAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","99 patients",,,"PN-4 " "370047","MERCY MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","319 patients","2 ","2","SCIP-INF-3 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"AMI-4 " "370047","MERCY MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","271 patients","2 ","2","SCIP-VTE-2 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "370047","MERCY MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","10 patients","1 ","1","AMI-7A " "370047","MERCY MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","595 patients","2 ","2","SCIP-INF-6 " "370047","MERCY MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","272 patients","2 ","2","SCIP-VTE-1 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","60 patients",,,"HF-3 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","161 patients",,,"HF-1 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","186 patients",,,"HF-2 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","125 patients",,,"AMI-5 " "370047","MERCY MEMORIAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","125 patients",,,"PN-6 " "370047","MERCY MEMORIAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","178 patients",,,"PN-2 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","133 patients",,,"AMI-2 " "370047","MERCY MEMORIAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","143 patients",,,"PN-7 " "370047","MERCY MEMORIAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","15 patients","1 ","1","AMI-8A " "370047","MERCY MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","362 patients","2 ","2","SCIP-INF-1 " "370047","MERCY MEMORIAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","177 patients",,,"PN-3B " "370047","MERCY MEMORIAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","79 patients","2 ","2","SCIP-CARD-2 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","45 patients",,,"SCIP-INF-6 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","70 patients",,,"HF-2 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","113 patients",,,"PN-5C " "370048","MCCURTAIN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","102 patients",,,"PN-2 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","37 patients",,,"SCIP-INF-2 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","HF-3 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","84 patients",,,"PN-6 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","53 patients",,,"HF-1 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","21 patients","1 ","1","SCIP-VTE-1 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","37 patients",,,"SCIP-INF-1 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","37 patients",,,"SCIP-INF-3 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","88 patients",,,"PN-7 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"PN-4 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","21 patients","1 ","1","SCIP-VTE-2 " "370048","MCCURTAIN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","76 patients",,,"PN-3B " "370049","STILLWATER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","52 patients",,,"AMI-5 " "370049","STILLWATER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "370049","STILLWATER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","31 patients",,,"HF-3 " "370049","STILLWATER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","AMI-4 " "370049","STILLWATER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","140 patients",,,"PN-3B " "370049","STILLWATER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","55 patients",,,"PN-4 " "370049","STILLWATER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "370049","STILLWATER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","87 patients",,,"PN-7 " "370049","STILLWATER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370049","STILLWATER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","64 patients",,,"AMI-1 " "370049","STILLWATER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","228 patients","2 ","2","SCIP-INF-3 " "370049","STILLWATER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","115 patients",,,"PN-2 " "370049","STILLWATER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","189 patients","2 ","2","SCIP-VTE-1 " "370049","STILLWATER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","242 patients","2 ","2","SCIP-INF-2 " "370049","STILLWATER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","354 patients","2 ","2","SCIP-INF-6 " "370049","STILLWATER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","57 patients",,,"AMI-2 " "370049","STILLWATER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","88 patients",,,"HF-2 " "370049","STILLWATER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","97 patients",,,"PN-6 " "370049","STILLWATER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "370049","STILLWATER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","131 patients",,,"PN-5C " "370049","STILLWATER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","6 patients","1 ","1","AMI-8A " "370049","STILLWATER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","56 patients",,,"SCIP-CARD-2 " "370049","STILLWATER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","65 patients",,,"HF-1 " "370049","STILLWATER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","187 patients","2 ","2","SCIP-VTE-2 " "370049","STILLWATER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","243 patients","2 ","2","SCIP-INF-1 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","24 patients","1 ","1","PN-5C " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","PN-4 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","30 patients",,,"HF-2 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","18 patients","1 ","1","PN-7 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","23 patients","1 ","1","HF-1 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1 ","1","PN-6 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","23 patients","1 ","1","PN-2 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370051","MEMORIAL HOSPITAL & PHYSICIAN GROUP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370054","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","108 patients","2 ","2","SCIP-INF-3 " "370054","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "370054","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "370054","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","111 patients","2 ","2","SCIP-INF-2 " "370054","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","146 patients",,,"PN-5C " "370054","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","68%","19 patients","1 ","1","HF-3 " "370054","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1 ","1","SCIP-CARD-2 " "370054","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","76 patients",,,"HF-2 " "370054","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "370054","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,2 ","12","AMI-1 " "370054","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","95 patients",,,"PN-7 " "370054","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","134 patients",,,"PN-3B " "370054","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370054","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2 ","2","AMI-2 " "370054","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","109 patients","2 ","2","SCIP-INF-1 " "370054","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","57 patients",,,"PN-6 " "370054","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","160 patients","2 ","2","SCIP-INF-6 " "370054","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","111 patients","2 ","2","SCIP-VTE-2 " "370054","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","65 patients",,,"PN-4 " "370054","GRADY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","124 patients",,,"PN-2 " "370054","GRADY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","112 patients","2 ","2","SCIP-VTE-1 " "370054","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "370054","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "370054","GRADY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","57 patients",,,"HF-1 " "370054","GRADY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2 ","2","AMI-5 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","147 patients",,,"AMI-1 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","74 patients","2 ","2","HF-4 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","128 patients","2 ","2","SCIP-CARD-2 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","693 patients","2 ","2","SCIP-INF-6 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","97 patients","2 ","2","PN-4 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","308 patients",,,"AMI-2 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","204 patients","2 ","2","PN-5C " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","134 patients",,,"AMI-4 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","341 patients","2 ","2","HF-2 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","424 patients","2 ","2","SCIP-INF-1 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","33 patients",,,"AMI-8A " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","146 patients","2 ","2","PN-7 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","305 patients","2 ","2","HF-1 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","297 patients",,,"AMI-5 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","55 patients",,,"AMI-3 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","262 patients","2 ","2","SCIP-VTE-1 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","262 patients","2 ","2","SCIP-VTE-2 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","422 patients","2 ","2","SCIP-INF-2 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","172 patients","2 ","2","PN-2 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","138 patients","2 ","2","PN-6 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","163 patients","2 ","2","SCIP-INF-4 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","134 patients","2 ","2","HF-3 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","404 patients","2 ","2","SCIP-INF-3 " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","170 patients","2 ","2","PN-3B " "370056","COMANCHE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370057","OKMULGEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","10 patients","1,3 ","13","SCIP-INF-6 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","40%","5 patients","1,3 ","13","AMI-5 " "370057","OKMULGEE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","63 patients",,,"PN-3B " "370057","OKMULGEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-2 " "370057","OKMULGEE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","27 patients",,,"PN-4 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","45 patients",,,"HF-1 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370057","OKMULGEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","6 patients","1,3 ","13","SCIP-INF-1 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370057","OKMULGEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","6 patients","1,3 ","13","SCIP-VTE-1 " "370057","OKMULGEE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","64 patients",,,"PN-2 " "370057","OKMULGEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "370057","OKMULGEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1 ","1","HF-4 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","65 patients",,,"HF-2 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","19 patients","1 ","1","HF-3 " "370057","OKMULGEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","6 patients","1,3 ","13","SCIP-VTE-2 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "370057","OKMULGEE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","70 patients",,,"PN-5C " "370057","OKMULGEE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1,3 ","13","SCIP-INF-3 " "370057","OKMULGEE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","46 patients",,,"PN-7 " "370057","OKMULGEE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370057","OKMULGEE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","54 patients",,,"PN-6 " "370065","CRAIG GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370065","CRAIG GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","62 patients",,,"HF-2 " "370065","CRAIG GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "370065","CRAIG GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "370065","CRAIG GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "370065","CRAIG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","24 patients","1 ","1","SCIP-INF-3 " "370065","CRAIG GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "370065","CRAIG GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","28 patients",,,"PN-3B " "370065","CRAIG GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","HF-3 " "370065","CRAIG GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370065","CRAIG GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","59 patients",,,"PN-7 " "370065","CRAIG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","3 patients","1 ","1","SCIP-VTE-1 " "370065","CRAIG GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "370065","CRAIG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","28 patients",,,"SCIP-INF-6 " "370065","CRAIG GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","111 patients",,,"PN-5C " "370065","CRAIG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "370065","CRAIG GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","75 patients",,,"PN-2 " "370065","CRAIG GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","41 patients",,,"PN-4 " "370065","CRAIG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","25 patients",,,"SCIP-INF-2 " "370065","CRAIG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","25 patients",,,"SCIP-INF-1 " "370065","CRAIG GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","86 patients",,,"PN-6 " "370065","CRAIG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","3 patients","1 ","1","SCIP-VTE-2 " "370065","CRAIG GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","54 patients",,,"HF-1 " "370065","CRAIG GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "370065","CRAIG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","23 patients","1 ","1","PN-2 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","13 patients","1 ","1","HF-1 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","10 patients","1 ","1","PN-3B " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","21 patients","1 ","1","PN-5C " "370072","LATIMER COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","15 patients","1 ","1","PN-6 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","17 patients","1 ","1","PN-7 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,3 ","13","AMI-7A " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","15 patients","1 ","1","HF-2 " "370072","LATIMER COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","146 patients","2 ","2","SCIP-VTE-1 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","124 patients",,,"PN-5C " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","145 patients","2 ","2","SCIP-VTE-2 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","25 patients",,,"AMI-3 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","14 patients","1 ","1","AMI-8A " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"AMI-4 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","230 patients","2 ","2","SCIP-INF-2 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","68 patients",,,"PN-2 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","229 patients","2 ","2","SCIP-INF-1 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","69 patients","2 ","2","SCIP-INF-4 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","73 patients",,,"HF-3 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","163 patients",,,"HF-2 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","84 patients",,,"PN-7 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","325 patients","2 ","2","SCIP-INF-6 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","123 patients",,,"AMI-2 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","77 patients",,,"AMI-1 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","214 patients","2 ","2","SCIP-INF-3 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","49 patients","2 ","2","SCIP-CARD-2 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","94 patients",,,"PN-4 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","147 patients",,,"HF-1 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","87 patients",,,"PN-6 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","114 patients",,,"AMI-5 " "370078","OKLAHOMA STATE UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","108 patients",,,"PN-3B " "370080","SHARE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370080","SHARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "370080","SHARE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "370080","SHARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370080","SHARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "370080","SHARE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","50 patients",,,"PN-2 " "370080","SHARE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "370080","SHARE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","13 patients","1 ","1","HF-1 " "370080","SHARE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","44 patients",,,"PN-5C " "370080","SHARE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "370080","SHARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "370080","SHARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "370080","SHARE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","25 patients",,,"PN-3B " "370080","SHARE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "370080","SHARE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "370080","SHARE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","32 patients",,,"PN-6 " "370080","SHARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "370080","SHARE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","56%","9 patients","1 ","1","PN-4 " "370080","SHARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "370080","SHARE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","1 patients","1,3 ","13","SCIP-INF-6 " "370080","SHARE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370080","SHARE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370080","SHARE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","30 patients",,,"PN-7 " "370080","SHARE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","18 patients","1 ","1","HF-2 " "370080","SHARE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","8 patients","1 ","1","SCIP-INF-1 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","35 patients",,,"HF-1 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","9 patients","1 ","1","SCIP-VTE-1 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","47 patients",,,"PN-3B " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","46 patients",,,"PN-7 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","49 patients",,,"HF-2 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","44%","9 patients","1 ","1","SCIP-INF-2 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","69 patients",,,"PN-5C " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","9 patients","1 ","1","SCIP-VTE-2 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","52 patients",,,"PN-2 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","46 patients",,,"PN-6 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","8 patients","1 ","1","SCIP-INF-3 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","73%","11 patients","1 ","1","SCIP-INF-6 " "370083","PUSHMATAHA CTY-TN OF ANTLERS HOSP AUTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","73%","15 patients","1,2 ","12","PN-3B " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2 ","12","AMI-4 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","AMI-3 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","77 patients","2 ","2","PN-2 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","23 patients","1,2 ","12","HF-1 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","31 patients","2 ","2","PN-4 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","55 patients","2 ","2","PN-7 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,2 ","12","AMI-5 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","HF-4 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1,2 ","12","HF-3 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","70 patients","2 ","2","PN-5C " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,2 ","12","AMI-2 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,"0 patients","3 ","3","SCIP-INF-6 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","84 patients","2 ","2","PN-6 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,2 ","12","AMI-1 " "370084","HASKELL COUNTY HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","52%","29 patients","2 ","2","HF-2 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370089","TAHLEQUAH CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","263 patients",,,"SCIP-INF-2 " "370089","TAHLEQUAH CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","98 patients",,,"PN-7 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","46 patients",,,"AMI-2 " "370089","TAHLEQUAH CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","97 patients",,,"PN-3B " "370089","TAHLEQUAH CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","116 patients",,,"SCIP-VTE-1 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","106 patients",,,"HF-2 " "370089","TAHLEQUAH CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","65 patients",,,"PN-4 " "370089","TAHLEQUAH CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","339 patients",,,"SCIP-INF-6 " "370089","TAHLEQUAH CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","84 patients",,,"SCIP-INF-4 " "370089","TAHLEQUAH CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","114 patients",,,"SCIP-VTE-2 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","AMI-4 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","30 patients",,,"AMI-1 " "370089","TAHLEQUAH CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","260 patients",,,"SCIP-INF-1 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","42 patients",,,"AMI-5 " "370089","TAHLEQUAH CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","75 patients",,,"SCIP-CARD-2 " "370089","TAHLEQUAH CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","138 patients",,,"PN-2 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","91 patients",,,"HF-1 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370089","TAHLEQUAH CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","HF-4 " "370089","TAHLEQUAH CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","152 patients",,,"PN-5C " "370089","TAHLEQUAH CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","231 patients",,,"SCIP-INF-3 " "370089","TAHLEQUAH CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","45 patients",,,"HF-3 " "370089","TAHLEQUAH CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","80 patients",,,"PN-6 " "370091","SAINT FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","2014 patients","2 ","2","SCIP-INF-2 " "370091","SAINT FRANCIS HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","730 patients",,,"PN-3B " "370091","SAINT FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","341 patients","2 ","2","SCIP-CARD-2 " "370091","SAINT FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2343 patients","2 ","2","SCIP-INF-6 " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","643 patients",,,"HF-1 " "370091","SAINT FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","322 patients","2 ","2","SCIP-INF-4 " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","454 patients",,,"AMI-1 " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","797 patients",,,"AMI-2 " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","103 patients",,,"AMI-8A " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","280 patients",,,"HF-3 " "370091","SAINT FRANCIS HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","765 patients",,,"PN-2 " "370091","SAINT FRANCIS HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","327 patients",,,"PN-4 " "370091","SAINT FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","934 patients","2 ","2","SCIP-VTE-1 " "370091","SAINT FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","928 patients","2 ","2","SCIP-VTE-2 " "370091","SAINT FRANCIS HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","578 patients",,,"PN-7 " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","143 patients",,,"AMI-3 " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","314 patients",,,"AMI-4 " "370091","SAINT FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","1993 patients","2 ","2","SCIP-INF-1 " "370091","SAINT FRANCIS HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","824 patients",,,"PN-5C " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","793 patients",,,"AMI-5 " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","759 patients",,,"HF-2 " "370091","SAINT FRANCIS HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","1962 patients","2 ","2","SCIP-INF-3 " "370091","SAINT FRANCIS HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","468 patients",,,"PN-6 " "370091","SAINT FRANCIS HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","133 patients",,,"HF-4 " "370093","O U MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"AMI-4 " "370093","O U MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","122 patients",,,"HF-3 " "370093","O U MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370093","O U MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","27 patients",,,"AMI-8A " "370093","O U MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","398 patients","2 ","2","SCIP-INF-2 " "370093","O U MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","252 patients",,,"CAC-1 " "370093","O U MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","74 patients","2 ","2","SCIP-CARD-2 " "370093","O U MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","111 patients",,,"AMI-5 " "370093","O U MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","366 patients","2 ","2","SCIP-INF-3 " "370093","O U MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","252 patients",,,"CAC-2 " "370093","O U MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","94 patients",,,"AMI-1 " "370093","O U MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","169 patients",,,"PN-3B " "370093","O U MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","233 patients",,,"HF-1 " "370093","O U MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","612 patients","2 ","2","SCIP-INF-6 " "370093","O U MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","111 patients",,,"PN-4 " "370093","O U MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","344 patients","2 ","2","SCIP-VTE-1 " "370093","O U MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","70 patients","2 ","2","SCIP-INF-4 " "370093","O U MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","74 patients",,,"PN-6 " "370093","O U MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","392 patients","2 ","2","SCIP-INF-1 " "370093","O U MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","122 patients",,,"AMI-2 " "370093","O U MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","93 patients",,,"PN-7 " "370093","O U MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients",,,"AMI-3 " "370093","O U MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","344 patients","2 ","2","SCIP-VTE-2 " "370093","O U MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","263 patients",,,"HF-2 " "370093","O U MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","81 patients",,,"PN-2 " "370093","O U MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","68%","253 patients",,,"CAC-3 " "370093","O U MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","141 patients",,,"PN-5C " "370093","O U MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"HF-4 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","242 patients",,,"PN-2 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","437 patients",,,"HF-2 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","376 patients",,,"HF-1 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","524 patients","2 ","2","SCIP-INF-2 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","47 patients",,,"AMI-8A " "370094","MIDWEST REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","44 patients",,,"CAC-2 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","295 patients",,,"AMI-2 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","329 patients","2 ","2","SCIP-VTE-2 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","296 patients",,,"PN-3B " "370094","MIDWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","524 patients","2 ","2","SCIP-INF-1 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","500 patients","2 ","2","SCIP-INF-3 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","44 patients",,,"CAC-1 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","83%","42 patients",,,"CAC-3 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"HF-4 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","110 patients","2 ","2","SCIP-CARD-2 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","204 patients",,,"PN-7 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","336 patients",,,"PN-5C " "370094","MIDWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","142 patients",,,"PN-4 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","330 patients","2 ","2","SCIP-VTE-1 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","312 patients",,,"AMI-1 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","872 patients","2 ","2","SCIP-INF-6 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","283 patients",,,"AMI-5 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","124 patients",,,"AMI-4 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","235 patients",,,"PN-6 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","167 patients","2 ","2","SCIP-INF-4 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","52 patients",,,"AMI-3 " "370094","MIDWEST REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","137 patients",,,"HF-3 " "370097","SOUTHWESTERN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","71 patients",,,"PN-6 " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "370097","SOUTHWESTERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","213 patients","2 ","2","SCIP-INF-6 " "370097","SOUTHWESTERN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","99 patients",,,"PN-5C " "370097","SOUTHWESTERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","131 patients","2 ","2","SCIP-INF-1 " "370097","SOUTHWESTERN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","85 patients",,,"PN-3B " "370097","SOUTHWESTERN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","34 patients",,,"PN-4 " "370097","SOUTHWESTERN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","67 patients",,,"PN-7 " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "370097","SOUTHWESTERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","96 patients","2 ","2","SCIP-VTE-2 " "370097","SOUTHWESTERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","24 patients","1,2 ","12","SCIP-CARD-2 " "370097","SOUTHWESTERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","130 patients","2 ","2","SCIP-INF-2 " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","13 patients","1 ","1","HF-4 " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","44 patients",,,"HF-1 " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","54 patients",,,"HF-2 " "370097","SOUTHWESTERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","98 patients","2 ","2","SCIP-VTE-1 " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "370097","SOUTHWESTERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","125 patients","2 ","2","SCIP-INF-3 " "370097","SOUTHWESTERN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","84 patients",,,"PN-2 " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370097","SOUTHWESTERN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1 ","1","AMI-1 " "370097","SOUTHWESTERN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370099","CUSHING REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","70 patients",,,"SCIP-INF-1 " "370099","CUSHING REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","100 patients",,,"PN-2 " "370099","CUSHING REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","144 patients",,,"PN-5C " "370099","CUSHING REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "370099","CUSHING REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","27 patients",,,"HF-1 " "370099","CUSHING REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1 ","1","SCIP-CARD-2 " "370099","CUSHING REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "370099","CUSHING REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","81 patients",,,"PN-7 " "370099","CUSHING REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","87 patients",,,"PN-6 " "370099","CUSHING REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","104 patients",,,"SCIP-INF-6 " "370099","CUSHING REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370099","CUSHING REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","40%","5 patients","1 ","1","AMI-2 " "370099","CUSHING REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370099","CUSHING REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "370099","CUSHING REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","38%","8 patients","1 ","1","HF-3 " "370099","CUSHING REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","68 patients",,,"SCIP-INF-3 " "370099","CUSHING REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","70 patients",,,"SCIP-INF-2 " "370099","CUSHING REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","63 patients",,,"SCIP-VTE-1 " "370099","CUSHING REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370099","CUSHING REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","43 patients",,,"HF-2 " "370099","CUSHING REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1 ","1","AMI-1 " "370099","CUSHING REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "370099","CUSHING REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"PN-4 " "370099","CUSHING REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","63 patients",,,"SCIP-VTE-2 " "370099","CUSHING REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","126 patients",,,"PN-3B " "370100","CHOCTAW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","3 patients","1,2,3 ","123","SCIP-VTE-1 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","14%","77 patients","2 ","2","HF-1 " "370100","CHOCTAW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","3 patients","1,2,3 ","123","SCIP-VTE-2 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "370100","CHOCTAW MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","72%","36 patients","2 ","2","PN-5C " "370100","CHOCTAW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,2,3 ","123","SCIP-INF-2 " "370100","CHOCTAW MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","40 patients","2 ","2","PN-6 " "370100","CHOCTAW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "370100","CHOCTAW MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","45%","33 patients","2 ","2","PN-2 " "370100","CHOCTAW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,2,3 ","123","SCIP-INF-1 " "370100","CHOCTAW MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","33%","9 patients","1,2 ","12","PN-3B " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,2,3 ","123","AMI-5 " "370100","CHOCTAW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2,3 ","23","SCIP-CARD-2 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","37%","19 patients","1,2 ","12","HF-4 " "370100","CHOCTAW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,2,3 ","123","SCIP-INF-3 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2,3 ","123","AMI-7A " "370100","CHOCTAW MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","75%","4 patients","1,2,3 ","123","SCIP-INF-6 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","39%","107 patients","2 ","2","HF-2 " "370100","CHOCTAW MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","16 patients","1,2 ","12","PN-4 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","HF-3 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,2,3 ","123","AMI-1 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","2 patients","1,2,3 ","123","AMI-2 " "370100","CHOCTAW MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","42%","19 patients","1,2 ","12","PN-7 " "370100","CHOCTAW MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,2,3 ","123","AMI-4 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","94 patients",,,"PN-5C " "370103","SAYRE MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","15 patients","1 ","1","PN-3B " "370103","SAYRE MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","61 patients",,,"PN-6 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","56%","9 patients","1 ","1","AMI-5 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","46 patients",,,"PN-7 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","12 patients","1 ","1","AMI-1 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","35 patients",,,"HF-1 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","35%","48 patients",,,"HF-2 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","HF-3 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","29 patients",,,"PN-4 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1 ","1","HF-4 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370103","SAYRE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370103","SAYRE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","60 patients",,,"PN-2 " "370103","SAYRE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","199 patients","2 ","2","SCIP-VTE-2 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","344 patients",,,"HF-1 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","227 patients","2 ","2","PN-2 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","205 patients",,,"HF-3 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","263 patients",,,"AMI-2 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","225 patients",,,"AMI-5 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","566 patients","2 ","2","SCIP-INF-6 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","54 patients",,,"AMI-3 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","188 patients","2 ","2","PN-7 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","413 patients",,,"HF-2 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","155 patients","2 ","2","PN-6 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","85 patients","2 ","2","SCIP-CARD-2 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","165 patients","2 ","2","PN-4 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","207 patients","2 ","2","PN-3B " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","200 patients","2 ","2","SCIP-VTE-1 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","346 patients","2 ","2","SCIP-INF-3 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","366 patients","2 ","2","SCIP-INF-1 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","125 patients",,,"AMI-4 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","97 patients","2 ","2","SCIP-INF-4 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","257 patients",,,"AMI-1 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","114 patients",,,"HF-4 " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","40 patients",,,"AMI-8A " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","290 patients","2 ","2","PN-5C " "370106","INTEGRIS SOUTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","370 patients","2 ","2","SCIP-INF-2 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","79 patients",,,"PN-5C " "370112","SEQUOYAH MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","54 patients",,,"PN-7 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370112","SEQUOYAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","36 patients",,,"HF-2 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","57 patients",,,"PN-6 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","22 patients","1 ","1","HF-1 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370112","SEQUOYAH MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","51 patients",,,"PN-3B " "370112","SEQUOYAH MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","63 patients",,,"PN-2 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370112","SEQUOYAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","76 patients",,,"PN-6 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","82 patients",,,"SCIP-VTE-2 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","23 patients","1 ","1","SCIP-CARD-2 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","41 patients",,,"AMI-5 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","67 patients",,,"HF-1 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","70 patients",,,"PN-7 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","AMI-3 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","47 patients",,,"AMI-1 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","41 patients",,,"PN-4 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","111 patients",,,"SCIP-INF-1 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","31 patients",,,"HF-3 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","88 patients",,,"HF-2 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","117 patients",,,"PN-3B " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","109 patients",,,"SCIP-INF-3 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","43 patients",,,"AMI-2 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","82 patients",,,"SCIP-VTE-1 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","111 patients",,,"PN-5C " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-8A " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","113 patients",,,"SCIP-INF-2 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","100 patients",,,"PN-2 " "370113","INTEGRIS GROVE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","155 patients",,,"SCIP-INF-6 " "370114","ST JOHN MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","654 patients",,,"AMI-2 " "370114","ST JOHN MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","397 patients","2 ","2","PN-2 " "370114","ST JOHN MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","320 patients","2 ","2","PN-3B " "370114","ST JOHN MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370114","ST JOHN MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","107 patients",,,"HF-4 " "370114","ST JOHN MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","580 patients",,,"HF-2 " "370114","ST JOHN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","880 patients","2 ","2","SCIP-VTE-1 " "370114","ST JOHN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","2326 patients","2 ","2","SCIP-INF-3 " "370114","ST JOHN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","358 patients","2 ","2","SCIP-INF-4 " "370114","ST JOHN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2398 patients","2 ","2","SCIP-INF-2 " "370114","ST JOHN MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","241 patients",,,"HF-3 " "370114","ST JOHN MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","642 patients",,,"AMI-5 " "370114","ST JOHN MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","108 patients",,,"AMI-8A " "370114","ST JOHN MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","218 patients","2 ","2","PN-4 " "370114","ST JOHN MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","311 patients","2 ","2","PN-7 " "370114","ST JOHN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","339 patients","2 ","2","SCIP-CARD-2 " "370114","ST JOHN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","2373 patients","2 ","2","SCIP-INF-1 " "370114","ST JOHN MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","233 patients",,,"AMI-4 " "370114","ST JOHN MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","439 patients","2 ","2","PN-5C " "370114","ST JOHN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","73%","2708 patients","2 ","2","SCIP-INF-6 " "370114","ST JOHN MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","468 patients",,,"HF-1 " "370114","ST JOHN MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","452 patients",,,"AMI-1 " "370114","ST JOHN MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","340 patients","2 ","2","PN-6 " "370114","ST JOHN MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","135 patients",,,"AMI-3 " "370114","ST JOHN MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","877 patients","2 ","2","SCIP-VTE-2 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "37012F","MUSKOGEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "37012F","MUSKOGEE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","122 patients",,,"PN-5C " "37012F","MUSKOGEE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","124 patients",,,"PN-2 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "37012F","MUSKOGEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","65 patients","2 ","2","SCIP-INF-6 " "37012F","MUSKOGEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","24 patients","1 ","1","SCIP-INF-2 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","171 patients",,,"HF-2 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","100 patients",,,"HF-3 " "37012F","MUSKOGEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","23 patients","1 ","1","SCIP-INF-1 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "37012F","MUSKOGEE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","75 patients",,,"PN-6 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "37012F","MUSKOGEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","53 patients","2 ","2","SCIP-VTE-2 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"HF-4 " "37012F","MUSKOGEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","53 patients","2 ","2","SCIP-VTE-1 " "37012F","MUSKOGEE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","149 patients",,,"HF-1 " "37012F","MUSKOGEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1,2 ","12","SCIP-CARD-2 " "37012F","MUSKOGEE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "37012F","MUSKOGEE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","111 patients",,,"PN-7 " "37012F","MUSKOGEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","19 patients","1 ","1","SCIP-INF-3 " "37012F","MUSKOGEE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","142 patients",,,"PN-3B " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","6 patients","1,3 ","13","HF-1 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","23 patients","1 ","1","SCIP-INF-1 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","55%","11 patients","1 ","1","SCIP-VTE-2 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","34 patients",,,"PN-7 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","20 patients","1 ","1","SCIP-INF-3 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","55%","11 patients","1 ","1","SCIP-VTE-1 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","55 patients",,,"PN-6 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1 ","1","PN-3B " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","47 patients",,,"PN-2 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,3 ","13","HF-2 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","60 patients",,,"PN-5C " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","23 patients","1 ","1","SCIP-INF-2 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","26 patients",,,"SCIP-INF-6 " "370138","MEMORIAL HOSPITAL OF TEXAS COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "370139","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "370139","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "370139","PERRY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","65%","17 patients","1 ","1","HF-2 " "370139","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","37 patients",,,"PN-6 " "370139","PERRY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "370139","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "370139","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,3 ","13","SCIP-CARD-2 " "370139","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","52 patients",,,"PN-5C " "370139","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370139","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "370139","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370139","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "370139","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "370139","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","53 patients",,,"PN-2 " "370139","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","22%","9 patients","1 ","1","PN-4 " "370139","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "370139","PERRY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","45%","11 patients","1 ","1","HF-1 " "370139","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370139","PERRY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "370139","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "370139","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "370139","PERRY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","38 patients",,,"PN-7 " "370139","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "370139","PERRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "370139","PERRY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370148","EDMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370148","EDMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","176 patients","2 ","2","SCIP-INF-1 " "370148","EDMOND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370148","EDMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","177 patients","2 ","2","SCIP-INF-2 " "370148","EDMOND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "370148","EDMOND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","73 patients",,,"PN-3B " "370148","EDMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","162 patients","2 ","2","SCIP-INF-3 " "370148","EDMOND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","53 patients",,,"PN-2 " "370148","EDMOND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","61 patients",,,"HF-2 " "370148","EDMOND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","64 patients",,,"PN-5C " "370148","EDMOND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","41 patients",,,"PN-7 " "370148","EDMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","318 patients","2 ","2","SCIP-INF-6 " "370148","EDMOND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "370148","EDMOND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","37 patients",,,"PN-6 " "370148","EDMOND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","38 patients",,,"HF-1 " "370148","EDMOND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "370148","EDMOND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "370148","EDMOND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370148","EDMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","179 patients","2 ","2","SCIP-VTE-1 " "370148","EDMOND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-8A " "370148","EDMOND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "370148","EDMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients","2 ","2","SCIP-CARD-2 " "370148","EDMOND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "370148","EDMOND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "370148","EDMOND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","179 patients","2 ","2","SCIP-VTE-2 " "370149","UNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","237 patients","2 ","2","SCIP-INF-3 " "370149","UNITY HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","45 patients",,,"AMI-5 " "370149","UNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","254 patients","2 ","2","SCIP-INF-2 " "370149","UNITY HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","89 patients",,,"PN-4 " "370149","UNITY HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","152 patients",,,"PN-2 " "370149","UNITY HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","124 patients",,,"PN-7 " "370149","UNITY HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "370149","UNITY HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","176 patients",,,"PN-5C " "370149","UNITY HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","193 patients",,,"PN-3B " "370149","UNITY HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370149","UNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","233 patients","2 ","2","SCIP-VTE-1 " "370149","UNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","31 patients",,,"SCIP-CARD-2 " "370149","UNITY HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","130 patients",,,"PN-6 " "370149","UNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370149","UNITY HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "370149","UNITY HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-7A " "370149","UNITY HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","49 patients",,,"AMI-2 " "370149","UNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","254 patients","2 ","2","SCIP-INF-1 " "370149","UNITY HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","56 patients",,,"HF-3 " "370149","UNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","232 patients","2 ","2","SCIP-VTE-2 " "370149","UNITY HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "370149","UNITY HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","377 patients","2 ","2","SCIP-INF-6 " "370149","UNITY HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","115 patients",,,"HF-2 " "370149","UNITY HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","96 patients",,,"HF-1 " "370149","UNITY HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","82 patients",,,"AMI-1 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","165 patients",,,"HF-1 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","27 patients",,,"AMI-3 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","146 patients",,,"PN-2 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","135 patients","2 ","2","SCIP-INF-4 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","55%","20 patients","1 ","1","AMI-8A " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","313 patients","2 ","2","SCIP-CARD-2 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","174 patients",,,"PN-5C " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","344 patients","2 ","2","SCIP-VTE-2 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","345 patients","2 ","2","SCIP-VTE-1 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","95 patients",,,"AMI-2 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","84 patients",,,"HF-3 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","117 patients",,,"PN-6 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","549 patients",,,"SCIP-INF-2 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","532 patients",,,"SCIP-INF-3 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","103 patients",,,"PN-4 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","551 patients",,,"SCIP-INF-1 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","649 patients","2 ","2","SCIP-INF-6 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"HF-4 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","99 patients",,,"AMI-1 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","86 patients",,,"AMI-5 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","131 patients",,,"PN-7 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","187 patients",,,"PN-3B " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","182 patients",,,"HF-2 " "37014F","OKLAHOMA CITY VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "370153","ELKVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients",,,"SCIP-INF-6 " "370153","ELKVIEW GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "370153","ELKVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","21 patients","1 ","1","SCIP-INF-2 " "370153","ELKVIEW GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","20 patients","1 ","1","PN-3B " "370153","ELKVIEW GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "370153","ELKVIEW GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","33 patients",,,"PN-7 " "370153","ELKVIEW GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","31 patients",,,"HF-2 " "370153","ELKVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","13 patients","1 ","1","SCIP-VTE-1 " "370153","ELKVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370153","ELKVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","22 patients","1 ","1","SCIP-INF-1 " "370153","ELKVIEW GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370153","ELKVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","13 patients","1 ","1","SCIP-VTE-2 " "370153","ELKVIEW GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "370153","ELKVIEW GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1,3 ","13","AMI-1 " "370153","ELKVIEW GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","25 patients",,,"HF-1 " "370153","ELKVIEW GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "370153","ELKVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "370153","ELKVIEW GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","47 patients",,,"PN-6 " "370153","ELKVIEW GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","21 patients","1 ","1","SCIP-INF-3 " "370153","ELKVIEW GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370153","ELKVIEW GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","57 patients",,,"PN-5C " "370153","ELKVIEW GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "370153","ELKVIEW GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "370153","ELKVIEW GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","38 patients",,,"PN-2 " "370153","ELKVIEW GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "370156","PAULS VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-2 " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370156","PAULS VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370156","PAULS VALLEY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","54 patients",,,"PN-3B " "370156","PAULS VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","78 patients",,,"HF-2 " "370156","PAULS VALLEY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","50 patients",,,"PN-6 " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "370156","PAULS VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","17 patients","1 ","1","SCIP-VTE-2 " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370156","PAULS VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","11 patients","1 ","1","SCIP-INF-3 " "370156","PAULS VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","17 patients","1 ","1","SCIP-VTE-1 " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","56 patients",,,"HF-1 " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "370156","PAULS VALLEY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","80 patients",,,"PN-2 " "370156","PAULS VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-1 " "370156","PAULS VALLEY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","82 patients",,,"PN-5C " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","HF-3 " "370156","PAULS VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","30 patients",,,"SCIP-INF-6 " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "370156","PAULS VALLEY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"PN-4 " "370156","PAULS VALLEY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","69 patients",,,"PN-7 " "370156","PAULS VALLEY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "370158","PURCELL MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,2,3 ","123","SCIP-INF-6 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","34 patients",,,"HF-1 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "370158","PURCELL MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","26 patients",,,"PN-3B " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "370158","PURCELL MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370158","PURCELL MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","63 patients",,,"PN-7 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "370158","PURCELL MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","26 patients",,,"PN-4 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","38 patients",,,"HF-2 " "370158","PURCELL MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,2,3 ","123","SCIP-INF-3 " "370158","PURCELL MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,2,3 ","123","SCIP-VTE-1 " "370158","PURCELL MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,2,3 ","123","SCIP-INF-1 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370158","PURCELL MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,2,3 ","123","SCIP-INF-2 " "370158","PURCELL MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","95 patients",,,"PN-5C " "370158","PURCELL MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,2,3 ","123","SCIP-VTE-2 " "370158","PURCELL MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","44%","77 patients",,,"PN-2 " "370158","PURCELL MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","58 patients",,,"PN-6 " "370158","PURCELL MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370158","PURCELL MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2,3 ","23","SCIP-CARD-2 " "370166","WAGONER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","26 patients","3 ","3","SCIP-INF-2 " "370166","WAGONER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","40 patients","2 ","2","HF-1 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","73%","37 patients","2 ","2","HF-2 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1,2 ","12","HF-3 " "370166","WAGONER COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "370166","WAGONER COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","20 patients","1 ","1","PN-2 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1 ","1","AMI-1 " "370166","WAGONER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","26 patients","3 ","3","SCIP-INF-3 " "370166","WAGONER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","26 patients","3 ","3","SCIP-INF-6 " "370166","WAGONER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","12 patients","1,3 ","13","SCIP-VTE-2 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370166","WAGONER COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","30 patients",,,"PN-6 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1,2 ","12","HF-4 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370166","WAGONER COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","15 patients","1 ","1","PN-3B " "370166","WAGONER COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370166","WAGONER COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","17 patients","1 ","1","PN-7 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "370166","WAGONER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370166","WAGONER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","12 patients","1,3 ","13","SCIP-VTE-1 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "370166","WAGONER COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","27 patients",,,"PN-5C " "370166","WAGONER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","26 patients","3 ","3","SCIP-INF-1 " "370166","WAGONER COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "370169","EPIC MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "370169","EPIC MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "370169","EPIC MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "370169","EPIC MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370169","EPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-1 " "370169","EPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370169","EPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "370169","EPIC MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","3 patients","1,3 ","13","PN-6 " "370169","EPIC MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,3 ","13","PN-3B " "370169","EPIC MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","2 patients","1,3 ","13","HF-2 " "370169","EPIC MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","3 patients","1,3 ","13","PN-2 " "370169","EPIC MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370169","EPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "370169","EPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "370169","EPIC MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "370169","EPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "370169","EPIC MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370169","EPIC MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "370169","EPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "370169","EPIC MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370169","EPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "370169","EPIC MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "370169","EPIC MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "370169","EPIC MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","3 ","3","PN-7 " "370169","EPIC MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","3 patients","1,3 ","13","HF-1 " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370170","USPHS LAWTON INDIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1,3 ","13","PN-4 " "370170","USPHS LAWTON INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1 ","1","SCIP-INF-1 " "370170","USPHS LAWTON INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370170","USPHS LAWTON INDIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","56%","9 patients","1,3 ","13","PN-3B " "370170","USPHS LAWTON INDIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","11 patients","1,3 ","13","PN-5C " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "370170","USPHS LAWTON INDIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","8 patients","1 ","1","PN-7 " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370170","USPHS LAWTON INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","2 patients","1 ","1","SCIP-VTE-1 " "370170","USPHS LAWTON INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","8 patients","1 ","1","SCIP-INF-6 " "370170","USPHS LAWTON INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","2 patients","1 ","1","SCIP-INF-2 " "370170","USPHS LAWTON INDIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","12 patients","1,3 ","13","PN-6 " "370170","USPHS LAWTON INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1 ","1","SCIP-INF-3 " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","3 patients","1,3 ","13","HF-2 " "370170","USPHS LAWTON INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","2 patients","1 ","1","SCIP-VTE-2 " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "370170","USPHS LAWTON INDIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370170","USPHS LAWTON INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370170","USPHS LAWTON INDIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","4 patients","1,3 ","13","PN-2 " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370171","W W HASTINGS INDIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","63%","35 patients",,,"PN-4 " "370171","W W HASTINGS INDIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","73 patients",,,"PN-6 " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","33 patients",,,"HF-2 " "370171","W W HASTINGS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","102 patients",,,"SCIP-INF-6 " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","31 patients",,,"HF-1 " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370171","W W HASTINGS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","66%","61 patients",,,"SCIP-INF-1 " "370171","W W HASTINGS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","53 patients",,,"SCIP-INF-3 " "370171","W W HASTINGS INDIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","93 patients",,,"PN-5C " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "370171","W W HASTINGS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","48 patients",,,"SCIP-VTE-2 " "370171","W W HASTINGS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","57 patients",,,"SCIP-INF-2 " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "370171","W W HASTINGS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370171","W W HASTINGS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "370171","W W HASTINGS INDIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","52%","48 patients",,,"PN-7 " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "370171","W W HASTINGS INDIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "370171","W W HASTINGS INDIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","38 patients",,,"PN-2 " "370171","W W HASTINGS INDIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","91 patients",,,"PN-3B " "370171","W W HASTINGS INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","48 patients",,,"SCIP-VTE-1 " "370172","CHOCTAW NATION HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","23 patients","1 ","1","SCIP-INF-6 " "370172","CHOCTAW NATION HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "370172","CHOCTAW NATION HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1 ","1","PN-6 " "370172","CHOCTAW NATION HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370172","CHOCTAW NATION HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","18 patients","1 ","1","SCIP-INF-1 " "370172","CHOCTAW NATION HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","5 patients","1 ","1","PN-7 " "370172","CHOCTAW NATION HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "370172","CHOCTAW NATION HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "370172","CHOCTAW NATION HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","20%","10 patients","1 ","1","PN-2 " "370172","CHOCTAW NATION HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1 ","1","PN-4 " "370172","CHOCTAW NATION HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1 ","1","PN-3B " "370172","CHOCTAW NATION HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "370172","CHOCTAW NATION HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","29%","7 patients","1 ","1","SCIP-VTE-1 " "370172","CHOCTAW NATION HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370172","CHOCTAW NATION HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","17 patients","1 ","1","SCIP-INF-2 " "370172","CHOCTAW NATION HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370172","CHOCTAW NATION HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1 ","1","PN-5C " "370172","CHOCTAW NATION HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","14 patients","1 ","1","HF-2 " "370172","CHOCTAW NATION HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370172","CHOCTAW NATION HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","17 patients","1 ","1","SCIP-INF-3 " "370172","CHOCTAW NATION HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370172","CHOCTAW NATION HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","29%","7 patients","1 ","1","SCIP-VTE-2 " "370172","CHOCTAW NATION HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "370172","CHOCTAW NATION HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","54%","13 patients","1 ","1","HF-1 " "370172","CHOCTAW NATION HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "370173","CLAREMORE INDIAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","38 patients",,,"PN-6 " "370173","CLAREMORE INDIAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","19 patients","1 ","1","PN-4 " "370173","CLAREMORE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","6 patients","1,2 ","12","SCIP-CARD-2 " "370173","CLAREMORE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","35 patients","2 ","2","SCIP-VTE-1 " "370173","CLAREMORE INDIAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","21 patients","1 ","1","PN-2 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "370173","CLAREMORE INDIAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","42 patients",,,"PN-5C " "370173","CLAREMORE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","90 patients","2 ","2","SCIP-INF-2 " "370173","CLAREMORE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","90 patients","2 ","2","SCIP-INF-1 " "370173","CLAREMORE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","88 patients","2 ","2","SCIP-INF-3 " "370173","CLAREMORE INDIAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","44 patients",,,"PN-3B " "370173","CLAREMORE INDIAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","55%","11 patients","1 ","1","HF-3 " "370173","CLAREMORE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","116 patients","2 ","2","SCIP-INF-6 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","34 patients",,,"HF-2 " "370173","CLAREMORE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "370173","CLAREMORE INDIAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","24 patients","1 ","1","PN-7 " "370173","CLAREMORE INDIAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","30 patients",,,"HF-1 " "370173","CLAREMORE INDIAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","35 patients","2 ","2","SCIP-VTE-2 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370178","MEMORIAL HOSPITAL OF STILWELL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","34 patients",,,"PN-7 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","10 patients","1 ","1","AMI-1 " "370178","MEMORIAL HOSPITAL OF STILWELL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","40 patients",,,"PN-3B " "370178","MEMORIAL HOSPITAL OF STILWELL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","48 patients",,,"PN-2 " "370178","MEMORIAL HOSPITAL OF STILWELL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","80 patients",,,"PN-5C " "370178","MEMORIAL HOSPITAL OF STILWELL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","17 patients","1 ","1","SCIP-INF-3 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","52 patients",,,"HF-2 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","44 patients",,,"HF-1 " "370178","MEMORIAL HOSPITAL OF STILWELL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","24 patients","1 ","1","SCIP-INF-6 " "370178","MEMORIAL HOSPITAL OF STILWELL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","24%","17 patients","1 ","1","SCIP-INF-1 " "370178","MEMORIAL HOSPITAL OF STILWELL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","14 patients","1 ","1","SCIP-VTE-2 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","10 patients","1 ","1","AMI-5 " "370178","MEMORIAL HOSPITAL OF STILWELL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","18 patients","1 ","1","SCIP-INF-2 " "370178","MEMORIAL HOSPITAL OF STILWELL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","47 patients",,,"PN-6 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","HF-4 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "370178","MEMORIAL HOSPITAL OF STILWELL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","14 patients","1 ","1","SCIP-VTE-1 " "370178","MEMORIAL HOSPITAL OF STILWELL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","28 patients",,,"PN-4 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370178","MEMORIAL HOSPITAL OF STILWELL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","HF-3 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "370178","MEMORIAL HOSPITAL OF STILWELL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","10 patients","1 ","1","AMI-2 " "370178","MEMORIAL HOSPITAL OF STILWELL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","184 patients","2 ","2","SCIP-INF-2 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","25 patients",,,"PN-7 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","55 patients","2 ","2","SCIP-VTE-2 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,2,3 ","123","AMI-1 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","11 patients","1,2 ","12","HF-3 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","23 patients","1,2 ","12","PN-2 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1,2 ","12","HF-4 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","56 patients","2 ","2","SCIP-VTE-1 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","216 patients","2 ","2","SCIP-INF-6 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","39 patients","2 ","2","PN-3B " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","32 patients","2 ","2","PN-6 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","15 patients","1 ","1","SCIP-CARD-2 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients","2 ","2","PN-5C " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","40 patients","2 ","2","HF-2 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","185 patients","2 ","2","SCIP-INF-3 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","37 patients","2 ","2","HF-1 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","20 patients","1,2 ","12","PN-4 " "370180","CARL ALBERT INDIAN HEALTH FACILITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","188 patients","2 ","2","SCIP-INF-1 " "370183","HENRYETTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","29 patients",,,"SCIP-INF-6 " "370183","HENRYETTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","39 patients",,,"PN-5C " "370183","HENRYETTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1 ","1","AMI-2 " "370183","HENRYETTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370183","HENRYETTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "370183","HENRYETTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","31 patients",,,"HF-2 " "370183","HENRYETTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","18 patients","1 ","1","PN-6 " "370183","HENRYETTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","20 patients","1 ","1","SCIP-INF-1 " "370183","HENRYETTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","33%","3 patients","1 ","1","SCIP-CARD-2 " "370183","HENRYETTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "370183","HENRYETTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","30 patients",,,"PN-2 " "370183","HENRYETTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","25 patients",,,"HF-1 " "370183","HENRYETTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","13 patients","1 ","1","HF-3 " "370183","HENRYETTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370183","HENRYETTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","20 patients","1 ","1","SCIP-INF-3 " "370183","HENRYETTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","19 patients","1 ","1","SCIP-VTE-2 " "370183","HENRYETTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","20 patients","1 ","1","SCIP-INF-2 " "370183","HENRYETTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "370183","HENRYETTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","33 patients",,,"PN-3B " "370183","HENRYETTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "370183","HENRYETTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","21 patients","1 ","1","SCIP-VTE-1 " "370183","HENRYETTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1 ","1","AMI-1 " "370183","HENRYETTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370183","HENRYETTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","23 patients","1 ","1","PN-7 " "370183","HENRYETTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","102 patients",,,"SCIP-VTE-1 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1 ","1","SCIP-CARD-2 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","17%","6 patients","1 ","1","PN-7 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","31%","36 patients",,,"SCIP-INF-3 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1 ","1","PN-5C " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","101 patients",,,"SCIP-VTE-2 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","38%","37 patients",,,"SCIP-INF-2 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","2 patients","1 ","1","PN-2 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","37 patients",,,"SCIP-INF-1 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","117 patients",,,"SCIP-INF-6 " "370190","SOUTHWESTERN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370192","NORTHWEST SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370192","NORTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","177 patients",,,"SCIP-INF-3 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370192","NORTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","61 patients",,,"SCIP-VTE-2 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370192","NORTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","261 patients",,,"SCIP-INF-6 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370192","NORTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients",,,"SCIP-CARD-2 " "370192","NORTHWEST SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370192","NORTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","181 patients",,,"SCIP-INF-2 " "370192","NORTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370192","NORTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","181 patients",,,"SCIP-INF-1 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370192","NORTHWEST SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370192","NORTHWEST SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370192","NORTHWEST SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370192","NORTHWEST SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370192","NORTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","61 patients",,,"SCIP-VTE-1 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370192","NORTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370199","LAKESIDE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","87 patients","2 ","2","SCIP-INF-1 " "370199","LAKESIDE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","21 patients","1,2 ","12","SCIP-VTE-2 " "370199","LAKESIDE WOMEN'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370199","LAKESIDE WOMEN'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370199","LAKESIDE WOMEN'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370199","LAKESIDE WOMEN'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370199","LAKESIDE WOMEN'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370199","LAKESIDE WOMEN'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370199","LAKESIDE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370199","LAKESIDE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","82 patients","2 ","2","SCIP-INF-3 " "370199","LAKESIDE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370199","LAKESIDE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","21 patients","1,2 ","12","SCIP-VTE-1 " "370199","LAKESIDE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","94 patients","2 ","2","SCIP-INF-6 " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370199","LAKESIDE WOMEN'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370199","LAKESIDE WOMEN'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","87 patients","2 ","2","SCIP-INF-2 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","20 patients","1,2 ","12","SCIP-CARD-2 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","51 patients","2 ","2","SCIP-VTE-2 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","51 patients","2 ","2","SCIP-VTE-1 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","184 patients","2 ","2","SCIP-INF-6 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","156 patients","2 ","2","SCIP-INF-1 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","159 patients","2 ","2","SCIP-INF-2 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","156 patients","2 ","2","SCIP-INF-3 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370201","SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370202","SOUTHCREST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","90 patients",,,"HF-3 " "370202","SOUTHCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","446 patients",,,"SCIP-INF-2 " "370202","SOUTHCREST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","135 patients",,,"PN-7 " "370202","SOUTHCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","443 patients",,,"SCIP-INF-1 " "370202","SOUTHCREST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","90 patients",,,"PN-4 " "370202","SOUTHCREST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"AMI-3 " "370202","SOUTHCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","128 patients",,,"SCIP-INF-4 " "370202","SOUTHCREST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","183 patients",,,"AMI-2 " "370202","SOUTHCREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","247 patients",,,"SCIP-VTE-1 " "370202","SOUTHCREST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","160 patients",,,"PN-5C " "370202","SOUTHCREST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370202","SOUTHCREST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","191 patients",,,"HF-1 " "370202","SOUTHCREST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","113 patients",,,"PN-6 " "370202","SOUTHCREST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","41 patients",,,"HF-4 " "370202","SOUTHCREST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","27 patients",,,"AMI-8A " "370202","SOUTHCREST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","155 patients",,,"PN-2 " "370202","SOUTHCREST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","157 patients",,,"PN-3B " "370202","SOUTHCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","420 patients",,,"SCIP-INF-3 " "370202","SOUTHCREST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","72 patients",,,"SCIP-CARD-2 " "370202","SOUTHCREST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","119 patients",,,"AMI-1 " "370202","SOUTHCREST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","246 patients",,,"SCIP-VTE-2 " "370202","SOUTHCREST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","640 patients",,,"SCIP-INF-6 " "370202","SOUTHCREST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","179 patients",,,"AMI-5 " "370202","SOUTHCREST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"AMI-4 " "370202","SOUTHCREST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","221 patients",,,"HF-2 " "370203","COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370203","COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,3 ","13","PN-7 " "370203","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","140 patients","2 ","2","SCIP-INF-1 " "370203","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","163 patients","2 ","2","SCIP-INF-6 " "370203","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","40 patients","2 ","2","SCIP-VTE-2 " "370203","COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,3 ","13","PN-2 " "370203","COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370203","COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370203","COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "370203","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1,2 ","12","SCIP-CARD-2 " "370203","COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "370203","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","140 patients","2 ","2","SCIP-INF-2 " "370203","COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "370203","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","137 patients","2 ","2","SCIP-INF-3 " "370203","COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1,3 ","13","PN-5C " "370203","COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370203","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370203","COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "370203","COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370203","COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "370203","COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370203","COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "370203","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","40 patients","2 ","2","SCIP-VTE-1 " "370203","COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "370203","COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370206","OKLAHOMA SPINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "370206","OKLAHOMA SPINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "370206","OKLAHOMA SPINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "370206","OKLAHOMA SPINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370206","OKLAHOMA SPINE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370206","OKLAHOMA SPINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370206","OKLAHOMA SPINE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370206","OKLAHOMA SPINE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370206","OKLAHOMA SPINE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370206","OKLAHOMA SPINE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370206","OKLAHOMA SPINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","75%","4 patients","1,3 ","13","SCIP-INF-6 " "370206","OKLAHOMA SPINE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370206","OKLAHOMA SPINE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370206","OKLAHOMA SPINE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370206","OKLAHOMA SPINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","293 patients","2 ","2","SCIP-INF-1 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","292 patients","2 ","2","SCIP-INF-3 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","139 patients","2 ","2","SCIP-VTE-2 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","139 patients","2 ","2","SCIP-VTE-1 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","390 patients","2 ","2","SCIP-INF-6 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","296 patients","2 ","2","SCIP-INF-2 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients","2 ","2","SCIP-CARD-2 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370210","OKLAHOMA SURGICAL HOSPITAL, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","61 patients",,,"HF-2 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","168 patients","2 ","2","SCIP-INF-3 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","101 patients","2 ","2","PN-2 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","66 patients","2 ","2","PN-7 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","168 patients","2 ","2","SCIP-INF-1 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","168 patients","2 ","2","SCIP-INF-2 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","51 patients",,,"HF-1 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","228 patients","2 ","2","SCIP-INF-6 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","18 patients","1,2 ","12","SCIP-CARD-2 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","79 patients","2 ","2","PN-6 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","105 patients","2 ","2","SCIP-VTE-2 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","105 patients","2 ","2","SCIP-VTE-1 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","137 patients","2 ","2","PN-5C " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","13 patients","1 ","1","HF-3 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","PN-4 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","122 patients","2 ","2","PN-3B " "370211","INTEGRIS CANADIAN VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1 ","1","SCIP-CARD-2 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","31 patients",,,"SCIP-VTE-2 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","141 patients",,,"SCIP-INF-1 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","31 patients",,,"SCIP-VTE-1 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","138 patients",,,"SCIP-INF-3 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","141 patients",,,"SCIP-INF-2 " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370212","OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","155 patients",,,"SCIP-INF-6 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370214","LINDSAY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370214","LINDSAY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370214","LINDSAY MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1,3 ","13","PN-6 " "370214","LINDSAY MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "370214","LINDSAY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","8 patients","1,3 ","13","HF-1 " "370214","LINDSAY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370214","LINDSAY MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1,3 ","13","PN-7 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370214","LINDSAY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370214","LINDSAY MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1,3 ","13","PN-5C " "370214","LINDSAY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370214","LINDSAY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370214","LINDSAY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "370214","LINDSAY MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","8 patients","1,3 ","13","HF-2 " "370214","LINDSAY MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,3 ","13","PN-4 " "370214","LINDSAY MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","2 patients","1,3 ","13","PN-2 " "370215","OKLAHOMA HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","312 patients","2 ","2","HF-2 " "370215","OKLAHOMA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","386 patients","2 ","2","SCIP-INF-2 " "370215","OKLAHOMA HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","10 patients","1,2 ","12","SCIP-VTE-2 " "370215","OKLAHOMA HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","69 patients","2 ","2","AMI-1 " "370215","OKLAHOMA HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients","2 ","2","HF-4 " "370215","OKLAHOMA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","525 patients","2 ","2","SCIP-INF-6 " "370215","OKLAHOMA HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","130 patients","2 ","2","AMI-4 " "370215","OKLAHOMA HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","11 patients","1,2 ","12","SCIP-VTE-1 " "370215","OKLAHOMA HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","22 patients","1 ","1","PN-3B " "370215","OKLAHOMA HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","36 patients",,,"PN-2 " "370215","OKLAHOMA HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","147 patients","2 ","2","SCIP-CARD-2 " "370215","OKLAHOMA HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","19 patients","1 ","1","PN-7 " "370215","OKLAHOMA HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","290 patients","2 ","2","HF-1 " "370215","OKLAHOMA HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","285 patients","2 ","2","AMI-2 " "370215","OKLAHOMA HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients","2 ","2","AMI-3 " "370215","OKLAHOMA HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","280 patients","2 ","2","AMI-5 " "370215","OKLAHOMA HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","147 patients","2 ","2","HF-3 " "370215","OKLAHOMA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","376 patients","2 ","2","SCIP-INF-1 " "370215","OKLAHOMA HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "370215","OKLAHOMA HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","17 patients","1 ","1","PN-6 " "370215","OKLAHOMA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","310 patients","2 ","2","SCIP-INF-3 " "370215","OKLAHOMA HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","24 patients","1 ","1","PN-5C " "370215","OKLAHOMA HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","14 patients","1,2 ","12","AMI-8A " "370215","OKLAHOMA HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","352 patients","2 ","2","SCIP-INF-4 " "370215","OKLAHOMA HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","10 patients","1 ","1","SCIP-INF-1 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","17 patients","1 ","1","SCIP-INF-6 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","4 patients","1 ","1","SCIP-VTE-2 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","4 patients","1 ","1","SCIP-VTE-1 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","9 patients","1 ","1","SCIP-INF-3 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","9 patients","1 ","1","SCIP-INF-2 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370216","TULSA SPINE & SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","107 patients",,,"PN-6 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","214 patients",,,"SCIP-INF-3 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","220 patients",,,"SCIP-INF-2 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","118 patients",,,"SCIP-VTE-2 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370218","SAINT FRANCIS HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","219 patients",,,"SCIP-INF-1 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","117 patients",,,"PN-2 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","70 patients",,,"HF-1 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","27 patients",,,"HF-3 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370218","SAINT FRANCIS HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","118 patients",,,"SCIP-VTE-1 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","77 patients",,,"PN-7 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","86 patients",,,"HF-2 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","116 patients",,,"PN-5C " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","278 patients",,,"SCIP-INF-6 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","133 patients",,,"PN-3B " "370218","SAINT FRANCIS HOSPITAL SOUTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "370218","SAINT FRANCIS HOSPITAL SOUTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","29 patients",,,"SCIP-CARD-2 " "370220","ORTHOPEDIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370220","ORTHOPEDIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370220","ORTHOPEDIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370220","ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,2 ","12","SCIP-INF-3 " "370220","ORTHOPEDIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370220","ORTHOPEDIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370220","ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","17%","6 patients","1,2 ","12","SCIP-VTE-2 " "370220","ORTHOPEDIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370220","ORTHOPEDIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370220","ORTHOPEDIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370220","ORTHOPEDIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370220","ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,2 ","12","SCIP-INF-2 " "370220","ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","14%","7 patients","1,2 ","12","SCIP-VTE-1 " "370220","ORTHOPEDIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370220","ORTHOPEDIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370220","ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","2 patients","1,2 ","12","SCIP-INF-1 " "370220","ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","16 patients","1,2 ","12","SCIP-INF-6 " "370220","ORTHOPEDIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370220","ORTHOPEDIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370220","ORTHOPEDIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370220","ORTHOPEDIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370220","ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370220","ORTHOPEDIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370220","ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "370220","ORTHOPEDIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,2,3 ","123","AMI-5 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","269 patients","2 ","2","SCIP-INF-1 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","365 patients","2 ","2","SCIP-INF-6 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","62 patients","2 ","2","SCIP-CARD-2 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","265 patients","2 ","2","SCIP-INF-2 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","264 patients","2 ","2","SCIP-INF-3 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","121 patients","2 ","2","SCIP-VTE-2 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","121 patients","2 ","2","SCIP-VTE-1 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,2,3 ","123","AMI-2 " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370222","MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, L L C","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1 ","1","SCIP-INF-6 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1 ","1","SCIP-INF-1 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients",,,"SCIP-VTE-2 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1 ","1","SCIP-INF-2 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","1 patients","1 ","1","SCIP-INF-3 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370225","FOUNDATION SURGICAL HOSPITAL OF OKLAHOMA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients",,,"SCIP-VTE-1 " "370227","ST JOHN OWASSO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "370227","ST JOHN OWASSO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","28 patients",,,"PN-4 " "370227","ST JOHN OWASSO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370227","ST JOHN OWASSO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","71 patients",,,"SCIP-INF-6 " "370227","ST JOHN OWASSO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","59 patients",,,"SCIP-INF-3 " "370227","ST JOHN OWASSO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "370227","ST JOHN OWASSO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","53 patients",,,"PN-3B " "370227","ST JOHN OWASSO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","16 patients","1 ","1","SCIP-VTE-1 " "370227","ST JOHN OWASSO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","41 patients",,,"HF-2 " "370227","ST JOHN OWASSO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "370227","ST JOHN OWASSO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "370227","ST JOHN OWASSO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "370227","ST JOHN OWASSO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "370227","ST JOHN OWASSO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","33 patients",,,"HF-1 " "370227","ST JOHN OWASSO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","16 patients","1 ","1","SCIP-VTE-2 " "370227","ST JOHN OWASSO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370227","ST JOHN OWASSO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","43%","7 patients","1 ","1","SCIP-CARD-2 " "370227","ST JOHN OWASSO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","60 patients",,,"SCIP-INF-2 " "370227","ST JOHN OWASSO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","49 patients",,,"PN-7 " "370227","ST JOHN OWASSO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","69 patients",,,"PN-2 " "370227","ST JOHN OWASSO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","60 patients",,,"SCIP-INF-1 " "370227","ST JOHN OWASSO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","85 patients",,,"PN-5C " "370227","ST JOHN OWASSO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370227","ST JOHN OWASSO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "370227","ST JOHN OWASSO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","72 patients",,,"PN-6 " "370228","BAILEY MEDICAL CENTER, L L C","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","37 patients",,,"HF-2 " "370228","BAILEY MEDICAL CENTER, L L C","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","31 patients",,,"PN-3B " "370228","BAILEY MEDICAL CENTER, L L C","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","27 patients",,,"HF-1 " "370228","BAILEY MEDICAL CENTER, L L C","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","22 patients","1 ","1","PN-6 " "370228","BAILEY MEDICAL CENTER, L L C","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","79 patients","2 ","2","SCIP-INF-3 " "370228","BAILEY MEDICAL CENTER, L L C","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","46%","81 patients","2 ","2","SCIP-INF-1 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","9 patients","1 ","1","AMI-2 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","8 patients","1 ","1","AMI-1 " "370228","BAILEY MEDICAL CENTER, L L C","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","35 patients",,,"PN-5C " "370228","BAILEY MEDICAL CENTER, L L C","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","63%","27 patients",,,"PN-2 " "370228","BAILEY MEDICAL CENTER, L L C","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","127 patients","2 ","2","SCIP-INF-6 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "370228","BAILEY MEDICAL CENTER, L L C","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","45%","22 patients","1,2 ","12","SCIP-CARD-2 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "370228","BAILEY MEDICAL CENTER, L L C","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","19 patients","1 ","1","PN-7 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","AMI-3 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","62%","8 patients","1 ","1","AMI-5 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "370228","BAILEY MEDICAL CENTER, L L C","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","49 patients","2 ","2","SCIP-VTE-1 " "370228","BAILEY MEDICAL CENTER, L L C","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","49 patients","2 ","2","SCIP-VTE-2 " "370228","BAILEY MEDICAL CENTER, L L C","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","13 patients","1 ","1","HF-3 " "370228","BAILEY MEDICAL CENTER, L L C","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","78 patients","2 ","2","SCIP-INF-2 " "370228","BAILEY MEDICAL CENTER, L L C","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","26%","19 patients","1 ","1","HF-1 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","53 patients",,,"PN-3B " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","36%","14 patients","1 ","1","SCIP-VTE-1 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","15 patients","1 ","1","SCIP-INF-6 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","5 patients","1 ","1","SCIP-INF-3 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","69 patients",,,"PN-5C " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","31 patients",,,"PN-7 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","27 patients",,,"PN-4 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","46 patients",,,"PN-2 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","36%","14 patients","1 ","1","SCIP-VTE-2 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","26 patients",,,"HF-2 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","52 patients",,,"PN-6 " "370229","INTEGRIS SEMINOLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","40%","5 patients","1 ","1","SCIP-INF-2 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370231","GEORGE NIGH LONG TERM ACUTE CARE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "370232","MUSKOGEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370232","MUSKOGEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "370233","NORTHEAST OKLAHOMA EYE INSTITUTE, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371300","ATOKA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371300","ATOKA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","17 patients","1 ","1","PN-7 " "371300","ATOKA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371300","ATOKA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371300","ATOKA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371300","ATOKA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","54%","35 patients",,,"PN-2 " "371300","ATOKA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","8 patients","1 ","1","HF-1 " "371300","ATOKA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371300","ATOKA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371300","ATOKA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371300","ATOKA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371300","ATOKA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371300","ATOKA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371300","ATOKA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "371300","ATOKA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371300","ATOKA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","45%","20 patients","1 ","1","PN-6 " "371300","ATOKA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371300","ATOKA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "371300","ATOKA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1 ","1","PN-3B " "371300","ATOKA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","27%","11 patients","1 ","1","HF-2 " "371300","ATOKA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371300","ATOKA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371300","ATOKA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","23 patients","1 ","1","PN-5C " "371300","ATOKA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "371300","ATOKA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","10 patients","1,3 ","13","HF-2 " "371301","PRAGUE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371301","PRAGUE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371301","PRAGUE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371301","PRAGUE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371301","PRAGUE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371301","PRAGUE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","14%","7 patients","1,3 ","13","HF-1 " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "371301","PRAGUE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1,2,3 ","123","PN-6 " "371301","PRAGUE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","10 patients","1,2,3 ","123","PN-2 " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "371301","PRAGUE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1 ","1","PN-7 " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "371301","PRAGUE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "371301","PRAGUE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1,2,3 ","123","PN-5C " "371301","PRAGUE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "371301","PRAGUE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371301","PRAGUE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1,2,3 ","123","PN-3B " "371301","PRAGUE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","13 patients","1,2 ","12","HF-1 " "371302","WATONGA MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","18 patients","1,2 ","12","HF-2 " "371302","WATONGA MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "371302","WATONGA MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","24 patients","1,2 ","12","PN-2 " "371302","WATONGA MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371302","WATONGA MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","0%","2 patients","1,2 ","12","PN-5C " "371302","WATONGA MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","23 patients","1 ","1","PN-7 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "371302","WATONGA MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1,2 ","12","PN-4 " "371302","WATONGA MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "371302","WATONGA MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371302","WATONGA MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1,2 ","12","HF-4 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2 ","12","HF-3 " "371302","WATONGA MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","25 patients","2 ","2","PN-6 " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "371302","WATONGA MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371302","WATONGA MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","13 patients","1,2 ","12","PN-3B " "371302","WATONGA MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "371302","WATONGA MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371304","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371304","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "371304","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","28 patients","2 ","2","PN-7 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","38%","16 patients","1,3 ","13","HF-2 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "371304","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371304","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","24 patients","1,2,3 ","123","PN-2 " "371304","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","8 patients","1,3 ","13","HF-1 " "371304","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1,2,3 ","123","PN-3B " "371304","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","55%","11 patients","1,2,3 ","123","PN-6 " "371304","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","37 patients","2,3 ","23","PN-5C " "371304","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,2,3 ","123","PN-4 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371304","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371304","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371304","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371304","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371304","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "371306","MERCY HEALTH LOVE COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371306","MERCY HEALTH LOVE COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371306","MERCY HEALTH LOVE COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371306","MERCY HEALTH LOVE COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371306","MERCY HEALTH LOVE COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371306","MERCY HEALTH LOVE COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371306","MERCY HEALTH LOVE COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371306","MERCY HEALTH LOVE COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "371306","MERCY HEALTH LOVE COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371306","MERCY HEALTH LOVE COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "371306","MERCY HEALTH LOVE COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "371306","MERCY HEALTH LOVE COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371306","MERCY HEALTH LOVE COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1,3 ","13","PN-7 " "371306","MERCY HEALTH LOVE COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,3 ","13","PN-5C " "371306","MERCY HEALTH LOVE COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "371306","MERCY HEALTH LOVE COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "371306","MERCY HEALTH LOVE COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "371306","MERCY HEALTH LOVE COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","38%","8 patients","1,3 ","13","PN-2 " "371306","MERCY HEALTH LOVE COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","14%","7 patients","1,3 ","13","HF-2 " "371306","MERCY HEALTH LOVE COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371306","MERCY HEALTH LOVE COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371306","MERCY HEALTH LOVE COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "371306","MERCY HEALTH LOVE COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "371306","MERCY HEALTH LOVE COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371306","MERCY HEALTH LOVE COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371307","CIMARRON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371307","CIMARRON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","13 patients","1,2 ","12","PN-7 " "371307","CIMARRON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","15 patients","1,2,3 ","123","PN-6 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371307","CIMARRON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371307","CIMARRON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","PN-4 " "371307","CIMARRON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,2,3 ","123","PN-3B " "371307","CIMARRON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","12 patients","1,2,3 ","123","PN-5C " "371307","CIMARRON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371307","CIMARRON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371307","CIMARRON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371307","CIMARRON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371307","CIMARRON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","8 patients","1,2,3 ","123","PN-2 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,2,3 ","123","HF-1 " "371307","CIMARRON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "371307","CIMARRON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371307","CIMARRON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,2,3 ","123","HF-2 " "371309","PAWHUSKA HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371309","PAWHUSKA HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "371309","PAWHUSKA HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371309","PAWHUSKA HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371309","PAWHUSKA HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "371309","PAWHUSKA HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "371309","PAWHUSKA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371309","PAWHUSKA HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1 ","1","PN-6 " "371309","PAWHUSKA HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371309","PAWHUSKA HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","5%","21 patients","1 ","1","PN-2 " "371309","PAWHUSKA HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371309","PAWHUSKA HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371309","PAWHUSKA HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371309","PAWHUSKA HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371309","PAWHUSKA HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1 ","1","PN-5C " "371309","PAWHUSKA HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,3 ","13","HF-2 " "371309","PAWHUSKA HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371309","PAWHUSKA HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "371309","PAWHUSKA HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","10 patients","1 ","1","PN-7 " "371309","PAWHUSKA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371309","PAWHUSKA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371309","PAWHUSKA HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371309","PAWHUSKA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371309","PAWHUSKA HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371309","PAWHUSKA HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1,3 ","13","PN-6 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,3 ","13","PN-5C " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","2 patients","1,3 ","13","PN-2 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","3 patients","1,3 ","13","HF-2 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","3 patients","1,3 ","13","PN-7 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371310","HEALDTON MERCY HOSPITAL CORPORATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "371311","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "371311","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371311","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371311","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371311","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "371311","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "371311","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "371311","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371311","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371311","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371311","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371311","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371311","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371311","JEFFERSON COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "371311","JEFFERSON COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371311","JEFFERSON COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "371312","ST JOHN SAPULPA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371312","ST JOHN SAPULPA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","41 patients",,,"HF-2 " "371312","ST JOHN SAPULPA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371312","ST JOHN SAPULPA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371312","ST JOHN SAPULPA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371312","ST JOHN SAPULPA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "371312","ST JOHN SAPULPA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "371312","ST JOHN SAPULPA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","58 patients",,,"PN-2 " "371312","ST JOHN SAPULPA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371312","ST JOHN SAPULPA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371312","ST JOHN SAPULPA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","32 patients",,,"PN-4 " "371312","ST JOHN SAPULPA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371312","ST JOHN SAPULPA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","87 patients",,,"PN-3B " "371312","ST JOHN SAPULPA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","32 patients",,,"HF-1 " "371312","ST JOHN SAPULPA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371312","ST JOHN SAPULPA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371312","ST JOHN SAPULPA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371312","ST JOHN SAPULPA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371312","ST JOHN SAPULPA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371312","ST JOHN SAPULPA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371312","ST JOHN SAPULPA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","76 patients",,,"PN-6 " "371312","ST JOHN SAPULPA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","42 patients",,,"PN-7 " "371312","ST JOHN SAPULPA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","83 patients",,,"PN-5C " "371312","ST JOHN SAPULPA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371312","ST JOHN SAPULPA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "371313","KINGFISHER REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","16 patients","1,3 ","13","PN-3B " "371313","KINGFISHER REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","43 patients","3 ","3","PN-6 " "371313","KINGFISHER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371313","KINGFISHER REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","56 patients","3 ","3","PN-5C " "371313","KINGFISHER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1,3 ","13","HF-1 " "371313","KINGFISHER REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","34 patients",,,"PN-7 " "371313","KINGFISHER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371313","KINGFISHER REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1,3 ","13","PN-4 " "371313","KINGFISHER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371313","KINGFISHER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","45%","11 patients","1,3 ","13","HF-2 " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "371313","KINGFISHER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371313","KINGFISHER REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","45 patients","3 ","3","PN-2 " "371313","KINGFISHER REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "371313","KINGFISHER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371313","KINGFISHER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","4 patients","1,3 ","13","HF-1 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","5 patients","1,3 ","13","HF-2 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,3 ","13","PN-3B " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","1 patients","1,3 ","13","PN-6 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1,3 ","13","PN-2 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "371314","PHYSICIANS' HOSPITAL IN ANADARKO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "371316","STROUD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","38 patients",,,"PN-5C " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371316","STROUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,3 ","13","SCIP-INF-3 " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","6 patients","1 ","1","HF-1 " "371316","STROUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1,3 ","13","SCIP-INF-1 " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","14%","7 patients","1 ","1","HF-3 " "371316","STROUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","4 patients","1,3 ","13","SCIP-INF-2 " "371316","STROUD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","31 patients",,,"PN-6 " "371316","STROUD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","52%","25 patients",,,"PN-7 " "371316","STROUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "371316","STROUD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","14 patients","1 ","1","PN-4 " "371316","STROUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "371316","STROUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","5 patients","1,3 ","13","SCIP-VTE-2 " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371316","STROUD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","24 patients","1 ","1","PN-3B " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371316","STROUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","2 patients","1,3 ","13","SCIP-INF-6 " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","12 patients","1 ","1","HF-2 " "371316","STROUD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","5 patients","1,3 ","13","SCIP-VTE-1 " "371316","STROUD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","30 patients",,,"PN-2 " "371316","STROUD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371317","LOGAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "371317","LOGAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","19 patients","1,3 ","13","PN-2 " "371317","LOGAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","26 patients","3 ","3","PN-6 " "371317","LOGAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","6 patients","1,3 ","13","HF-1 " "371317","LOGAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1,3 ","13","AMI-1 " "371317","LOGAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1,3 ","13","PN-4 " "371317","LOGAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","20 patients","1 ","1","PN-7 " "371317","LOGAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371317","LOGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","22 patients","1,3 ","13","SCIP-INF-3 " "371317","LOGAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1,3 ","13","AMI-5 " "371317","LOGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","22 patients","1,3 ","13","SCIP-INF-2 " "371317","LOGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","16 patients","1,3 ","13","SCIP-VTE-1 " "371317","LOGAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "371317","LOGAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371317","LOGAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1,3 ","13","PN-3B " "371317","LOGAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "371317","LOGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","22 patients","1,3 ","13","SCIP-INF-1 " "371317","LOGAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","27 patients","3 ","3","PN-5C " "371317","LOGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1,3 ","13","SCIP-INF-6 " "371317","LOGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","16 patients","1,3 ","13","SCIP-VTE-2 " "371317","LOGAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371317","LOGAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","10 patients","1,3 ","13","HF-2 " "371317","LOGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,3 ","13","SCIP-CARD-2 " "371317","LOGAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "371317","LOGAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "371318","FAIRFAX MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1 ","1","PN-7 " "371318","FAIRFAX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","6 patients","1 ","1","HF-1 " "371318","FAIRFAX MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1 ","1","PN-6 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371318","FAIRFAX MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "371318","FAIRFAX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371318","FAIRFAX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371318","FAIRFAX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371318","FAIRFAX MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "371318","FAIRFAX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "371318","FAIRFAX MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1 ","1","PN-2 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371318","FAIRFAX MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","11 patients","1 ","1","PN-5C " "371318","FAIRFAX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371318","FAIRFAX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1 ","1","HF-2 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371318","FAIRFAX MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371318","FAIRFAX MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371319","MARY HURLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371319","MARY HURLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371319","MARY HURLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1 ","1","PN-5C " "371319","MARY HURLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371319","MARY HURLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","14 patients","1 ","1","PN-2 " "371319","MARY HURLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371319","MARY HURLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371319","MARY HURLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371319","MARY HURLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","57%","7 patients","1,2 ","12","HF-3 " "371319","MARY HURLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371319","MARY HURLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371319","MARY HURLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","PN-4 " "371319","MARY HURLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "371319","MARY HURLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","14%","7 patients","1 ","1","PN-6 " "371319","MARY HURLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","35 patients","2 ","2","HF-1 " "371319","MARY HURLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1,2 ","12","HF-4 " "371319","MARY HURLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371319","MARY HURLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371319","MARY HURLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371319","MARY HURLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371319","MARY HURLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","66%","62 patients","2 ","2","HF-2 " "371319","MARY HURLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","11 patients","1 ","1","PN-7 " "371319","MARY HURLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371319","MARY HURLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371319","MARY HURLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371320","CLEVELAND AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","6 patients","1,3 ","13","PN-2 " "371320","CLEVELAND AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371320","CLEVELAND AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1,3 ","13","PN-5C " "371320","CLEVELAND AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371320","CLEVELAND AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "371320","CLEVELAND AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371320","CLEVELAND AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371320","CLEVELAND AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371320","CLEVELAND AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","40%","5 patients","1,3 ","13","PN-7 " "371320","CLEVELAND AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,3 ","13","PN-4 " "371320","CLEVELAND AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "371320","CLEVELAND AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371320","CLEVELAND AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371320","CLEVELAND AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371320","CLEVELAND AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","2 patients","1,3 ","13","HF-2 " "371320","CLEVELAND AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371320","CLEVELAND AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,3 ","13","PN-3B " "371320","CLEVELAND AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371320","CLEVELAND AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371320","CLEVELAND AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "371320","CLEVELAND AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371320","CLEVELAND AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1,3 ","13","PN-6 " "371320","CLEVELAND AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371320","CLEVELAND AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371320","CLEVELAND AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371321","HOLDENVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371321","HOLDENVILLE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","24 patients","1 ","1","PN-3B " "371321","HOLDENVILLE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","20 patients","1 ","1","PN-7 " "371321","HOLDENVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371321","HOLDENVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371321","HOLDENVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371321","HOLDENVILLE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","PN-4 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "371321","HOLDENVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371321","HOLDENVILLE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","29 patients",,,"PN-6 " "371321","HOLDENVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371321","HOLDENVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371321","HOLDENVILLE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","42 patients",,,"PN-5C " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "371321","HOLDENVILLE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","33 patients",,,"PN-2 " "371321","HOLDENVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","22 patients","1 ","1","HF-1 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","28 patients",,,"HF-2 " "371321","HOLDENVILLE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","9 patients","1 ","1","PN-2 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","9 patients","1 ","1","PN-5C " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1 ","1","PN-4 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","12 patients","1 ","1","PN-6 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","6 patients","1,3 ","13","HF-2 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","10 patients","1 ","1","PN-7 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "371322","BEAVER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371323","WEATHERFORD REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","51 patients",,,"PN-2 " "371323","WEATHERFORD REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","44 patients",,,"PN-6 " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","25 patients",,,"HF-1 " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "371323","WEATHERFORD REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","32 patients",,,"PN-7 " "371323","WEATHERFORD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1 ","1","AMI-1 " "371323","WEATHERFORD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","39 patients",,,"HF-2 " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","2 patients","1 ","1","AMI-2 " "371323","WEATHERFORD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","62%","8 patients","1 ","1","HF-4 " "371323","WEATHERFORD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371323","WEATHERFORD REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1 ","1","PN-3B " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "371323","WEATHERFORD REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","56 patients",,,"PN-5C " "371323","WEATHERFORD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371323","WEATHERFORD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "371323","WEATHERFORD REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","HF-3 " "371323","WEATHERFORD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371323","WEATHERFORD REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371323","WEATHERFORD REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","PN-4 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","13 patients","1 ","1","PN-7 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1 ","1","PN-6 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","18 patients","1 ","1","HF-2 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1 ","1","HF-1 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","17 patients","1 ","1","PN-2 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371324","HARPER COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","15 patients","1 ","1","PN-5C " "371325","CORDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371325","CORDELL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,2,3 ","123","AMI-1 " "371325","CORDELL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "371325","CORDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371325","CORDELL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "371325","CORDELL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","4 patients","1,2 ","12","PN-6 " "371325","CORDELL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "371325","CORDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371325","CORDELL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "371325","CORDELL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "371325","CORDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371325","CORDELL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "371325","CORDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371325","CORDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371325","CORDELL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,2 ","12","PN-4 " "371325","CORDELL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,2 ","12","PN-5C " "371325","CORDELL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2 ","12","HF-4 " "371325","CORDELL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","6 patients","1,2 ","12","PN-2 " "371325","CORDELL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "371325","CORDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371325","CORDELL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "371325","CORDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371325","CORDELL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","25%","4 patients","1,2 ","12","HF-2 " "371325","CORDELL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","5 patients","1,2 ","12","HF-1 " "371325","CORDELL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","4 patients","1,2 ","12","PN-7 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","34 patients",,,"HF-2 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","31 patients",,,"HF-1 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","60 patients",,,"PN-2 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","35 patients",,,"PN-6 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","53 patients",,,"PN-3B " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1 ","1","AMI-2 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1 ","1","PN-5C " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","36 patients",,,"PN-7 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "371326","INTEGRIS MARSHALL COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371327","OKEENE MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,3 ","13","PN-3B " "371327","OKEENE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371327","OKEENE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "371327","OKEENE MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","13 patients","1,3 ","13","PN-6 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371327","OKEENE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","2 patients","1,3 ","13","SCIP-INF-2 " "371327","OKEENE MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,3 ","13","PN-4 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","30%","10 patients","1 ","1","HF-1 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","15 patients","1 ","1","HF-2 " "371327","OKEENE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "371327","OKEENE MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","15 patients","1 ","1","PN-7 " "371327","OKEENE MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","9 patients","1,3 ","13","PN-5C " "371327","OKEENE MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371327","OKEENE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","2 patients","1,3 ","13","SCIP-INF-3 " "371327","OKEENE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "371327","OKEENE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","4 patients","1,3 ","13","SCIP-INF-6 " "371327","OKEENE MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "371327","OKEENE MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","20 patients","1,3 ","13","PN-2 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","20 patients","1 ","1","PN-6 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","18 patients","1 ","1","HF-2 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","31 patients",,,"PN-2 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","26 patients",,,"PN-7 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","PN-4 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","8 patients","1 ","1","HF-1 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","49 patients",,,"PN-5C " "371328","ARBUCKLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "371328","ARBUCKLE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","27 patients",,,"PN-3B " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","15 patients","1,3 ","13","PN-5C " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","11 patients","1,3 ","13","PN-6 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","14%","7 patients","1 ","1","HF-2 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","33%","3 patients","1,3 ","13","PN-3B " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","3 patients","1 ","1","HF-1 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","10 patients","1,3 ","13","PN-2 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371329","FAIRVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","6 patients","1 ","1","PN-6 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","5 patients","1 ","1","PN-7 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","14 patients","1 ","1","PN-2 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371330","QUARTZ MOUNTAIN MEDICAL CENER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","10 patients","1 ","1","PN-5C " "371331","DRUMRIGHT REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","12 patients","1 ","1","PN-7 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","68%","41 patients",,,"SCIP-INF-6 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","36%","22 patients","1 ","1","PN-2 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","14 patients","1,3 ","13","HF-2 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","11%","9 patients","1,3 ","13","HF-1 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","18%","17 patients","1 ","1","SCIP-VTE-1 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","62%","39 patients",,,"SCIP-INF-1 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","6 patients","1 ","1","SCIP-CARD-2 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371331","DRUMRIGHT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","39 patients",,,"SCIP-INF-2 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","16 patients","1 ","1","PN-4 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","46%","39 patients",,,"SCIP-INF-3 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","32 patients",,,"PN-5C " "371331","DRUMRIGHT REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","18%","11 patients","1 ","1","SCIP-VTE-2 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371331","DRUMRIGHT REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","29 patients",,,"PN-6 " "371332","SEILING MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "371332","SEILING MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","3 patients","1,3 ","13","HF-2 " "371332","SEILING MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371332","SEILING MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371332","SEILING MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1,3 ","13","PN-2 " "371332","SEILING MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "371332","SEILING MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "371332","SEILING MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "371332","SEILING MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "371332","SEILING MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371332","SEILING MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "371332","SEILING MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371332","SEILING MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "371332","SEILING MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "371332","SEILING MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "371332","SEILING MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "371332","SEILING MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "371332","SEILING MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1,3 ","13","PN-7 " "371332","SEILING MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371332","SEILING MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","PN-4 " "371332","SEILING MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371332","SEILING MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371332","SEILING MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "371332","SEILING MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371332","SEILING MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,3 ","13","HF-1 " "371333","CREEK NATION COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","57%","7 patients","1,3 ","13","PN-3B " "371333","CREEK NATION COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1,3 ","13","PN-2 " "371333","CREEK NATION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "371333","CREEK NATION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371333","CREEK NATION COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,3 ","13","PN-4 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","10 patients","1,3 ","13","HF-1 " "371333","CREEK NATION COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","9 patients","1,3 ","13","PN-7 " "371333","CREEK NATION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371333","CREEK NATION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371333","CREEK NATION COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","11 patients","1,3 ","13","PN-6 " "371333","CREEK NATION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371333","CREEK NATION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","10 patients","1,3 ","13","HF-2 " "371333","CREEK NATION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "371333","CREEK NATION COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371333","CREEK NATION COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371333","CREEK NATION COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","16 patients","1,3 ","13","PN-5C " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","40%","5 patients","1,3 ","13","PN-5C " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","11%","9 patients","1,3 ","13","PN-7 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1,3 ","13","HF-3 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","10%","10 patients","1,3 ","13","PN-2 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,3 ","13","PN-6 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","45%","22 patients","1,3 ","13","HF-2 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","13 patients","1,3 ","13","HF-1 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,3 ","13","PN-4 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "371334","CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "380001","MID-COLUMBIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","159 patients","2 ","2","SCIP-INF-2 " "380001","MID-COLUMBIA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","49 patients",,,"PN-6 " "380001","MID-COLUMBIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1 ","1","SCIP-CARD-2 " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "380001","MID-COLUMBIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","131 patients","2 ","2","SCIP-VTE-1 " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "380001","MID-COLUMBIA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","47 patients",,,"PN-7 " "380001","MID-COLUMBIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","240 patients","2 ","2","SCIP-INF-6 " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","46 patients",,,"HF-1 " "380001","MID-COLUMBIA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","67 patients",,,"PN-3B " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "380001","MID-COLUMBIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","131 patients","2 ","2","SCIP-VTE-2 " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "380001","MID-COLUMBIA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","61 patients",,,"PN-2 " "380001","MID-COLUMBIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","149 patients","2 ","2","SCIP-INF-3 " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "380001","MID-COLUMBIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","158 patients","2 ","2","SCIP-INF-1 " "380001","MID-COLUMBIA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","65 patients",,,"PN-5C " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "380001","MID-COLUMBIA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "380001","MID-COLUMBIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "380001","MID-COLUMBIA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","54 patients",,,"HF-2 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","250 patients","2 ","2","SCIP-INF-2 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","46 patients",,,"AMI-2 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","137 patients",,,"PN-7 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","160 patients","2 ","2","SCIP-VTE-1 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","223 patients",,,"HF-2 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","186 patients",,,"PN-2 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","64 patients",,,"HF-3 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","AMI-4 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","41 patients",,,"AMI-5 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","175 patients",,,"HF-1 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","128 patients",,,"PN-6 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","375 patients","2 ","2","SCIP-INF-6 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","160 patients","2 ","2","SCIP-VTE-2 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","48 patients","2 ","2","SCIP-CARD-2 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","36 patients",,,"HF-4 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","246 patients","2 ","2","SCIP-INF-3 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","174 patients",,,"PN-3B " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","72 patients",,,"PN-4 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","252 patients","2 ","2","SCIP-INF-1 " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","212 patients",,,"PN-5C " "380002","ASANTE THREE RIVERS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","66 patients",,,"AMI-1 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","205 patients","2 ","2","SCIP-VTE-1 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","285 patients",,,"PN-6 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","888 patients",,,"AMI-2 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","74 patients",,,"AMI-3 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","347 patients",,,"PN-5C " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","309 patients",,,"PN-2 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","820 patients",,,"AMI-5 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","106 patients",,,"AMI-8A " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","679 patients","2 ","2","SCIP-INF-6 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","472 patients","2 ","2","SCIP-INF-2 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","150 patients",,,"HF-3 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","522 patients",,,"AMI-1 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","69 patients",,,"HF-4 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","214 patients",,,"PN-7 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","469 patients","2 ","2","SCIP-INF-1 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","327 patients",,,"PN-3B " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","222 patients",,,"AMI-4 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","153 patients","2 ","2","SCIP-INF-4 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","110 patients","2 ","2","SCIP-CARD-2 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","445 patients",,,"HF-1 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","480 patients",,,"HF-2 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","205 patients","2 ","2","SCIP-VTE-2 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","453 patients","2 ","2","SCIP-INF-3 " "380004","PROVIDENCE ST VINCENT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","121 patients",,,"PN-4 " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "380005","ASHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","73%","170 patients","2 ","2","SCIP-INF-6 " "380005","ASHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","126 patients","2 ","2","SCIP-INF-3 " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "380005","ASHLAND COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","26 patients",,,"PN-7 " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "380005","ASHLAND COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","30 patients","2 ","2","PN-6 " "380005","ASHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1,2 ","12","SCIP-CARD-2 " "380005","ASHLAND COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","27 patients","2 ","2","PN-3B " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "380005","ASHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","109 patients","2 ","2","SCIP-VTE-1 " "380005","ASHLAND COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,2 ","12","PN-4 " "380005","ASHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","125 patients","2 ","2","SCIP-INF-2 " "380005","ASHLAND COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","34 patients","2 ","2","PN-2 " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "380005","ASHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","109 patients","2 ","2","SCIP-VTE-2 " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "380005","ASHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","64%","127 patients","2 ","2","SCIP-INF-1 " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","54%","26 patients",,,"HF-1 " "380005","ASHLAND COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","29 patients","2 ","2","PN-5C " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","37 patients",,,"HF-2 " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "380005","ASHLAND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "380005","ASHLAND COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "380007","LEGACY EMANUEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","274 patients","2 ","2","SCIP-INF-1 " "380007","LEGACY EMANUEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","263 patients","2 ","2","SCIP-INF-3 " "380007","LEGACY EMANUEL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","98 patients",,,"PN-3B " "380007","LEGACY EMANUEL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","96 patients",,,"AMI-5 " "380007","LEGACY EMANUEL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","173 patients",,,"CAC-1 " "380007","LEGACY EMANUEL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380007","LEGACY EMANUEL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","69 patients",,,"PN-7 " "380007","LEGACY EMANUEL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","48 patients",,,"AMI-4 " "380007","LEGACY EMANUEL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","82%","173 patients",,,"CAC-3 " "380007","LEGACY EMANUEL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","177 patients","2 ","2","SCIP-VTE-1 " "380007","LEGACY EMANUEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","432 patients","2 ","2","SCIP-INF-6 " "380007","LEGACY EMANUEL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","134 patients",,,"HF-1 " "380007","LEGACY EMANUEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","284 patients","2 ","2","SCIP-INF-2 " "380007","LEGACY EMANUEL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","64 patients",,,"PN-2 " "380007","LEGACY EMANUEL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "380007","LEGACY EMANUEL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","69 patients",,,"PN-4 " "380007","LEGACY EMANUEL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","114 patients",,,"PN-5C " "380007","LEGACY EMANUEL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","157 patients",,,"HF-2 " "380007","LEGACY EMANUEL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","173 patients",,,"CAC-2 " "380007","LEGACY EMANUEL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","78 patients",,,"PN-6 " "380007","LEGACY EMANUEL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","46 patients",,,"HF-3 " "380007","LEGACY EMANUEL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","57 patients",,,"HF-4 " "380007","LEGACY EMANUEL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","177 patients","2 ","2","SCIP-VTE-2 " "380007","LEGACY EMANUEL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","57%","14 patients","1 ","1","AMI-8A " "380007","LEGACY EMANUEL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","80 patients",,,"AMI-1 " "380007","LEGACY EMANUEL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","70 patients","2 ","2","SCIP-CARD-2 " "380007","LEGACY EMANUEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","88 patients","2 ","2","SCIP-INF-4 " "380007","LEGACY EMANUEL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","104 patients",,,"AMI-2 " "380009","OHSU HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","390 patients","2 ","2","SCIP-INF-3 " "380009","OHSU HOSPITAL AND CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","80 patients","2 ","2","PN-3B " "380009","OHSU HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","407 patients","2 ","2","SCIP-INF-2 " "380009","OHSU HOSPITAL AND CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","235 patients","2 ","2","AMI-2 " "380009","OHSU HOSPITAL AND CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","34 patients","2 ","2","HF-4 " "380009","OHSU HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","650 patients","2 ","2","SCIP-INF-6 " "380009","OHSU HOSPITAL AND CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","51 patients","2 ","2","PN-4 " "380009","OHSU HOSPITAL AND CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "380009","OHSU HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","127 patients","2 ","2","SCIP-INF-4 " "380009","OHSU HOSPITAL AND CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","51 patients","2 ","2","AMI-3 " "380009","OHSU HOSPITAL AND CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","67 patients","2 ","2","AMI-1 " "380009","OHSU HOSPITAL AND CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","115 patients","2 ","2","HF-3 " "380009","OHSU HOSPITAL AND CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","229 patients","2 ","2","AMI-5 " "380009","OHSU HOSPITAL AND CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","80 patients","2 ","2","AMI-4 " "380009","OHSU HOSPITAL AND CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","48 patients","2 ","2","PN-7 " "380009","OHSU HOSPITAL AND CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","204 patients","2 ","2","HF-1 " "380009","OHSU HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","401 patients","2 ","2","SCIP-INF-1 " "380009","OHSU HOSPITAL AND CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","27 patients","2 ","2","PN-6 " "380009","OHSU HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","268 patients","2 ","2","SCIP-VTE-1 " "380009","OHSU HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","83 patients","2 ","2","SCIP-CARD-2 " "380009","OHSU HOSPITAL AND CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","74 patients","2 ","2","PN-5C " "380009","OHSU HOSPITAL AND CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","223 patients","2 ","2","HF-2 " "380009","OHSU HOSPITAL AND CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","267 patients","2 ","2","SCIP-VTE-2 " "380009","OHSU HOSPITAL AND CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","54%","50 patients","2 ","2","PN-2 " "380009","OHSU HOSPITAL AND CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","14 patients","1,2 ","12","AMI-8A " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","91 patients",,,"PN-7 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","281 patients",,,"AMI-2 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","113 patients",,,"PN-2 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","248 patients","2 ","2","SCIP-VTE-2 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","44 patients",,,"AMI-3 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","122 patients",,,"HF-2 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","48 patients",,,"PN-4 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","241 patients","2 ","2","SCIP-INF-4 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","95 patients",,,"AMI-4 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","712 patients","2 ","2","SCIP-INF-2 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","257 patients",,,"AMI-5 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","250 patients","2 ","2","SCIP-VTE-1 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","77 patients",,,"PN-6 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","683 patients","2 ","2","SCIP-INF-3 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","126 patients","2 ","2","SCIP-CARD-2 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","130 patients",,,"AMI-1 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","883 patients","2 ","2","SCIP-INF-6 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","43 patients",,,"AMI-8A " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","49%","97 patients",,,"HF-1 " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","112 patients",,,"PN-5C " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","100 patients",,,"PN-3B " "380014","GOOD SAMARITAN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","697 patients","2 ","2","SCIP-INF-1 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","217 patients","2 ","2","SCIP-VTE-2 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","253 patients",,,"HF-2 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","77 patients",,,"PN-6 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","56 patients",,,"PN-4 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","68 patients",,,"AMI-4 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","21 patients","1 ","1","AMI-3 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","458 patients","2 ","2","SCIP-INF-2 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","217 patients",,,"HF-1 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","167 patients",,,"AMI-5 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","99 patients",,,"PN-5C " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","612 patients","2 ","2","SCIP-INF-6 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","71 patients",,,"HF-3 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","21 patients","1 ","1","AMI-8A " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","83 patients",,,"PN-7 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","110 patients",,,"PN-3B " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","178 patients",,,"AMI-2 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","109 patients","2 ","2","SCIP-CARD-2 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","99 patients",,,"PN-2 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","425 patients","2 ","2","SCIP-INF-3 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","162 patients","2 ","2","SCIP-INF-4 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"HF-4 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","117 patients",,,"AMI-1 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","450 patients","2 ","2","SCIP-INF-1 " "380017","LEGACY GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","217 patients","2 ","2","SCIP-VTE-1 " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","398 patients",,,"AMI-5 " "380018","ROGUE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","511 patients","2 ","2","SCIP-INF-2 " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","49 patients",,,"HF-4 " "380018","ROGUE VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","121 patients",,,"PN-6 " "380018","ROGUE VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","204 patients",,,"PN-2 " "380018","ROGUE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","501 patients","2 ","2","SCIP-INF-1 " "380018","ROGUE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","177 patients","2 ","2","SCIP-VTE-2 " "380018","ROGUE VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","79 patients",,,"PN-4 " "380018","ROGUE VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","137 patients",,,"PN-7 " "380018","ROGUE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","640 patients","2 ","2","SCIP-INF-6 " "380018","ROGUE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","485 patients","2 ","2","SCIP-INF-3 " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","152 patients",,,"AMI-4 " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","140 patients",,,"HF-3 " "380018","ROGUE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","177 patients","2 ","2","SCIP-VTE-1 " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","73 patients",,,"AMI-8A " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","409 patients",,,"AMI-2 " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","52 patients",,,"AMI-3 " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","204 patients",,,"AMI-1 " "380018","ROGUE VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","174 patients",,,"PN-5C " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","353 patients",,,"HF-2 " "380018","ROGUE VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","179 patients",,,"PN-3B " "380018","ROGUE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","150 patients","2 ","2","SCIP-INF-4 " "380018","ROGUE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","98 patients","2 ","2","SCIP-CARD-2 " "380018","ROGUE VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","323 patients",,,"HF-1 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","204 patients",,,"PN-5C " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","155 patients",,,"PN-6 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","118 patients",,,"AMI-1 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","487 patients",,,"SCIP-INF-3 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","516 patients",,,"SCIP-INF-2 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","135 patients",,,"HF-1 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","75 patients",,,"SCIP-INF-4 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","94 patients",,,"SCIP-CARD-2 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","158 patients",,,"PN-3B " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","503 patients",,,"SCIP-INF-1 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","20 patients","1 ","1","AMI-8A " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","115 patients",,,"AMI-2 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","57 patients",,,"HF-3 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","293 patients",,,"SCIP-VTE-1 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","174 patients",,,"PN-2 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","114 patients",,,"AMI-5 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","173 patients",,,"HF-2 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"AMI-4 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","130 patients",,,"PN-7 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","HF-4 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","84 patients",,,"PN-4 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","293 patients",,,"SCIP-VTE-2 " "380020","MCKENZIE-WILLAMETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","774 patients",,,"SCIP-INF-6 " "380021","TUALITY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","106 patients",,,"PN-6 " "380021","TUALITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","196 patients","2 ","2","SCIP-VTE-2 " "380021","TUALITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","196 patients","2 ","2","SCIP-VTE-1 " "380021","TUALITY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","134 patients",,,"PN-2 " "380021","TUALITY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","117 patients",,,"AMI-2 " "380021","TUALITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","521 patients","2 ","2","SCIP-INF-6 " "380021","TUALITY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","33 patients",,,"HF-3 " "380021","TUALITY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","108 patients",,,"PN-7 " "380021","TUALITY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","106 patients",,,"HF-1 " "380021","TUALITY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","121 patients",,,"AMI-1 " "380021","TUALITY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","156 patients",,,"PN-5C " "380021","TUALITY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380021","TUALITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","58 patients","2 ","2","SCIP-INF-4 " "380021","TUALITY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "380021","TUALITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","389 patients","2 ","2","SCIP-INF-1 " "380021","TUALITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","387 patients","2 ","2","SCIP-INF-3 " "380021","TUALITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","394 patients","2 ","2","SCIP-INF-2 " "380021","TUALITY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","120 patients",,,"HF-2 " "380021","TUALITY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","132 patients",,,"PN-3B " "380021","TUALITY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "380021","TUALITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","74 patients","2 ","2","SCIP-CARD-2 " "380021","TUALITY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","125 patients",,,"AMI-5 " "380021","TUALITY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "380021","TUALITY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","34 patients",,,"AMI-8A " "380021","TUALITY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","45 patients",,,"PN-4 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","76 patients","2 ","2","SCIP-CARD-2 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","87 patients",,,"PN-6 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","327 patients","2 ","2","SCIP-INF-1 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","321 patients","2 ","2","SCIP-INF-3 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","113 patients",,,"PN-5C " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","115 patients",,,"PN-2 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","80 patients",,,"PN-7 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","211 patients","2 ","2","SCIP-VTE-2 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","63 patients",,,"HF-2 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","108 patients",,,"PN-3B " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","33 patients",,,"PN-4 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","211 patients","2 ","2","SCIP-VTE-1 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","327 patients","2 ","2","SCIP-INF-2 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","437 patients","2 ","2","SCIP-INF-6 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","39%","51 patients",,,"HF-1 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "380022","SAMARITAN ALBANY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","27 patients",,,"HF-3 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","28 patients",,,"AMI-2 " "380025","LEGACY MT HOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","120 patients","2 ","2","SCIP-VTE-1 " "380025","LEGACY MT HOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","184 patients","2 ","2","SCIP-INF-2 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380025","LEGACY MT HOOD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","72 patients",,,"PN-7 " "380025","LEGACY MT HOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","185 patients","2 ","2","SCIP-INF-1 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","40 patients",,,"HF-3 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "380025","LEGACY MT HOOD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","91 patients",,,"PN-3B " "380025","LEGACY MT HOOD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","106 patients",,,"PN-6 " "380025","LEGACY MT HOOD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","128 patients",,,"PN-5C " "380025","LEGACY MT HOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","178 patients","2 ","2","SCIP-INF-3 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","136 patients",,,"HF-2 " "380025","LEGACY MT HOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","36 patients","2 ","2","SCIP-CARD-2 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","121 patients",,,"HF-1 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "380025","LEGACY MT HOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","281 patients","2 ","2","SCIP-INF-6 " "380025","LEGACY MT HOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380025","LEGACY MT HOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","120 patients","2 ","2","SCIP-VTE-2 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "380025","LEGACY MT HOOD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","99 patients",,,"PN-2 " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380025","LEGACY MT HOOD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "380025","LEGACY MT HOOD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"PN-4 " "380027","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","524 patients","2 ","2","SCIP-INF-6 " "380027","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","289 patients","2 ","2","SCIP-VTE-2 " "380027","MERCY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","204 patients",,,"HF-1 " "380027","MERCY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","81 patients","2 ","2","PN-4 " "380027","MERCY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "380027","MERCY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380027","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","289 patients","2 ","2","SCIP-VTE-1 " "380027","MERCY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","40 patients",,,"HF-4 " "380027","MERCY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","168 patients","2 ","2","PN-6 " "380027","MERCY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","70 patients",,,"HF-3 " "380027","MERCY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","142 patients","2 ","2","PN-7 " "380027","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380027","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","59 patients","2 ","2","SCIP-CARD-2 " "380027","MERCY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","108 patients",,,"AMI-2 " "380027","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","76%","437 patients","2 ","2","SCIP-INF-2 " "380027","MERCY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","111 patients",,,"AMI-5 " "380027","MERCY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","37 patients",,,"AMI-8A " "380027","MERCY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","127 patients",,,"AMI-1 " "380027","MERCY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","208 patients","2 ","2","PN-2 " "380027","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","437 patients","2 ","2","SCIP-INF-1 " "380027","MERCY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "380027","MERCY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","187 patients","2 ","2","PN-3B " "380027","MERCY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","228 patients",,,"HF-2 " "380027","MERCY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","428 patients","2 ","2","SCIP-INF-3 " "380027","MERCY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","221 patients","2 ","2","PN-5C " "380029","SILVERTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","52 patients",,,"HF-1 " "380029","SILVERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","343 patients","2 ","2","SCIP-INF-6 " "380029","SILVERTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","56 patients",,,"PN-2 " "380029","SILVERTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380029","SILVERTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "380029","SILVERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","236 patients","2 ","2","SCIP-INF-1 " "380029","SILVERTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","130 patients","2 ","2","SCIP-VTE-2 " "380029","SILVERTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "380029","SILVERTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","85 patients",,,"PN-3B " "380029","SILVERTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","130 patients","2 ","2","SCIP-VTE-1 " "380029","SILVERTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "380029","SILVERTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","71 patients",,,"PN-5C " "380029","SILVERTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","57 patients",,,"HF-2 " "380029","SILVERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380029","SILVERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","62%","218 patients","2 ","2","SCIP-INF-2 " "380029","SILVERTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","56 patients",,,"PN-6 " "380029","SILVERTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","35 patients","2 ","2","SCIP-CARD-2 " "380029","SILVERTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","41 patients",,,"PN-7 " "380029","SILVERTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "380029","SILVERTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "380029","SILVERTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","PN-4 " "380029","SILVERTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380029","SILVERTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "380029","SILVERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","212 patients","2 ","2","SCIP-INF-3 " "380029","SILVERTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "380033","SACRED HEART UNIVERSITY DIST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","62 patients","3 ","3","AMI-2 " "380033","SACRED HEART UNIVERSITY DIST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","192 patients","2,3 ","23","SCIP-INF-6 " "380033","SACRED HEART UNIVERSITY DIST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "380033","SACRED HEART UNIVERSITY DIST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "380033","SACRED HEART UNIVERSITY DIST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","68 patients","3 ","3","AMI-5 " "380033","SACRED HEART UNIVERSITY DIST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","84 patients",,,"PN-6 " "380033","SACRED HEART UNIVERSITY DIST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","49 patients",,,"PN-7 " "380033","SACRED HEART UNIVERSITY DIST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","147 patients","2,3 ","23","SCIP-INF-2 " "380033","SACRED HEART UNIVERSITY DIST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","142 patients","2,3 ","23","SCIP-INF-1 " "380033","SACRED HEART UNIVERSITY DIST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","120 patients",,,"PN-5C " "380033","SACRED HEART UNIVERSITY DIST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "380033","SACRED HEART UNIVERSITY DIST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "380033","SACRED HEART UNIVERSITY DIST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","93 patients",,,"PN-3B " "380033","SACRED HEART UNIVERSITY DIST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","58 patients",,,"HF-2 " "380033","SACRED HEART UNIVERSITY DIST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","33 patients","3 ","3","AMI-1 " "380033","SACRED HEART UNIVERSITY DIST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","45 patients",,,"HF-1 " "380033","SACRED HEART UNIVERSITY DIST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","119 patients","2,3 ","23","SCIP-VTE-1 " "380033","SACRED HEART UNIVERSITY DIST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","119 patients","2,3 ","23","SCIP-VTE-2 " "380033","SACRED HEART UNIVERSITY DIST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","119 patients",,,"PN-2 " "380033","SACRED HEART UNIVERSITY DIST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,3 ","13","AMI-4 " "380033","SACRED HEART UNIVERSITY DIST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","45 patients","2,3 ","23","SCIP-INF-4 " "380033","SACRED HEART UNIVERSITY DIST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1,3 ","13","AMI-3 " "380033","SACRED HEART UNIVERSITY DIST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","59 patients",,,"PN-4 " "380033","SACRED HEART UNIVERSITY DIST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","6 patients","1,3 ","13","AMI-8A " "380033","SACRED HEART UNIVERSITY DIST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","136 patients","2,3 ","23","SCIP-INF-3 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","33 patients",,,"PN-6 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","188 patients","2 ","2","SCIP-INF-6 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","42 patients",,,"PN-5C " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","129 patients","2 ","2","SCIP-INF-1 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","28 patients",,,"AMI-1 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","84 patients","2 ","2","SCIP-VTE-1 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","84 patients","2 ","2","SCIP-VTE-2 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","20 patients","1 ","1","AMI-5 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","31 patients",,,"PN-7 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","42 patients",,,"PN-2 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","122 patients","2 ","2","SCIP-INF-3 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","PN-4 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","127 patients","2 ","2","SCIP-INF-2 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","52 patients",,,"HF-2 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","21 patients","1,2 ","12","SCIP-CARD-2 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","42 patients",,,"HF-1 " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","47 patients",,,"PN-3B " "380037","PROVIDENCE NEWBERG MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380038","WILLAMETTE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","183 patients","2 ","2","SCIP-VTE-1 " "380038","WILLAMETTE FALLS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","101 patients","2 ","2","PN-6 " "380038","WILLAMETTE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","353 patients","2 ","2","SCIP-INF-1 " "380038","WILLAMETTE FALLS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380038","WILLAMETTE FALLS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","135 patients","2 ","2","PN-3B " "380038","WILLAMETTE FALLS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","82 patients",,,"PN-7 " "380038","WILLAMETTE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380038","WILLAMETTE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","472 patients","2 ","2","SCIP-INF-6 " "380038","WILLAMETTE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","354 patients","2 ","2","SCIP-INF-2 " "380038","WILLAMETTE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","50 patients","2 ","2","SCIP-CARD-2 " "380038","WILLAMETTE FALLS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","AMI-3 " "380038","WILLAMETTE FALLS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,2 ","12","HF-4 " "380038","WILLAMETTE FALLS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "380038","WILLAMETTE FALLS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","152 patients","2 ","2","PN-5C " "380038","WILLAMETTE FALLS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "380038","WILLAMETTE FALLS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","128 patients","2 ","2","PN-2 " "380038","WILLAMETTE FALLS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1,2 ","12","HF-3 " "380038","WILLAMETTE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","349 patients","2 ","2","SCIP-INF-3 " "380038","WILLAMETTE FALLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","181 patients","2 ","2","SCIP-VTE-2 " "380038","WILLAMETTE FALLS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380038","WILLAMETTE FALLS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","50 patients","2 ","2","HF-1 " "380038","WILLAMETTE FALLS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","51 patients","2 ","2","PN-4 " "380038","WILLAMETTE FALLS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","61 patients","2 ","2","HF-2 " "380038","WILLAMETTE FALLS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","20 patients","1 ","1","AMI-5 " "380038","WILLAMETTE FALLS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","25 patients",,,"AMI-1 " "38003F","PORTLAND VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","118 patients",,,"PN-7 " "38003F","PORTLAND VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","74 patients",,,"HF-4 " "38003F","PORTLAND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","310 patients","2 ","2","SCIP-VTE-1 " "38003F","PORTLAND VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","319 patients",,,"HF-2 " "38003F","PORTLAND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","496 patients",,,"SCIP-INF-1 " "38003F","PORTLAND VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","92 patients",,,"AMI-1 " "38003F","PORTLAND VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","194 patients",,,"PN-5C " "38003F","PORTLAND VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"AMI-4 " "38003F","PORTLAND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","484 patients",,,"SCIP-INF-3 " "38003F","PORTLAND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","505 patients",,,"SCIP-INF-2 " "38003F","PORTLAND VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "38003F","PORTLAND VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","96 patients",,,"PN-6 " "38003F","PORTLAND VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "38003F","PORTLAND VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","73 patients",,,"PN-4 " "38003F","PORTLAND VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","124 patients",,,"PN-2 " "38003F","PORTLAND VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","166 patients",,,"PN-3B " "38003F","PORTLAND VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","84 patients",,,"AMI-2 " "38003F","PORTLAND VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","9 patients","1 ","1","AMI-8A " "38003F","PORTLAND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","310 patients","2 ","2","SCIP-VTE-2 " "38003F","PORTLAND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","200 patients","2 ","2","SCIP-INF-4 " "38003F","PORTLAND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","674 patients","2 ","2","SCIP-INF-6 " "38003F","PORTLAND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","361 patients","2 ","2","SCIP-CARD-2 " "38003F","PORTLAND VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","89 patients",,,"AMI-5 " "38003F","PORTLAND VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","291 patients",,,"HF-1 " "38003F","PORTLAND VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","118 patients",,,"HF-3 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","155 patients","2 ","2","SCIP-INF-1 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","247 patients","2 ","2","SCIP-INF-6 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","48%","23 patients","1,2 ","12","SCIP-CARD-2 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","42 patients",,,"PN-3B " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","146 patients","2 ","2","SCIP-INF-3 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","35 patients",,,"PN-2 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","34 patients",,,"PN-6 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","33 patients",,,"HF-1 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","10 patients","1 ","1","AMI-1 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","154 patients","2 ","2","SCIP-INF-2 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","35 patients",,,"HF-2 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","136 patients","2 ","2","SCIP-VTE-1 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","134 patients","2 ","2","SCIP-VTE-2 " "380040","ST CHARLES MEDICAL CENTER - REDMOND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","44 patients",,,"PN-5C " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","262 patients",,,"AMI-2 " "380047","ST CHARLES MEDICAL CENTER - BEND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"PN-4 " "380047","ST CHARLES MEDICAL CENTER - BEND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","126 patients",,,"PN-6 " "380047","ST CHARLES MEDICAL CENTER - BEND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","427 patients","2 ","2","SCIP-VTE-2 " "380047","ST CHARLES MEDICAL CENTER - BEND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","173 patients",,,"PN-3B " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","34 patients",,,"AMI-8A " "380047","ST CHARLES MEDICAL CENTER - BEND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1082 patients","2 ","2","SCIP-INF-6 " "380047","ST CHARLES MEDICAL CENTER - BEND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","190 patients","2 ","2","SCIP-INF-4 " "380047","ST CHARLES MEDICAL CENTER - BEND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","820 patients","2 ","2","SCIP-INF-3 " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","33 patients",,,"AMI-3 " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380047","ST CHARLES MEDICAL CENTER - BEND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","428 patients","2 ","2","SCIP-VTE-1 " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","179 patients",,,"HF-2 " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","56 patients",,,"HF-3 " "380047","ST CHARLES MEDICAL CENTER - BEND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","123 patients","2 ","2","SCIP-CARD-2 " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","169 patients",,,"AMI-1 " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"AMI-4 " "380047","ST CHARLES MEDICAL CENTER - BEND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","182 patients",,,"PN-2 " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","211 patients",,,"AMI-5 " "380047","ST CHARLES MEDICAL CENTER - BEND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","128 patients",,,"PN-7 " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","162 patients",,,"HF-1 " "380047","ST CHARLES MEDICAL CENTER - BEND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","869 patients","2 ","2","SCIP-INF-2 " "380047","ST CHARLES MEDICAL CENTER - BEND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "380047","ST CHARLES MEDICAL CENTER - BEND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","171 patients",,,"PN-5C " "380047","ST CHARLES MEDICAL CENTER - BEND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","871 patients","2 ","2","SCIP-INF-1 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1,2 ","12","SCIP-INF-6 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","5 patients","1,2 ","12","SCIP-VTE-1 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","32 patients",,,"PN-7 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-2 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","47 patients",,,"PN-5C " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","39 patients",,,"PN-2 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","42 patients",,,"PN-3B " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","77 patients",,,"HF-1 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","86 patients",,,"HF-2 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-1 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1,2 ","12","SCIP-VTE-2 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1 ","1","SCIP-INF-3 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "38004F","VA ROSEBURG HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","36 patients",,,"PN-6 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","29 patients",,,"AMI-8A " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","38 patients",,,"HF-3 " "380050","SKY LAKES MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","341 patients","2 ","2","SCIP-INF-3 " "380050","SKY LAKES MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","349 patients","2 ","2","SCIP-INF-1 " "380050","SKY LAKES MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","78 patients",,,"PN-7 " "380050","SKY LAKES MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","87 patients",,,"AMI-2 " "380050","SKY LAKES MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","350 patients","2 ","2","SCIP-INF-2 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"AMI-4 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","74 patients",,,"AMI-5 " "380050","SKY LAKES MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","58 patients","2 ","2","SCIP-CARD-2 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","97 patients",,,"AMI-1 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"HF-4 " "380050","SKY LAKES MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","493 patients","2 ","2","SCIP-INF-6 " "380050","SKY LAKES MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"PN-4 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","110 patients",,,"HF-1 " "380050","SKY LAKES MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","141 patients",,,"PN-5C " "380050","SKY LAKES MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","82 patients",,,"PN-6 " "380050","SKY LAKES MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","210 patients","2 ","2","SCIP-VTE-2 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","118 patients",,,"HF-2 " "380050","SKY LAKES MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","124 patients",,,"PN-3B " "380050","SKY LAKES MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","99 patients",,,"PN-2 " "380050","SKY LAKES MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","210 patients","2 ","2","SCIP-VTE-1 " "380050","SKY LAKES MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380051","SALEM HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","304 patients",,,"PN-7 " "380051","SALEM HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","272 patients",,,"PN-6 " "380051","SALEM HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","356 patients",,,"HF-2 " "380051","SALEM HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","573 patients","2 ","2","SCIP-INF-2 " "380051","SALEM HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "380051","SALEM HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","487 patients",,,"PN-5C " "380051","SALEM HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "380051","SALEM HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","292 patients",,,"HF-1 " "380051","SALEM HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","203 patients",,,"PN-4 " "380051","SALEM HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","408 patients",,,"AMI-2 " "380051","SALEM HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","116 patients",,,"HF-3 " "380051","SALEM HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","192 patients","2 ","2","SCIP-INF-4 " "380051","SALEM HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","117 patients",,,"AMI-4 " "380051","SALEM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","208 patients","2 ","2","SCIP-VTE-2 " "380051","SALEM HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","46 patients",,,"AMI-3 " "380051","SALEM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","211 patients","2 ","2","SCIP-VTE-1 " "380051","SALEM HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","131 patients","2 ","2","SCIP-CARD-2 " "380051","SALEM HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","378 patients",,,"AMI-1 " "380051","SALEM HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","522 patients","2 ","2","SCIP-INF-3 " "380051","SALEM HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","363 patients",,,"AMI-5 " "380051","SALEM HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","570 patients","2 ","2","SCIP-INF-1 " "380051","SALEM HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","70 patients",,,"AMI-8A " "380051","SALEM HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","435 patients",,,"PN-2 " "380051","SALEM HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","457 patients",,,"PN-3B " "380051","SALEM HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","788 patients","2 ","2","SCIP-INF-6 " "380052","HOLY ROSARY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","25 patients",,,"PN-4 " "380052","HOLY ROSARY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","72%","71 patients",,,"PN-3B " "380052","HOLY ROSARY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","51 patients",,,"PN-6 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","30 patients",,,"HF-3 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380052","HOLY ROSARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","15 patients","1 ","1","AMI-5 " "380052","HOLY ROSARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","267 patients","2 ","2","SCIP-INF-6 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "380052","HOLY ROSARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","55%","87 patients","2 ","2","SCIP-VTE-1 " "380052","HOLY ROSARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","64%","151 patients","2 ","2","SCIP-INF-3 " "380052","HOLY ROSARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","55%","86 patients","2 ","2","SCIP-VTE-2 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380052","HOLY ROSARY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","73 patients",,,"HF-1 " "380052","HOLY ROSARY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","60 patients",,,"PN-7 " "380052","HOLY ROSARY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","74 patients",,,"PN-5C " "380052","HOLY ROSARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","153 patients","2 ","2","SCIP-INF-1 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","86 patients",,,"HF-2 " "380052","HOLY ROSARY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","63%","82 patients",,,"PN-2 " "380052","HOLY ROSARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","23 patients","1,2 ","12","SCIP-CARD-2 " "380052","HOLY ROSARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","151 patients","2 ","2","SCIP-INF-2 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "380052","HOLY ROSARY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "380056","SANTIAM MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","62 patients","2 ","2","PN-2 " "380056","SANTIAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","27 patients",,,"SCIP-INF-3 " "380056","SANTIAM MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","20 patients","1,2 ","12","PN-4 " "380056","SANTIAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","34 patients",,,"SCIP-VTE-1 " "380056","SANTIAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","58 patients",,,"SCIP-INF-6 " "380056","SANTIAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","8 patients","1 ","1","SCIP-CARD-2 " "380056","SANTIAM MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","56 patients","2 ","2","PN-3B " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","32 patients",,,"HF-1 " "380056","SANTIAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","34 patients",,,"SCIP-VTE-2 " "380056","SANTIAM MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","47 patients","2 ","2","PN-7 " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "380056","SANTIAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","74%","27 patients",,,"SCIP-INF-2 " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "380056","SANTIAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "380056","SANTIAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","28 patients",,,"SCIP-INF-1 " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "380056","SANTIAM MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","70 patients","2 ","2","PN-5C " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "380056","SANTIAM MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","65 patients","2 ","2","PN-6 " "380056","SANTIAM MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","35 patients",,,"HF-2 " "380060","ADVENTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","130 patients",,,"HF-1 " "380060","ADVENTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380060","ADVENTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "380060","ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380060","ADVENTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","152 patients",,,"HF-2 " "380060","ADVENTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","167 patients",,,"AMI-2 " "380060","ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","399 patients","2 ","2","SCIP-INF-6 " "380060","ADVENTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","225 patients",,,"PN-5C " "380060","ADVENTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","145 patients",,,"AMI-5 " "380060","ADVENTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","126 patients",,,"PN-7 " "380060","ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","280 patients","2 ","2","SCIP-INF-2 " "380060","ADVENTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","258 patients",,,"PN-3B " "380060","ADVENTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","64 patients",,,"AMI-8A " "380060","ADVENTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","88 patients",,,"PN-4 " "380060","ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","267 patients","2 ","2","SCIP-INF-3 " "380060","ADVENTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"AMI-4 " "380060","ADVENTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","171 patients",,,"PN-2 " "380060","ADVENTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","45 patients",,,"HF-3 " "380060","ADVENTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","143 patients",,,"PN-6 " "380060","ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","279 patients","2 ","2","SCIP-INF-1 " "380060","ADVENTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "380060","ADVENTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","173 patients",,,"AMI-1 " "380060","ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","196 patients","2 ","2","SCIP-VTE-1 " "380060","ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","61 patients","2 ","2","SCIP-CARD-2 " "380060","ADVENTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","195 patients","2 ","2","SCIP-VTE-2 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","66 patients",,,"AMI-8A " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","240 patients",,,"PN-2 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","414 patients",,,"AMI-2 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","142 patients",,,"PN-4 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"AMI-4 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","218 patients","2 ","2","SCIP-VTE-2 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","314 patients",,,"AMI-1 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","645 patients","2 ","2","SCIP-INF-6 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","159 patients",,,"HF-3 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","373 patients",,,"AMI-5 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","400 patients",,,"HF-2 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","466 patients","2 ","2","SCIP-INF-2 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","304 patients",,,"PN-5C " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"HF-4 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","465 patients","2 ","2","SCIP-INF-1 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","192 patients",,,"PN-7 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","63 patients",,,"AMI-3 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","98 patients","2 ","2","SCIP-CARD-2 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","431 patients","2 ","2","SCIP-INF-3 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","219 patients","2 ","2","SCIP-VTE-1 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","352 patients",,,"HF-1 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","321 patients",,,"PN-3B " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","150 patients","2 ","2","SCIP-INF-4 " "380061","PROVIDENCE PORTLAND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","199 patients",,,"PN-6 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","153 patients",,,"SCIP-VTE-2 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","185 patients",,,"PN-5C " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","31 patients",,,"SCIP-CARD-2 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"PN-4 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","22 patients","1 ","1","AMI-1 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","214 patients",,,"SCIP-INF-1 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","153 patients",,,"SCIP-VTE-1 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","310 patients",,,"SCIP-INF-6 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","95 patients",,,"HF-1 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","206 patients",,,"SCIP-INF-3 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","124 patients",,,"HF-2 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","125 patients",,,"PN-6 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","114 patients",,,"PN-7 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","152 patients",,,"PN-2 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","221 patients",,,"SCIP-INF-2 " "380071","WILLAMETTE VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","189 patients",,,"PN-3B " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","204 patients",,,"PN-5C " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","14 patients","1,2 ","12","SCIP-INF-4 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","114 patients",,,"HF-2 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","83 patients",,,"AMI-2 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"HF-3 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","179 patients","2 ","2","SCIP-INF-1 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","120 patients","2 ","2","SCIP-VTE-1 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","120 patients","2 ","2","SCIP-VTE-2 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","152 patients",,,"PN-7 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","78 patients",,,"AMI-5 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","96 patients",,,"HF-1 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","95 patients",,,"PN-4 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","181 patients","2 ","2","SCIP-INF-2 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","289 patients","2 ","2","SCIP-INF-6 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","152 patients",,,"PN-6 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","164 patients",,,"PN-3B " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","42 patients","2 ","2","SCIP-CARD-2 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","AMI-4 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","5 patients","1 ","1","AMI-8A " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","174 patients","2 ","2","SCIP-INF-3 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","224 patients",,,"PN-2 " "380075","PROVIDENCE MEDFORD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","88 patients",,,"AMI-1 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"HF-3 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","98 patients",,,"PN-3B " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","39 patients",,,"PN-4 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","70 patients",,,"HF-2 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","26 patients","2 ","2","SCIP-CARD-2 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","172 patients","2 ","2","SCIP-INF-2 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","96 patients",,,"PN-2 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","58 patients",,,"HF-1 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","249 patients","2 ","2","SCIP-INF-6 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","89 patients",,,"PN-6 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","112 patients",,,"PN-5C " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","68 patients",,,"PN-7 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","163 patients","2 ","2","SCIP-INF-3 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","114 patients","2 ","2","SCIP-VTE-1 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","HF-4 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","179 patients","2 ","2","SCIP-INF-1 " "380082","PROVIDENCE MILWAUKIE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","114 patients","2 ","2","SCIP-VTE-2 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","105 patients",,,"PN-3B " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","134 patients",,,"AMI-5 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","249 patients","2 ","2","SCIP-INF-2 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"AMI-3 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","194 patients","2 ","2","SCIP-VTE-1 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","248 patients","2 ","2","SCIP-INF-1 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","240 patients","2 ","2","SCIP-INF-3 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","194 patients","2 ","2","SCIP-VTE-2 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","52 patients",,,"HF-3 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","136 patients",,,"PN-2 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","371 patients","2 ","2","SCIP-INF-6 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","83 patients",,,"PN-7 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","54 patients","2 ","2","SCIP-CARD-2 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"AMI-4 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","190 patients",,,"HF-2 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","51 patients",,,"AMI-8A " "380089","LEGACY MERIDIAN PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","122 patients",,,"PN-5C " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","164 patients",,,"HF-1 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","162 patients",,,"AMI-1 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","93 patients",,,"PN-6 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","148 patients",,,"AMI-2 " "380089","LEGACY MERIDIAN PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "380090","BAY AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","80 patients","2 ","2","SCIP-CARD-2 " "380090","BAY AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","41 patients",,,"AMI-2 " "380090","BAY AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","315 patients","2 ","2","SCIP-VTE-2 " "380090","BAY AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380090","BAY AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","143 patients","2 ","2","PN-3B " "380090","BAY AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","62 patients",,,"AMI-1 " "380090","BAY AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","138 patients","2 ","2","PN-2 " "380090","BAY AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "380090","BAY AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1,2 ","12","HF-4 " "380090","BAY AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","66 patients","2 ","2","PN-4 " "380090","BAY AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","41 patients",,,"AMI-5 " "380090","BAY AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","168 patients","2 ","2","PN-5C " "380090","BAY AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "380090","BAY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","444 patients","2 ","2","SCIP-INF-2 " "380090","BAY AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","93 patients","2 ","2","PN-7 " "380090","BAY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","434 patients","2 ","2","SCIP-INF-3 " "380090","BAY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","442 patients","2 ","2","SCIP-INF-1 " "380090","BAY AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","119 patients","2 ","2","PN-6 " "380090","BAY AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","102 patients","2 ","2","HF-1 " "380090","BAY AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","34 patients","2 ","2","HF-3 " "380090","BAY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "380090","BAY AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","134 patients","2 ","2","HF-2 " "380090","BAY AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "380090","BAY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","560 patients","2 ","2","SCIP-INF-6 " "380090","BAY AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","315 patients","2 ","2","SCIP-VTE-1 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","34 patients","2 ","2","SCIP-INF-4 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","116 patients","2 ","2","PN-3B " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","261 patients","2 ","2","SCIP-VTE-1 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","AMI-3 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","145 patients",,,"AMI-2 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","146 patients",,,"AMI-5 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","103 patients","2 ","2","PN-6 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","297 patients","2 ","2","HF-1 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","41 patients","2 ","2","PN-4 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","139 patients","2 ","2","PN-2 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","397 patients","2 ","2","SCIP-INF-1 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","397 patients","2 ","2","SCIP-INF-2 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","101 patients","2 ","2","PN-7 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","118 patients","2 ","2","PN-5C " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","150 patients",,,"AMI-1 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","94 patients","2 ","2","SCIP-CARD-2 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","576 patients","2 ","2","SCIP-INF-6 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"AMI-4 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","260 patients","2 ","2","SCIP-VTE-2 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","92 patients","2 ","2","HF-3 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","381 patients","2 ","2","SCIP-INF-3 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","40 patients","2 ","2","HF-4 " "380091","KAISER SUNNYSIDE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","316 patients","2 ","2","HF-2 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","177 patients","2,3 ","23","SCIP-VTE-1 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","222 patients","3 ","3","HF-1 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","385 patients","3 ","3","AMI-5 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","485 patients","2,3 ","23","SCIP-INF-1 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","37 patients","3 ","3","HF-4 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","103 patients","3 ","3","PN-4 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","308 patients","3 ","3","PN-2 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","123 patients","2 ","2","SCIP-CARD-2 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","276 patients","3 ","3","PN-5C " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","471 patients","2,3 ","23","SCIP-INF-3 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","124 patients","3 ","3","AMI-4 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","247 patients","3 ","3","PN-3B " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","182 patients","3 ","3","PN-6 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","124 patients","2,3 ","23","SCIP-INF-4 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","229 patients","3 ","3","AMI-1 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","253 patients",,,"PN-7 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","67 patients","3 ","3","AMI-8A " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","110 patients","3 ","3","HF-3 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","177 patients","2,3 ","23","SCIP-VTE-2 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","71 patients","3 ","3","AMI-3 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","351 patients","3 ","3","AMI-2 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","638 patients","2,3 ","23","SCIP-INF-6 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","276 patients","3 ","3","HF-2 " "380102","SACRED HEART MEDICAL CENTER - RIVERBEND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","487 patients","2,3 ","23","SCIP-INF-2 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","24 patients","1 ","1","HF-2 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","20 patients","1 ","1","HF-1 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","31 patients",,,"PN-5C " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","15 patients","1 ","1","PN-7 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","30 patients",,,"PN-2 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","28 patients",,,"PN-3B " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","25 patients",,,"PN-6 " "381301","COTTAGE GROVE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","102 patients",,,"SCIP-INF-6 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","32 patients",,,"PN-5C " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","17 patients","1 ","1","SCIP-INF-2 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","35%","23 patients","1 ","1","HF-1 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","17 patients","1 ","1","SCIP-INF-1 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","31 patients",,,"PN-2 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","20 patients","1 ","1","PN-6 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","58 patients",,,"SCIP-VTE-2 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","17 patients","1 ","1","SCIP-INF-3 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","16 patients","1 ","1","SCIP-CARD-2 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","21 patients","1 ","1","PN-7 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","58 patients",,,"SCIP-VTE-1 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","30 patients",,,"HF-2 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","25 patients",,,"PN-3B " "381302","SAMARITAN NORTH LINCOLN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "381303","PROVIDENCE SEASIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1,2 ","12","SCIP-INF-2 " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "381303","PROVIDENCE SEASIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "381303","PROVIDENCE SEASIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,2 ","12","SCIP-VTE-2 " "381303","PROVIDENCE SEASIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,2 ","12","SCIP-VTE-1 " "381303","PROVIDENCE SEASIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1,2 ","12","SCIP-INF-3 " "381303","PROVIDENCE SEASIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","PN-4 " "381303","PROVIDENCE SEASIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1,2 ","12","SCIP-CARD-2 " "381303","PROVIDENCE SEASIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","44 patients",,,"PN-3B " "381303","PROVIDENCE SEASIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","27 patients",,,"PN-2 " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","35 patients",,,"HF-2 " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "381303","PROVIDENCE SEASIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1,2 ","12","SCIP-INF-1 " "381303","PROVIDENCE SEASIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","49 patients",,,"PN-5C " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","36 patients",,,"HF-1 " "381303","PROVIDENCE SEASIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","18 patients","1 ","1","PN-7 " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "381303","PROVIDENCE SEASIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","34 patients",,,"PN-6 " "381303","PROVIDENCE SEASIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "381303","PROVIDENCE SEASIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","15 patients","1,2 ","12","SCIP-INF-6 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","21 patients","1 ","1","PN-6 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-1 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1,3 ","13","SCIP-VTE-2 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-2 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","42%","12 patients","1 ","1","HF-2 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","21 patients","1 ","1","PN-2 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","11 patients","1 ","1","PN-7 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","24 patients","1 ","1","PN-5C " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,3 ","13","SCIP-VTE-1 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","10 patients","1 ","1","HF-1 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","15 patients","1 ","1","PN-3B " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","3 patients","1,3 ","13","SCIP-INF-3 " "381304","SOUTHERN COOS HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","12 patients","1 ","1","SCIP-INF-1 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","6 patients","1 ","1","SCIP-VTE-2 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","8 patients","1 ","1","PN-3B " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","14 patients","1 ","1","PN-2 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1 ","1","PN-7 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","12 patients","1 ","1","SCIP-INF-2 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","13 patients","1 ","1","HF-2 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","14 patients","1 ","1","SCIP-INF-6 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","6 patients","1 ","1","SCIP-VTE-1 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","16 patients","1 ","1","PN-5C " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","12 patients","1 ","1","SCIP-INF-3 " "381305","BLUE MOUNTAIN HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","13 patients","1 ","1","HF-1 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "381306","WALLOWA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "381306","WALLOWA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "381306","WALLOWA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","PN-4 " "381306","WALLOWA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "381306","WALLOWA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "381306","WALLOWA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","18 patients","1 ","1","PN-2 " "381306","WALLOWA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","17 patients","1 ","1","PN-6 " "381306","WALLOWA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","12 patients","1 ","1","PN-7 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "381306","WALLOWA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","22%","18 patients","1,3 ","13","HF-2 " "381306","WALLOWA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "381306","WALLOWA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","13 patients","1,3 ","13","HF-1 " "381306","WALLOWA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "381306","WALLOWA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "381306","WALLOWA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","22 patients","1 ","1","PN-5C " "381306","WALLOWA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","11 patients","1 ","1","PN-3B " "381307","HARNEY DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "381307","HARNEY DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "381307","HARNEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "381307","HARNEY DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "381307","HARNEY DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "381307","HARNEY DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "381307","HARNEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "381307","HARNEY DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "381307","HARNEY DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "381307","HARNEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "381307","HARNEY DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "381307","HARNEY DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "381307","HARNEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381307","HARNEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381307","HARNEY DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "381307","HARNEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "381307","HARNEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "381307","HARNEY DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "381307","HARNEY DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "381307","HARNEY DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "381307","HARNEY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "381307","HARNEY DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "381307","HARNEY DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "381307","HARNEY DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "381307","HARNEY DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381308","WEST VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "381308","WEST VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","22 patients","1 ","1","PN-7 " "381308","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "381308","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381308","WEST VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "381308","WEST VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","19 patients","1 ","1","PN-6 " "381308","WEST VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "381308","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "381308","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "381308","WEST VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "381308","WEST VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "381308","WEST VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "381308","WEST VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381308","WEST VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","17 patients","1 ","1","PN-2 " "381308","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "381308","WEST VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "381308","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "381308","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381308","WEST VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "381308","WEST VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "381308","WEST VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","23 patients","1 ","1","PN-5C " "381308","WEST VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "381308","WEST VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "381308","WEST VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "381308","WEST VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","22 patients","1 ","1","PN-3B " "381309","LAKE DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "381309","LAKE DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","32 patients",,,"HF-1 " "381309","LAKE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "381309","LAKE DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1 ","1","PN-5C " "381309","LAKE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381309","LAKE DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "381309","LAKE DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "381309","LAKE DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "381309","LAKE DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "381309","LAKE DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "381309","LAKE DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "381309","LAKE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381309","LAKE DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","11 patients","1 ","1","PN-2 " "381309","LAKE DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "381309","LAKE DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381309","LAKE DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "381309","LAKE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "381309","LAKE DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "381309","LAKE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "381309","LAKE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "381309","LAKE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "381309","LAKE DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "381309","LAKE DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1 ","1","PN-7 " "381309","LAKE DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "381309","LAKE DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","37 patients",,,"HF-2 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "381310","PIONEER MEMORIAL HOSPITAL (HEPPNER)","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381311","LOWER UMPQUA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "381311","LOWER UMPQUA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "381311","LOWER UMPQUA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "381311","LOWER UMPQUA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "381311","LOWER UMPQUA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "381311","LOWER UMPQUA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "381311","LOWER UMPQUA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "381311","LOWER UMPQUA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "381311","LOWER UMPQUA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "381311","LOWER UMPQUA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "381311","LOWER UMPQUA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "381311","LOWER UMPQUA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "381311","LOWER UMPQUA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381311","LOWER UMPQUA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","2 patients","1,3 ","13","PN-2 " "381311","LOWER UMPQUA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "381311","LOWER UMPQUA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381311","LOWER UMPQUA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "381311","LOWER UMPQUA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "381311","LOWER UMPQUA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "381311","LOWER UMPQUA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "381311","LOWER UMPQUA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "381311","LOWER UMPQUA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "381311","LOWER UMPQUA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381311","LOWER UMPQUA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "381311","LOWER UMPQUA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "381312","COQUILLE VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","HF-4 " "381312","COQUILLE VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","28 patients",,,"PN-2 " "381312","COQUILLE VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "381312","COQUILLE VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "381312","COQUILLE VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "381312","COQUILLE VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "381312","COQUILLE VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381312","COQUILLE VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","26 patients",,,"HF-2 " "381312","COQUILLE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","40 patients",,,"SCIP-INF-6 " "381312","COQUILLE VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","36 patients",,,"PN-5C " "381312","COQUILLE VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","22 patients","1 ","1","HF-1 " "381312","COQUILLE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "381312","COQUILLE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","23 patients","1 ","1","SCIP-VTE-2 " "381312","COQUILLE VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","27 patients",,,"PN-3B " "381312","COQUILLE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","22 patients","1 ","1","SCIP-INF-2 " "381312","COQUILLE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","22 patients","1 ","1","SCIP-INF-3 " "381312","COQUILLE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "381312","COQUILLE VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","4 patients","1 ","1","AMI-2 " "381312","COQUILLE VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","24 patients","1 ","1","PN-7 " "381312","COQUILLE VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "381312","COQUILLE VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "381312","COQUILLE VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","11 patients","1 ","1","PN-4 " "381312","COQUILLE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","23 patients","1 ","1","SCIP-VTE-1 " "381312","COQUILLE VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","23 patients","1 ","1","PN-6 " "381312","COQUILLE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","22 patients","1 ","1","SCIP-INF-1 " "381313","PIONEER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "381313","PIONEER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","33 patients","3 ","3","PN-5C " "381313","PIONEER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "381313","PIONEER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "381313","PIONEER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","12 patients","1,3 ","13","SCIP-VTE-2 " "381313","PIONEER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","33 patients","3 ","3","PN-2 " "381313","PIONEER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381313","PIONEER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "381313","PIONEER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1,3 ","13","PN-4 " "381313","PIONEER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","73%","11 patients","1,3 ","13","SCIP-INF-2 " "381313","PIONEER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "381313","PIONEER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","28 patients","3 ","3","PN-6 " "381313","PIONEER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","11 patients","1,3 ","13","SCIP-INF-1 " "381313","PIONEER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "381313","PIONEER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","24 patients","1,3 ","13","PN-3B " "381313","PIONEER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1,3 ","13","HF-2 " "381313","PIONEER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "381313","PIONEER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","11 patients","1,3 ","13","SCIP-INF-3 " "381313","PIONEER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","5 patients","1,3 ","13","HF-1 " "381313","PIONEER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","16 patients","1,3 ","13","PN-7 " "381313","PIONEER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "381313","PIONEER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "381313","PIONEER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","12 patients","1,3 ","13","SCIP-VTE-1 " "381313","PIONEER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "381313","PIONEER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","18 patients","1,3 ","13","SCIP-INF-6 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","58%","38 patients",,,"SCIP-VTE-1 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","49 patients",,,"SCIP-INF-3 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","31 patients",,,"PN-5C " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","51 patients",,,"SCIP-INF-2 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1 ","1","PN-3B " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","33 patients",,,"PN-6 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","19 patients","1 ","1","PN-7 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","37 patients",,,"HF-2 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","55%","38 patients",,,"SCIP-VTE-2 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","49 patients",,,"SCIP-INF-1 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","29 patients",,,"HF-1 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","39 patients",,,"PN-2 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "381314","SAMARITAN PACIFIC COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","73 patients",,,"SCIP-INF-6 " "381315","ST ELIZABETH HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "381315","ST ELIZABETH HEALTH SERVICES INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "381315","ST ELIZABETH HEALTH SERVICES INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "381315","ST ELIZABETH HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "381315","ST ELIZABETH HEALTH SERVICES INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "381315","ST ELIZABETH HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "381315","ST ELIZABETH HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "381315","ST ELIZABETH HEALTH SERVICES INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "381315","ST ELIZABETH HEALTH SERVICES INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "381315","ST ELIZABETH HEALTH SERVICES INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "381315","ST ELIZABETH HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "381315","ST ELIZABETH HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "381315","ST ELIZABETH HEALTH SERVICES INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "381315","ST ELIZABETH HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "381315","ST ELIZABETH HEALTH SERVICES INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "381316","PEACE HARBOR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "381316","PEACE HARBOR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "381316","PEACE HARBOR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","36 patients",,,"HF-1 " "381316","PEACE HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","52 patients",,,"SCIP-INF-3 " "381316","PEACE HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "381316","PEACE HARBOR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "381316","PEACE HARBOR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "381316","PEACE HARBOR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "381316","PEACE HARBOR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "381316","PEACE HARBOR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "381316","PEACE HARBOR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","30 patients",,,"PN-3B " "381316","PEACE HARBOR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "381316","PEACE HARBOR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","40 patients",,,"PN-5C " "381316","PEACE HARBOR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","25 patients",,,"PN-7 " "381316","PEACE HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","55 patients",,,"SCIP-INF-1 " "381316","PEACE HARBOR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","41 patients",,,"PN-2 " "381316","PEACE HARBOR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","29 patients",,,"PN-6 " "381316","PEACE HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","59 patients",,,"SCIP-VTE-2 " "381316","PEACE HARBOR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "381316","PEACE HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","9 patients","1 ","1","SCIP-CARD-2 " "381316","PEACE HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","59 patients",,,"SCIP-VTE-1 " "381316","PEACE HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","55 patients",,,"SCIP-INF-2 " "381316","PEACE HARBOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","88 patients",,,"SCIP-INF-6 " "381316","PEACE HARBOR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "381316","PEACE HARBOR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","40 patients",,,"HF-2 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","25 patients",,,"HF-2 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","49 patients",,,"PN-3B " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","86 patients",,,"SCIP-INF-6 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","57 patients",,,"SCIP-INF-1 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","54 patients",,,"PN-2 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","44 patients",,,"PN-7 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","32 patients",,,"PN-6 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","35 patients",,,"SCIP-VTE-1 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","35 patients",,,"SCIP-VTE-2 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","7 patients","1 ","1","AMI-2 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","55 patients",,,"SCIP-INF-3 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","57 patients",,,"SCIP-INF-2 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","52 patients",,,"PN-5C " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","22 patients","1 ","1","HF-1 " "381317","TILLAMOOK COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","230 patients","2 ","2","SCIP-INF-6 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","38 patients",,,"HF-2 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","187 patients","2 ","2","SCIP-INF-3 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","32 patients",,,"PN-7 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","33 patients",,,"PN-2 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","190 patients","2 ","2","SCIP-INF-1 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","31 patients",,,"PN-3B " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","117 patients","2 ","2","SCIP-VTE-2 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","118 patients","2 ","2","SCIP-VTE-1 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","190 patients","2 ","2","SCIP-INF-2 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","31 patients",,,"PN-6 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","37 patients",,,"HF-1 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","44 patients",,,"PN-5C " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "381318","PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "381320","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","34 patients",,,"SCIP-VTE-1 " "381320","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","51 patients",,,"PN-7 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","39 patients",,,"HF-2 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","26%","34 patients",,,"HF-1 " "381320","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","77%","73 patients",,,"SCIP-INF-1 " "381320","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","34 patients",,,"SCIP-VTE-2 " "381320","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","61 patients",,,"PN-3B " "381320","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "381320","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","75 patients",,,"PN-6 " "381320","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","99 patients",,,"PN-5C " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "381320","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","72 patients",,,"SCIP-INF-3 " "381320","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","81 patients",,,"PN-2 " "381320","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "381320","COLUMBIA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","72%","32 patients",,,"PN-4 " "381320","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","84 patients",,,"SCIP-INF-6 " "381320","COLUMBIA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","73 patients",,,"SCIP-INF-2 " "381320","COLUMBIA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "381321","GRANDE RONDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","46 patients",,,"HF-2 " "381321","GRANDE RONDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","80 patients",,,"PN-2 " "381321","GRANDE RONDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "381321","GRANDE RONDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "381321","GRANDE RONDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "381321","GRANDE RONDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "381321","GRANDE RONDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "381321","GRANDE RONDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "381321","GRANDE RONDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","20 patients","1 ","1","PN-4 " "381321","GRANDE RONDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","54 patients",,,"PN-7 " "381321","GRANDE RONDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "381321","GRANDE RONDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "381321","GRANDE RONDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "381321","GRANDE RONDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "381321","GRANDE RONDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "381321","GRANDE RONDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","78 patients",,,"PN-3B " "381321","GRANDE RONDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381321","GRANDE RONDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "381321","GRANDE RONDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","86 patients",,,"PN-5C " "381321","GRANDE RONDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "381321","GRANDE RONDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","36 patients",,,"HF-1 " "381321","GRANDE RONDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "381321","GRANDE RONDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","73 patients",,,"PN-6 " "381321","GRANDE RONDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "381321","GRANDE RONDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","49 patients",,,"SCIP-VTE-1 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","140 patients",,,"PN-5C " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","131 patients",,,"PN-2 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","86 patients",,,"SCIP-INF-6 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","44 patients",,,"SCIP-INF-3 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","68 patients",,,"PN-7 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1 ","1","SCIP-CARD-2 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"HF-3 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","45 patients",,,"SCIP-INF-2 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","58 patients",,,"HF-1 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","44 patients",,,"SCIP-INF-1 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","49 patients",,,"SCIP-VTE-2 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","79 patients",,,"HF-2 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","104 patients",,,"PN-6 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","142 patients",,,"PN-3B " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "381323","SAMARITAN LEBANON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","39 patients",,,"PN-6 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients",,,"SCIP-INF-6 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","17 patients","1 ","1","SCIP-VTE-2 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","3 patients","1,3 ","13","HF-2 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","18 patients","1 ","1","PN-7 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","24 patients","1 ","1","SCIP-INF-1 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","29 patients",,,"PN-2 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","HF-3 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","PN-4 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","23 patients","1 ","1","SCIP-INF-3 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","30 patients",,,"PN-3B " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","42 patients",,,"PN-5C " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","18 patients","1 ","1","SCIP-VTE-1 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1,3 ","13","HF-1 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "381324","MOUNTAIN VIEW HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","23 patients","1 ","1","SCIP-INF-2 " "381325","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients",,,"PN-6 " "381325","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","225 patients",,,"SCIP-INF-6 " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "381325","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","35 patients",,,"PN-3B " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1,2 ","12","HF-3 " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1,2 ","12","HF-4 " "381325","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "381325","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","53 patients",,,"PN-5C " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","36 patients","2 ","2","HF-1 " "381325","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "381325","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","35 patients",,,"PN-2 " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","44 patients","2 ","2","HF-2 " "381325","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","126 patients",,,"SCIP-VTE-1 " "381325","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","170 patients",,,"SCIP-INF-1 " "381325","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","58%","12 patients","1 ","1","PN-4 " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "381325","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","122 patients",,,"SCIP-VTE-2 " "381325","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","22 patients","1 ","1","PN-7 " "381325","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","167 patients",,,"SCIP-INF-3 " "381325","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","170 patients",,,"SCIP-INF-2 " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "381325","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "390001","COMMUNITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "390001","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","199 patients",,,"AMI-2 " "390001","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","142 patients",,,"AMI-1 " "390001","COMMUNITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","116 patients",,,"PN-6 " "390001","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","365 patients",,,"SCIP-VTE-1 " "390001","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","198 patients",,,"SCIP-INF-4 " "390001","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","33 patients",,,"AMI-8A " "390001","COMMUNITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","194 patients",,,"PN-2 " "390001","COMMUNITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","200 patients",,,"PN-3B " "390001","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","742 patients",,,"SCIP-INF-1 " "390001","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","223 patients",,,"SCIP-CARD-2 " "390001","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1102 patients",,,"SCIP-INF-6 " "390001","COMMUNITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","316 patients",,,"HF-2 " "390001","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","193 patients",,,"AMI-5 " "390001","COMMUNITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","106 patients",,,"HF-3 " "390001","COMMUNITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","144 patients",,,"PN-7 " "390001","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","71 patients",,,"AMI-4 " "390001","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","45 patients",,,"AMI-3 " "390001","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","765 patients",,,"SCIP-INF-2 " "390001","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","364 patients",,,"SCIP-VTE-2 " "390001","COMMUNITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","229 patients",,,"HF-1 " "390001","COMMUNITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390001","COMMUNITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","235 patients",,,"PN-5C " "390001","COMMUNITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","80 patients",,,"PN-4 " "390001","COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","732 patients",,,"SCIP-INF-3 " "390002","UPMC MCKEESPORT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","359 patients",,,"SCIP-INF-6 " "390002","UPMC MCKEESPORT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","219 patients",,,"SCIP-INF-1 " "390002","UPMC MCKEESPORT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","237 patients",,,"PN-3B " "390002","UPMC MCKEESPORT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","153 patients",,,"PN-7 " "390002","UPMC MCKEESPORT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","224 patients",,,"SCIP-INF-2 " "390002","UPMC MCKEESPORT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","422 patients",,,"HF-2 " "390002","UPMC MCKEESPORT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "390002","UPMC MCKEESPORT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","181 patients",,,"SCIP-VTE-2 " "390002","UPMC MCKEESPORT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","114 patients",,,"HF-3 " "390002","UPMC MCKEESPORT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "390002","UPMC MCKEESPORT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","104 patients",,,"AMI-1 " "390002","UPMC MCKEESPORT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "390002","UPMC MCKEESPORT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","244 patients",,,"PN-5C " "390002","UPMC MCKEESPORT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","217 patients",,,"PN-2 " "390002","UPMC MCKEESPORT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","313 patients",,,"HF-1 " "390002","UPMC MCKEESPORT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "390002","UPMC MCKEESPORT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","76 patients",,,"AMI-2 " "390002","UPMC MCKEESPORT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","60 patients",,,"SCIP-CARD-2 " "390002","UPMC MCKEESPORT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","212 patients",,,"SCIP-INF-3 " "390002","UPMC MCKEESPORT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","96 patients",,,"PN-4 " "390002","UPMC MCKEESPORT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390002","UPMC MCKEESPORT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","181 patients",,,"SCIP-VTE-1 " "390002","UPMC MCKEESPORT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","98 patients",,,"PN-6 " "390002","UPMC MCKEESPORT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "390002","UPMC MCKEESPORT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","79 patients",,,"AMI-5 " "390003","BLOOMSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","171 patients",,,"SCIP-INF-1 " "390003","BLOOMSBURG HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","101 patients",,,"PN-5C " "390003","BLOOMSBURG HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","21 patients","1 ","1","HF-3 " "390003","BLOOMSBURG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","86 patients",,,"SCIP-VTE-2 " "390003","BLOOMSBURG HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "390003","BLOOMSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","168 patients",,,"SCIP-INF-2 " "390003","BLOOMSBURG HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390003","BLOOMSBURG HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","HF-4 " "390003","BLOOMSBURG HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","82 patients",,,"HF-2 " "390003","BLOOMSBURG HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","20 patients","1 ","1","AMI-2 " "390003","BLOOMSBURG HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390003","BLOOMSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","223 patients",,,"SCIP-INF-6 " "390003","BLOOMSBURG HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","27%","59 patients",,,"HF-1 " "390003","BLOOMSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","159 patients",,,"SCIP-INF-3 " "390003","BLOOMSBURG HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","20 patients","1 ","1","AMI-1 " "390003","BLOOMSBURG HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","83 patients",,,"PN-3B " "390003","BLOOMSBURG HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","90 patients",,,"PN-2 " "390003","BLOOMSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390003","BLOOMSBURG HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","24 patients","1 ","1","SCIP-CARD-2 " "390003","BLOOMSBURG HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","44 patients",,,"PN-6 " "390003","BLOOMSBURG HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","58 patients",,,"PN-7 " "390003","BLOOMSBURG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","86 patients",,,"SCIP-VTE-1 " "390003","BLOOMSBURG HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "390003","BLOOMSBURG HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "390003","BLOOMSBURG HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","64%","25 patients",,,"PN-4 " "390004","HOLY SPIRIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","882 patients","2 ","2","SCIP-INF-6 " "390004","HOLY SPIRIT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"AMI-4 " "390004","HOLY SPIRIT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","208 patients",,,"PN-7 " "390004","HOLY SPIRIT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","321 patients",,,"PN-5C " "390004","HOLY SPIRIT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","288 patients",,,"AMI-1 " "390004","HOLY SPIRIT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390004","HOLY SPIRIT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","94 patients",,,"PN-4 " "390004","HOLY SPIRIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","733 patients","2 ","2","SCIP-INF-2 " "390004","HOLY SPIRIT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","228 patients","2 ","2","SCIP-VTE-2 " "390004","HOLY SPIRIT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","312 patients",,,"HF-1 " "390004","HOLY SPIRIT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","296 patients",,,"AMI-5 " "390004","HOLY SPIRIT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","193 patients","2 ","2","SCIP-CARD-2 " "390004","HOLY SPIRIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","248 patients","2 ","2","SCIP-INF-4 " "390004","HOLY SPIRIT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","349 patients",,,"PN-3B " "390004","HOLY SPIRIT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","118 patients",,,"HF-3 " "390004","HOLY SPIRIT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","290 patients",,,"AMI-2 " "390004","HOLY SPIRIT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","231 patients",,,"PN-6 " "390004","HOLY SPIRIT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","332 patients",,,"PN-2 " "390004","HOLY SPIRIT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","51 patients",,,"AMI-8A " "390004","HOLY SPIRIT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","48 patients",,,"HF-4 " "390004","HOLY SPIRIT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","228 patients","2 ","2","SCIP-VTE-1 " "390004","HOLY SPIRIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","713 patients","2 ","2","SCIP-INF-3 " "390004","HOLY SPIRIT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","412 patients",,,"HF-2 " "390004","HOLY SPIRIT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","58 patients",,,"AMI-3 " "390004","HOLY SPIRIT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","733 patients","2 ","2","SCIP-INF-1 " "390006","GEISINGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","479 patients","2 ","2","SCIP-INF-2 " "390006","GEISINGER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","163 patients","2 ","2","PN-5C " "390006","GEISINGER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","85 patients",,,"AMI-3 " "390006","GEISINGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","775 patients","2 ","2","SCIP-INF-6 " "390006","GEISINGER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","153 patients","2 ","2","PN-3B " "390006","GEISINGER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","65 patients",,,"AMI-8A " "390006","GEISINGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","156 patients","2 ","2","SCIP-INF-4 " "390006","GEISINGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","127 patients","2 ","2","SCIP-CARD-2 " "390006","GEISINGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","235 patients","2 ","2","SCIP-VTE-2 " "390006","GEISINGER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","97 patients",,,"HF-3 " "390006","GEISINGER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","236 patients","2 ","2","PN-2 " "390006","GEISINGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","235 patients","2 ","2","SCIP-VTE-1 " "390006","GEISINGER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","522 patients",,,"AMI-2 " "390006","GEISINGER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","500 patients",,,"AMI-5 " "390006","GEISINGER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","372 patients",,,"HF-2 " "390006","GEISINGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","431 patients","2 ","2","SCIP-INF-3 " "390006","GEISINGER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","198 patients",,,"PN-7 " "390006","GEISINGER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "390006","GEISINGER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","217 patients",,,"AMI-1 " "390006","GEISINGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","470 patients","2 ","2","SCIP-INF-1 " "390006","GEISINGER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","90 patients","2 ","2","PN-4 " "390006","GEISINGER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","60 patients","2 ","2","PN-6 " "390006","GEISINGER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","293 patients",,,"HF-1 " "390006","GEISINGER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390006","GEISINGER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","219 patients",,,"AMI-4 " "390008","ELLWOOD CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1 ","1","AMI-2 " "390008","ELLWOOD CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","109 patients",,,"HF-1 " "390008","ELLWOOD CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","56%","43 patients",,,"PN-7 " "390008","ELLWOOD CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","75 patients",,,"PN-2 " "390008","ELLWOOD CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","63 patients",,,"HF-3 " "390008","ELLWOOD CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "390008","ELLWOOD CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390008","ELLWOOD CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","49 patients",,,"SCIP-VTE-1 " "390008","ELLWOOD CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","49 patients",,,"SCIP-VTE-2 " "390008","ELLWOOD CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390008","ELLWOOD CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","37 patients",,,"SCIP-INF-3 " "390008","ELLWOOD CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","40 patients",,,"SCIP-INF-2 " "390008","ELLWOOD CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","158 patients",,,"HF-2 " "390008","ELLWOOD CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","62 patients",,,"PN-6 " "390008","ELLWOOD CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390008","ELLWOOD CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","38 patients",,,"SCIP-INF-1 " "390008","ELLWOOD CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "390008","ELLWOOD CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","74 patients",,,"PN-5C " "390008","ELLWOOD CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390008","ELLWOOD CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","85 patients",,,"SCIP-INF-6 " "390008","ELLWOOD CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "390008","ELLWOOD CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "390008","ELLWOOD CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","70%","10 patients","1 ","1","AMI-1 " "390008","ELLWOOD CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","54 patients",,,"PN-3B " "390008","ELLWOOD CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","13 patients","1 ","1","HF-4 " "390009","SAINT VINCENT HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","161 patients",,,"PN-7 " "390009","SAINT VINCENT HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1288 patients","2 ","2","SCIP-INF-2 " "390009","SAINT VINCENT HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1268 patients","2 ","2","SCIP-INF-1 " "390009","SAINT VINCENT HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","450 patients","2 ","2","SCIP-INF-4 " "390009","SAINT VINCENT HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","425 patients",,,"AMI-2 " "390009","SAINT VINCENT HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","212 patients",,,"PN-3B " "390009","SAINT VINCENT HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390009","SAINT VINCENT HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","141 patients",,,"PN-6 " "390009","SAINT VINCENT HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "390009","SAINT VINCENT HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","228 patients",,,"PN-5C " "390009","SAINT VINCENT HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","126 patients",,,"HF-3 " "390009","SAINT VINCENT HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","512 patients","2 ","2","SCIP-VTE-1 " "390009","SAINT VINCENT HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","226 patients",,,"AMI-1 " "390009","SAINT VINCENT HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","454 patients",,,"AMI-5 " "390009","SAINT VINCENT HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","546 patients",,,"HF-2 " "390009","SAINT VINCENT HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","397 patients",,,"HF-1 " "390009","SAINT VINCENT HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1248 patients","2 ","2","SCIP-INF-3 " "390009","SAINT VINCENT HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1739 patients","2 ","2","SCIP-INF-6 " "390009","SAINT VINCENT HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"PN-4 " "390009","SAINT VINCENT HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","33 patients",,,"AMI-8A " "390009","SAINT VINCENT HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","330 patients",,,"SCIP-CARD-2 " "390009","SAINT VINCENT HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","144 patients",,,"AMI-4 " "390009","SAINT VINCENT HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","237 patients",,,"PN-2 " "390009","SAINT VINCENT HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","107 patients",,,"AMI-3 " "390009","SAINT VINCENT HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","512 patients","2 ","2","SCIP-VTE-2 " "390012","LANSDALE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","4 patients","1 ","1","AMI-7A " "390012","LANSDALE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","84 patients",,,"PN-6 " "390012","LANSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","123 patients",,,"SCIP-INF-2 " "390012","LANSDALE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","32 patients",,,"HF-3 " "390012","LANSDALE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","88 patients",,,"AMI-1 " "390012","LANSDALE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "390012","LANSDALE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","103 patients",,,"SCIP-VTE-1 " "390012","LANSDALE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "390012","LANSDALE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","28 patients",,,"PN-4 " "390012","LANSDALE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","110 patients",,,"PN-7 " "390012","LANSDALE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","114 patients",,,"HF-1 " "390012","LANSDALE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","147 patients",,,"HF-2 " "390012","LANSDALE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","60 patients",,,"AMI-5 " "390012","LANSDALE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","129 patients",,,"PN-5C " "390012","LANSDALE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","25 patients",,,"SCIP-CARD-2 " "390012","LANSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","188 patients",,,"SCIP-INF-6 " "390012","LANSDALE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390012","LANSDALE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","143 patients",,,"PN-3B " "390012","LANSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "390012","LANSDALE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","103 patients",,,"SCIP-VTE-2 " "390012","LANSDALE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","58 patients",,,"AMI-2 " "390012","LANSDALE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "390012","LANSDALE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","175 patients",,,"PN-2 " "390012","LANSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","121 patients",,,"SCIP-INF-1 " "390012","LANSDALE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","115 patients",,,"SCIP-INF-3 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","38 patients",,,"PN-4 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","203 patients",,,"PN-3B " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","73%","11 patients","1 ","1","HF-4 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","351 patients","2 ","2","SCIP-INF-3 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","92 patients",,,"AMI-1 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","125 patients",,,"HF-1 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","61 patients","2 ","2","SCIP-CARD-2 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","71 patients",,,"AMI-2 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","172 patients","2 ","2","SCIP-VTE-2 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","356 patients","2 ","2","SCIP-INF-1 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","195 patients",,,"HF-2 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","178 patients",,,"PN-5C " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390013","EVANGELICAL COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","119 patients",,,"PN-6 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","49 patients",,,"HF-3 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","356 patients","2 ","2","SCIP-INF-2 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","131 patients",,,"PN-7 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","199 patients",,,"PN-2 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","172 patients","2 ","2","SCIP-VTE-1 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","74 patients",,,"AMI-5 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","483 patients","2 ","2","SCIP-INF-6 " "390013","EVANGELICAL COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "390016","JAMESON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390016","JAMESON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","351 patients",,,"SCIP-INF-3 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","77 patients",,,"HF-3 " "390016","JAMESON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","375 patients",,,"SCIP-INF-2 " "390016","JAMESON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","288 patients",,,"PN-5C " "390016","JAMESON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","160 patients",,,"PN-6 " "390016","JAMESON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","371 patients",,,"SCIP-INF-1 " "390016","JAMESON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","320 patients",,,"PN-2 " "390016","JAMESON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","328 patients",,,"SCIP-VTE-2 " "390016","JAMESON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","547 patients",,,"SCIP-INF-6 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "390016","JAMESON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","109 patients",,,"PN-4 " "390016","JAMESON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","212 patients",,,"PN-7 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","84 patients",,,"AMI-2 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "390016","JAMESON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","329 patients",,,"SCIP-VTE-1 " "390016","JAMESON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","76 patients",,,"SCIP-CARD-2 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","290 patients",,,"HF-1 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","81 patients",,,"AMI-5 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","110 patients",,,"AMI-1 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","368 patients",,,"HF-2 " "390016","JAMESON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-8A " "390016","JAMESON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","266 patients",,,"PN-3B " "390016","JAMESON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","18 patients","1 ","1","AMI-3 " "390019","PALMERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","99 patients",,,"SCIP-INF-6 " "390019","PALMERTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "390019","PALMERTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","27 patients",,,"HF-3 " "390019","PALMERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","60 patients",,,"SCIP-INF-2 " "390019","PALMERTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","14 patients","1 ","1","AMI-5 " "390019","PALMERTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","47 patients",,,"SCIP-VTE-1 " "390019","PALMERTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","77%","13 patients","1 ","1","AMI-2 " "390019","PALMERTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","28 patients",,,"PN-7 " "390019","PALMERTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","18 patients","1 ","1","AMI-1 " "390019","PALMERTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","49 patients",,,"PN-3B " "390019","PALMERTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","16 patients","1 ","1","SCIP-CARD-2 " "390019","PALMERTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","139 patients",,,"HF-2 " "390019","PALMERTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","115 patients",,,"HF-1 " "390019","PALMERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","57 patients",,,"SCIP-INF-3 " "390019","PALMERTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","40 patients",,,"PN-6 " "390019","PALMERTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390019","PALMERTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390019","PALMERTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","18 patients","1 ","1","HF-4 " "390019","PALMERTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","21 patients","1 ","1","PN-4 " "390019","PALMERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","60 patients",,,"SCIP-INF-1 " "390019","PALMERTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "390019","PALMERTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","46 patients",,,"SCIP-VTE-2 " "390019","PALMERTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","56 patients",,,"PN-2 " "390019","PALMERTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390019","PALMERTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","57 patients",,,"PN-5C " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","44 patients",,,"HF-2 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","20 patients","1 ","1","PN-7 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1 ","1","PN-3B " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","26 patients",,,"PN-2 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","19 patients","1 ","1","PN-6 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","40 patients",,,"HF-1 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","24 patients","1 ","1","PN-5C " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "39001F","JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "390025","KENSINGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "390025","KENSINGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "390025","KENSINGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "390025","KENSINGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "390025","KENSINGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "390025","KENSINGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "390025","KENSINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "390025","KENSINGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "390025","KENSINGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "390025","KENSINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "390025","KENSINGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "390025","KENSINGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "390025","KENSINGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "390025","KENSINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "390025","KENSINGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "390025","KENSINGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "390025","KENSINGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "390025","KENSINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "390025","KENSINGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "390025","KENSINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "390025","KENSINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "390025","KENSINGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "390025","KENSINGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390025","KENSINGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "390025","KENSINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "390026","CHESTNUT HILL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","355 patients",,,"HF-2 " "390026","CHESTNUT HILL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","36 patients",,,"AMI-2 " "390026","CHESTNUT HILL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "390026","CHESTNUT HILL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","203 patients",,,"PN-3B " "390026","CHESTNUT HILL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","62 patients",,,"PN-6 " "390026","CHESTNUT HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","133 patients","2 ","2","SCIP-INF-3 " "390026","CHESTNUT HILL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390026","CHESTNUT HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","236 patients","2 ","2","SCIP-INF-6 " "390026","CHESTNUT HILL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","139 patients",,,"PN-7 " "390026","CHESTNUT HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390026","CHESTNUT HILL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390026","CHESTNUT HILL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "390026","CHESTNUT HILL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","134 patients","2 ","2","SCIP-VTE-1 " "390026","CHESTNUT HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","141 patients","2 ","2","SCIP-INF-1 " "390026","CHESTNUT HILL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "390026","CHESTNUT HILL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","223 patients",,,"PN-2 " "390026","CHESTNUT HILL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "390026","CHESTNUT HILL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","224 patients",,,"HF-1 " "390026","CHESTNUT HILL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","29 patients","2 ","2","SCIP-CARD-2 " "390026","CHESTNUT HILL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","140 patients","2 ","2","SCIP-INF-2 " "390026","CHESTNUT HILL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","126 patients",,,"HF-3 " "390026","CHESTNUT HILL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","59 patients",,,"AMI-1 " "390026","CHESTNUT HILL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","39 patients",,,"AMI-5 " "390026","CHESTNUT HILL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","223 patients",,,"PN-5C " "390026","CHESTNUT HILL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","134 patients","2 ","2","SCIP-VTE-2 " "390027","TEMPLE UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","184 patients",,,"PN-6 " "390027","TEMPLE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","124 patients","2 ","2","SCIP-INF-4 " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","1297 patients",,,"HF-1 " "390027","TEMPLE UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","233 patients",,,"PN-4 " "390027","TEMPLE UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","248 patients",,,"PN-3B " "390027","TEMPLE UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","212 patients",,,"PN-7 " "390027","TEMPLE UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","315 patients",,,"PN-5C " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","157 patients",,,"AMI-4 " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","407 patients",,,"HF-4 " "390027","TEMPLE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","458 patients","2 ","2","SCIP-VTE-2 " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","637 patients",,,"HF-3 " "390027","TEMPLE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","944 patients","2 ","2","SCIP-INF-6 " "390027","TEMPLE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","478 patients","2 ","2","SCIP-INF-3 " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","295 patients",,,"AMI-5 " "390027","TEMPLE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","115 patients","2 ","2","SCIP-CARD-2 " "390027","TEMPLE UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","202 patients",,,"PN-2 " "390027","TEMPLE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","641 patients","2 ","2","SCIP-INF-2 " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","1357 patients",,,"HF-2 " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","23 patients","1 ","1","AMI-8A " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","328 patients",,,"AMI-2 " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","201 patients",,,"AMI-1 " "390027","TEMPLE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","633 patients","2 ","2","SCIP-INF-1 " "390027","TEMPLE UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","89 patients",,,"AMI-3 " "390027","TEMPLE UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","458 patients","2 ","2","SCIP-VTE-1 " "390028","UPMC MERCY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","403 patients","2 ","2","SCIP-INF-1 " "390028","UPMC MERCY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","151 patients",,,"PN-6 " "390028","UPMC MERCY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","48 patients",,,"AMI-8A " "390028","UPMC MERCY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","527 patients",,,"HF-2 " "390028","UPMC MERCY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","415 patients","2 ","2","SCIP-INF-2 " "390028","UPMC MERCY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","262 patients",,,"PN-2 " "390028","UPMC MERCY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","407 patients",,,"HF-1 " "390028","UPMC MERCY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","189 patients",,,"AMI-1 " "390028","UPMC MERCY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","105 patients",,,"HF-4 " "390028","UPMC MERCY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","50 patients",,,"AMI-3 " "390028","UPMC MERCY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","241 patients",,,"PN-3B " "390028","UPMC MERCY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","275 patients",,,"AMI-5 " "390028","UPMC MERCY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","165 patients",,,"HF-3 " "390028","UPMC MERCY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","129 patients","2 ","2","SCIP-INF-4 " "390028","UPMC MERCY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","117 patients",,,"AMI-4 " "390028","UPMC MERCY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","110 patients","2 ","2","SCIP-CARD-2 " "390028","UPMC MERCY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","235 patients","2 ","2","SCIP-VTE-2 " "390028","UPMC MERCY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","301 patients",,,"AMI-2 " "390028","UPMC MERCY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","607 patients","2 ","2","SCIP-INF-6 " "390028","UPMC MERCY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","190 patients",,,"PN-7 " "390028","UPMC MERCY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","253 patients",,,"PN-5C " "390028","UPMC MERCY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","161 patients",,,"PN-4 " "390028","UPMC MERCY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","358 patients","2 ","2","SCIP-INF-3 " "390028","UPMC MERCY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390028","UPMC MERCY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","235 patients","2 ","2","SCIP-VTE-1 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","239 patients",,,"SCIP-VTE-1 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","379 patients",,,"SCIP-INF-2 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","39 patients",,,"AMI-1 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","372 patients",,,"SCIP-INF-3 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","77 patients",,,"PN-6 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","238 patients",,,"SCIP-VTE-2 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","173 patients",,,"PN-2 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","23 patients","1 ","1","AMI-5 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","527 patients",,,"SCIP-INF-6 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","196 patients",,,"PN-3B " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","381 patients",,,"SCIP-INF-1 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","42 patients",,,"HF-3 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","229 patients",,,"HF-2 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","178 patients",,,"HF-1 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"PN-4 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","218 patients",,,"PN-5C " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","107 patients",,,"PN-7 " "390030","SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","75 patients",,,"SCIP-CARD-2 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","122 patients",,,"PN-6 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","172 patients",,,"PN-3B " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","158 patients",,,"PN-2 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","63 patients",,,"AMI-1 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","158 patients","2 ","2","SCIP-VTE-2 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","35 patients",,,"AMI-2 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","320 patients",,,"HF-2 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","234 patients",,,"HF-1 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","47 patients",,,"PN-4 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","178 patients","2 ","2","SCIP-INF-1 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","275 patients","2 ","2","SCIP-INF-6 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","158 patients","2 ","2","SCIP-VTE-1 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","59 patients",,,"HF-3 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","36 patients",,,"SCIP-CARD-2 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","119 patients",,,"PN-7 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","174 patients",,,"PN-5C " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","174 patients","2 ","2","SCIP-INF-3 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","178 patients","2 ","2","SCIP-INF-2 " "390031","SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","44 patients",,,"AMI-5 " "390032","ALLE KISKI MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","105 patients",,,"PN-4 " "390032","ALLE KISKI MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","83 patients",,,"AMI-2 " "390032","ALLE KISKI MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","211 patients",,,"PN-7 " "390032","ALLE KISKI MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","300 patients",,,"PN-2 " "390032","ALLE KISKI MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "390032","ALLE KISKI MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "390032","ALLE KISKI MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","209 patients",,,"PN-3B " "390032","ALLE KISKI MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","78 patients",,,"SCIP-CARD-2 " "390032","ALLE KISKI MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","145 patients",,,"PN-6 " "390032","ALLE KISKI MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","397 patients",,,"HF-1 " "390032","ALLE KISKI MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","152 patients",,,"AMI-1 " "390032","ALLE KISKI MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390032","ALLE KISKI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390032","ALLE KISKI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","256 patients",,,"SCIP-VTE-1 " "390032","ALLE KISKI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","560 patients",,,"SCIP-INF-6 " "390032","ALLE KISKI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","357 patients",,,"SCIP-INF-3 " "390032","ALLE KISKI MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","238 patients",,,"PN-5C " "390032","ALLE KISKI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","371 patients",,,"SCIP-INF-1 " "390032","ALLE KISKI MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "390032","ALLE KISKI MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","500 patients",,,"HF-2 " "390032","ALLE KISKI MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","69 patients",,,"HF-3 " "390032","ALLE KISKI MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","256 patients",,,"SCIP-VTE-2 " "390032","ALLE KISKI MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390032","ALLE KISKI MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","371 patients",,,"SCIP-INF-2 " "390032","ALLE KISKI MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","96 patients",,,"AMI-5 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","101 patients",,,"HF-2 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","80 patients",,,"PN-5C " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","53 patients","2 ","2","SCIP-INF-1 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","33 patients",,,"HF-3 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","81 patients",,,"HF-1 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","36 patients","2 ","2","SCIP-VTE-1 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","54 patients",,,"PN-6 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","57 patients",,,"PN-7 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","89 patients","2 ","2","SCIP-INF-6 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","86 patients",,,"PN-3B " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","36 patients","2 ","2","SCIP-VTE-2 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","94 patients",,,"PN-2 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","50 patients","2 ","2","SCIP-INF-3 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","14 patients","1 ","1","SCIP-CARD-2 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "390035","ST LUKE'S QUAKERTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","53 patients","2 ","2","SCIP-INF-2 " "390036","HERITAGE VALLEY BEAVER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","95 patients",,,"PN-4 " "390036","HERITAGE VALLEY BEAVER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","302 patients",,,"AMI-5 " "390036","HERITAGE VALLEY BEAVER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1300 patients",,,"SCIP-INF-6 " "390036","HERITAGE VALLEY BEAVER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","409 patients",,,"SCIP-VTE-1 " "390036","HERITAGE VALLEY BEAVER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","194 patients",,,"PN-6 " "390036","HERITAGE VALLEY BEAVER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","117 patients",,,"AMI-4 " "390036","HERITAGE VALLEY BEAVER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","169 patients",,,"SCIP-CARD-2 " "390036","HERITAGE VALLEY BEAVER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","51 patients",,,"AMI-8A " "390036","HERITAGE VALLEY BEAVER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","276 patients",,,"PN-3B " "390036","HERITAGE VALLEY BEAVER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","408 patients",,,"SCIP-VTE-2 " "390036","HERITAGE VALLEY BEAVER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","191 patients",,,"PN-7 " "390036","HERITAGE VALLEY BEAVER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","674 patients",,,"HF-1 " "390036","HERITAGE VALLEY BEAVER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","906 patients",,,"SCIP-INF-3 " "390036","HERITAGE VALLEY BEAVER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","851 patients",,,"HF-2 " "390036","HERITAGE VALLEY BEAVER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","123 patients",,,"HF-4 " "390036","HERITAGE VALLEY BEAVER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","272 patients",,,"PN-5C " "390036","HERITAGE VALLEY BEAVER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","928 patients",,,"SCIP-INF-1 " "390036","HERITAGE VALLEY BEAVER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","256 patients",,,"PN-2 " "390036","HERITAGE VALLEY BEAVER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","58 patients",,,"AMI-3 " "390036","HERITAGE VALLEY BEAVER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","937 patients",,,"SCIP-INF-2 " "390036","HERITAGE VALLEY BEAVER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","210 patients",,,"HF-3 " "390036","HERITAGE VALLEY BEAVER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390036","HERITAGE VALLEY BEAVER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","333 patients",,,"AMI-2 " "390036","HERITAGE VALLEY BEAVER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","204 patients",,,"SCIP-INF-4 " "390036","HERITAGE VALLEY BEAVER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","280 patients",,,"AMI-1 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","AMI-3 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390037","HERITAGE VALLEY SEWICKLEY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","851 patients",,,"SCIP-INF-2 " "390037","HERITAGE VALLEY SEWICKLEY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","124 patients",,,"PN-7 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390037","HERITAGE VALLEY SEWICKLEY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","28 patients",,,"AMI-5 " "390037","HERITAGE VALLEY SEWICKLEY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390037","HERITAGE VALLEY SEWICKLEY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","162 patients",,,"PN-2 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","51 patients",,,"AMI-1 " "390037","HERITAGE VALLEY SEWICKLEY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"PN-4 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","76 patients",,,"HF-3 " "390037","HERITAGE VALLEY SEWICKLEY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","206 patients",,,"PN-5C " "390037","HERITAGE VALLEY SEWICKLEY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1156 patients",,,"SCIP-INF-6 " "390037","HERITAGE VALLEY SEWICKLEY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","225 patients",,,"PN-3B " "390037","HERITAGE VALLEY SEWICKLEY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","155 patients",,,"SCIP-CARD-2 " "390037","HERITAGE VALLEY SEWICKLEY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","150 patients",,,"PN-6 " "390037","HERITAGE VALLEY SEWICKLEY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","413 patients",,,"SCIP-VTE-2 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","30 patients",,,"AMI-2 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "390037","HERITAGE VALLEY SEWICKLEY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","847 patients",,,"SCIP-INF-1 " "390037","HERITAGE VALLEY SEWICKLEY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","414 patients",,,"SCIP-VTE-1 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","277 patients",,,"HF-2 " "390037","HERITAGE VALLEY SEWICKLEY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","217 patients",,,"HF-1 " "390037","HERITAGE VALLEY SEWICKLEY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","826 patients",,,"SCIP-INF-3 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","134 patients",,,"SCIP-VTE-2 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","32 patients",,,"HF-3 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","67 patients",,,"PN-6 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","42 patients",,,"SCIP-CARD-2 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","17 patients","1 ","1","PN-4 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","86 patients",,,"HF-1 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","203 patients",,,"SCIP-INF-1 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","121 patients",,,"AMI-1 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","95 patients",,,"AMI-5 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","202 patients",,,"SCIP-INF-3 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","68 patients",,,"PN-7 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","284 patients",,,"SCIP-INF-6 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","117 patients",,,"PN-3B " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","113 patients",,,"PN-5C " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","108 patients",,,"PN-2 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","103 patients",,,"AMI-2 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","24 patients","1 ","1","AMI-8A " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","205 patients",,,"SCIP-INF-2 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","30 patients",,,"AMI-4 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","134 patients",,,"SCIP-VTE-1 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"AMI-3 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390039","SOMERSET HOSPITAL CENTER FOR HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","103 patients",,,"HF-2 " "390041","UNIONTOWN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "390041","UNIONTOWN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","212 patients",,,"PN-2 " "390041","UNIONTOWN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","35 patients",,,"AMI-8A " "390041","UNIONTOWN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "390041","UNIONTOWN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","104 patients",,,"SCIP-CARD-2 " "390041","UNIONTOWN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","99 patients",,,"HF-3 " "390041","UNIONTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","614 patients",,,"SCIP-INF-2 " "390041","UNIONTOWN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","114 patients",,,"AMI-2 " "390041","UNIONTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","595 patients",,,"SCIP-INF-3 " "390041","UNIONTOWN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","411 patients",,,"HF-2 " "390041","UNIONTOWN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","21 patients","1 ","1","AMI-3 " "390041","UNIONTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","448 patients",,,"SCIP-VTE-1 " "390041","UNIONTOWN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","153 patients",,,"AMI-1 " "390041","UNIONTOWN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","199 patients",,,"PN-5C " "390041","UNIONTOWN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","135 patients",,,"PN-6 " "390041","UNIONTOWN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"HF-4 " "390041","UNIONTOWN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","173 patients",,,"PN-3B " "390041","UNIONTOWN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","82 patients",,,"PN-4 " "390041","UNIONTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390041","UNIONTOWN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","125 patients",,,"AMI-5 " "390041","UNIONTOWN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","165 patients",,,"PN-7 " "390041","UNIONTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","447 patients",,,"SCIP-VTE-2 " "390041","UNIONTOWN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","312 patients",,,"HF-1 " "390041","UNIONTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","863 patients",,,"SCIP-INF-6 " "390041","UNIONTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","615 patients",,,"SCIP-INF-1 " "390042","WASHINGTON HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","172 patients","2 ","2","SCIP-VTE-1 " "390042","WASHINGTON HOSPITAL, THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","90 patients",,,"HF-4 " "390042","WASHINGTON HOSPITAL, THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","360 patients",,,"PN-3B " "390042","WASHINGTON HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","109 patients","2 ","2","SCIP-INF-4 " "390042","WASHINGTON HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","378 patients","2 ","2","SCIP-INF-3 " "390042","WASHINGTON HOSPITAL, THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","351 patients",,,"AMI-2 " "390042","WASHINGTON HOSPITAL, THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","71 patients",,,"AMI-3 " "390042","WASHINGTON HOSPITAL, THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","137 patients",,,"PN-4 " "390042","WASHINGTON HOSPITAL, THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","284 patients",,,"AMI-1 " "390042","WASHINGTON HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","538 patients","2 ","2","SCIP-INF-6 " "390042","WASHINGTON HOSPITAL, THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390042","WASHINGTON HOSPITAL, THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","44 patients",,,"AMI-8A " "390042","WASHINGTON HOSPITAL, THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","528 patients",,,"HF-2 " "390042","WASHINGTON HOSPITAL, THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","331 patients",,,"AMI-5 " "390042","WASHINGTON HOSPITAL, THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","292 patients",,,"PN-7 " "390042","WASHINGTON HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","394 patients","2 ","2","SCIP-INF-2 " "390042","WASHINGTON HOSPITAL, THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","447 patients",,,"PN-5C " "390042","WASHINGTON HOSPITAL, THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","415 patients",,,"PN-2 " "390042","WASHINGTON HOSPITAL, THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","133 patients",,,"AMI-4 " "390042","WASHINGTON HOSPITAL, THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","127 patients",,,"HF-3 " "390042","WASHINGTON HOSPITAL, THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","398 patients",,,"HF-1 " "390042","WASHINGTON HOSPITAL, THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","267 patients",,,"PN-6 " "390042","WASHINGTON HOSPITAL, THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","89 patients","2 ","2","SCIP-CARD-2 " "390042","WASHINGTON HOSPITAL, THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","172 patients","2 ","2","SCIP-VTE-2 " "390042","WASHINGTON HOSPITAL, THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","396 patients","2 ","2","SCIP-INF-1 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","89 patients",,,"SCIP-VTE-2 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","185 patients",,,"SCIP-INF-6 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","14 patients","1 ","1","SCIP-CARD-2 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","39 patients",,,"HF-3 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","63 patients",,,"PN-7 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","146 patients",,,"SCIP-INF-2 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","96 patients",,,"PN-5C " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","98 patients",,,"PN-3B " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","143 patients",,,"SCIP-INF-1 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","107 patients",,,"HF-1 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","142 patients",,,"SCIP-INF-3 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","88 patients",,,"PN-2 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","120 patients",,,"HF-2 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","89 patients",,,"SCIP-VTE-1 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","68 patients",,,"PN-6 " "390043","SOLDIERS AND SAILORS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","505 patients",,,"HF-1 " "390044","READING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","1541 patients","2 ","2","SCIP-INF-3 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"HF-4 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","366 patients",,,"AMI-2 " "390044","READING HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","321 patients",,,"PN-6 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","345 patients",,,"AMI-5 " "390044","READING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1685 patients","2 ","2","SCIP-INF-2 " "390044","READING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","763 patients","2 ","2","SCIP-VTE-1 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","146 patients",,,"HF-3 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","47 patients",,,"AMI-3 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","126 patients",,,"AMI-4 " "390044","READING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1672 patients","2 ","2","SCIP-INF-1 " "390044","READING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","2072 patients","2 ","2","SCIP-INF-6 " "390044","READING HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","521 patients",,,"PN-2 " "390044","READING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","222 patients","2 ","2","SCIP-INF-4 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","386 patients",,,"AMI-1 " "390044","READING HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","543 patients",,,"PN-3B " "390044","READING HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","490 patients",,,"PN-5C " "390044","READING HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","146 patients",,,"PN-4 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390044","READING HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","346 patients",,,"PN-7 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","692 patients",,,"HF-2 " "390044","READING HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","99 patients",,,"AMI-8A " "390044","READING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","763 patients","2 ","2","SCIP-VTE-2 " "390044","READING HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","311 patients","2 ","2","SCIP-CARD-2 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","990 patients","2 ","2","SCIP-INF-2 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","37 patients",,,"HF-4 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","195 patients",,,"AMI-1 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","631 patients","2 ","2","SCIP-VTE-2 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","165 patients",,,"PN-5C " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","260 patients","2 ","2","SCIP-CARD-2 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","190 patients",,,"PN-2 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","632 patients","2 ","2","SCIP-VTE-1 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","979 patients","2 ","2","SCIP-INF-1 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","77 patients",,,"PN-4 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","267 patients",,,"AMI-5 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","212 patients",,,"HF-1 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1295 patients","2 ","2","SCIP-INF-6 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","956 patients","2 ","2","SCIP-INF-3 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","287 patients",,,"HF-2 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","60 patients",,,"AMI-3 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","36 patients",,,"AMI-8A " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","141 patients",,,"PN-7 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","149 patients",,,"PN-3B " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","89 patients",,,"HF-3 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","259 patients",,,"AMI-2 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","146 patients","2 ","2","SCIP-INF-4 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"AMI-4 " "390045","WILLIAMSPORT HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","131 patients",,,"PN-6 " "390046","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","1903 patients","2 ","2","SCIP-INF-3 " "390046","YORK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","464 patients",,,"PN-5C " "390046","YORK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","244 patients",,,"HF-3 " "390046","YORK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","432 patients",,,"PN-2 " "390046","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","419 patients","2 ","2","SCIP-INF-4 " "390046","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1942 patients","2 ","2","SCIP-INF-1 " "390046","YORK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","597 patients",,,"AMI-5 " "390046","YORK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","137 patients",,,"PN-6 " "390046","YORK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","138 patients",,,"PN-4 " "390046","YORK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","102 patients",,,"AMI-8A " "390046","YORK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","481 patients",,,"AMI-1 " "390046","YORK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","151 patients",,,"HF-4 " "390046","YORK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","764 patients",,,"HF-2 " "390046","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2495 patients","2 ","2","SCIP-INF-6 " "390046","YORK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","472 patients",,,"PN-3B " "390046","YORK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","194 patients",,,"AMI-4 " "390046","YORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","1971 patients","2 ","2","SCIP-INF-2 " "390046","YORK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","848 patients","2 ","2","SCIP-VTE-2 " "390046","YORK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","374 patients","2 ","2","SCIP-CARD-2 " "390046","YORK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","121 patients",,,"AMI-3 " "390046","YORK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390046","YORK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","855 patients","2 ","2","SCIP-VTE-1 " "390046","YORK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","316 patients",,,"PN-7 " "390046","YORK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","597 patients",,,"HF-1 " "390046","YORK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","540 patients",,,"AMI-2 " "390048","LEWISTOWN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","100 patients",,,"PN-6 " "390048","LEWISTOWN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","26 patients",,,"HF-4 " "390048","LEWISTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","121 patients",,,"SCIP-VTE-1 " "390048","LEWISTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","174 patients",,,"SCIP-INF-1 " "390048","LEWISTOWN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","40 patients",,,"SCIP-CARD-2 " "390048","LEWISTOWN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","76 patients",,,"AMI-2 " "390048","LEWISTOWN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390048","LEWISTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","175 patients",,,"SCIP-INF-2 " "390048","LEWISTOWN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","214 patients",,,"PN-3B " "390048","LEWISTOWN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","196 patients",,,"PN-2 " "390048","LEWISTOWN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","71 patients",,,"HF-3 " "390048","LEWISTOWN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","197 patients",,,"PN-5C " "390048","LEWISTOWN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","219 patients",,,"HF-1 " "390048","LEWISTOWN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","135 patients",,,"PN-7 " "390048","LEWISTOWN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "390048","LEWISTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390048","LEWISTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","281 patients",,,"SCIP-INF-6 " "390048","LEWISTOWN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "390048","LEWISTOWN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","297 patients",,,"HF-2 " "390048","LEWISTOWN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","102 patients",,,"AMI-5 " "390048","LEWISTOWN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390048","LEWISTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","121 patients",,,"SCIP-VTE-2 " "390048","LEWISTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","169 patients",,,"SCIP-INF-3 " "390048","LEWISTOWN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","104 patients",,,"AMI-1 " "390048","LEWISTOWN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","50 patients",,,"PN-4 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","67 patients",,,"AMI-3 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","122 patients",,,"AMI-4 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","623 patients","2 ","2","SCIP-VTE-1 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","61 patients",,,"CAC-2 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","435 patients",,,"AMI-5 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","218 patients","2 ","2","SCIP-INF-4 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","54 patients",,,"AMI-8A " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1843 patients","2 ","2","SCIP-INF-6 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","345 patients",,,"AMI-1 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","162 patients",,,"HF-3 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","252 patients",,,"PN-7 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","95%","61 patients",,,"CAC-1 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","17%","59 patients",,,"CAC-3 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","376 patients",,,"PN-3B " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","237 patients",,,"PN-6 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1269 patients","2 ","2","SCIP-INF-1 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","811 patients",,,"HF-2 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1288 patients","2 ","2","SCIP-INF-2 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","623 patients","2 ","2","SCIP-VTE-2 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","661 patients",,,"HF-1 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","373 patients",,,"PN-5C " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"PN-4 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","347 patients",,,"PN-2 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","408 patients",,,"AMI-2 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","1215 patients","2 ","2","SCIP-INF-3 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"HF-4 " "390049","ST LUKE'S HOSPITAL BETHLEHEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","311 patients","2 ","2","SCIP-CARD-2 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "39004F","COATESVILLE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "39004F","COATESVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "39004F","COATESVILLE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "39004F","COATESVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "39004F","COATESVILLE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","6 patients","1 ","1","PN-5C " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "39004F","COATESVILLE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","4 patients","1 ","1","PN-7 " "39004F","COATESVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "39004F","COATESVILLE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "39004F","COATESVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "39004F","COATESVILLE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","4 patients","1 ","1","PN-2 " "39004F","COATESVILLE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "39004F","COATESVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "39004F","COATESVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "39004F","COATESVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "39004F","COATESVILLE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "390050","ALLEGHENY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","276 patients",,,"PN-3B " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","90 patients",,,"AMI-3 " "390050","ALLEGHENY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","227 patients",,,"PN-7 " "390050","ALLEGHENY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","246 patients",,,"PN-5C " "390050","ALLEGHENY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","468 patients",,,"SCIP-INF-4 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","121 patients",,,"HF-4 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","247 patients",,,"HF-3 " "390050","ALLEGHENY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","1652 patients",,,"SCIP-VTE-2 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","441 patients",,,"AMI-5 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","62 patients",,,"AMI-8A " "390050","ALLEGHENY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","126 patients",,,"PN-6 " "390050","ALLEGHENY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","3255 patients",,,"SCIP-INF-6 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","233 patients",,,"AMI-4 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","714 patients",,,"HF-2 " "390050","ALLEGHENY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","1399 patients",,,"SCIP-INF-3 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "390050","ALLEGHENY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","1652 patients",,,"SCIP-VTE-1 " "390050","ALLEGHENY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","304 patients",,,"PN-2 " "390050","ALLEGHENY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1555 patients",,,"SCIP-INF-2 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","565 patients",,,"AMI-2 " "390050","ALLEGHENY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","467 patients",,,"SCIP-CARD-2 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","597 patients",,,"HF-1 " "390050","ALLEGHENY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","135 patients",,,"PN-4 " "390050","ALLEGHENY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","288 patients",,,"AMI-1 " "390050","ALLEGHENY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1514 patients",,,"SCIP-INF-1 " "390052","CLEARFIELD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390052","CLEARFIELD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "390052","CLEARFIELD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","116 patients",,,"HF-1 " "390052","CLEARFIELD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","165 patients",,,"PN-5C " "390052","CLEARFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","189 patients",,,"SCIP-VTE-1 " "390052","CLEARFIELD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "390052","CLEARFIELD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390052","CLEARFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","219 patients",,,"SCIP-INF-3 " "390052","CLEARFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","189 patients",,,"SCIP-VTE-2 " "390052","CLEARFIELD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","142 patients",,,"PN-2 " "390052","CLEARFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","223 patients",,,"SCIP-INF-2 " "390052","CLEARFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","223 patients",,,"SCIP-INF-1 " "390052","CLEARFIELD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","37 patients",,,"PN-4 " "390052","CLEARFIELD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "390052","CLEARFIELD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","112 patients",,,"PN-6 " "390052","CLEARFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390052","CLEARFIELD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","37 patients",,,"SCIP-CARD-2 " "390052","CLEARFIELD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390052","CLEARFIELD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","151 patients",,,"PN-3B " "390052","CLEARFIELD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","175 patients",,,"HF-2 " "390052","CLEARFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","296 patients",,,"SCIP-INF-6 " "390052","CLEARFIELD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","78 patients",,,"PN-7 " "390052","CLEARFIELD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "390052","CLEARFIELD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1 ","1","HF-4 " "390052","CLEARFIELD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","47 patients",,,"HF-3 " "390056","J C BLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","36 patients",,,"SCIP-VTE-1 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "390056","J C BLAIR MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","36 patients",,,"PN-7 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","81 patients",,,"HF-2 " "390056","J C BLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","53 patients",,,"SCIP-INF-6 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","13 patients","1 ","1","AMI-5 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","57 patients",,,"HF-1 " "390056","J C BLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","70%","23 patients","1 ","1","SCIP-INF-2 " "390056","J C BLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","20 patients","1 ","1","SCIP-INF-3 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390056","J C BLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","72%","25 patients",,,"SCIP-INF-1 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "390056","J C BLAIR MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","49 patients",,,"PN-5C " "390056","J C BLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "390056","J C BLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390056","J C BLAIR MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","50 patients",,,"PN-2 " "390056","J C BLAIR MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","41 patients",,,"PN-6 " "390056","J C BLAIR MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "390056","J C BLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","36 patients",,,"SCIP-VTE-2 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","19 patients","1 ","1","AMI-1 " "390056","J C BLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "390056","J C BLAIR MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","51 patients",,,"PN-3B " "390057","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","320 patients","2 ","2","SCIP-INF-2 " "390057","GRAND VIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390057","GRAND VIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","67 patients",,,"PN-4 " "390057","GRAND VIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","75 patients",,,"AMI-5 " "390057","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","302 patients","2 ","2","SCIP-INF-3 " "390057","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","464 patients","2 ","2","SCIP-INF-6 " "390057","GRAND VIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "390057","GRAND VIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","55 patients",,,"HF-3 " "390057","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","65 patients","2 ","2","SCIP-CARD-2 " "390057","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","196 patients","2 ","2","SCIP-VTE-1 " "390057","GRAND VIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","5 patients","1 ","1","AMI-8A " "390057","GRAND VIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","73 patients",,,"AMI-2 " "390057","GRAND VIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","248 patients",,,"PN-3B " "390057","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","196 patients","2 ","2","SCIP-VTE-2 " "390057","GRAND VIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "390057","GRAND VIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","174 patients",,,"PN-7 " "390057","GRAND VIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","266 patients",,,"HF-2 " "390057","GRAND VIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","282 patients",,,"PN-2 " "390057","GRAND VIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","142 patients",,,"PN-6 " "390057","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "390057","GRAND VIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","211 patients",,,"HF-1 " "390057","GRAND VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","319 patients","2 ","2","SCIP-INF-1 " "390057","GRAND VIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","85 patients",,,"AMI-1 " "390057","GRAND VIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "390057","GRAND VIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","226 patients",,,"PN-5C " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","297 patients","2 ","2","SCIP-INF-3 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","301 patients","2 ","2","SCIP-INF-1 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","304 patients","2 ","2","SCIP-INF-2 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","52 patients",,,"AMI-1 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","27 patients",,,"AMI-2 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","188 patients","2 ","2","SCIP-VTE-2 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","141 patients",,,"PN-5C " "390058","CARLISLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","54 patients","2 ","2","SCIP-CARD-2 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","130 patients",,,"HF-1 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","442 patients","2 ","2","SCIP-INF-6 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","197 patients",,,"HF-2 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","140 patients",,,"PN-2 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","53 patients",,,"HF-3 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","28 patients",,,"AMI-5 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","144 patients",,,"PN-3B " "390058","CARLISLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","188 patients","2 ","2","SCIP-VTE-1 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390058","CARLISLE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","99 patients",,,"PN-7 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","105 patients",,,"PN-6 " "390058","CARLISLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390058","CARLISLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "39005F","ERIE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","55 patients",,,"PN-3B " "39005F","ERIE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "39005F","ERIE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "39005F","ERIE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "39005F","ERIE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","36 patients","2 ","2","SCIP-VTE-1 " "39005F","ERIE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","51 patients","2 ","2","SCIP-INF-6 " "39005F","ERIE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "39005F","ERIE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","36 patients","2 ","2","SCIP-VTE-2 " "39005F","ERIE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","31 patients",,,"PN-7 " "39005F","ERIE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","50 patients",,,"HF-1 " "39005F","ERIE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","37 patients",,,"SCIP-INF-1 " "39005F","ERIE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","36 patients",,,"SCIP-INF-3 " "39005F","ERIE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "39005F","ERIE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","54 patients",,,"PN-6 " "39005F","ERIE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","66 patients",,,"PN-5C " "39005F","ERIE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","61 patients",,,"PN-2 " "39005F","ERIE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","58 patients",,,"HF-2 " "39005F","ERIE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "39005F","ERIE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","16 patients","1 ","1","HF-3 " "39005F","ERIE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "39005F","ERIE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","16 patients","1 ","1","PN-4 " "39005F","ERIE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1,2 ","12","SCIP-CARD-2 " "39005F","ERIE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "39005F","ERIE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","37 patients",,,"SCIP-INF-2 " "39005F","ERIE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","17 patients","1 ","1","AMI-8A " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","49 patients",,,"AMI-2 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","358 patients","2 ","2","SCIP-INF-6 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","56 patients","2 ","2","SCIP-CARD-2 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","84 patients",,,"PN-5C " "390061","LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","143 patients","2 ","2","SCIP-VTE-1 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","74 patients",,,"HF-1 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","79 patients",,,"PN-2 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","195 patients","2 ","2","SCIP-INF-2 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","57 patients",,,"PN-6 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","49 patients",,,"AMI-5 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","98 patients",,,"HF-2 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","44 patients",,,"AMI-1 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","39 patients","2 ","2","SCIP-INF-4 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"HF-3 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","181 patients","2 ","2","SCIP-INF-3 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","86 patients",,,"PN-3B " "390061","LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","143 patients","2 ","2","SCIP-VTE-2 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","56 patients",,,"PN-7 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "390061","LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","193 patients","2 ","2","SCIP-INF-1 " "390062","NASON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","83 patients",,,"PN-5C " "390062","NASON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390062","NASON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","24 patients","1 ","1","SCIP-CARD-2 " "390062","NASON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390062","NASON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "390062","NASON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","50 patients",,,"HF-1 " "390062","NASON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","102 patients",,,"SCIP-INF-2 " "390062","NASON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "390062","NASON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","61 patients",,,"SCIP-VTE-2 " "390062","NASON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","71 patients",,,"PN-6 " "390062","NASON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","99 patients",,,"SCIP-INF-3 " "390062","NASON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "390062","NASON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "390062","NASON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","102 patients",,,"SCIP-INF-1 " "390062","NASON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "390062","NASON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "390062","NASON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","75 patients",,,"PN-2 " "390062","NASON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","56 patients",,,"PN-3B " "390062","NASON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","61 patients",,,"HF-2 " "390062","NASON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390062","NASON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "390062","NASON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "390062","NASON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","61 patients",,,"SCIP-VTE-1 " "390062","NASON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","52 patients",,,"PN-7 " "390062","NASON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","150 patients",,,"SCIP-INF-6 " "390063","HAMOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","581 patients","2 ","2","SCIP-VTE-2 " "390063","HAMOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1089 patients","2 ","2","SCIP-INF-3 " "390063","HAMOT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "390063","HAMOT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","154 patients",,,"PN-4 " "390063","HAMOT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","623 patients","2 ","2","AMI-2 " "390063","HAMOT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","372 patients",,,"PN-5C " "390063","HAMOT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","161 patients","2 ","2","AMI-3 " "390063","HAMOT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","267 patients",,,"PN-7 " "390063","HAMOT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","603 patients","2 ","2","AMI-5 " "390063","HAMOT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","336 patients",,,"PN-3B " "390063","HAMOT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","359 patients",,,"PN-2 " "390063","HAMOT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","88 patients",,,"HF-4 " "390063","HAMOT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","177 patients",,,"HF-3 " "390063","HAMOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","581 patients","2 ","2","SCIP-VTE-1 " "390063","HAMOT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","468 patients",,,"HF-1 " "390063","HAMOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1150 patients","2 ","2","SCIP-INF-1 " "390063","HAMOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","430 patients","2 ","2","SCIP-INF-4 " "390063","HAMOT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","47 patients","2 ","2","AMI-8A " "390063","HAMOT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","279 patients","2 ","2","AMI-1 " "390063","HAMOT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","568 patients",,,"HF-2 " "390063","HAMOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1703 patients","2 ","2","SCIP-INF-6 " "390063","HAMOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","279 patients","2 ","2","SCIP-CARD-2 " "390063","HAMOT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","195 patients",,,"PN-6 " "390063","HAMOT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","259 patients","2 ","2","AMI-4 " "390063","HAMOT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1166 patients","2 ","2","SCIP-INF-2 " "390065","GETTYSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","274 patients",,,"SCIP-INF-3 " "390065","GETTYSBURG HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","84 patients",,,"HF-1 " "390065","GETTYSBURG HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390065","GETTYSBURG HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","115 patients",,,"HF-2 " "390065","GETTYSBURG HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "390065","GETTYSBURG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","186 patients",,,"SCIP-VTE-2 " "390065","GETTYSBURG HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","93 patients",,,"PN-7 " "390065","GETTYSBURG HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","42 patients",,,"HF-3 " "390065","GETTYSBURG HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "390065","GETTYSBURG HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","63 patients",,,"PN-6 " "390065","GETTYSBURG HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","42 patients",,,"SCIP-CARD-2 " "390065","GETTYSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","277 patients",,,"SCIP-INF-1 " "390065","GETTYSBURG HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390065","GETTYSBURG HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390065","GETTYSBURG HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","126 patients",,,"PN-5C " "390065","GETTYSBURG HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","147 patients",,,"PN-3B " "390065","GETTYSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390065","GETTYSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","402 patients",,,"SCIP-INF-6 " "390065","GETTYSBURG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","186 patients",,,"SCIP-VTE-1 " "390065","GETTYSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","285 patients",,,"SCIP-INF-2 " "390065","GETTYSBURG HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "390065","GETTYSBURG HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "390065","GETTYSBURG HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","42 patients",,,"AMI-1 " "390065","GETTYSBURG HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","129 patients",,,"PN-2 " "390065","GETTYSBURG HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "390066","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","544 patients","2 ","2","SCIP-INF-6 " "390066","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","204 patients",,,"HF-1 " "390066","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","77 patients",,,"HF-3 " "390066","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","103 patients","2 ","2","SCIP-CARD-2 " "390066","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","192 patients",,,"PN-3B " "390066","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","60 patients",,,"AMI-8A " "390066","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","203 patients",,,"PN-2 " "390066","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"HF-4 " "390066","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","172 patients",,,"AMI-2 " "390066","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","45 patients",,,"AMI-3 " "390066","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","372 patients","2 ","2","SCIP-INF-3 " "390066","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","180 patients",,,"PN-5C " "390066","GOOD SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","286 patients",,,"HF-2 " "390066","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","189 patients",,,"AMI-5 " "390066","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"PN-4 " "390066","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","143 patients",,,"PN-7 " "390066","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","394 patients","2 ","2","SCIP-INF-2 " "390066","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","187 patients",,,"AMI-1 " "390066","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","204 patients","2 ","2","SCIP-VTE-1 " "390066","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","204 patients","2 ","2","SCIP-VTE-2 " "390066","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","391 patients","2 ","2","SCIP-INF-1 " "390066","GOOD SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","116 patients",,,"PN-6 " "390066","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390066","GOOD SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"AMI-4 " "390066","GOOD SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","132 patients","2 ","2","SCIP-INF-4 " "390067","PINNACLE HEALTH HOSPITALS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","2981 patients","2 ","2","SCIP-INF-3 " "390067","PINNACLE HEALTH HOSPITALS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","430 patients",,,"PN-2 " "390067","PINNACLE HEALTH HOSPITALS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","240 patients",,,"PN-6 " "390067","PINNACLE HEALTH HOSPITALS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","262 patients",,,"HF-3 " "390067","PINNACLE HEALTH HOSPITALS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","151 patients",,,"AMI-3 " "390067","PINNACLE HEALTH HOSPITALS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390067","PINNACLE HEALTH HOSPITALS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","352 patients",,,"PN-3B " "390067","PINNACLE HEALTH HOSPITALS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","306 patients",,,"PN-7 " "390067","PINNACLE HEALTH HOSPITALS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","93 patients",,,"AMI-8A " "390067","PINNACLE HEALTH HOSPITALS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","155 patients",,,"HF-4 " "390067","PINNACLE HEALTH HOSPITALS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","548 patients","2 ","2","SCIP-INF-4 " "390067","PINNACLE HEALTH HOSPITALS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","1102 patients","2 ","2","SCIP-VTE-1 " "390067","PINNACLE HEALTH HOSPITALS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","3062 patients","2 ","2","SCIP-INF-2 " "390067","PINNACLE HEALTH HOSPITALS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","546 patients","2 ","2","SCIP-CARD-2 " "390067","PINNACLE HEALTH HOSPITALS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","816 patients",,,"HF-2 " "390067","PINNACLE HEALTH HOSPITALS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","696 patients",,,"AMI-5 " "390067","PINNACLE HEALTH HOSPITALS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","517 patients",,,"AMI-1 " "390067","PINNACLE HEALTH HOSPITALS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","186 patients",,,"PN-4 " "390067","PINNACLE HEALTH HOSPITALS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","658 patients",,,"HF-1 " "390067","PINNACLE HEALTH HOSPITALS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","236 patients",,,"AMI-4 " "390067","PINNACLE HEALTH HOSPITALS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","636 patients",,,"AMI-2 " "390067","PINNACLE HEALTH HOSPITALS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","3570 patients","2 ","2","SCIP-INF-6 " "390067","PINNACLE HEALTH HOSPITALS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","1101 patients","2 ","2","SCIP-VTE-2 " "390067","PINNACLE HEALTH HOSPITALS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","3036 patients","2 ","2","SCIP-INF-1 " "390067","PINNACLE HEALTH HOSPITALS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","398 patients",,,"PN-5C " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","71%","7 patients","1 ","1","CAC-3 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","47 patients",,,"PN-6 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","76 patients",,,"SCIP-VTE-1 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","38 patients",,,"SCIP-INF-3 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","43 patients",,,"SCIP-INF-2 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","55 patients",,,"PN-3B " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","47 patients",,,"PN-2 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","7 patients","1 ","1","CAC-2 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","55 patients",,,"PN-5C " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","37 patients",,,"PN-7 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","76 patients",,,"SCIP-VTE-2 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","129 patients",,,"SCIP-INF-6 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","30 patients",,,"HF-1 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","41 patients",,,"SCIP-INF-1 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","7 patients","1 ","1","CAC-1 " "390068","HEART OF LANCASTER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients",,,"HF-2 " "39006F","LEBANON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","152 patients","2 ","2","SCIP-INF-6 " "39006F","LEBANON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","69 patients","2 ","2","SCIP-VTE-1 " "39006F","LEBANON VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "39006F","LEBANON VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "39006F","LEBANON VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "39006F","LEBANON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","116 patients",,,"SCIP-INF-2 " "39006F","LEBANON VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "39006F","LEBANON VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","56 patients",,,"HF-1 " "39006F","LEBANON VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","41 patients",,,"PN-5C " "39006F","LEBANON VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "39006F","LEBANON VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "39006F","LEBANON VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "39006F","LEBANON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","56 patients","2 ","2","SCIP-CARD-2 " "39006F","LEBANON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "39006F","LEBANON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","69 patients","2 ","2","SCIP-VTE-2 " "39006F","LEBANON VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","30 patients",,,"PN-3B " "39006F","LEBANON VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients",,,"HF-3 " "39006F","LEBANON VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients",,,"PN-6 " "39006F","LEBANON VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","47 patients",,,"PN-2 " "39006F","LEBANON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","114 patients",,,"SCIP-INF-3 " "39006F","LEBANON VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "39006F","LEBANON VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","66 patients",,,"HF-2 " "39006F","LEBANON VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "39006F","LEBANON VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","31 patients",,,"PN-7 " "39006F","LEBANON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","115 patients",,,"SCIP-INF-1 " "390070","LOWER BUCKS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","90%","41 patients",,,"AMI-4 " "390070","LOWER BUCKS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","13 patients","1 ","1","AMI-8A " "390070","LOWER BUCKS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","57 patients",,,"HF-4 " "390070","LOWER BUCKS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","98 patients",,,"PN-3B " "390070","LOWER BUCKS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","61 patients",,,"PN-6 " "390070","LOWER BUCKS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","114 patients",,,"AMI-1 " "390070","LOWER BUCKS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","240 patients",,,"HF-1 " "390070","LOWER BUCKS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","46 patients",,,"SCIP-CARD-2 " "390070","LOWER BUCKS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","100 patients",,,"AMI-5 " "390070","LOWER BUCKS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","22 patients","1 ","1","AMI-3 " "390070","LOWER BUCKS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","63 patients",,,"PN-2 " "390070","LOWER BUCKS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","41 patients",,,"PN-4 " "390070","LOWER BUCKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","62%","221 patients",,,"SCIP-INF-1 " "390070","LOWER BUCKS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","48 patients","3 ","3","PN-5C " "390070","LOWER BUCKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","315 patients",,,"SCIP-INF-6 " "390070","LOWER BUCKS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","61 patients",,,"PN-7 " "390070","LOWER BUCKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","127 patients",,,"SCIP-VTE-1 " "390070","LOWER BUCKS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","73 patients",,,"HF-3 " "390070","LOWER BUCKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","50 patients",,,"SCIP-INF-4 " "390070","LOWER BUCKS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390070","LOWER BUCKS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","100 patients",,,"AMI-2 " "390070","LOWER BUCKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","126 patients",,,"SCIP-VTE-2 " "390070","LOWER BUCKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","189 patients",,,"SCIP-INF-2 " "390070","LOWER BUCKS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","302 patients",,,"HF-2 " "390070","LOWER BUCKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","66%","190 patients",,,"SCIP-INF-3 " "390071","LOCK HAVEN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390071","LOCK HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "390071","LOCK HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","53 patients","2 ","2","SCIP-INF-6 " "390071","LOCK HAVEN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "390071","LOCK HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","18 patients","1,2 ","12","SCIP-VTE-2 " "390071","LOCK HAVEN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "390071","LOCK HAVEN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","37 patients",,,"PN-5C " "390071","LOCK HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","22 patients","1,2 ","12","SCIP-INF-1 " "390071","LOCK HAVEN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","43 patients",,,"PN-3B " "390071","LOCK HAVEN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","45 patients",,,"HF-1 " "390071","LOCK HAVEN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","22 patients","1 ","1","PN-7 " "390071","LOCK HAVEN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390071","LOCK HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","23 patients","1,2 ","12","SCIP-INF-2 " "390071","LOCK HAVEN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "390071","LOCK HAVEN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "390071","LOCK HAVEN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "390071","LOCK HAVEN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","32 patients",,,"PN-2 " "390071","LOCK HAVEN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "390071","LOCK HAVEN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "390071","LOCK HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390071","LOCK HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","18 patients","1,2 ","12","SCIP-VTE-1 " "390071","LOCK HAVEN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390071","LOCK HAVEN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","36 patients",,,"PN-6 " "390071","LOCK HAVEN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","21 patients","1,2 ","12","SCIP-INF-3 " "390071","LOCK HAVEN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","51 patients",,,"HF-2 " "390072","BERWICK HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "390072","BERWICK HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","71 patients",,,"PN-2 " "390072","BERWICK HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","117 patients","2 ","2","SCIP-INF-3 " "390072","BERWICK HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","48 patients",,,"PN-6 " "390072","BERWICK HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390072","BERWICK HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "390072","BERWICK HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "390072","BERWICK HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "390072","BERWICK HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","48 patients",,,"PN-7 " "390072","BERWICK HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","121 patients","2 ","2","SCIP-INF-1 " "390072","BERWICK HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1,2 ","12","SCIP-CARD-2 " "390072","BERWICK HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","68 patients",,,"PN-5C " "390072","BERWICK HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","151 patients","2 ","2","SCIP-INF-6 " "390072","BERWICK HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "390072","BERWICK HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","119 patients",,,"HF-1 " "390072","BERWICK HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "390072","BERWICK HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "390072","BERWICK HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390072","BERWICK HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","169 patients",,,"HF-2 " "390072","BERWICK HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","25 patients",,,"AMI-1 " "390072","BERWICK HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390072","BERWICK HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","65 patients",,,"PN-3B " "390072","BERWICK HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","55 patients","2 ","2","SCIP-VTE-1 " "390072","BERWICK HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","122 patients","2 ","2","SCIP-INF-2 " "390072","BERWICK HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","55 patients","2 ","2","SCIP-VTE-2 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","408 patients",,,"HF-1 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","437 patients",,,"AMI-2 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","36 patients",,,"AMI-8A " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","265 patients",,,"PN-5C " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","468 patients",,,"AMI-5 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2016 patients",,,"SCIP-INF-6 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","1419 patients",,,"SCIP-INF-2 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","1360 patients",,,"SCIP-INF-3 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","272 patients",,,"PN-3B " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","160 patients",,,"HF-3 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","519 patients",,,"HF-2 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","130 patients",,,"AMI-3 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","662 patients",,,"SCIP-VTE-2 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1391 patients",,,"SCIP-INF-1 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","116 patients",,,"PN-4 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","270 patients",,,"AMI-1 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","155 patients",,,"AMI-4 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","215 patients",,,"PN-7 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","170 patients",,,"PN-6 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","305 patients",,,"PN-2 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","663 patients",,,"SCIP-VTE-1 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","79 patients",,,"HF-4 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","300 patients",,,"SCIP-CARD-2 " "390073","ALTOONA REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","243 patients",,,"SCIP-INF-4 " "390076","BRANDYWINE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","AMI-3 " "390076","BRANDYWINE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","90 patients",,,"PN-7 " "390076","BRANDYWINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","34 patients","2 ","2","SCIP-INF-4 " "390076","BRANDYWINE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","123 patients",,,"PN-3B " "390076","BRANDYWINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","151 patients","2 ","2","SCIP-INF-3 " "390076","BRANDYWINE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"PN-4 " "390076","BRANDYWINE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390076","BRANDYWINE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","139 patients",,,"PN-5C " "390076","BRANDYWINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","118 patients","2 ","2","SCIP-VTE-1 " "390076","BRANDYWINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","118 patients","2 ","2","SCIP-VTE-2 " "390076","BRANDYWINE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","52 patients","2 ","2","SCIP-CARD-2 " "390076","BRANDYWINE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","138 patients",,,"PN-2 " "390076","BRANDYWINE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","39 patients",,,"HF-4 " "390076","BRANDYWINE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","92 patients",,,"PN-6 " "390076","BRANDYWINE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "390076","BRANDYWINE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","197 patients",,,"HF-1 " "390076","BRANDYWINE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","118 patients",,,"AMI-1 " "390076","BRANDYWINE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","73 patients",,,"HF-3 " "390076","BRANDYWINE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","246 patients",,,"HF-2 " "390076","BRANDYWINE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","105 patients",,,"AMI-5 " "390076","BRANDYWINE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","31 patients",,,"AMI-8A " "390076","BRANDYWINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","169 patients","2 ","2","SCIP-INF-1 " "390076","BRANDYWINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","175 patients","2 ","2","SCIP-INF-2 " "390076","BRANDYWINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","299 patients","2 ","2","SCIP-INF-6 " "390076","BRANDYWINE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","96 patients",,,"AMI-2 " "390079","ROBERT PACKER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","405 patients",,,"HF-2 " "390079","ROBERT PACKER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","222 patients",,,"SCIP-CARD-2 " "390079","ROBERT PACKER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","303 patients",,,"AMI-5 " "390079","ROBERT PACKER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "390079","ROBERT PACKER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","134 patients",,,"AMI-1 " "390079","ROBERT PACKER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "390079","ROBERT PACKER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","100 patients",,,"AMI-4 " "390079","ROBERT PACKER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","171 patients",,,"PN-7 " "390079","ROBERT PACKER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","548 patients",,,"SCIP-VTE-1 " "390079","ROBERT PACKER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","90 patients",,,"PN-6 " "390079","ROBERT PACKER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","83 patients",,,"AMI-3 " "390079","ROBERT PACKER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","168 patients",,,"PN-3B " "390079","ROBERT PACKER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","305 patients",,,"AMI-2 " "390079","ROBERT PACKER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","231 patients",,,"PN-2 " "390079","ROBERT PACKER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","230 patients",,,"HF-3 " "390079","ROBERT PACKER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "390079","ROBERT PACKER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","546 patients",,,"SCIP-VTE-2 " "390079","ROBERT PACKER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","801 patients",,,"SCIP-INF-2 " "390079","ROBERT PACKER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","351 patients",,,"HF-1 " "390079","ROBERT PACKER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","771 patients",,,"SCIP-INF-3 " "390079","ROBERT PACKER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","795 patients",,,"SCIP-INF-1 " "390079","ROBERT PACKER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1408 patients",,,"SCIP-INF-6 " "390079","ROBERT PACKER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","32 patients",,,"AMI-8A " "390079","ROBERT PACKER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","217 patients",,,"SCIP-INF-4 " "390079","ROBERT PACKER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","146 patients",,,"PN-5C " "390080","JEANES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","23 patients","1 ","1","AMI-8A " "390080","JEANES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","189 patients",,,"PN-5C " "390080","JEANES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","81 patients",,,"SCIP-CARD-2 " "390080","JEANES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","69 patients",,,"SCIP-INF-4 " "390080","JEANES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","271 patients",,,"HF-1 " "390080","JEANES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","161 patients",,,"AMI-5 " "390080","JEANES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","179 patients",,,"AMI-1 " "390080","JEANES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","448 patients",,,"SCIP-INF-2 " "390080","JEANES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","285 patients",,,"SCIP-VTE-1 " "390080","JEANES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","46 patients",,,"PN-4 " "390080","JEANES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390080","JEANES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","200 patients",,,"PN-3B " "390080","JEANES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","447 patients",,,"SCIP-INF-1 " "390080","JEANES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","165 patients",,,"PN-2 " "390080","JEANES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","117 patients",,,"PN-6 " "390080","JEANES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","431 patients",,,"SCIP-INF-3 " "390080","JEANES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","103 patients",,,"HF-3 " "390080","JEANES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","347 patients",,,"HF-2 " "390080","JEANES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","41 patients",,,"AMI-3 " "390080","JEANES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","40 patients",,,"HF-4 " "390080","JEANES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","285 patients",,,"SCIP-VTE-2 " "390080","JEANES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","36 patients",,,"AMI-4 " "390080","JEANES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","653 patients",,,"SCIP-INF-6 " "390080","JEANES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","162 patients",,,"AMI-2 " "390080","JEANES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","123 patients",,,"PN-7 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","377 patients","2 ","2","SCIP-INF-2 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","389 patients","2 ","2","SCIP-VTE-1 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","76 patients",,,"HF-3 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","176 patients",,,"PN-2 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","555 patients","2 ","2","SCIP-INF-6 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","178 patients",,,"PN-5C " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","123 patients",,,"PN-6 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","62 patients","2 ","2","SCIP-CARD-2 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","389 patients","2 ","2","SCIP-VTE-2 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","339 patients",,,"HF-2 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","35 patients",,,"AMI-2 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","36 patients",,,"AMI-5 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","288 patients",,,"HF-1 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","362 patients","2 ","2","SCIP-INF-3 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","377 patients","2 ","2","SCIP-INF-1 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","83 patients",,,"AMI-1 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"PN-4 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"HF-4 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","127 patients",,,"PN-7 " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","180 patients",,,"PN-3B " "390081","DELAWARE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","130 patients",,,"HF-2 " "390084","SUNBURY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","54%","68 patients","2 ","2","SCIP-INF-3 " "390084","SUNBURY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","76 patients","2 ","2","SCIP-INF-2 " "390084","SUNBURY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","55 patients","2 ","2","SCIP-VTE-1 " "390084","SUNBURY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","98 patients",,,"PN-3B " "390084","SUNBURY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","72 patients",,,"PN-7 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"HF-3 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390084","SUNBURY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","75 patients","2 ","2","SCIP-INF-1 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390084","SUNBURY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","44 patients","3 ","3","PN-5C " "390084","SUNBURY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390084","SUNBURY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","PN-4 " "390084","SUNBURY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","55 patients","2 ","2","SCIP-VTE-2 " "390084","SUNBURY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","108 patients",,,"PN-2 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","11 patients","1 ","1","AMI-2 " "390084","SUNBURY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","48 patients",,,"PN-6 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","78 patients",,,"HF-1 " "390084","SUNBURY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","22 patients","1,2 ","12","SCIP-CARD-2 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "390084","SUNBURY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","22 patients","1 ","1","AMI-1 " "390084","SUNBURY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","116 patients","2 ","2","SCIP-INF-6 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","287 patients",,,"AMI-5 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","50 patients",,,"PN-4 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","285 patients",,,"AMI-2 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","173 patients",,,"SCIP-VTE-1 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","123 patients",,,"AMI-1 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients",,,"AMI-3 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","145 patients",,,"SCIP-INF-4 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","28 patients",,,"AMI-8A " "390086","DUBOIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","466 patients",,,"SCIP-INF-2 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","269 patients",,,"HF-2 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","75 patients",,,"PN-7 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","89 patients",,,"HF-3 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"HF-4 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","97 patients",,,"PN-2 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","453 patients",,,"SCIP-INF-1 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","110 patients",,,"PN-5C " "390086","DUBOIS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","113 patients",,,"PN-3B " "390086","DUBOIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","173 patients",,,"SCIP-VTE-2 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","100 patients",,,"AMI-4 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","82 patients",,,"PN-6 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390086","DUBOIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","649 patients",,,"SCIP-INF-6 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","227 patients",,,"HF-1 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","430 patients",,,"SCIP-INF-3 " "390086","DUBOIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","122 patients",,,"SCIP-CARD-2 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","997 patients","2 ","2","SCIP-INF-1 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","538 patients",,,"HF-2 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","159 patients",,,"PN-3B " "390090","WESTERN PENNSYLVANIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1013 patients","2 ","2","SCIP-INF-2 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"HF-4 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","256 patients","2 ","2","SCIP-INF-4 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","10 patients","1 ","1","AMI-8A " "390090","WESTERN PENNSYLVANIA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","102 patients",,,"PN-4 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","246 patients",,,"AMI-5 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","440 patients",,,"HF-1 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","120 patients",,,"AMI-1 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","978 patients","2 ","2","SCIP-INF-3 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"AMI-4 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","248 patients",,,"HF-3 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","151 patients",,,"PN-5C " "390090","WESTERN PENNSYLVANIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1180 patients","2 ","2","SCIP-INF-6 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","112 patients",,,"PN-7 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","254 patients",,,"AMI-2 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","104 patients",,,"PN-6 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","144 patients","2 ","2","SCIP-CARD-2 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","389 patients","2 ","2","SCIP-VTE-1 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","388 patients","2 ","2","SCIP-VTE-2 " "390090","WESTERN PENNSYLVANIA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","142 patients",,,"PN-2 " "390091","UPMC NORTHWEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "390091","UPMC NORTHWEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "390091","UPMC NORTHWEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","228 patients",,,"SCIP-INF-3 " "390091","UPMC NORTHWEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","234 patients",,,"SCIP-INF-2 " "390091","UPMC NORTHWEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","152 patients",,,"SCIP-VTE-2 " "390091","UPMC NORTHWEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","54 patients",,,"SCIP-CARD-2 " "390091","UPMC NORTHWEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","232 patients",,,"SCIP-INF-1 " "390091","UPMC NORTHWEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","168 patients",,,"PN-3B " "390091","UPMC NORTHWEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","153 patients",,,"HF-1 " "390091","UPMC NORTHWEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","107 patients",,,"PN-6 " "390091","UPMC NORTHWEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "390091","UPMC NORTHWEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390091","UPMC NORTHWEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","24 patients","1 ","1","AMI-2 " "390091","UPMC NORTHWEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390091","UPMC NORTHWEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","3 patients","1 ","1","SCIP-INF-4 " "390091","UPMC NORTHWEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","125 patients",,,"PN-7 " "390091","UPMC NORTHWEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","377 patients",,,"SCIP-INF-6 " "390091","UPMC NORTHWEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","177 patients",,,"PN-5C " "390091","UPMC NORTHWEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","180 patients",,,"PN-2 " "390091","UPMC NORTHWEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "390091","UPMC NORTHWEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","229 patients",,,"HF-2 " "390091","UPMC NORTHWEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","152 patients",,,"SCIP-VTE-1 " "390091","UPMC NORTHWEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "390091","UPMC NORTHWEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","65 patients",,,"HF-3 " "390091","UPMC NORTHWEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","48 patients",,,"AMI-1 " "390093","CLARION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","63%","107 patients",,,"HF-2 " "390093","CLARION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","179 patients",,,"SCIP-INF-1 " "390093","CLARION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","118 patients",,,"PN-5C " "390093","CLARION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","76 patients",,,"PN-7 " "390093","CLARION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","245 patients",,,"SCIP-INF-6 " "390093","CLARION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","88 patients",,,"SCIP-VTE-2 " "390093","CLARION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","AMI-3 " "390093","CLARION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","22 patients","1 ","1","AMI-1 " "390093","CLARION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390093","CLARION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","77%","13 patients","1 ","1","AMI-5 " "390093","CLARION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390093","CLARION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","27 patients",,,"PN-4 " "390093","CLARION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","22 patients","1 ","1","SCIP-CARD-2 " "390093","CLARION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","14 patients","1 ","1","AMI-2 " "390093","CLARION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","95 patients",,,"PN-2 " "390093","CLARION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390093","CLARION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "390093","CLARION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","177 patients",,,"SCIP-INF-3 " "390093","CLARION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","32%","79 patients",,,"HF-1 " "390093","CLARION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","25 patients",,,"HF-3 " "390093","CLARION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","60%","15 patients","1 ","1","HF-4 " "390093","CLARION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","181 patients",,,"SCIP-INF-2 " "390093","CLARION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","89 patients",,,"SCIP-VTE-1 " "390093","CLARION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","69 patients",,,"PN-6 " "390093","CLARION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","113 patients",,,"PN-3B " "390095","MARIAN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","42 patients",,,"PN-4 " "390095","MARIAN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","112 patients",,,"PN-7 " "390095","MARIAN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390095","MARIAN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","79%","14 patients","1 ","1","AMI-5 " "390095","MARIAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","84 patients",,,"SCIP-INF-1 " "390095","MARIAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","15 patients","1 ","1","SCIP-CARD-2 " "390095","MARIAN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","100 patients",,,"HF-2 " "390095","MARIAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","52 patients",,,"SCIP-VTE-2 " "390095","MARIAN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390095","MARIAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","115 patients",,,"SCIP-INF-6 " "390095","MARIAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","52 patients",,,"SCIP-VTE-1 " "390095","MARIAN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","164 patients",,,"PN-3B " "390095","MARIAN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","74 patients",,,"HF-1 " "390095","MARIAN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","117 patients",,,"PN-6 " "390095","MARIAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","85 patients",,,"SCIP-INF-2 " "390095","MARIAN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","30 patients",,,"AMI-1 " "390095","MARIAN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "390095","MARIAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390095","MARIAN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","12 patients","1 ","1","AMI-2 " "390095","MARIAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","81 patients",,,"SCIP-INF-3 " "390095","MARIAN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "390095","MARIAN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","171 patients",,,"PN-5C " "390095","MARIAN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","152 patients",,,"PN-2 " "390095","MARIAN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","22 patients","1 ","1","HF-3 " "390095","MARIAN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "390096","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","175 patients",,,"AMI-2 " "390096","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","285 patients",,,"HF-1 " "390096","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","358 patients",,,"HF-2 " "390096","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","99 patients",,,"HF-3 " "390096","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","207 patients","2 ","2","SCIP-VTE-2 " "390096","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","417 patients","2 ","2","SCIP-INF-2 " "390096","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","136 patients",,,"PN-7 " "390096","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","121 patients","2 ","2","SCIP-CARD-2 " "390096","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "390096","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","99 patients","2 ","2","SCIP-INF-4 " "390096","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","168 patients",,,"AMI-1 " "390096","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","100 patients",,,"PN-6 " "390096","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","157 patients",,,"PN-5C " "390096","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"HF-4 " "390096","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"AMI-4 " "390096","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","556 patients","2 ","2","SCIP-INF-6 " "390096","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","177 patients",,,"AMI-5 " "390096","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","AMI-3 " "390096","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","189 patients",,,"PN-2 " "390096","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","405 patients","2 ","2","SCIP-INF-1 " "390096","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","184 patients",,,"PN-3B " "390096","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","398 patients","2 ","2","SCIP-INF-3 " "390096","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","207 patients","2 ","2","SCIP-VTE-1 " "390096","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390096","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","55 patients",,,"AMI-8A " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","547 patients",,,"SCIP-INF-3 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","87 patients",,,"SCIP-CARD-2 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","153 patients",,,"PN-7 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","139 patients",,,"AMI-2 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","35 patients",,,"AMI-8A " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","421 patients",,,"HF-2 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","118 patients",,,"PN-6 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","159 patients",,,"AMI-5 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"AMI-4 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","331 patients",,,"SCIP-VTE-1 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","210 patients",,,"PN-3B " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","183 patients",,,"AMI-1 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","785 patients",,,"SCIP-INF-6 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","331 patients",,,"SCIP-VTE-2 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","287 patients",,,"HF-1 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","240 patients",,,"PN-2 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","225 patients",,,"PN-5C " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","564 patients",,,"SCIP-INF-1 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","86 patients",,,"HF-3 " "390097","HOLY REDEEMER HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","566 patients",,,"SCIP-INF-2 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","103 patients","2 ","2","SCIP-VTE-2 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","126 patients","2 ","2","SCIP-INF-6 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","268 patients",,,"HF-1 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","38 patients",,,"PN-2 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","149 patients",,,"HF-3 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","74 patients",,,"PN-3B " "39009F","PHILADELPHIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","37 patients",,,"SCIP-INF-3 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "39009F","PHILADELPHIA VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","53 patients",,,"PN-7 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","40 patients",,,"SCIP-INF-1 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","288 patients",,,"HF-2 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","38 patients",,,"PN-5C " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "39009F","PHILADELPHIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","36 patients","2 ","2","SCIP-CARD-2 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","103 patients","2 ","2","SCIP-VTE-1 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","34 patients",,,"PN-6 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","88 patients",,,"HF-4 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","41 patients",,,"SCIP-INF-2 " "39009F","PHILADELPHIA VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390100","LANCASTER GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390100","LANCASTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","385 patients","2 ","2","SCIP-CARD-2 " "390100","LANCASTER GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","426 patients",,,"PN-2 " "390100","LANCASTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","689 patients","2 ","2","SCIP-VTE-2 " "390100","LANCASTER GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","367 patients",,,"PN-5C " "390100","LANCASTER GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","120 patients",,,"HF-4 " "390100","LANCASTER GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","131 patients",,,"AMI-8A " "390100","LANCASTER GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","582 patients",,,"AMI-1 " "390100","LANCASTER GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","302 patients",,,"PN-7 " "390100","LANCASTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","690 patients","2 ","2","SCIP-VTE-1 " "390100","LANCASTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","1491 patients","2 ","2","SCIP-INF-3 " "390100","LANCASTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1578 patients","2 ","2","SCIP-INF-2 " "390100","LANCASTER GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","129 patients",,,"PN-4 " "390100","LANCASTER GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","601 patients",,,"AMI-2 " "390100","LANCASTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1553 patients","2 ","2","SCIP-INF-1 " "390100","LANCASTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","365 patients","2 ","2","SCIP-INF-4 " "390100","LANCASTER GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","960 patients",,,"HF-2 " "390100","LANCASTER GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","203 patients",,,"AMI-4 " "390100","LANCASTER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","2204 patients","2 ","2","SCIP-INF-6 " "390100","LANCASTER GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","98 patients",,,"AMI-3 " "390100","LANCASTER GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","214 patients",,,"PN-6 " "390100","LANCASTER GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","264 patients",,,"PN-3B " "390100","LANCASTER GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","277 patients",,,"HF-3 " "390100","LANCASTER GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","614 patients",,,"AMI-5 " "390100","LANCASTER GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","792 patients",,,"HF-1 " "390101","MEMORIAL HOSPITAL YORK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","383 patients",,,"SCIP-INF-1 " "390101","MEMORIAL HOSPITAL YORK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","119 patients",,,"PN-2 " "390101","MEMORIAL HOSPITAL YORK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "390101","MEMORIAL HOSPITAL YORK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","379 patients",,,"SCIP-INF-3 " "390101","MEMORIAL HOSPITAL YORK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "390101","MEMORIAL HOSPITAL YORK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","121 patients",,,"HF-1 " "390101","MEMORIAL HOSPITAL YORK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","162 patients",,,"HF-2 " "390101","MEMORIAL HOSPITAL YORK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","382 patients",,,"SCIP-INF-2 " "390101","MEMORIAL HOSPITAL YORK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","89 patients",,,"PN-7 " "390101","MEMORIAL HOSPITAL YORK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","163 patients",,,"PN-3B " "390101","MEMORIAL HOSPITAL YORK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"HF-3 " "390101","MEMORIAL HOSPITAL YORK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","488 patients",,,"SCIP-INF-6 " "390101","MEMORIAL HOSPITAL YORK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "390101","MEMORIAL HOSPITAL YORK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390101","MEMORIAL HOSPITAL YORK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","AMI-3 " "390101","MEMORIAL HOSPITAL YORK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","203 patients",,,"SCIP-VTE-2 " "390101","MEMORIAL HOSPITAL YORK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "390101","MEMORIAL HOSPITAL YORK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390101","MEMORIAL HOSPITAL YORK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"PN-4 " "390101","MEMORIAL HOSPITAL YORK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","44 patients",,,"SCIP-CARD-2 " "390101","MEMORIAL HOSPITAL YORK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "390101","MEMORIAL HOSPITAL YORK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","98 patients",,,"PN-6 " "390101","MEMORIAL HOSPITAL YORK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","140 patients",,,"PN-5C " "390101","MEMORIAL HOSPITAL YORK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","203 patients",,,"SCIP-VTE-1 " "390101","MEMORIAL HOSPITAL YORK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390102","UPMC ST MARGARET","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","105 patients",,,"AMI-1 " "390102","UPMC ST MARGARET","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1075 patients",,,"SCIP-INF-1 " "390102","UPMC ST MARGARET","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "390102","UPMC ST MARGARET","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","76 patients",,,"AMI-5 " "390102","UPMC ST MARGARET","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","425 patients",,,"HF-1 " "390102","UPMC ST MARGARET","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","79 patients",,,"PN-4 " "390102","UPMC ST MARGARET","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390102","UPMC ST MARGARET","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","330 patients",,,"PN-5C " "390102","UPMC ST MARGARET","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","298 patients",,,"PN-2 " "390102","UPMC ST MARGARET","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1012 patients",,,"SCIP-VTE-1 " "390102","UPMC ST MARGARET","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","591 patients",,,"HF-2 " "390102","UPMC ST MARGARET","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1040 patients",,,"SCIP-INF-3 " "390102","UPMC ST MARGARET","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","201 patients",,,"PN-7 " "390102","UPMC ST MARGARET","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390102","UPMC ST MARGARET","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","1012 patients",,,"SCIP-VTE-2 " "390102","UPMC ST MARGARET","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1617 patients",,,"SCIP-INF-6 " "390102","UPMC ST MARGARET","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","131 patients",,,"HF-3 " "390102","UPMC ST MARGARET","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1078 patients",,,"SCIP-INF-2 " "390102","UPMC ST MARGARET","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "390102","UPMC ST MARGARET","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","244 patients",,,"PN-6 " "390102","UPMC ST MARGARET","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","297 patients",,,"PN-3B " "390102","UPMC ST MARGARET","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390102","UPMC ST MARGARET","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","64 patients",,,"AMI-2 " "390102","UPMC ST MARGARET","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "390102","UPMC ST MARGARET","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","250 patients",,,"SCIP-CARD-2 " "390104","KANE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","28 patients",,,"SCIP-VTE-2 " "390104","KANE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","23 patients","1 ","1","SCIP-INF-3 " "390104","KANE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","HF-3 " "390104","KANE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390104","KANE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","23 patients","1 ","1","SCIP-INF-2 " "390104","KANE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","31%","55 patients",,,"PN-7 " "390104","KANE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","40 patients",,,"PN-3B " "390104","KANE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","35 patients",,,"PN-6 " "390104","KANE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","HF-4 " "390104","KANE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390104","KANE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390104","KANE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "390104","KANE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "390104","KANE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "390104","KANE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390104","KANE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","9 patients","1 ","1","AMI-1 " "390104","KANE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","28 patients",,,"SCIP-VTE-1 " "390104","KANE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "390104","KANE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","68%","80 patients",,,"HF-2 " "390104","KANE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "390104","KANE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","62%","45 patients",,,"SCIP-INF-6 " "390104","KANE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","24 patients","1 ","1","SCIP-INF-1 " "390104","KANE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","26%","68 patients",,,"PN-2 " "390104","KANE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","9%","66 patients",,,"HF-1 " "390104","KANE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","64 patients",,,"PN-5C " "390107","UPMC PASSAVANT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients",,,"AMI-3 " "390107","UPMC PASSAVANT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","246 patients",,,"PN-7 " "390107","UPMC PASSAVANT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1154 patients",,,"SCIP-INF-3 " "390107","UPMC PASSAVANT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","332 patients",,,"AMI-1 " "390107","UPMC PASSAVANT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","138 patients",,,"HF-3 " "390107","UPMC PASSAVANT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1209 patients",,,"SCIP-INF-1 " "390107","UPMC PASSAVANT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390107","UPMC PASSAVANT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","46 patients",,,"AMI-8A " "390107","UPMC PASSAVANT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "390107","UPMC PASSAVANT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","500 patients",,,"AMI-5 " "390107","UPMC PASSAVANT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","351 patients",,,"SCIP-INF-4 " "390107","UPMC PASSAVANT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","118 patients",,,"AMI-4 " "390107","UPMC PASSAVANT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "390107","UPMC PASSAVANT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1904 patients",,,"SCIP-INF-6 " "390107","UPMC PASSAVANT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","326 patients",,,"PN-3B " "390107","UPMC PASSAVANT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","371 patients",,,"HF-1 " "390107","UPMC PASSAVANT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","522 patients",,,"HF-2 " "390107","UPMC PASSAVANT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","333 patients",,,"PN-2 " "390107","UPMC PASSAVANT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","218 patients",,,"PN-6 " "390107","UPMC PASSAVANT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","324 patients",,,"PN-5C " "390107","UPMC PASSAVANT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","978 patients",,,"SCIP-VTE-1 " "390107","UPMC PASSAVANT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","283 patients",,,"SCIP-CARD-2 " "390107","UPMC PASSAVANT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1220 patients",,,"SCIP-INF-2 " "390107","UPMC PASSAVANT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","454 patients",,,"AMI-2 " "390107","UPMC PASSAVANT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","977 patients",,,"SCIP-VTE-2 " "390108","MONTGOMERY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","70 patients",,,"PN-2 " "390108","MONTGOMERY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","102 patients","2 ","2","SCIP-VTE-2 " "390108","MONTGOMERY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","65 patients",,,"PN-6 " "390108","MONTGOMERY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","32 patients",,,"AMI-3 " "390108","MONTGOMERY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","123 patients",,,"AMI-1 " "390108","MONTGOMERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","299 patients","2 ","2","SCIP-INF-6 " "390108","MONTGOMERY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","239 patients",,,"HF-2 " "390108","MONTGOMERY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","135 patients",,,"AMI-2 " "390108","MONTGOMERY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "390108","MONTGOMERY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","48 patients","2 ","2","SCIP-CARD-2 " "390108","MONTGOMERY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","85 patients",,,"PN-5C " "390108","MONTGOMERY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","134 patients",,,"AMI-5 " "390108","MONTGOMERY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "390108","MONTGOMERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "390108","MONTGOMERY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","102 patients","2 ","2","SCIP-VTE-1 " "390108","MONTGOMERY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","196 patients",,,"HF-1 " "390108","MONTGOMERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","204 patients","2 ","2","SCIP-INF-2 " "390108","MONTGOMERY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","75 patients",,,"PN-3B " "390108","MONTGOMERY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","73 patients",,,"HF-3 " "390108","MONTGOMERY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"AMI-4 " "390108","MONTGOMERY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","59 patients",,,"PN-7 " "390108","MONTGOMERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","197 patients","2 ","2","SCIP-INF-3 " "390108","MONTGOMERY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","202 patients","2 ","2","SCIP-INF-1 " "390108","MONTGOMERY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","29 patients",,,"AMI-8A " "390108","MONTGOMERY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","712 patients",,,"SCIP-VTE-1 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","287 patients",,,"PN-3B " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"HF-4 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1104 patients",,,"SCIP-INF-3 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","431 patients",,,"PN-5C " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1170 patients",,,"SCIP-INF-1 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","343 patients",,,"SCIP-CARD-2 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","231 patients",,,"PN-6 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1904 patients",,,"SCIP-INF-6 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","600 patients",,,"AMI-5 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","150 patients",,,"AMI-4 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","532 patients",,,"AMI-2 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","711 patients",,,"SCIP-VTE-2 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","401 patients",,,"AMI-1 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","300 patients",,,"PN-7 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","97 patients",,,"AMI-3 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","237 patients",,,"HF-3 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","440 patients",,,"PN-2 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","256 patients",,,"SCIP-INF-4 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","150 patients",,,"PN-4 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","74 patients",,,"AMI-8A " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","614 patients",,,"HF-1 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","785 patients",,,"HF-2 " "390110","CONEMAUGH VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","1181 patients",,,"SCIP-INF-2 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","139 patients",,,"PN-2 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","219 patients",,,"AMI-2 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","408 patients","2 ","2","SCIP-VTE-1 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","407 patients","2 ","2","SCIP-VTE-2 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","25 patients",,,"AMI-8A " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","496 patients","2 ","2","SCIP-INF-3 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","400 patients",,,"HF-3 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","542 patients","2 ","2","SCIP-INF-2 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","208 patients",,,"AMI-5 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","714 patients",,,"HF-1 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","217 patients",,,"PN-5C " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","121 patients",,,"PN-6 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","69 patients",,,"AMI-4 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"AMI-3 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","120 patients",,,"AMI-1 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","520 patients","2 ","2","SCIP-INF-1 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","168 patients",,,"PN-7 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","171 patients","2 ","2","SCIP-CARD-2 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","99 patients",,,"PN-4 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","963 patients","2 ","2","SCIP-INF-6 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","59%","169 patients",,,"PN-3B " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","168 patients",,,"HF-4 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","279 patients","2 ","2","SCIP-INF-4 " "390111","HOSPITAL OF UNIV OF PENNSYLVANIA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","781 patients",,,"HF-2 " "390112","WINDBER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","114 patients",,,"HF-2 " "390112","WINDBER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "390112","WINDBER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","23 patients","1 ","1","AMI-1 " "390112","WINDBER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","153 patients",,,"SCIP-INF-2 " "390112","WINDBER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","53 patients",,,"PN-7 " "390112","WINDBER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","28 patients",,,"HF-3 " "390112","WINDBER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","70 patients",,,"PN-3B " "390112","WINDBER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","78 patients",,,"SCIP-VTE-2 " "390112","WINDBER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "390112","WINDBER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "390112","WINDBER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","78 patients",,,"SCIP-VTE-1 " "390112","WINDBER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","53 patients",,,"PN-6 " "390112","WINDBER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "390112","WINDBER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","18 patients","1 ","1","AMI-5 " "390112","WINDBER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","75 patients",,,"PN-5C " "390112","WINDBER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","153 patients",,,"SCIP-INF-3 " "390112","WINDBER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390112","WINDBER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","154 patients",,,"SCIP-INF-1 " "390112","WINDBER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","79 patients",,,"PN-2 " "390112","WINDBER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","97 patients",,,"HF-1 " "390112","WINDBER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "390112","WINDBER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","29 patients",,,"SCIP-CARD-2 " "390112","WINDBER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390112","WINDBER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390112","WINDBER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","200 patients",,,"SCIP-INF-6 " "390113","MEADVILLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","90 patients",,,"PN-7 " "390113","MEADVILLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390113","MEADVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","109 patients",,,"SCIP-CARD-2 " "390113","MEADVILLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","136 patients",,,"HF-2 " "390113","MEADVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","268 patients",,,"SCIP-VTE-1 " "390113","MEADVILLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","110 patients",,,"PN-2 " "390113","MEADVILLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390113","MEADVILLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","112 patients",,,"PN-3B " "390113","MEADVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","716 patients",,,"SCIP-INF-6 " "390113","MEADVILLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","28 patients",,,"AMI-1 " "390113","MEADVILLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","106 patients",,,"HF-1 " "390113","MEADVILLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","119 patients",,,"PN-5C " "390113","MEADVILLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","78 patients",,,"PN-6 " "390113","MEADVILLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "390113","MEADVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390113","MEADVILLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","12 patients","1 ","1","AMI-2 " "390113","MEADVILLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","53 patients",,,"PN-4 " "390113","MEADVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","511 patients",,,"SCIP-INF-2 " "390113","MEADVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","267 patients",,,"SCIP-VTE-2 " "390113","MEADVILLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","14 patients","1 ","1","AMI-5 " "390113","MEADVILLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "390113","MEADVILLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","AMI-3 " "390113","MEADVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","510 patients",,,"SCIP-INF-1 " "390113","MEADVILLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"HF-3 " "390113","MEADVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","485 patients",,,"SCIP-INF-3 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","25 patients",,,"PN-3B " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1961 patients",,,"SCIP-INF-1 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1950 patients",,,"SCIP-INF-2 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","34 patients",,,"HF-1 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2342 patients",,,"SCIP-INF-6 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","40 patients",,,"PN-5C " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","45 patients",,,"PN-7 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","51 patients",,,"PN-2 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","926 patients",,,"SCIP-VTE-1 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","27 patients",,,"PN-6 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","59 patients",,,"HF-2 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","924 patients",,,"SCIP-VTE-2 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","197 patients",,,"SCIP-CARD-2 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "390114","MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","1935 patients",,,"SCIP-INF-3 " "390115","ARIA HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","899 patients",,,"HF-2 " "390115","ARIA HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","93 patients","2 ","2","SCIP-CARD-2 " "390115","ARIA HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","273 patients",,,"PN-4 " "390115","ARIA HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","252 patients",,,"AMI-5 " "390115","ARIA HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","525 patients","2 ","2","SCIP-INF-6 " "390115","ARIA HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","477 patients",,,"PN-6 " "390115","ARIA HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","320 patients","2 ","2","SCIP-INF-1 " "390115","ARIA HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","170 patients",,,"AMI-4 " "390115","ARIA HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","172 patients",,,"HF-4 " "390115","ARIA HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","405 patients",,,"AMI-1 " "390115","ARIA HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","272 patients",,,"HF-3 " "390115","ARIA HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","373 patients",,,"AMI-2 " "390115","ARIA HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","86 patients","2 ","2","SCIP-INF-4 " "390115","ARIA HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","693 patients",,,"HF-1 " "390115","ARIA HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","668 patients",,,"PN-5C " "390115","ARIA HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","701 patients",,,"PN-3B " "390115","ARIA HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","324 patients","2 ","2","SCIP-INF-2 " "390115","ARIA HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","380 patients",,,"PN-7 " "390115","ARIA HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","298 patients","2 ","2","SCIP-INF-3 " "390115","ARIA HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","86 patients",,,"AMI-3 " "390115","ARIA HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","490 patients",,,"PN-2 " "390115","ARIA HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","208 patients","2 ","2","SCIP-VTE-1 " "390115","ARIA HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","50 patients",,,"AMI-8A " "390115","ARIA HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","208 patients","2 ","2","SCIP-VTE-2 " "390115","ARIA HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390116","MERCY SUBURBAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390116","MERCY SUBURBAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","39 patients",,,"HF-4 " "390116","MERCY SUBURBAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","196 patients",,,"PN-5C " "390116","MERCY SUBURBAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","49 patients",,,"HF-3 " "390116","MERCY SUBURBAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390116","MERCY SUBURBAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "390116","MERCY SUBURBAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","130 patients",,,"HF-1 " "390116","MERCY SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","189 patients",,,"SCIP-INF-3 " "390116","MERCY SUBURBAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","129 patients",,,"PN-2 " "390116","MERCY SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390116","MERCY SUBURBAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","31 patients",,,"AMI-1 " "390116","MERCY SUBURBAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","105 patients",,,"PN-7 " "390116","MERCY SUBURBAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "390116","MERCY SUBURBAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","46 patients",,,"PN-4 " "390116","MERCY SUBURBAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","72 patients",,,"PN-6 " "390116","MERCY SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","330 patients",,,"SCIP-INF-6 " "390116","MERCY SUBURBAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","194 patients",,,"PN-3B " "390116","MERCY SUBURBAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","203 patients",,,"HF-2 " "390116","MERCY SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","44 patients",,,"SCIP-CARD-2 " "390116","MERCY SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","197 patients",,,"SCIP-INF-2 " "390116","MERCY SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","136 patients",,,"SCIP-VTE-2 " "390116","MERCY SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","197 patients",,,"SCIP-INF-1 " "390116","MERCY SUBURBAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "390116","MERCY SUBURBAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "390116","MERCY SUBURBAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","136 patients",,,"SCIP-VTE-1 " "390117","UPMC BEDFORD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","67 patients",,,"PN-7 " "390117","UPMC BEDFORD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","109 patients",,,"PN-5C " "390117","UPMC BEDFORD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","70 patients",,,"PN-6 " "390117","UPMC BEDFORD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","103 patients",,,"SCIP-INF-1 " "390117","UPMC BEDFORD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "390117","UPMC BEDFORD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390117","UPMC BEDFORD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","17 patients","1 ","1","PN-4 " "390117","UPMC BEDFORD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","25 patients",,,"SCIP-CARD-2 " "390117","UPMC BEDFORD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390117","UPMC BEDFORD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "390117","UPMC BEDFORD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390117","UPMC BEDFORD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","82 patients",,,"SCIP-VTE-1 " "390117","UPMC BEDFORD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","39 patients",,,"HF-1 " "390117","UPMC BEDFORD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","115 patients",,,"PN-3B " "390117","UPMC BEDFORD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","40%","5 patients","1 ","1","AMI-3 " "390117","UPMC BEDFORD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390117","UPMC BEDFORD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","82 patients",,,"SCIP-VTE-2 " "390117","UPMC BEDFORD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "390117","UPMC BEDFORD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "390117","UPMC BEDFORD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","153 patients",,,"SCIP-INF-6 " "390117","UPMC BEDFORD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","18 patients","1 ","1","AMI-1 " "390117","UPMC BEDFORD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","102 patients",,,"SCIP-INF-2 " "390117","UPMC BEDFORD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","99 patients",,,"SCIP-INF-3 " "390117","UPMC BEDFORD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","50 patients",,,"HF-2 " "390117","UPMC BEDFORD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","89 patients",,,"PN-2 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","58%","19 patients","1 ","1","SCIP-CARD-2 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","119 patients",,,"PN-5C " "390118","BRADFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","86 patients",,,"PN-3B " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","31 patients",,,"AMI-5 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","144 patients",,,"SCIP-INF-2 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","102 patients",,,"SCIP-VTE-1 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","206 patients",,,"SCIP-INF-6 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","72 patients",,,"PN-7 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","79 patients",,,"PN-6 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","142 patients",,,"SCIP-INF-3 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","50 patients",,,"AMI-1 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","45 patients",,,"HF-3 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","99 patients",,,"PN-2 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "390118","BRADFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","149 patients",,,"SCIP-INF-1 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","74%","39 patients",,,"PN-4 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","106 patients",,,"HF-2 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","10 patients","1 ","1","HF-4 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","13 patients","1 ","1","AMI-3 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","31 patients",,,"AMI-2 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","100 patients",,,"SCIP-VTE-2 " "390118","BRADFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","78 patients",,,"HF-1 " "390119","MOSES TAYLOR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","179 patients",,,"PN-3B " "390119","MOSES TAYLOR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","224 patients",,,"HF-2 " "390119","MOSES TAYLOR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "390119","MOSES TAYLOR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","155 patients",,,"PN-5C " "390119","MOSES TAYLOR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390119","MOSES TAYLOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","346 patients",,,"SCIP-INF-1 " "390119","MOSES TAYLOR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","171 patients",,,"PN-2 " "390119","MOSES TAYLOR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"HF-3 " "390119","MOSES TAYLOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","335 patients",,,"SCIP-INF-3 " "390119","MOSES TAYLOR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "390119","MOSES TAYLOR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "390119","MOSES TAYLOR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","120 patients",,,"PN-7 " "390119","MOSES TAYLOR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","102 patients",,,"PN-6 " "390119","MOSES TAYLOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","349 patients",,,"SCIP-INF-2 " "390119","MOSES TAYLOR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","160 patients",,,"HF-1 " "390119","MOSES TAYLOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390119","MOSES TAYLOR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "390119","MOSES TAYLOR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","22 patients","1 ","1","AMI-5 " "390119","MOSES TAYLOR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","33 patients",,,"AMI-1 " "390119","MOSES TAYLOR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390119","MOSES TAYLOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","314 patients",,,"SCIP-VTE-1 " "390119","MOSES TAYLOR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","84 patients",,,"SCIP-CARD-2 " "390119","MOSES TAYLOR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","580 patients",,,"SCIP-INF-6 " "390119","MOSES TAYLOR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","314 patients",,,"SCIP-VTE-2 " "390119","MOSES TAYLOR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "390122","TITUSVILLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390122","TITUSVILLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","36 patients",,,"PN-7 " "390122","TITUSVILLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","74 patients","2 ","2","PN-2 " "390122","TITUSVILLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","24 patients","1,2 ","12","PN-4 " "390122","TITUSVILLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "390122","TITUSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390122","TITUSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","131 patients","2 ","2","SCIP-INF-1 " "390122","TITUSVILLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "390122","TITUSVILLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "390122","TITUSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","129 patients","2 ","2","SCIP-INF-3 " "390122","TITUSVILLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","HF-4 " "390122","TITUSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","70 patients","2 ","2","SCIP-VTE-2 " "390122","TITUSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","70 patients","2 ","2","SCIP-VTE-1 " "390122","TITUSVILLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","10 patients","1 ","1","AMI-2 " "390122","TITUSVILLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","68%","28 patients",,,"HF-3 " "390122","TITUSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","176 patients","2 ","2","SCIP-INF-6 " "390122","TITUSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","24 patients","1 ","1","SCIP-CARD-2 " "390122","TITUSVILLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","62 patients","2 ","2","PN-3B " "390122","TITUSVILLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","82 patients",,,"HF-2 " "390122","TITUSVILLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","64 patients","2 ","2","PN-5C " "390122","TITUSVILLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "390122","TITUSVILLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390122","TITUSVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","74%","130 patients","2 ","2","SCIP-INF-2 " "390122","TITUSVILLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","61 patients",,,"HF-1 " "390122","TITUSVILLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","47 patients","2 ","2","PN-6 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","62%","42 patients","2 ","2","SCIP-CARD-2 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","191 patients",,,"PN-7 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","188 patients",,,"PN-6 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","281 patients",,,"PN-2 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","347 patients",,,"HF-2 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","26 patients",,,"AMI-2 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","323 patients","2 ","2","SCIP-INF-6 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","302 patients",,,"PN-5C " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","123 patients",,,"PN-4 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","29 patients",,,"AMI-5 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","187 patients","2 ","2","SCIP-INF-3 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","200 patients","2 ","2","SCIP-INF-2 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","252 patients",,,"HF-1 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","199 patients","2 ","2","SCIP-INF-1 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","58 patients",,,"AMI-1 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","166 patients","2 ","2","SCIP-VTE-1 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","132 patients",,,"HF-3 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","54 patients",,,"HF-4 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","166 patients","2 ","2","SCIP-VTE-2 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390123","POTTSTOWN MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","225 patients",,,"PN-3B " "390125","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390125","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","126 patients",,,"PN-5C " "390125","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390125","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","24 patients","1 ","1","HF-3 " "390125","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","120 patients",,,"PN-3B " "390125","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "390125","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","139 patients","2 ","2","SCIP-INF-2 " "390125","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","215 patients","2 ","2","SCIP-INF-6 " "390125","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "390125","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","112 patients","2 ","2","SCIP-VTE-1 " "390125","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","47 patients",,,"AMI-1 " "390125","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "390125","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","105 patients",,,"HF-2 " "390125","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","117 patients",,,"PN-2 " "390125","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","76 patients",,,"PN-7 " "390125","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","112 patients","2 ","2","SCIP-VTE-2 " "390125","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "390125","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","134 patients","2 ","2","SCIP-INF-3 " "390125","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390125","WAYNE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","75 patients",,,"HF-1 " "390125","WAYNE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "390125","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "390125","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","139 patients","2 ","2","SCIP-INF-1 " "390125","WAYNE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","103 patients",,,"PN-6 " "390125","WAYNE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","55%","20 patients","1,2 ","12","SCIP-CARD-2 " "390127","PHOENIXVILLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","118 patients",,,"PN-6 " "390127","PHOENIXVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","167 patients","2 ","2","SCIP-VTE-1 " "390127","PHOENIXVILLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","126 patients",,,"PN-7 " "390127","PHOENIXVILLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "390127","PHOENIXVILLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","186 patients",,,"AMI-2 " "390127","PHOENIXVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","274 patients","2 ","2","SCIP-INF-2 " "390127","PHOENIXVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","167 patients","2 ","2","SCIP-VTE-2 " "390127","PHOENIXVILLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","80 patients","2 ","2","SCIP-CARD-2 " "390127","PHOENIXVILLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","176 patients",,,"PN-5C " "390127","PHOENIXVILLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","202 patients",,,"AMI-5 " "390127","PHOENIXVILLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "390127","PHOENIXVILLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","44 patients",,,"AMI-3 " "390127","PHOENIXVILLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","180 patients",,,"HF-1 " "390127","PHOENIXVILLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","131 patients",,,"AMI-1 " "390127","PHOENIXVILLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","22 patients","1 ","1","AMI-8A " "390127","PHOENIXVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","400 patients","2 ","2","SCIP-INF-6 " "390127","PHOENIXVILLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","96 patients",,,"HF-3 " "390127","PHOENIXVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","265 patients","2 ","2","SCIP-INF-1 " "390127","PHOENIXVILLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","186 patients",,,"PN-2 " "390127","PHOENIXVILLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","109 patients",,,"PN-3B " "390127","PHOENIXVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","97 patients","2 ","2","SCIP-INF-4 " "390127","PHOENIXVILLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "390127","PHOENIXVILLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"AMI-4 " "390127","PHOENIXVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","235 patients","2 ","2","SCIP-INF-3 " "390127","PHOENIXVILLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","226 patients",,,"HF-2 " "390128","UPMC BRADDOCK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "390128","UPMC BRADDOCK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","31 patients",,,"AMI-2 " "390128","UPMC BRADDOCK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","70 patients",,,"PN-2 " "390128","UPMC BRADDOCK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","87 patients",,,"SCIP-INF-1 " "390128","UPMC BRADDOCK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "390128","UPMC BRADDOCK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","100 patients",,,"PN-5C " "390128","UPMC BRADDOCK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"HF-3 " "390128","UPMC BRADDOCK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "390128","UPMC BRADDOCK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390128","UPMC BRADDOCK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","159 patients",,,"SCIP-INF-6 " "390128","UPMC BRADDOCK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients",,,"SCIP-CARD-2 " "390128","UPMC BRADDOCK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390128","UPMC BRADDOCK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","83 patients",,,"SCIP-INF-3 " "390128","UPMC BRADDOCK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","167 patients",,,"HF-2 " "390128","UPMC BRADDOCK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","87 patients",,,"SCIP-INF-2 " "390128","UPMC BRADDOCK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "390128","UPMC BRADDOCK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","86 patients",,,"PN-6 " "390128","UPMC BRADDOCK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","73 patients",,,"PN-3B " "390128","UPMC BRADDOCK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "390128","UPMC BRADDOCK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","88 patients",,,"SCIP-VTE-2 " "390128","UPMC BRADDOCK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","51 patients",,,"AMI-1 " "390128","UPMC BRADDOCK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","127 patients",,,"HF-1 " "390128","UPMC BRADDOCK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390128","UPMC BRADDOCK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","51 patients",,,"PN-7 " "390128","UPMC BRADDOCK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","88 patients",,,"SCIP-VTE-1 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","225 patients",,,"HF-2 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","102 patients",,,"PN-3B " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","71 patients",,,"PN-7 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","198 patients","2 ","2","SCIP-VTE-2 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","458 patients","2 ","2","SCIP-INF-6 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","82 patients",,,"PN-2 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","159 patients","2 ","2","SCIP-INF-4 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","60 patients",,,"PN-6 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","347 patients",,,"SCIP-INF-1 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","220 patients",,,"HF-1 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","25 patients",,,"AMI-5 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","208 patients","2 ","2","SCIP-CARD-2 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","361 patients",,,"SCIP-INF-2 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","90 patients",,,"HF-3 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","108 patients",,,"PN-5C " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","198 patients","2 ","2","SCIP-VTE-1 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","335 patients",,,"SCIP-INF-3 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "39012F","VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-8A " "390130","MINERS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","PN-4 " "390130","MINERS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "390130","MINERS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "390130","MINERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","3 patients","1 ","1","SCIP-CARD-2 " "390130","MINERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","18 patients","1 ","1","SCIP-VTE-1 " "390130","MINERS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","62 patients",,,"PN-5C " "390130","MINERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","18 patients","1 ","1","SCIP-VTE-2 " "390130","MINERS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","53 patients",,,"PN-3B " "390130","MINERS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1,3 ","13","AMI-1 " "390130","MINERS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "390130","MINERS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "390130","MINERS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","HF-4 " "390130","MINERS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","45%","58 patients",,,"PN-2 " "390130","MINERS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","55 patients",,,"PN-6 " "390130","MINERS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1,3 ","13","AMI-2 " "390130","MINERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","12 patients","1 ","1","SCIP-INF-2 " "390130","MINERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390130","MINERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","12 patients","1 ","1","SCIP-INF-1 " "390130","MINERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","12 patients","1 ","1","SCIP-INF-3 " "390130","MINERS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","14 patients","1 ","1","HF-3 " "390130","MINERS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","81%","21 patients","1 ","1","SCIP-INF-6 " "390130","MINERS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","41 patients",,,"HF-2 " "390130","MINERS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","56%","43 patients",,,"PN-7 " "390130","MINERS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","78%","9 patients","1,3 ","13","AMI-5 " "390130","MINERS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","31 patients",,,"HF-1 " "390132","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","13 patients","1 ","1","AMI-3 " "390132","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","33 patients",,,"AMI-2 " "390132","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390132","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","61%","31 patients",,,"AMI-5 " "390132","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","84%","67 patients",,,"SCIP-INF-6 " "390132","ST JOSEPH'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","222 patients",,,"HF-2 " "390132","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","74%","19 patients","1 ","1","SCIP-INF-2 " "390132","ST JOSEPH'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","87 patients",,,"PN-5C " "390132","ST JOSEPH'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","10%","50 patients",,,"PN-7 " "390132","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","19 patients","1 ","1","SCIP-INF-3 " "390132","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "390132","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","26%","19 patients","1 ","1","SCIP-INF-1 " "390132","ST JOSEPH'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","23 patients","1 ","1","PN-4 " "390132","ST JOSEPH'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","72%","78 patients",,,"HF-4 " "390132","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1 ","1","SCIP-CARD-2 " "390132","ST JOSEPH'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","26%","61 patients",,,"PN-2 " "390132","ST JOSEPH'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","64 patients",,,"HF-3 " "390132","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390132","ST JOSEPH'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","37 patients",,,"PN-6 " "390132","ST JOSEPH'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","3%","186 patients",,,"HF-1 " "390132","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","46 patients",,,"SCIP-VTE-1 " "390132","ST JOSEPH'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","46 patients",,,"SCIP-VTE-2 " "390132","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","84%","63 patients",,,"AMI-1 " "390132","ST JOSEPH'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","79 patients",,,"PN-3B " "390132","ST JOSEPH'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","AMI-4 " "390133","LEHIGH VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1068 patients",,,"HF-2 " "390133","LEHIGH VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","350 patients",,,"PN-7 " "390133","LEHIGH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","1578 patients",,,"SCIP-VTE-2 " "390133","LEHIGH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","537 patients",,,"SCIP-CARD-2 " "390133","LEHIGH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","2356 patients",,,"SCIP-INF-3 " "390133","LEHIGH VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","161 patients",,,"AMI-3 " "390133","LEHIGH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","2432 patients",,,"SCIP-INF-1 " "390133","LEHIGH VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","95 patients",,,"HF-4 " "390133","LEHIGH VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","569 patients",,,"AMI-1 " "390133","LEHIGH VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","527 patients",,,"PN-5C " "390133","LEHIGH VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","273 patients",,,"AMI-4 " "390133","LEHIGH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","1580 patients",,,"SCIP-VTE-1 " "390133","LEHIGH VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390133","LEHIGH VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","480 patients",,,"PN-2 " "390133","LEHIGH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","607 patients",,,"SCIP-INF-4 " "390133","LEHIGH VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","840 patients",,,"AMI-2 " "390133","LEHIGH VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","232 patients",,,"PN-6 " "390133","LEHIGH VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","292 patients",,,"HF-3 " "390133","LEHIGH VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","120 patients",,,"AMI-8A " "390133","LEHIGH VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","155 patients",,,"PN-4 " "390133","LEHIGH VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","440 patients",,,"PN-3B " "390133","LEHIGH VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","892 patients",,,"AMI-5 " "390133","LEHIGH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","4023 patients",,,"SCIP-INF-6 " "390133","LEHIGH VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","823 patients",,,"HF-1 " "390133","LEHIGH VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","2466 patients",,,"SCIP-INF-2 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","616 patients",,,"HF-2 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","430 patients",,,"HF-1 " "390137","WILKES-BARRE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","318 patients","2 ","2","SCIP-CARD-2 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","134 patients",,,"HF-3 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","36 patients",,,"AMI-8A " "390137","WILKES-BARRE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1688 patients","2 ","2","SCIP-INF-6 " "390137","WILKES-BARRE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","254 patients",,,"PN-6 " "390137","WILKES-BARRE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","305 patients","2 ","2","SCIP-INF-4 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","323 patients",,,"AMI-1 " "390137","WILKES-BARRE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1203 patients","2 ","2","SCIP-INF-2 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","79 patients",,,"HF-4 " "390137","WILKES-BARRE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","643 patients","2 ","2","SCIP-VTE-2 " "390137","WILKES-BARRE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","242 patients",,,"PN-7 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","350 patients",,,"AMI-5 " "390137","WILKES-BARRE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","111 patients",,,"PN-4 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","330 patients",,,"AMI-2 " "390137","WILKES-BARRE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1184 patients","2 ","2","SCIP-INF-1 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","62 patients",,,"AMI-3 " "390137","WILKES-BARRE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"AMI-4 " "390137","WILKES-BARRE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","340 patients",,,"PN-3B " "390137","WILKES-BARRE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","1137 patients","2 ","2","SCIP-INF-3 " "390137","WILKES-BARRE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","384 patients",,,"PN-2 " "390137","WILKES-BARRE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","647 patients","2 ","2","SCIP-VTE-1 " "390137","WILKES-BARRE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","389 patients",,,"PN-5C " "390138","WAYNESBORO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-7A " "390138","WAYNESBORO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","117 patients","2 ","2","SCIP-INF-1 " "390138","WAYNESBORO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","88 patients","2 ","2","SCIP-VTE-1 " "390138","WAYNESBORO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","129 patients",,,"PN-2 " "390138","WAYNESBORO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390138","WAYNESBORO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "390138","WAYNESBORO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1 ","1","SCIP-CARD-2 " "390138","WAYNESBORO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "390138","WAYNESBORO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390138","WAYNESBORO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","83 patients",,,"PN-6 " "390138","WAYNESBORO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390138","WAYNESBORO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","108 patients","2 ","2","SCIP-INF-3 " "390138","WAYNESBORO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","90 patients",,,"PN-7 " "390138","WAYNESBORO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","102 patients",,,"HF-1 " "390138","WAYNESBORO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "390138","WAYNESBORO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","134 patients",,,"PN-5C " "390138","WAYNESBORO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","115 patients","2 ","2","SCIP-INF-2 " "390138","WAYNESBORO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","88 patients","2 ","2","SCIP-VTE-2 " "390138","WAYNESBORO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "390138","WAYNESBORO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","166 patients","2 ","2","SCIP-INF-6 " "390138","WAYNESBORO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","132 patients",,,"HF-2 " "390138","WAYNESBORO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","110 patients",,,"PN-3B " "390138","WAYNESBORO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "390138","WAYNESBORO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "390138","WAYNESBORO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","38 patients",,,"HF-3 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","996 patients","2 ","2","SCIP-INF-3 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","260 patients",,,"PN-2 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","72 patients","2 ","2","SCIP-INF-4 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","124 patients",,,"PN-6 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","215 patients","2 ","2","SCIP-VTE-2 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1022 patients","2 ","2","SCIP-INF-1 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","316 patients",,,"HF-1 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","231 patients","2 ","2","SCIP-CARD-2 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","174 patients",,,"AMI-5 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1026 patients","2 ","2","SCIP-INF-2 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","467 patients",,,"HF-2 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","171 patients",,,"PN-7 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","224 patients",,,"PN-5C " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","154 patients",,,"AMI-1 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","247 patients",,,"PN-3B " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"AMI-4 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1242 patients","2 ","2","SCIP-INF-6 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","117 patients",,,"HF-3 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","215 patients","2 ","2","SCIP-VTE-1 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","175 patients",,,"AMI-2 " "390139","MAIN LINE HOSPITAL BRYN MAWR CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","38 patients",,,"AMI-8A " "39013F","WILKES BARRE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "39013F","WILKES BARRE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","58 patients","2 ","2","SCIP-VTE-1 " "39013F","WILKES BARRE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","78 patients",,,"PN-5C " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "39013F","WILKES BARRE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","72 patients",,,"PN-2 " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","65 patients",,,"HF-3 " "39013F","WILKES BARRE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","76 patients",,,"PN-3B " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "39013F","WILKES BARRE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","33 patients",,,"SCIP-INF-3 " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","148 patients",,,"HF-1 " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "39013F","WILKES BARRE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","37 patients",,,"SCIP-INF-2 " "39013F","WILKES BARRE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","57 patients","2 ","2","SCIP-VTE-2 " "39013F","WILKES BARRE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","45 patients",,,"PN-6 " "39013F","WILKES BARRE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","71 patients","2 ","2","SCIP-INF-6 " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "39013F","WILKES BARRE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","54 patients",,,"PN-7 " "39013F","WILKES BARRE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","37 patients",,,"SCIP-INF-1 " "39013F","WILKES BARRE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","31 patients","2 ","2","SCIP-CARD-2 " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","182 patients",,,"HF-2 " "39013F","WILKES BARRE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "39013F","WILKES BARRE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","42 patients",,,"AMI-3 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","201 patients",,,"AMI-5 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","250 patients","2 ","2","SCIP-VTE-2 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","237 patients","2 ","2","HF-1 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","188 patients",,,"PN-3B " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","31 patients",,,"AMI-8A " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","201 patients",,,"AMI-2 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","164 patients",,,"PN-4 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","165 patients",,,"PN-7 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","380 patients","2 ","2","SCIP-INF-3 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","130 patients","2 ","2","HF-3 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","397 patients","2 ","2","SCIP-INF-1 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","178 patients",,,"PN-2 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","176 patients",,,"AMI-1 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","106 patients",,,"PN-6 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","115 patients",,,"AMI-4 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","310 patients","2 ","2","HF-2 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","414 patients","2 ","2","SCIP-INF-2 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","92 patients","2 ","2","SCIP-CARD-2 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","617 patients","2 ","2","SCIP-INF-6 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","250 patients","2 ","2","SCIP-VTE-1 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","89 patients","2 ","2","SCIP-INF-4 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","105 patients","2 ","2","HF-4 " "390142","ALBERT EINSTEIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","236 patients",,,"PN-5C " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","59%","44 patients",,,"AMI-8A " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","251 patients","2 ","2","SCIP-INF-4 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","119 patients",,,"PN-4 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","409 patients",,,"PN-2 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","327 patients",,,"PN-5C " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","164 patients",,,"HF-3 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","250 patients",,,"AMI-1 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","381 patients",,,"AMI-5 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1294 patients","2 ","2","SCIP-INF-6 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","424 patients","2 ","2","SCIP-VTE-1 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","281 patients",,,"PN-7 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","322 patients",,,"PN-3B " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","509 patients",,,"HF-1 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","905 patients","2 ","2","SCIP-INF-2 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","215 patients",,,"SCIP-CARD-2 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","239 patients",,,"PN-6 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","706 patients",,,"HF-2 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","158 patients",,,"AMI-4 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","366 patients",,,"AMI-2 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","423 patients","2 ","2","SCIP-VTE-2 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","896 patients","2 ","2","SCIP-INF-1 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","840 patients","2 ","2","SCIP-INF-3 " "390145","EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","59 patients",,,"AMI-3 " "390146","WARREN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "390146","WARREN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","102 patients",,,"PN-2 " "390146","WARREN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","77 patients",,,"HF-1 " "390146","WARREN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390146","WARREN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","214 patients",,,"SCIP-INF-2 " "390146","WARREN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","119 patients",,,"HF-2 " "390146","WARREN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","65 patients",,,"PN-6 " "390146","WARREN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","63%","226 patients",,,"SCIP-INF-1 " "390146","WARREN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","72 patients",,,"PN-7 " "390146","WARREN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","95 patients",,,"SCIP-VTE-1 " "390146","WARREN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","113 patients",,,"PN-5C " "390146","WARREN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390146","WARREN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","28 patients",,,"HF-3 " "390146","WARREN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","213 patients",,,"SCIP-INF-3 " "390146","WARREN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","94 patients",,,"SCIP-VTE-2 " "390146","WARREN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","107 patients",,,"PN-3B " "390146","WARREN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390146","WARREN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","35 patients",,,"SCIP-CARD-2 " "390146","WARREN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390146","WARREN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "390146","WARREN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","69%","13 patients","1 ","1","HF-4 " "390146","WARREN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","48 patients",,,"PN-4 " "390146","WARREN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "390146","WARREN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "390146","WARREN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","269 patients",,,"SCIP-INF-6 " "390147","MONONGAHELA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","376 patients",,,"SCIP-INF-1 " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","485 patients",,,"HF-2 " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","101 patients",,,"AMI-1 " "390147","MONONGAHELA VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","258 patients",,,"PN-5C " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","38 patients",,,"AMI-2 " "390147","MONONGAHELA VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","77 patients",,,"PN-4 " "390147","MONONGAHELA VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","176 patients",,,"PN-7 " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","106 patients",,,"HF-3 " "390147","MONONGAHELA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","71 patients",,,"SCIP-CARD-2 " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-8A " "390147","MONONGAHELA VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","217 patients",,,"PN-3B " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","63 patients",,,"HF-4 " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","425 patients",,,"HF-1 " "390147","MONONGAHELA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390147","MONONGAHELA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","328 patients",,,"SCIP-VTE-2 " "390147","MONONGAHELA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","586 patients",,,"SCIP-INF-6 " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","45 patients",,,"AMI-5 " "390147","MONONGAHELA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","331 patients",,,"SCIP-VTE-1 " "390147","MONONGAHELA VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","186 patients",,,"PN-6 " "390147","MONONGAHELA VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","266 patients",,,"PN-2 " "390147","MONONGAHELA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","362 patients",,,"SCIP-INF-3 " "390147","MONONGAHELA VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","378 patients",,,"SCIP-INF-2 " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "390147","MONONGAHELA VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","97 patients",,,"PN-7 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","61%","28 patients",,,"HF-3 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","75 patients",,,"SCIP-INF-3 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","74%","23 patients","1 ","1","HF-4 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","121 patients",,,"PN-2 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","78%","9 patients","1 ","1","AMI-5 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","147 patients",,,"PN-5C " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","19 patients","1 ","1","SCIP-CARD-2 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","128 patients",,,"HF-1 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","105 patients",,,"PN-3B " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","51 patients",,,"SCIP-VTE-2 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","93 patients",,,"PN-6 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","78 patients",,,"SCIP-INF-1 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","187 patients",,,"HF-2 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","51 patients",,,"SCIP-VTE-1 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","112 patients",,,"SCIP-INF-6 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","79 patients",,,"SCIP-INF-2 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","57 patients",,,"PN-4 " "390150","SOUTHWEST REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "390151","CHAMBERSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","736 patients","2 ","2","SCIP-INF-3 " "390151","CHAMBERSBURG HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","241 patients",,,"PN-3B " "390151","CHAMBERSBURG HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","169 patients",,,"PN-7 " "390151","CHAMBERSBURG HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","119 patients",,,"AMI-4 " "390151","CHAMBERSBURG HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","69 patients",,,"PN-4 " "390151","CHAMBERSBURG HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","324 patients",,,"HF-1 " "390151","CHAMBERSBURG HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","62 patients",,,"AMI-8A " "390151","CHAMBERSBURG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","356 patients","2 ","2","SCIP-VTE-2 " "390151","CHAMBERSBURG HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","365 patients",,,"AMI-5 " "390151","CHAMBERSBURG HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "390151","CHAMBERSBURG HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","336 patients",,,"AMI-2 " "390151","CHAMBERSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","900 patients","2 ","2","SCIP-INF-6 " "390151","CHAMBERSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","775 patients","2 ","2","SCIP-INF-2 " "390151","CHAMBERSBURG HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","318 patients",,,"AMI-1 " "390151","CHAMBERSBURG HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","81 patients",,,"HF-3 " "390151","CHAMBERSBURG HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","79 patients",,,"AMI-3 " "390151","CHAMBERSBURG HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","356 patients","2 ","2","SCIP-VTE-1 " "390151","CHAMBERSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","773 patients","2 ","2","SCIP-INF-1 " "390151","CHAMBERSBURG HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","124 patients","2 ","2","SCIP-CARD-2 " "390151","CHAMBERSBURG HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","222 patients",,,"PN-5C " "390151","CHAMBERSBURG HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390151","CHAMBERSBURG HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","413 patients",,,"HF-2 " "390151","CHAMBERSBURG HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390151","CHAMBERSBURG HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","237 patients",,,"PN-2 " "390151","CHAMBERSBURG HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","166 patients",,,"PN-6 " "390153","MAIN LINE HOSPITAL PAOLI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","601 patients","2 ","2","SCIP-INF-2 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","137 patients",,,"AMI-2 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","157 patients",,,"AMI-1 " "390153","MAIN LINE HOSPITAL PAOLI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","93 patients","2 ","2","SCIP-INF-4 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "390153","MAIN LINE HOSPITAL PAOLI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","127 patients",,,"PN-5C " "390153","MAIN LINE HOSPITAL PAOLI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","771 patients","2 ","2","SCIP-INF-6 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","61 patients",,,"HF-3 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "390153","MAIN LINE HOSPITAL PAOLI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","100 patients",,,"PN-7 " "390153","MAIN LINE HOSPITAL PAOLI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","107 patients","2 ","2","SCIP-CARD-2 " "390153","MAIN LINE HOSPITAL PAOLI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","551 patients","2 ","2","SCIP-INF-3 " "390153","MAIN LINE HOSPITAL PAOLI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","133 patients",,,"PN-3B " "390153","MAIN LINE HOSPITAL PAOLI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","110 patients",,,"PN-6 " "390153","MAIN LINE HOSPITAL PAOLI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390153","MAIN LINE HOSPITAL PAOLI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","231 patients",,,"HF-2 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","124 patients",,,"AMI-5 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","27 patients",,,"AMI-8A " "390153","MAIN LINE HOSPITAL PAOLI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","598 patients","2 ","2","SCIP-INF-1 " "390153","MAIN LINE HOSPITAL PAOLI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","142 patients",,,"PN-2 " "390153","MAIN LINE HOSPITAL PAOLI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","206 patients","2 ","2","SCIP-VTE-1 " "390153","MAIN LINE HOSPITAL PAOLI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","206 patients","2 ","2","SCIP-VTE-2 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","180 patients",,,"HF-1 " "390153","MAIN LINE HOSPITAL PAOLI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "390154","ELK REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","176 patients",,,"HF-2 " "390154","ELK REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390154","ELK REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","84 patients",,,"SCIP-VTE-2 " "390154","ELK REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","33 patients",,,"PN-4 " "390154","ELK REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","87 patients",,,"PN-7 " "390154","ELK REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390154","ELK REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","142 patients",,,"PN-5C " "390154","ELK REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","157 patients",,,"PN-3B " "390154","ELK REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","26 patients",,,"AMI-5 " "390154","ELK REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","46 patients",,,"HF-3 " "390154","ELK REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","135 patients",,,"PN-2 " "390154","ELK REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","42 patients",,,"SCIP-CARD-2 " "390154","ELK REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","32 patients",,,"AMI-1 " "390154","ELK REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","140 patients",,,"SCIP-INF-3 " "390154","ELK REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","23 patients","1 ","1","AMI-2 " "390154","ELK REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","AMI-3 " "390154","ELK REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","113 patients",,,"HF-1 " "390154","ELK REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","140 patients",,,"SCIP-INF-2 " "390154","ELK REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390154","ELK REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","227 patients",,,"SCIP-INF-6 " "390154","ELK REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","86 patients",,,"SCIP-VTE-1 " "390154","ELK REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","76%","17 patients","1 ","1","HF-4 " "390154","ELK REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","142 patients",,,"SCIP-INF-1 " "390154","ELK REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","AMI-4 " "390154","ELK REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","82 patients",,,"PN-6 " "390156","MERCY FITZGERALD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","74 patients","2 ","2","SCIP-INF-4 " "390156","MERCY FITZGERALD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","242 patients","2 ","2","SCIP-INF-1 " "390156","MERCY FITZGERALD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","494 patients",,,"HF-3 " "390156","MERCY FITZGERALD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","252 patients",,,"PN-6 " "390156","MERCY FITZGERALD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","509 patients","2 ","2","SCIP-INF-6 " "390156","MERCY FITZGERALD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","839 patients",,,"HF-1 " "390156","MERCY FITZGERALD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"AMI-4 " "390156","MERCY FITZGERALD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","316 patients",,,"HF-4 " "390156","MERCY FITZGERALD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","284 patients",,,"PN-2 " "390156","MERCY FITZGERALD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","262 patients",,,"PN-7 " "390156","MERCY FITZGERALD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","279 patients","2 ","2","SCIP-VTE-2 " "390156","MERCY FITZGERALD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","66 patients","2 ","2","SCIP-CARD-2 " "390156","MERCY FITZGERALD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","221 patients",,,"AMI-2 " "390156","MERCY FITZGERALD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","279 patients","2 ","2","SCIP-VTE-1 " "390156","MERCY FITZGERALD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","210 patients",,,"AMI-5 " "390156","MERCY FITZGERALD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","482 patients",,,"PN-5C " "390156","MERCY FITZGERALD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","217 patients",,,"PN-4 " "390156","MERCY FITZGERALD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","21 patients","1 ","1","AMI-8A " "390156","MERCY FITZGERALD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","225 patients","2 ","2","SCIP-INF-3 " "390156","MERCY FITZGERALD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390156","MERCY FITZGERALD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","58 patients",,,"AMI-3 " "390156","MERCY FITZGERALD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","224 patients",,,"AMI-1 " "390156","MERCY FITZGERALD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","250 patients","2 ","2","SCIP-INF-2 " "390156","MERCY FITZGERALD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","507 patients",,,"PN-3B " "390156","MERCY FITZGERALD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","964 patients",,,"HF-2 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "390157","OHIO VALLEY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","102 patients",,,"PN-6 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","24 patients","1 ","1","AMI-2 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","140 patients",,,"HF-1 " "390157","OHIO VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","164 patients",,,"SCIP-VTE-1 " "390157","OHIO VALLEY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","162 patients",,,"PN-5C " "390157","OHIO VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","217 patients",,,"SCIP-INF-2 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390157","OHIO VALLEY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","116 patients",,,"PN-3B " "390157","OHIO VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","35 patients",,,"SCIP-CARD-2 " "390157","OHIO VALLEY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","32 patients",,,"PN-4 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","198 patients",,,"HF-2 " "390157","OHIO VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","211 patients",,,"SCIP-INF-3 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","32 patients",,,"AMI-1 " "390157","OHIO VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","164 patients",,,"SCIP-VTE-2 " "390157","OHIO VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390157","OHIO VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","72%","221 patients",,,"SCIP-INF-1 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","22 patients","1 ","1","AMI-5 " "390157","OHIO VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","306 patients",,,"SCIP-INF-6 " "390157","OHIO VALLEY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","102 patients",,,"PN-7 " "390157","OHIO VALLEY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","152 patients",,,"PN-2 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "390157","OHIO VALLEY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","56 patients",,,"HF-3 " "390160","CANONSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","358 patients",,,"SCIP-INF-1 " "390160","CANONSBURG GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","88 patients",,,"PN-7 " "390160","CANONSBURG GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "390160","CANONSBURG GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","124 patients",,,"PN-5C " "390160","CANONSBURG GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","113 patients",,,"HF-1 " "390160","CANONSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","65 patients",,,"SCIP-CARD-2 " "390160","CANONSBURG GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "390160","CANONSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","504 patients",,,"SCIP-INF-6 " "390160","CANONSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","212 patients",,,"SCIP-VTE-2 " "390160","CANONSBURG GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390160","CANONSBURG GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","68 patients",,,"PN-6 " "390160","CANONSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","358 patients",,,"SCIP-INF-2 " "390160","CANONSBURG GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "390160","CANONSBURG GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","125 patients",,,"PN-2 " "390160","CANONSBURG GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"PN-4 " "390160","CANONSBURG GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "390160","CANONSBURG GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","51 patients",,,"HF-3 " "390160","CANONSBURG GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","134 patients",,,"PN-3B " "390160","CANONSBURG GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","19 patients","1 ","1","AMI-1 " "390160","CANONSBURG GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","154 patients",,,"HF-2 " "390160","CANONSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","357 patients",,,"SCIP-INF-3 " "390160","CANONSBURG GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390160","CANONSBURG GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390160","CANONSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","212 patients",,,"SCIP-VTE-1 " "390160","CANONSBURG GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390162","EASTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "390162","EASTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","296 patients","2 ","2","SCIP-INF-3 " "390162","EASTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","85 patients","2 ","2","SCIP-INF-4 " "390162","EASTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"AMI-4 " "390162","EASTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","162 patients","2 ","2","SCIP-VTE-1 " "390162","EASTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","229 patients",,,"AMI-2 " "390162","EASTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","42 patients",,,"AMI-8A " "390162","EASTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","147 patients",,,"HF-3 " "390162","EASTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","498 patients",,,"HF-2 " "390162","EASTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","144 patients",,,"PN-7 " "390162","EASTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","164 patients",,,"PN-3B " "390162","EASTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","89 patients","2 ","2","SCIP-CARD-2 " "390162","EASTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","320 patients","2 ","2","SCIP-INF-2 " "390162","EASTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","191 patients",,,"AMI-1 " "390162","EASTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","316 patients","2 ","2","SCIP-INF-1 " "390162","EASTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","187 patients",,,"PN-5C " "390162","EASTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","116 patients",,,"PN-6 " "390162","EASTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","229 patients",,,"AMI-5 " "390162","EASTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","385 patients",,,"HF-1 " "390162","EASTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","453 patients","2 ","2","SCIP-INF-6 " "390162","EASTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","242 patients",,,"PN-2 " "390162","EASTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"HF-4 " "390162","EASTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "390162","EASTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","162 patients","2 ","2","SCIP-VTE-2 " "390162","EASTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","56 patients",,,"AMI-3 " "390163","ACMH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390163","ACMH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","47 patients",,,"AMI-1 " "390163","ACMH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","345 patients",,,"SCIP-INF-3 " "390163","ACMH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","179 patients",,,"HF-2 " "390163","ACMH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","154 patients",,,"SCIP-VTE-2 " "390163","ACMH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "390163","ACMH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "390163","ACMH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","352 patients",,,"SCIP-INF-1 " "390163","ACMH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","167 patients",,,"PN-5C " "390163","ACMH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","64 patients",,,"PN-4 " "390163","ACMH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "390163","ACMH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","154 patients",,,"PN-2 " "390163","ACMH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","124 patients",,,"PN-6 " "390163","ACMH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","136 patients",,,"HF-1 " "390163","ACMH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","185 patients",,,"PN-3B " "390163","ACMH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390163","ACMH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","155 patients",,,"SCIP-VTE-1 " "390163","ACMH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","43 patients",,,"HF-3 " "390163","ACMH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","42 patients",,,"SCIP-CARD-2 " "390163","ACMH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","26 patients",,,"AMI-2 " "390163","ACMH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","391 patients",,,"SCIP-INF-6 " "390163","ACMH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390163","ACMH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "390163","ACMH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","117 patients",,,"PN-7 " "390163","ACMH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","352 patients",,,"SCIP-INF-2 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","551 patients",,,"PN-2 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","441 patients",,,"HF-3 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","913 patients",,,"AMI-5 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1279 patients",,,"HF-2 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","158 patients",,,"AMI-3 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","2671 patients",,,"SCIP-INF-2 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","843 patients",,,"SCIP-INF-4 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","3611 patients",,,"SCIP-VTE-1 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","2594 patients",,,"SCIP-INF-1 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","964 patients",,,"AMI-2 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","2270 patients",,,"SCIP-INF-3 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","393 patients",,,"AMI-4 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","277 patients",,,"PN-6 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","1034 patients",,,"HF-1 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","3611 patients",,,"SCIP-VTE-2 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "390164","UPMC PRESBYTERIAN SHADYSIDE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7323 patients",,,"SCIP-INF-6 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","250 patients",,,"HF-4 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","306 patients",,,"PN-4 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","556 patients",,,"PN-5C " "390164","UPMC PRESBYTERIAN SHADYSIDE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","464 patients",,,"PN-3B " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","394 patients",,,"AMI-1 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","462 patients",,,"PN-7 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","987 patients",,,"SCIP-CARD-2 " "390164","UPMC PRESBYTERIAN SHADYSIDE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","70 patients",,,"AMI-8A " "390168","BUTLER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","245 patients",,,"AMI-5 " "390168","BUTLER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","54 patients",,,"AMI-3 " "390168","BUTLER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"PN-4 " "390168","BUTLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","939 patients",,,"SCIP-INF-3 " "390168","BUTLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","287 patients",,,"SCIP-INF-4 " "390168","BUTLER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","173 patients",,,"PN-5C " "390168","BUTLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","440 patients",,,"SCIP-VTE-2 " "390168","BUTLER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","119 patients",,,"PN-7 " "390168","BUTLER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","178 patients",,,"PN-2 " "390168","BUTLER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "390168","BUTLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1301 patients",,,"SCIP-INF-6 " "390168","BUTLER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","122 patients",,,"PN-6 " "390168","BUTLER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","45 patients",,,"AMI-8A " "390168","BUTLER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","312 patients",,,"HF-2 " "390168","BUTLER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","131 patients",,,"HF-3 " "390168","BUTLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","985 patients",,,"SCIP-INF-2 " "390168","BUTLER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"AMI-4 " "390168","BUTLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","190 patients",,,"SCIP-CARD-2 " "390168","BUTLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","441 patients",,,"SCIP-VTE-1 " "390168","BUTLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","973 patients",,,"SCIP-INF-1 " "390168","BUTLER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","252 patients",,,"HF-1 " "390168","BUTLER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","155 patients",,,"PN-3B " "390168","BUTLER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","188 patients",,,"AMI-1 " "390168","BUTLER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390168","BUTLER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","224 patients",,,"AMI-2 " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","59 patients",,,"AMI-2 " "390173","INDIANA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","143 patients",,,"PN-6 " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","127 patients",,,"HF-3 " "390173","INDIANA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","460 patients",,,"SCIP-INF-6 " "390173","INDIANA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","218 patients",,,"PN-2 " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","83 patients",,,"AMI-1 " "390173","INDIANA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","236 patients",,,"SCIP-VTE-2 " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","AMI-3 " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390173","INDIANA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390173","INDIANA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","145 patients",,,"PN-7 " "390173","INDIANA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","229 patients",,,"PN-3B " "390173","INDIANA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","239 patients",,,"SCIP-VTE-1 " "390173","INDIANA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","327 patients",,,"SCIP-INF-2 " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","241 patients",,,"HF-1 " "390173","INDIANA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","57 patients",,,"PN-4 " "390173","INDIANA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","307 patients",,,"SCIP-INF-3 " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","72 patients",,,"AMI-5 " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","26 patients",,,"HF-4 " "390173","INDIANA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","326 patients",,,"SCIP-INF-1 " "390173","INDIANA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","63 patients",,,"SCIP-CARD-2 " "390173","INDIANA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","225 patients",,,"PN-5C " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","306 patients",,,"HF-2 " "390173","INDIANA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","44%","9 patients","1 ","1","AMI-4 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","397 patients",,,"HF-3 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3059 patients","2 ","2","SCIP-INF-6 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","166 patients",,,"AMI-1 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","205 patients",,,"PN-4 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","252 patients",,,"PN-7 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","299 patients","2 ","2","SCIP-CARD-2 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","1172 patients","2 ","2","SCIP-VTE-1 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"AMI-4 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","12 patients","1 ","1","AMI-8A " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","1168 patients","2 ","2","SCIP-VTE-2 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","428 patients",,,"PN-3B " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","243 patients",,,"HF-4 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","275 patients",,,"PN-2 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","2495 patients","2 ","2","SCIP-INF-3 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","929 patients",,,"HF-1 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","183 patients","2 ","2","SCIP-INF-4 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","252 patients",,,"PN-6 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","209 patients",,,"AMI-5 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","246 patients",,,"AMI-2 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","415 patients",,,"PN-5C " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","2545 patients","2 ","2","SCIP-INF-1 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"AMI-3 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","2562 patients","2 ","2","SCIP-INF-2 " "390174","THOMAS JEFFERSON UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","1055 patients",,,"HF-2 " "390178","UPMC HORIZON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390178","UPMC HORIZON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","191 patients",,,"PN-2 " "390178","UPMC HORIZON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","367 patients",,,"SCIP-VTE-2 " "390178","UPMC HORIZON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","207 patients",,,"HF-1 " "390178","UPMC HORIZON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","91 patients",,,"SCIP-CARD-2 " "390178","UPMC HORIZON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","485 patients",,,"SCIP-INF-3 " "390178","UPMC HORIZON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","172 patients",,,"PN-6 " "390178","UPMC HORIZON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","496 patients",,,"SCIP-INF-1 " "390178","UPMC HORIZON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","497 patients",,,"SCIP-INF-2 " "390178","UPMC HORIZON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","69 patients",,,"AMI-1 " "390178","UPMC HORIZON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","280 patients",,,"HF-2 " "390178","UPMC HORIZON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"PN-4 " "390178","UPMC HORIZON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390178","UPMC HORIZON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "390178","UPMC HORIZON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","53 patients",,,"HF-3 " "390178","UPMC HORIZON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","49 patients",,,"AMI-5 " "390178","UPMC HORIZON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "390178","UPMC HORIZON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","168 patients",,,"PN-3B " "390178","UPMC HORIZON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","702 patients",,,"SCIP-INF-6 " "390178","UPMC HORIZON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","AMI-3 " "390178","UPMC HORIZON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "390178","UPMC HORIZON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","367 patients",,,"SCIP-VTE-1 " "390178","UPMC HORIZON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","46 patients",,,"AMI-2 " "390178","UPMC HORIZON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","142 patients",,,"PN-7 " "390178","UPMC HORIZON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","200 patients",,,"PN-5C " "390179","CHESTER COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390179","CHESTER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","117 patients",,,"SCIP-INF-4 " "390179","CHESTER COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","172 patients",,,"AMI-5 " "390179","CHESTER COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","304 patients",,,"HF-2 " "390179","CHESTER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","160 patients",,,"SCIP-CARD-2 " "390179","CHESTER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","669 patients",,,"SCIP-INF-1 " "390179","CHESTER COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "390179","CHESTER COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","123 patients",,,"PN-6 " "390179","CHESTER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","394 patients",,,"SCIP-VTE-1 " "390179","CHESTER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","672 patients",,,"SCIP-INF-2 " "390179","CHESTER COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","176 patients",,,"AMI-1 " "390179","CHESTER COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "390179","CHESTER COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","224 patients",,,"PN-3B " "390179","CHESTER COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","166 patients",,,"AMI-2 " "390179","CHESTER COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","93 patients",,,"HF-3 " "390179","CHESTER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","597 patients",,,"SCIP-INF-3 " "390179","CHESTER COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","239 patients",,,"HF-1 " "390179","CHESTER COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","42 patients",,,"AMI-4 " "390179","CHESTER COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","213 patients",,,"PN-5C " "390179","CHESTER COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","201 patients",,,"PN-2 " "390179","CHESTER COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","141 patients",,,"PN-7 " "390179","CHESTER COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","38 patients",,,"AMI-8A " "390179","CHESTER COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","79 patients",,,"PN-4 " "390179","CHESTER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","394 patients",,,"SCIP-VTE-2 " "390179","CHESTER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1021 patients",,,"SCIP-INF-6 " "390180","CROZER CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","127 patients","2 ","2","SCIP-INF-4 " "390180","CROZER CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","876 patients","2 ","2","SCIP-INF-2 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","70 patients",,,"AMI-3 " "390180","CROZER CHESTER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","350 patients",,,"PN-3B " "390180","CROZER CHESTER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","735 patients",,,"HF-1 " "390180","CROZER CHESTER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","279 patients",,,"PN-7 " "390180","CROZER CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","828 patients","2 ","2","SCIP-INF-3 " "390180","CROZER CHESTER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","362 patients",,,"PN-2 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","344 patients",,,"AMI-5 " "390180","CROZER CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1177 patients","2 ","2","SCIP-INF-6 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","838 patients",,,"HF-2 " "390180","CROZER CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","876 patients","2 ","2","SCIP-INF-1 " "390180","CROZER CHESTER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","471 patients",,,"PN-5C " "390180","CROZER CHESTER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","195 patients",,,"PN-4 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","160 patients",,,"HF-4 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-7A " "390180","CROZER CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","162 patients","2 ","2","SCIP-CARD-2 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","46 patients",,,"AMI-8A " "390180","CROZER CHESTER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","290 patients",,,"PN-6 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","289 patients",,,"AMI-1 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","120 patients",,,"AMI-4 " "390180","CROZER CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","521 patients","2 ","2","SCIP-VTE-2 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","328 patients",,,"HF-3 " "390180","CROZER CHESTER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","521 patients","2 ","2","SCIP-VTE-1 " "390180","CROZER CHESTER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","344 patients",,,"AMI-2 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","64 patients",,,"HF-2 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","42 patients",,,"HF-1 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","17 patients","1 ","1","AMI-1 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","58 patients",,,"PN-5C " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","64 patients",,,"PN-3B " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","85 patients","2 ","2","SCIP-VTE-1 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","85 patients","2 ","2","SCIP-VTE-2 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","154 patients","2 ","2","SCIP-INF-3 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","32 patients",,,"SCIP-CARD-2 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","61 patients",,,"PN-2 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","158 patients","2 ","2","SCIP-INF-2 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","38 patients",,,"PN-6 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","158 patients","2 ","2","SCIP-INF-1 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","12 patients","1 ","1","AMI-5 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","198 patients","2 ","2","SCIP-INF-6 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","37 patients",,,"PN-7 " "390183","ST LUKE'S MINERS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390184","HIGHLANDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","36 patients",,,"SCIP-VTE-2 " "390184","HIGHLANDS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "390184","HIGHLANDS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390184","HIGHLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","28 patients",,,"SCIP-INF-2 " "390184","HIGHLANDS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "390184","HIGHLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","55 patients",,,"SCIP-INF-6 " "390184","HIGHLANDS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "390184","HIGHLANDS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","75 patients",,,"HF-1 " "390184","HIGHLANDS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","13 patients","1 ","1","AMI-1 " "390184","HIGHLANDS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","55 patients",,,"PN-3B " "390184","HIGHLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390184","HIGHLANDS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "390184","HIGHLANDS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "390184","HIGHLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","28 patients",,,"SCIP-INF-3 " "390184","HIGHLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","28 patients",,,"SCIP-INF-1 " "390184","HIGHLANDS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "390184","HIGHLANDS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390184","HIGHLANDS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","42 patients",,,"PN-7 " "390184","HIGHLANDS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","56 patients",,,"PN-2 " "390184","HIGHLANDS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "390184","HIGHLANDS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","88 patients",,,"HF-2 " "390184","HIGHLANDS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","56 patients",,,"PN-5C " "390184","HIGHLANDS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "390184","HIGHLANDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","37 patients",,,"SCIP-VTE-1 " "390184","HIGHLANDS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","55 patients",,,"PN-6 " "390185","HAZLETON GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","281 patients",,,"HF-2 " "390185","HAZLETON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","148 patients",,,"SCIP-INF-1 " "390185","HAZLETON GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","40 patients",,,"AMI-1 " "390185","HAZLETON GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390185","HAZLETON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","147 patients",,,"SCIP-INF-2 " "390185","HAZLETON GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","197 patients",,,"PN-7 " "390185","HAZLETON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","27 patients",,,"SCIP-CARD-2 " "390185","HAZLETON GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","36 patients",,,"AMI-5 " "390185","HAZLETON GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "390185","HAZLETON GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","308 patients",,,"PN-5C " "390185","HAZLETON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390185","HAZLETON GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "390185","HAZLETON GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "390185","HAZLETON GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","24 patients","1 ","1","AMI-2 " "390185","HAZLETON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","145 patients",,,"SCIP-INF-3 " "390185","HAZLETON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","126 patients",,,"SCIP-VTE-1 " "390185","HAZLETON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","260 patients",,,"SCIP-INF-6 " "390185","HAZLETON GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390185","HAZLETON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","126 patients",,,"SCIP-VTE-2 " "390185","HAZLETON GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","182 patients",,,"HF-1 " "390185","HAZLETON GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","203 patients",,,"PN-6 " "390185","HAZLETON GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","181 patients",,,"PN-3B " "390185","HAZLETON GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390185","HAZLETON GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","36 patients",,,"HF-3 " "390185","HAZLETON GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","302 patients",,,"PN-2 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","49 patients",,,"SCIP-VTE-2 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","HF-4 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","111 patients",,,"SCIP-INF-3 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","142 patients",,,"PN-3B " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","67 patients",,,"AMI-5 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","40 patients",,,"PN-4 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","49 patients",,,"SCIP-VTE-1 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","33 patients",,,"HF-3 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","142 patients",,,"HF-1 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","180 patients",,,"PN-2 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","160 patients",,,"SCIP-INF-6 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","37 patients",,,"SCIP-CARD-2 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","203 patients",,,"HF-2 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","114 patients",,,"PN-7 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","116 patients",,,"SCIP-INF-1 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","70 patients",,,"AMI-1 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","167 patients",,,"PN-5C " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","116 patients",,,"SCIP-INF-2 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","53 patients",,,"AMI-2 " "390189","SHAMOKIN AREA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","114 patients",,,"PN-6 " "390192","TYLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390192","TYLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","25 patients",,,"SCIP-INF-2 " "390192","TYLER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","116 patients",,,"PN-2 " "390192","TYLER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "390192","TYLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","22 patients","1 ","1","SCIP-INF-3 " "390192","TYLER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "390192","TYLER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","16%","44 patients",,,"HF-1 " "390192","TYLER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390192","TYLER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","93 patients",,,"PN-7 " "390192","TYLER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","39%","41 patients",,,"PN-4 " "390192","TYLER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","133 patients",,,"PN-5C " "390192","TYLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","56%","27 patients",,,"SCIP-INF-1 " "390192","TYLER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","86 patients",,,"PN-3B " "390192","TYLER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "390192","TYLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","59%","27 patients",,,"SCIP-VTE-1 " "390192","TYLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "390192","TYLER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "390192","TYLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","56%","27 patients",,,"SCIP-VTE-2 " "390192","TYLER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","40 patients",,,"SCIP-INF-6 " "390192","TYLER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","73%","55 patients",,,"HF-2 " "390192","TYLER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "390192","TYLER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","25%","8 patients","1 ","1","HF-4 " "390192","TYLER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","111 patients",,,"PN-6 " "390192","TYLER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1 ","1","AMI-5 " "390192","TYLER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","45 patients",,,"PN-6 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","132 patients",,,"SCIP-INF-3 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","139 patients",,,"HF-2 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","186 patients",,,"SCIP-INF-6 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","133 patients",,,"SCIP-INF-1 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","78%","9 patients","1 ","1","AMI-5 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","9 patients","1 ","1","AMI-2 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","HF-4 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","134 patients",,,"SCIP-INF-2 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","28 patients",,,"HF-3 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","84 patients",,,"SCIP-VTE-2 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","60 patients",,,"PN-5C " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","42 patients",,,"PN-7 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","109 patients",,,"HF-1 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","45 patients",,,"PN-3B " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","26 patients",,,"PN-4 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","84 patients",,,"SCIP-VTE-1 " "390194","GNADEN HUETTEN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","54 patients",,,"PN-2 " "390195","MAIN LINE HOSPITAL LANKENAU","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","259 patients","2 ","2","SCIP-VTE-2 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","208 patients",,,"AMI-1 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","244 patients",,,"AMI-2 " "390195","MAIN LINE HOSPITAL LANKENAU","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","385 patients","2 ","2","SCIP-INF-4 " "390195","MAIN LINE HOSPITAL LANKENAU","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","240 patients",,,"PN-5C " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","845 patients",,,"HF-2 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","120 patients",,,"HF-4 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"AMI-4 " "390195","MAIN LINE HOSPITAL LANKENAU","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","878 patients","2 ","2","SCIP-INF-3 " "390195","MAIN LINE HOSPITAL LANKENAU","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","57 patients",,,"PN-4 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients",,,"AMI-3 " "390195","MAIN LINE HOSPITAL LANKENAU","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","102 patients",,,"PN-6 " "390195","MAIN LINE HOSPITAL LANKENAU","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1124 patients","2 ","2","SCIP-INF-6 " "390195","MAIN LINE HOSPITAL LANKENAU","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","228 patients",,,"PN-2 " "390195","MAIN LINE HOSPITAL LANKENAU","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","257 patients",,,"PN-3B " "390195","MAIN LINE HOSPITAL LANKENAU","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","923 patients","2 ","2","SCIP-INF-2 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","40 patients",,,"AMI-8A " "390195","MAIN LINE HOSPITAL LANKENAU","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","913 patients","2 ","2","SCIP-INF-1 " "390195","MAIN LINE HOSPITAL LANKENAU","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","168 patients",,,"PN-7 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","284 patients",,,"HF-3 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390195","MAIN LINE HOSPITAL LANKENAU","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","259 patients","2 ","2","SCIP-CARD-2 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","218 patients",,,"AMI-5 " "390195","MAIN LINE HOSPITAL LANKENAU","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","683 patients",,,"HF-1 " "390195","MAIN LINE HOSPITAL LANKENAU","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","259 patients","2 ","2","SCIP-VTE-1 " "390197","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","246 patients",,,"SCIP-VTE-1 " "390197","SACRED HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","73 patients",,,"PN-7 " "390197","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","377 patients",,,"SCIP-INF-1 " "390197","SACRED HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","40 patients",,,"PN-4 " "390197","SACRED HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","100 patients",,,"PN-5C " "390197","SACRED HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","43 patients",,,"AMI-1 " "390197","SACRED HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","111 patients",,,"PN-2 " "390197","SACRED HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","69 patients",,,"PN-6 " "390197","SACRED HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","128 patients",,,"HF-1 " "390197","SACRED HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","94 patients",,,"PN-3B " "390197","SACRED HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390197","SACRED HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"HF-4 " "390197","SACRED HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","209 patients",,,"HF-2 " "390197","SACRED HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","43%","7 patients","1 ","1","AMI-3 " "390197","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390197","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","63 patients",,,"SCIP-CARD-2 " "390197","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","236 patients",,,"SCIP-VTE-2 " "390197","SACRED HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","32 patients",,,"AMI-2 " "390197","SACRED HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-8A " "390197","SACRED HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","40 patients",,,"HF-3 " "390197","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","380 patients",,,"SCIP-INF-2 " "390197","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","369 patients",,,"SCIP-INF-3 " "390197","SACRED HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","35 patients",,,"AMI-5 " "390197","SACRED HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","AMI-4 " "390197","SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","516 patients",,,"SCIP-INF-6 " "390198","MILLCREEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","14 patients","1 ","1","SCIP-CARD-2 " "390198","MILLCREEK COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","61 patients",,,"PN-2 " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "390198","MILLCREEK COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","32 patients",,,"PN-7 " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "390198","MILLCREEK COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","29 patients",,,"PN-6 " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "390198","MILLCREEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390198","MILLCREEK COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","28 patients",,,"PN-3B " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","10 patients","1 ","1","HF-3 " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390198","MILLCREEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","76 patients",,,"SCIP-INF-3 " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390198","MILLCREEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","81 patients",,,"SCIP-INF-1 " "390198","MILLCREEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","58 patients",,,"SCIP-VTE-1 " "390198","MILLCREEK COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","47 patients",,,"PN-5C " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","86 patients",,,"HF-2 " "390198","MILLCREEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","80 patients",,,"SCIP-INF-2 " "390198","MILLCREEK COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","PN-4 " "390198","MILLCREEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","57 patients",,,"SCIP-VTE-2 " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "390198","MILLCREEK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","119 patients",,,"SCIP-INF-6 " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","55 patients",,,"HF-1 " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "390198","MILLCREEK COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390199","PUNXSUTAWNEY AREA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","68%","19 patients","1 ","1","PN-4 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","HF-3 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","62 patients",,,"SCIP-INF-1 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","60 patients",,,"SCIP-INF-3 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","33 patients",,,"PN-7 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","HF-4 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","53 patients",,,"SCIP-VTE-2 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","57 patients",,,"PN-2 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","65 patients",,,"SCIP-INF-2 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","90 patients",,,"SCIP-INF-6 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390199","PUNXSUTAWNEY AREA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","57 patients",,,"PN-6 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","81 patients",,,"HF-2 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","53 patients",,,"SCIP-VTE-1 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","AMI-4 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","59 patients",,,"HF-1 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","59 patients",,,"PN-3B " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390199","PUNXSUTAWNEY AREA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","62 patients",,,"PN-5C " "390199","PUNXSUTAWNEY AREA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "390201","POCONO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","373 patients",,,"SCIP-INF-2 " "390201","POCONO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","80 patients",,,"HF-4 " "390201","POCONO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","263 patients",,,"SCIP-VTE-1 " "390201","POCONO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","285 patients",,,"AMI-1 " "390201","POCONO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","156 patients",,,"HF-3 " "390201","POCONO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","335 patients",,,"SCIP-INF-3 " "390201","POCONO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","371 patients",,,"SCIP-INF-1 " "390201","POCONO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","187 patients",,,"PN-6 " "390201","POCONO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","385 patients",,,"HF-1 " "390201","POCONO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","49 patients",,,"AMI-8A " "390201","POCONO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","463 patients",,,"HF-2 " "390201","POCONO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","159 patients",,,"SCIP-INF-4 " "390201","POCONO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","253 patients",,,"PN-3B " "390201","POCONO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","294 patients",,,"PN-5C " "390201","POCONO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","101 patients",,,"AMI-4 " "390201","POCONO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","73 patients",,,"AMI-3 " "390201","POCONO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","257 patients",,,"AMI-2 " "390201","POCONO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","109 patients",,,"PN-4 " "390201","POCONO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390201","POCONO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","279 patients",,,"PN-2 " "390201","POCONO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","115 patients",,,"SCIP-CARD-2 " "390201","POCONO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","257 patients",,,"AMI-5 " "390201","POCONO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","696 patients",,,"SCIP-INF-6 " "390201","POCONO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","263 patients",,,"SCIP-VTE-2 " "390201","POCONO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","207 patients",,,"PN-7 " "390203","DOYLESTOWN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","221 patients",,,"PN-7 " "390203","DOYLESTOWN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","218 patients","2 ","2","AMI-1 " "390203","DOYLESTOWN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","291 patients",,,"PN-3B " "390203","DOYLESTOWN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients","2 ","2","AMI-3 " "390203","DOYLESTOWN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","42 patients","2 ","2","AMI-8A " "390203","DOYLESTOWN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","186 patients",,,"PN-6 " "390203","DOYLESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","664 patients","2 ","2","SCIP-INF-1 " "390203","DOYLESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","969 patients","2 ","2","SCIP-INF-6 " "390203","DOYLESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","163 patients","2 ","2","SCIP-CARD-2 " "390203","DOYLESTOWN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","162 patients",,,"HF-3 " "390203","DOYLESTOWN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","368 patients",,,"HF-1 " "390203","DOYLESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","627 patients","2 ","2","SCIP-INF-3 " "390203","DOYLESTOWN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","293 patients","2 ","2","AMI-2 " "390203","DOYLESTOWN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "390203","DOYLESTOWN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","AMI-4 " "390203","DOYLESTOWN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","264 patients","2 ","2","AMI-5 " "390203","DOYLESTOWN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","333 patients",,,"PN-2 " "390203","DOYLESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","199 patients","2 ","2","SCIP-INF-4 " "390203","DOYLESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","665 patients","2 ","2","SCIP-INF-2 " "390203","DOYLESTOWN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","60 patients",,,"PN-4 " "390203","DOYLESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","349 patients","2 ","2","SCIP-VTE-2 " "390203","DOYLESTOWN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","493 patients",,,"HF-2 " "390203","DOYLESTOWN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","283 patients",,,"PN-5C " "390203","DOYLESTOWN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","350 patients","2 ","2","SCIP-VTE-1 " "390203","DOYLESTOWN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "390204","NAZARETH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390204","NAZARETH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","461 patients",,,"HF-2 " "390204","NAZARETH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "390204","NAZARETH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","318 patients",,,"SCIP-VTE-2 " "390204","NAZARETH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","219 patients",,,"PN-5C " "390204","NAZARETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390204","NAZARETH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","198 patients",,,"PN-2 " "390204","NAZARETH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","75 patients",,,"AMI-2 " "390204","NAZARETH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","76 patients",,,"AMI-5 " "390204","NAZARETH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","131 patients",,,"PN-7 " "390204","NAZARETH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","116 patients",,,"SCIP-CARD-2 " "390204","NAZARETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","534 patients",,,"SCIP-INF-2 " "390204","NAZARETH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","84 patients",,,"HF-3 " "390204","NAZARETH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390204","NAZARETH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","123 patients",,,"AMI-1 " "390204","NAZARETH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","256 patients",,,"HF-1 " "390204","NAZARETH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "390204","NAZARETH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "390204","NAZARETH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","319 patients",,,"SCIP-VTE-1 " "390204","NAZARETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","532 patients",,,"SCIP-INF-1 " "390204","NAZARETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","523 patients",,,"SCIP-INF-3 " "390204","NAZARETH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","710 patients",,,"SCIP-INF-6 " "390204","NAZARETH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "390204","NAZARETH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","234 patients",,,"PN-3B " "390204","NAZARETH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","114 patients",,,"PN-6 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "390211","SHARON REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","126 patients",,,"PN-3B " "390211","SHARON REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","62 patients",,,"SCIP-INF-4 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","124 patients",,,"AMI-5 " "390211","SHARON REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","413 patients",,,"SCIP-INF-3 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","45 patients",,,"HF-3 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","189 patients",,,"HF-2 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390211","SHARON REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","585 patients",,,"SCIP-INF-6 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","25 patients",,,"AMI-8A " "390211","SHARON REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","110 patients",,,"PN-7 " "390211","SHARON REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","38 patients",,,"PN-4 " "390211","SHARON REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","415 patients",,,"SCIP-INF-1 " "390211","SHARON REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","415 patients",,,"SCIP-INF-2 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","136 patients",,,"AMI-1 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","146 patients",,,"HF-1 " "390211","SHARON REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","129 patients",,,"PN-5C " "390211","SHARON REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","105 patients",,,"SCIP-CARD-2 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","132 patients",,,"AMI-2 " "390211","SHARON REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","155 patients",,,"PN-2 " "390211","SHARON REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","282 patients",,,"SCIP-VTE-2 " "390211","SHARON REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","89 patients",,,"PN-6 " "390211","SHARON REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","282 patients",,,"SCIP-VTE-1 " "390211","SHARON REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","AMI-3 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "390217","EXCELA HEALTH FRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","78 patients",,,"SCIP-INF-2 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "390217","EXCELA HEALTH FRICK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","116 patients",,,"SCIP-VTE-1 " "390217","EXCELA HEALTH FRICK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","25 patients",,,"SCIP-CARD-2 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","170 patients",,,"HF-1 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "390217","EXCELA HEALTH FRICK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","96 patients",,,"PN-2 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390217","EXCELA HEALTH FRICK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","116 patients",,,"SCIP-VTE-2 " "390217","EXCELA HEALTH FRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","78 patients",,,"SCIP-INF-1 " "390217","EXCELA HEALTH FRICK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","108 patients",,,"PN-3B " "390217","EXCELA HEALTH FRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","148 patients",,,"SCIP-INF-6 " "390217","EXCELA HEALTH FRICK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","45 patients",,,"PN-4 " "390217","EXCELA HEALTH FRICK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","105 patients",,,"PN-5C " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","78%","9 patients","1 ","1","AMI-5 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","41 patients",,,"HF-3 " "390217","EXCELA HEALTH FRICK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","82 patients",,,"PN-7 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "390217","EXCELA HEALTH FRICK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","75 patients",,,"PN-6 " "390217","EXCELA HEALTH FRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","212 patients",,,"HF-2 " "390217","EXCELA HEALTH FRICK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390217","EXCELA HEALTH FRICK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","76 patients",,,"SCIP-INF-3 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","190 patients",,,"PN-5C " "390219","EXCELA HEALTH LATROBE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","237 patients","2 ","2","SCIP-VTE-1 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","31 patients",,,"AMI-2 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390219","EXCELA HEALTH LATROBE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","163 patients",,,"PN-7 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","34 patients",,,"AMI-5 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","53 patients",,,"AMI-1 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","75 patients",,,"HF-3 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","357 patients","2 ","2","SCIP-INF-3 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","186 patients",,,"PN-3B " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","584 patients","2 ","2","SCIP-INF-6 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","237 patients","2 ","2","SCIP-VTE-2 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","370 patients","2 ","2","SCIP-INF-1 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","AMI-4 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","370 patients","2 ","2","SCIP-INF-2 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","287 patients",,,"HF-2 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","117 patients",,,"PN-6 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","67 patients",,,"SCIP-CARD-2 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","73 patients",,,"PN-4 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390219","EXCELA HEALTH LATROBE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","208 patients",,,"PN-2 " "390219","EXCELA HEALTH LATROBE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","201 patients",,,"HF-1 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","40 patients","2 ","2","SCIP-INF-2 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","87 patients",,,"HF-1 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","57 patients","2 ","2","SCIP-VTE-1 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","36 patients","2 ","2","SCIP-INF-3 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390220","JENNERSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","40 patients","2 ","2","SCIP-INF-1 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","168 patients",,,"PN-3B " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390220","JENNERSVILLE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","157 patients",,,"PN-5C " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","57 patients","2 ","2","SCIP-VTE-2 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","96 patients",,,"PN-6 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","152 patients",,,"PN-2 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","130 patients","2 ","2","SCIP-INF-6 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","20 patients","1,2 ","12","SCIP-CARD-2 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","103 patients",,,"PN-7 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","122 patients",,,"HF-2 " "390220","JENNERSVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","AMI-3 " "390222","RIDDLE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","154 patients",,,"PN-3B " "390222","RIDDLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","93 patients","2 ","2","SCIP-CARD-2 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","HF-4 " "390222","RIDDLE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","39 patients",,,"PN-4 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","84 patients",,,"AMI-2 " "390222","RIDDLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","800 patients","2 ","2","SCIP-INF-6 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390222","RIDDLE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","132 patients",,,"PN-7 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","65 patients",,,"HF-3 " "390222","RIDDLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","557 patients","2 ","2","SCIP-INF-3 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","179 patients",,,"HF-1 " "390222","RIDDLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","291 patients","2 ","2","SCIP-VTE-1 " "390222","RIDDLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","574 patients","2 ","2","SCIP-INF-1 " "390222","RIDDLE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","198 patients",,,"PN-5C " "390222","RIDDLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","573 patients","2 ","2","SCIP-INF-2 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "390222","RIDDLE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","118 patients",,,"PN-6 " "390222","RIDDLE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","189 patients",,,"PN-2 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","17 patients","1 ","1","AMI-8A " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","82 patients",,,"AMI-5 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","100 patients",,,"AMI-1 " "390222","RIDDLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","291 patients","2 ","2","SCIP-VTE-2 " "390222","RIDDLE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","271 patients",,,"HF-2 " "390222","RIDDLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","718 patients",,,"SCIP-VTE-1 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","1444 patients",,,"SCIP-INF-3 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","647 patients",,,"HF-1 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2131 patients",,,"SCIP-INF-6 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","458 patients",,,"AMI-1 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","134 patients",,,"AMI-3 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","711 patients",,,"SCIP-VTE-2 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","67 patients",,,"PN-6 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","372 patients",,,"SCIP-CARD-2 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","60 patients",,,"PN-4 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","471 patients",,,"SCIP-INF-4 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","82%","227 patients",,,"AMI-4 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","378 patients",,,"HF-3 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","12 patients","1 ","1","AMI-8A " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","781 patients",,,"HF-2 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","132 patients",,,"PN-3B " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","75 patients",,,"PN-7 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","1457 patients",,,"SCIP-INF-1 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","79 patients",,,"PN-2 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1451 patients",,,"SCIP-INF-2 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","690 patients",,,"AMI-5 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","656 patients",,,"AMI-2 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","128 patients",,,"PN-5C " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","183 patients",,,"HF-4 " "390223","PENN PRESBYTERIAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390225","EPHRATA COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","128 patients",,,"PN-7 " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","60 patients",,,"AMI-1 " "390225","EPHRATA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","467 patients",,,"SCIP-INF-2 " "390225","EPHRATA COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","199 patients",,,"PN-5C " "390225","EPHRATA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","466 patients",,,"SCIP-INF-1 " "390225","EPHRATA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","664 patients",,,"SCIP-INF-6 " "390225","EPHRATA COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","158 patients",,,"PN-6 " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","63 patients",,,"HF-3 " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","201 patients",,,"HF-2 " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","33 patients",,,"AMI-2 " "390225","EPHRATA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","257 patients",,,"SCIP-VTE-2 " "390225","EPHRATA COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","205 patients",,,"PN-2 " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","143 patients",,,"HF-1 " "390225","EPHRATA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","98 patients",,,"SCIP-CARD-2 " "390225","EPHRATA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","257 patients",,,"SCIP-VTE-1 " "390225","EPHRATA COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","213 patients",,,"PN-3B " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390225","EPHRATA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","449 patients",,,"SCIP-INF-3 " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390225","EPHRATA COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390225","EPHRATA COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","45 patients",,,"PN-4 " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390225","EPHRATA COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","34 patients",,,"AMI-5 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","37 patients",,,"AMI-3 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","105 patients",,,"PN-7 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","135 patients",,,"AMI-2 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","523 patients","2 ","2","SCIP-INF-2 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","87 patients",,,"PN-6 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","407 patients",,,"HF-2 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","356 patients",,,"HF-1 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","253 patients","2 ","2","SCIP-VTE-2 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","94 patients",,,"AMI-1 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","490 patients","2 ","2","SCIP-INF-3 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","11 patients","1 ","1","AMI-8A " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","144 patients",,,"AMI-5 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","736 patients","2 ","2","SCIP-INF-6 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","513 patients","2 ","2","SCIP-INF-1 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","142 patients",,,"PN-5C " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","137 patients",,,"PN-3B " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","104 patients","2 ","2","SCIP-CARD-2 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","112 patients",,,"HF-3 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","112 patients",,,"PN-2 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","88 patients",,,"HF-4 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","136 patients","2 ","2","SCIP-INF-4 " "390226","PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","253 patients","2 ","2","SCIP-VTE-1 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","591 patients",,,"HF-2 " "390228","ST CLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","938 patients",,,"SCIP-INF-2 " "390228","ST CLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","594 patients",,,"SCIP-VTE-1 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390228","ST CLAIR MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","577 patients",,,"PN-2 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"AMI-4 " "390228","ST CLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","876 patients",,,"SCIP-INF-3 " "390228","ST CLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","929 patients",,,"SCIP-INF-1 " "390228","ST CLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","189 patients",,,"SCIP-CARD-2 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","52 patients",,,"AMI-8A " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","207 patients",,,"AMI-2 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","35 patients",,,"AMI-3 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","412 patients",,,"HF-1 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","216 patients",,,"AMI-5 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","134 patients",,,"HF-3 " "390228","ST CLAIR MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","382 patients",,,"PN-7 " "390228","ST CLAIR MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","373 patients",,,"PN-6 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"HF-4 " "390228","ST CLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","594 patients",,,"SCIP-VTE-2 " "390228","ST CLAIR MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","220 patients",,,"AMI-1 " "390228","ST CLAIR MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","548 patients",,,"PN-5C " "390228","ST CLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1354 patients",,,"SCIP-INF-6 " "390228","ST CLAIR MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","181 patients",,,"SCIP-INF-4 " "390228","ST CLAIR MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","146 patients",,,"PN-4 " "390228","ST CLAIR MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","466 patients",,,"PN-3B " "390231","ABINGTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","356 patients",,,"PN-3B " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"AMI-4 " "390231","ABINGTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","257 patients",,,"PN-6 " "390231","ABINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","557 patients","2 ","2","SCIP-INF-6 " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","352 patients",,,"AMI-1 " "390231","ABINGTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","344 patients",,,"PN-7 " "390231","ABINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","171 patients","2 ","2","SCIP-VTE-2 " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","930 patients",,,"HF-2 " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"HF-4 " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "390231","ABINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","406 patients","2 ","2","SCIP-INF-1 " "390231","ABINGTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","538 patients",,,"PN-5C " "390231","ABINGTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","505 patients",,,"PN-2 " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","45 patients",,,"AMI-3 " "390231","ABINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","128 patients","2 ","2","SCIP-INF-4 " "390231","ABINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","395 patients","2 ","2","SCIP-INF-3 " "390231","ABINGTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","131 patients",,,"PN-4 " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","720 patients",,,"HF-1 " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","64 patients",,,"AMI-8A " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","348 patients",,,"AMI-2 " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","275 patients",,,"AMI-5 " "390231","ABINGTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","263 patients",,,"HF-3 " "390231","ABINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","171 patients","2 ","2","SCIP-VTE-1 " "390231","ABINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","410 patients","2 ","2","SCIP-INF-2 " "390231","ABINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","90 patients","2 ","2","SCIP-CARD-2 " "390233","HANOVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","777 patients",,,"SCIP-INF-6 " "390233","HANOVER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","20 patients","1 ","1","AMI-3 " "390233","HANOVER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","160 patients",,,"HF-1 " "390233","HANOVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","248 patients",,,"SCIP-VTE-1 " "390233","HANOVER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","108 patients",,,"AMI-2 " "390233","HANOVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","248 patients",,,"SCIP-VTE-2 " "390233","HANOVER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","41 patients",,,"PN-4 " "390233","HANOVER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","72 patients",,,"HF-3 " "390233","HANOVER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","183 patients",,,"PN-3B " "390233","HANOVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","568 patients",,,"SCIP-INF-2 " "390233","HANOVER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","162 patients",,,"PN-2 " "390233","HANOVER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-7A " "390233","HANOVER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","119 patients",,,"PN-6 " "390233","HANOVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "390233","HANOVER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","202 patients",,,"HF-2 " "390233","HANOVER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "390233","HANOVER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","117 patients",,,"PN-7 " "390233","HANOVER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","HF-4 " "390233","HANOVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","568 patients",,,"SCIP-INF-3 " "390233","HANOVER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","108 patients",,,"SCIP-CARD-2 " "390233","HANOVER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","159 patients",,,"AMI-1 " "390233","HANOVER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390233","HANOVER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","183 patients",,,"PN-5C " "390233","HANOVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","611 patients",,,"SCIP-INF-1 " "390233","HANOVER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","117 patients",,,"AMI-5 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","22 patients","1 ","1","SCIP-INF-2 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","44 patients",,,"HF-2 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","55 patients",,,"PN-6 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","69 patients",,,"PN-3B " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","37 patients",,,"HF-1 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","73 patients",,,"PN-2 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","39 patients",,,"SCIP-INF-6 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","17 patients","1 ","1","SCIP-VTE-2 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","49 patients",,,"PN-7 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","17 patients","1 ","1","SCIP-VTE-1 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","HF-3 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","22 patients","1 ","1","SCIP-INF-3 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","23 patients","1 ","1","SCIP-INF-1 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "390236","MEMORIAL HOSPITAL, INC TOWANDA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","37 patients","3 ","3","PN-5C " "390237","MERCY HOSPITAL SCRANTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","116 patients","2 ","2","PN-3B " "390237","MERCY HOSPITAL SCRANTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","36 patients","2 ","2","AMI-8A " "390237","MERCY HOSPITAL SCRANTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","111 patients","2 ","2","HF-3 " "390237","MERCY HOSPITAL SCRANTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","180 patients","2 ","2","SCIP-VTE-1 " "390237","MERCY HOSPITAL SCRANTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","57 patients","2 ","2","PN-4 " "390237","MERCY HOSPITAL SCRANTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","93 patients","2 ","2","AMI-4 " "390237","MERCY HOSPITAL SCRANTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","151 patients","2 ","2","PN-5C " "390237","MERCY HOSPITAL SCRANTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","447 patients","2 ","2","SCIP-INF-2 " "390237","MERCY HOSPITAL SCRANTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","118 patients","2 ","2","SCIP-CARD-2 " "390237","MERCY HOSPITAL SCRANTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","585 patients","2 ","2","SCIP-INF-6 " "390237","MERCY HOSPITAL SCRANTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","441 patients","2 ","2","SCIP-INF-1 " "390237","MERCY HOSPITAL SCRANTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","46 patients","2 ","2","HF-4 " "390237","MERCY HOSPITAL SCRANTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","53 patients","2 ","2","AMI-3 " "390237","MERCY HOSPITAL SCRANTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","276 patients","2 ","2","AMI-5 " "390237","MERCY HOSPITAL SCRANTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","269 patients","2 ","2","AMI-2 " "390237","MERCY HOSPITAL SCRANTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","140 patients","2 ","2","PN-2 " "390237","MERCY HOSPITAL SCRANTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","180 patients","2 ","2","SCIP-VTE-2 " "390237","MERCY HOSPITAL SCRANTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","429 patients","2 ","2","SCIP-INF-3 " "390237","MERCY HOSPITAL SCRANTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","193 patients","2 ","2","AMI-1 " "390237","MERCY HOSPITAL SCRANTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","95 patients","2 ","2","PN-7 " "390237","MERCY HOSPITAL SCRANTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","307 patients","2 ","2","HF-2 " "390237","MERCY HOSPITAL SCRANTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","177 patients","2 ","2","SCIP-INF-4 " "390237","MERCY HOSPITAL SCRANTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","225 patients","2 ","2","HF-1 " "390237","MERCY HOSPITAL SCRANTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","66 patients","2 ","2","PN-6 " "390237","MERCY HOSPITAL SCRANTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "390256","MILTON S HERSHEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","308 patients","2 ","2","SCIP-INF-4 " "390256","MILTON S HERSHEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","229 patients",,,"PN-2 " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","209 patients",,,"AMI-1 " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","106 patients",,,"AMI-4 " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","329 patients",,,"AMI-5 " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"HF-4 " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","46 patients",,,"AMI-8A " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","134 patients",,,"HF-3 " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"AMI-3 " "390256","MILTON S HERSHEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","548 patients","2 ","2","SCIP-VTE-2 " "390256","MILTON S HERSHEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"PN-4 " "390256","MILTON S HERSHEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","87 patients",,,"PN-6 " "390256","MILTON S HERSHEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","169 patients",,,"PN-5C " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","432 patients",,,"HF-1 " "390256","MILTON S HERSHEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","225 patients","2 ","2","SCIP-CARD-2 " "390256","MILTON S HERSHEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","198 patients",,,"PN-3B " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "390256","MILTON S HERSHEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","161 patients",,,"PN-7 " "390256","MILTON S HERSHEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1127 patients","2 ","2","SCIP-INF-3 " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","314 patients",,,"AMI-2 " "390256","MILTON S HERSHEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","502 patients",,,"HF-2 " "390256","MILTON S HERSHEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1173 patients","2 ","2","SCIP-INF-1 " "390256","MILTON S HERSHEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","1587 patients","2 ","2","SCIP-INF-6 " "390256","MILTON S HERSHEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","548 patients","2 ","2","SCIP-VTE-1 " "390256","MILTON S HERSHEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1200 patients","2 ","2","SCIP-INF-2 " "390258","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","143 patients","2 ","2","SCIP-INF-4 " "390258","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","462 patients","2 ","2","SCIP-INF-2 " "390258","ST MARY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","302 patients",,,"AMI-5 " "390258","ST MARY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","425 patients",,,"PN-3B " "390258","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","431 patients","2 ","2","SCIP-INF-3 " "390258","ST MARY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","341 patients",,,"AMI-2 " "390258","ST MARY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","344 patients",,,"AMI-1 " "390258","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","189 patients","2 ","2","SCIP-VTE-1 " "390258","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","189 patients","2 ","2","SCIP-VTE-2 " "390258","ST MARY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","118 patients",,,"PN-4 " "390258","ST MARY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"AMI-4 " "390258","ST MARY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","162 patients",,,"HF-3 " "390258","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","111 patients","2 ","2","SCIP-CARD-2 " "390258","ST MARY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","595 patients",,,"HF-2 " "390258","ST MARY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","447 patients",,,"HF-1 " "390258","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","630 patients","2 ","2","SCIP-INF-6 " "390258","ST MARY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","423 patients",,,"PN-5C " "390258","ST MARY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "390258","ST MARY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390258","ST MARY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","340 patients",,,"PN-2 " "390258","ST MARY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","36 patients",,,"AMI-8A " "390258","ST MARY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","277 patients",,,"PN-6 " "390258","ST MARY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","233 patients",,,"PN-7 " "390258","ST MARY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients",,,"AMI-3 " "390258","ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","446 patients","2 ","2","SCIP-INF-1 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","343 patients",,,"SCIP-VTE-2 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","524 patients",,,"SCIP-INF-1 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","532 patients",,,"SCIP-INF-2 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","202 patients",,,"AMI-1 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","344 patients",,,"SCIP-VTE-1 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","287 patients",,,"PN-3B " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","259 patients",,,"PN-2 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"HF-4 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","219 patients",,,"AMI-5 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","342 patients",,,"HF-1 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","451 patients",,,"HF-2 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","288 patients",,,"PN-5C " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","812 patients",,,"SCIP-INF-6 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"AMI-4 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","41 patients",,,"AMI-8A " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","127 patients",,,"HF-3 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"PN-4 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","193 patients",,,"AMI-2 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","139 patients",,,"PN-6 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","502 patients",,,"SCIP-INF-3 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","162 patients",,,"SCIP-INF-4 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","192 patients",,,"PN-7 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"AMI-3 " "390263","LEHIGH VALLEY HOSPITAL - MUHLENBERG","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","131 patients",,,"SCIP-CARD-2 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","811 patients",,,"SCIP-VTE-2 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","814 patients",,,"SCIP-VTE-1 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","253 patients",,,"HF-3 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1186 patients",,,"SCIP-INF-2 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","716 patients",,,"HF-2 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","379 patients",,,"PN-5C " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","239 patients",,,"AMI-2 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","51 patients",,,"AMI-3 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","237 patients",,,"AMI-5 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","1160 patients",,,"SCIP-INF-3 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","46 patients",,,"AMI-8A " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","211 patients",,,"AMI-1 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"AMI-4 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","399 patients",,,"SCIP-INF-4 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","316 patients",,,"SCIP-CARD-2 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1178 patients",,,"SCIP-INF-1 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","238 patients",,,"PN-3B " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","365 patients",,,"PN-2 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","310 patients",,,"PN-6 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","236 patients",,,"PN-7 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","101 patients",,,"PN-4 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1784 patients",,,"SCIP-INF-6 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","602 patients",,,"HF-1 " "390265","JEFFERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","68 patients",,,"HF-4 " "390266","GROVE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","132 patients",,,"SCIP-INF-3 " "390266","GROVE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390266","GROVE CITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","89 patients",,,"PN-3B " "390266","GROVE CITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","64 patients",,,"PN-5C " "390266","GROVE CITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","75 patients",,,"PN-6 " "390266","GROVE CITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390266","GROVE CITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","63 patients",,,"HF-1 " "390266","GROVE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","171 patients",,,"SCIP-INF-6 " "390266","GROVE CITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","84 patients",,,"PN-2 " "390266","GROVE CITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"HF-3 " "390266","GROVE CITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","30 patients",,,"PN-4 " "390266","GROVE CITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "390266","GROVE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","68 patients",,,"SCIP-VTE-2 " "390266","GROVE CITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "390266","GROVE CITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","59 patients",,,"PN-7 " "390266","GROVE CITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","100 patients",,,"HF-2 " "390266","GROVE CITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "390266","GROVE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","135 patients",,,"SCIP-INF-2 " "390266","GROVE CITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "390266","GROVE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "390266","GROVE CITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390266","GROVE CITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "390266","GROVE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","68 patients",,,"SCIP-VTE-1 " "390266","GROVE CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","134 patients",,,"SCIP-INF-1 " "390266","GROVE CITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","553 patients",,,"SCIP-INF-3 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","301 patients",,,"PN-5C " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","592 patients",,,"SCIP-INF-2 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","36 patients",,,"AMI-8A " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","46 patients",,,"AMI-3 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","285 patients",,,"PN-2 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","218 patients",,,"AMI-2 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","229 patients",,,"AMI-1 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","423 patients",,,"HF-1 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","213 patients",,,"AMI-5 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","880 patients",,,"SCIP-INF-6 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","588 patients",,,"SCIP-INF-1 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","330 patients",,,"SCIP-VTE-2 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","132 patients",,,"PN-4 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","136 patients",,,"SCIP-INF-4 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","190 patients",,,"HF-3 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","147 patients",,,"SCIP-CARD-2 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","181 patients",,,"PN-6 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","617 patients",,,"HF-2 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","182 patients",,,"PN-7 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","208 patients",,,"PN-3B " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"AMI-4 " "390267","WESTERN PENNSYLVANIA HOSP FORBES REGIONAL CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","330 patients",,,"SCIP-VTE-1 " "390268","MOUNT NITTANY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","545 patients",,,"SCIP-VTE-1 " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","16 patients","1 ","1","AMI-3 " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "390268","MOUNT NITTANY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","245 patients",,,"SCIP-CARD-2 " "390268","MOUNT NITTANY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","545 patients",,,"SCIP-VTE-2 " "390268","MOUNT NITTANY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","266 patients",,,"PN-2 " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","139 patients",,,"AMI-1 " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","115 patients",,,"AMI-2 " "390268","MOUNT NITTANY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","68 patients",,,"PN-4 " "390268","MOUNT NITTANY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","121 patients",,,"PN-6 " "390268","MOUNT NITTANY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1132 patients",,,"SCIP-INF-3 " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","31 patients",,,"AMI-8A " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","263 patients",,,"HF-1 " "390268","MOUNT NITTANY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1485 patients",,,"SCIP-INF-6 " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","68 patients",,,"HF-3 " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","125 patients",,,"AMI-5 " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "390268","MOUNT NITTANY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","189 patients",,,"PN-3B " "390268","MOUNT NITTANY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1161 patients",,,"SCIP-INF-2 " "390268","MOUNT NITTANY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390268","MOUNT NITTANY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","165 patients",,,"PN-7 " "390268","MOUNT NITTANY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","344 patients",,,"HF-2 " "390268","MOUNT NITTANY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1150 patients",,,"SCIP-INF-1 " "390268","MOUNT NITTANY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","221 patients",,,"PN-5C " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","217 patients",,,"HF-2 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","423 patients","2 ","2","SCIP-INF-2 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","247 patients","2 ","2","SCIP-VTE-2 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","111 patients",,,"AMI-1 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","137 patients","2 ","2","PN-3B " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","151 patients",,,"AMI-2 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","417 patients","2 ","2","SCIP-INF-1 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","145 patients",,,"HF-1 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients","2 ","2","PN-4 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","161 patients",,,"AMI-5 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","111 patients","2 ","2","PN-6 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","197 patients","2 ","2","PN-2 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"AMI-4 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","631 patients","2 ","2","SCIP-INF-6 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","138 patients","2 ","2","SCIP-CARD-2 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","248 patients","2 ","2","SCIP-VTE-1 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","401 patients","2 ","2","SCIP-INF-3 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","144 patients",,,"PN-7 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","60 patients",,,"HF-3 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","40 patients",,,"AMI-3 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","119 patients","2 ","2","SCIP-INF-4 " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","177 patients","2 ","2","PN-5C " "390270","GEISINGER WYOMING VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","18 patients","1 ","1","AMI-8A " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "390272","VALLEY FORGE MEDICAL CENTER AND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "390278","EAGLEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "390278","EAGLEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "390278","EAGLEVILLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "390278","EAGLEVILLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "390278","EAGLEVILLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390278","EAGLEVILLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "390278","EAGLEVILLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "390278","EAGLEVILLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "390278","EAGLEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "390278","EAGLEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "390278","EAGLEVILLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "390278","EAGLEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "390278","EAGLEVILLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "390278","EAGLEVILLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "390278","EAGLEVILLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "390278","EAGLEVILLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "390278","EAGLEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "390278","EAGLEVILLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "390278","EAGLEVILLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "390278","EAGLEVILLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "390278","EAGLEVILLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "390278","EAGLEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "390278","EAGLEVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "390278","EAGLEVILLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "390278","EAGLEVILLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","678 patients","2 ","2","SCIP-INF-6 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","394 patients",,,"HF-3 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","89 patients",,,"AMI-1 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","81 patients",,,"PN-2 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"AMI-3 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","81 patients",,,"PN-7 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","193 patients",,,"HF-4 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","148 patients","2 ","2","SCIP-INF-4 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","153 patients",,,"PN-3B " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","451 patients","2 ","2","SCIP-INF-2 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","645 patients",,,"HF-1 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","122 patients","2 ","2","SCIP-CARD-2 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","291 patients","2 ","2","SCIP-VTE-2 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","291 patients","2 ","2","SCIP-VTE-1 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","176 patients",,,"AMI-5 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","447 patients","2 ","2","SCIP-INF-1 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","57 patients",,,"AMI-4 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","152 patients",,,"PN-5C " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","54 patients",,,"PN-6 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","706 patients",,,"HF-2 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","165 patients",,,"AMI-2 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","117 patients",,,"PN-4 " "390290","HAHNEMANN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","431 patients","2 ","2","SCIP-INF-3 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","93 patients",,,"PN-3B " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","154 patients",,,"SCIP-INF-6 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","39 patients",,,"PN-6 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","92 patients",,,"PN-5C " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","50 patients",,,"HF-4 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","84 patients",,,"SCIP-INF-3 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","27 patients",,,"PN-4 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","85 patients",,,"SCIP-INF-1 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","43 patients",,,"PN-7 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","204 patients",,,"HF-2 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","118 patients",,,"HF-1 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients",,,"SCIP-CARD-2 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","86 patients",,,"SCIP-VTE-2 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","67 patients",,,"PN-2 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","70 patients",,,"HF-3 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","24 patients","1 ","1","AMI-1 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","86 patients",,,"SCIP-INF-2 " "390304","ROXBOROUGH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","86 patients",,,"SCIP-VTE-1 " "390307","EDGEWOOD SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","85 patients",,,"SCIP-INF-1 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "390307","EDGEWOOD SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","31 patients",,,"SCIP-VTE-2 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "390307","EDGEWOOD SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "390307","EDGEWOOD SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "390307","EDGEWOOD SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "390307","EDGEWOOD SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","86 patients",,,"SCIP-INF-2 " "390307","EDGEWOOD SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "390307","EDGEWOOD SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "390307","EDGEWOOD SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","32 patients",,,"SCIP-VTE-1 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "390307","EDGEWOOD SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "390307","EDGEWOOD SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","101 patients",,,"SCIP-INF-6 " "390307","EDGEWOOD SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "390307","EDGEWOOD SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390307","EDGEWOOD SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","85 patients",,,"SCIP-INF-3 " "390307","EDGEWOOD SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","13 patients","1 ","1","SCIP-INF-3 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","3 patients","1,3 ","13","HF-1 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "390312","CANCER TREATMENT CENTERS OF AMERICA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "390312","CANCER TREATMENT CENTERS OF AMERICA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","52 patients",,,"SCIP-INF-6 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1,3 ","13","PN-5C " "390312","CANCER TREATMENT CENTERS OF AMERICA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","40 patients",,,"SCIP-VTE-2 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","17%","6 patients","1 ","1","PN-2 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "390312","CANCER TREATMENT CENTERS OF AMERICA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","5 patients","1 ","1","PN-4 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","7 patients","1 ","1","PN-7 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","3 patients","1,3 ","13","HF-2 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","13 patients","1 ","1","SCIP-INF-2 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients",,,"PN-6 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","40 patients",,,"SCIP-VTE-1 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","14 patients","1 ","1","SCIP-INF-1 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "390312","CANCER TREATMENT CENTERS OF AMERICA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","68%","19 patients","1 ","1","HF-3 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","33 patients",,,"PN-6 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","69 patients",,,"HF-1 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","43 patients",,,"PN-3B " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","50 patients",,,"SCIP-INF-6 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","33 patients",,,"SCIP-INF-1 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","94 patients",,,"HF-2 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","31 patients",,,"SCIP-VTE-1 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","33 patients",,,"SCIP-INF-3 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","39 patients",,,"PN-7 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","60 patients",,,"PN-5C " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","42 patients",,,"PN-2 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","33 patients",,,"SCIP-INF-2 " "390313","SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","31 patients",,,"SCIP-VTE-2 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","222 patients","2 ","2","SCIP-INF-6 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients","2 ","2","SCIP-CARD-2 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","50 patients","2 ","2","SCIP-VTE-2 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","198 patients","2 ","2","SCIP-INF-3 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","50 patients","2 ","2","SCIP-VTE-1 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","198 patients","2 ","2","SCIP-INF-2 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","198 patients","2 ","2","SCIP-INF-1 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "390314","COORDINATED HEALTH ORTHOPEDIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "390316","SURGICAL INSTITUTE OF READING","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","310 patients",,,"SCIP-INF-2 " "390316","SURGICAL INSTITUTE OF READING","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","310 patients",,,"SCIP-INF-1 " "390316","SURGICAL INSTITUTE OF READING","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "390316","SURGICAL INSTITUTE OF READING","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "390316","SURGICAL INSTITUTE OF READING","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "390316","SURGICAL INSTITUTE OF READING","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "390316","SURGICAL INSTITUTE OF READING","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "390316","SURGICAL INSTITUTE OF READING","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","80 patients",,,"SCIP-VTE-1 " "390316","SURGICAL INSTITUTE OF READING","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","339 patients",,,"SCIP-INF-6 " "390316","SURGICAL INSTITUTE OF READING","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "390316","SURGICAL INSTITUTE OF READING","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "390316","SURGICAL INSTITUTE OF READING","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "390316","SURGICAL INSTITUTE OF READING","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "390316","SURGICAL INSTITUTE OF READING","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","80 patients",,,"SCIP-VTE-2 " "390316","SURGICAL INSTITUTE OF READING","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "390316","SURGICAL INSTITUTE OF READING","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390316","SURGICAL INSTITUTE OF READING","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "390316","SURGICAL INSTITUTE OF READING","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "390316","SURGICAL INSTITUTE OF READING","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","65 patients",,,"SCIP-CARD-2 " "390316","SURGICAL INSTITUTE OF READING","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "390316","SURGICAL INSTITUTE OF READING","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "390316","SURGICAL INSTITUTE OF READING","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "390316","SURGICAL INSTITUTE OF READING","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "390316","SURGICAL INSTITUTE OF READING","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","309 patients",,,"SCIP-INF-3 " "390316","SURGICAL INSTITUTE OF READING","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390318","WESTFIELD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "390318","WESTFIELD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","43%","7 patients","1 ","1","PN-2 " "390318","WESTFIELD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","57%","7 patients","1 ","1","PN-3B " "390318","WESTFIELD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390318","WESTFIELD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","3 patients","1,3 ","13","HF-2 " "390318","WESTFIELD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "390318","WESTFIELD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "390318","WESTFIELD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "390318","WESTFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","17%","6 patients","1 ","1","SCIP-INF-1 " "390318","WESTFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "390318","WESTFIELD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "390318","WESTFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","6 patients","1 ","1","SCIP-VTE-1 " "390318","WESTFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "390318","WESTFIELD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "390318","WESTFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1 ","1","SCIP-INF-2 " "390318","WESTFIELD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "390318","WESTFIELD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "390318","WESTFIELD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","5 patients","1 ","1","PN-7 " "390318","WESTFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","81%","16 patients","1 ","1","SCIP-INF-6 " "390318","WESTFIELD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "390318","WESTFIELD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "390318","WESTFIELD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "390318","WESTFIELD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","3 patients","1,3 ","13","HF-1 " "390318","WESTFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","4 patients","1 ","1","SCIP-VTE-2 " "390318","WESTFIELD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","10 patients","1 ","1","PN-6 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "390321","SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "391300","JERSEY SHORE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","11 patients","1 ","1","AMI-2 " "391300","JERSEY SHORE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "391300","JERSEY SHORE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "391300","JERSEY SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","81 patients",,,"SCIP-INF-6 " "391300","JERSEY SHORE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "391300","JERSEY SHORE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","75 patients",,,"HF-1 " "391300","JERSEY SHORE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","65 patients",,,"PN-2 " "391300","JERSEY SHORE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","69 patients",,,"PN-5C " "391300","JERSEY SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","33 patients",,,"SCIP-INF-3 " "391300","JERSEY SHORE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","92 patients",,,"HF-2 " "391300","JERSEY SHORE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","76%","17 patients","1 ","1","AMI-1 " "391300","JERSEY SHORE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","14 patients","1 ","1","AMI-5 " "391300","JERSEY SHORE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","45 patients",,,"PN-6 " "391300","JERSEY SHORE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "391300","JERSEY SHORE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","AMI-3 " "391300","JERSEY SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","79%","34 patients",,,"SCIP-INF-2 " "391300","JERSEY SHORE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "391300","JERSEY SHORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","53%","53 patients",,,"SCIP-VTE-1 " "391300","JERSEY SHORE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","32 patients",,,"HF-3 " "391300","JERSEY SHORE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "391300","JERSEY SHORE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","41 patients",,,"PN-7 " "391300","JERSEY SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","34 patients",,,"SCIP-INF-1 " "391300","JERSEY SHORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "391300","JERSEY SHORE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","60 patients",,,"PN-3B " "391300","JERSEY SHORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","52%","52 patients",,,"SCIP-VTE-2 " "391301","MUNCY VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "391301","MUNCY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "391301","MUNCY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "391301","MUNCY VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "391301","MUNCY VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "391301","MUNCY VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "391301","MUNCY VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "391301","MUNCY VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "391301","MUNCY VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "391301","MUNCY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","75%","4 patients","1,3 ","13","SCIP-INF-6 " "391301","MUNCY VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","33 patients",,,"PN-5C " "391301","MUNCY VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","26 patients",,,"PN-3B " "391301","MUNCY VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","32 patients",,,"PN-2 " "391301","MUNCY VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","27 patients",,,"HF-1 " "391301","MUNCY VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","26 patients",,,"PN-6 " "391301","MUNCY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,3 ","13","SCIP-VTE-1 " "391301","MUNCY VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "391301","MUNCY VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","41 patients",,,"HF-2 " "391301","MUNCY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","3 patients","1,3 ","13","SCIP-INF-3 " "391301","MUNCY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "391301","MUNCY VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","20 patients","1 ","1","PN-7 " "391301","MUNCY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","3 patients","1,3 ","13","SCIP-INF-1 " "391301","MUNCY VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "391301","MUNCY VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-2 " "391301","MUNCY VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "391303","FULTON COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "391303","FULTON COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "391303","FULTON COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "391303","FULTON COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1,3 ","13","PN-6 " "391303","FULTON COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "391303","FULTON COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","38 patients","3 ","3","HF-2 " "391303","FULTON COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "391303","FULTON COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "391303","FULTON COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,3 ","13","HF-4 " "391303","FULTON COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "391303","FULTON COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "391303","FULTON COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "391303","FULTON COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "391303","FULTON COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "391303","FULTON COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","17 patients","1,3 ","13","PN-2 " "391303","FULTON COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "391303","FULTON COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "391303","FULTON COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "391303","FULTON COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1,3 ","13","PN-5C " "391303","FULTON COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","8 patients","1,3 ","13","PN-3B " "391303","FULTON COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1,3 ","13","PN-7 " "391303","FULTON COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","10 patients","1,3 ","13","PN-4 " "391303","FULTON COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","30%","30 patients","3 ","3","HF-1 " "391303","FULTON COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","56%","9 patients","1,3 ","13","HF-3 " "391303","FULTON COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "391305","TROY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","32 patients","2 ","2","PN-5C " "391305","TROY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","16 patients","1,2 ","12","HF-1 " "391305","TROY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","30 patients","2 ","2","PN-7 " "391305","TROY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","21 patients","1,2 ","12","HF-2 " "391305","TROY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "391305","TROY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "391305","TROY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "391305","TROY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","49 patients","2 ","2","PN-2 " "391305","TROY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "391305","TROY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1,2 ","12","PN-4 " "391305","TROY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1,2 ","12","HF-3 " "391305","TROY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "391305","TROY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "391305","TROY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "391305","TROY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "391305","TROY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","31 patients","2 ","2","PN-6 " "391305","TROY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "391305","TROY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "391305","TROY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "391305","TROY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","37 patients","2 ","2","PN-3B " "391305","TROY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "391305","TROY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "391305","TROY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "391305","TROY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "391305","TROY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2 ","12","HF-4 " "391306","MONTROSE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "391306","MONTROSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","18 patients","1 ","1","SCIP-INF-1 " "391306","MONTROSE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "391306","MONTROSE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,3 ","13","AMI-1 " "391306","MONTROSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "391306","MONTROSE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "391306","MONTROSE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "391306","MONTROSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "391306","MONTROSE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","17%","12 patients","1,3 ","13","HF-2 " "391306","MONTROSE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","55%","33 patients",,,"PN-6 " "391306","MONTROSE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","10 patients","1,3 ","13","HF-1 " "391306","MONTROSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","16 patients","1 ","1","SCIP-INF-2 " "391306","MONTROSE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","25%","8 patients","1 ","1","PN-3B " "391306","MONTROSE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","4 patients","1,3 ","13","HF-3 " "391306","MONTROSE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","15 patients","1 ","1","PN-7 " "391306","MONTROSE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "391306","MONTROSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","16 patients","1 ","1","SCIP-INF-3 " "391306","MONTROSE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,3 ","13","AMI-7A " "391306","MONTROSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "391306","MONTROSE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "391306","MONTROSE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","8 patients","1 ","1","PN-5C " "391306","MONTROSE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "391306","MONTROSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "391306","MONTROSE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","24 patients","1 ","1","PN-2 " "391306","MONTROSE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "391308","CORRY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "391308","CORRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "391308","CORRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "391308","CORRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "391308","CORRY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","45 patients",,,"PN-5C " "391308","CORRY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","35 patients",,,"PN-6 " "391308","CORRY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","14 patients","1 ","1","HF-3 " "391308","CORRY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "391308","CORRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "391308","CORRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "391308","CORRY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "391308","CORRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "391308","CORRY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","32 patients",,,"PN-7 " "391308","CORRY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "391308","CORRY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","44 patients",,,"PN-2 " "391308","CORRY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "391308","CORRY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","24 patients","1 ","1","PN-3B " "391308","CORRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "391308","CORRY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "391308","CORRY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "391308","CORRY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","37 patients",,,"HF-1 " "391308","CORRY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "391308","CORRY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","57 patients",,,"HF-2 " "391308","CORRY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "391308","CORRY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "391311","MID-VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","28 patients",,,"PN-6 " "391311","MID-VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","36 patients",,,"PN-3B " "391311","MID-VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","25%","8 patients","1 ","1","AMI-5 " "391311","MID-VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "391311","MID-VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "391311","MID-VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","21 patients","1 ","1","PN-7 " "391311","MID-VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","38%","8 patients","1 ","1","AMI-2 " "391311","MID-VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","35 patients",,,"HF-1 " "391311","MID-VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "391311","MID-VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "391311","MID-VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "391311","MID-VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "391311","MID-VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "391311","MID-VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","37 patients",,,"PN-2 " "391311","MID-VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "391311","MID-VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "391311","MID-VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "391311","MID-VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "391311","MID-VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","59 patients",,,"HF-2 " "391311","MID-VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","AMI-3 " "391311","MID-VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "391311","MID-VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","13 patients","1 ","1","HF-3 " "391311","MID-VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","39 patients",,,"PN-5C " "391311","MID-VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","PN-4 " "391311","MID-VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "391312","BROOKVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","53 patients",,,"SCIP-VTE-2 " "391312","BROOKVILLE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","50 patients",,,"HF-1 " "391312","BROOKVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","49 patients",,,"SCIP-INF-3 " "391312","BROOKVILLE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","HF-3 " "391312","BROOKVILLE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","53 patients",,,"PN-5C " "391312","BROOKVILLE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "391312","BROOKVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "391312","BROOKVILLE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","67 patients",,,"HF-2 " "391312","BROOKVILLE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","46 patients",,,"PN-7 " "391312","BROOKVILLE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "391312","BROOKVILLE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "391312","BROOKVILLE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "391312","BROOKVILLE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","13 patients","1 ","1","PN-4 " "391312","BROOKVILLE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "391312","BROOKVILLE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","45 patients",,,"PN-6 " "391312","BROOKVILLE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "391312","BROOKVILLE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "391312","BROOKVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","87 patients",,,"SCIP-INF-6 " "391312","BROOKVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","55 patients",,,"SCIP-INF-2 " "391312","BROOKVILLE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","53 patients",,,"SCIP-VTE-1 " "391312","BROOKVILLE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","60 patients",,,"PN-3B " "391312","BROOKVILLE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "391312","BROOKVILLE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","70 patients",,,"PN-2 " "391312","BROOKVILLE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "391312","BROOKVILLE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","55 patients",,,"SCIP-INF-1 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","52 patients",,,"PN-6 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","89 patients",,,"SCIP-VTE-2 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","182 patients",,,"SCIP-INF-6 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","77 patients",,,"HF-2 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","63 patients",,,"PN-3B " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","147 patients",,,"SCIP-INF-3 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","79 patients",,,"PN-5C " "391313","CHARLES COLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","89 patients",,,"SCIP-VTE-1 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","149 patients",,,"SCIP-INF-1 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","52 patients",,,"PN-7 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","44 patients",,,"HF-1 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","148 patients",,,"SCIP-INF-2 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","80 patients",,,"PN-2 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "391313","CHARLES COLE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "393302","CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","369 patients",,,"CAC-2 " "393302","CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","369 patients",,,"CAC-1 " "393302","CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","50%","368 patients",,,"CAC-3 " "393303","CHILDREN'S HOSPITAL OF PHILADELPHIA","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","31%","489 patients","2 ","2","CAC-3 " "393303","CHILDREN'S HOSPITAL OF PHILADELPHIA","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","490 patients","2 ","2","CAC-2 " "393303","CHILDREN'S HOSPITAL OF PHILADELPHIA","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","490 patients","2 ","2","CAC-1 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","150 patients","2 ","2","SCIP-VTE-2 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","AMI-4 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","71%","311 patients","2 ","2","SCIP-INF-6 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","28 patients","2 ","2","AMI-5 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","25 patients",,,"PN-3B " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","337 patients","2 ","2","SCIP-INF-2 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","50 patients",,,"PN-7 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","32 patients",,,"HF-3 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","58%","330 patients","2 ","2","SCIP-INF-1 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","95 patients",,,"HF-1 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","54%","329 patients","2 ","2","SCIP-INF-3 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","47 patients","2 ","2","AMI-1 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","96 patients",,,"HF-2 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","68 patients",,,"PN-2 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","61%","155 patients","2 ","2","SCIP-VTE-1 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","27 patients","2 ","2","AMI-2 " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","41%","90 patients",,,"PN-5C " "400001","ASHFORD PRESBYTERIAN COMMUNITY HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","84 patients",,,"PN-6 " "400003","HOSPITAL DR PILA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","55 patients",,,"AMI-5 " "400003","HOSPITAL DR PILA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","81 patients","3 ","3","SCIP-INF-6 " "400003","HOSPITAL DR PILA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","57%","60 patients","3 ","3","SCIP-INF-1 " "400003","HOSPITAL DR PILA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","59 patients","3 ","3","SCIP-INF-2 " "400003","HOSPITAL DR PILA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","40%","53 patients",,,"AMI-2 " "400003","HOSPITAL DR PILA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1 ","1","HF-4 " "400003","HOSPITAL DR PILA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","55%","31 patients",,,"HF-3 " "400003","HOSPITAL DR PILA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","59%","81 patients",,,"PN-6 " "400003","HOSPITAL DR PILA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","39%","31 patients","3 ","3","PN-7 " "400003","HOSPITAL DR PILA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "400003","HOSPITAL DR PILA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","23%","53 patients",,,"PN-5C " "400003","HOSPITAL DR PILA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "400003","HOSPITAL DR PILA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","73%","44 patients",,,"PN-3B " "400003","HOSPITAL DR PILA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","30%","115 patients",,,"HF-2 " "400003","HOSPITAL DR PILA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","58%","55 patients","3 ","3","SCIP-VTE-2 " "400003","HOSPITAL DR PILA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","36%","11 patients","1 ","1","PN-4 " "400003","HOSPITAL DR PILA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","26%","122 patients",,,"HF-1 " "400003","HOSPITAL DR PILA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","42%","91 patients",,,"PN-2 " "400003","HOSPITAL DR PILA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","76%","116 patients",,,"AMI-1 " "400003","HOSPITAL DR PILA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400003","HOSPITAL DR PILA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","58%","57 patients","3 ","3","SCIP-VTE-1 " "400003","HOSPITAL DR PILA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","AMI-3 " "400003","HOSPITAL DR PILA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","59 patients","3 ","3","SCIP-INF-3 " "400003","HOSPITAL DR PILA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "400003","HOSPITAL DR PILA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","10 patients","1 ","1","SCIP-CARD-2 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","60%","94 patients","2,3 ","23","SCIP-INF-1 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","13 patients","1,2,3 ","123","HF-3 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2,3 ","123","PN-4 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","96 patients","2,3 ","23","SCIP-INF-2 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1,2,3 ","123","AMI-1 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1,2,3 ","123","AMI-2 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","11%","99 patients","2,3 ","23","SCIP-INF-6 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","HF-4 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","54 patients","2,3 ","23","HF-2 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","94 patients","2,3 ","23","SCIP-INF-3 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2,3 ","123","AMI-4 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","25 patients","2,3 ","23","PN-5C " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","26%","57 patients","2,3 ","23","HF-1 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","31 patients","2,3 ","23","PN-3B " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","27 patients","2,3 ","23","PN-2 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","7%","27 patients","2,3 ","23","SCIP-VTE-1 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","8%","25 patients","2,3 ","23","SCIP-VTE-2 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","25 patients","2,3 ","23","PN-6 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1,2,3 ","123","AMI-5 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2,3 ","123","AMI-3 " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400004","ASOCIACION HOSPITAL DEL MAESTRO, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400005","HIMA SAN PABLO HUMACAO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","46 patients",,,"SCIP-VTE-2 " "400005","HIMA SAN PABLO HUMACAO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","90 patients",,,"AMI-1 " "400005","HIMA SAN PABLO HUMACAO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","118 patients",,,"HF-1 " "400005","HIMA SAN PABLO HUMACAO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","79 patients",,,"AMI-5 " "400005","HIMA SAN PABLO HUMACAO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","44%","84 patients",,,"SCIP-INF-3 " "400005","HIMA SAN PABLO HUMACAO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400005","HIMA SAN PABLO HUMACAO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","100 patients",,,"PN-5C " "400005","HIMA SAN PABLO HUMACAO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","76 patients",,,"SCIP-INF-6 " "400005","HIMA SAN PABLO HUMACAO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1 ","1","AMI-4 " "400005","HIMA SAN PABLO HUMACAO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "400005","HIMA SAN PABLO HUMACAO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","68 patients",,,"AMI-2 " "400005","HIMA SAN PABLO HUMACAO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "400005","HIMA SAN PABLO HUMACAO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "400005","HIMA SAN PABLO HUMACAO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","74%","74 patients",,,"PN-3B " "400005","HIMA SAN PABLO HUMACAO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","34%","77 patients",,,"PN-2 " "400005","HIMA SAN PABLO HUMACAO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400005","HIMA SAN PABLO HUMACAO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","86 patients",,,"SCIP-INF-2 " "400005","HIMA SAN PABLO HUMACAO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","75 patients",,,"PN-6 " "400005","HIMA SAN PABLO HUMACAO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","65%","85 patients",,,"SCIP-INF-1 " "400005","HIMA SAN PABLO HUMACAO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","119 patients",,,"HF-2 " "400005","HIMA SAN PABLO HUMACAO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","44%","52 patients",,,"PN-7 " "400005","HIMA SAN PABLO HUMACAO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"HF-3 " "400005","HIMA SAN PABLO HUMACAO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","HF-4 " "400005","HIMA SAN PABLO HUMACAO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "400005","HIMA SAN PABLO HUMACAO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","47 patients",,,"SCIP-VTE-1 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","40%","5 patients","1,2,3 ","123","PN-6 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1,2,3 ","123","AMI-2 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1,2,3 ","123","AMI-5 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1,2,3 ","123","AMI-7A " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","4 patients","1,2,3 ","123","HF-4 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,2,3 ","123","AMI-1 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","8 patients","1,2,3 ","123","HF-3 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","AMI-4 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","20 patients","1,2,3 ","123","HF-2 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","20 patients","1,2,3 ","123","HF-1 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,2,3 ","123","AMI-3 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","3 patients","1,2,3 ","123","PN-2 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400006","DOCTORS' CENTER HOSPITAL SAN JUAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","4 patients","1,2,3 ","123","PN-4 " "400007","RYDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","28%","102 patients",,,"SCIP-INF-1 " "400007","RYDER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","12 patients","1 ","1","AMI-7A " "400007","RYDER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","10 patients","1 ","1","AMI-3 " "400007","RYDER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","67 patients",,,"PN-6 " "400007","RYDER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","74%","38 patients",,,"PN-3B " "400007","RYDER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","68%","57 patients",,,"AMI-5 " "400007","RYDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400007","RYDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","99 patients",,,"SCIP-INF-3 " "400007","RYDER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","79 patients",,,"AMI-1 " "400007","RYDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400007","RYDER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","HF-4 " "400007","RYDER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","43%","67 patients",,,"PN-5C " "400007","RYDER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","10%","21 patients","1 ","1","PN-7 " "400007","RYDER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","23 patients","1 ","1","HF-3 " "400007","RYDER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","7%","76 patients",,,"HF-1 " "400007","RYDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400007","RYDER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","46 patients",,,"PN-2 " "400007","RYDER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","38%","8 patients","1 ","1","PN-4 " "400007","RYDER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1 ","1","AMI-4 " "400007","RYDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400007","RYDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400007","RYDER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","78 patients",,,"HF-2 " "400007","RYDER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400007","RYDER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","65%","52 patients",,,"AMI-2 " "400007","RYDER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","98 patients",,,"SCIP-INF-2 " "400009","SANTA ROSA CLINIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","14%","7 patients","1 ","1","SCIP-INF-6 " "400009","SANTA ROSA CLINIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","9 patients","1 ","1","PN-2 " "400009","SANTA ROSA CLINIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","4 patients","1 ","1","SCIP-INF-3 " "400009","SANTA ROSA CLINIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","23 patients","1 ","1","HF-1 " "400009","SANTA ROSA CLINIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "400009","SANTA ROSA CLINIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "400009","SANTA ROSA CLINIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","25%","4 patients","1 ","1","SCIP-INF-2 " "400009","SANTA ROSA CLINIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "400009","SANTA ROSA CLINIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "400009","SANTA ROSA CLINIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","11 patients","1 ","1","PN-5C " "400009","SANTA ROSA CLINIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "400009","SANTA ROSA CLINIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400009","SANTA ROSA CLINIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "400009","SANTA ROSA CLINIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "400009","SANTA ROSA CLINIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "400009","SANTA ROSA CLINIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","25%","4 patients","1 ","1","SCIP-INF-1 " "400009","SANTA ROSA CLINIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","7 patients","1 ","1","SCIP-VTE-1 " "400009","SANTA ROSA CLINIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "400009","SANTA ROSA CLINIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","23 patients","1 ","1","HF-2 " "400009","SANTA ROSA CLINIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "400009","SANTA ROSA CLINIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "400009","SANTA ROSA CLINIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","7 patients","1 ","1","SCIP-VTE-2 " "400009","SANTA ROSA CLINIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "400009","SANTA ROSA CLINIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","60%","10 patients","1 ","1","PN-6 " "400009","SANTA ROSA CLINIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400010","CASTANER GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "400010","CASTANER GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400010","CASTANER GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,2,3 ","123","HF-1 " "400010","CASTANER GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "400010","CASTANER GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","2 patients","1,2,3 ","123","PN-5C " "400010","CASTANER GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400010","CASTANER GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","3 patients","1,2,3 ","123","PN-2 " "400010","CASTANER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400010","CASTANER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400010","CASTANER GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","3 patients","1,2 ","12","PN-7 " "400010","CASTANER GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,2,3 ","123","PN-6 " "400010","CASTANER GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "400010","CASTANER GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400010","CASTANER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400010","CASTANER GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400010","CASTANER GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,2,3 ","123","HF-2 " "400010","CASTANER GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400010","CASTANER GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400010","CASTANER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400010","CASTANER GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "400010","CASTANER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400010","CASTANER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400010","CASTANER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400010","CASTANER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400010","CASTANER GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400011","HOSPITAL DR DOMINGUEZ","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400011","HOSPITAL DR DOMINGUEZ","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "400011","HOSPITAL DR DOMINGUEZ","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400011","HOSPITAL DR DOMINGUEZ","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "400011","HOSPITAL DR DOMINGUEZ","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "400011","HOSPITAL DR DOMINGUEZ","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "400011","HOSPITAL DR DOMINGUEZ","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "400011","HOSPITAL DR DOMINGUEZ","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400011","HOSPITAL DR DOMINGUEZ","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400011","HOSPITAL DR DOMINGUEZ","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400011","HOSPITAL DR DOMINGUEZ","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400011","HOSPITAL DR DOMINGUEZ","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400011","HOSPITAL DR DOMINGUEZ","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400011","HOSPITAL DR DOMINGUEZ","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400011","HOSPITAL DR DOMINGUEZ","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400011","HOSPITAL DR DOMINGUEZ","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400011","HOSPITAL DR DOMINGUEZ","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400011","HOSPITAL DR DOMINGUEZ","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400011","HOSPITAL DR DOMINGUEZ","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400011","HOSPITAL DR DOMINGUEZ","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400011","HOSPITAL DR DOMINGUEZ","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400011","HOSPITAL DR DOMINGUEZ","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400011","HOSPITAL DR DOMINGUEZ","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400011","HOSPITAL DR DOMINGUEZ","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400011","HOSPITAL DR DOMINGUEZ","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","371 patients",,,"SCIP-INF-1 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","367 patients",,,"SCIP-INF-3 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","209 patients",,,"SCIP-VTE-1 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","3 ","3","PN-7 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","206 patients",,,"SCIP-VTE-2 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","370 patients",,,"SCIP-INF-6 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","370 patients",,,"SCIP-INF-2 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "400012","DR I GONZALEZ MARTINEZ ONCOLOGY HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "400013","HOSPITAL MENONITA DE CAYEY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","111 patients","2 ","2","SCIP-INF-2 " "400013","HOSPITAL MENONITA DE CAYEY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","20%","10 patients","1,2 ","12","SCIP-CARD-2 " "400013","HOSPITAL MENONITA DE CAYEY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","112 patients","2 ","2","SCIP-INF-1 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","96 patients","2 ","2","HF-3 " "400013","HOSPITAL MENONITA DE CAYEY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","68%","111 patients","2 ","2","SCIP-INF-3 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","93 patients",,,"AMI-2 " "400013","HOSPITAL MENONITA DE CAYEY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","88 patients","2 ","2","PN-2 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","271 patients","2 ","2","HF-2 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","15%","13 patients","1 ","1","AMI-7A " "400013","HOSPITAL MENONITA DE CAYEY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","86 patients",,,"PN-7 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "400013","HOSPITAL MENONITA DE CAYEY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","50 patients","2 ","2","PN-3B " "400013","HOSPITAL MENONITA DE CAYEY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients","2 ","2","HF-4 " "400013","HOSPITAL MENONITA DE CAYEY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","64%","131 patients","2 ","2","SCIP-INF-6 " "400013","HOSPITAL MENONITA DE CAYEY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","62 patients","2 ","2","SCIP-VTE-1 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","156 patients",,,"AMI-1 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","19 patients","1 ","1","AMI-3 " "400013","HOSPITAL MENONITA DE CAYEY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","112 patients","2 ","2","PN-6 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400013","HOSPITAL MENONITA DE CAYEY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1,2 ","12","PN-4 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","108 patients",,,"AMI-5 " "400013","HOSPITAL MENONITA DE CAYEY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","62 patients","2 ","2","SCIP-VTE-2 " "400013","HOSPITAL MENONITA DE CAYEY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","271 patients","2 ","2","HF-1 " "400013","HOSPITAL MENONITA DE CAYEY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400013","HOSPITAL MENONITA DE CAYEY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","61%","137 patients","2 ","2","PN-5C " "400014","BELLA VISTA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "400014","BELLA VISTA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","PN-4 " "400014","BELLA VISTA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "400014","BELLA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","32%","605 patients",,,"SCIP-INF-1 " "400014","BELLA VISTA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","1%","245 patients",,,"PN-2 " "400014","BELLA VISTA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "400014","BELLA VISTA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","177 patients",,,"PN-3B " "400014","BELLA VISTA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","76%","49 patients",,,"AMI-2 " "400014","BELLA VISTA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","89 patients",,,"AMI-1 " "400014","BELLA VISTA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","2%","164 patients",,,"PN-7 " "400014","BELLA VISTA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","59%","312 patients",,,"PN-5C " "400014","BELLA VISTA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","51 patients",,,"AMI-5 " "400014","BELLA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","215 patients",,,"SCIP-VTE-2 " "400014","BELLA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400014","BELLA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","5%","569 patients",,,"SCIP-INF-3 " "400014","BELLA VISTA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","123 patients",,,"HF-2 " "400014","BELLA VISTA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "400014","BELLA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400014","BELLA VISTA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","49 patients",,,"HF-3 " "400014","BELLA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","639 patients",,,"SCIP-INF-6 " "400014","BELLA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","380 patients",,,"SCIP-INF-2 " "400014","BELLA VISTA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","222 patients",,,"SCIP-VTE-1 " "400014","BELLA VISTA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","123 patients",,,"HF-1 " "400014","BELLA VISTA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","230 patients",,,"PN-6 " "400014","BELLA VISTA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","19 patients","1 ","1","AMI-2 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","27%","15 patients","1 ","1","PN-7 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","16 patients","1 ","1","PN-6 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","HF-3 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","53%","53 patients",,,"HF-2 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","27%","15 patients","1 ","1","SCIP-VTE-2 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","20 patients","1 ","1","AMI-5 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","14%","29 patients",,,"PN-3B " "400015","SAN JUAN MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","25%","16 patients","1 ","1","SCIP-VTE-1 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","AMI-4 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","66 patients",,,"SCIP-INF-1 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","18%","11 patients","1 ","1","PN-2 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","65 patients",,,"SCIP-INF-2 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","60 patients",,,"HF-1 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","74%","27 patients",,,"PN-5C " "400015","SAN JUAN MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","64 patients",,,"SCIP-INF-3 " "400015","SAN JUAN MUNICIPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","12%","33 patients",,,"SCIP-INF-6 " "400016","AUXILIO MUTUO HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","170 patients",,,"AMI-1 " "400016","AUXILIO MUTUO HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","40%","108 patients",,,"PN-3B " "400016","AUXILIO MUTUO HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","35%","557 patients",,,"HF-1 " "400016","AUXILIO MUTUO HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","PN-4 " "400016","AUXILIO MUTUO HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","401 patients","2 ","2","SCIP-INF-6 " "400016","AUXILIO MUTUO HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","51%","174 patients",,,"PN-2 " "400016","AUXILIO MUTUO HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","560 patients",,,"HF-2 " "400016","AUXILIO MUTUO HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","46%","26 patients",,,"AMI-4 " "400016","AUXILIO MUTUO HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","53%","90 patients","2 ","2","SCIP-INF-4 " "400016","AUXILIO MUTUO HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","72%","206 patients",,,"AMI-5 " "400016","AUXILIO MUTUO HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","10%","10 patients","1 ","1","AMI-8A " "400016","AUXILIO MUTUO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","151 patients","2 ","2","SCIP-VTE-2 " "400016","AUXILIO MUTUO HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","364 patients","2 ","2","SCIP-INF-2 " "400016","AUXILIO MUTUO HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","43%","28 patients",,,"HF-4 " "400016","AUXILIO MUTUO HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","37%","98 patients",,,"PN-6 " "400016","AUXILIO MUTUO HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","40%","121 patients",,,"PN-5C " "400016","AUXILIO MUTUO HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","154 patients","2 ","2","SCIP-VTE-1 " "400016","AUXILIO MUTUO HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","97 patients",,,"HF-3 " "400016","AUXILIO MUTUO HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","362 patients","2 ","2","SCIP-INF-1 " "400016","AUXILIO MUTUO HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","48%","349 patients","2 ","2","SCIP-INF-3 " "400016","AUXILIO MUTUO HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","27 patients",,,"AMI-3 " "400016","AUXILIO MUTUO HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","68%","199 patients",,,"AMI-2 " "400016","AUXILIO MUTUO HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","13%","39 patients","2 ","2","SCIP-CARD-2 " "400016","AUXILIO MUTUO HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","121 patients",,,"PN-7 " "400016","AUXILIO MUTUO HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "400018","MENNONITE GENERAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","62%","42 patients","2 ","2","PN-3B " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","122 patients","2 ","2","HF-1 " "400018","MENNONITE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","37%","35 patients","2 ","2","AMI-5 " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients","2 ","2","HF-3 " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1,2 ","12","HF-4 " "400018","MENNONITE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","41 patients","2 ","2","SCIP-INF-2 " "400018","MENNONITE GENERAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","16%","19 patients","1,2 ","12","PN-7 " "400018","MENNONITE GENERAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","41 patients","2 ","2","PN-6 " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2 ","12","AMI-4 " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1,2 ","12","AMI-3 " "400018","MENNONITE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","29%","41 patients","2 ","2","SCIP-VTE-1 " "400018","MENNONITE GENERAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","60%","35 patients","2 ","2","PN-5C " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","53%","119 patients","2 ","2","HF-2 " "400018","MENNONITE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","30%","40 patients","2 ","2","SCIP-VTE-2 " "400018","MENNONITE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","39 patients","2 ","2","SCIP-INF-3 " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","25%","4 patients","1,2 ","12","AMI-7A " "400018","MENNONITE GENERAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","PN-4 " "400018","MENNONITE GENERAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","15%","34 patients","2 ","2","PN-2 " "400018","MENNONITE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","32%","40 patients","2 ","2","SCIP-INF-1 " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","64 patients","2 ","2","AMI-1 " "400018","MENNONITE GENERAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","45%","31 patients","2 ","2","AMI-2 " "400018","MENNONITE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","68 patients","2 ","2","SCIP-INF-6 " "400018","MENNONITE GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400019","HOSPITAL PAVIA SANTURCE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","271 patients",,,"AMI-2 " "400019","HOSPITAL PAVIA SANTURCE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","69 patients","2 ","2","SCIP-CARD-2 " "400019","HOSPITAL PAVIA SANTURCE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","9%","11 patients","1 ","1","AMI-8A " "400019","HOSPITAL PAVIA SANTURCE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","28%","58 patients",,,"PN-5C " "400019","HOSPITAL PAVIA SANTURCE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","63%","336 patients","2 ","2","SCIP-INF-3 " "400019","HOSPITAL PAVIA SANTURCE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","142 patients",,,"PN-6 " "400019","HOSPITAL PAVIA SANTURCE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "400019","HOSPITAL PAVIA SANTURCE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","29%","490 patients","2 ","2","SCIP-INF-6 " "400019","HOSPITAL PAVIA SANTURCE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "400019","HOSPITAL PAVIA SANTURCE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","27%","86 patients",,,"PN-7 " "400019","HOSPITAL PAVIA SANTURCE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","57 patients",,,"HF-3 " "400019","HOSPITAL PAVIA SANTURCE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","265 patients",,,"AMI-5 " "400019","HOSPITAL PAVIA SANTURCE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","44 patients",,,"AMI-3 " "400019","HOSPITAL PAVIA SANTURCE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","60%","351 patients","2 ","2","SCIP-INF-1 " "400019","HOSPITAL PAVIA SANTURCE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","150 patients",,,"HF-1 " "400019","HOSPITAL PAVIA SANTURCE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","69%","181 patients","2 ","2","SCIP-INF-4 " "400019","HOSPITAL PAVIA SANTURCE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","58%","167 patients","2 ","2","SCIP-VTE-2 " "400019","HOSPITAL PAVIA SANTURCE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","111 patients",,,"AMI-4 " "400019","HOSPITAL PAVIA SANTURCE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","59%","66 patients",,,"PN-3B " "400019","HOSPITAL PAVIA SANTURCE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","335 patients","2 ","2","SCIP-INF-2 " "400019","HOSPITAL PAVIA SANTURCE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","43 patients",,,"PN-4 " "400019","HOSPITAL PAVIA SANTURCE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","22%","140 patients",,,"PN-2 " "400019","HOSPITAL PAVIA SANTURCE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","150 patients",,,"HF-2 " "400019","HOSPITAL PAVIA SANTURCE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","55%","175 patients","2 ","2","SCIP-VTE-1 " "400019","HOSPITAL PAVIA SANTURCE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","98 patients",,,"AMI-1 " "400021","HOSPITAL DE LA CONCEPCION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","174 patients",,,"AMI-5 " "400021","HOSPITAL DE LA CONCEPCION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400021","HOSPITAL DE LA CONCEPCION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400021","HOSPITAL DE LA CONCEPCION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "400021","HOSPITAL DE LA CONCEPCION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1 ","1","SCIP-CARD-2 " "400021","HOSPITAL DE LA CONCEPCION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "400021","HOSPITAL DE LA CONCEPCION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400021","HOSPITAL DE LA CONCEPCION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400021","HOSPITAL DE LA CONCEPCION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400021","HOSPITAL DE LA CONCEPCION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400021","HOSPITAL DE LA CONCEPCION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","216 patients",,,"HF-1 " "400021","HOSPITAL DE LA CONCEPCION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400021","HOSPITAL DE LA CONCEPCION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400021","HOSPITAL DE LA CONCEPCION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","50 patients",,,"AMI-3 " "400021","HOSPITAL DE LA CONCEPCION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400021","HOSPITAL DE LA CONCEPCION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400021","HOSPITAL DE LA CONCEPCION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400021","HOSPITAL DE LA CONCEPCION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","191 patients",,,"AMI-1 " "400021","HOSPITAL DE LA CONCEPCION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","146 patients",,,"SCIP-INF-2 " "400021","HOSPITAL DE LA CONCEPCION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","173 patients",,,"AMI-2 " "400021","HOSPITAL DE LA CONCEPCION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","72 patients",,,"HF-3 " "400021","HOSPITAL DE LA CONCEPCION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "400021","HOSPITAL DE LA CONCEPCION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","215 patients",,,"HF-2 " "400021","HOSPITAL DE LA CONCEPCION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400021","HOSPITAL DE LA CONCEPCION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400022","HOSPITAL DAMAS INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","179 patients","2 ","2","HF-2 " "400022","HOSPITAL DAMAS INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","47 patients","2 ","2","HF-3 " "400022","HOSPITAL DAMAS INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","28 patients",,,"AMI-3 " "400022","HOSPITAL DAMAS INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","77%","22 patients","1 ","1","PN-5C " "400022","HOSPITAL DAMAS INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","375 patients","2 ","2","SCIP-INF-6 " "400022","HOSPITAL DAMAS INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","42 patients",,,"PN-6 " "400022","HOSPITAL DAMAS INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400022","HOSPITAL DAMAS INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"AMI-4 " "400022","HOSPITAL DAMAS INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","40 patients",,,"PN-3B " "400022","HOSPITAL DAMAS INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","77%","13 patients","1 ","1","AMI-7A " "400022","HOSPITAL DAMAS INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","129 patients","2 ","2","SCIP-VTE-1 " "400022","HOSPITAL DAMAS INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "400022","HOSPITAL DAMAS INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","178 patients","2 ","2","HF-1 " "400022","HOSPITAL DAMAS INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","125 patients","2 ","2","SCIP-VTE-2 " "400022","HOSPITAL DAMAS INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","54%","347 patients","2 ","2","SCIP-INF-3 " "400022","HOSPITAL DAMAS INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","348 patients","2 ","2","SCIP-INF-1 " "400022","HOSPITAL DAMAS INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","19%","31 patients",,,"PN-7 " "400022","HOSPITAL DAMAS INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","113 patients",,,"AMI-2 " "400022","HOSPITAL DAMAS INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","115 patients",,,"AMI-5 " "400022","HOSPITAL DAMAS INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","348 patients","2 ","2","SCIP-INF-2 " "400022","HOSPITAL DAMAS INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","116 patients",,,"AMI-1 " "400022","HOSPITAL DAMAS INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","36%","33 patients",,,"PN-2 " "400022","HOSPITAL DAMAS INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","69 patients","2 ","2","SCIP-INF-4 " "400022","HOSPITAL DAMAS INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","45 patients","2 ","2","SCIP-CARD-2 " "400022","HOSPITAL DAMAS INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","HF-4 " "400024","CLINICA ESPANOLA INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400024","CLINICA ESPANOLA INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","5 patients","1,2,3 ","123","PN-2 " "400024","CLINICA ESPANOLA INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400024","CLINICA ESPANOLA INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,2,3 ","123","HF-2 " "400024","CLINICA ESPANOLA INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","7 patients","1,2,3 ","123","PN-5C " "400024","CLINICA ESPANOLA INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400024","CLINICA ESPANOLA INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400024","CLINICA ESPANOLA INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400024","CLINICA ESPANOLA INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400024","CLINICA ESPANOLA INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1,2,3 ","123","PN-3B " "400024","CLINICA ESPANOLA INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400024","CLINICA ESPANOLA INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400024","CLINICA ESPANOLA INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","7 patients","1,2,3 ","123","HF-1 " "400024","CLINICA ESPANOLA INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400024","CLINICA ESPANOLA INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400024","CLINICA ESPANOLA INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,2,3 ","123","PN-6 " "400024","CLINICA ESPANOLA INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400024","CLINICA ESPANOLA INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2,3 ","123","HF-3 " "400024","CLINICA ESPANOLA INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400024","CLINICA ESPANOLA INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400024","CLINICA ESPANOLA INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400024","CLINICA ESPANOLA INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1,2,3 ","123","PN-4 " "400024","CLINICA ESPANOLA INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","2,3 ","23","PN-7 " "400024","CLINICA ESPANOLA INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","HF-4 " "400024","CLINICA ESPANOLA INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400026","LAFAYETTE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","34 patients","2 ","2","HF-2 " "400026","LAFAYETTE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","6 patients","1,2 ","12","PN-7 " "400026","LAFAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400026","LAFAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400026","LAFAYETTE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","12 patients","1,2 ","12","PN-5C " "400026","LAFAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400026","LAFAYETTE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","23 patients","1,2 ","12","AMI-1 " "400026","LAFAYETTE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","14 patients","1,2 ","12","PN-2 " "400026","LAFAYETTE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1,2 ","12","AMI-5 " "400026","LAFAYETTE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1,2 ","12","AMI-2 " "400026","LAFAYETTE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","AMI-4 " "400026","LAFAYETTE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","59%","17 patients","1,2 ","12","PN-6 " "400026","LAFAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400026","LAFAYETTE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","AMI-3 " "400026","LAFAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400026","LAFAYETTE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","HF-4 " "400026","LAFAYETTE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "400026","LAFAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400026","LAFAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400026","LAFAYETTE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","34 patients","2 ","2","HF-1 " "400026","LAFAYETTE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400026","LAFAYETTE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1,2 ","12","HF-3 " "400026","LAFAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400026","LAFAYETTE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","53%","17 patients","1,2 ","12","PN-3B " "400026","LAFAYETTE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","PN-4 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400028","HOSPITAL ONCOLOGICO ANDRES GRILLASCA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","139 patients",,,"PN-5C " "400032","HOSPITAL HERMANOS MELENDEZ INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","85%","52 patients",,,"AMI-2 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","24%","79 patients",,,"PN-7 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","77 patients",,,"PN-3B " "400032","HOSPITAL HERMANOS MELENDEZ INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","80%","76 patients","2 ","2","SCIP-INF-6 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","263 patients",,,"HF-1 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","106 patients",,,"PN-6 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","263 patients",,,"HF-2 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","74 patients","2 ","2","SCIP-INF-3 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","75 patients","2 ","2","SCIP-INF-1 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400032","HOSPITAL HERMANOS MELENDEZ INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","17 patients","1,2 ","12","SCIP-VTE-1 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","23%","117 patients",,,"PN-2 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","56 patients",,,"AMI-5 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","93 patients",,,"AMI-1 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","74 patients","2 ","2","SCIP-INF-2 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","17 patients","1,2 ","12","SCIP-VTE-2 " "400032","HOSPITAL HERMANOS MELENDEZ INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","63 patients",,,"HF-3 " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","119 patients",,,"HF-3 " "40003F","SAN JUAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","244 patients",,,"SCIP-INF-3 " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","79%","33 patients",,,"HF-4 " "40003F","SAN JUAN VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","187 patients",,,"PN-7 " "40003F","SAN JUAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","207 patients","2 ","2","SCIP-VTE-1 " "40003F","SAN JUAN VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","272 patients",,,"PN-5C " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","338 patients",,,"HF-2 " "40003F","SAN JUAN VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","347 patients",,,"PN-2 " "40003F","SAN JUAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","90 patients","2 ","2","SCIP-INF-4 " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","186 patients",,,"AMI-1 " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"AMI-3 " "40003F","SAN JUAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","252 patients",,,"SCIP-INF-2 " "40003F","SAN JUAN VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","312 patients",,,"PN-3B " "40003F","SAN JUAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","119 patients","2 ","2","SCIP-CARD-2 " "40003F","SAN JUAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","251 patients",,,"SCIP-INF-1 " "40003F","SAN JUAN VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","35 patients",,,"PN-4 " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","207 patients",,,"AMI-2 " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","191 patients",,,"AMI-5 " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","AMI-4 " "40003F","SAN JUAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","363 patients","2 ","2","SCIP-INF-6 " "40003F","SAN JUAN VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","101 patients",,,"PN-6 " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","328 patients",,,"HF-1 " "40003F","SAN JUAN VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-8A " "40003F","SAN JUAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","207 patients","2 ","2","SCIP-VTE-2 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","59%","34 patients",,,"SCIP-CARD-2 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","248 patients",,,"SCIP-INF-6 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","47 patients",,,"PN-7 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","69%","35 patients",,,"PN-3B " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","38 patients",,,"SCIP-VTE-2 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","73 patients",,,"AMI-3 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"AMI-4 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","344 patients",,,"AMI-2 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","107 patients",,,"SCIP-INF-4 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","81 patients",,,"PN-2 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","319 patients",,,"AMI-5 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","69%","124 patients",,,"PN-5C " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","524 patients",,,"HF-2 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","230 patients",,,"SCIP-INF-1 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","97 patients",,,"PN-6 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","39 patients",,,"SCIP-VTE-1 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","157 patients",,,"HF-3 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","38%","8 patients","1 ","1","AMI-8A " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","524 patients",,,"HF-1 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","7 patients","1 ","1","AMI-7A " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","74%","229 patients",,,"SCIP-INF-3 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","254 patients",,,"AMI-1 " "400044","SAN LUKE'S MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","234 patients",,,"SCIP-INF-2 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","165 patients",,,"HF-2 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","56 patients",,,"AMI-1 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","50 patients",,,"PN-2 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","139 patients",,,"SCIP-INF-3 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","165 patients",,,"HF-1 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","53%","45 patients",,,"PN-7 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","27 patients",,,"PN-3B " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","141 patients",,,"SCIP-INF-1 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","41%","44 patients",,,"SCIP-VTE-1 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","141 patients",,,"SCIP-INF-2 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","19 patients","1 ","1","AMI-5 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","128 patients",,,"SCIP-INF-6 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","68 patients",,,"PN-6 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","65 patients",,,"PN-5C " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","48 patients",,,"HF-3 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1 ","1","SCIP-CARD-2 " "400048","HOSPITAL EPISCOPAL CRISTO REDENTOR INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","43%","42 patients",,,"SCIP-VTE-2 " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400061","UNIVERSITY DISTRICT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","7 patients","1,3 ","13","PN-2 " "400061","UNIVERSITY DISTRICT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,3 ","13","PN-3B " "400061","UNIVERSITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","65%","151 patients",,,"SCIP-INF-3 " "400061","UNIVERSITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","124 patients",,,"SCIP-VTE-1 " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400061","UNIVERSITY DISTRICT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","5 patients","1,3 ","13","PN-4 " "400061","UNIVERSITY DISTRICT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","3 patients","1,3 ","13","PN-6 " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400061","UNIVERSITY DISTRICT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","14%","7 patients","1,3 ","13","PN-5C " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","9 patients","1 ","1","HF-2 " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","8 patients","1 ","1","HF-1 " "400061","UNIVERSITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","4 patients","1 ","1","SCIP-CARD-2 " "400061","UNIVERSITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400061","UNIVERSITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","159 patients",,,"SCIP-INF-1 " "400061","UNIVERSITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","116 patients",,,"SCIP-VTE-2 " "400061","UNIVERSITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","81%","245 patients",,,"SCIP-INF-6 " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400061","UNIVERSITY DISTRICT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","155 patients",,,"SCIP-INF-2 " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400061","UNIVERSITY DISTRICT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "400061","UNIVERSITY DISTRICT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","4 patients","1 ","1","PN-7 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","197 patients",,,"AMI-1 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","132 patients",,,"HF-3 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","16%","64 patients",,,"PN-2 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","46%","13 patients","1 ","1","AMI-7A " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","257 patients",,,"HF-2 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","53%","116 patients",,,"PN-6 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","36%","107 patients",,,"PN-5C " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","38%","8 patients","1 ","1","PN-3B " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","28 patients",,,"SCIP-INF-2 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","21 patients","1 ","1","SCIP-VTE-1 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","173 patients",,,"AMI-5 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","58%","12 patients","1 ","1","SCIP-VTE-2 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","257 patients",,,"HF-1 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","48 patients",,,"SCIP-INF-6 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","62 patients",,,"AMI-3 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","11%","65 patients",,,"PN-7 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","66%","160 patients",,,"AMI-2 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","32%","31 patients",,,"SCIP-INF-1 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","28 patients",,,"SCIP-INF-3 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "400079","HOSP COMUNITARIO BUEN SAMARITANO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","43 patients","2 ","2","PN-7 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","93 patients","2 ","2","SCIP-INF-6 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","62%","96 patients","2 ","2","PN-5C " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","27 patients","2 ","2","SCIP-VTE-2 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1,2 ","12","HF-4 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,2 ","12","PN-4 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","77 patients","2 ","2","SCIP-INF-3 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","67 patients","2 ","2","PN-2 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","34 patients","2 ","2","AMI-4 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","59 patients","2 ","2","PN-6 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","70 patients","2 ","2","HF-3 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","92%","24 patients","1,2 ","12","AMI-7A " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","77 patients","2 ","2","SCIP-INF-2 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","136 patients","2 ","2","AMI-5 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","60 patients","2 ","2","PN-3B " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","77 patients","2 ","2","SCIP-INF-1 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","170 patients","2 ","2","AMI-1 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","37 patients","2 ","2","AMI-3 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","123 patients","2 ","2","AMI-2 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","130 patients","2 ","2","HF-1 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","124 patients","2 ","2","HF-2 " "400087","HOSPITAL DR CAYETANO COLL Y TOSTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","27 patients","2 ","2","SCIP-VTE-1 " "400098","HOSPITAL SAN FRANCISCO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "400098","HOSPITAL SAN FRANCISCO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400098","HOSPITAL SAN FRANCISCO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400098","HOSPITAL SAN FRANCISCO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400098","HOSPITAL SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400098","HOSPITAL SAN FRANCISCO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400098","HOSPITAL SAN FRANCISCO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "400098","HOSPITAL SAN FRANCISCO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400098","HOSPITAL SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400098","HOSPITAL SAN FRANCISCO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400098","HOSPITAL SAN FRANCISCO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400098","HOSPITAL SAN FRANCISCO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "400098","HOSPITAL SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400098","HOSPITAL SAN FRANCISCO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400098","HOSPITAL SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400098","HOSPITAL SAN FRANCISCO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400098","HOSPITAL SAN FRANCISCO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400098","HOSPITAL SAN FRANCISCO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400098","HOSPITAL SAN FRANCISCO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "400098","HOSPITAL SAN FRANCISCO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400098","HOSPITAL SAN FRANCISCO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400098","HOSPITAL SAN FRANCISCO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400098","HOSPITAL SAN FRANCISCO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "400098","HOSPITAL SAN FRANCISCO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400098","HOSPITAL SAN FRANCISCO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400102","HOSPITAL MATILDE BRENES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","77%","75 patients","2 ","2","SCIP-INF-1 " "400102","HOSPITAL MATILDE BRENES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,2,3 ","123","PN-4 " "400102","HOSPITAL MATILDE BRENES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","34%","83 patients","2 ","2","SCIP-INF-6 " "400102","HOSPITAL MATILDE BRENES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","70 patients","2 ","2","SCIP-INF-2 " "400102","HOSPITAL MATILDE BRENES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400102","HOSPITAL MATILDE BRENES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","20%","5 patients","1,2,3 ","123","PN-2 " "400102","HOSPITAL MATILDE BRENES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","56%","41 patients","2 ","2","AMI-1 " "400102","HOSPITAL MATILDE BRENES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","2 patients","1,2,3 ","123","PN-6 " "400102","HOSPITAL MATILDE BRENES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "400102","HOSPITAL MATILDE BRENES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","70 patients","2 ","2","SCIP-INF-3 " "400102","HOSPITAL MATILDE BRENES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","43%","7 patients","1,2,3 ","123","PN-5C " "400102","HOSPITAL MATILDE BRENES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400102","HOSPITAL MATILDE BRENES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2,3 ","123","HF-3 " "400102","HOSPITAL MATILDE BRENES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","46%","13 patients","1,2,3 ","123","HF-2 " "400102","HOSPITAL MATILDE BRENES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","47%","15 patients","1,2 ","12","AMI-5 " "400102","HOSPITAL MATILDE BRENES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1,2 ","12","AMI-3 " "400102","HOSPITAL MATILDE BRENES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,2,3 ","123","HF-4 " "400102","HOSPITAL MATILDE BRENES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,2,3 ","123","PN-3B " "400102","HOSPITAL MATILDE BRENES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400102","HOSPITAL MATILDE BRENES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2 ","12","AMI-4 " "400102","HOSPITAL MATILDE BRENES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","62%","16 patients","1,2 ","12","AMI-2 " "400102","HOSPITAL MATILDE BRENES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","13 patients","1,2,3 ","123","HF-1 " "400102","HOSPITAL MATILDE BRENES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","7 patients","1,2 ","12","PN-7 " "400102","HOSPITAL MATILDE BRENES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400102","HOSPITAL MATILDE BRENES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","53%","36 patients","2 ","2","SCIP-VTE-2 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","40%","68 patients",,,"PN-5C " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","83 patients",,,"AMI-2 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","51 patients",,,"PN-6 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","42 patients",,,"PN-7 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-7A " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","102 patients",,,"HF-2 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","73 patients",,,"AMI-1 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","10%","198 patients",,,"SCIP-INF-1 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","200 patients",,,"SCIP-INF-2 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","79%","14 patients","1 ","1","HF-4 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","23%","60 patients",,,"PN-2 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","102 patients",,,"HF-1 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","AMI-4 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","86 patients",,,"AMI-5 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","15%","248 patients",,,"SCIP-INF-6 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","55 patients",,,"HF-3 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","70 patients",,,"PN-3B " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","8 patients","1 ","1","SCIP-VTE-2 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","38%","166 patients",,,"SCIP-INF-4 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","9 patients","1 ","1","SCIP-VTE-1 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","AMI-3 " "400103","CENTRO MEDICO DE MAYAG DR RAMON EMETERIO BETANCES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","166 patients",,,"SCIP-INF-3 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","38%","8 patients","1,3 ","13","AMI-3 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","3%","37 patients","3 ","3","PN-2 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","13 patients","1,3 ","13","PN-3B " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","61%","56 patients","3 ","3","AMI-5 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","24 patients","1,3 ","13","PN-4 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","74%","42 patients","3 ","3","AMI-1 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","36%","22 patients","1,3 ","13","PN-5C " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","44%","9 patients","1,3 ","13","HF-3 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","19 patients","1,3 ","13","HF-4 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","38%","40 patients","3 ","3","HF-2 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,3 ","13","AMI-4 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","36%","42 patients","3 ","3","PN-6 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","28%","40 patients","3 ","3","HF-1 " "400104","HOSPITAL SAN JUAN BAUTISTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","59 patients","3 ","3","AMI-2 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","29%","14 patients","1 ","1","SCIP-INF-2 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","4 patients","1 ","1","SCIP-VTE-1 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","44%","18 patients","1 ","1","SCIP-INF-6 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","2 patients","1 ","1","SCIP-VTE-2 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","57%","65 patients","3 ","3","PN-6 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","54 patients",,,"HF-1 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","48 patients","3 ","3","PN-2 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","79 patients","3 ","3","PN-3B " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","10 patients","1 ","1","AMI-7A " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients","3 ","3","PN-4 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","55%","84 patients","3 ","3","PN-5C " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","14 patients","1 ","1","SCIP-INF-3 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","54 patients",,,"HF-2 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","31%","16 patients","1 ","1","SCIP-INF-1 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","85 patients",,,"AMI-1 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","21 patients","1,3 ","13","PN-7 " "400105","HOSPITAL UNIVERSITARIO DR RUIZ ARNAU","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "400106","METROPOLITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","61 patients",,,"HF-3 " "400106","METROPOLITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","33%","39 patients","2,3 ","23","SCIP-INF-6 " "400106","METROPOLITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","43%","37 patients","2,3 ","23","SCIP-INF-1 " "400106","METROPOLITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400106","METROPOLITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","31%","13 patients","1,2,3 ","123","SCIP-VTE-1 " "400106","METROPOLITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","2%","226 patients",,,"PN-2 " "400106","METROPOLITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","149 patients",,,"PN-7 " "400106","METROPOLITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","72%","243 patients",,,"PN-3B " "400106","METROPOLITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "400106","METROPOLITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","49%","37 patients","2,3 ","23","SCIP-INF-2 " "400106","METROPOLITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","37 patients","2,3 ","23","SCIP-INF-3 " "400106","METROPOLITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","55 patients",,,"AMI-1 " "400106","METROPOLITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "400106","METROPOLITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","209 patients",,,"HF-2 " "400106","METROPOLITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","181 patients",,,"PN-6 " "400106","METROPOLITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400106","METROPOLITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","38%","42 patients",,,"AMI-2 " "400106","METROPOLITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","53%","43 patients",,,"AMI-5 " "400106","METROPOLITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","218 patients",,,"HF-1 " "400106","METROPOLITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "400106","METROPOLITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1,2,3 ","123","SCIP-VTE-2 " "400106","METROPOLITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "400106","METROPOLITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "400106","METROPOLITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","52%","226 patients",,,"PN-5C " "400106","METROPOLITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","131 patients",,,"HF-3 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","344 patients",,,"SCIP-VTE-1 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","42 patients",,,"HF-4 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","303 patients",,,"PN-5C " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","309 patients",,,"AMI-2 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","324 patients",,,"AMI-5 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","339 patients",,,"SCIP-VTE-2 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","185 patients",,,"PN-6 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","258 patients",,,"SCIP-INF-4 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"AMI-4 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","294 patients",,,"AMI-1 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","246 patients",,,"PN-3B " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","930 patients",,,"SCIP-INF-1 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","375 patients",,,"HF-2 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","937 patients",,,"SCIP-INF-2 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","371 patients",,,"HF-1 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","72 patients",,,"AMI-3 " "400109","HOSPITAL HIMA-SAN PABLO BAYAMON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","51 patients",,,"SCIP-VTE-1 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","72%","89 patients",,,"SCIP-INF-1 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","220 patients",,,"AMI-1 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","6 patients","1 ","1","AMI-7A " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","31 patients",,,"PN-4 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","76%","176 patients",,,"AMI-2 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","41 patients",,,"HF-4 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","36 patients",,,"AMI-3 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","25%","81 patients",,,"PN-2 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","87 patients",,,"SCIP-INF-3 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","65%","83 patients",,,"PN-6 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","37%","94 patients",,,"PN-5C " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","190 patients",,,"HF-2 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","190 patients",,,"HF-1 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","21%","62 patients",,,"PN-7 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","47 patients",,,"AMI-4 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","25 patients",,,"HF-3 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","43 patients",,,"SCIP-VTE-2 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","72%","177 patients",,,"AMI-5 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","103 patients",,,"SCIP-INF-6 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","88 patients",,,"SCIP-INF-2 " "400110","HOSPITAL METROPOLITANO DR TITO MATTEI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","62%","21 patients","1 ","1","PN-3B " "400111","HOSPITAL SAN CARLOS BORROMEO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1,2 ","12","AMI-7A " "400111","HOSPITAL SAN CARLOS BORROMEO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400111","HOSPITAL SAN CARLOS BORROMEO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400111","HOSPITAL SAN CARLOS BORROMEO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","165 patients","2 ","2","HF-1 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","163 patients","2 ","2","HF-2 " "400111","HOSPITAL SAN CARLOS BORROMEO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400111","HOSPITAL SAN CARLOS BORROMEO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","70 patients","2 ","2","HF-3 " "400111","HOSPITAL SAN CARLOS BORROMEO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","101 patients","2 ","2","AMI-1 " "400111","HOSPITAL SAN CARLOS BORROMEO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","37 patients","2 ","2","PN-3B " "400111","HOSPITAL SAN CARLOS BORROMEO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","42%","53 patients","2 ","2","PN-7 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","38 patients","2 ","2","AMI-3 " "400111","HOSPITAL SAN CARLOS BORROMEO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","PN-4 " "400111","HOSPITAL SAN CARLOS BORROMEO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400111","HOSPITAL SAN CARLOS BORROMEO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","29%","52 patients","2 ","2","PN-5C " "400111","HOSPITAL SAN CARLOS BORROMEO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","45%","75 patients","2 ","2","PN-2 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1,2 ","12","HF-4 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","94 patients","2 ","2","AMI-2 " "400111","HOSPITAL SAN CARLOS BORROMEO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","53%","75 patients","2 ","2","PN-6 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","96 patients","2 ","2","AMI-5 " "400111","HOSPITAL SAN CARLOS BORROMEO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","58%","12 patients","1,2 ","12","AMI-4 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","94 patients","2 ","2","HF-3 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","41 patients","2 ","2","AMI-4 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","61%","187 patients","2 ","2","PN-3B " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","25 patients","2 ","2","HF-4 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","62 patients","2 ","2","AMI-3 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","248 patients","2 ","2","AMI-2 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","84 patients","2 ","2","SCIP-INF-6 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","287 patients","2 ","2","HF-2 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","63%","275 patients","2 ","2","PN-5C " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","46 patients","2 ","2","SCIP-VTE-1 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","66%","205 patients","2 ","2","PN-6 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","256 patients","2 ","2","AMI-5 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","76 patients","2 ","2","SCIP-INF-2 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","44 patients","2 ","2","PN-4 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","46 patients","2 ","2","SCIP-VTE-2 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","77%","75 patients","2 ","2","SCIP-INF-1 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","286 patients","2 ","2","HF-1 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","21%","173 patients","2 ","2","PN-2 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","29%","113 patients","2 ","2","PN-7 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","29%","17 patients","1,2 ","12","AMI-7A " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","74 patients","2 ","2","SCIP-INF-3 " "400112","HOSPITAL UPR, DR FEDERICO TRILLA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","349 patients","2 ","2","AMI-1 " "400113","HOSPITAL SAN CRISTOBAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "400113","HOSPITAL SAN CRISTOBAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400113","HOSPITAL SAN CRISTOBAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400113","HOSPITAL SAN CRISTOBAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400113","HOSPITAL SAN CRISTOBAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "400113","HOSPITAL SAN CRISTOBAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400113","HOSPITAL SAN CRISTOBAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "400113","HOSPITAL SAN CRISTOBAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400113","HOSPITAL SAN CRISTOBAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400113","HOSPITAL SAN CRISTOBAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400113","HOSPITAL SAN CRISTOBAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400113","HOSPITAL SAN CRISTOBAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400113","HOSPITAL SAN CRISTOBAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "400113","HOSPITAL SAN CRISTOBAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400113","HOSPITAL SAN CRISTOBAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400113","HOSPITAL SAN CRISTOBAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400113","HOSPITAL SAN CRISTOBAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400113","HOSPITAL SAN CRISTOBAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400113","HOSPITAL SAN CRISTOBAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400113","HOSPITAL SAN CRISTOBAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400113","HOSPITAL SAN CRISTOBAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400113","HOSPITAL SAN CRISTOBAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400113","HOSPITAL SAN CRISTOBAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400113","HOSPITAL SAN CRISTOBAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400113","HOSPITAL SAN CRISTOBAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","74 patients",,,"AMI-2 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","68%","255 patients",,,"PN-3B " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","165 patients",,,"SCIP-VTE-1 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","AMI-4 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"PN-4 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","276 patients",,,"SCIP-INF-3 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"AMI-3 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","278 patients",,,"SCIP-INF-2 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","134 patients","2 ","2","HF-4 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","172 patients","2 ","2","HF-3 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","74 patients",,,"AMI-5 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","374 patients",,,"PN-5C " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","155 patients",,,"AMI-1 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","209 patients",,,"PN-2 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","165 patients",,,"SCIP-VTE-2 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","507 patients","2 ","2","HF-1 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","507 patients","2 ","2","HF-2 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","139 patients",,,"PN-7 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","366 patients",,,"PN-6 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","279 patients",,,"SCIP-INF-1 " "400114","MANATI MEDICAL CENTER DR OTERO LOPEZ","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","341 patients",,,"SCIP-INF-6 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","27%","44 patients","2 ","2","PN-2 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","67%","27 patients","2 ","2","PN-5C " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","77%","22 patients","1,2 ","12","AMI-2 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","64%","25 patients","2 ","2","AMI-5 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1,2 ","12","AMI-4 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1,2 ","12","AMI-3 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","55%","44 patients","2 ","2","PN-3B " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1,2 ","12","PN-4 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","66 patients","2 ","2","HF-2 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","32%","41 patients","2 ","2","PN-6 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","66 patients","2 ","2","HF-1 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1,2 ","12","AMI-7A " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","38 patients","2 ","2","AMI-1 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","36 patients","2 ","2","PN-7 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400115","CENTRO MEDICO WILMA N VAZQUEZ","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1,2 ","12","HF-3 " "400117","HOSPITAL DR SUSONI INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","10 patients","1,2,3 ","123","SCIP-VTE-2 " "400117","HOSPITAL DR SUSONI INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","38 patients","2,3 ","23","SCIP-INF-2 " "400117","HOSPITAL DR SUSONI INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","30%","30 patients","2 ","2","HF-3 " "400117","HOSPITAL DR SUSONI INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","35%","46 patients","2,3 ","23","SCIP-INF-1 " "400117","HOSPITAL DR SUSONI INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","47%","30 patients","2,3 ","23","SCIP-INF-6 " "400117","HOSPITAL DR SUSONI INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1,2 ","12","AMI-4 " "400117","HOSPITAL DR SUSONI INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","46%","50 patients","2 ","2","AMI-2 " "400117","HOSPITAL DR SUSONI INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","13 patients","1,2 ","12","PN-3B " "400117","HOSPITAL DR SUSONI INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","52%","21 patients","1,2 ","12","AMI-3 " "400117","HOSPITAL DR SUSONI INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1,2 ","12","HF-4 " "400117","HOSPITAL DR SUSONI INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","44 patients","2 ","2","PN-5C " "400117","HOSPITAL DR SUSONI INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","10 patients","1,2,3 ","123","SCIP-VTE-1 " "400117","HOSPITAL DR SUSONI INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","21%","14 patients","1,2 ","12","PN-7 " "400117","HOSPITAL DR SUSONI INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","9 patients","1,2 ","12","AMI-7A " "400117","HOSPITAL DR SUSONI INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","49%","35 patients","2 ","2","PN-6 " "400117","HOSPITAL DR SUSONI INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400117","HOSPITAL DR SUSONI INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400117","HOSPITAL DR SUSONI INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","38 patients","2,3 ","23","SCIP-INF-3 " "400117","HOSPITAL DR SUSONI INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","55 patients","2 ","2","HF-2 " "400117","HOSPITAL DR SUSONI INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","4%","27 patients","2 ","2","PN-2 " "400117","HOSPITAL DR SUSONI INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","2%","57 patients","2 ","2","HF-1 " "400117","HOSPITAL DR SUSONI INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","PN-4 " "400117","HOSPITAL DR SUSONI INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","43%","53 patients","2 ","2","AMI-5 " "400117","HOSPITAL DR SUSONI INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","56 patients","2 ","2","AMI-1 " "400117","HOSPITAL DR SUSONI INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400118","DOCTORS' CENTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","HF-4 " "400118","DOCTORS' CENTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400118","DOCTORS' CENTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400118","DOCTORS' CENTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400118","DOCTORS' CENTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","106 patients","2 ","2","SCIP-INF-6 " "400118","DOCTORS' CENTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400118","DOCTORS' CENTER HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400118","DOCTORS' CENTER HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400118","DOCTORS' CENTER HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","PN-4 " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1,2 ","12","AMI-3 " "400118","DOCTORS' CENTER HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","59 patients","2 ","2","HF-3 " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","151 patients","2 ","2","HF-1 " "400118","DOCTORS' CENTER HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400118","DOCTORS' CENTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400118","DOCTORS' CENTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","AMI-4 " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","60 patients","2 ","2","AMI-2 " "400118","DOCTORS' CENTER HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400118","DOCTORS' CENTER HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","132 patients","2 ","2","AMI-1 " "400120","HIMA SAN PABLO-CAGUAS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400120","HIMA SAN PABLO-CAGUAS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients","2 ","2","PN-4 " "400120","HIMA SAN PABLO-CAGUAS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "400120","HIMA SAN PABLO-CAGUAS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","181 patients",,,"AMI-1 " "400120","HIMA SAN PABLO-CAGUAS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "400120","HIMA SAN PABLO-CAGUAS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","39 patients","2 ","2","HF-4 " "400120","HIMA SAN PABLO-CAGUAS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400120","HIMA SAN PABLO-CAGUAS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400120","HIMA SAN PABLO-CAGUAS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","270 patients","2 ","2","SCIP-INF-2 " "400120","HIMA SAN PABLO-CAGUAS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400120","HIMA SAN PABLO-CAGUAS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400120","HIMA SAN PABLO-CAGUAS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400120","HIMA SAN PABLO-CAGUAS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "400120","HIMA SAN PABLO-CAGUAS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400120","HIMA SAN PABLO-CAGUAS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","106 patients","2 ","2","HF-3 " "400120","HIMA SAN PABLO-CAGUAS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400120","HIMA SAN PABLO-CAGUAS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400120","HIMA SAN PABLO-CAGUAS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","325 patients","2 ","2","SCIP-INF-6 " "400120","HIMA SAN PABLO-CAGUAS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","161 patients",,,"AMI-5 " "400120","HIMA SAN PABLO-CAGUAS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","53 patients",,,"AMI-3 " "400120","HIMA SAN PABLO-CAGUAS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","170 patients","2 ","2","SCIP-VTE-1 " "400120","HIMA SAN PABLO-CAGUAS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400120","HIMA SAN PABLO-CAGUAS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","169 patients","2 ","2","SCIP-VTE-2 " "400120","HIMA SAN PABLO-CAGUAS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "400120","HIMA SAN PABLO-CAGUAS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400121","HOSPITAL SAN GERARDO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","2,3 ","23","PN-7 " "400121","HOSPITAL SAN GERARDO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "400121","HOSPITAL SAN GERARDO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "400121","HOSPITAL SAN GERARDO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "400121","HOSPITAL SAN GERARDO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400121","HOSPITAL SAN GERARDO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","2,3 ","23","PN-2 " "400121","HOSPITAL SAN GERARDO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "400121","HOSPITAL SAN GERARDO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "400121","HOSPITAL SAN GERARDO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,"0 patients","2,3 ","23","HF-2 " "400121","HOSPITAL SAN GERARDO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "400121","HOSPITAL SAN GERARDO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "400121","HOSPITAL SAN GERARDO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "400121","HOSPITAL SAN GERARDO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "400121","HOSPITAL SAN GERARDO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400121","HOSPITAL SAN GERARDO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "400121","HOSPITAL SAN GERARDO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400121","HOSPITAL SAN GERARDO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "400121","HOSPITAL SAN GERARDO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "400121","HOSPITAL SAN GERARDO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400121","HOSPITAL SAN GERARDO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400121","HOSPITAL SAN GERARDO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400121","HOSPITAL SAN GERARDO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400121","HOSPITAL SAN GERARDO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400121","HOSPITAL SAN GERARDO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","2,3 ","23","HF-1 " "400121","HOSPITAL SAN GERARDO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "400123","HOSPITAL PEREA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","50 patients","2 ","2","SCIP-INF-2 " "400123","HOSPITAL PEREA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","59 patients","2 ","2","PN-6 " "400123","HOSPITAL PEREA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","23 patients","1,2 ","12","SCIP-VTE-2 " "400123","HOSPITAL PEREA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","48 patients","2 ","2","SCIP-INF-3 " "400123","HOSPITAL PEREA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","35 patients","2 ","2","SCIP-INF-6 " "400123","HOSPITAL PEREA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","HF-3 " "400123","HOSPITAL PEREA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","11%","37 patients","2 ","2","PN-7 " "400123","HOSPITAL PEREA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","10 patients","1,2 ","12","HF-2 " "400123","HOSPITAL PEREA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","24 patients","1,2 ","12","AMI-5 " "400123","HOSPITAL PEREA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","81%","21 patients","1,2 ","12","AMI-2 " "400123","HOSPITAL PEREA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","21%","43 patients","2 ","2","PN-2 " "400123","HOSPITAL PEREA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","HF-4 " "400123","HOSPITAL PEREA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","63%","54 patients","2 ","2","PN-5C " "400123","HOSPITAL PEREA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","10 patients","1,2 ","12","HF-1 " "400123","HOSPITAL PEREA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","49 patients","2 ","2","SCIP-INF-1 " "400123","HOSPITAL PEREA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400123","HOSPITAL PEREA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","23 patients","1,2 ","12","SCIP-VTE-1 " "400123","HOSPITAL PEREA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "400123","HOSPITAL PEREA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400123","HOSPITAL PEREA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","25 patients","2 ","2","AMI-1 " "400123","HOSPITAL PEREA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1,2 ","12","AMI-3 " "400123","HOSPITAL PEREA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","18 patients","1,2 ","12","PN-3B " "400123","HOSPITAL PEREA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","PN-4 " "400123","HOSPITAL PEREA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400123","HOSPITAL PEREA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "400124","CENTRO CARDIOVASCULAR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400124","CENTRO CARDIOVASCULAR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400124","CENTRO CARDIOVASCULAR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","394 patients",,,"AMI-5 " "400124","CENTRO CARDIOVASCULAR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","475 patients",,,"HF-2 " "400124","CENTRO CARDIOVASCULAR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400124","CENTRO CARDIOVASCULAR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "400124","CENTRO CARDIOVASCULAR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients",,,"SCIP-VTE-2 " "400124","CENTRO CARDIOVASCULAR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","87%","68 patients",,,"AMI-1 " "400124","CENTRO CARDIOVASCULAR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","475 patients",,,"HF-1 " "400124","CENTRO CARDIOVASCULAR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400124","CENTRO CARDIOVASCULAR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","53 patients",,,"AMI-4 " "400124","CENTRO CARDIOVASCULAR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","59%","337 patients",,,"SCIP-CARD-2 " "400124","CENTRO CARDIOVASCULAR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "400124","CENTRO CARDIOVASCULAR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1345 patients",,,"SCIP-INF-2 " "400124","CENTRO CARDIOVASCULAR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","315 patients",,,"HF-3 " "400124","CENTRO CARDIOVASCULAR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400124","CENTRO CARDIOVASCULAR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","67 patients",,,"AMI-3 " "400124","CENTRO CARDIOVASCULAR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "400124","CENTRO CARDIOVASCULAR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","1330 patients",,,"SCIP-INF-1 " "400124","CENTRO CARDIOVASCULAR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","68%","1450 patients",,,"SCIP-INF-6 " "400124","CENTRO CARDIOVASCULAR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","1289 patients",,,"SCIP-INF-3 " "400124","CENTRO CARDIOVASCULAR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1 ","1","SCIP-VTE-1 " "400124","CENTRO CARDIOVASCULAR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","1333 patients",,,"SCIP-INF-4 " "400124","CENTRO CARDIOVASCULAR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","393 patients",,,"AMI-2 " "400124","CENTRO CARDIOVASCULAR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","9 patients","1 ","1","AMI-8A " "400125","HIMA-SAN PABLO FAJARDO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400125","HIMA-SAN PABLO FAJARDO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400125","HIMA-SAN PABLO FAJARDO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400125","HIMA-SAN PABLO FAJARDO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400125","HIMA-SAN PABLO FAJARDO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "400125","HIMA-SAN PABLO FAJARDO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400125","HIMA-SAN PABLO FAJARDO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400125","HIMA-SAN PABLO FAJARDO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400125","HIMA-SAN PABLO FAJARDO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400125","HIMA-SAN PABLO FAJARDO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400125","HIMA-SAN PABLO FAJARDO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","199 patients",,,"SCIP-INF-2 " "400125","HIMA-SAN PABLO FAJARDO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400125","HIMA-SAN PABLO FAJARDO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400125","HIMA-SAN PABLO FAJARDO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400125","HIMA-SAN PABLO FAJARDO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400125","HIMA-SAN PABLO FAJARDO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400125","HIMA-SAN PABLO FAJARDO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400125","HIMA-SAN PABLO FAJARDO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","PN-4 " "400125","HIMA-SAN PABLO FAJARDO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "400125","HIMA-SAN PABLO FAJARDO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","60 patients",,,"HF-3 " "400125","HIMA-SAN PABLO FAJARDO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400125","HIMA-SAN PABLO FAJARDO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400125","HIMA-SAN PABLO FAJARDO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","221 patients",,,"HF-2 " "400125","HIMA-SAN PABLO FAJARDO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400125","HIMA-SAN PABLO FAJARDO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","42 patients","2 ","2","AMI-2 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1,2 ","12","AMI-3 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","79%","47 patients","2 ","2","AMI-5 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","61 patients","2 ","2","HF-1 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","24%","17 patients","1,2 ","12","SCIP-VTE-2 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","PN-4 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","33 patients","2 ","2","SCIP-INF-2 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","20 patients","1,2 ","12","HF-3 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1,2 ","12","AMI-4 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,2 ","12","PN-3B " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1,2 ","12","HF-4 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","20%","20 patients","1,2 ","12","SCIP-VTE-1 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","36%","33 patients","2 ","2","SCIP-INF-1 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","12 patients","1,2 ","12","PN-2 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1,2 ","12","PN-6 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","42 patients","2 ","2","SCIP-INF-6 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","62 patients","2 ","2","HF-2 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","10 patients","1,2 ","12","PN-5C " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1,2 ","12","PN-7 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","39 patients","2 ","2","AMI-1 " "400126","HOSPITAL METROPOLITANO SAN GERMAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","33 patients","2 ","2","SCIP-INF-3 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "400127","ADMIN DE SERVICIOS MEDICOS PUERTO RIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "400128","HOSPITAL PAVIA HATO REY, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "400128","HOSPITAL PAVIA HATO REY, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","16 patients","1 ","1","PN-3B " "400128","HOSPITAL PAVIA HATO REY, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "400128","HOSPITAL PAVIA HATO REY, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","142 patients",,,"SCIP-INF-6 " "400128","HOSPITAL PAVIA HATO REY, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","65%","91 patients",,,"SCIP-INF-1 " "400128","HOSPITAL PAVIA HATO REY, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","91 patients",,,"SCIP-INF-3 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","60 patients",,,"HF-2 " "400128","HOSPITAL PAVIA HATO REY, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "400128","HOSPITAL PAVIA HATO REY, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "400128","HOSPITAL PAVIA HATO REY, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "400128","HOSPITAL PAVIA HATO REY, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "400128","HOSPITAL PAVIA HATO REY, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "400128","HOSPITAL PAVIA HATO REY, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "400128","HOSPITAL PAVIA HATO REY, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","91 patients",,,"SCIP-INF-2 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "400128","HOSPITAL PAVIA HATO REY, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "400128","HOSPITAL PAVIA HATO REY, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","63 patients",,,"HF-3 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","51 patients",,,"SCIP-CARD-2 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","185 patients","2 ","2","SCIP-INF-2 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","327 patients","2 ","2","SCIP-INF-6 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","174 patients",,,"PN-2 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","191 patients","2 ","2","SCIP-INF-1 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","98 patients",,,"PN-6 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","170 patients","2 ","2","SCIP-VTE-2 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","232 patients",,,"HF-2 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","111 patients",,,"PN-3B " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"PN-4 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","167 patients","2 ","2","SCIP-INF-3 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","176 patients",,,"PN-5C " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","22 patients","1 ","1","AMI-2 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","49 patients",,,"AMI-1 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","188 patients",,,"HF-1 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","172 patients","2 ","2","SCIP-VTE-1 " "410001","MEMORIAL HOSPITAL OF RHODE ISLAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","123 patients",,,"PN-7 " "410004","ROGER WILLIAMS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","137 patients","2 ","2","PN-5C " "410004","ROGER WILLIAMS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","207 patients","2 ","2","SCIP-INF-1 " "410004","ROGER WILLIAMS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","107 patients","2 ","2","PN-3B " "410004","ROGER WILLIAMS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "410004","ROGER WILLIAMS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","PN-4 " "410004","ROGER WILLIAMS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "410004","ROGER WILLIAMS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","92 patients","2 ","2","PN-7 " "410004","ROGER WILLIAMS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "410004","ROGER WILLIAMS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "410004","ROGER WILLIAMS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","146 patients","2 ","2","PN-2 " "410004","ROGER WILLIAMS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","51 patients",,,"AMI-5 " "410004","ROGER WILLIAMS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","47 patients","2 ","2","SCIP-CARD-2 " "410004","ROGER WILLIAMS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","60 patients",,,"AMI-1 " "410004","ROGER WILLIAMS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","204 patients","2 ","2","SCIP-INF-3 " "410004","ROGER WILLIAMS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","77 patients","2 ","2","PN-6 " "410004","ROGER WILLIAMS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","323 patients","2 ","2","SCIP-INF-6 " "410004","ROGER WILLIAMS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","46 patients",,,"AMI-2 " "410004","ROGER WILLIAMS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","187 patients","2 ","2","SCIP-VTE-1 " "410004","ROGER WILLIAMS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "410004","ROGER WILLIAMS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","184 patients",,,"HF-2 " "410004","ROGER WILLIAMS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "410004","ROGER WILLIAMS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","117 patients",,,"HF-1 " "410004","ROGER WILLIAMS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","207 patients","2 ","2","SCIP-INF-2 " "410004","ROGER WILLIAMS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"HF-3 " "410004","ROGER WILLIAMS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","184 patients","2 ","2","SCIP-VTE-2 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","231 patients","2 ","2","SCIP-VTE-1 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","113 patients",,,"PN-6 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","30 patients",,,"AMI-2 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","120 patients",,,"PN-7 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","231 patients","2 ","2","SCIP-VTE-2 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","84%","43 patients",,,"HF-4 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","473 patients","2 ","2","SCIP-INF-6 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","285 patients","2 ","2","SCIP-INF-2 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","33 patients",,,"AMI-5 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "410005","ST JOSEPH HEALTH SERVICES OF RI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","160 patients",,,"PN-5C " "410005","ST JOSEPH HEALTH SERVICES OF RI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","279 patients","2 ","2","SCIP-INF-3 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","59 patients",,,"AMI-1 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","AMI-3 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","192 patients",,,"PN-2 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","211 patients",,,"PN-3B " "410005","ST JOSEPH HEALTH SERVICES OF RI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","70 patients","2 ","2","SCIP-CARD-2 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","49 patients",,,"PN-4 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","387 patients",,,"HF-2 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "410005","ST JOSEPH HEALTH SERVICES OF RI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","285 patients","2 ","2","SCIP-INF-1 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","76 patients",,,"HF-3 " "410005","ST JOSEPH HEALTH SERVICES OF RI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","238 patients",,,"HF-1 " "410006","NEWPORT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","27 patients",,,"SCIP-CARD-2 " "410006","NEWPORT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "410006","NEWPORT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","189 patients","2 ","2","SCIP-VTE-2 " "410006","NEWPORT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "410006","NEWPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","172 patients","2 ","2","SCIP-INF-1 " "410006","NEWPORT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "410006","NEWPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "410006","NEWPORT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","156 patients","2 ","2","PN-5C " "410006","NEWPORT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "410006","NEWPORT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "410006","NEWPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","171 patients","2 ","2","SCIP-INF-2 " "410006","NEWPORT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","144 patients",,,"HF-2 " "410006","NEWPORT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","103 patients",,,"HF-1 " "410006","NEWPORT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","23 patients","1 ","1","AMI-1 " "410006","NEWPORT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "410006","NEWPORT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","189 patients","2 ","2","SCIP-VTE-1 " "410006","NEWPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","283 patients","2 ","2","SCIP-INF-6 " "410006","NEWPORT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","159 patients","2 ","2","SCIP-INF-3 " "410006","NEWPORT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "410006","NEWPORT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","169 patients","2 ","2","PN-3B " "410006","NEWPORT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","150 patients","2 ","2","PN-2 " "410006","NEWPORT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "410006","NEWPORT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","88 patients","2 ","2","PN-7 " "410006","NEWPORT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","46 patients",,,"HF-3 " "410006","NEWPORT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","113 patients","2 ","2","PN-6 " "410007","RHODE ISLAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","125 patients","2 ","2","PN-2 " "410007","RHODE ISLAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","228 patients","2 ","2","HF-1 " "410007","RHODE ISLAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","55 patients",,,"AMI-3 " "410007","RHODE ISLAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","95 patients","2 ","2","HF-3 " "410007","RHODE ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","246 patients","2 ","2","SCIP-VTE-2 " "410007","RHODE ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","246 patients","2 ","2","SCIP-VTE-1 " "410007","RHODE ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","138 patients","2 ","2","SCIP-CARD-2 " "410007","RHODE ISLAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","329 patients",,,"AMI-1 " "410007","RHODE ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","155 patients","2 ","2","SCIP-INF-4 " "410007","RHODE ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","404 patients","2 ","2","SCIP-INF-3 " "410007","RHODE ISLAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","140 patients","2 ","2","PN-3B " "410007","RHODE ISLAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","138 patients","2 ","2","PN-5C " "410007","RHODE ISLAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","454 patients",,,"AMI-5 " "410007","RHODE ISLAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","62 patients","2 ","2","PN-6 " "410007","RHODE ISLAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients","2 ","2","PN-4 " "410007","RHODE ISLAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","199 patients",,,"AMI-4 " "410007","RHODE ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","443 patients","2 ","2","SCIP-INF-2 " "410007","RHODE ISLAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "410007","RHODE ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","437 patients","2 ","2","SCIP-INF-1 " "410007","RHODE ISLAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","88 patients",,,"AMI-8A " "410007","RHODE ISLAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","82 patients","2 ","2","PN-7 " "410007","RHODE ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","685 patients","2 ","2","SCIP-INF-6 " "410007","RHODE ISLAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","512 patients",,,"AMI-2 " "410007","RHODE ISLAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","308 patients","2 ","2","HF-2 " "410007","RHODE ISLAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","52 patients","2 ","2","HF-4 " "410008","SOUTH COUNTY HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "410008","SOUTH COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","275 patients","2 ","2","SCIP-INF-1 " "410008","SOUTH COUNTY HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","118 patients",,,"HF-1 " "410008","SOUTH COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "410008","SOUTH COUNTY HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","157 patients",,,"HF-2 " "410008","SOUTH COUNTY HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "410008","SOUTH COUNTY HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","85 patients",,,"PN-2 " "410008","SOUTH COUNTY HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "410008","SOUTH COUNTY HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","28 patients",,,"AMI-5 " "410008","SOUTH COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","429 patients","2 ","2","SCIP-INF-6 " "410008","SOUTH COUNTY HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","51 patients",,,"AMI-1 " "410008","SOUTH COUNTY HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","67 patients",,,"PN-6 " "410008","SOUTH COUNTY HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "410008","SOUTH COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","60 patients","2 ","2","SCIP-CARD-2 " "410008","SOUTH COUNTY HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "410008","SOUTH COUNTY HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "410008","SOUTH COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","215 patients","2 ","2","SCIP-VTE-2 " "410008","SOUTH COUNTY HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","97 patients",,,"PN-3B " "410008","SOUTH COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","274 patients","2 ","2","SCIP-INF-2 " "410008","SOUTH COUNTY HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"HF-3 " "410008","SOUTH COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","269 patients","2 ","2","SCIP-INF-3 " "410008","SOUTH COUNTY HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","68 patients",,,"PN-7 " "410008","SOUTH COUNTY HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","217 patients","2 ","2","SCIP-VTE-1 " "410008","SOUTH COUNTY HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","109 patients",,,"PN-5C " "410008","SOUTH COUNTY HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","32 patients",,,"AMI-2 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","454 patients","2 ","2","SCIP-INF-3 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","141 patients",,,"AMI-5 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","469 patients","2 ","2","SCIP-INF-2 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","81%","31 patients",,,"AMI-4 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","266 patients","2 ","2","PN-3B " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","377 patients","2 ","2","HF-2 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","241 patients","2 ","2","PN-2 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","248 patients","2 ","2","PN-5C " "410009","KENT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","686 patients","2 ","2","SCIP-INF-6 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","417 patients","2 ","2","SCIP-VTE-1 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","78 patients","2 ","2","HF-3 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","250 patients","2 ","2","HF-1 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","416 patients","2 ","2","SCIP-VTE-2 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","143 patients","2 ","2","PN-6 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","45 patients","2 ","2","HF-4 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","83 patients","2 ","2","PN-4 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","79 patients","2 ","2","SCIP-CARD-2 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","160 patients","2 ","2","PN-7 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","207 patients",,,"AMI-1 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","129 patients",,,"AMI-2 " "410009","KENT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","467 patients","2 ","2","SCIP-INF-1 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","217 patients","2 ","2","SCIP-INF-2 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","130 patients","2 ","2","SCIP-VTE-1 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","32 patients","2 ","2","SCIP-CARD-2 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","332 patients","2 ","2","SCIP-INF-6 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1 ","1","PN-2 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","2 patients","1 ","1","PN-7 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","212 patients","2 ","2","SCIP-INF-3 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","130 patients","2 ","2","SCIP-VTE-2 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1 ","1","PN-4 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","7 patients","1 ","1","PN-3B " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","233 patients","2 ","2","SCIP-INF-1 " "410010","WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1 ","1","PN-6 " "410011","LANDMARK MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","65 patients",,,"HF-3 " "410011","LANDMARK MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","190 patients",,,"PN-3B " "410011","LANDMARK MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"HF-4 " "410011","LANDMARK MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","205 patients",,,"PN-5C " "410011","LANDMARK MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","68 patients",,,"AMI-2 " "410011","LANDMARK MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","75 patients",,,"AMI-5 " "410011","LANDMARK MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","289 patients",,,"HF-2 " "410011","LANDMARK MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "410011","LANDMARK MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","163 patients","2 ","2","SCIP-VTE-2 " "410011","LANDMARK MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","55 patients","2 ","2","SCIP-CARD-2 " "410011","LANDMARK MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","13 patients","1 ","1","AMI-8A " "410011","LANDMARK MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "410011","LANDMARK MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","185 patients","2 ","2","SCIP-INF-3 " "410011","LANDMARK MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","124 patients",,,"PN-6 " "410011","LANDMARK MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","303 patients","2 ","2","SCIP-INF-6 " "410011","LANDMARK MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","178 patients",,,"HF-1 " "410011","LANDMARK MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "410011","LANDMARK MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","189 patients",,,"PN-2 " "410011","LANDMARK MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","198 patients","2 ","2","SCIP-INF-1 " "410011","LANDMARK MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","198 patients","2 ","2","SCIP-INF-2 " "410011","LANDMARK MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","164 patients","2 ","2","SCIP-VTE-1 " "410011","LANDMARK MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","137 patients",,,"PN-7 " "410011","LANDMARK MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","104 patients",,,"AMI-1 " "410011","LANDMARK MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","72 patients",,,"PN-4 " "410011","LANDMARK MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "410012","MIRIAM HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","476 patients","2 ","2","HF-1 " "410012","MIRIAM HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients","2 ","2","PN-4 " "410012","MIRIAM HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","304 patients",,,"AMI-1 " "410012","MIRIAM HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","164 patients","2 ","2","PN-3B " "410012","MIRIAM HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","111 patients","2 ","2","PN-6 " "410012","MIRIAM HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","91 patients","2 ","2","HF-4 " "410012","MIRIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1025 patients","2 ","2","SCIP-INF-6 " "410012","MIRIAM HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","587 patients","2 ","2","HF-2 " "410012","MIRIAM HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","570 patients",,,"AMI-2 " "410012","MIRIAM HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","176 patients","2 ","2","HF-3 " "410012","MIRIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","655 patients","2 ","2","SCIP-INF-3 " "410012","MIRIAM HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","646 patients",,,"AMI-5 " "410012","MIRIAM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","444 patients","2 ","2","SCIP-VTE-2 " "410012","MIRIAM HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "410012","MIRIAM HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","60 patients",,,"AMI-8A " "410012","MIRIAM HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","168 patients","2 ","2","PN-2 " "410012","MIRIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","694 patients","2 ","2","SCIP-INF-2 " "410012","MIRIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","684 patients","2 ","2","SCIP-INF-1 " "410012","MIRIAM HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","220 patients","2 ","2","SCIP-CARD-2 " "410012","MIRIAM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","444 patients","2 ","2","SCIP-VTE-1 " "410012","MIRIAM HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","174 patients","2 ","2","PN-5C " "410012","MIRIAM HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","110 patients",,,"AMI-3 " "410012","MIRIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","227 patients","2 ","2","SCIP-INF-4 " "410012","MIRIAM HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","204 patients",,,"AMI-4 " "410012","MIRIAM HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","117 patients","2 ","2","PN-7 " "410013","WESTERLY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "410013","WESTERLY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","48 patients",,,"HF-3 " "410013","WESTERLY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "410013","WESTERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","214 patients",,,"SCIP-INF-2 " "410013","WESTERLY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "410013","WESTERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","207 patients",,,"SCIP-INF-3 " "410013","WESTERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","211 patients",,,"SCIP-INF-1 " "410013","WESTERLY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","130 patients",,,"SCIP-VTE-2 " "410013","WESTERLY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "410013","WESTERLY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","188 patients",,,"HF-2 " "410013","WESTERLY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","106 patients",,,"PN-6 " "410013","WESTERLY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","139 patients",,,"HF-1 " "410013","WESTERLY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","157 patients",,,"PN-5C " "410013","WESTERLY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","147 patients",,,"PN-2 " "410013","WESTERLY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","76%","17 patients","1 ","1","AMI-2 " "410013","WESTERLY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","52 patients",,,"SCIP-CARD-2 " "410013","WESTERLY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "410013","WESTERLY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "410013","WESTERLY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","32 patients",,,"AMI-1 " "410013","WESTERLY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","58%","112 patients",,,"PN-7 " "410013","WESTERLY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","91 patients",,,"PN-3B " "410013","WESTERLY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","19 patients","1 ","1","HF-4 " "410013","WESTERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "410013","WESTERLY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","308 patients",,,"SCIP-INF-6 " "410013","WESTERLY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","134 patients",,,"SCIP-VTE-1 " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "41005F","PROVIDENCE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","75 patients","2 ","2","SCIP-VTE-1 " "41005F","PROVIDENCE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","75 patients","2 ","2","SCIP-VTE-2 " "41005F","PROVIDENCE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","79 patients",,,"PN-2 " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","114 patients",,,"HF-1 " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","158 patients",,,"HF-2 " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "41005F","PROVIDENCE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "41005F","PROVIDENCE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","81 patients",,,"PN-5C " "41005F","PROVIDENCE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","135 patients","2 ","2","SCIP-INF-6 " "41005F","PROVIDENCE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","64 patients",,,"PN-7 " "41005F","PROVIDENCE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","68 patients",,,"SCIP-INF-2 " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "41005F","PROVIDENCE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","69 patients",,,"SCIP-INF-1 " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "41005F","PROVIDENCE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","78 patients",,,"PN-3B " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "41005F","PROVIDENCE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","47 patients",,,"PN-6 " "41005F","PROVIDENCE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"HF-3 " "41005F","PROVIDENCE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","68 patients",,,"SCIP-INF-3 " "41005F","PROVIDENCE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "41005F","PROVIDENCE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","60 patients","2 ","2","SCIP-CARD-2 " "420002","PIEDMONT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","277 patients",,,"HF-1 " "420002","PIEDMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","428 patients","2 ","2","SCIP-INF-1 " "420002","PIEDMONT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","172 patients",,,"AMI-4 " "420002","PIEDMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","177 patients","2 ","2","SCIP-VTE-1 " "420002","PIEDMONT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","349 patients",,,"PN-2 " "420002","PIEDMONT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","332 patients",,,"HF-2 " "420002","PIEDMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","423 patients","2 ","2","SCIP-INF-3 " "420002","PIEDMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","429 patients","2 ","2","SCIP-INF-2 " "420002","PIEDMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","141 patients","2 ","2","SCIP-INF-4 " "420002","PIEDMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","176 patients","2 ","2","SCIP-VTE-2 " "420002","PIEDMONT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","492 patients",,,"PN-5C " "420002","PIEDMONT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","90 patients",,,"AMI-3 " "420002","PIEDMONT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","293 patients",,,"PN-6 " "420002","PIEDMONT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","258 patients",,,"PN-7 " "420002","PIEDMONT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","404 patients",,,"PN-3B " "420002","PIEDMONT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","298 patients",,,"AMI-1 " "420002","PIEDMONT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"HF-4 " "420002","PIEDMONT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","90 patients",,,"AMI-8A " "420002","PIEDMONT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","356 patients",,,"AMI-5 " "420002","PIEDMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","76 patients","2 ","2","SCIP-CARD-2 " "420002","PIEDMONT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "420002","PIEDMONT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","168 patients",,,"PN-4 " "420002","PIEDMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","565 patients","2 ","2","SCIP-INF-6 " "420002","PIEDMONT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","381 patients",,,"AMI-2 " "420002","PIEDMONT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","149 patients",,,"HF-3 " "420004","MUSC MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","465 patients",,,"HF-2 " "420004","MUSC MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "420004","MUSC MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","110 patients","2 ","2","CAC-2 " "420004","MUSC MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","138 patients","2 ","2","PN-3B " "420004","MUSC MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","124 patients",,,"HF-4 " "420004","MUSC MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","133 patients","2 ","2","AMI-1 " "420004","MUSC MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","159 patients","2 ","2","PN-5C " "420004","MUSC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","468 patients","2 ","2","SCIP-INF-3 " "420004","MUSC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","135 patients","2 ","2","SCIP-INF-4 " "420004","MUSC MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","115 patients","2 ","2","PN-7 " "420004","MUSC MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","66%","110 patients","2 ","2","CAC-3 " "420004","MUSC MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","86 patients","2 ","2","AMI-4 " "420004","MUSC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","271 patients","2 ","2","SCIP-VTE-1 " "420004","MUSC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","271 patients","2 ","2","SCIP-VTE-2 " "420004","MUSC MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","76 patients","2 ","2","PN-4 " "420004","MUSC MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","222 patients","2 ","2","AMI-5 " "420004","MUSC MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","235 patients","2 ","2","AMI-2 " "420004","MUSC MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","100 patients","2 ","2","SCIP-CARD-2 " "420004","MUSC MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","221 patients",,,"HF-3 " "420004","MUSC MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","429 patients",,,"HF-1 " "420004","MUSC MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","30 patients","2 ","2","AMI-8A " "420004","MUSC MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","99%","110 patients","2 ","2","CAC-1 " "420004","MUSC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","493 patients","2 ","2","SCIP-INF-1 " "420004","MUSC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","495 patients","2 ","2","SCIP-INF-2 " "420004","MUSC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","700 patients","2 ","2","SCIP-INF-6 " "420004","MUSC MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","115 patients","2 ","2","PN-2 " "420004","MUSC MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients","2 ","2","AMI-3 " "420004","MUSC MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","53 patients","2 ","2","PN-6 " "420005","MCLEOD MEDICAL CENTER - DILLON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","47 patients",,,"PN-7 " "420005","MCLEOD MEDICAL CENTER - DILLON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","63 patients","2 ","2","SCIP-INF-1 " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "420005","MCLEOD MEDICAL CENTER - DILLON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "420005","MCLEOD MEDICAL CENTER - DILLON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420005","MCLEOD MEDICAL CENTER - DILLON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","58 patients","2 ","2","SCIP-VTE-1 " "420005","MCLEOD MEDICAL CENTER - DILLON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","102 patients","2 ","2","SCIP-INF-6 " "420005","MCLEOD MEDICAL CENTER - DILLON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","58 patients","2 ","2","SCIP-VTE-2 " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","47 patients",,,"HF-3 " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","37 patients",,,"AMI-1 " "420005","MCLEOD MEDICAL CENTER - DILLON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "420005","MCLEOD MEDICAL CENTER - DILLON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","31 patients","3 ","3","PN-5C " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","30 patients",,,"AMI-5 " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","114 patients",,,"HF-2 " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420005","MCLEOD MEDICAL CENTER - DILLON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","63 patients","2 ","2","SCIP-INF-2 " "420005","MCLEOD MEDICAL CENTER - DILLON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","58 patients","2 ","2","SCIP-INF-3 " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","30 patients",,,"AMI-2 " "420005","MCLEOD MEDICAL CENTER - DILLON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","55 patients",,,"PN-3B " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "420005","MCLEOD MEDICAL CENTER - DILLON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","59 patients",,,"PN-6 " "420005","MCLEOD MEDICAL CENTER - DILLON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","54 patients",,,"PN-2 " "420005","MCLEOD MEDICAL CENTER - DILLON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","107 patients",,,"HF-1 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","1273 patients","2 ","2","SCIP-INF-3 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","674 patients","2 ","2","SCIP-VTE-2 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1329 patients","2 ","2","SCIP-INF-2 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","293 patients",,,"AMI-4 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","226 patients",,,"HF-3 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","460 patients",,,"PN-5C " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","102 patients",,,"AMI-8A " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","446 patients",,,"PN-2 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","732 patients",,,"HF-1 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1606 patients","2 ","2","SCIP-INF-6 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","201 patients",,,"HF-4 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","442 patients",,,"AMI-1 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","275 patients","2 ","2","SCIP-CARD-2 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","157 patients",,,"PN-6 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","589 patients",,,"AMI-2 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","605 patients",,,"AMI-5 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","266 patients",,,"PN-4 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","337 patients","2 ","2","SCIP-INF-4 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","1309 patients","2 ","2","SCIP-INF-1 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","432 patients",,,"PN-3B " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","356 patients",,,"PN-7 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","97 patients",,,"AMI-3 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","852 patients",,,"HF-2 " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "420007","SPARTANBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","675 patients","2 ","2","SCIP-VTE-1 " "420009","OCONEE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","197 patients",,,"HF-2 " "420009","OCONEE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","37 patients",,,"AMI-1 " "420009","OCONEE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","178 patients",,,"PN-4 " "420009","OCONEE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "420009","OCONEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420009","OCONEE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420009","OCONEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","210 patients","2 ","2","SCIP-INF-2 " "420009","OCONEE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","341 patients",,,"PN-2 " "420009","OCONEE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","321 patients",,,"PN-5C " "420009","OCONEE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","223 patients",,,"PN-6 " "420009","OCONEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","210 patients","2 ","2","SCIP-INF-1 " "420009","OCONEE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","148 patients",,,"HF-1 " "420009","OCONEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","321 patients","2 ","2","SCIP-INF-6 " "420009","OCONEE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","200 patients",,,"PN-3B " "420009","OCONEE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "420009","OCONEE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "420009","OCONEE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","21 patients","1 ","1","AMI-2 " "420009","OCONEE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "420009","OCONEE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","53 patients",,,"HF-3 " "420009","OCONEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","199 patients","2 ","2","SCIP-INF-3 " "420009","OCONEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","31 patients","2 ","2","SCIP-CARD-2 " "420009","OCONEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","188 patients","2 ","2","SCIP-VTE-2 " "420009","OCONEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","188 patients","2 ","2","SCIP-VTE-1 " "420009","OCONEE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","25 patients",,,"AMI-5 " "420009","OCONEE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","276 patients",,,"PN-7 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","113 patients",,,"SCIP-VTE-1 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","41 patients",,,"CAC-2 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","209 patients",,,"PN-3B " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","41 patients",,,"CAC-1 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","256 patients",,,"HF-2 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","243 patients",,,"HF-1 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","207 patients",,,"PN-5C " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"PN-4 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","113 patients",,,"SCIP-VTE-2 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","139 patients",,,"SCIP-INF-2 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","85%","39 patients",,,"CAC-3 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","237 patients",,,"SCIP-INF-6 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","122 patients",,,"PN-7 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","130 patients",,,"PN-6 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients",,,"HF-3 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1 ","1","SCIP-CARD-2 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","138 patients",,,"SCIP-INF-1 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","139 patients",,,"PN-2 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","133 patients",,,"SCIP-INF-3 " "420010","CAROLINA PINES REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "420011","CANNON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","46 patients",,,"HF-2 " "420011","CANNON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420011","CANNON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","28 patients",,,"SCIP-VTE-2 " "420011","CANNON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","35 patients",,,"SCIP-INF-3 " "420011","CANNON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","17 patients","1 ","1","AMI-1 " "420011","CANNON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","37 patients",,,"SCIP-INF-2 " "420011","CANNON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","57 patients",,,"PN-7 " "420011","CANNON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "420011","CANNON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","38 patients",,,"SCIP-INF-1 " "420011","CANNON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","41 patients",,,"PN-4 " "420011","CANNON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420011","CANNON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","73 patients",,,"PN-2 " "420011","CANNON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "420011","CANNON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","34 patients",,,"HF-1 " "420011","CANNON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "420011","CANNON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","88 patients",,,"PN-5C " "420011","CANNON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "420011","CANNON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","28 patients",,,"SCIP-VTE-1 " "420011","CANNON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "420011","CANNON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","59 patients",,,"PN-6 " "420011","CANNON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "420011","CANNON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "420011","CANNON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","84 patients",,,"PN-3B " "420011","CANNON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "420011","CANNON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","51 patients",,,"SCIP-INF-6 " "420015","BAPTIST EASLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","224 patients",,,"SCIP-INF-3 " "420015","BAPTIST EASLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","151 patients",,,"PN-3B " "420015","BAPTIST EASLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","5 patients","1 ","1","AMI-7A " "420015","BAPTIST EASLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","90 patients",,,"PN-4 " "420015","BAPTIST EASLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","154 patients",,,"PN-7 " "420015","BAPTIST EASLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","64 patients",,,"AMI-1 " "420015","BAPTIST EASLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","34 patients",,,"AMI-2 " "420015","BAPTIST EASLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","33 patients",,,"SCIP-CARD-2 " "420015","BAPTIST EASLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","152 patients",,,"SCIP-VTE-1 " "420015","BAPTIST EASLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","340 patients",,,"SCIP-INF-6 " "420015","BAPTIST EASLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","247 patients",,,"SCIP-INF-2 " "420015","BAPTIST EASLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","246 patients",,,"SCIP-INF-1 " "420015","BAPTIST EASLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","189 patients",,,"PN-5C " "420015","BAPTIST EASLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","85 patients",,,"HF-1 " "420015","BAPTIST EASLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "420015","BAPTIST EASLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","152 patients",,,"SCIP-VTE-2 " "420015","BAPTIST EASLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420015","BAPTIST EASLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","185 patients",,,"PN-2 " "420015","BAPTIST EASLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420015","BAPTIST EASLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "420015","BAPTIST EASLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","136 patients",,,"PN-6 " "420015","BAPTIST EASLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","42 patients",,,"AMI-5 " "420015","BAPTIST EASLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","109 patients",,,"HF-2 " "420015","BAPTIST EASLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"HF-3 " "420015","BAPTIST EASLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "420016","BARNWELL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "420016","BARNWELL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "420016","BARNWELL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","24 patients","1 ","1","PN-7 " "420016","BARNWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","3 patients","1,3 ","13","SCIP-INF-2 " "420016","BARNWELL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","47 patients","3 ","3","PN-5C " "420016","BARNWELL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "420016","BARNWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1,3 ","13","SCIP-INF-6 " "420016","BARNWELL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "420016","BARNWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","10%","10 patients","1,3 ","13","SCIP-VTE-1 " "420016","BARNWELL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "420016","BARNWELL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "420016","BARNWELL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "420016","BARNWELL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","26 patients",,,"PN-2 " "420016","BARNWELL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "420016","BARNWELL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","65 patients",,,"PN-3B " "420016","BARNWELL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","45 patients",,,"HF-1 " "420016","BARNWELL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","37 patients",,,"PN-6 " "420016","BARNWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "420016","BARNWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","3 patients","1,3 ","13","SCIP-INF-1 " "420016","BARNWELL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","PN-4 " "420016","BARNWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "420016","BARNWELL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","60 patients",,,"HF-2 " "420016","BARNWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "420016","BARNWELL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "420016","BARNWELL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","10%","10 patients","1,3 ","13","SCIP-VTE-2 " "420018","PALMETTO HEALTH RICHLAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","382 patients",,,"HF-3 " "420018","PALMETTO HEALTH RICHLAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","102 patients",,,"PN-4 " "420018","PALMETTO HEALTH RICHLAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","2100 patients","2 ","2","SCIP-INF-6 " "420018","PALMETTO HEALTH RICHLAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","364 patients","2 ","2","SCIP-INF-4 " "420018","PALMETTO HEALTH RICHLAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","470 patients",,,"AMI-2 " "420018","PALMETTO HEALTH RICHLAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","432 patients",,,"AMI-5 " "420018","PALMETTO HEALTH RICHLAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","169 patients",,,"HF-4 " "420018","PALMETTO HEALTH RICHLAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","698 patients",,,"HF-2 " "420018","PALMETTO HEALTH RICHLAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","70 patients",,,"AMI-8A " "420018","PALMETTO HEALTH RICHLAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1875 patients","2 ","2","SCIP-INF-2 " "420018","PALMETTO HEALTH RICHLAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","812 patients","2 ","2","SCIP-VTE-1 " "420018","PALMETTO HEALTH RICHLAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","145 patients",,,"PN-2 " "420018","PALMETTO HEALTH RICHLAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "420018","PALMETTO HEALTH RICHLAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","76 patients",,,"PN-6 " "420018","PALMETTO HEALTH RICHLAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1854 patients","2 ","2","SCIP-INF-1 " "420018","PALMETTO HEALTH RICHLAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","145 patients",,,"PN-7 " "420018","PALMETTO HEALTH RICHLAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1810 patients","2 ","2","SCIP-INF-3 " "420018","PALMETTO HEALTH RICHLAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","811 patients","2 ","2","SCIP-VTE-2 " "420018","PALMETTO HEALTH RICHLAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","284 patients","2 ","2","SCIP-CARD-2 " "420018","PALMETTO HEALTH RICHLAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","193 patients",,,"PN-3B " "420018","PALMETTO HEALTH RICHLAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","96 patients",,,"AMI-3 " "420018","PALMETTO HEALTH RICHLAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","252 patients",,,"AMI-1 " "420018","PALMETTO HEALTH RICHLAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","213 patients",,,"AMI-4 " "420018","PALMETTO HEALTH RICHLAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","220 patients",,,"PN-5C " "420018","PALMETTO HEALTH RICHLAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","634 patients",,,"HF-1 " "420019","CHESTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","39 patients",,,"SCIP-INF-3 " "420019","CHESTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420019","CHESTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","57%","21 patients","1 ","1","SCIP-VTE-1 " "420019","CHESTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","39 patients",,,"SCIP-INF-2 " "420019","CHESTER REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","95%","20 patients","1 ","1","CAC-2 " "420019","CHESTER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","41 patients",,,"PN-7 " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","103 patients",,,"HF-1 " "420019","CHESTER REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","20 patients","1 ","1","CAC-1 " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "420019","CHESTER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","79 patients",,,"PN-3B " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "420019","CHESTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","21 patients","1 ","1","SCIP-VTE-2 " "420019","CHESTER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "420019","CHESTER REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","68%","19 patients","1 ","1","CAC-3 " "420019","CHESTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","126 patients",,,"HF-2 " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","10 patients","1 ","1","AMI-5 " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420019","CHESTER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","83 patients",,,"PN-5C " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420019","CHESTER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","53 patients",,,"PN-2 " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","29 patients",,,"HF-3 " "420019","CHESTER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","13 patients","1 ","1","AMI-1 " "420019","CHESTER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","68 patients",,,"PN-6 " "420019","CHESTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","55 patients",,,"SCIP-INF-6 " "420019","CHESTER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","39 patients",,,"SCIP-INF-1 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","HF-4 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","103 patients","2 ","2","PN-2 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","AMI-4 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","61 patients","2 ","2","PN-6 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","122 patients","2 ","2","PN-5C " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","19 patients","1,2 ","12","AMI-8A " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","18 patients","1,2 ","12","AMI-3 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","133 patients","2 ","2","PN-3B " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","76 patients","2 ","2","AMI-5 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","68 patients","2 ","2","AMI-2 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","160 patients","2 ","2","SCIP-VTE-2 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","221 patients","2 ","2","SCIP-INF-2 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","88 patients","2 ","2","PN-7 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","73 patients","2 ","2","AMI-1 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","161 patients","2 ","2","SCIP-VTE-1 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","313 patients","2 ","2","SCIP-INF-6 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","220 patients","2 ","2","SCIP-INF-1 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","141 patients","2 ","2","HF-1 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","82 patients","2 ","2","HF-3 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","214 patients","2 ","2","SCIP-INF-3 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","155 patients","2 ","2","HF-2 " "420020","GEORGETOWN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","40 patients","2 ","2","SCIP-CARD-2 " "420023","ST FRANCIS-DOWNTOWN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","198 patients","2 ","2","AMI-1 " "420023","ST FRANCIS-DOWNTOWN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","427 patients","2 ","2","HF-2 " "420023","ST FRANCIS-DOWNTOWN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","179 patients","2 ","2","SCIP-VTE-1 " "420023","ST FRANCIS-DOWNTOWN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","210 patients","2 ","2","PN-3B " "420023","ST FRANCIS-DOWNTOWN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","149 patients","2 ","2","PN-6 " "420023","ST FRANCIS-DOWNTOWN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","224 patients","2 ","2","PN-5C " "420023","ST FRANCIS-DOWNTOWN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","97 patients","2 ","2","SCIP-CARD-2 " "420023","ST FRANCIS-DOWNTOWN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","629 patients","2 ","2","SCIP-INF-6 " "420023","ST FRANCIS-DOWNTOWN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","156 patients","2 ","2","HF-3 " "420023","ST FRANCIS-DOWNTOWN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","79 patients","2 ","2","AMI-3 " "420023","ST FRANCIS-DOWNTOWN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","188 patients",,,"PN-7 " "420023","ST FRANCIS-DOWNTOWN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","363 patients","2 ","2","HF-1 " "420023","ST FRANCIS-DOWNTOWN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","451 patients","2 ","2","SCIP-INF-3 " "420023","ST FRANCIS-DOWNTOWN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","178 patients","2 ","2","SCIP-VTE-2 " "420023","ST FRANCIS-DOWNTOWN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","198 patients","2 ","2","PN-2 " "420023","ST FRANCIS-DOWNTOWN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","92 patients","2 ","2","HF-4 " "420023","ST FRANCIS-DOWNTOWN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","498 patients","2 ","2","SCIP-INF-2 " "420023","ST FRANCIS-DOWNTOWN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","489 patients","2 ","2","SCIP-INF-1 " "420023","ST FRANCIS-DOWNTOWN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","305 patients","2 ","2","AMI-5 " "420023","ST FRANCIS-DOWNTOWN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","146 patients","2 ","2","SCIP-INF-4 " "420023","ST FRANCIS-DOWNTOWN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","91 patients","2 ","2","PN-4 " "420023","ST FRANCIS-DOWNTOWN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","309 patients","2 ","2","AMI-2 " "420023","ST FRANCIS-DOWNTOWN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","122 patients","2 ","2","AMI-4 " "420023","ST FRANCIS-DOWNTOWN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "420023","ST FRANCIS-DOWNTOWN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","55 patients","2 ","2","AMI-8A " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","642 patients","2 ","2","SCIP-INF-6 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","284 patients","2 ","2","AMI-5 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","HF-4 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","263 patients","2 ","2","HF-1 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","124 patients","2 ","2","PN-2 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","25 patients","2 ","2","AMI-8A " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","429 patients","2 ","2","SCIP-INF-3 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","125 patients","2 ","2","AMI-4 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","204 patients","2 ","2","SCIP-INF-4 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","99 patients","2 ","2","SCIP-CARD-2 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","299 patients","2 ","2","AMI-2 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients","2 ","2","AMI-3 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","302 patients","2 ","2","HF-2 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","117 patients","2 ","2","PN-3B " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","201 patients","2 ","2","SCIP-VTE-2 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","116 patients","2 ","2","PN-5C " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","131 patients","2 ","2","HF-3 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","70 patients","2 ","2","PN-6 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","201 patients","2 ","2","SCIP-VTE-1 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","433 patients","2 ","2","SCIP-INF-1 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","84 patients","2 ","2","PN-7 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","82 patients","2 ","2","AMI-1 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","454 patients","2 ","2","SCIP-INF-2 " "420026","SISTERS OF CHARITY PROVIDENCE HOSPITALS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","48 patients","2 ","2","PN-4 " "420027","ANMED HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420027","ANMED HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","560 patients",,,"PN-2 " "420027","ANMED HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","492 patients","2 ","2","SCIP-VTE-1 " "420027","ANMED HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","801 patients","2 ","2","SCIP-INF-2 " "420027","ANMED HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","94 patients",,,"HF-4 " "420027","ANMED HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","799 patients","2 ","2","SCIP-INF-1 " "420027","ANMED HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","565 patients",,,"PN-3B " "420027","ANMED HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","265 patients",,,"AMI-1 " "420027","ANMED HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","261 patients",,,"PN-4 " "420027","ANMED HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","267 patients",,,"AMI-2 " "420027","ANMED HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","503 patients",,,"PN-5C " "420027","ANMED HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","194 patients","2 ","2","SCIP-INF-4 " "420027","ANMED HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","120 patients",,,"AMI-4 " "420027","ANMED HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","53 patients",,,"AMI-3 " "420027","ANMED HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","407 patients",,,"PN-7 " "420027","ANMED HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","250 patients",,,"AMI-5 " "420027","ANMED HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","58 patients",,,"AMI-8A " "420027","ANMED HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","724 patients","2 ","2","SCIP-INF-3 " "420027","ANMED HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","492 patients","2 ","2","SCIP-VTE-2 " "420027","ANMED HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1040 patients","2 ","2","SCIP-INF-6 " "420027","ANMED HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","416 patients",,,"HF-1 " "420027","ANMED HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","552 patients",,,"HF-2 " "420027","ANMED HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","130 patients","2 ","2","SCIP-CARD-2 " "420027","ANMED HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","199 patients",,,"HF-3 " "420027","ANMED HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","240 patients",,,"PN-6 " "420030","COLLETON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "420030","COLLETON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "420030","COLLETON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "420030","COLLETON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "420030","COLLETON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","50 patients",,,"PN-6 " "420030","COLLETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","98 patients",,,"SCIP-INF-2 " "420030","COLLETON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "420030","COLLETON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "420030","COLLETON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","74 patients",,,"PN-2 " "420030","COLLETON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "420030","COLLETON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "420030","COLLETON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","224 patients",,,"HF-2 " "420030","COLLETON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","52 patients",,,"PN-7 " "420030","COLLETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1 ","1","SCIP-CARD-2 " "420030","COLLETON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","198 patients",,,"HF-1 " "420030","COLLETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","109 patients",,,"SCIP-VTE-1 " "420030","COLLETON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "420030","COLLETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420030","COLLETON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","90 patients",,,"PN-5C " "420030","COLLETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","87 patients",,,"SCIP-INF-3 " "420030","COLLETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","96 patients",,,"SCIP-INF-1 " "420030","COLLETON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","50 patients",,,"HF-3 " "420030","COLLETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","109 patients",,,"SCIP-VTE-2 " "420030","COLLETON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","193 patients",,,"SCIP-INF-6 " "420030","COLLETON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","87 patients",,,"PN-3B " "420033","GREER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","46 patients","2 ","2","SCIP-CARD-2 " "420033","GREER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "420033","GREER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "420033","GREER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","153 patients",,,"PN-3B " "420033","GREER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "420033","GREER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","86 patients",,,"PN-7 " "420033","GREER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","53 patients",,,"HF-1 " "420033","GREER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","204 patients","2 ","2","SCIP-INF-2 " "420033","GREER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "420033","GREER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","330 patients","2 ","2","SCIP-INF-6 " "420033","GREER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","123 patients",,,"PN-5C " "420033","GREER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","194 patients","2 ","2","SCIP-INF-3 " "420033","GREER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "420033","GREER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420033","GREER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420033","GREER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","115 patients",,,"PN-6 " "420033","GREER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420033","GREER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","18 patients","1 ","1","AMI-1 " "420033","GREER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","202 patients","2 ","2","SCIP-INF-1 " "420033","GREER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","150 patients","2 ","2","SCIP-VTE-2 " "420033","GREER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","150 patients","2 ","2","SCIP-VTE-1 " "420033","GREER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","74 patients",,,"HF-2 " "420033","GREER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","116 patients",,,"PN-2 " "420033","GREER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "420033","GREER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","115 patients",,,"AMI-1 " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","67 patients",,,"AMI-2 " "420036","SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","129 patients",,,"PN-5C " "420036","SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","99 patients","2 ","2","SCIP-INF-1 " "420036","SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","118 patients",,,"PN-2 " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","75 patients",,,"HF-3 " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","171 patients",,,"HF-1 " "420036","SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","93 patients","2 ","2","SCIP-VTE-2 " "420036","SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","77 patients",,,"PN-6 " "420036","SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","93 patients","2 ","2","SCIP-VTE-1 " "420036","SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "420036","SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","177 patients","2 ","2","SCIP-INF-6 " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","197 patients",,,"HF-2 " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420036","SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","85 patients","2 ","2","SCIP-INF-3 " "420036","SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"PN-4 " "420036","SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","100 patients","2 ","2","SCIP-INF-2 " "420036","SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","108 patients",,,"PN-3B " "420036","SPRINGS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","71 patients",,,"AMI-5 " "420036","SPRINGS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","102 patients",,,"PN-7 " "420036","SPRINGS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1,2 ","12","SCIP-CARD-2 " "420037","HILLCREST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","116 patients","2 ","2","SCIP-INF-2 " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420037","HILLCREST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","65 patients","2 ","2","SCIP-VTE-2 " "420037","HILLCREST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","165 patients","2 ","2","SCIP-INF-6 " "420037","HILLCREST MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","96 patients",,,"PN-2 " "420037","HILLCREST MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","87 patients",,,"PN-6 " "420037","HILLCREST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","23 patients","1 ","1","HF-1 " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","28 patients",,,"HF-2 " "420037","HILLCREST MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","97 patients",,,"PN-5C " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "420037","HILLCREST MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","69 patients",,,"PN-7 " "420037","HILLCREST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","115 patients","2 ","2","SCIP-INF-1 " "420037","HILLCREST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","113 patients","2 ","2","SCIP-INF-3 " "420037","HILLCREST MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","131 patients",,,"PN-3B " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "420037","HILLCREST MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "420037","HILLCREST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","23 patients","1,2 ","12","SCIP-CARD-2 " "420037","HILLCREST MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "420037","HILLCREST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","65 patients","2 ","2","SCIP-VTE-1 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","39 patients",,,"SCIP-CARD-2 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","333 patients",,,"SCIP-INF-6 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","85 patients",,,"PN-5C " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","57 patients",,,"PN-6 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","74 patients",,,"HF-2 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","262 patients",,,"SCIP-INF-2 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","261 patients",,,"SCIP-INF-1 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","128 patients",,,"SCIP-VTE-1 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","256 patients",,,"SCIP-INF-3 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","60 patients",,,"HF-1 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","121 patients",,,"SCIP-VTE-2 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","80 patients",,,"PN-2 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","77 patients",,,"PN-3B " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1 ","1","AMI-1 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","25 patients",,,"HF-3 " "420038","LAURENS COUNTY HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","61 patients",,,"PN-7 " "420039","WALLACE THOMSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","68 patients",,,"HF-1 " "420039","WALLACE THOMSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","HF-3 " "420039","WALLACE THOMSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420039","WALLACE THOMSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "420039","WALLACE THOMSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420039","WALLACE THOMSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "420039","WALLACE THOMSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","31 patients",,,"SCIP-INF-6 " "420039","WALLACE THOMSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","14 patients","1 ","1","SCIP-INF-2 " "420039","WALLACE THOMSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","64 patients",,,"PN-2 " "420039","WALLACE THOMSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "420039","WALLACE THOMSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","80 patients",,,"HF-2 " "420039","WALLACE THOMSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","59 patients",,,"PN-3B " "420039","WALLACE THOMSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "420039","WALLACE THOMSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "420039","WALLACE THOMSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","81 patients",,,"PN-5C " "420039","WALLACE THOMSON HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","75%","4 patients","1 ","1","CAC-2 " "420039","WALLACE THOMSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","13 patients","1 ","1","SCIP-INF-3 " "420039","WALLACE THOMSON HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-1 " "420039","WALLACE THOMSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","14 patients","1 ","1","SCIP-INF-1 " "420039","WALLACE THOMSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","15 patients","1 ","1","SCIP-VTE-1 " "420039","WALLACE THOMSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","49 patients",,,"PN-7 " "420039","WALLACE THOMSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "420039","WALLACE THOMSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "420039","WALLACE THOMSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","61 patients",,,"PN-6 " "420039","WALLACE THOMSON HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","25%","4 patients","1 ","1","CAC-3 " "420039","WALLACE THOMSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","15 patients","1 ","1","SCIP-VTE-2 " "420039","WALLACE THOMSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "420039","WALLACE THOMSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420043","UPSTATE CAROLINA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","146 patients",,,"PN-3B " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1 ","1","SCIP-CARD-2 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","17 patients","1 ","1","AMI-1 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","129 patients",,,"PN-5C " "420043","UPSTATE CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","134 patients",,,"SCIP-INF-6 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","77 patients",,,"SCIP-INF-2 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","78 patients",,,"PN-6 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","64 patients",,,"SCIP-VTE-2 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","77 patients",,,"SCIP-INF-1 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420043","UPSTATE CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","64 patients",,,"SCIP-VTE-1 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","164 patients",,,"HF-2 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","97 patients",,,"PN-2 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","136 patients",,,"HF-1 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","67%","33 patients",,,"CAC-3 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420043","UPSTATE CAROLINA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","64 patients",,,"PN-7 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","34 patients",,,"CAC-1 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","70 patients",,,"SCIP-INF-3 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","35 patients",,,"CAC-2 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "420043","UPSTATE CAROLINA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"HF-3 " "420048","KERSHAW HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","153 patients",,,"PN-6 " "420048","KERSHAW HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","91 patients",,,"HF-3 " "420048","KERSHAW HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","26 patients",,,"AMI-5 " "420048","KERSHAW HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","333 patients","2 ","2","SCIP-INF-6 " "420048","KERSHAW HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","223 patients",,,"PN-5C " "420048","KERSHAW HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","167 patients",,,"PN-3B " "420048","KERSHAW HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","256 patients","2 ","2","SCIP-INF-1 " "420048","KERSHAW HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "420048","KERSHAW HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","257 patients","2 ","2","SCIP-INF-2 " "420048","KERSHAW HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","35 patients","2 ","2","SCIP-CARD-2 " "420048","KERSHAW HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "420048","KERSHAW HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","178 patients",,,"PN-2 " "420048","KERSHAW HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "420048","KERSHAW HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","68%","22 patients","1 ","1","AMI-2 " "420048","KERSHAW HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420048","KERSHAW HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420048","KERSHAW HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","272 patients",,,"HF-2 " "420048","KERSHAW HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","197 patients","2 ","2","SCIP-VTE-2 " "420048","KERSHAW HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","235 patients",,,"HF-1 " "420048","KERSHAW HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420048","KERSHAW HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","140 patients",,,"PN-7 " "420048","KERSHAW HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","247 patients","2 ","2","SCIP-INF-3 " "420048","KERSHAW HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","41 patients",,,"AMI-1 " "420048","KERSHAW HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "420048","KERSHAW HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","197 patients","2 ","2","SCIP-VTE-1 " "420049","CONWAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","72 patients",,,"AMI-1 " "420049","CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","173 patients","2 ","2","SCIP-VTE-2 " "420049","CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","228 patients","2 ","2","SCIP-INF-1 " "420049","CONWAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","130 patients",,,"PN-7 " "420049","CONWAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","88%","17 patients","1 ","1","AMI-7A " "420049","CONWAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","37 patients",,,"AMI-2 " "420049","CONWAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"HF-4 " "420049","CONWAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"PN-4 " "420049","CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","227 patients","2 ","2","SCIP-INF-2 " "420049","CONWAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "420049","CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","313 patients","2 ","2","SCIP-INF-6 " "420049","CONWAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","174 patients",,,"PN-2 " "420049","CONWAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","263 patients",,,"PN-5C " "420049","CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","208 patients","2 ","2","SCIP-INF-3 " "420049","CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","48 patients","2 ","2","SCIP-CARD-2 " "420049","CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420049","CONWAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","249 patients",,,"HF-1 " "420049","CONWAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","250 patients",,,"PN-3B " "420049","CONWAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","89 patients",,,"HF-3 " "420049","CONWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","173 patients","2 ","2","SCIP-VTE-1 " "420049","CONWAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","174 patients",,,"PN-6 " "420049","CONWAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","279 patients",,,"HF-2 " "420049","CONWAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420049","CONWAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","39 patients",,,"AMI-5 " "420049","CONWAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","167 patients",,,"HF-4 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","267 patients",,,"PN-2 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","632 patients",,,"AMI-5 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","41 patients",,,"AMI-8A " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","392 patients","2 ","2","SCIP-INF-2 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","618 patients",,,"AMI-2 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","214 patients",,,"PN-7 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","340 patients",,,"HF-3 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","133 patients",,,"PN-4 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","716 patients",,,"HF-2 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","185 patients",,,"PN-6 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","371 patients","2 ","2","SCIP-INF-3 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","386 patients","2 ","2","SCIP-INF-1 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","85 patients","2 ","2","SCIP-CARD-2 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","554 patients","2 ","2","SCIP-INF-6 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","375 patients",,,"AMI-1 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","265 patients",,,"PN-3B " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","197 patients","2 ","2","SCIP-VTE-1 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","157 patients",,,"AMI-3 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","654 patients",,,"HF-1 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","282 patients",,,"AMI-4 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","197 patients","2 ","2","SCIP-VTE-2 " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","310 patients",,,"PN-5C " "420051","MCLEOD REGIONAL MEDICAL CENTER-PEE DEE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","119 patients","2 ","2","SCIP-INF-4 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","93 patients","2 ","2","SCIP-VTE-1 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1,2,3 ","123","AMI-1 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","68 patients","2 ","2","PN-5C " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1,2,3 ","123","AMI-2 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","60 patients","2 ","2","PN-3B " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","51 patients","2 ","2","PN-6 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","36 patients","2 ","2","HF-3 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","90 patients","2 ","2","SCIP-VTE-2 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","26 patients","2 ","2","HF-4 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1,2,3 ","123","AMI-5 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","119 patients","2 ","2","SCIP-INF-2 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","40 patients","2 ","2","PN-7 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","40%","5 patients","1,2,3 ","123","AMI-3 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","48 patients","2 ","2","PN-2 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1,2 ","12","PN-4 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","98 patients","2 ","2","HF-1 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","115 patients","2 ","2","SCIP-INF-1 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","18 patients","1,2 ","12","SCIP-CARD-2 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","126 patients","2 ","2","HF-2 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","110 patients","2 ","2","SCIP-INF-3 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2,3 ","123","AMI-4 " "420053","NEWBERRY COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","176 patients","2 ","2","SCIP-INF-6 " "420054","MARLBORO PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","28 patients","2 ","2","SCIP-VTE-2 " "420054","MARLBORO PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "420054","MARLBORO PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "420054","MARLBORO PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","30 patients",,,"HF-3 " "420054","MARLBORO PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","54 patients",,,"PN-3B " "420054","MARLBORO PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","43 patients","2 ","2","SCIP-INF-6 " "420054","MARLBORO PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "420054","MARLBORO PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1,2 ","12","SCIP-CARD-2 " "420054","MARLBORO PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "420054","MARLBORO PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "420054","MARLBORO PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "420054","MARLBORO PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420054","MARLBORO PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","33 patients",,,"PN-2 " "420054","MARLBORO PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "420054","MARLBORO PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","12 patients","1,2 ","12","SCIP-INF-1 " "420054","MARLBORO PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "420054","MARLBORO PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","70 patients",,,"HF-1 " "420054","MARLBORO PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","55 patients",,,"PN-5C " "420054","MARLBORO PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","12 patients","1,2 ","12","SCIP-INF-2 " "420054","MARLBORO PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","30 patients",,,"PN-7 " "420054","MARLBORO PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","45 patients",,,"PN-6 " "420054","MARLBORO PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","28 patients","2 ","2","SCIP-VTE-1 " "420054","MARLBORO PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "420054","MARLBORO PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","73 patients",,,"HF-2 " "420054","MARLBORO PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","11 patients","1,2 ","12","SCIP-INF-3 " "420055","MARION COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","40 patients",,,"PN-6 " "420055","MARION COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420055","MARION COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","49 patients",,,"HF-3 " "420055","MARION COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","128 patients",,,"SCIP-INF-6 " "420055","MARION COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","77 patients",,,"AMI-1 " "420055","MARION COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "420055","MARION COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","82 patients",,,"SCIP-INF-1 " "420055","MARION COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","83 patients",,,"SCIP-INF-2 " "420055","MARION COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","75 patients",,,"SCIP-VTE-1 " "420055","MARION COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420055","MARION COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","53 patients",,,"AMI-5 " "420055","MARION COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","54 patients",,,"PN-2 " "420055","MARION COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","18 patients","1 ","1","SCIP-CARD-2 " "420055","MARION COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","55 patients",,,"AMI-2 " "420055","MARION COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","45 patients",,,"PN-7 " "420055","MARION COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","70 patients",,,"PN-5C " "420055","MARION COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "420055","MARION COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","79 patients",,,"SCIP-INF-3 " "420055","MARION COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","132 patients",,,"HF-1 " "420055","MARION COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "420055","MARION COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420055","MARION COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "420055","MARION COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","75 patients",,,"SCIP-VTE-2 " "420055","MARION COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","69 patients",,,"PN-3B " "420055","MARION COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","151 patients",,,"HF-2 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","2,3 ","23","SCIP-INF-2 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","51 patients","2 ","2","HF-1 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","67%","3 patients","1,2,3 ","123","SCIP-INF-6 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","43 patients","2 ","2","PN-2 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","16 patients","1,2 ","12","HF-3 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","55 patients","2 ","2","HF-2 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1,2 ","12","AMI-2 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","2,3 ","23","SCIP-INF-3 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","2,3 ","23","SCIP-INF-1 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","2,3 ","23","SCIP-VTE-2 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","28 patients","2 ","2","PN-6 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","29 patients","2 ","2","PN-5C " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","19 patients","1,2 ","12","AMI-1 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","2,3 ","23","SCIP-VTE-1 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1,2 ","12","HF-4 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","32 patients",,,"PN-7 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","PN-4 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","AMI-4 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","12 patients","1,2 ","12","AMI-5 " "420056","BAMBERG COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients","2 ","2","PN-3B " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","27 patients","2 ","2","HF-1 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","35 patients","2 ","2","HF-2 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","HF-4 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","7 patients","1,3 ","13","PN-5C " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1,2 ","12","HF-3 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","23 patients","1 ","1","PN-2 " "420057","MCLEOD MEDICAL CENTER - DARLINGTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","14 patients","1 ","1","PN-7 " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "420062","CHESTERFIELD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","28 patients","2 ","2","SCIP-VTE-1 " "420062","CHESTERFIELD GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","80 patients",,,"PN-7 " "420062","CHESTERFIELD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","34 patients","2 ","2","SCIP-INF-3 " "420062","CHESTERFIELD GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","99 patients",,,"PN-6 " "420062","CHESTERFIELD GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","102 patients",,,"PN-3B " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","32 patients",,,"HF-3 " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","89 patients",,,"HF-2 " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "420062","CHESTERFIELD GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"PN-4 " "420062","CHESTERFIELD GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","130 patients",,,"PN-5C " "420062","CHESTERFIELD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","40 patients","2 ","2","SCIP-INF-2 " "420062","CHESTERFIELD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","56 patients","2 ","2","SCIP-INF-6 " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "420062","CHESTERFIELD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "420062","CHESTERFIELD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","40 patients","2 ","2","SCIP-INF-1 " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420062","CHESTERFIELD GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","99 patients",,,"PN-2 " "420062","CHESTERFIELD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1,2 ","12","SCIP-CARD-2 " "420062","CHESTERFIELD GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","28 patients","2 ","2","SCIP-VTE-2 " "420062","CHESTERFIELD GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","82 patients",,,"HF-1 " "420064","LORIS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","38 patients",,,"AMI-1 " "420064","LORIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","152 patients",,,"SCIP-INF-2 " "420064","LORIS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420064","LORIS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "420064","LORIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","159 patients",,,"SCIP-VTE-2 " "420064","LORIS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","134 patients",,,"PN-7 " "420064","LORIS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","HF-3 " "420064","LORIS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","150 patients",,,"PN-2 " "420064","LORIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","159 patients",,,"SCIP-VTE-1 " "420064","LORIS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","85 patients",,,"PN-6 " "420064","LORIS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","108 patients",,,"PN-4 " "420064","LORIS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420064","LORIS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","117 patients",,,"HF-1 " "420064","LORIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420064","LORIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","148 patients",,,"SCIP-INF-3 " "420064","LORIS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","42 patients",,,"AMI-5 " "420064","LORIS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "420064","LORIS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","31 patients",,,"AMI-2 " "420064","LORIS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","111 patients",,,"PN-5C " "420064","LORIS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","121 patients",,,"PN-3B " "420064","LORIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","326 patients",,,"SCIP-INF-6 " "420064","LORIS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","126 patients",,,"HF-2 " "420064","LORIS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "420064","LORIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","155 patients",,,"SCIP-INF-1 " "420064","LORIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","36 patients",,,"SCIP-CARD-2 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","391 patients","2 ","2","SCIP-INF-6 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","106 patients",,,"PN-7 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","152 patients","2 ","2","SCIP-VTE-1 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","154 patients",,,"PN-2 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","258 patients","2 ","2","SCIP-INF-3 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","143 patients",,,"PN-5C " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","152 patients","2 ","2","SCIP-VTE-2 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","267 patients","2 ","2","SCIP-INF-1 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","268 patients","2 ","2","SCIP-INF-2 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1,2 ","12","SCIP-CARD-2 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"PN-4 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","106 patients",,,"HF-1 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","102 patients",,,"PN-6 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","122 patients",,,"HF-2 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "420065","BON SECOURS-ST FRANCIS XAVIER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","124 patients",,,"PN-3B " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","57 patients",,,"HF-2 " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420066","LAKE CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients",,,"SCIP-INF-3 " "420066","LAKE CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "420066","LAKE CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients",,,"SCIP-INF-2 " "420066","LAKE CITY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","39 patients",,,"PN-6 " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","38%","13 patients","1 ","1","HF-4 " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "420066","LAKE CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","10 patients","1 ","1","SCIP-INF-6 " "420066","LAKE CITY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","36 patients",,,"PN-5C " "420066","LAKE CITY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","37 patients",,,"PN-3B " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","4 patients","1 ","1","AMI-5 " "420066","LAKE CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","7 patients","1 ","1","SCIP-VTE-1 " "420066","LAKE CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","7 patients","1 ","1","SCIP-VTE-2 " "420066","LAKE CITY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","20 patients","1 ","1","PN-4 " "420066","LAKE CITY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","26 patients",,,"PN-7 " "420066","LAKE CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients",,,"SCIP-INF-1 " "420066","LAKE CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "420066","LAKE CITY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","29 patients",,,"PN-2 " "420066","LAKE CITY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","54 patients",,,"HF-1 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","131 patients",,,"HF-3 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","70 patients",,,"PN-2 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","374 patients",,,"SCIP-VTE-1 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","262 patients",,,"HF-2 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","26 patients",,,"AMI-2 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","374 patients",,,"SCIP-VTE-2 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","241 patients",,,"HF-1 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","564 patients",,,"SCIP-INF-2 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","720 patients",,,"SCIP-INF-6 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","57 patients",,,"AMI-1 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","54 patients",,,"PN-7 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","528 patients",,,"SCIP-INF-3 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","561 patients",,,"SCIP-INF-1 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","28 patients",,,"AMI-5 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","72 patients",,,"SCIP-CARD-2 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","106 patients",,,"PN-3B " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","59 patients",,,"PN-6 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"HF-4 " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-7A " "420067","BEAUFORT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","92 patients",,,"PN-5C " "420068","TRMC OF ORANGEBURG & CALHOUN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","146 patients",,,"PN-2 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","57%","7 patients","1 ","1","AMI-7A " "420068","TRMC OF ORANGEBURG & CALHOUN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","111 patients",,,"PN-7 " "420068","TRMC OF ORANGEBURG & CALHOUN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","200 patients","2 ","2","SCIP-VTE-1 " "420068","TRMC OF ORANGEBURG & CALHOUN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"PN-4 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"HF-4 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","54 patients",,,"AMI-2 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","452 patients",,,"HF-2 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","AMI-3 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","59 patients",,,"AMI-5 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420068","TRMC OF ORANGEBURG & CALHOUN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","104 patients",,,"PN-6 " "420068","TRMC OF ORANGEBURG & CALHOUN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","369 patients","2 ","2","SCIP-INF-6 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","99 patients",,,"AMI-1 " "420068","TRMC OF ORANGEBURG & CALHOUN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","246 patients","2 ","2","SCIP-INF-2 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","120 patients",,,"HF-3 " "420068","TRMC OF ORANGEBURG & CALHOUN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","244 patients","2 ","2","SCIP-INF-1 " "420068","TRMC OF ORANGEBURG & CALHOUN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","25 patients","2 ","2","SCIP-CARD-2 " "420068","TRMC OF ORANGEBURG & CALHOUN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420068","TRMC OF ORANGEBURG & CALHOUN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","179 patients",,,"PN-5C " "420068","TRMC OF ORANGEBURG & CALHOUN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","198 patients","2 ","2","SCIP-VTE-2 " "420068","TRMC OF ORANGEBURG & CALHOUN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","376 patients",,,"HF-1 " "420068","TRMC OF ORANGEBURG & CALHOUN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","234 patients","2 ","2","SCIP-INF-3 " "420068","TRMC OF ORANGEBURG & CALHOUN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","178 patients",,,"PN-3B " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","135 patients",,,"HF-2 " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "420069","CLARENDON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","164 patients",,,"SCIP-INF-2 " "420069","CLARENDON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","58 patients",,,"PN-2 " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "420069","CLARENDON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","164 patients",,,"SCIP-INF-3 " "420069","CLARENDON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","39 patients",,,"PN-4 " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "420069","CLARENDON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","17 patients","1 ","1","SCIP-CARD-2 " "420069","CLARENDON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","97 patients",,,"PN-5C " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","60 patients",,,"HF-3 " "420069","CLARENDON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","52%","73 patients",,,"SCIP-VTE-1 " "420069","CLARENDON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","172 patients",,,"SCIP-INF-1 " "420069","CLARENDON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","215 patients",,,"SCIP-INF-6 " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"HF-4 " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420069","CLARENDON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","85 patients",,,"PN-3B " "420069","CLARENDON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","51 patients",,,"PN-7 " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","124 patients",,,"HF-1 " "420069","CLARENDON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420069","CLARENDON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "420069","CLARENDON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","52%","71 patients",,,"SCIP-VTE-2 " "420069","CLARENDON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","73 patients",,,"PN-6 " "420070","TUOMEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","340 patients","2 ","2","SCIP-INF-2 " "420070","TUOMEY HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","134 patients",,,"PN-7 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","188 patients",,,"HF-3 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "420070","TUOMEY HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","109 patients",,,"PN-4 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","465 patients",,,"HF-2 " "420070","TUOMEY HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","218 patients",,,"PN-5C " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","397 patients",,,"HF-1 " "420070","TUOMEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","326 patients","2 ","2","SCIP-INF-3 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420070","TUOMEY HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","136 patients",,,"PN-6 " "420070","TUOMEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","462 patients","2 ","2","SCIP-INF-6 " "420070","TUOMEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","341 patients","2 ","2","SCIP-INF-1 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","26 patients",,,"AMI-2 " "420070","TUOMEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","64 patients","2 ","2","SCIP-CARD-2 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","115 patients",,,"HF-4 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","30 patients",,,"AMI-5 " "420070","TUOMEY HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","161 patients",,,"PN-2 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","35 patients",,,"AMI-1 " "420070","TUOMEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","286 patients","2 ","2","SCIP-VTE-2 " "420070","TUOMEY HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "420070","TUOMEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","286 patients","2 ","2","SCIP-VTE-1 " "420070","TUOMEY HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","159 patients",,,"PN-3B " "420070","TUOMEY HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420071","SELF REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","277 patients","2 ","2","SCIP-VTE-2 " "420071","SELF REGIONAL HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"AMI-4 " "420071","SELF REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","789 patients","2 ","2","SCIP-INF-6 " "420071","SELF REGIONAL HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","389 patients",,,"HF-2 " "420071","SELF REGIONAL HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","244 patients",,,"AMI-5 " "420071","SELF REGIONAL HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","254 patients",,,"AMI-2 " "420071","SELF REGIONAL HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","329 patients",,,"HF-1 " "420071","SELF REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","108 patients","2 ","2","SCIP-CARD-2 " "420071","SELF REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","277 patients","2 ","2","SCIP-VTE-1 " "420071","SELF REGIONAL HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","60 patients",,,"AMI-8A " "420071","SELF REGIONAL HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","173 patients",,,"HF-3 " "420071","SELF REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","93 patients","2 ","2","SCIP-INF-4 " "420071","SELF REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","626 patients","2 ","2","SCIP-INF-3 " "420071","SELF REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","637 patients","2 ","2","SCIP-INF-2 " "420071","SELF REGIONAL HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","633 patients","2 ","2","SCIP-INF-1 " "420071","SELF REGIONAL HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","266 patients",,,"PN-5C " "420071","SELF REGIONAL HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","214 patients",,,"AMI-1 " "420071","SELF REGIONAL HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","223 patients",,,"PN-3B " "420071","SELF REGIONAL HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","86 patients",,,"PN-4 " "420071","SELF REGIONAL HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420071","SELF REGIONAL HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","176 patients",,,"PN-6 " "420071","SELF REGIONAL HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","67 patients",,,"HF-4 " "420071","SELF REGIONAL HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","175 patients",,,"PN-7 " "420071","SELF REGIONAL HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","64 patients",,,"AMI-3 " "420071","SELF REGIONAL HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","246 patients",,,"PN-2 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,2 ","12","SCIP-CARD-2 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","13 patients","1,2 ","12","SCIP-VTE-2 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","74%","19 patients","1,2 ","12","PN-3B " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","56%","9 patients","1,2 ","12","HF-3 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","13 patients","1,2 ","12","SCIP-VTE-1 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","22 patients","1,2 ","12","PN-6 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","18 patients","1,2 ","12","PN-7 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","16 patients","1,2 ","12","SCIP-INF-6 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","38 patients","2 ","2","HF-2 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","11 patients","1,2 ","12","SCIP-INF-2 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "420072","HAMPTON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1,2 ","12","PN-4 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","31 patients","2 ","2","PN-2 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","35 patients","2 ","2","PN-5C " "420072","HAMPTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","11 patients","1,2 ","12","SCIP-INF-3 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2 ","12","HF-4 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","36%","11 patients","1,2 ","12","SCIP-INF-1 " "420072","HAMPTON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","37%","38 patients","2 ","2","HF-1 " "420073","LEXINGTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420073","LEXINGTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","67 patients","2 ","2","PN-7 " "420073","LEXINGTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","100 patients",,,"AMI-1 " "420073","LEXINGTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients","2 ","2","PN-4 " "420073","LEXINGTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","82 patients","2 ","2","HF-3 " "420073","LEXINGTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","109 patients","2 ","2","PN-5C " "420073","LEXINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","280 patients","2 ","2","SCIP-INF-3 " "420073","LEXINGTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","93 patients","2 ","2","PN-3B " "420073","LEXINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","292 patients","2 ","2","SCIP-INF-1 " "420073","LEXINGTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","49 patients",,,"AMI-2 " "420073","LEXINGTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "420073","LEXINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","185 patients","2 ","2","SCIP-VTE-1 " "420073","LEXINGTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","82 patients","2 ","2","PN-6 " "420073","LEXINGTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients","2 ","2","HF-4 " "420073","LEXINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","417 patients","2 ","2","SCIP-INF-6 " "420073","LEXINGTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","256 patients","2 ","2","HF-2 " "420073","LEXINGTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-8A " "420073","LEXINGTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","218 patients","2 ","2","HF-1 " "420073","LEXINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","289 patients","2 ","2","SCIP-INF-2 " "420073","LEXINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420073","LEXINGTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "420073","LEXINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","59 patients","2 ","2","SCIP-CARD-2 " "420073","LEXINGTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","46 patients",,,"AMI-5 " "420073","LEXINGTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","108 patients","2 ","2","PN-2 " "420073","LEXINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","185 patients","2 ","2","SCIP-VTE-2 " "420078","GREENVILLE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","236 patients",,,"PN-6 " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","735 patients",,,"HF-2 " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","620 patients",,,"HF-1 " "420078","GREENVILLE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","392 patients",,,"PN-2 " "420078","GREENVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","111 patients","2 ","2","SCIP-CARD-2 " "420078","GREENVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","370 patients","2 ","2","SCIP-INF-3 " "420078","GREENVILLE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","365 patients",,,"PN-5C " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","677 patients",,,"AMI-5 " "420078","GREENVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","421 patients","2 ","2","SCIP-INF-2 " "420078","GREENVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","217 patients","2 ","2","SCIP-VTE-1 " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","483 patients",,,"AMI-1 " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420078","GREENVILLE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","311 patients",,,"PN-7 " "420078","GREENVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","163 patients","2 ","2","SCIP-INF-4 " "420078","GREENVILLE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","439 patients",,,"PN-3B " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","333 patients",,,"HF-3 " "420078","GREENVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","668 patients","2 ","2","SCIP-INF-6 " "420078","GREENVILLE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","230 patients",,,"PN-4 " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","181 patients",,,"HF-4 " "420078","GREENVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","414 patients","2 ","2","SCIP-INF-1 " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","147 patients",,,"AMI-3 " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","353 patients",,,"AMI-4 " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","744 patients",,,"AMI-2 " "420078","GREENVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","115 patients",,,"AMI-8A " "420078","GREENVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","217 patients","2 ","2","SCIP-VTE-2 " "420079","TRIDENT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","230 patients",,,"PN-7 " "420079","TRIDENT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","294 patients",,,"PN-5C " "420079","TRIDENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","323 patients","2 ","2","SCIP-VTE-2 " "420079","TRIDENT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","292 patients",,,"PN-3B " "420079","TRIDENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","146 patients","2 ","2","SCIP-INF-4 " "420079","TRIDENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","125 patients","2 ","2","SCIP-CARD-2 " "420079","TRIDENT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","299 patients",,,"PN-2 " "420079","TRIDENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","325 patients","2 ","2","SCIP-VTE-1 " "420079","TRIDENT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","261 patients",,,"AMI-5 " "420079","TRIDENT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","187 patients",,,"AMI-1 " "420079","TRIDENT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","61 patients",,,"AMI-8A " "420079","TRIDENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","589 patients","2 ","2","SCIP-INF-2 " "420079","TRIDENT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","260 patients",,,"AMI-2 " "420079","TRIDENT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","126 patients",,,"PN-4 " "420079","TRIDENT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","70 patients",,,"AMI-3 " "420079","TRIDENT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","195 patients",,,"PN-6 " "420079","TRIDENT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","111 patients",,,"HF-4 " "420079","TRIDENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","586 patients","2 ","2","SCIP-INF-1 " "420079","TRIDENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","842 patients","2 ","2","SCIP-INF-6 " "420079","TRIDENT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","167 patients",,,"HF-3 " "420079","TRIDENT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","521 patients","2 ","2","SCIP-INF-3 " "420079","TRIDENT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","515 patients",,,"HF-2 " "420079","TRIDENT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420079","TRIDENT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","127 patients",,,"AMI-4 " "420079","TRIDENT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","456 patients",,,"HF-1 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","70 patients",,,"AMI-1 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","62 patients","2 ","2","SCIP-INF-4 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","141 patients",,,"PN-2 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","184 patients",,,"HF-2 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","304 patients","2 ","2","SCIP-INF-2 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","52 patients",,,"HF-3 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","89 patients",,,"AMI-5 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","288 patients","2 ","2","SCIP-INF-3 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","133 patients",,,"PN-3B " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","95 patients",,,"PN-7 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","23 patients","1 ","1","AMI-8A " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","64 patients",,,"SCIP-CARD-2 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","163 patients","2 ","2","SCIP-VTE-1 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","430 patients","2 ","2","SCIP-INF-6 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","294 patients","2 ","2","SCIP-INF-1 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","92 patients",,,"PN-6 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","163 patients","2 ","2","SCIP-VTE-2 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","122 patients",,,"PN-5C " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","138 patients",,,"HF-1 " "420080","HILTON HEAD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","88 patients",,,"AMI-2 " "420082","AIKEN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","174 patients",,,"PN-2 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","140 patients",,,"AMI-2 " "420082","AIKEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","64 patients","2 ","2","SCIP-INF-4 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "420082","AIKEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","596 patients","2 ","2","SCIP-INF-2 " "420082","AIKEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","547 patients","2 ","2","SCIP-INF-3 " "420082","AIKEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","757 patients","2 ","2","SCIP-INF-6 " "420082","AIKEN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","189 patients",,,"PN-3B " "420082","AIKEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","294 patients","2 ","2","SCIP-VTE-2 " "420082","AIKEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","583 patients","2 ","2","SCIP-INF-1 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","101 patients",,,"HF-3 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","137 patients",,,"AMI-5 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","193 patients",,,"HF-1 " "420082","AIKEN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "420082","AIKEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","294 patients","2 ","2","SCIP-VTE-1 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","134 patients",,,"AMI-1 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","45 patients",,,"AMI-8A " "420082","AIKEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","69 patients","2 ","2","SCIP-CARD-2 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","232 patients",,,"HF-2 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "420082","AIKEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","41 patients",,,"AMI-3 " "420082","AIKEN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","109 patients",,,"PN-6 " "420082","AIKEN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","127 patients",,,"PN-7 " "420082","AIKEN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","190 patients",,,"PN-5C " "420083","MARY BLACK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","500 patients",,,"SCIP-INF-2 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","78 patients",,,"HF-1 " "420083","MARY BLACK MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","74 patients",,,"PN-4 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","23 patients","1 ","1","AMI-2 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","24 patients","1 ","1","AMI-5 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "420083","MARY BLACK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420083","MARY BLACK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","62 patients",,,"SCIP-CARD-2 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","107 patients",,,"HF-2 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","32 patients",,,"AMI-1 " "420083","MARY BLACK MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","84 patients",,,"PN-7 " "420083","MARY BLACK MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","118 patients",,,"PN-3B " "420083","MARY BLACK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","498 patients",,,"SCIP-INF-1 " "420083","MARY BLACK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","377 patients",,,"SCIP-VTE-2 " "420083","MARY BLACK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","724 patients",,,"SCIP-INF-6 " "420083","MARY BLACK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","377 patients",,,"SCIP-VTE-1 " "420083","MARY BLACK MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","160 patients",,,"PN-5C " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420083","MARY BLACK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","475 patients",,,"SCIP-INF-3 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","24 patients","1 ","1","HF-3 " "420083","MARY BLACK MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","130 patients",,,"PN-6 " "420083","MARY BLACK MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","129 patients",,,"PN-2 " "420083","MARY BLACK MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420085","GRAND STRAND REG MED CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","312 patients","2 ","2","SCIP-VTE-1 " "420085","GRAND STRAND REG MED CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","279 patients","2 ","2","HF-1 " "420085","GRAND STRAND REG MED CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","HF-4 " "420085","GRAND STRAND REG MED CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","106 patients","2 ","2","PN-7 " "420085","GRAND STRAND REG MED CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","801 patients","2 ","2","SCIP-INF-6 " "420085","GRAND STRAND REG MED CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","158 patients","2 ","2","PN-5C " "420085","GRAND STRAND REG MED CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","58 patients","2 ","2","AMI-3 " "420085","GRAND STRAND REG MED CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","60 patients","2 ","2","PN-4 " "420085","GRAND STRAND REG MED CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","493 patients","2 ","2","SCIP-INF-3 " "420085","GRAND STRAND REG MED CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","173 patients","2 ","2","SCIP-INF-4 " "420085","GRAND STRAND REG MED CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","540 patients","2 ","2","SCIP-INF-1 " "420085","GRAND STRAND REG MED CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","237 patients","2 ","2","AMI-1 " "420085","GRAND STRAND REG MED CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","131 patients","2 ","2","SCIP-CARD-2 " "420085","GRAND STRAND REG MED CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","64 patients","2 ","2","AMI-8A " "420085","GRAND STRAND REG MED CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","305 patients","2 ","2","HF-2 " "420085","GRAND STRAND REG MED CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","553 patients","2 ","2","SCIP-INF-2 " "420085","GRAND STRAND REG MED CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","156 patients","2 ","2","PN-2 " "420085","GRAND STRAND REG MED CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","106 patients","2 ","2","PN-6 " "420085","GRAND STRAND REG MED CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","88 patients","2 ","2","HF-3 " "420085","GRAND STRAND REG MED CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","121 patients","2 ","2","AMI-4 " "420085","GRAND STRAND REG MED CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","312 patients","2 ","2","SCIP-VTE-2 " "420085","GRAND STRAND REG MED CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","297 patients","2 ","2","AMI-5 " "420085","GRAND STRAND REG MED CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "420085","GRAND STRAND REG MED CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","296 patients","2 ","2","AMI-2 " "420085","GRAND STRAND REG MED CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","183 patients","2 ","2","PN-3B " "420086","PALMETTO HEALTH BAPTIST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","797 patients",,,"SCIP-VTE-1 " "420086","PALMETTO HEALTH BAPTIST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","796 patients",,,"SCIP-VTE-2 " "420086","PALMETTO HEALTH BAPTIST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","127 patients",,,"HF-1 " "420086","PALMETTO HEALTH BAPTIST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420086","PALMETTO HEALTH BAPTIST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "420086","PALMETTO HEALTH BAPTIST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","127 patients",,,"PN-2 " "420086","PALMETTO HEALTH BAPTIST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","172 patients",,,"HF-2 " "420086","PALMETTO HEALTH BAPTIST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","120 patients",,,"PN-6 " "420086","PALMETTO HEALTH BAPTIST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","877 patients",,,"SCIP-INF-1 " "420086","PALMETTO HEALTH BAPTIST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1352 patients",,,"SCIP-INF-6 " "420086","PALMETTO HEALTH BAPTIST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","885 patients",,,"SCIP-INF-2 " "420086","PALMETTO HEALTH BAPTIST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","205 patients",,,"PN-5C " "420086","PALMETTO HEALTH BAPTIST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "420086","PALMETTO HEALTH BAPTIST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","135 patients",,,"PN-7 " "420086","PALMETTO HEALTH BAPTIST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "420086","PALMETTO HEALTH BAPTIST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","861 patients",,,"SCIP-INF-3 " "420086","PALMETTO HEALTH BAPTIST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "420086","PALMETTO HEALTH BAPTIST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "420086","PALMETTO HEALTH BAPTIST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420086","PALMETTO HEALTH BAPTIST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "420086","PALMETTO HEALTH BAPTIST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","29 patients",,,"AMI-1 " "420086","PALMETTO HEALTH BAPTIST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"HF-3 " "420086","PALMETTO HEALTH BAPTIST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420086","PALMETTO HEALTH BAPTIST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","133 patients",,,"SCIP-CARD-2 " "420086","PALMETTO HEALTH BAPTIST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","194 patients",,,"PN-3B " "420087","ROPER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","181 patients",,,"PN-7 " "420087","ROPER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","178 patients","2 ","2","SCIP-INF-4 " "420087","ROPER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","684 patients",,,"HF-2 " "420087","ROPER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","505 patients","2 ","2","SCIP-INF-3 " "420087","ROPER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","230 patients",,,"HF-3 " "420087","ROPER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","211 patients",,,"PN-5C " "420087","ROPER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","738 patients","2 ","2","SCIP-INF-6 " "420087","ROPER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420087","ROPER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"HF-4 " "420087","ROPER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","108 patients",,,"PN-4 " "420087","ROPER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","531 patients","2 ","2","SCIP-INF-1 " "420087","ROPER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","38 patients",,,"AMI-8A " "420087","ROPER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","145 patients",,,"AMI-1 " "420087","ROPER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","267 patients",,,"AMI-2 " "420087","ROPER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","84 patients",,,"AMI-4 " "420087","ROPER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","94 patients","2 ","2","SCIP-CARD-2 " "420087","ROPER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","248 patients",,,"PN-2 " "420087","ROPER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "420087","ROPER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","233 patients","2 ","2","SCIP-VTE-1 " "420087","ROPER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","261 patients",,,"AMI-5 " "420087","ROPER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","233 patients","2 ","2","SCIP-VTE-2 " "420087","ROPER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","133 patients",,,"PN-6 " "420087","ROPER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","177 patients",,,"PN-3B " "420087","ROPER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","611 patients",,,"HF-1 " "420087","ROPER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","538 patients","2 ","2","SCIP-INF-2 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","248 patients",,,"SCIP-INF-1 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","387 patients",,,"SCIP-INF-6 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","72 patients",,,"PN-5C " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","67 patients",,,"PN-3B " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","57 patients",,,"HF-1 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","43 patients",,,"PN-7 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","148 patients",,,"SCIP-VTE-2 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","49 patients",,,"PN-6 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","64 patients",,,"PN-2 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","86 patients",,,"HF-2 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","247 patients",,,"SCIP-INF-3 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","250 patients",,,"SCIP-INF-2 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","148 patients",,,"SCIP-VTE-1 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","16 patients","1 ","1","SCIP-CARD-2 " "420089","EAST COOPER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "420091","CAROLINAS HOSPITAL SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","158 patients",,,"PN-3B " "420091","CAROLINAS HOSPITAL SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","146 patients",,,"PN-7 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","14 patients","1 ","1","AMI-8A " "420091","CAROLINAS HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","193 patients",,,"SCIP-INF-4 " "420091","CAROLINAS HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","421 patients",,,"SCIP-VTE-2 " "420091","CAROLINAS HOSPITAL SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","93 patients",,,"PN-6 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","26 patients",,,"AMI-3 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","120 patients",,,"AMI-1 " "420091","CAROLINAS HOSPITAL SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","157 patients",,,"PN-5C " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","450 patients",,,"HF-1 " "420091","CAROLINAS HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","630 patients",,,"SCIP-INF-2 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"AMI-4 " "420091","CAROLINAS HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","423 patients",,,"SCIP-VTE-1 " "420091","CAROLINAS HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","589 patients",,,"SCIP-INF-3 " "420091","CAROLINAS HOSPITAL SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","187 patients",,,"PN-2 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","162 patients",,,"AMI-5 " "420091","CAROLINAS HOSPITAL SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"PN-4 " "420091","CAROLINAS HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","998 patients",,,"SCIP-INF-6 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","163 patients",,,"HF-3 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","162 patients",,,"AMI-2 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "420091","CAROLINAS HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","618 patients",,,"SCIP-INF-1 " "420091","CAROLINAS HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","178 patients",,,"SCIP-CARD-2 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","495 patients",,,"HF-2 " "420091","CAROLINAS HOSPITAL SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"HF-4 " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","59 patients","2 ","2","HF-3 " "420098","WACCAMAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","272 patients","2 ","2","SCIP-INF-1 " "420098","WACCAMAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","35 patients","2 ","2","SCIP-CARD-2 " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "420098","WACCAMAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","157 patients","2 ","2","SCIP-VTE-1 " "420098","WACCAMAW COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","135 patients","2 ","2","PN-5C " "420098","WACCAMAW COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","95 patients","2 ","2","PN-7 " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1,2 ","12","AMI-2 " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2 ","2","HF-4 " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","165 patients","2 ","2","HF-2 " "420098","WACCAMAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","261 patients","2 ","2","SCIP-INF-3 " "420098","WACCAMAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","387 patients","2 ","2","SCIP-INF-6 " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2 ","12","AMI-3 " "420098","WACCAMAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","272 patients","2 ","2","SCIP-INF-2 " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1,2 ","12","AMI-5 " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","AMI-4 " "420098","WACCAMAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","156 patients","2 ","2","SCIP-VTE-2 " "420098","WACCAMAW COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","46 patients","2 ","2","AMI-1 " "420098","WACCAMAW COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","128 patients","2 ","2","PN-2 " "420098","WACCAMAW COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","138 patients","2 ","2","PN-3B " "420098","WACCAMAW COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","127 patients","2 ","2","HF-1 " "420098","WACCAMAW COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","PN-4 " "420098","WACCAMAW COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","77 patients","2 ","2","PN-6 " "420101","COASTAL CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","7 patients","1 ","1","SCIP-VTE-2 " "420101","COASTAL CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "420101","COASTAL CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1 ","1","SCIP-INF-6 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","49 patients",,,"HF-2 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "420101","COASTAL CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","7 patients","1 ","1","SCIP-INF-1 " "420101","COASTAL CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-2 " "420101","COASTAL CAROLINA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","44 patients",,,"HF-1 " "420101","COASTAL CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","7 patients","1 ","1","SCIP-VTE-1 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "420101","COASTAL CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "420101","COASTAL CAROLINA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "420101","COASTAL CAROLINA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","41 patients",,,"PN-3B " "420101","COASTAL CAROLINA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","33 patients",,,"PN-6 " "420101","COASTAL CAROLINA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","37 patients",,,"PN-5C " "420101","COASTAL CAROLINA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","16 patients","1 ","1","PN-7 " "420101","COASTAL CAROLINA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","33 patients",,,"PN-2 " "420101","COASTAL CAROLINA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","6 patients","1 ","1","SCIP-INF-3 " "420102","PATEWOOD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "420102","PATEWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","188 patients","2 ","2","SCIP-INF-1 " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "420102","PATEWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","264 patients","2 ","2","SCIP-INF-6 " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "420102","PATEWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","79 patients","2 ","2","SCIP-VTE-1 " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "420102","PATEWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","33 patients","2 ","2","SCIP-CARD-2 " "420102","PATEWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "420102","PATEWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","178 patients","2 ","2","SCIP-INF-3 " "420102","PATEWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","79 patients","2 ","2","SCIP-VTE-2 " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "420102","PATEWOOD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "420102","PATEWOOD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "420102","PATEWOOD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","189 patients","2 ","2","SCIP-INF-2 " "420102","PATEWOOD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "420102","PATEWOOD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "420102","PATEWOOD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "420102","PATEWOOD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "420103","VILLAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","37 patients","3 ","3","SCIP-INF-3 " "420103","VILLAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","14 patients","1,3 ","13","PN-2 " "420103","VILLAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "420103","VILLAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","32 patients","3 ","3","PN-6 " "420103","VILLAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","29 patients","3 ","3","PN-3B " "420103","VILLAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "420103","VILLAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "420103","VILLAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","38 patients","3 ","3","SCIP-INF-1 " "420103","VILLAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "420103","VILLAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","23 patients","1,3 ","13","PN-5C " "420103","VILLAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","38 patients","3 ","3","SCIP-INF-2 " "420103","VILLAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "420103","VILLAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "420103","VILLAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "420103","VILLAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","16 patients","1,3 ","13","SCIP-VTE-1 " "420103","VILLAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "420103","VILLAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","12 patients","1,3 ","13","HF-1 " "420103","VILLAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,3 ","13","PN-4 " "420103","VILLAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "420103","VILLAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","51 patients","3 ","3","SCIP-INF-6 " "420103","VILLAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "420103","VILLAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","16 patients","1,3 ","13","SCIP-VTE-2 " "420103","VILLAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "420103","VILLAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","13 patients","1,3 ","13","HF-2 " "420103","VILLAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","20 patients","1 ","1","PN-7 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","55 patients","2 ","2","SCIP-CARD-2 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","93 patients",,,"PN-3B " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","209 patients",,,"HF-2 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","145 patients",,,"SCIP-INF-2 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","84 patients",,,"HF-3 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","149 patients","2 ","2","SCIP-VTE-1 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","204 patients",,,"HF-1 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","75 patients",,,"PN-7 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","145 patients",,,"SCIP-INF-1 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","84 patients",,,"PN-5C " "42011F","COLUMBIA SC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","143 patients",,,"SCIP-INF-3 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"HF-4 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","59 patients",,,"PN-6 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","88 patients",,,"PN-2 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","245 patients","2 ","2","SCIP-INF-6 " "42011F","COLUMBIA SC VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","148 patients","2 ","2","SCIP-VTE-2 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","37 patients",,,"AMI-2 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "42029F","CHARLESTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","118 patients","2 ","2","SCIP-INF-4 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","20%","5 patients","1 ","1","AMI-8A " "42029F","CHARLESTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","113 patients","2 ","2","SCIP-VTE-2 " "42029F","CHARLESTON VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","49 patients",,,"PN-7 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","129 patients",,,"HF-1 " "42029F","CHARLESTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","311 patients",,,"SCIP-INF-3 " "42029F","CHARLESTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","312 patients",,,"SCIP-INF-2 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "42029F","CHARLESTON VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","24 patients","1 ","1","PN-6 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "42029F","CHARLESTON VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","29 patients",,,"PN-3B " "42029F","CHARLESTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","113 patients","2 ","2","SCIP-VTE-1 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","59 patients",,,"HF-3 " "42029F","CHARLESTON VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","39 patients",,,"PN-2 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","35 patients",,,"AMI-1 " "42029F","CHARLESTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","141 patients","2 ","2","SCIP-CARD-2 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "42029F","CHARLESTON VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients",,,"PN-5C " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "42029F","CHARLESTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","391 patients","2 ","2","SCIP-INF-6 " "42029F","CHARLESTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","312 patients",,,"SCIP-INF-1 " "42029F","CHARLESTON VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","135 patients",,,"HF-2 " "42029F","CHARLESTON VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"PN-4 " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","42%","12 patients","1,3 ","13","HF-1 " "421301","ABBEVILLE AREA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","41%","17 patients","1 ","1","PN-6 " "421301","ABBEVILLE AREA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","12 patients","1 ","1","PN-7 " "421301","ABBEVILLE AREA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","15 patients","1 ","1","PN-3B " "421301","ABBEVILLE AREA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "421301","ABBEVILLE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","17 patients","1,3 ","13","SCIP-INF-2 " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "421301","ABBEVILLE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","12 patients","1,3 ","13","SCIP-VTE-1 " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1,3 ","13","HF-3 " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "421301","ABBEVILLE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","17 patients","1,3 ","13","SCIP-INF-3 " "421301","ABBEVILLE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "421301","ABBEVILLE AREA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","19 patients","1 ","1","PN-2 " "421301","ABBEVILLE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","37 patients","3 ","3","SCIP-INF-6 " "421301","ABBEVILLE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","17 patients","1,3 ","13","SCIP-INF-1 " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","15 patients","1,3 ","13","HF-2 " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "421301","ABBEVILLE AREA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "421301","ABBEVILLE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "421301","ABBEVILLE AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","11 patients","1,3 ","13","SCIP-VTE-2 " "421301","ABBEVILLE AREA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","9 patients","1 ","1","PN-5C " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "421302","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","26 patients",,,"PN-2 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","23 patients","1 ","1","PN-6 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "421302","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","PN-4 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","6%","32 patients",,,"HF-1 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","65%","20 patients","1 ","1","PN-3B " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","63%","38 patients",,,"HF-2 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","12 patients","1 ","1","HF-4 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","23 patients","1 ","1","PN-7 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","HF-3 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "421302","FAIRFIELD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","35 patients",,,"PN-5C " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","41 patients",,,"PN-2 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","27 patients",,,"HF-1 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","32 patients",,,"PN-7 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1,3 ","13","AMI-2 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","33 patients",,,"HF-2 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","31 patients",,,"PN-3B " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","52 patients",,,"PN-5C " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","PN-4 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","37 patients",,,"PN-6 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","10 patients","1 ","1","HF-3 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","40%","5 patients","1,3 ","13","AMI-1 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","1 patients","1,3 ","13","SCIP-INF-3 " "421303","WILLIAMSBURG REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "421304","EDGEFIELD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "421304","EDGEFIELD COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","24 patients","1 ","1","PN-7 " "421304","EDGEFIELD COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","20 patients","1 ","1","PN-3B " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "421304","EDGEFIELD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "421304","EDGEFIELD COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","20 patients","1 ","1","PN-5C " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "421304","EDGEFIELD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","39 patients",,,"HF-2 " "421304","EDGEFIELD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "421304","EDGEFIELD COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","35 patients",,,"PN-2 " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","HF-4 " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "421304","EDGEFIELD COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1 ","1","PN-4 " "421304","EDGEFIELD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "421304","EDGEFIELD COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","19 patients","1 ","1","PN-6 " "421304","EDGEFIELD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "421304","EDGEFIELD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "421304","EDGEFIELD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "421304","EDGEFIELD COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","25 patients",,,"HF-1 " "430005","PRAIRIE LAKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "430005","PRAIRIE LAKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","291 patients","2 ","2","SCIP-INF-3 " "430005","PRAIRIE LAKES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","34 patients","2 ","2","SCIP-CARD-2 " "430005","PRAIRIE LAKES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","143 patients","2 ","2","PN-3B " "430005","PRAIRIE LAKES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","140 patients","2 ","2","PN-6 " "430005","PRAIRIE LAKES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","18 patients","1 ","1","AMI-8A " "430005","PRAIRIE LAKES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","168 patients","2 ","2","PN-5C " "430005","PRAIRIE LAKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","303 patients","2 ","2","SCIP-INF-2 " "430005","PRAIRIE LAKES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","HF-4 " "430005","PRAIRIE LAKES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","AMI-3 " "430005","PRAIRIE LAKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","398 patients","2 ","2","SCIP-INF-6 " "430005","PRAIRIE LAKES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","302 patients","2 ","2","SCIP-INF-1 " "430005","PRAIRIE LAKES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","191 patients","2 ","2","PN-2 " "430005","PRAIRIE LAKES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","122 patients","2 ","2","PN-7 " "430005","PRAIRIE LAKES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","33 patients",,,"HF-3 " "430005","PRAIRIE LAKES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "430005","PRAIRIE LAKES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","98 patients",,,"HF-2 " "430005","PRAIRIE LAKES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","57 patients",,,"AMI-2 " "430005","PRAIRIE LAKES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","73 patients",,,"HF-1 " "430005","PRAIRIE LAKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","179 patients","2 ","2","SCIP-VTE-1 " "430005","PRAIRIE LAKES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","54 patients",,,"AMI-1 " "430005","PRAIRIE LAKES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","37 patients","2 ","2","PN-4 " "430005","PRAIRIE LAKES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "430005","PRAIRIE LAKES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","58 patients",,,"AMI-5 " "430005","PRAIRIE LAKES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","178 patients","2 ","2","SCIP-VTE-2 " "430008","BROOKINGS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","HF-4 " "430008","BROOKINGS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1 ","1","PN-4 " "430008","BROOKINGS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "430008","BROOKINGS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","48 patients",,,"PN-6 " "430008","BROOKINGS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "430008","BROOKINGS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "430008","BROOKINGS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "430008","BROOKINGS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","35 patients","3 ","3","PN-5C " "430008","BROOKINGS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","27 patients",,,"HF-1 " "430008","BROOKINGS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","38 patients",,,"PN-7 " "430008","BROOKINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "430008","BROOKINGS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "430008","BROOKINGS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","84 patients",,,"PN-2 " "430008","BROOKINGS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","53%","32 patients",,,"HF-2 " "430008","BROOKINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","31 patients",,,"SCIP-INF-1 " "430008","BROOKINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","31 patients",,,"SCIP-INF-2 " "430008","BROOKINGS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","HF-3 " "430008","BROOKINGS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","57 patients",,,"PN-3B " "430008","BROOKINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","43 patients",,,"SCIP-INF-6 " "430008","BROOKINGS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "430008","BROOKINGS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "430008","BROOKINGS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","26 patients",,,"SCIP-INF-3 " "430008","BROOKINGS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","25 patients",,,"SCIP-VTE-1 " "430008","BROOKINGS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","25 patients",,,"SCIP-VTE-2 " "430008","BROOKINGS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "430012","AVERA SACRED HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","151 patients",,,"PN-2 " "430012","AVERA SACRED HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "430012","AVERA SACRED HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","92 patients",,,"HF-2 " "430012","AVERA SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "430012","AVERA SACRED HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","63 patients",,,"PN-6 " "430012","AVERA SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","221 patients",,,"SCIP-INF-2 " "430012","AVERA SACRED HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","26 patients",,,"AMI-1 " "430012","AVERA SACRED HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "430012","AVERA SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","202 patients",,,"SCIP-INF-3 " "430012","AVERA SACRED HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "430012","AVERA SACRED HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","153 patients",,,"PN-5C " "430012","AVERA SACRED HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","54 patients",,,"HF-1 " "430012","AVERA SACRED HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "430012","AVERA SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients",,,"SCIP-CARD-2 " "430012","AVERA SACRED HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "430012","AVERA SACRED HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "430012","AVERA SACRED HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","92 patients",,,"PN-7 " "430012","AVERA SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","219 patients",,,"SCIP-INF-1 " "430012","AVERA SACRED HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","20 patients","1 ","1","AMI-5 " "430012","AVERA SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","182 patients",,,"SCIP-VTE-2 " "430012","AVERA SACRED HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","101 patients",,,"PN-3B " "430012","AVERA SACRED HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1 ","1","AMI-2 " "430012","AVERA SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","357 patients",,,"SCIP-INF-6 " "430012","AVERA SACRED HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"HF-3 " "430012","AVERA SACRED HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","182 patients",,,"SCIP-VTE-1 " "430013","AVERA QUEEN OF PEACE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","148 patients",,,"SCIP-INF-1 " "430013","AVERA QUEEN OF PEACE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","122 patients",,,"PN-2 " "430013","AVERA QUEEN OF PEACE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","80 patients",,,"PN-6 " "430013","AVERA QUEEN OF PEACE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","60 patients",,,"PN-3B " "430013","AVERA QUEEN OF PEACE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","55 patients",,,"HF-1 " "430013","AVERA QUEEN OF PEACE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "430013","AVERA QUEEN OF PEACE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","244 patients",,,"SCIP-INF-6 " "430013","AVERA QUEEN OF PEACE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "430013","AVERA QUEEN OF PEACE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","21 patients","1 ","1","AMI-5 " "430013","AVERA QUEEN OF PEACE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","108 patients",,,"PN-5C " "430013","AVERA QUEEN OF PEACE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","120 patients",,,"SCIP-VTE-2 " "430013","AVERA QUEEN OF PEACE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","14 patients","1 ","1","HF-3 " "430013","AVERA QUEEN OF PEACE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","80 patients",,,"PN-7 " "430013","AVERA QUEEN OF PEACE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "430013","AVERA QUEEN OF PEACE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "430013","AVERA QUEEN OF PEACE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "430013","AVERA QUEEN OF PEACE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "430013","AVERA QUEEN OF PEACE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","96 patients",,,"HF-2 " "430013","AVERA QUEEN OF PEACE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","17 patients","1 ","1","AMI-2 " "430013","AVERA QUEEN OF PEACE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","140 patients",,,"SCIP-INF-3 " "430013","AVERA QUEEN OF PEACE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","148 patients",,,"SCIP-INF-2 " "430013","AVERA QUEEN OF PEACE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "430013","AVERA QUEEN OF PEACE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","29 patients",,,"SCIP-CARD-2 " "430013","AVERA QUEEN OF PEACE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","25 patients",,,"AMI-1 " "430013","AVERA QUEEN OF PEACE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","120 patients",,,"SCIP-VTE-1 " "430014","AVERA ST LUKES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","191 patients",,,"SCIP-VTE-2 " "430014","AVERA ST LUKES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","97 patients",,,"AMI-5 " "430014","AVERA ST LUKES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","178 patients",,,"PN-2 " "430014","AVERA ST LUKES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","97 patients",,,"AMI-2 " "430014","AVERA ST LUKES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","105 patients",,,"PN-7 " "430014","AVERA ST LUKES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "430014","AVERA ST LUKES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","300 patients",,,"SCIP-INF-3 " "430014","AVERA ST LUKES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","104 patients",,,"PN-6 " "430014","AVERA ST LUKES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","21 patients","1 ","1","AMI-3 " "430014","AVERA ST LUKES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","169 patients",,,"HF-2 " "430014","AVERA ST LUKES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","429 patients",,,"SCIP-INF-6 " "430014","AVERA ST LUKES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "430014","AVERA ST LUKES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "430014","AVERA ST LUKES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "430014","AVERA ST LUKES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","100 patients",,,"HF-1 " "430014","AVERA ST LUKES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","196 patients",,,"SCIP-VTE-1 " "430014","AVERA ST LUKES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "430014","AVERA ST LUKES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","115 patients",,,"PN-3B " "430014","AVERA ST LUKES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "430014","AVERA ST LUKES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","84 patients",,,"AMI-1 " "430014","AVERA ST LUKES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","307 patients",,,"SCIP-INF-1 " "430014","AVERA ST LUKES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","57 patients",,,"SCIP-CARD-2 " "430014","AVERA ST LUKES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","55 patients",,,"PN-4 " "430014","AVERA ST LUKES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","307 patients",,,"SCIP-INF-2 " "430014","AVERA ST LUKES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","157 patients",,,"PN-5C " "430015","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","186 patients","2 ","2","SCIP-INF-6 " "430015","ST MARYS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "430015","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "430015","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","78 patients","2 ","2","SCIP-VTE-2 " "430015","ST MARYS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","38 patients",,,"PN-6 " "430015","ST MARYS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "430015","ST MARYS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","46 patients",,,"PN-7 " "430015","ST MARYS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","63 patients",,,"PN-2 " "430015","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","78 patients","2 ","2","SCIP-VTE-1 " "430015","ST MARYS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "430015","ST MARYS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","61 patients",,,"PN-5C " "430015","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","138 patients","2 ","2","SCIP-INF-1 " "430015","ST MARYS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "430015","ST MARYS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "430015","ST MARYS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "430015","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","28 patients",,,"SCIP-CARD-2 " "430015","ST MARYS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","39 patients",,,"HF-2 " "430015","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","141 patients","2 ","2","SCIP-INF-2 " "430015","ST MARYS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1 ","1","HF-1 " "430015","ST MARYS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","52 patients",,,"PN-3B " "430015","ST MARYS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "430015","ST MARYS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "430015","ST MARYS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","30%","10 patients","1 ","1","AMI-7A " "430015","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","133 patients","2 ","2","SCIP-INF-3 " "430015","ST MARYS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "430016","AVERA MCKENNAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","92 patients",,,"PN-3B " "430016","AVERA MCKENNAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","527 patients","2 ","2","SCIP-INF-1 " "430016","AVERA MCKENNAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "430016","AVERA MCKENNAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "430016","AVERA MCKENNAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "430016","AVERA MCKENNAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","159 patients",,,"HF-2 " "430016","AVERA MCKENNAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","32 patients",,,"HF-3 " "430016","AVERA MCKENNAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","92 patients",,,"PN-6 " "430016","AVERA MCKENNAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","173 patients",,,"PN-2 " "430016","AVERA MCKENNAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","124 patients",,,"PN-7 " "430016","AVERA MCKENNAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","528 patients","2 ","2","SCIP-INF-2 " "430016","AVERA MCKENNAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","54 patients",,,"AMI-1 " "430016","AVERA MCKENNAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","336 patients","2 ","2","SCIP-VTE-2 " "430016","AVERA MCKENNAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","146 patients",,,"PN-5C " "430016","AVERA MCKENNAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "430016","AVERA MCKENNAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","50 patients",,,"AMI-5 " "430016","AVERA MCKENNAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","114 patients",,,"HF-1 " "430016","AVERA MCKENNAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","65 patients","2 ","2","SCIP-CARD-2 " "430016","AVERA MCKENNAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","510 patients","2 ","2","SCIP-INF-3 " "430016","AVERA MCKENNAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","52 patients",,,"AMI-2 " "430016","AVERA MCKENNAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "430016","AVERA MCKENNAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","656 patients","2 ","2","SCIP-INF-6 " "430016","AVERA MCKENNAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "430016","AVERA MCKENNAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","337 patients","2 ","2","SCIP-VTE-1 " "430016","AVERA MCKENNAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","17 patients","1 ","1","AMI-8A " "430027","SANFORD USD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","184 patients","2 ","2","PN-5C " "430027","SANFORD USD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","42 patients",,,"HF-4 " "430027","SANFORD USD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","108 patients","2 ","2","PN-4 " "430027","SANFORD USD MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","91%","56 patients",,,"CAC-3 " "430027","SANFORD USD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","44 patients",,,"AMI-8A " "430027","SANFORD USD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "430027","SANFORD USD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","453 patients","2 ","2","SCIP-VTE-2 " "430027","SANFORD USD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","169 patients",,,"AMI-1 " "430027","SANFORD USD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","321 patients",,,"AMI-5 " "430027","SANFORD USD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1562 patients","2 ","2","SCIP-INF-6 " "430027","SANFORD USD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","293 patients",,,"HF-2 " "430027","SANFORD USD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1215 patients","2 ","2","SCIP-INF-1 " "430027","SANFORD USD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","329 patients",,,"AMI-2 " "430027","SANFORD USD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1226 patients","2 ","2","SCIP-INF-2 " "430027","SANFORD USD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","61 patients",,,"AMI-3 " "430027","SANFORD USD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","145 patients","2 ","2","PN-3B " "430027","SANFORD USD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","1184 patients","2 ","2","SCIP-INF-3 " "430027","SANFORD USD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","145 patients","2 ","2","PN-7 " "430027","SANFORD USD MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","57 patients",,,"CAC-1 " "430027","SANFORD USD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","118 patients","2 ","2","PN-6 " "430027","SANFORD USD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","454 patients","2 ","2","SCIP-VTE-1 " "430027","SANFORD USD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","87 patients",,,"HF-3 " "430027","SANFORD USD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","113 patients",,,"AMI-4 " "430027","SANFORD USD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","164 patients","2 ","2","SCIP-CARD-2 " "430027","SANFORD USD MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","98%","57 patients",,,"CAC-2 " "430027","SANFORD USD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","244 patients","2 ","2","PN-2 " "430027","SANFORD USD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","170 patients","2 ","2","SCIP-INF-4 " "430027","SANFORD USD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","222 patients",,,"HF-1 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-1 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1,2 ","12","SCIP-VTE-1 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-2 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","43 patients",,,"PN-3B " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1,2 ","12","SCIP-INF-6 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","44 patients",,,"PN-7 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","40 patients",,,"HF-2 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","PN-4 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","69 patients",,,"PN-2 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","51 patients",,,"PN-6 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1,2 ","12","SCIP-VTE-2 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","66 patients",,,"PN-5C " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","39 patients",,,"HF-1 " "43002F","VA BLACK HILLS HEALTHCARE SYSTEM - FORT MEAD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "430048","SPEARFISH REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","50 patients",,,"PN-5C " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "430048","SPEARFISH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","130 patients","2 ","2","SCIP-INF-2 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "430048","SPEARFISH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","91 patients","2 ","2","SCIP-VTE-1 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","25 patients",,,"HF-2 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","19 patients","1 ","1","HF-1 " "430048","SPEARFISH REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "430048","SPEARFISH REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","52 patients",,,"PN-2 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "430048","SPEARFISH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","128 patients","2 ","2","SCIP-INF-3 " "430048","SPEARFISH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","91 patients","2 ","2","SCIP-VTE-2 " "430048","SPEARFISH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","18 patients","1 ","1","SCIP-CARD-2 " "430048","SPEARFISH REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","42 patients",,,"PN-6 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "430048","SPEARFISH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "430048","SPEARFISH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","175 patients","2 ","2","SCIP-INF-6 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "430048","SPEARFISH REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","131 patients","2 ","2","SCIP-INF-1 " "430048","SPEARFISH REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","15 patients","1 ","1","PN-3B " "430048","SPEARFISH REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","25 patients",,,"PN-7 " "430048","SPEARFISH REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","92 patients",,,"SCIP-INF-2 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","91 patients",,,"SCIP-INF-3 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","48 patients",,,"HF-1 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","55 patients",,,"HF-2 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","146 patients","2 ","2","SCIP-INF-6 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","55 patients","2 ","2","SCIP-CARD-2 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","57 patients",,,"PN-3B " "43005F","SIOUX FALLS VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","40 patients",,,"PN-2 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "43005F","SIOUX FALLS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","104 patients","2 ","2","SCIP-VTE-2 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","104 patients","2 ","2","SCIP-VTE-1 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","92 patients",,,"SCIP-INF-1 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","31 patients",,,"PN-7 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","35 patients",,,"PN-6 " "43005F","SIOUX FALLS VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","64 patients",,,"PN-5C " "430060","HOLY INFANT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "430060","HOLY INFANT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","PN-4 " "430060","HOLY INFANT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "430060","HOLY INFANT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "430060","HOLY INFANT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,2 ","12","PN-2 " "430060","HOLY INFANT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "430060","HOLY INFANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "430060","HOLY INFANT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "430060","HOLY INFANT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "430060","HOLY INFANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "430060","HOLY INFANT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "430060","HOLY INFANT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "430060","HOLY INFANT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1 ","1","PN-7 " "430060","HOLY INFANT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "430060","HOLY INFANT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "430060","HOLY INFANT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "430060","HOLY INFANT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "430060","HOLY INFANT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "430060","HOLY INFANT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "430060","HOLY INFANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "430060","HOLY INFANT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "430060","HOLY INFANT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2 ","2","PN-6 " "430060","HOLY INFANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "430060","HOLY INFANT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "430060","HOLY INFANT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","235 patients",,,"HF-1 " "430077","RAPID CITY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","176 patients",,,"PN-7 " "430077","RAPID CITY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","264 patients",,,"PN-2 " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "430077","RAPID CITY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","81 patients","2 ","2","SCIP-CARD-2 " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","43 patients",,,"AMI-8A " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","138 patients",,,"AMI-4 " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"AMI-3 " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","53 patients",,,"HF-4 " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","142 patients",,,"AMI-1 " "430077","RAPID CITY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","219 patients","2 ","2","SCIP-VTE-1 " "430077","RAPID CITY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","476 patients","2 ","2","SCIP-INF-6 " "430077","RAPID CITY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","218 patients","2 ","2","SCIP-VTE-2 " "430077","RAPID CITY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","275 patients","2 ","2","SCIP-INF-3 " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","284 patients",,,"HF-2 " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","309 patients",,,"AMI-5 " "430077","RAPID CITY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","104 patients","2 ","2","SCIP-INF-4 " "430077","RAPID CITY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","114 patients",,,"PN-4 " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","87 patients",,,"HF-3 " "430077","RAPID CITY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","241 patients",,,"PN-5C " "430077","RAPID CITY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","323 patients","2 ","2","SCIP-INF-2 " "430077","RAPID CITY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","132 patients",,,"PN-6 " "430077","RAPID CITY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","125 patients",,,"PN-3B " "430077","RAPID CITY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","332 patients",,,"AMI-2 " "430077","RAPID CITY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","305 patients","2 ","2","SCIP-INF-1 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","9 patients","1 ","1","HF-2 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","1 patients","1,3 ","13","SCIP-INF-6 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,2 ","12","PN-4 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","40%","10 patients","1,2 ","12","PN-7 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","8 patients","1,2 ","12","PN-6 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","6 patients","1,2,3 ","123","PN-5C " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","13 patients","1,2 ","12","PN-3B " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","58%","12 patients","1,2 ","12","PN-2 " "430081","PHS INDIAN HOSPITAL AT PINE RIDGE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","11%","9 patients","1 ","1","HF-1 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "430082","PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,2,3 ","123","PN-2 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","2,3 ","23","PN-2 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,2,3 ","123","HF-1 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","HF-4 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,2,3 ","123","HF-2 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","2 ","2","PN-7 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "430083","PHS INDIAN HOSPITAL AT EAGLE BUTTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2,3 ","123","HF-4 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,2,3 ","123","PN-6 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","33%","3 patients","1,3 ","13","AMI-5 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","6 patients","1,2,3 ","123","HF-1 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","AMI-4 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,3 ","13","SCIP-INF-1 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","2 ","2","PN-7 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","6 patients","1,2,3 ","123","HF-2 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2,3 ","123","PN-4 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","4 patients","1,2,3 ","123","PN-2 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","8 patients","1,2,3 ","123","PN-5C " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","2 patients","1,3 ","13","SCIP-INF-3 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","50%","2 patients","1,3 ","13","SCIP-INF-6 " "430084","PHS INDIAN HOSPITAL AT ROSEBUD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "430089","SIOUXLAND SURGERY CENTER LP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "430089","SIOUXLAND SURGERY CENTER LP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","62%","198 patients","2 ","2","SCIP-INF-2 " "430089","SIOUXLAND SURGERY CENTER LP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "430089","SIOUXLAND SURGERY CENTER LP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "430089","SIOUXLAND SURGERY CENTER LP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "430089","SIOUXLAND SURGERY CENTER LP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "430089","SIOUXLAND SURGERY CENTER LP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "430089","SIOUXLAND SURGERY CENTER LP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "430089","SIOUXLAND SURGERY CENTER LP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","52%","208 patients","2 ","2","SCIP-INF-1 " "430089","SIOUXLAND SURGERY CENTER LP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "430089","SIOUXLAND SURGERY CENTER LP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "430089","SIOUXLAND SURGERY CENTER LP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "430089","SIOUXLAND SURGERY CENTER LP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "430089","SIOUXLAND SURGERY CENTER LP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "430089","SIOUXLAND SURGERY CENTER LP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","35%","161 patients","2 ","2","SCIP-VTE-1 " "430089","SIOUXLAND SURGERY CENTER LP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","56%","197 patients","2 ","2","SCIP-INF-3 " "430089","SIOUXLAND SURGERY CENTER LP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "430089","SIOUXLAND SURGERY CENTER LP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "430089","SIOUXLAND SURGERY CENTER LP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "430089","SIOUXLAND SURGERY CENTER LP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","35%","161 patients","2 ","2","SCIP-VTE-2 " "430089","SIOUXLAND SURGERY CENTER LP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "430089","SIOUXLAND SURGERY CENTER LP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "430089","SIOUXLAND SURGERY CENTER LP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","20 patients","1,2 ","12","SCIP-CARD-2 " "430089","SIOUXLAND SURGERY CENTER LP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "430089","SIOUXLAND SURGERY CENTER LP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","239 patients","2 ","2","SCIP-INF-6 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","563 patients","2 ","2","SCIP-INF-6 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","543 patients","2 ","2","SCIP-INF-1 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","141 patients","2 ","2","SCIP-VTE-1 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","543 patients","2 ","2","SCIP-INF-3 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","544 patients","2 ","2","SCIP-INF-2 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","48 patients",,,"SCIP-CARD-2 " "430090","SIOUX FALLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","141 patients","2 ","2","SCIP-VTE-2 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","233 patients","2 ","2","SCIP-INF-3 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","86 patients","2 ","2","SCIP-VTE-2 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","24 patients","1,2 ","12","SCIP-CARD-2 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","258 patients","2 ","2","SCIP-INF-6 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","234 patients","2 ","2","SCIP-INF-1 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","86 patients","2 ","2","SCIP-VTE-1 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","236 patients","2 ","2","SCIP-INF-2 " "430091","BLACK HILLS SURGICAL HOSPITAL LLP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","250 patients","2 ","2","SCIP-INF-2 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","265 patients","2 ","2","SCIP-INF-6 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","250 patients","2 ","2","SCIP-INF-3 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","29 patients","2 ","2","SCIP-CARD-2 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","69 patients","2 ","2","SCIP-VTE-2 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","69 patients","2 ","2","SCIP-VTE-1 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","251 patients","2 ","2","SCIP-INF-1 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "430092","DAKOTA PLAINS SURGICAL CENTER LLP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "430094","SPEARFISH REGIONAL SURGERY CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","40 patients",,,"SCIP-VTE-1 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","76 patients",,,"SCIP-INF-2 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "430094","SPEARFISH REGIONAL SURGERY CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "430094","SPEARFISH REGIONAL SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","110 patients",,,"SCIP-INF-6 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "430094","SPEARFISH REGIONAL SURGERY CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","40 patients",,,"SCIP-VTE-2 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","76 patients",,,"SCIP-INF-1 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "430094","SPEARFISH REGIONAL SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","76 patients",,,"SCIP-INF-3 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","151 patients",,,"HF-2 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","444 patients",,,"SCIP-INF-2 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","551 patients",,,"AMI-2 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","2 patients","1 ","1","PN-5C " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","443 patients",,,"SCIP-INF-3 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","210 patients",,,"AMI-4 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1 ","1","PN-7 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","67 patients",,,"HF-3 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1 ","1","PN-6 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","499 patients",,,"SCIP-INF-6 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","446 patients",,,"SCIP-INF-1 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","103 patients",,,"AMI-3 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","16 patients","1 ","1","PN-2 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","17 patients","1 ","1","AMI-8A " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","126 patients",,,"HF-1 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","83 patients",,,"AMI-1 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","19 patients","1 ","1","SCIP-VTE-1 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","409 patients",,,"SCIP-INF-4 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","125 patients",,,"SCIP-CARD-2 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","609 patients",,,"AMI-5 " "430095","AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","19 patients","1 ","1","SCIP-VTE-2 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","53 patients","2 ","2","SCIP-VTE-1 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","82 patients","2 ","2","SCIP-INF-3 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","115 patients","2 ","2","SCIP-INF-6 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","53 patients","2 ","2","SCIP-VTE-2 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","83 patients","2 ","2","SCIP-INF-2 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "430096","LEWIS AND CLARK SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","83 patients","2 ","2","SCIP-INF-1 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","17 patients","1 ","1","HF-2 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","21 patients","1 ","1","PN-5C " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","8 patients","1 ","1","SCIP-INF-3 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","11 patients","1 ","1","SCIP-VTE-1 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1 ","1","AMI-1 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","8 patients","1 ","1","SCIP-INF-1 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1 ","1","AMI-5 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","11 patients","1 ","1","SCIP-VTE-2 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","62%","13 patients","1 ","1","SCIP-INF-6 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","HF-3 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1 ","1","PN-3B " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","10 patients","1 ","1","PN-6 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1 ","1","SCIP-INF-2 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","17 patients","1 ","1","PN-7 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","8 patients","1 ","1","HF-1 " "431300","MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","26 patients",,,"PN-2 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","22 patients","1 ","1","PN-5C " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","8 patients","1 ","1","PN-6 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","6 patients","1 ","1","PN-4 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","12 patients","1 ","1","PN-7 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1,3 ","13","HF-1 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","6 patients","1,3 ","13","HF-2 " "431306","PLATTE HEALTH CENTER - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","24 patients","1 ","1","PN-2 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","2 patients","1,3 ","13","HF-2 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1 ","1","PN-7 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","11 patients","1,3 ","13","PN-2 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","6 patients","1,3 ","13","PN-6 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1,3 ","13","HF-1 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","10 patients","1,3 ","13","PN-5C " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431310","AVERA FLANDREAU MEDICAL CENTER HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","8 patients","1,2,3 ","123","PN-5C " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,2,3 ","123","PN-3B " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","9 patients","1,2,3 ","123","PN-6 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","17%","6 patients","1,3 ","13","PN-7 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","9 patients","1,2,3 ","123","PN-2 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2,3 ","123","PN-4 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","25%","8 patients","1,3 ","13","HF-2 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","5 patients","1,3 ","13","HF-1 " "431315","WAGNER COMMUNITY MEM HOSP - CRITICAL ACCESS HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","19 patients","1 ","1","HF-2 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","29 patients",,,"PN-2 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1 ","1","PN-3B " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","20 patients","1 ","1","PN-5C " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","14 patients","1 ","1","PN-7 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1 ","1","PN-6 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","7 patients","1 ","1","HF-1 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "431316","COMMUNITY MEMORIAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","5 patients","1 ","1","HF-1 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","11 patients","1 ","1","PN-5C " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","2 patients","1 ","1","PN-6 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","17 patients","1 ","1","PN-7 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","24 patients","1 ","1","PN-2 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "431317","LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","7 patients","1 ","1","HF-2 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1,3 ","13","HF-1 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","3 patients","1,3 ","13","HF-2 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "431320","LEAD - DEADWOOD REGIONAL HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "431321","STURGIS REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "431321","STURGIS REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","31 patients",,,"PN-2 " "431321","STURGIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431321","STURGIS REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431321","STURGIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431321","STURGIS REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1,3 ","13","HF-2 " "431321","STURGIS REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431321","STURGIS REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","19 patients","1 ","1","PN-6 " "431321","STURGIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431321","STURGIS REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "431321","STURGIS REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431321","STURGIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431321","STURGIS REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "431321","STURGIS REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "431321","STURGIS REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "431321","STURGIS REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "431321","STURGIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431321","STURGIS REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "431321","STURGIS REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","17 patients","1 ","1","PN-7 " "431321","STURGIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431321","STURGIS REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","4 patients","1,3 ","13","HF-1 " "431321","STURGIS REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "431321","STURGIS REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","25 patients",,,"PN-5C " "431321","STURGIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431321","STURGIS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,3 ","13","PN-7 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","50%","2 patients","1,2,3 ","123","PN-5C " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","0%","1 patients","1,2,3 ","123","PN-6 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","3 patients","1,3 ","13","HF-1 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,2,3 ","123","PN-4 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","5 patients","1,3 ","13","HF-2 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","5 patients","1,2,3 ","123","PN-2 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431322","FALL RIVER HOSPITAL - CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","13 patients","1 ","1","PN-2 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","8 patients","1 ","1","PN-6 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","16 patients","1 ","1","PN-5C " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1 ","1","PN-7 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","8 patients","1 ","1","HF-2 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","6 patients","1 ","1","HF-1 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","7 patients","1 ","1","PN-3B " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431323","CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1 ","1","PN-5C " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","25%","4 patients","1,3 ","13","HF-2 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1,3 ","13","HF-1 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","10 patients","1 ","1","PN-2 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431324","AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,3 ","13","PN-6 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1,3 ","13","PN-7 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","8 patients","1,3 ","13","HF-1 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,3 ","13","HF-4 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","15 patients","1,3 ","13","PN-2 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","10 patients","1,3 ","13","HF-2 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431325","MOBRIDGE REGIONAL HOSPITAL - CRITICAL ACCESS HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","11 patients","1,3 ","13","PN-2 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","36%","14 patients","1,3 ","13","HF-2 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","3 patients","1,3 ","13","PN-6 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","7 patients","1 ","1","PN-7 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "431326","MILBANK AREA HOSPITAL-AVERA HEALTH - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","4 patients","1,3 ","13","HF-1 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1,3 ","13","PN-3B " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","8 patients","1,3 ","13","PN-2 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","18 patients","1,3 ","13","HF-2 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","67%","6 patients","1,3 ","13","PN-5C " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,3 ","13","HF-4 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","2 patients","1,3 ","13","PN-6 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","1 patients","1,3 ","13","SCIP-INF-6 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","10%","10 patients","1,3 ","13","HF-1 " "431329","SANFORD MID-DAKOTA HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","10 patients","1,3 ","13","HF-2 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,3 ","13","PN-6 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","17 patients","1,3 ","13","PN-2 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1,3 ","13","PN-5C " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","11 patients","1,3 ","13","PN-7 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1,3 ","13","HF-1 " "431330","AVERA ST BENEDICT HEALTH CENTER - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,2 ","12","PN-3B " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","4 patients","1,2,3 ","123","HF-1 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","9 patients","1,2 ","12","PN-7 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1,2 ","12","PN-4 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,2,3 ","123","AMI-2 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,2,3 ","123","AMI-5 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","HF-4 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","8 patients","1,2,3 ","123","HF-2 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","53%","17 patients","1,2 ","12","PN-2 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,2,3 ","123","AMI-1 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2,3 ","123","HF-3 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","8 patients","1,2 ","12","PN-5C " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","11 patients","1,2 ","12","PN-6 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431331","AVERA DELLS AREA HEALTH CENTER - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","5 patients","1,3 ","13","PN-2 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,3 ","13","PN-6 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","3 patients","1,3 ","13","PN-7 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "431332","AVERA DESMET MEMORIAL HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","3 patients","1 ","1","HF-3 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","15 patients","1 ","1","SCIP-INF-1 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","12 patients","1 ","1","HF-1 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","14 patients","1 ","1","HF-2 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1 ","1","PN-3B " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","73%","15 patients","1 ","1","SCIP-INF-2 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","15 patients","1 ","1","SCIP-INF-3 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","8 patients","1 ","1","PN-5C " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","22 patients","1 ","1","SCIP-INF-6 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","25%","4 patients","1 ","1","PN-6 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","13 patients","1 ","1","SCIP-VTE-1 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","PN-4 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","13 patients","1 ","1","SCIP-VTE-2 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","8 patients","1 ","1","PN-7 " "431334","WINNER REGIONAL HEALTHCARE CENTER - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","13 patients","1 ","1","PN-2 " "431335","HURON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1 ","1","PN-4 " "431335","HURON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","17 patients","1 ","1","HF-1 " "431335","HURON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","51 patients",,,"PN-5C " "431335","HURON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "431335","HURON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431335","HURON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","21 patients","1 ","1","HF-2 " "431335","HURON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1,3 ","13","AMI-5 " "431335","HURON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","9 patients","1 ","1","PN-3B " "431335","HURON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "431335","HURON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","39 patients",,,"PN-7 " "431335","HURON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "431335","HURON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","32 patients",,,"PN-6 " "431335","HURON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","32 patients","3 ","3","SCIP-VTE-1 " "431335","HURON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "431335","HURON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","62 patients",,,"PN-2 " "431335","HURON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "431335","HURON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431335","HURON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431335","HURON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "431335","HURON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","27 patients","3 ","3","SCIP-INF-1 " "431335","HURON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","32 patients","3 ","3","SCIP-VTE-2 " "431335","HURON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","27 patients","3 ","3","SCIP-INF-2 " "431335","HURON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1,3 ","13","AMI-7A " "431335","HURON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","38%","26 patients","3 ","3","SCIP-INF-3 " "431335","HURON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","41 patients","3 ","3","SCIP-INF-6 " "431336","SANFORD VERMILLION HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","16 patients","1 ","1","PN-2 " "431336","SANFORD VERMILLION HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "431336","SANFORD VERMILLION HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","13 patients","1 ","1","HF-1 " "431336","SANFORD VERMILLION HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "431336","SANFORD VERMILLION HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "431336","SANFORD VERMILLION HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431336","SANFORD VERMILLION HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "431336","SANFORD VERMILLION HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "431336","SANFORD VERMILLION HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","11 patients","1 ","1","PN-5C " "431336","SANFORD VERMILLION HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "431336","SANFORD VERMILLION HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "431336","SANFORD VERMILLION HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","18 patients","1 ","1","HF-2 " "431336","SANFORD VERMILLION HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "431336","SANFORD VERMILLION HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "431336","SANFORD VERMILLION HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431336","SANFORD VERMILLION HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431336","SANFORD VERMILLION HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "431336","SANFORD VERMILLION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "431336","SANFORD VERMILLION HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "431336","SANFORD VERMILLION HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "431336","SANFORD VERMILLION HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "431336","SANFORD VERMILLION HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "431336","SANFORD VERMILLION HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "431336","SANFORD VERMILLION HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","9 patients","1 ","1","PN-7 " "431336","SANFORD VERMILLION HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","15 patients","1 ","1","PN-5C " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","24 patients","1 ","1","PN-2 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","9 patients","1 ","1","HF-1 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","15 patients","1 ","1","PN-7 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","58%","19 patients","1 ","1","HF-2 " "431337","AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "431338","AVERA GREGORY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "431338","AVERA GREGORY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "431338","AVERA GREGORY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "431338","AVERA GREGORY HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","4 patients","1 ","1","PN-3B " "431338","AVERA GREGORY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "431338","AVERA GREGORY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "431338","AVERA GREGORY HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","36 patients",,,"PN-5C " "431338","AVERA GREGORY HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","52 patients",,,"PN-6 " "431338","AVERA GREGORY HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1 ","1","PN-4 " "431338","AVERA GREGORY HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","79 patients",,,"PN-2 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","8 patients","1 ","1","HF-1 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "431338","AVERA GREGORY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","17 patients","1 ","1","HF-2 " "431338","AVERA GREGORY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "431338","AVERA GREGORY HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","49 patients",,,"PN-7 " "431338","AVERA GREGORY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "431338","AVERA GREGORY HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","4 patients","1 ","1","AMI-1 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","32 patients",,,"HF-2 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","54 patients",,,"PN-7 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","45 patients",,,"SCIP-VTE-1 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","48 patients",,,"PN-6 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","16%","25 patients",,,"HF-1 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","96 patients",,,"PN-5C " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","80 patients",,,"SCIP-INF-6 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","58 patients",,,"SCIP-INF-3 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","45 patients",,,"SCIP-VTE-2 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","66 patients",,,"SCIP-INF-2 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","HF-3 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","23 patients","1 ","1","PN-4 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","64 patients",,,"SCIP-INF-1 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","70 patients",,,"PN-2 " "440001","UNICOI COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","65%","54 patients",,,"PN-3B " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","138 patients","2 ","2","PN-4 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","128 patients","2 ","2","AMI-3 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","1672 patients","2 ","2","SCIP-INF-2 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","190 patients","2 ","2","HF-4 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","398 patients","2 ","2","SCIP-INF-4 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","332 patients","2 ","2","AMI-1 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","1665 patients","2 ","2","SCIP-INF-1 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","355 patients","2 ","2","AMI-4 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","146 patients","2 ","2","PN-3B " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","2088 patients","2 ","2","SCIP-INF-6 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","923 patients","2 ","2","SCIP-VTE-1 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","178 patients","2 ","2","PN-5C " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","218 patients","2 ","2","PN-2 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","56%","57 patients","2 ","2","AMI-8A " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","922 patients","2 ","2","SCIP-VTE-2 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","698 patients","2 ","2","AMI-2 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","1566 patients","2 ","2","SCIP-INF-3 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","180 patients","2 ","2","PN-7 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","109 patients","2 ","2","PN-6 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","652 patients","2 ","2","HF-1 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","289 patients","2 ","2","SCIP-CARD-2 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","793 patients","2 ","2","HF-2 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","668 patients","2 ","2","AMI-5 " "440002","JACKSON-MADISON COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","294 patients","2 ","2","HF-3 " "440003","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "440003","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","152 patients",,,"PN-5C " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","19 patients","1 ","1","AMI-3 " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","88 patients",,,"AMI-5 " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","42%","19 patients","1 ","1","AMI-8A " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","33 patients",,,"HF-3 " "440003","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","143 patients",,,"SCIP-VTE-1 " "440003","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","103 patients",,,"PN-6 " "440003","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","241 patients",,,"SCIP-INF-3 " "440003","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","151 patients",,,"PN-3B " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","108 patients",,,"HF-2 " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"AMI-4 " "440003","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","169 patients",,,"PN-2 " "440003","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","250 patients",,,"SCIP-INF-2 " "440003","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","344 patients",,,"SCIP-INF-6 " "440003","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","255 patients",,,"SCIP-INF-1 " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"HF-4 " "440003","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"PN-4 " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","85 patients",,,"AMI-2 " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","93 patients",,,"AMI-1 " "440003","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","141 patients",,,"SCIP-VTE-2 " "440003","SUMNER REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","135 patients",,,"PN-7 " "440003","SUMNER REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","40 patients",,,"SCIP-CARD-2 " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","83 patients",,,"HF-1 " "440003","SUMNER REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "440006","SKYLINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"AMI-3 " "440006","SKYLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","271 patients","2 ","2","SCIP-INF-2 " "440006","SKYLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","268 patients","2 ","2","SCIP-INF-1 " "440006","SKYLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","197 patients","2 ","2","SCIP-VTE-2 " "440006","SKYLINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","24 patients","1 ","1","AMI-8A " "440006","SKYLINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","117 patients",,,"AMI-5 " "440006","SKYLINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","75 patients","2 ","2","HF-3 " "440006","SKYLINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","HF-4 " "440006","SKYLINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","251 patients","2 ","2","HF-1 " "440006","SKYLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440006","SKYLINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","284 patients","2 ","2","HF-2 " "440006","SKYLINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","149 patients",,,"AMI-1 " "440006","SKYLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","236 patients","2 ","2","SCIP-INF-3 " "440006","SKYLINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"AMI-4 " "440006","SKYLINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","152 patients","2 ","2","PN-2 " "440006","SKYLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","64 patients","2 ","2","SCIP-CARD-2 " "440006","SKYLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","482 patients","2 ","2","SCIP-INF-6 " "440006","SKYLINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","123 patients",,,"AMI-2 " "440006","SKYLINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","109 patients","2 ","2","PN-7 " "440006","SKYLINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","95 patients","2 ","2","PN-6 " "440006","SKYLINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","197 patients","2 ","2","PN-3B " "440006","SKYLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","198 patients","2 ","2","SCIP-VTE-1 " "440006","SKYLINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440006","SKYLINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","147 patients","2 ","2","PN-5C " "440006","SKYLINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","75 patients","2 ","2","PN-4 " "440007","UNITED REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","2 patients","1,3 ","13","SCIP-VTE-2 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440007","UNITED REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","47%","101 patients",,,"PN-2 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","55%","11 patients","1 ","1","AMI-5 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","52%","60 patients",,,"HF-2 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","AMI-4 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","12 patients","1 ","1","AMI-2 " "440007","UNITED REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "440007","UNITED REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","103 patients",,,"PN-6 " "440007","UNITED REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","36%","87 patients",,,"PN-7 " "440007","UNITED REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","15 patients","1 ","1","AMI-1 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","23%","39 patients",,,"HF-1 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440007","UNITED REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "440007","UNITED REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","62%","37 patients",,,"PN-3B " "440007","UNITED REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","66%","88 patients",,,"PN-4 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440007","UNITED REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "440007","UNITED REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","29%","7 patients","1 ","1","HF-4 " "440007","UNITED REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "440007","UNITED REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","2 patients","1,3 ","13","SCIP-VTE-1 " "440007","UNITED REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","105 patients","3 ","3","PN-5C " "440007","UNITED REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,3 ","13","SCIP-INF-6 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","28 patients",,,"PN-3B " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","34 patients",,,"PN-5C " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","108 patients",,,"HF-2 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","25 patients",,,"PN-7 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","10 patients","1,2 ","12","SCIP-VTE-1 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","26 patients",,,"PN-6 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","29 patients","2 ","2","SCIP-INF-2 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","10 patients","1,2 ","12","SCIP-VTE-2 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","38 patients",,,"PN-2 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","26 patients","2 ","2","SCIP-INF-3 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","29 patients","2 ","2","SCIP-INF-1 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","78 patients",,,"HF-1 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients","2 ","2","SCIP-INF-6 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "440008","HENDERSON COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440009","CUMBERLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","261 patients","2 ","2","SCIP-INF-6 " "440009","CUMBERLAND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","307 patients",,,"PN-2 " "440009","CUMBERLAND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","281 patients",,,"HF-1 " "440009","CUMBERLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","79%","180 patients","2 ","2","SCIP-INF-2 " "440009","CUMBERLAND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","328 patients",,,"HF-2 " "440009","CUMBERLAND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","57 patients",,,"HF-4 " "440009","CUMBERLAND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "440009","CUMBERLAND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440009","CUMBERLAND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","114 patients",,,"PN-4 " "440009","CUMBERLAND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","82 patients",,,"HF-3 " "440009","CUMBERLAND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440009","CUMBERLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","43 patients","2 ","2","SCIP-CARD-2 " "440009","CUMBERLAND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440009","CUMBERLAND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","28 patients",,,"AMI-2 " "440009","CUMBERLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","142 patients","2 ","2","SCIP-VTE-2 " "440009","CUMBERLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","78%","178 patients","2 ","2","SCIP-INF-1 " "440009","CUMBERLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440009","CUMBERLAND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","332 patients",,,"PN-5C " "440009","CUMBERLAND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","268 patients",,,"PN-6 " "440009","CUMBERLAND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","40 patients",,,"AMI-1 " "440009","CUMBERLAND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","58%","252 patients",,,"PN-7 " "440009","CUMBERLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","145 patients","2 ","2","SCIP-VTE-1 " "440009","CUMBERLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","176 patients","2 ","2","SCIP-INF-3 " "440009","CUMBERLAND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","33 patients",,,"AMI-5 " "440009","CUMBERLAND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","256 patients",,,"PN-3B " "440010","WAYNE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","43%","7 patients","1 ","1","HF-3 " "440010","WAYNE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440010","WAYNE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440010","WAYNE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","35 patients",,,"HF-2 " "440010","WAYNE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "440010","WAYNE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440010","WAYNE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440010","WAYNE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440010","WAYNE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","55 patients",,,"PN-6 " "440010","WAYNE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440010","WAYNE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440010","WAYNE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440010","WAYNE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "440010","WAYNE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440010","WAYNE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "440010","WAYNE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "440010","WAYNE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","54%","52 patients",,,"PN-7 " "440010","WAYNE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "440010","WAYNE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440010","WAYNE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","27 patients",,,"HF-1 " "440010","WAYNE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","94 patients",,,"PN-5C " "440010","WAYNE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","91 patients",,,"PN-2 " "440010","WAYNE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440010","WAYNE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1 ","1","PN-3B " "440010","WAYNE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"PN-4 " "440011","BLOUNT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","95 patients","2 ","2","PN-6 " "440011","BLOUNT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","104 patients","2 ","2","PN-7 " "440011","BLOUNT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","329 patients","2 ","2","SCIP-INF-1 " "440011","BLOUNT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","145 patients","2 ","2","PN-2 " "440011","BLOUNT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","230 patients","2 ","2","SCIP-VTE-1 " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","99 patients","2 ","2","HF-3 " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","272 patients","2 ","2","HF-2 " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","51 patients",,,"AMI-8A " "440011","BLOUNT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","152 patients","2 ","2","PN-3B " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","196 patients",,,"AMI-5 " "440011","BLOUNT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"AMI-4 " "440011","BLOUNT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","52 patients","2 ","2","SCIP-CARD-2 " "440011","BLOUNT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","489 patients","2 ","2","SCIP-INF-6 " "440011","BLOUNT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","137 patients","2 ","2","PN-5C " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","213 patients","2 ","2","HF-1 " "440011","BLOUNT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","305 patients","2 ","2","SCIP-INF-3 " "440011","BLOUNT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","329 patients","2 ","2","SCIP-INF-2 " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients","2 ","2","HF-4 " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","197 patients",,,"AMI-2 " "440011","BLOUNT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","229 patients","2 ","2","SCIP-VTE-2 " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","216 patients",,,"AMI-1 " "440011","BLOUNT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","42 patients",,,"AMI-3 " "440011","BLOUNT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients","2 ","2","PN-4 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","66 patients","2 ","2","AMI-3 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients","2 ","2","HF-4 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","256 patients","2 ","2","HF-1 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","125 patients","2 ","2","PN-4 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","177 patients","2 ","2","PN-7 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","48%","87 patients","2 ","2","SCIP-INF-4 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","335 patients","2 ","2","SCIP-INF-2 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","192 patients","2 ","2","SCIP-VTE-2 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","59 patients","2 ","2","PN-3B " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","214 patients","2 ","2","AMI-1 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","74 patients","2 ","2","SCIP-CARD-2 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","334 patients","2 ","2","SCIP-INF-1 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","193 patients","2 ","2","SCIP-VTE-1 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","36 patients","2 ","2","AMI-8A " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","117 patients","2 ","2","HF-3 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","224 patients","2 ","2","PN-5C " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","185 patients","2 ","2","PN-6 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","212 patients","2 ","2","PN-2 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","300 patients","2 ","2","SCIP-INF-3 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","292 patients","2 ","2","AMI-2 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","157 patients","2 ","2","AMI-4 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","494 patients","2 ","2","SCIP-INF-6 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","292 patients","2 ","2","HF-2 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","285 patients","2 ","2","AMI-5 " "440012","WELLMONT BRISTOL REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","440 patients",,,"HF-1 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","372 patients",,,"PN-3B " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","491 patients",,,"AMI-5 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","517 patients",,,"HF-2 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","212 patients",,,"AMI-4 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","404 patients",,,"PN-5C " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","453 patients",,,"AMI-2 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1441 patients","2 ","2","SCIP-INF-6 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","483 patients","2 ","2","SCIP-VTE-2 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1177 patients","2 ","2","SCIP-INF-1 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","152 patients",,,"HF-3 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","350 patients",,,"PN-2 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","260 patients",,,"PN-4 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","1099 patients","2 ","2","SCIP-INF-3 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","69 patients",,,"AMI-8A " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","187 patients",,,"PN-6 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","299 patients",,,"PN-7 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","302 patients",,,"AMI-1 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","484 patients","2 ","2","SCIP-VTE-1 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1192 patients","2 ","2","SCIP-INF-2 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","239 patients","2 ","2","SCIP-CARD-2 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","376 patients","2 ","2","SCIP-INF-4 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","104 patients",,,"HF-4 " "440015","UNIVERSITY OF TN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","107 patients",,,"AMI-3 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","45 patients",,,"PN-2 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","32 patients",,,"PN-6 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","53 patients",,,"PN-3B " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients",,,"SCIP-INF-6 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","29 patients",,,"PN-7 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1,3 ","13","AMI-2 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","17 patients","1 ","1","SCIP-VTE-2 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients",,,"HF-2 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","51 patients",,,"PN-5C " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","25 patients",,,"SCIP-INF-2 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","25 patients",,,"SCIP-INF-1 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","24 patients","1 ","1","SCIP-INF-3 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","18 patients","1 ","1","SCIP-VTE-1 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","28 patients",,,"HF-1 " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440016","BAPTIST MEMORIAL HOSPITAL HUNTINGDON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","29 patients","2 ","2","PN-6 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","136 patients","2 ","2","SCIP-INF-4 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","427 patients","2 ","2","SCIP-INF-2 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","558 patients","2 ","2","SCIP-INF-6 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","186 patients","2 ","2","SCIP-VTE-1 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","90 patients","2 ","2","PN-5C " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","408 patients","2 ","2","SCIP-INF-3 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","104 patients","2 ","2","HF-3 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients","2 ","2","PN-4 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","272 patients","2 ","2","AMI-5 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","106 patients","2 ","2","PN-2 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","118 patients","2 ","2","AMI-4 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","105 patients","2 ","2","AMI-1 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","26 patients","2 ","2","AMI-8A " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","75 patients","2 ","2","PN-7 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","423 patients","2 ","2","SCIP-INF-1 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","254 patients","2 ","2","AMI-2 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","186 patients","2 ","2","SCIP-VTE-2 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","61 patients","2 ","2","AMI-3 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","95 patients","2 ","2","SCIP-CARD-2 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","235 patients","2 ","2","HF-1 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","112 patients","2 ","2","PN-3B " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","274 patients","2 ","2","HF-2 " "440017","WELLMONT HOLSTON VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","HF-4 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","AMI-4 " "440018","SYCAMORE SHOALS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","66 patients","2 ","2","PN-3B " "440018","SYCAMORE SHOALS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","PN-4 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","HF-4 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","56 patients","2 ","2","HF-1 " "440018","SYCAMORE SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","109 patients","2 ","2","SCIP-INF-3 " "440018","SYCAMORE SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","17 patients","1,2 ","12","SCIP-CARD-2 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1,2 ","12","AMI-2 " "440018","SYCAMORE SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","92 patients","2 ","2","SCIP-VTE-1 " "440018","SYCAMORE SHOALS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","78 patients","2 ","2","PN-6 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","78 patients","2 ","2","HF-2 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","24 patients","1,2 ","12","HF-3 " "440018","SYCAMORE SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","182 patients","2 ","2","SCIP-INF-6 " "440018","SYCAMORE SHOALS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","107 patients","2 ","2","PN-2 " "440018","SYCAMORE SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440018","SYCAMORE SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","114 patients","2 ","2","SCIP-INF-2 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "440018","SYCAMORE SHOALS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1,2 ","12","AMI-5 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","13 patients","1,2 ","12","AMI-1 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","AMI-3 " "440018","SYCAMORE SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","92 patients","2 ","2","SCIP-VTE-2 " "440018","SYCAMORE SHOALS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "440018","SYCAMORE SHOALS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","83 patients","2 ","2","PN-7 " "440018","SYCAMORE SHOALS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","113 patients","2 ","2","SCIP-INF-1 " "440018","SYCAMORE SHOALS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","109 patients","2 ","2","PN-5C " "440020","HILLSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "440020","HILLSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","65 patients",,,"SCIP-INF-1 " "440020","HILLSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1 ","1","SCIP-CARD-2 " "440020","HILLSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "440020","HILLSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","22 patients","1 ","1","HF-1 " "440020","HILLSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","53 patients",,,"PN-7 " "440020","HILLSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","69 patients",,,"PN-6 " "440020","HILLSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","44 patients",,,"SCIP-VTE-2 " "440020","HILLSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","44 patients",,,"SCIP-VTE-1 " "440020","HILLSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440020","HILLSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","30 patients",,,"HF-2 " "440020","HILLSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "440020","HILLSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440020","HILLSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "440020","HILLSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","65 patients",,,"SCIP-INF-2 " "440020","HILLSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "440020","HILLSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440020","HILLSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","60 patients",,,"SCIP-INF-3 " "440020","HILLSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","52 patients",,,"PN-3B " "440020","HILLSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440020","HILLSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "440020","HILLSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440020","HILLSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","83 patients",,,"SCIP-INF-6 " "440020","HILLSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","74 patients",,,"PN-2 " "440020","HILLSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","85 patients",,,"PN-5C " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","326 patients",,,"SCIP-INF-6 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","221 patients",,,"PN-5C " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","132 patients",,,"PN-3B " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","188 patients",,,"PN-2 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","172 patients",,,"SCIP-VTE-2 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","160 patients",,,"HF-1 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"HF-4 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","224 patients",,,"SCIP-INF-1 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","173 patients",,,"SCIP-VTE-1 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","68 patients",,,"PN-4 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","132 patients",,,"PN-6 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","41 patients",,,"HF-3 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","212 patients",,,"SCIP-INF-3 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","135 patients",,,"PN-7 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","225 patients",,,"SCIP-INF-2 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","44 patients",,,"SCIP-CARD-2 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","202 patients",,,"HF-2 " "440025","LAUGHLIN MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440026","NASHVILLE REHAB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440026","NASHVILLE REHAB HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "440026","NASHVILLE REHAB HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "440026","NASHVILLE REHAB HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "440026","NASHVILLE REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440026","NASHVILLE REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440026","NASHVILLE REHAB HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "440026","NASHVILLE REHAB HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "440026","NASHVILLE REHAB HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "440026","NASHVILLE REHAB HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "440026","NASHVILLE REHAB HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "440026","NASHVILLE REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440026","NASHVILLE REHAB HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "440026","NASHVILLE REHAB HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "440026","NASHVILLE REHAB HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "440026","NASHVILLE REHAB HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "440026","NASHVILLE REHAB HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440026","NASHVILLE REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440026","NASHVILLE REHAB HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "440026","NASHVILLE REHAB HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "440026","NASHVILLE REHAB HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "440026","NASHVILLE REHAB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440026","NASHVILLE REHAB HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "440026","NASHVILLE REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440026","NASHVILLE REHAB HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "440029","WILLIAMSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440029","WILLIAMSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","177 patients",,,"PN-3B " "440029","WILLIAMSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","356 patients","2 ","2","SCIP-INF-6 " "440029","WILLIAMSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","66 patients",,,"HF-3 " "440029","WILLIAMSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","127 patients",,,"AMI-1 " "440029","WILLIAMSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","248 patients","2 ","2","SCIP-INF-2 " "440029","WILLIAMSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","113 patients",,,"AMI-5 " "440029","WILLIAMSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","171 patients",,,"PN-2 " "440029","WILLIAMSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "440029","WILLIAMSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","175 patients","2 ","2","SCIP-VTE-1 " "440029","WILLIAMSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","246 patients","2 ","2","SCIP-INF-1 " "440029","WILLIAMSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","119 patients",,,"PN-7 " "440029","WILLIAMSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","HF-4 " "440029","WILLIAMSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","109 patients",,,"PN-6 " "440029","WILLIAMSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440029","WILLIAMSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","196 patients",,,"HF-2 " "440029","WILLIAMSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","111 patients",,,"AMI-2 " "440029","WILLIAMSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","189 patients",,,"PN-5C " "440029","WILLIAMSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","240 patients","2 ","2","SCIP-INF-3 " "440029","WILLIAMSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","50 patients",,,"AMI-8A " "440029","WILLIAMSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"PN-4 " "440029","WILLIAMSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","45 patients","2 ","2","SCIP-CARD-2 " "440029","WILLIAMSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","175 patients","2 ","2","SCIP-VTE-2 " "440029","WILLIAMSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","AMI-3 " "440029","WILLIAMSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","153 patients",,,"HF-1 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","161 patients",,,"SCIP-VTE-2 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","236 patients",,,"SCIP-INF-1 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","211 patients",,,"AMI-1 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","161 patients",,,"SCIP-VTE-1 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"HF-4 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","241 patients",,,"HF-1 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","AMI-3 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","257 patients",,,"HF-2 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","216 patients",,,"AMI-5 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","205 patients",,,"PN-2 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","238 patients",,,"SCIP-INF-2 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","149 patients",,,"PN-6 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","219 patients",,,"PN-3B " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","359 patients",,,"SCIP-INF-6 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","53 patients",,,"SCIP-CARD-2 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","62 patients",,,"HF-3 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","206 patients",,,"AMI-2 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","224 patients",,,"SCIP-INF-3 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","247 patients",,,"PN-5C " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","45 patients",,,"AMI-8A " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","120 patients",,,"PN-4 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","155 patients",,,"PN-7 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440030","MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","96 patients",,,"AMI-4 " "440031","ROANE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440031","ROANE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","130 patients",,,"PN-2 " "440031","ROANE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "440031","ROANE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "440031","ROANE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","116 patients",,,"PN-6 " "440031","ROANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","17 patients","1 ","1","SCIP-INF-1 " "440031","ROANE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","105 patients",,,"HF-2 " "440031","ROANE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","72 patients",,,"PN-4 " "440031","ROANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","47 patients",,,"SCIP-INF-6 " "440031","ROANE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1 ","1","AMI-1 " "440031","ROANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440031","ROANE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","100 patients",,,"PN-7 " "440031","ROANE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440031","ROANE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","72 patients",,,"HF-1 " "440031","ROANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","17 patients","1 ","1","SCIP-INF-2 " "440031","ROANE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "440031","ROANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","7 patients","1 ","1","SCIP-CARD-2 " "440031","ROANE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","151 patients",,,"PN-5C " "440031","ROANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","33 patients",,,"SCIP-VTE-2 " "440031","ROANE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440031","ROANE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"HF-3 " "440031","ROANE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","128 patients",,,"PN-3B " "440031","ROANE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440031","ROANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","13 patients","1 ","1","SCIP-INF-3 " "440031","ROANE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","33 patients",,,"SCIP-VTE-1 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","82 patients",,,"HF-1 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","76 patients",,,"PN-6 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","76 patients",,,"PN-7 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","26 patients","2 ","2","SCIP-VTE-1 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","110 patients",,,"PN-5C " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","62 patients","2 ","2","SCIP-INF-6 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","49 patients","2 ","2","SCIP-INF-1 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","75 patients",,,"PN-3B " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","43 patients","2 ","2","SCIP-INF-3 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","49 patients","2 ","2","SCIP-INF-2 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","26 patients",,,"HF-3 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","94 patients",,,"HF-2 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","94 patients",,,"PN-2 " "440032","WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","26 patients","2 ","2","SCIP-VTE-2 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-2 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","6 patients","1 ","1","SCIP-VTE-1 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients",,,"SCIP-INF-3 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1 ","1","SCIP-INF-6 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","139 patients",,,"PN-6 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients",,,"SCIP-INF-1 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","167 patients",,,"PN-7 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","136 patients",,,"HF-1 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","46 patients",,,"HF-3 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","188 patients",,,"HF-2 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","260 patients",,,"PN-3B " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","136 patients",,,"PN-4 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","255 patients",,,"PN-2 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","283 patients",,,"PN-5C " "440033","ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","6 patients","1 ","1","SCIP-VTE-2 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","128 patients",,,"AMI-4 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","301 patients","2 ","2","SCIP-VTE-2 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","379 patients",,,"HF-2 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","421 patients",,,"PN-3B " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","129 patients","2 ","2","SCIP-CARD-2 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","292 patients",,,"PN-7 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","296 patients",,,"AMI-2 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","773 patients","2 ","2","SCIP-INF-3 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","303 patients","2 ","2","SCIP-VTE-1 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"AMI-3 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"HF-4 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","186 patients","2 ","2","SCIP-INF-4 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","376 patients",,,"PN-5C " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","204 patients",,,"PN-4 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","273 patients",,,"AMI-5 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","819 patients","2 ","2","SCIP-INF-2 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","814 patients","2 ","2","SCIP-INF-1 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","110 patients",,,"HF-3 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","220 patients",,,"PN-6 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","307 patients",,,"HF-1 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","62 patients",,,"AMI-8A " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","389 patients",,,"PN-2 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1096 patients","2 ","2","SCIP-INF-6 " "440034","METHODIST MEDICAL CENTER OF OAK RIDGE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","213 patients",,,"AMI-1 " "440035","GATEWAY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","160 patients",,,"AMI-1 " "440035","GATEWAY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","298 patients",,,"PN-5C " "440035","GATEWAY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"HF-4 " "440035","GATEWAY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","188 patients",,,"PN-7 " "440035","GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","362 patients",,,"SCIP-VTE-2 " "440035","GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","362 patients",,,"SCIP-VTE-1 " "440035","GATEWAY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","295 patients",,,"PN-3B " "440035","GATEWAY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","28 patients",,,"AMI-8A " "440035","GATEWAY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440035","GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","573 patients",,,"SCIP-INF-1 " "440035","GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","86 patients",,,"SCIP-INF-4 " "440035","GATEWAY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"AMI-4 " "440035","GATEWAY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","342 patients",,,"HF-2 " "440035","GATEWAY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","244 patients",,,"PN-2 " "440035","GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","539 patients",,,"SCIP-INF-3 " "440035","GATEWAY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","164 patients",,,"AMI-2 " "440035","GATEWAY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","305 patients",,,"HF-1 " "440035","GATEWAY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","205 patients",,,"PN-6 " "440035","GATEWAY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","110 patients",,,"HF-3 " "440035","GATEWAY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","104 patients",,,"PN-4 " "440035","GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","848 patients",,,"SCIP-INF-6 " "440035","GATEWAY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","168 patients",,,"AMI-5 " "440035","GATEWAY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","39 patients",,,"AMI-3 " "440035","GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","577 patients",,,"SCIP-INF-2 " "440035","GATEWAY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","118 patients",,,"SCIP-CARD-2 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","153 patients","2 ","2","SCIP-INF-4 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","474 patients","2 ","2","SCIP-INF-3 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","129 patients","2 ","2","HF-3 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","29 patients","2 ","2","PN-6 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "440039","VANDERBILT UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","321 patients","2 ","2","SCIP-VTE-1 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","56 patients","2 ","2","AMI-3 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","101 patients","2 ","2","PN-3B " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","297 patients","2 ","2","HF-1 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","111 patients","2 ","2","AMI-1 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","125 patients","2 ","2","AMI-4 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","106 patients","2 ","2","PN-5C " "440039","VANDERBILT UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","80 patients","2 ","2","PN-7 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","491 patients","2 ","2","SCIP-INF-1 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","69 patients","2 ","2","PN-2 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","17 patients","1,2 ","12","AMI-8A " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","316 patients","2 ","2","AMI-2 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","326 patients","2 ","2","HF-2 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","320 patients","2 ","2","SCIP-VTE-2 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","306 patients","2 ","2","AMI-5 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","79 patients","2 ","2","HF-4 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","513 patients","2 ","2","SCIP-INF-2 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","79 patients","2 ","2","PN-4 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","845 patients","2 ","2","SCIP-INF-6 " "440039","VANDERBILT UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","91 patients","2 ","2","SCIP-CARD-2 " "440040","PERRY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","81 patients","2 ","2","HF-2 " "440040","PERRY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440040","PERRY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "440040","PERRY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","68 patients","2 ","2","PN-5C " "440040","PERRY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440040","PERRY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","66 patients","2 ","2","PN-2 " "440040","PERRY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "440040","PERRY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","29%","59 patients","2 ","2","PN-6 " "440040","PERRY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","5%","19 patients","1,2 ","12","HF-4 " "440040","PERRY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440040","PERRY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440040","PERRY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "440040","PERRY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440040","PERRY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "440040","PERRY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "440040","PERRY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440040","PERRY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "440040","PERRY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","16%","38 patients","2 ","2","HF-1 " "440040","PERRY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440040","PERRY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","36%","22 patients","1,2 ","12","PN-4 " "440040","PERRY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "440040","PERRY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440040","PERRY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "440040","PERRY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","48 patients","2 ","2","PN-7 " "440040","PERRY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","5 patients","1,2 ","12","PN-3B " "440046","HORIZON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","148 patients",,,"PN-2 " "440046","HORIZON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440046","HORIZON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","138 patients",,,"HF-2 " "440046","HORIZON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","119 patients",,,"PN-7 " "440046","HORIZON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "440046","HORIZON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","193 patients",,,"PN-5C " "440046","HORIZON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","137 patients",,,"PN-6 " "440046","HORIZON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440046","HORIZON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","115 patients",,,"HF-1 " "440046","HORIZON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","107 patients","2 ","2","SCIP-VTE-1 " "440046","HORIZON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440046","HORIZON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","94 patients","2 ","2","SCIP-INF-3 " "440046","HORIZON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","107 patients","2 ","2","SCIP-VTE-2 " "440046","HORIZON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "440046","HORIZON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","104 patients","2 ","2","SCIP-INF-1 " "440046","HORIZON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","177 patients","2 ","2","SCIP-INF-6 " "440046","HORIZON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "440046","HORIZON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "440046","HORIZON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"HF-3 " "440046","HORIZON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","106 patients","2 ","2","SCIP-INF-2 " "440046","HORIZON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","100 patients",,,"PN-4 " "440046","HORIZON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","24 patients","1,2 ","12","SCIP-CARD-2 " "440046","HORIZON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","193 patients",,,"PN-3B " "440046","HORIZON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","25 patients",,,"AMI-2 " "440046","HORIZON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-8A " "440047","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "440047","GIBSON GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","22 patients","1 ","1","HF-1 " "440047","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "440047","GIBSON GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","24 patients","1 ","1","PN-3B " "440047","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440047","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","3 patients","1,3 ","13","SCIP-VTE-2 " "440047","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440047","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","3 patients","1,3 ","13","SCIP-VTE-1 " "440047","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "440047","GIBSON GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","40%","10 patients","1 ","1","HF-3 " "440047","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","33%","3 patients","1,3 ","13","SCIP-INF-2 " "440047","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440047","GIBSON GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","PN-4 " "440047","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","3 patients","1,3 ","13","SCIP-INF-1 " "440047","GIBSON GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","66%","29 patients",,,"HF-2 " "440047","GIBSON GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","25 patients",,,"PN-5C " "440047","GIBSON GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1 ","1","HF-4 " "440047","GIBSON GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","13 patients","1 ","1","PN-7 " "440047","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "440047","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","3 patients","1,3 ","13","SCIP-INF-3 " "440047","GIBSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","0%","3 patients","1,3 ","13","SCIP-INF-6 " "440047","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "440047","GIBSON GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "440047","GIBSON GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1 ","1","PN-6 " "440047","GIBSON GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","21 patients","1 ","1","PN-2 " "440048","BAPTIST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","169 patients","2 ","2","SCIP-CARD-2 " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","560 patients",,,"AMI-2 " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","112 patients",,,"AMI-3 " "440048","BAPTIST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","334 patients","2 ","2","SCIP-VTE-1 " "440048","BAPTIST MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","432 patients",,,"PN-6 " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","267 patients",,,"HF-4 " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","64 patients",,,"AMI-8A " "440048","BAPTIST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","333 patients","2 ","2","SCIP-VTE-2 " "440048","BAPTIST MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","249 patients",,,"PN-4 " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","417 patients",,,"AMI-1 " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","196 patients",,,"AMI-4 " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1260 patients",,,"HF-2 " "440048","BAPTIST MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","544 patients",,,"PN-2 " "440048","BAPTIST MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","532 patients",,,"PN-3B " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","529 patients",,,"AMI-5 " "440048","BAPTIST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","538 patients","2 ","2","SCIP-INF-3 " "440048","BAPTIST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","146 patients","2 ","2","SCIP-INF-4 " "440048","BAPTIST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","972 patients","2 ","2","SCIP-INF-6 " "440048","BAPTIST MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","420 patients",,,"PN-7 " "440048","BAPTIST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","589 patients","2 ","2","SCIP-INF-1 " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","429 patients",,,"HF-3 " "440048","BAPTIST MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","560 patients",,,"PN-5C " "440048","BAPTIST MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","595 patients","2 ","2","SCIP-INF-2 " "440048","BAPTIST MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","1134 patients",,,"HF-1 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","581 patients",,,"HF-4 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","587 patients","2 ","2","SCIP-VTE-2 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2286 patients","2 ","2","SCIP-INF-6 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","1605 patients","2 ","2","SCIP-INF-3 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","658 patients",,,"PN-3B " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","376 patients",,,"AMI-4 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","920 patients",,,"HF-3 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","652 patients",,,"AMI-1 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","151 patients",,,"AMI-3 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2205 patients",,,"HF-2 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","406 patients","2 ","2","SCIP-CARD-2 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","502 patients",,,"PN-2 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","465 patients",,,"PN-7 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","739 patients",,,"AMI-5 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","1709 patients","2 ","2","SCIP-INF-2 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","774 patients",,,"AMI-2 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","1983 patients",,,"HF-1 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","715 patients",,,"PN-5C " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","412 patients","2 ","2","SCIP-INF-4 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","333 patients",,,"PN-4 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","589 patients","2 ","2","SCIP-VTE-1 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","472 patients",,,"PN-6 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1696 patients","2 ","2","SCIP-INF-1 " "440049","METHODIST HEALTHCARE MEMPHIS HOSPITALS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","140 patients",,,"AMI-8A " "440050","TAKOMA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","52 patients",,,"SCIP-VTE-2 " "440050","TAKOMA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1 ","1","SCIP-CARD-2 " "440050","TAKOMA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","55 patients",,,"SCIP-INF-2 " "440050","TAKOMA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440050","TAKOMA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","80 patients",,,"HF-2 " "440050","TAKOMA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","74 patients",,,"PN-7 " "440050","TAKOMA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","70 patients",,,"HF-1 " "440050","TAKOMA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","99 patients",,,"SCIP-INF-6 " "440050","TAKOMA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440050","TAKOMA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"HF-3 " "440050","TAKOMA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","52 patients",,,"SCIP-VTE-1 " "440050","TAKOMA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "440050","TAKOMA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "440050","TAKOMA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "440050","TAKOMA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","96 patients",,,"PN-5C " "440050","TAKOMA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440050","TAKOMA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "440050","TAKOMA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"PN-4 " "440050","TAKOMA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","108 patients",,,"PN-3B " "440050","TAKOMA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","58 patients",,,"PN-6 " "440050","TAKOMA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","55 patients",,,"SCIP-INF-1 " "440050","TAKOMA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440050","TAKOMA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "440050","TAKOMA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","105 patients",,,"PN-2 " "440050","TAKOMA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","49 patients",,,"SCIP-INF-3 " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","8 patients","1 ","1","AMI-2 " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","34 patients",,,"HF-1 " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "440051","MCNAIRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","17 patients","1,2 ","12","SCIP-INF-6 " "440051","MCNAIRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "440051","MCNAIRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","4 patients","1,2 ","12","SCIP-VTE-1 " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "440051","MCNAIRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440051","MCNAIRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","13 patients","1,2 ","12","SCIP-INF-1 " "440051","MCNAIRY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","21 patients","1 ","1","PN-7 " "440051","MCNAIRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","4 patients","1,2 ","12","SCIP-VTE-2 " "440051","MCNAIRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","13 patients","1,2 ","12","SCIP-INF-2 " "440051","MCNAIRY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","26 patients",,,"PN-6 " "440051","MCNAIRY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","13 patients","1,2 ","12","SCIP-INF-3 " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","68 patients",,,"HF-2 " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "440051","MCNAIRY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440051","MCNAIRY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "440051","MCNAIRY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","17 patients","1 ","1","PN-3B " "440051","MCNAIRY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","37 patients",,,"PN-5C " "440051","MCNAIRY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","30 patients",,,"PN-2 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","593 patients","2 ","2","SCIP-INF-1 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"AMI-3 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","151 patients",,,"AMI-2 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","54 patients",,,"AMI-8A " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","304 patients",,,"PN-2 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","587 patients","2 ","2","SCIP-INF-2 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","218 patients",,,"PN-6 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","295 patients","2 ","2","SCIP-VTE-1 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","294 patients","2 ","2","SCIP-VTE-2 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"AMI-4 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","82 patients","2 ","2","SCIP-CARD-2 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","234 patients",,,"PN-7 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","360 patients",,,"PN-5C " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","104 patients",,,"HF-3 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","322 patients",,,"HF-1 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","142 patients",,,"AMI-5 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","360 patients",,,"PN-3B " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","176 patients",,,"AMI-1 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","557 patients","2 ","2","SCIP-INF-3 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","386 patients",,,"HF-2 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","178 patients",,,"PN-4 " "440053","MIDDLE TENNESSEE MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","779 patients","2 ","2","SCIP-INF-6 " "440054","WOODS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "440054","WOODS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","35 patients",,,"SCIP-VTE-1 " "440054","WOODS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","79 patients",,,"PN-3B " "440054","WOODS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","48 patients",,,"SCIP-INF-2 " "440054","WOODS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "440054","WOODS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","44%","9 patients","1 ","1","SCIP-CARD-2 " "440054","WOODS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","48 patients",,,"SCIP-INF-1 " "440054","WOODS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440054","WOODS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","24 patients","1 ","1","HF-3 " "440054","WOODS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","75 patients",,,"HF-2 " "440054","WOODS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","72 patients",,,"SCIP-INF-6 " "440054","WOODS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440054","WOODS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","51 patients",,,"PN-4 " "440054","WOODS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "440054","WOODS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","27 patients",,,"PN-6 " "440054","WOODS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","80 patients",,,"PN-7 " "440054","WOODS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1 ","1","AMI-1 " "440054","WOODS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440054","WOODS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","35 patients",,,"SCIP-VTE-2 " "440054","WOODS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","104 patients",,,"PN-5C " "440054","WOODS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440054","WOODS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","67 patients",,,"HF-1 " "440054","WOODS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","104 patients",,,"PN-2 " "440054","WOODS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440054","WOODS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","44 patients",,,"SCIP-INF-3 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","134 patients",,,"PN-2 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","144 patients",,,"PN-5C " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","14 patients","1 ","1","SCIP-CARD-2 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","43 patients",,,"SCIP-VTE-2 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","88 patients",,,"PN-7 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","43 patients",,,"SCIP-VTE-1 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","64 patients",,,"PN-4 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","88 patients",,,"SCIP-INF-1 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","33 patients",,,"HF-3 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","78 patients",,,"HF-2 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","103 patients",,,"PN-6 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","62 patients",,,"SCIP-INF-6 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","85 patients",,,"SCIP-INF-3 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","122 patients",,,"PN-3B " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","88 patients",,,"SCIP-INF-2 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "440056","ST MARY'S JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","63 patients",,,"HF-1 " "440057","CLAIBORNE COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","139 patients","2 ","2","PN-5C " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1,2 ","12","AMI-2 " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","70%","10 patients","1,2 ","12","AMI-1 " "440057","CLAIBORNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","35 patients","2 ","2","SCIP-INF-3 " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients","2 ","2","HF-4 " "440057","CLAIBORNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","81%","36 patients","2 ","2","SCIP-INF-2 " "440057","CLAIBORNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440057","CLAIBORNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","62 patients","2 ","2","SCIP-INF-6 " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1,2 ","12","AMI-5 " "440057","CLAIBORNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","36 patients","2 ","2","SCIP-INF-1 " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","37%","19 patients","1,2 ","12","HF-3 " "440057","CLAIBORNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","26 patients","2 ","2","SCIP-VTE-2 " "440057","CLAIBORNE COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","120 patients","2 ","2","PN-3B " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "440057","CLAIBORNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","27 patients","2 ","2","SCIP-VTE-1 " "440057","CLAIBORNE COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","96 patients","2 ","2","PN-2 " "440057","CLAIBORNE COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","PN-4 " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","66%","173 patients","2 ","2","HF-2 " "440057","CLAIBORNE COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1,2 ","12","SCIP-CARD-2 " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "440057","CLAIBORNE COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","72 patients","2 ","2","PN-6 " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "440057","CLAIBORNE COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","62 patients","2 ","2","PN-7 " "440057","CLAIBORNE COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","119 patients","2 ","2","HF-1 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","150 patients",,,"SCIP-INF-3 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","151 patients",,,"PN-2 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","114 patients",,,"PN-3B " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","111 patients",,,"PN-7 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","157 patients",,,"SCIP-INF-2 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","233 patients",,,"SCIP-INF-6 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","121 patients",,,"PN-6 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","157 patients",,,"SCIP-INF-1 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","126 patients",,,"SCIP-VTE-1 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","156 patients",,,"HF-2 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","26 patients",,,"HF-3 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","180 patients",,,"PN-5C " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","126 patients",,,"SCIP-VTE-2 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","33 patients",,,"SCIP-CARD-2 " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440058","SOUTHERN TENNESSEE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","112 patients",,,"HF-1 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","206 patients",,,"AMI-4 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","725 patients",,,"SCIP-INF-1 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","428 patients",,,"SCIP-VTE-2 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","157 patients",,,"PN-3B " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","342 patients",,,"AMI-1 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","358 patients",,,"HF-2 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1094 patients",,,"SCIP-INF-6 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","164 patients",,,"PN-6 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","185 patients",,,"PN-7 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","83 patients",,,"AMI-8A " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","684 patients",,,"SCIP-INF-3 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","47 patients",,,"HF-4 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","504 patients",,,"AMI-5 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","125 patients",,,"PN-4 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","124 patients",,,"HF-3 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","223 patients",,,"SCIP-CARD-2 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","732 patients",,,"SCIP-INF-2 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","496 patients",,,"AMI-2 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","147 patients",,,"AMI-3 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","239 patients",,,"PN-2 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","56%","303 patients",,,"HF-1 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","225 patients",,,"PN-5C " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","228 patients",,,"SCIP-INF-4 " "440059","COOKEVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","431 patients",,,"SCIP-VTE-1 " "440060","MILAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","8 patients","1 ","1","SCIP-INF-1 " "440060","MILAN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","20 patients","1 ","1","PN-3B " "440060","MILAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","38 patients",,,"SCIP-INF-6 " "440060","MILAN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "440060","MILAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","8 patients","1 ","1","SCIP-INF-3 " "440060","MILAN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "440060","MILAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","25 patients",,,"SCIP-VTE-1 " "440060","MILAN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440060","MILAN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","13 patients","1 ","1","PN-7 " "440060","MILAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1 ","1","SCIP-INF-2 " "440060","MILAN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440060","MILAN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "440060","MILAN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "440060","MILAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "440060","MILAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440060","MILAN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","26 patients",,,"PN-2 " "440060","MILAN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","17 patients","1 ","1","PN-6 " "440060","MILAN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440060","MILAN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","19 patients","1 ","1","PN-5C " "440060","MILAN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "440060","MILAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","25 patients",,,"SCIP-VTE-2 " "440060","MILAN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "440060","MILAN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1 ","1","HF-1 " "440060","MILAN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "440060","MILAN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","23 patients","1 ","1","HF-2 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","37 patients",,,"HF-1 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1,2 ","12","SCIP-CARD-2 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","62%","8 patients","1 ","1","AMI-5 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","66 patients",,,"PN-3B " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440061","VOLUNTEER COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","90 patients",,,"PN-7 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1 ","1","AMI-2 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","59 patients",,,"PN-6 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","55 patients","2 ","2","SCIP-INF-2 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","50 patients","2 ","2","SCIP-INF-3 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","122 patients",,,"PN-2 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","54 patients","2 ","2","SCIP-INF-1 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","76 patients",,,"HF-2 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","101 patients",,,"PN-5C " "440061","VOLUNTEER COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","33%","6 patients","1 ","1","AMI-1 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","95 patients","2 ","2","SCIP-INF-6 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","55 patients","2 ","2","SCIP-VTE-1 " "440061","VOLUNTEER COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","55 patients","2 ","2","SCIP-VTE-2 " "440063","JOHNSON CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","205 patients","2 ","2","SCIP-VTE-2 " "440063","JOHNSON CITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","86 patients","2 ","2","PN-7 " "440063","JOHNSON CITY MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","97%","37 patients","2 ","2","CAC-2 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","131 patients","2 ","2","HF-3 " "440063","JOHNSON CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","205 patients","2 ","2","SCIP-VTE-1 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","109 patients","2 ","2","AMI-4 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","63 patients","2 ","2","HF-4 " "440063","JOHNSON CITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","108 patients","2 ","2","PN-5C " "440063","JOHNSON CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","101 patients","2 ","2","SCIP-CARD-2 " "440063","JOHNSON CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","126 patients","2 ","2","SCIP-INF-4 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "440063","JOHNSON CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","436 patients","2 ","2","SCIP-INF-2 " "440063","JOHNSON CITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","118 patients","2 ","2","PN-2 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","234 patients","2 ","2","AMI-5 " "440063","JOHNSON CITY MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","37 patients","2 ","2","CAC-1 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","54 patients","2 ","2","AMI-3 " "440063","JOHNSON CITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","71 patients","2 ","2","PN-3B " "440063","JOHNSON CITY MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","3%","36 patients","2 ","2","CAC-3 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","117 patients","2 ","2","AMI-1 " "440063","JOHNSON CITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients","2 ","2","PN-4 " "440063","JOHNSON CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","402 patients","2 ","2","SCIP-INF-3 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","31 patients","2 ","2","AMI-8A " "440063","JOHNSON CITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","316 patients","2 ","2","HF-2 " "440063","JOHNSON CITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","60 patients","2 ","2","PN-6 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","272 patients","2 ","2","HF-1 " "440063","JOHNSON CITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","244 patients","2 ","2","AMI-2 " "440063","JOHNSON CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","425 patients","2 ","2","SCIP-INF-1 " "440063","JOHNSON CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","626 patients","2 ","2","SCIP-INF-6 " "440064","GRANDVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","27%","11 patients","1 ","1","SCIP-VTE-2 " "440064","GRANDVIEW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "440064","GRANDVIEW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440064","GRANDVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-1 " "440064","GRANDVIEW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "440064","GRANDVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","27%","11 patients","1 ","1","SCIP-VTE-1 " "440064","GRANDVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-2 " "440064","GRANDVIEW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440064","GRANDVIEW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "440064","GRANDVIEW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","120 patients",,,"PN-5C " "440064","GRANDVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1 ","1","SCIP-INF-3 " "440064","GRANDVIEW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","100 patients",,,"PN-6 " "440064","GRANDVIEW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "440064","GRANDVIEW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "440064","GRANDVIEW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","45%","51 patients",,,"HF-1 " "440064","GRANDVIEW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "440064","GRANDVIEW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","96 patients",,,"PN-2 " "440064","GRANDVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "440064","GRANDVIEW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","96 patients",,,"PN-7 " "440064","GRANDVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440064","GRANDVIEW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","67 patients",,,"HF-2 " "440064","GRANDVIEW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440064","GRANDVIEW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"PN-4 " "440064","GRANDVIEW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","97 patients",,,"PN-3B " "440064","GRANDVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "440065","NORTHCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","143 patients",,,"SCIP-INF-3 " "440065","NORTHCREST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","245 patients",,,"PN-3B " "440065","NORTHCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","204 patients",,,"SCIP-INF-6 " "440065","NORTHCREST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","6 patients","1 ","1","AMI-8A " "440065","NORTHCREST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","112 patients",,,"HF-1 " "440065","NORTHCREST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","6 patients","1 ","1","AMI-7A " "440065","NORTHCREST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","43 patients",,,"AMI-2 " "440065","NORTHCREST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","137 patients",,,"HF-2 " "440065","NORTHCREST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","42 patients",,,"HF-3 " "440065","NORTHCREST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "440065","NORTHCREST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "440065","NORTHCREST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","213 patients",,,"PN-5C " "440065","NORTHCREST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","256 patients",,,"PN-2 " "440065","NORTHCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","105 patients",,,"SCIP-VTE-1 " "440065","NORTHCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","150 patients",,,"SCIP-INF-2 " "440065","NORTHCREST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "440065","NORTHCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","149 patients",,,"SCIP-INF-1 " "440065","NORTHCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","25 patients",,,"SCIP-CARD-2 " "440065","NORTHCREST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","105 patients",,,"PN-4 " "440065","NORTHCREST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","41 patients",,,"AMI-5 " "440065","NORTHCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","105 patients",,,"SCIP-VTE-2 " "440065","NORTHCREST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","116 patients",,,"PN-6 " "440065","NORTHCREST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","59 patients",,,"AMI-1 " "440065","NORTHCREST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","176 patients",,,"PN-7 " "440065","NORTHCREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "440067","LAKEWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","114 patients","2 ","2","SCIP-INF-3 " "440067","LAKEWAY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","43 patients",,,"PN-7 " "440067","LAKEWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","124 patients","2 ","2","SCIP-INF-2 " "440067","LAKEWAY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"PN-4 " "440067","LAKEWAY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","68 patients",,,"PN-3B " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "440067","LAKEWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","123 patients","2 ","2","SCIP-INF-1 " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","68 patients",,,"HF-1 " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","88 patients",,,"HF-2 " "440067","LAKEWAY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","66 patients",,,"PN-2 " "440067","LAKEWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","19 patients","1,2 ","12","SCIP-CARD-2 " "440067","LAKEWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","75 patients","2 ","2","SCIP-VTE-2 " "440067","LAKEWAY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","90 patients",,,"PN-5C " "440067","LAKEWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440067","LAKEWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","153 patients","2 ","2","SCIP-INF-6 " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","14 patients","1 ","1","AMI-5 " "440067","LAKEWAY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","61 patients",,,"PN-6 " "440067","LAKEWAY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "440067","LAKEWAY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","75 patients","2 ","2","SCIP-VTE-1 " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","14 patients","1 ","1","AMI-1 " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440068","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","90 patients",,,"SCIP-VTE-1 " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","99 patients",,,"HF-2 " "440068","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","90 patients",,,"SCIP-VTE-2 " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","77%","26 patients",,,"HF-3 " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","78 patients",,,"HF-1 " "440068","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","71 patients",,,"PN-7 " "440068","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","85 patients",,,"PN-6 " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","11 patients","1 ","1","AMI-2 " "440068","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "440068","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","72 patients",,,"PN-3B " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440068","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","97 patients",,,"PN-2 " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440068","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","87 patients",,,"SCIP-INF-1 " "440068","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "440068","ATHENS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "440068","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","85 patients",,,"SCIP-INF-2 " "440068","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440068","ATHENS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","123 patients",,,"PN-5C " "440068","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","149 patients",,,"SCIP-INF-6 " "440068","ATHENS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","83 patients",,,"SCIP-INF-3 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","65 patients",,,"PN-3B " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440070","DECATUR COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440070","DECATUR COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","95 patients",,,"PN-2 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","79 patients",,,"PN-5C " "440070","DECATUR COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","PN-4 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","54 patients",,,"PN-7 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","37 patients",,,"HF-1 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","33 patients",,,"PN-6 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","59 patients",,,"HF-2 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440070","DECATUR COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","120 patients","2 ","2","SCIP-INF-6 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","53 patients","2 ","2","SCIP-INF-2 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","77 patients",,,"HF-4 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","268 patients",,,"HF-1 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","57 patients","2 ","2","SCIP-VTE-2 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"PN-4 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","51 patients",,,"HF-3 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","52 patients","2 ","2","SCIP-INF-3 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","54 patients","2 ","2","SCIP-INF-1 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","91 patients",,,"PN-2 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","366 patients",,,"HF-2 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","127 patients",,,"PN-5C " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","57 patients","2 ","2","SCIP-VTE-1 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","114 patients",,,"PN-3B " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","64 patients",,,"PN-7 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","74 patients",,,"PN-6 " "440072","DYERSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1,2 ","12","SCIP-CARD-2 " "440073","MAURY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","180 patients",,,"AMI-5 " "440073","MAURY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","422 patients","2 ","2","SCIP-INF-1 " "440073","MAURY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","385 patients","2 ","2","SCIP-INF-3 " "440073","MAURY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","215 patients","2 ","2","SCIP-VTE-1 " "440073","MAURY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","62 patients","2 ","2","PN-4 " "440073","MAURY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","101 patients","2 ","2","PN-7 " "440073","MAURY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","613 patients","2 ","2","SCIP-INF-6 " "440073","MAURY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients",,,"AMI-3 " "440073","MAURY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","258 patients","2 ","2","HF-1 " "440073","MAURY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","129 patients","2 ","2","PN-5C " "440073","MAURY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","441 patients","2 ","2","SCIP-INF-2 " "440073","MAURY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","159 patients",,,"AMI-1 " "440073","MAURY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","77 patients","2 ","2","PN-6 " "440073","MAURY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","318 patients","2 ","2","HF-2 " "440073","MAURY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","99 patients","2 ","2","PN-3B " "440073","MAURY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","43 patients",,,"AMI-8A " "440073","MAURY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440073","MAURY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","75 patients","2 ","2","HF-4 " "440073","MAURY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","213 patients","2 ","2","SCIP-VTE-2 " "440073","MAURY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","206 patients",,,"AMI-2 " "440073","MAURY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","75 patients","2 ","2","SCIP-INF-4 " "440073","MAURY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","143 patients","2 ","2","PN-2 " "440073","MAURY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","114 patients",,,"AMI-4 " "440073","MAURY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","130 patients","2 ","2","HF-3 " "440073","MAURY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","77 patients","2 ","2","SCIP-CARD-2 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"HF-3 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","99 patients","2 ","2","SCIP-VTE-1 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","97 patients",,,"HF-1 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","121 patients",,,"PN-5C " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","242 patients","2 ","2","SCIP-INF-6 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","28 patients",,,"AMI-1 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","201 patients","2 ","2","SCIP-INF-2 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","126 patients",,,"PN-6 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","31 patients","2 ","2","SCIP-CARD-2 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","109 patients",,,"HF-2 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","104 patients",,,"PN-2 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","99 patients","2 ","2","SCIP-VTE-2 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","135 patients",,,"PN-3B " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","199 patients","2 ","2","SCIP-INF-3 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","72 patients",,,"PN-7 " "440081","FORT SANDERS SEVIER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","199 patients","2 ","2","SCIP-INF-1 " "440082","ST THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","236 patients","2 ","2","SCIP-VTE-2 " "440082","ST THOMAS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","453 patients",,,"AMI-4 " "440082","ST THOMAS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","274 patients",,,"PN-3B " "440082","ST THOMAS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","974 patients",,,"HF-1 " "440082","ST THOMAS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","1109 patients",,,"HF-2 " "440082","ST THOMAS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","213 patients",,,"AMI-3 " "440082","ST THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","787 patients","2 ","2","SCIP-INF-6 " "440082","ST THOMAS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","171 patients",,,"PN-6 " "440082","ST THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","236 patients","2 ","2","SCIP-VTE-1 " "440082","ST THOMAS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440082","ST THOMAS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","202 patients",,,"HF-4 " "440082","ST THOMAS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","292 patients",,,"PN-7 " "440082","ST THOMAS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","899 patients",,,"AMI-5 " "440082","ST THOMAS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","419 patients",,,"PN-2 " "440082","ST THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","177 patients","2 ","2","SCIP-INF-4 " "440082","ST THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","545 patients","2 ","2","SCIP-INF-3 " "440082","ST THOMAS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","266 patients",,,"AMI-1 " "440082","ST THOMAS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","57 patients",,,"AMI-8A " "440082","ST THOMAS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","253 patients",,,"PN-5C " "440082","ST THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","566 patients","2 ","2","SCIP-INF-1 " "440082","ST THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","567 patients","2 ","2","SCIP-INF-2 " "440082","ST THOMAS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","157 patients",,,"PN-4 " "440082","ST THOMAS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","955 patients",,,"AMI-2 " "440082","ST THOMAS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","126 patients","2 ","2","SCIP-CARD-2 " "440082","ST THOMAS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","430 patients",,,"HF-3 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","7 patients","1 ","1","CAC-1 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"HF-3 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","70 patients",,,"PN-2 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","7 patients","1 ","1","CAC-2 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","4 patients","1,2,3 ","123","SCIP-INF-1 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","120 patients",,,"PN-5C " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","81 patients",,,"PN-3B " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","65 patients",,,"PN-7 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","126 patients",,,"HF-2 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2,3 ","23","SCIP-CARD-2 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"HF-4 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","67%","6 patients","1 ","1","CAC-3 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","4 patients","1,2,3 ","123","SCIP-INF-2 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","111 patients",,,"HF-1 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","94 patients",,,"PN-6 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"PN-4 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","4 patients","1,2,3 ","123","SCIP-VTE-1 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","4 patients","1,2,3 ","123","SCIP-VTE-2 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,2,3 ","123","SCIP-INF-6 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,2,3 ","123","SCIP-INF-3 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "440083","JAMESTOWN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","13 patients","1 ","1","AMI-5 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","68 patients","2 ","2","SCIP-INF-6 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","96 patients",,,"HF-1 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","74%","31 patients",,,"HF-4 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","27 patients",,,"HF-3 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","40 patients","2 ","2","SCIP-VTE-1 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","39 patients","2 ","2","SCIP-INF-2 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","104 patients",,,"PN-4 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","66%","38 patients","2 ","2","SCIP-VTE-2 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","7 patients","1 ","1","SCIP-CARD-2 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","38 patients","2 ","2","SCIP-INF-1 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","120 patients",,,"HF-2 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","217 patients",,,"PN-2 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","14 patients","1 ","1","AMI-2 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","220 patients",,,"PN-5C " "440084","SWEETWATER HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","47%","32 patients","2 ","2","SCIP-INF-3 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440084","SWEETWATER HOSPITAL ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","120 patients",,,"PN-6 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","172 patients",,,"PN-7 " "440084","SWEETWATER HOSPITAL ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","135 patients",,,"PN-3B " "440084","SWEETWATER HOSPITAL ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","20 patients","1 ","1","AMI-1 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1976 patients","2 ","2","SCIP-INF-1 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","387 patients","2 ","2","SCIP-CARD-2 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","452 patients",,,"AMI-1 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","1925 patients","2 ","2","SCIP-INF-3 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","651 patients",,,"PN-3B " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2529 patients","2 ","2","SCIP-INF-6 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","103 patients",,,"AMI-8A " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","238 patients",,,"HF-3 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","839 patients","2 ","2","SCIP-VTE-2 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","449 patients",,,"PN-7 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","204 patients",,,"PN-4 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1989 patients","2 ","2","SCIP-INF-2 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","640 patients",,,"AMI-5 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","842 patients","2 ","2","SCIP-VTE-1 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","667 patients",,,"HF-1 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","753 patients",,,"HF-2 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","761 patients",,,"PN-5C " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","516 patients","2 ","2","SCIP-INF-4 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"HF-4 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","361 patients",,,"PN-6 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","652 patients",,,"PN-2 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","243 patients",,,"AMI-4 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","123 patients",,,"AMI-3 " "440091","MEMORIAL HEALTHCARE SYSTEM, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","658 patients",,,"AMI-2 " "440102","LINCOLN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","91 patients",,,"PN-6 " "440102","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","38%","24 patients","1 ","1","SCIP-VTE-1 " "440102","LINCOLN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","62 patients",,,"PN-7 " "440102","LINCOLN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","101 patients",,,"PN-3B " "440102","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","22 patients","1 ","1","SCIP-INF-1 " "440102","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","41%","22 patients","1 ","1","SCIP-VTE-2 " "440102","LINCOLN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "440102","LINCOLN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "440102","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","22 patients","1 ","1","SCIP-INF-3 " "440102","LINCOLN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440102","LINCOLN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440102","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440102","LINCOLN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440102","LINCOLN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","71 patients",,,"HF-2 " "440102","LINCOLN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","104 patients",,,"PN-2 " "440102","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","49 patients",,,"SCIP-INF-6 " "440102","LINCOLN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","111 patients",,,"PN-5C " "440102","LINCOLN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","6 patients","1 ","1","AMI-5 " "440102","LINCOLN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440102","LINCOLN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "440102","LINCOLN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "440102","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","22 patients","1 ","1","SCIP-INF-2 " "440102","LINCOLN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","41 patients",,,"PN-4 " "440102","LINCOLN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","10 patients","1 ","1","SCIP-CARD-2 " "440102","LINCOLN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","49 patients",,,"HF-1 " "440104","ERLANGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","356 patients","2 ","2","SCIP-INF-2 " "440104","ERLANGER MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440104","ERLANGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","218 patients","2 ","2","SCIP-VTE-2 " "440104","ERLANGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","302 patients","2 ","2","SCIP-INF-3 " "440104","ERLANGER MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","230 patients",,,"AMI-1 " "440104","ERLANGER MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","173 patients",,,"PN-4 " "440104","ERLANGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","346 patients","2 ","2","SCIP-INF-1 " "440104","ERLANGER MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","359 patients",,,"HF-2 " "440104","ERLANGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","97 patients","2 ","2","SCIP-INF-4 " "440104","ERLANGER MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","52 patients",,,"AMI-8A " "440104","ERLANGER MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","176 patients",,,"PN-2 " "440104","ERLANGER MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","134 patients",,,"PN-6 " "440104","ERLANGER MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","62 patients",,,"AMI-3 " "440104","ERLANGER MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","240 patients",,,"PN-5C " "440104","ERLANGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","218 patients","2 ","2","SCIP-VTE-1 " "440104","ERLANGER MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","318 patients",,,"HF-1 " "440104","ERLANGER MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","207 patients",,,"AMI-4 " "440104","ERLANGER MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","306 patients",,,"AMI-5 " "440104","ERLANGER MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","30 patients",,,"CAC-1 " "440104","ERLANGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","55 patients","2 ","2","SCIP-CARD-2 " "440104","ERLANGER MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","104 patients",,,"HF-3 " "440104","ERLANGER MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","154 patients",,,"HF-4 " "440104","ERLANGER MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","90%","30 patients",,,"CAC-3 " "440104","ERLANGER MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","30 patients",,,"CAC-2 " "440104","ERLANGER MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","201 patients",,,"PN-7 " "440104","ERLANGER MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","209 patients",,,"PN-3B " "440104","ERLANGER MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","540 patients","2 ","2","SCIP-INF-6 " "440104","ERLANGER MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","352 patients",,,"AMI-2 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","42 patients","2,3 ","23","SCIP-INF-2 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","43 patients","2,3 ","23","SCIP-INF-1 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","23 patients","1,2,3 ","123","SCIP-VTE-2 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","23 patients","1,2,3 ","123","SCIP-VTE-1 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","42 patients","2,3 ","23","SCIP-INF-3 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2,3 ","123","SCIP-CARD-2 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","55 patients","2,3 ","23","SCIP-INF-6 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "440105","JOHNSON CITY SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "440109","HARDIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440109","HARDIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "440109","HARDIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "440109","HARDIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","66 patients",,,"PN-6 " "440109","HARDIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "440109","HARDIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","37 patients",,,"SCIP-VTE-2 " "440109","HARDIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440109","HARDIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","65 patients",,,"PN-3B " "440109","HARDIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1 ","1","AMI-1 " "440109","HARDIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","90 patients",,,"PN-5C " "440109","HARDIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","54 patients",,,"SCIP-INF-1 " "440109","HARDIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","54 patients",,,"PN-7 " "440109","HARDIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","46 patients",,,"HF-2 " "440109","HARDIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440109","HARDIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","25 patients",,,"PN-4 " "440109","HARDIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440109","HARDIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","43%","7 patients","1 ","1","SCIP-CARD-2 " "440109","HARDIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","79 patients",,,"SCIP-INF-6 " "440109","HARDIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","55 patients",,,"SCIP-INF-2 " "440109","HARDIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","52 patients",,,"SCIP-INF-3 " "440109","HARDIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440109","HARDIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","68 patients",,,"PN-2 " "440109","HARDIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "440109","HARDIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","38 patients",,,"HF-1 " "440109","HARDIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","37 patients",,,"SCIP-VTE-1 " "440110","FORT LOUDOUN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440110","FORT LOUDOUN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","26 patients","2 ","2","SCIP-VTE-1 " "440110","FORT LOUDOUN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","26 patients","2 ","2","SCIP-VTE-2 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "440110","FORT LOUDOUN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440110","FORT LOUDOUN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","119 patients",,,"PN-5C " "440110","FORT LOUDOUN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","128 patients",,,"PN-3B " "440110","FORT LOUDOUN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","44 patients","2 ","2","SCIP-INF-6 " "440110","FORT LOUDOUN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","101 patients",,,"PN-6 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "440110","FORT LOUDOUN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","49 patients",,,"HF-1 " "440110","FORT LOUDOUN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","10 patients","1,2 ","12","SCIP-INF-2 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440110","FORT LOUDOUN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","89 patients",,,"PN-2 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","HF-3 " "440110","FORT LOUDOUN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","65 patients",,,"PN-7 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","66 patients",,,"HF-2 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "440110","FORT LOUDOUN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "440110","FORT LOUDOUN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","9 patients","1,2 ","12","SCIP-INF-1 " "440110","FORT LOUDOUN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","9 patients","1,2 ","12","SCIP-INF-3 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","79 patients","2 ","2","HF-3 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "440111","METRO NASHVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","113 patients","2 ","2","SCIP-INF-2 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "440111","METRO NASHVILLE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","71 patients","2 ","2","PN-5C " "440111","METRO NASHVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","113 patients","2 ","2","SCIP-INF-3 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","137 patients","2 ","2","SCIP-VTE-2 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","27 patients","2 ","2","SCIP-CARD-2 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","77 patients","2 ","2","PN-3B " "440111","METRO NASHVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","AMI-4 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","PN-4 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","114 patients","2 ","2","SCIP-INF-1 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","46 patients","2 ","2","PN-6 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","209 patients","2 ","2","SCIP-INF-6 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","138 patients","2 ","2","SCIP-VTE-1 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","159 patients","2 ","2","HF-2 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","22 patients","1,2 ","12","AMI-5 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","10 patients","1,2 ","12","PN-2 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","153 patients","2 ","2","HF-1 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1,2 ","12","AMI-3 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","22 patients","1,2 ","12","AMI-2 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","26 patients","2 ","2","PN-7 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","35 patients","2 ","2","AMI-1 " "440111","METRO NASHVILLE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","85 patients","2 ","2","HF-4 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","3 patients","1,3 ","13","SCIP-VTE-2 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440115","HUMBOLDT GENERAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","29 patients",,,"PN-6 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","40%","5 patients","1 ","1","AMI-5 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","65%","37 patients",,,"HF-2 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","48 patients",,,"PN-5C " "440115","HUMBOLDT GENERAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","43 patients",,,"PN-2 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","24 patients","1 ","1","PN-3B " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","33 patients",,,"PN-7 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","3 patients","1,3 ","13","SCIP-VTE-1 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3 patients","1,3 ","13","SCIP-INF-6 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","PN-4 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","25 patients",,,"HF-1 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440115","HUMBOLDT GENERAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "440120","ST MARY'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","372 patients","2 ","2","SCIP-INF-4 " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","255 patients",,,"AMI-4 " "440120","ST MARY'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","566 patients","2 ","2","SCIP-VTE-2 " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","511 patients",,,"AMI-2 " "440120","ST MARY'S MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","543 patients",,,"PN-3B " "440120","ST MARY'S MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","472 patients",,,"PN-2 " "440120","ST MARY'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","311 patients","2 ","2","SCIP-CARD-2 " "440120","ST MARY'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1753 patients","2 ","2","SCIP-INF-1 " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","116 patients",,,"AMI-3 " "440120","ST MARY'S MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","299 patients",,,"PN-4 " "440120","ST MARY'S MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","388 patients",,,"PN-6 " "440120","ST MARY'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1766 patients","2 ","2","SCIP-INF-2 " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","459 patients",,,"HF-1 " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","121 patients",,,"HF-4 " "440120","ST MARY'S MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","369 patients",,,"PN-7 " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","66 patients",,,"AMI-8A " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","346 patients",,,"AMI-1 " "440120","ST MARY'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1993 patients","2 ","2","SCIP-INF-6 " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","171 patients",,,"HF-3 " "440120","ST MARY'S MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","513 patients",,,"PN-5C " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","463 patients",,,"AMI-5 " "440120","ST MARY'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","569 patients","2 ","2","SCIP-VTE-1 " "440120","ST MARY'S MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1698 patients","2 ","2","SCIP-INF-3 " "440120","ST MARY'S MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","550 patients",,,"HF-2 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","370 patients",,,"PN-2 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","330 patients",,,"PN-3B " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","329 patients",,,"HF-1 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","179 patients","2 ","2","SCIP-CARD-2 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","825 patients","2 ","2","SCIP-INF-2 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","232 patients","2 ","2","SCIP-INF-4 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","40 patients",,,"AMI-8A " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","761 patients","2 ","2","SCIP-INF-3 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","288 patients",,,"PN-7 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1065 patients","2 ","2","SCIP-INF-6 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","349 patients",,,"AMI-2 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","362 patients",,,"AMI-5 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","199 patients",,,"PN-4 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"HF-4 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","156 patients",,,"AMI-4 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","150 patients",,,"HF-3 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","408 patients",,,"HF-2 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","183 patients",,,"AMI-1 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","80 patients",,,"AMI-3 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","189 patients",,,"PN-6 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","816 patients","2 ","2","SCIP-INF-1 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","439 patients","2 ","2","SCIP-VTE-2 " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","313 patients",,,"PN-5C " "440125","FORT SANDERS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","440 patients","2 ","2","SCIP-VTE-1 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","88 patients",,,"PN-3B " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","28 patients",,,"AMI-1 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","69 patients","2 ","2","SCIP-VTE-2 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","84 patients",,,"PN-2 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","64 patients",,,"HF-1 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","132 patients","2 ","2","SCIP-INF-2 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","98 patients",,,"PN-5C " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","80 patients",,,"PN-6 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","132 patients","2 ","2","SCIP-INF-1 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","130 patients","2 ","2","SCIP-INF-3 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","70 patients","2 ","2","SCIP-VTE-1 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","177 patients","2 ","2","SCIP-INF-6 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","81 patients",,,"HF-2 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","70 patients",,,"PN-7 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","23 patients","1,2 ","12","SCIP-CARD-2 " "440130","BAPTIST MEMORIAL HOSPITAL UNION CITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","58 patients",,,"PN-7 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","18 patients","1 ","1","SCIP-VTE-2 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","29 patients",,,"SCIP-INF-1 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","30 patients",,,"SCIP-INF-3 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","32 patients",,,"SCIP-INF-2 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","56 patients",,,"PN-6 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","77 patients",,,"PN-3B " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","44 patients",,,"SCIP-INF-6 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","18 patients","1 ","1","SCIP-VTE-1 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","71 patients",,,"PN-2 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","48 patients",,,"HF-1 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","68 patients",,,"PN-5C " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","58 patients",,,"HF-2 " "440131","BAPTIST MEMORIAL HOSPITAL TIPTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "440132","HENRY COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","66 patients",,,"HF-1 " "440132","HENRY COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440132","HENRY COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","107 patients",,,"PN-3B " "440132","HENRY COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","18 patients","1 ","1","AMI-5 " "440132","HENRY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","383 patients",,,"SCIP-INF-2 " "440132","HENRY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","510 patients",,,"SCIP-INF-6 " "440132","HENRY COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","83 patients",,,"HF-2 " "440132","HENRY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","265 patients",,,"SCIP-VTE-1 " "440132","HENRY COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","17 patients","1 ","1","AMI-2 " "440132","HENRY COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","73 patients",,,"PN-7 " "440132","HENRY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440132","HENRY COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440132","HENRY COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440132","HENRY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","350 patients",,,"SCIP-INF-3 " "440132","HENRY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","51 patients",,,"SCIP-CARD-2 " "440132","HENRY COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "440132","HENRY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","265 patients",,,"SCIP-VTE-2 " "440132","HENRY COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","114 patients",,,"PN-6 " "440132","HENRY COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","124 patients",,,"PN-2 " "440132","HENRY COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","381 patients",,,"SCIP-INF-1 " "440132","HENRY COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "440132","HENRY COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","84%","25 patients",,,"AMI-1 " "440132","HENRY COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","149 patients",,,"PN-5C " "440132","HENRY COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "440132","HENRY COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"PN-4 " "440133","BAPTIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","161 patients",,,"AMI-1 " "440133","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","508 patients","2 ","2","SCIP-INF-2 " "440133","BAPTIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","283 patients",,,"PN-3B " "440133","BAPTIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","210 patients",,,"PN-7 " "440133","BAPTIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","227 patients",,,"HF-3 " "440133","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","234 patients","2 ","2","SCIP-VTE-1 " "440133","BAPTIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","186 patients",,,"AMI-2 " "440133","BAPTIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","106 patients",,,"HF-4 " "440133","BAPTIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440133","BAPTIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"AMI-4 " "440133","BAPTIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","154 patients",,,"PN-4 " "440133","BAPTIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","158 patients",,,"PN-6 " "440133","BAPTIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","26 patients",,,"AMI-8A " "440133","BAPTIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","520 patients",,,"HF-1 " "440133","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","468 patients","2 ","2","SCIP-INF-3 " "440133","BAPTIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","588 patients",,,"HF-2 " "440133","BAPTIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","270 patients",,,"PN-5C " "440133","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","98 patients","2 ","2","SCIP-CARD-2 " "440133","BAPTIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","49 patients",,,"AMI-3 " "440133","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","499 patients","2 ","2","SCIP-INF-1 " "440133","BAPTIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","177 patients",,,"AMI-5 " "440133","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","119 patients","2 ","2","SCIP-INF-4 " "440133","BAPTIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","300 patients",,,"PN-2 " "440133","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","712 patients","2 ","2","SCIP-INF-6 " "440133","BAPTIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","234 patients","2 ","2","SCIP-VTE-2 " "440137","HERITAGE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","65 patients",,,"PN-2 " "440137","HERITAGE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "440137","HERITAGE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "440137","HERITAGE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","53 patients",,,"PN-7 " "440137","HERITAGE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","60 patients",,,"HF-1 " "440137","HERITAGE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","83 patients",,,"PN-3B " "440137","HERITAGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","44 patients","2 ","2","SCIP-VTE-1 " "440137","HERITAGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","8 patients","1,2 ","12","SCIP-CARD-2 " "440137","HERITAGE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","80 patients",,,"HF-2 " "440137","HERITAGE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440137","HERITAGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","44 patients","2 ","2","SCIP-VTE-2 " "440137","HERITAGE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "440137","HERITAGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","81%","37 patients","2 ","2","SCIP-INF-2 " "440137","HERITAGE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440137","HERITAGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440137","HERITAGE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "440137","HERITAGE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","61 patients",,,"PN-6 " "440137","HERITAGE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "440137","HERITAGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","36 patients","2 ","2","SCIP-INF-3 " "440137","HERITAGE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440137","HERITAGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","73 patients","2 ","2","SCIP-INF-6 " "440137","HERITAGE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "440137","HERITAGE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440137","HERITAGE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","107 patients",,,"PN-5C " "440137","HERITAGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","37 patients","2 ","2","SCIP-INF-1 " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","250 patients",,,"HF-1 " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","63 patients",,,"AMI-2 " "44013F","MEMPHIS VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","85 patients",,,"PN-7 " "44013F","MEMPHIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "44013F","MEMPHIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","256 patients",,,"HF-2 " "44013F","MEMPHIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","64 patients",,,"HF-4 " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "44013F","MEMPHIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","4 patients","1 ","1","AMI-8A " "44013F","MEMPHIS VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","97 patients",,,"PN-6 " "44013F","MEMPHIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "44013F","MEMPHIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "44013F","MEMPHIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","136 patients",,,"HF-3 " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","59 patients",,,"AMI-5 " "44013F","MEMPHIS VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","155 patients",,,"PN-5C " "44013F","MEMPHIS VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","53 patients",,,"PN-4 " "44013F","MEMPHIS VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","103 patients",,,"PN-2 " "44013F","MEMPHIS VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "44013F","MEMPHIS VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","162 patients",,,"PN-3B " "44013F","MEMPHIS VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","73 patients",,,"AMI-1 " "440141","CUMBERLAND RIVER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "440141","CUMBERLAND RIVER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1 ","1","AMI-1 " "440141","CUMBERLAND RIVER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","49%","51 patients",,,"PN-6 " "440141","CUMBERLAND RIVER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","53 patients",,,"PN-7 " "440141","CUMBERLAND RIVER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "440141","CUMBERLAND RIVER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440141","CUMBERLAND RIVER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","24 patients","1 ","1","PN-3B " "440141","CUMBERLAND RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440141","CUMBERLAND RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440141","CUMBERLAND RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440141","CUMBERLAND RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440141","CUMBERLAND RIVER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","40%","5 patients","1 ","1","AMI-5 " "440141","CUMBERLAND RIVER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "440141","CUMBERLAND RIVER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440141","CUMBERLAND RIVER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","34 patients",,,"HF-1 " "440141","CUMBERLAND RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440141","CUMBERLAND RIVER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "440141","CUMBERLAND RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440141","CUMBERLAND RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440141","CUMBERLAND RIVER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","67 patients",,,"PN-2 " "440141","CUMBERLAND RIVER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"PN-4 " "440141","CUMBERLAND RIVER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","34 patients","3 ","3","PN-5C " "440141","CUMBERLAND RIVER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "440141","CUMBERLAND RIVER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","65 patients",,,"HF-2 " "440141","CUMBERLAND RIVER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","4 patients","1 ","1","AMI-2 " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","49 patients",,,"AMI-2 " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "440144","HARTON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","81 patients",,,"PN-7 " "440144","HARTON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","104 patients",,,"PN-5C " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","47 patients",,,"HF-3 " "440144","HARTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","87 patients","2 ","2","SCIP-VTE-2 " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","43 patients",,,"AMI-5 " "440144","HARTON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","98 patients",,,"PN-3B " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","46 patients",,,"AMI-1 " "440144","HARTON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "440144","HARTON REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","13 patients","1 ","1","CAC-2 " "440144","HARTON REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","92%","13 patients","1 ","1","CAC-3 " "440144","HARTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","87 patients","2 ","2","SCIP-VTE-1 " "440144","HARTON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","117 patients",,,"PN-2 " "440144","HARTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","140 patients",,,"HF-2 " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "440144","HARTON REGIONAL MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","13 patients","1 ","1","CAC-1 " "440144","HARTON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","92 patients",,,"PN-6 " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","114 patients",,,"HF-1 " "440144","HARTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","134 patients","2 ","2","SCIP-INF-3 " "440144","HARTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","167 patients","2 ","2","SCIP-INF-1 " "440144","HARTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-8A " "440144","HARTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","169 patients","2 ","2","SCIP-INF-2 " "440144","HARTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","234 patients","2 ","2","SCIP-INF-6 " "440144","HARTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","23 patients","1,2 ","12","SCIP-CARD-2 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "440147","BAPTIST REHABILITATION GERMANTOWN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "440147","BAPTIST REHABILITATION GERMANTOWN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "440147","BAPTIST REHABILITATION GERMANTOWN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "440147","BAPTIST REHABILITATION GERMANTOWN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "440147","BAPTIST REHABILITATION GERMANTOWN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440147","BAPTIST REHABILITATION GERMANTOWN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440147","BAPTIST REHABILITATION GERMANTOWN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "440147","BAPTIST REHABILITATION GERMANTOWN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "440147","BAPTIST REHABILITATION GERMANTOWN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440147","BAPTIST REHABILITATION GERMANTOWN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "440147","BAPTIST REHABILITATION GERMANTOWN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440147","BAPTIST REHABILITATION GERMANTOWN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "440147","BAPTIST REHABILITATION GERMANTOWN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "440147","BAPTIST REHABILITATION GERMANTOWN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440147","BAPTIST REHABILITATION GERMANTOWN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440148","DEKALB HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "440148","DEKALB HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "440148","DEKALB HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "440148","DEKALB HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","13 patients","1 ","1","SCIP-CARD-2 " "440148","DEKALB HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","48 patients",,,"SCIP-INF-1 " "440148","DEKALB HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440148","DEKALB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","34 patients",,,"SCIP-VTE-1 " "440148","DEKALB HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","85 patients",,,"HF-2 " "440148","DEKALB HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","73 patients","3 ","3","PN-5C " "440148","DEKALB HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","123 patients",,,"PN-2 " "440148","DEKALB HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","53 patients",,,"PN-4 " "440148","DEKALB HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440148","DEKALB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","33 patients",,,"SCIP-VTE-2 " "440148","DEKALB HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "440148","DEKALB HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","15 patients","1 ","1","HF-3 " "440148","DEKALB HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","90 patients",,,"PN-3B " "440148","DEKALB HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "440148","DEKALB HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440148","DEKALB HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","47 patients",,,"SCIP-INF-3 " "440148","DEKALB HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440148","DEKALB HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","71 patients",,,"SCIP-INF-6 " "440148","DEKALB HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","58 patients",,,"HF-1 " "440148","DEKALB HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","99 patients",,,"PN-7 " "440148","DEKALB HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","48 patients",,,"SCIP-INF-2 " "440148","DEKALB HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","128 patients",,,"PN-6 " "440150","SUMMIT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","32 patients",,,"AMI-8A " "440150","SUMMIT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","80 patients",,,"HF-3 " "440150","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","258 patients","2 ","2","SCIP-INF-1 " "440150","SUMMIT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","AMI-3 " "440150","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","452 patients","2 ","2","SCIP-INF-6 " "440150","SUMMIT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","246 patients",,,"PN-5C " "440150","SUMMIT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "440150","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","260 patients","2 ","2","SCIP-INF-2 " "440150","SUMMIT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","223 patients",,,"PN-3B " "440150","SUMMIT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "440150","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440150","SUMMIT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","98 patients",,,"AMI-2 " "440150","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","238 patients","2 ","2","SCIP-VTE-2 " "440150","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","241 patients","2 ","2","SCIP-INF-3 " "440150","SUMMIT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "440150","SUMMIT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","203 patients",,,"HF-1 " "440150","SUMMIT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","234 patients",,,"HF-2 " "440150","SUMMIT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","116 patients",,,"PN-4 " "440150","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","54 patients","2 ","2","SCIP-CARD-2 " "440150","SUMMIT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","155 patients",,,"PN-7 " "440150","SUMMIT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","238 patients","2 ","2","SCIP-VTE-1 " "440150","SUMMIT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","111 patients",,,"AMI-1 " "440150","SUMMIT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","98 patients",,,"AMI-5 " "440150","SUMMIT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","176 patients",,,"PN-2 " "440150","SUMMIT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","174 patients",,,"PN-6 " "440151","RIVER PARK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "440151","RIVER PARK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "440151","RIVER PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","70 patients","2 ","2","SCIP-VTE-1 " "440151","RIVER PARK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","232 patients","2 ","2","PN-5C " "440151","RIVER PARK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "440151","RIVER PARK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","70 patients","2 ","2","SCIP-VTE-2 " "440151","RIVER PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","69 patients","2 ","2","SCIP-INF-1 " "440151","RIVER PARK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","219 patients","2 ","2","PN-3B " "440151","RIVER PARK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","129 patients",,,"HF-1 " "440151","RIVER PARK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","42 patients",,,"HF-3 " "440151","RIVER PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","66 patients","2 ","2","SCIP-INF-3 " "440151","RIVER PARK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","228 patients","2 ","2","PN-2 " "440151","RIVER PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","105 patients","2 ","2","SCIP-INF-6 " "440151","RIVER PARK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","170 patients","2 ","2","PN-6 " "440151","RIVER PARK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","173 patients",,,"PN-7 " "440151","RIVER PARK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440151","RIVER PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440151","RIVER PARK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","158 patients",,,"HF-2 " "440151","RIVER PARK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","8 patients","1 ","1","AMI-1 " "440151","RIVER PARK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","43 patients",,,"HF-4 " "440151","RIVER PARK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440151","RIVER PARK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","61%","67 patients","2 ","2","SCIP-INF-2 " "440151","RIVER PARK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","129 patients","2 ","2","PN-4 " "440151","RIVER PARK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","11 patients","1 ","1","SCIP-CARD-2 " "440151","RIVER PARK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"AMI-4 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","50 patients",,,"PN-6 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","42 patients",,,"AMI-2 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","81 patients",,,"PN-4 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","21 patients","1 ","1","SCIP-CARD-2 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","45 patients",,,"AMI-1 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","37 patients",,,"AMI-5 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","34 patients",,,"PN-7 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","559 patients",,,"SCIP-INF-6 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","324 patients",,,"SCIP-VTE-2 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","32 patients",,,"PN-2 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","111 patients",,,"PN-3B " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","276 patients",,,"HF-2 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","267 patients",,,"HF-1 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","152 patients",,,"HF-3 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","114 patients",,,"HF-4 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","115 patients",,,"PN-5C " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","164 patients",,,"SCIP-INF-2 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","164 patients",,,"SCIP-INF-1 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","5 patients","1 ","1","SCIP-INF-4 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-8A " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","325 patients",,,"SCIP-VTE-1 " "440152","REGIONAL MEDICAL CENTER AT MEMPHIS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","149 patients",,,"SCIP-INF-3 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","14 patients","1 ","1","SCIP-INF-2 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","89 patients",,,"PN-2 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","76 patients",,,"PN-4 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","13 patients","1 ","1","SCIP-INF-1 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","6 patients","1 ","1","SCIP-VTE-2 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","13 patients","1 ","1","SCIP-INF-3 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","58 patients",,,"HF-1 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","132 patients",,,"PN-5C " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","65 patients",,,"HF-2 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","21 patients","1 ","1","SCIP-INF-6 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","125 patients",,,"PN-3B " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","6 patients","1 ","1","SCIP-VTE-1 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","115 patients",,,"PN-6 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","76 patients",,,"PN-7 " "440153","BAPTIST HOSPITAL OF COCKE COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "440156","PARKRIDGE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","367 patients",,,"HF-2 " "440156","PARKRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","471 patients","2 ","2","SCIP-INF-1 " "440156","PARKRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","78 patients","2 ","2","SCIP-CARD-2 " "440156","PARKRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","725 patients","2 ","2","SCIP-INF-6 " "440156","PARKRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","238 patients","2 ","2","SCIP-VTE-2 " "440156","PARKRIDGE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","153 patients",,,"AMI-4 " "440156","PARKRIDGE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","124 patients",,,"HF-3 " "440156","PARKRIDGE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","115 patients",,,"HF-4 " "440156","PARKRIDGE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","194 patients",,,"PN-2 " "440156","PARKRIDGE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440156","PARKRIDGE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","151 patients",,,"PN-7 " "440156","PARKRIDGE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","197 patients",,,"PN-5C " "440156","PARKRIDGE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","121 patients",,,"PN-4 " "440156","PARKRIDGE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","255 patients",,,"AMI-2 " "440156","PARKRIDGE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","129 patients",,,"AMI-1 " "440156","PARKRIDGE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","14 patients","1 ","1","AMI-8A " "440156","PARKRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","149 patients","2 ","2","SCIP-INF-4 " "440156","PARKRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","413 patients","2 ","2","SCIP-INF-3 " "440156","PARKRIDGE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","210 patients",,,"AMI-5 " "440156","PARKRIDGE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","143 patients",,,"PN-6 " "440156","PARKRIDGE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","118 patients",,,"PN-3B " "440156","PARKRIDGE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"AMI-3 " "440156","PARKRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","476 patients","2 ","2","SCIP-INF-2 " "440156","PARKRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","238 patients","2 ","2","SCIP-VTE-1 " "440156","PARKRIDGE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","302 patients",,,"HF-1 " "440159","DELTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","201 patients",,,"HF-1 " "440159","DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","163 patients",,,"SCIP-INF-1 " "440159","DELTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "440159","DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1 ","1","SCIP-CARD-2 " "440159","DELTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440159","DELTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","58 patients",,,"PN-3B " "440159","DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","43 patients",,,"SCIP-VTE-2 " "440159","DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","162 patients",,,"SCIP-INF-3 " "440159","DELTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","68 patients",,,"HF-3 " "440159","DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","162 patients",,,"SCIP-INF-2 " "440159","DELTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","73 patients",,,"HF-4 " "440159","DELTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","45 patients",,,"PN-4 " "440159","DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","45 patients",,,"SCIP-VTE-1 " "440159","DELTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440159","DELTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "440159","DELTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","235 patients",,,"HF-2 " "440159","DELTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","37 patients",,,"PN-7 " "440159","DELTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "440159","DELTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","41 patients",,,"PN-6 " "440159","DELTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","25 patients",,,"PN-2 " "440159","DELTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","61 patients",,,"PN-5C " "440159","DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440159","DELTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440159","DELTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","217 patients",,,"SCIP-INF-6 " "440159","DELTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440161","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","93 patients",,,"PN-6 " "440161","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","153 patients","2 ","2","SCIP-CARD-2 " "440161","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","419 patients",,,"AMI-2 " "440161","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","229 patients","2 ","2","SCIP-INF-4 " "440161","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","610 patients","2 ","2","SCIP-INF-1 " "440161","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","102 patients",,,"AMI-3 " "440161","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","316 patients","2 ","2","SCIP-VTE-1 " "440161","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","98 patients",,,"AMI-1 " "440161","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","366 patients",,,"AMI-5 " "440161","CENTENNIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","213 patients",,,"HF-3 " "440161","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","17 patients","1 ","1","AMI-8A " "440161","CENTENNIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","524 patients",,,"HF-2 " "440161","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","293 patients",,,"PN-2 " "440161","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","177 patients",,,"PN-4 " "440161","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","920 patients","2 ","2","SCIP-INF-6 " "440161","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","621 patients","2 ","2","SCIP-INF-2 " "440161","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","103 patients",,,"PN-3B " "440161","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","143 patients",,,"PN-5C " "440161","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","316 patients","2 ","2","SCIP-VTE-2 " "440161","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","232 patients",,,"AMI-4 " "440161","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440161","CENTENNIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","469 patients",,,"HF-1 " "440161","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","231 patients",,,"PN-7 " "440161","CENTENNIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","133 patients",,,"HF-4 " "440161","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","514 patients","2 ","2","SCIP-INF-3 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "440162","HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","7 patients","1,3 ","13","SCIP-VTE-1 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","18 patients","1 ","1","HF-2 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","47 patients",,,"PN-5C " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,3 ","13","SCIP-INF-3 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","4 patients","1,3 ","13","SCIP-INF-2 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","50 patients",,,"PN-6 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","PN-4 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","16 patients","1 ","1","HF-1 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","31 patients",,,"PN-7 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","44 patients",,,"PN-2 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-1 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","7 patients","1,3 ","13","SCIP-VTE-2 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1,3 ","13","SCIP-INF-6 " "440168","METHODIST HEALTHCARE FAYETTE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","43 patients",,,"PN-3B " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","67 patients",,,"PN-6 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","75 patients",,,"AMI-1 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","57 patients",,,"HF-3 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","AMI-4 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","45 patients",,,"HF-4 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","86 patients",,,"PN-7 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","50 patients",,,"PN-4 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","112 patients",,,"PN-2 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","131 patients",,,"PN-5C " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","55 patients",,,"AMI-2 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-8A " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","55 patients",,,"AMI-5 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","184 patients",,,"HF-2 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","170 patients",,,"HF-1 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","100 patients",,,"PN-3B " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "44016F","MOUNTAIN HOME VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "440173","PARKWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","424 patients",,,"PN-3B " "440173","PARKWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"HF-4 " "440173","PARKWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","405 patients",,,"PN-5C " "440173","PARKWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","263 patients","2 ","2","SCIP-CARD-2 " "440173","PARKWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","92 patients",,,"HF-3 " "440173","PARKWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","59 patients",,,"AMI-3 " "440173","PARKWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","524 patients","2 ","2","SCIP-VTE-2 " "440173","PARKWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1479 patients","2 ","2","SCIP-INF-1 " "440173","PARKWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1712 patients","2 ","2","SCIP-INF-6 " "440173","PARKWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","58 patients",,,"AMI-8A " "440173","PARKWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","385 patients",,,"AMI-2 " "440173","PARKWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","275 patients",,,"HF-1 " "440173","PARKWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","525 patients","2 ","2","SCIP-VTE-1 " "440173","PARKWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","335 patients","2 ","2","SCIP-INF-4 " "440173","PARKWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","385 patients",,,"AMI-5 " "440173","PARKWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1487 patients","2 ","2","SCIP-INF-2 " "440173","PARKWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","155 patients",,,"PN-4 " "440173","PARKWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","346 patients",,,"HF-2 " "440173","PARKWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","257 patients",,,"AMI-1 " "440173","PARKWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","347 patients",,,"PN-2 " "440173","PARKWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","273 patients",,,"PN-7 " "440173","PARKWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","294 patients",,,"PN-6 " "440173","PARKWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","184 patients",,,"AMI-4 " "440173","PARKWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","1401 patients","2 ","2","SCIP-INF-3 " "440173","PARKWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","31 patients",,,"HF-1 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","31 patients",,,"PN-6 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","45 patients",,,"HF-2 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","26 patients",,,"PN-3B " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","39 patients",,,"PN-5C " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","25 patients",,,"PN-2 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "440174","HAYWOOD PARK COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440175","CROCKETT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "440175","CROCKETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440175","CROCKETT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","82 patients",,,"PN-7 " "440175","CROCKETT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "440175","CROCKETT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","101 patients",,,"PN-6 " "440175","CROCKETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","62 patients",,,"SCIP-INF-2 " "440175","CROCKETT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "440175","CROCKETT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","90 patients",,,"HF-2 " "440175","CROCKETT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","89 patients",,,"PN-3B " "440175","CROCKETT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440175","CROCKETT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440175","CROCKETT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","41 patients",,,"SCIP-VTE-1 " "440175","CROCKETT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "440175","CROCKETT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "440175","CROCKETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","81 patients",,,"SCIP-INF-6 " "440175","CROCKETT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","134 patients",,,"PN-5C " "440175","CROCKETT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","41 patients",,,"SCIP-VTE-2 " "440175","CROCKETT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","11 patients","1 ","1","SCIP-CARD-2 " "440175","CROCKETT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","129 patients",,,"PN-2 " "440175","CROCKETT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "440175","CROCKETT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440175","CROCKETT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "440175","CROCKETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","63 patients",,,"SCIP-INF-1 " "440175","CROCKETT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","65 patients",,,"HF-1 " "440175","CROCKETT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","60 patients",,,"SCIP-INF-3 " "440176","INDIAN PATH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","151 patients","2 ","2","HF-2 " "440176","INDIAN PATH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","232 patients","2 ","2","SCIP-INF-2 " "440176","INDIAN PATH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","219 patients","2 ","2","SCIP-VTE-2 " "440176","INDIAN PATH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients","2 ","2","HF-3 " "440176","INDIAN PATH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","97 patients","2 ","2","PN-7 " "440176","INDIAN PATH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","HF-4 " "440176","INDIAN PATH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","372 patients","2 ","2","SCIP-INF-6 " "440176","INDIAN PATH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "440176","INDIAN PATH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","231 patients","2 ","2","SCIP-INF-1 " "440176","INDIAN PATH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440176","INDIAN PATH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","213 patients","2 ","2","SCIP-INF-3 " "440176","INDIAN PATH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1,2 ","12","AMI-5 " "440176","INDIAN PATH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","118 patients","2 ","2","PN-5C " "440176","INDIAN PATH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,2 ","12","AMI-4 " "440176","INDIAN PATH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "440176","INDIAN PATH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","136 patients","2 ","2","PN-2 " "440176","INDIAN PATH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","110 patients","2 ","2","HF-1 " "440176","INDIAN PATH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1,2 ","12","AMI-2 " "440176","INDIAN PATH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1,2 ","12","AMI-3 " "440176","INDIAN PATH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","83 patients","2 ","2","PN-3B " "440176","INDIAN PATH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","59 patients","2 ","2","SCIP-CARD-2 " "440176","INDIAN PATH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","64 patients","2 ","2","PN-6 " "440176","INDIAN PATH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","23 patients","1,2 ","12","AMI-1 " "440176","INDIAN PATH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "440176","INDIAN PATH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","219 patients","2 ","2","SCIP-VTE-1 " "440180","JELLICO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","15 patients","1 ","1","SCIP-VTE-2 " "440180","JELLICO COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440180","JELLICO COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","64 patients",,,"PN-7 " "440180","JELLICO COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "440180","JELLICO COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "440180","JELLICO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","9 patients","1 ","1","SCIP-CARD-2 " "440180","JELLICO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","39 patients",,,"SCIP-INF-1 " "440180","JELLICO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","55 patients",,,"SCIP-INF-6 " "440180","JELLICO COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","70 patients",,,"HF-2 " "440180","JELLICO COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "440180","JELLICO COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","128 patients",,,"PN-3B " "440180","JELLICO COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","107 patients",,,"PN-5C " "440180","JELLICO COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "440180","JELLICO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","15 patients","1 ","1","SCIP-VTE-1 " "440180","JELLICO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440180","JELLICO COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","100 patients",,,"PN-2 " "440180","JELLICO COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440180","JELLICO COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440180","JELLICO COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","62 patients",,,"HF-1 " "440180","JELLICO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","38 patients",,,"SCIP-INF-2 " "440180","JELLICO COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "440180","JELLICO COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "440180","JELLICO COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","58 patients",,,"PN-6 " "440180","JELLICO COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","13 patients","1 ","1","AMI-5 " "440180","JELLICO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","37 patients",,,"SCIP-INF-3 " "440181","BOLIVAR GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","13 patients","1 ","1","PN-6 " "440181","BOLIVAR GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","30 patients",,,"HF-1 " "440181","BOLIVAR GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "440181","BOLIVAR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440181","BOLIVAR GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "440181","BOLIVAR GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","HF-4 " "440181","BOLIVAR GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440181","BOLIVAR GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","18 patients","1 ","1","PN-3B " "440181","BOLIVAR GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","52%","42 patients",,,"HF-2 " "440181","BOLIVAR GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","24 patients","1 ","1","PN-5C " "440181","BOLIVAR GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "440181","BOLIVAR GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","23 patients","1 ","1","PN-2 " "440181","BOLIVAR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440181","BOLIVAR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440181","BOLIVAR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440181","BOLIVAR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440181","BOLIVAR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440181","BOLIVAR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440181","BOLIVAR GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","56%","16 patients","1 ","1","PN-7 " "440181","BOLIVAR GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440181","BOLIVAR GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440181","BOLIVAR GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "440181","BOLIVAR GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440181","BOLIVAR GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1 ","1","PN-4 " "440181","BOLIVAR GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","HF-3 " "440182","MCKENZIE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","24 patients","1 ","1","PN-6 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "440182","MCKENZIE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","22 patients","1 ","1","PN-7 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","16 patients","1 ","1","HF-1 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "440182","MCKENZIE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","30 patients",,,"PN-2 " "440182","MCKENZIE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","2,3 ","23","SCIP-INF-3 " "440182","MCKENZIE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,2,3 ","123","SCIP-VTE-2 " "440182","MCKENZIE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","2,3 ","23","SCIP-INF-2 " "440182","MCKENZIE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "440182","MCKENZIE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,2,3 ","123","SCIP-INF-6 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440182","MCKENZIE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440182","MCKENZIE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","35 patients",,,"PN-5C " "440182","MCKENZIE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,2,3 ","123","SCIP-VTE-1 " "440182","MCKENZIE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","27 patients",,,"HF-2 " "440182","MCKENZIE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","2,3 ","23","SCIP-INF-1 " "440182","MCKENZIE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","23 patients","1 ","1","PN-3B " "440182","MCKENZIE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "440183","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","460 patients","2 ","2","SCIP-INF-1 " "440183","ST FRANCIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","301 patients",,,"PN-5C " "440183","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","466 patients","2 ","2","SCIP-INF-2 " "440183","ST FRANCIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","815 patients",,,"HF-2 " "440183","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","245 patients","2 ","2","SCIP-VTE-2 " "440183","ST FRANCIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","52 patients",,,"AMI-3 " "440183","ST FRANCIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","193 patients",,,"AMI-1 " "440183","ST FRANCIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","323 patients",,,"HF-3 " "440183","ST FRANCIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"AMI-4 " "440183","ST FRANCIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","269 patients",,,"PN-2 " "440183","ST FRANCIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","712 patients",,,"HF-1 " "440183","ST FRANCIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440183","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","615 patients","2 ","2","SCIP-INF-6 " "440183","ST FRANCIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","176 patients",,,"PN-6 " "440183","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","189 patients","2 ","2","SCIP-INF-4 " "440183","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","245 patients","2 ","2","SCIP-VTE-1 " "440183","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","117 patients","2 ","2","SCIP-CARD-2 " "440183","ST FRANCIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","245 patients",,,"AMI-2 " "440183","ST FRANCIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","216 patients",,,"PN-7 " "440183","ST FRANCIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","243 patients",,,"AMI-5 " "440183","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","443 patients","2 ","2","SCIP-INF-3 " "440183","ST FRANCIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","42 patients",,,"AMI-8A " "440183","ST FRANCIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"PN-4 " "440183","ST FRANCIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","133 patients",,,"HF-4 " "440183","ST FRANCIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","230 patients",,,"PN-3B " "440184","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440184","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440184","NORTHSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","91 patients","2 ","2","PN-6 " "440184","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440184","NORTHSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,2,3 ","123","AMI-2 " "440184","NORTHSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","HF-4 " "440184","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440184","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440184","NORTHSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","107 patients","2 ","2","PN-5C " "440184","NORTHSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "440184","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440184","NORTHSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "440184","NORTHSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1,2 ","12","HF-3 " "440184","NORTHSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","38 patients","2 ","2","HF-2 " "440184","NORTHSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","81 patients","2 ","2","PN-2 " "440184","NORTHSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","29 patients","2 ","2","HF-1 " "440184","NORTHSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients","2 ","2","PN-4 " "440184","NORTHSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,2,3 ","123","AMI-5 " "440184","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440184","NORTHSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,2,3 ","123","AMI-1 " "440184","NORTHSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "440184","NORTHSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","78 patients","2 ","2","PN-3B " "440184","NORTHSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","53 patients","2 ","2","PN-7 " "440184","NORTHSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440184","NORTHSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "440185","SKYRIDGE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"HF-4 " "440185","SKYRIDGE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","153 patients",,,"PN-6 " "440185","SKYRIDGE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440185","SKYRIDGE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","264 patients",,,"PN-2 " "440185","SKYRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","35 patients","2 ","2","SCIP-CARD-2 " "440185","SKYRIDGE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","197 patients",,,"PN-7 " "440185","SKYRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","315 patients","2 ","2","SCIP-INF-6 " "440185","SKYRIDGE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "440185","SKYRIDGE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","274 patients",,,"HF-2 " "440185","SKYRIDGE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","231 patients",,,"PN-3B " "440185","SKYRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","171 patients","2 ","2","SCIP-INF-3 " "440185","SKYRIDGE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "440185","SKYRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","191 patients","2 ","2","SCIP-INF-2 " "440185","SKYRIDGE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","79 patients",,,"AMI-1 " "440185","SKYRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","170 patients","2 ","2","SCIP-VTE-2 " "440185","SKYRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","189 patients","2 ","2","SCIP-INF-1 " "440185","SKYRIDGE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","225 patients",,,"HF-1 " "440185","SKYRIDGE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","45 patients",,,"AMI-5 " "440185","SKYRIDGE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440185","SKYRIDGE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","250 patients",,,"PN-5C " "440185","SKYRIDGE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","139 patients",,,"PN-4 " "440185","SKYRIDGE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","40 patients",,,"AMI-2 " "440185","SKYRIDGE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","83 patients",,,"HF-3 " "440185","SKYRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440185","SKYRIDGE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","171 patients","2 ","2","SCIP-VTE-1 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","56%","9 patients","1 ","1","SCIP-VTE-1 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-1 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","56%","9 patients","1 ","1","SCIP-VTE-2 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","116 patients",,,"PN-3B " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","17 patients","1 ","1","SCIP-INF-3 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1,3 ","13","AMI-1 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","45 patients",,,"HF-1 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","65 patients",,,"PN-4 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","94 patients",,,"PN-2 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","AMI-3 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1 ","1","SCIP-INF-6 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1,3 ","13","AMI-5 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","122 patients",,,"PN-5C " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","74 patients",,,"PN-7 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","58 patients",,,"HF-2 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","74 patients",,,"PN-6 " "440186","RIVERVIEW REGIONAL MEDICAL CENTER NORTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-2 " "440187","LIVINGSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","37 patients",,,"SCIP-VTE-1 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "440187","LIVINGSTON REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","82 patients",,,"PN-7 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440187","LIVINGSTON REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"PN-4 " "440187","LIVINGSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","66 patients",,,"SCIP-INF-6 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "440187","LIVINGSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","39 patients",,,"SCIP-INF-1 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","66 patients",,,"HF-1 " "440187","LIVINGSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","37 patients",,,"SCIP-VTE-2 " "440187","LIVINGSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","39 patients",,,"SCIP-INF-2 " "440187","LIVINGSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","37 patients",,,"SCIP-INF-3 " "440187","LIVINGSTON REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","110 patients",,,"PN-2 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","29 patients",,,"HF-3 " "440187","LIVINGSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","5 patients","1 ","1","SCIP-CARD-2 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440187","LIVINGSTON REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","70 patients",,,"PN-6 " "440187","LIVINGSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","106 patients",,,"HF-2 " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "440187","LIVINGSTON REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","79 patients",,,"PN-3B " "440187","LIVINGSTON REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "440187","LIVINGSTON REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","113 patients",,,"PN-5C " "440189","REGIONAL HOSPITAL OF JACKSON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","157 patients","2 ","2","SCIP-VTE-2 " "440189","REGIONAL HOSPITAL OF JACKSON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","276 patients","2 ","2","SCIP-INF-6 " "440189","REGIONAL HOSPITAL OF JACKSON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","57 patients",,,"PN-3B " "440189","REGIONAL HOSPITAL OF JACKSON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","87 patients",,,"PN-2 " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","51 patients",,,"HF-3 " "440189","REGIONAL HOSPITAL OF JACKSON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","26 patients","2 ","2","SCIP-CARD-2 " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","100 patients",,,"AMI-5 " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","186 patients",,,"HF-2 " "440189","REGIONAL HOSPITAL OF JACKSON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","157 patients","2 ","2","SCIP-VTE-1 " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","98 patients",,,"AMI-2 " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","171 patients",,,"HF-1 " "440189","REGIONAL HOSPITAL OF JACKSON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","173 patients","2 ","2","SCIP-INF-2 " "440189","REGIONAL HOSPITAL OF JACKSON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","85 patients",,,"PN-7 " "440189","REGIONAL HOSPITAL OF JACKSON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","76 patients",,,"PN-4 " "440189","REGIONAL HOSPITAL OF JACKSON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","63 patients",,,"PN-5C " "440189","REGIONAL HOSPITAL OF JACKSON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","35 patients",,,"PN-6 " "440189","REGIONAL HOSPITAL OF JACKSON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","173 patients","2 ","2","SCIP-INF-1 " "440189","REGIONAL HOSPITAL OF JACKSON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","160 patients","2 ","2","SCIP-INF-3 " "440189","REGIONAL HOSPITAL OF JACKSON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","41 patients",,,"AMI-1 " "440189","REGIONAL HOSPITAL OF JACKSON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"HF-4 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","326 patients",,,"SCIP-INF-3 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","343 patients",,,"SCIP-INF-2 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","176 patients",,,"PN-2 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","136 patients",,,"AMI-1 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","152 patients",,,"PN-3B " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","141 patients","2 ","2","SCIP-INF-4 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","159 patients",,,"PN-7 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","231 patients","2 ","2","SCIP-CARD-2 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","49 patients",,,"AMI-4 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","162 patients",,,"HF-3 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","215 patients","2 ","2","SCIP-VTE-2 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","470 patients","2 ","2","SCIP-INF-6 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","28 patients",,,"AMI-3 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","216 patients","2 ","2","SCIP-VTE-1 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","121 patients",,,"AMI-5 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","344 patients",,,"SCIP-INF-1 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","349 patients",,,"HF-1 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","95 patients",,,"HF-4 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","132 patients",,,"PN-6 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","16 patients","1 ","1","AMI-8A " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","383 patients",,,"HF-2 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","130 patients",,,"AMI-2 " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","169 patients",,,"PN-5C " "44018F","VA MIDDLE TENNESSEE HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","110 patients",,,"PN-4 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","73 patients",,,"PN-3B " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","14 patients","1,2 ","12","SCIP-INF-2 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","47 patients",,,"PN-7 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","8 patients","1,2 ","12","SCIP-VTE-1 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","14 patients","1,2 ","12","SCIP-INF-1 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","8 patients","1,2 ","12","SCIP-VTE-2 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","77 patients",,,"PN-5C " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","63 patients",,,"PN-2 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","69%","13 patients","1,2 ","12","SCIP-INF-3 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","18 patients","1,2 ","12","SCIP-INF-6 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","41 patients",,,"HF-1 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","57 patients",,,"PN-6 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "440192","WHITE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","54 patients",,,"HF-2 " "440193","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","265 patients","2 ","2","SCIP-VTE-1 " "440193","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","128 patients",,,"HF-2 " "440193","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440193","UNIVERSITY MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","81%","16 patients","1 ","1","CAC-3 " "440193","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","132 patients",,,"PN-3B " "440193","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","264 patients","2 ","2","SCIP-VTE-2 " "440193","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","157 patients",,,"PN-5C " "440193","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","135 patients",,,"PN-2 " "440193","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","32 patients",,,"AMI-1 " "440193","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","101 patients",,,"PN-4 " "440193","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","301 patients","2 ","2","SCIP-INF-1 " "440193","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","272 patients","2 ","2","SCIP-INF-3 " "440193","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","124 patients",,,"PN-7 " "440193","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","459 patients","2 ","2","SCIP-INF-6 " "440193","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","63 patients","2 ","2","SCIP-CARD-2 " "440193","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","302 patients","2 ","2","SCIP-INF-2 " "440193","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440193","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","26 patients",,,"AMI-2 " "440193","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "440193","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "440193","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "440193","UNIVERSITY MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","17 patients","1 ","1","CAC-1 " "440193","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440193","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "440193","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","110 patients",,,"PN-6 " "440193","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","28 patients",,,"AMI-5 " "440193","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","100 patients",,,"HF-1 " "440193","UNIVERSITY MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","17 patients","1 ","1","CAC-2 " "440194","HENDERSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","150 patients","2 ","2","SCIP-INF-2 " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","54 patients",,,"AMI-1 " "440194","HENDERSONVILLE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","67 patients",,,"PN-3B " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","66 patients",,,"AMI-5 " "440194","HENDERSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440194","HENDERSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","150 patients","2 ","2","SCIP-INF-1 " "440194","HENDERSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","134 patients","2 ","2","SCIP-VTE-2 " "440194","HENDERSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","262 patients","2 ","2","SCIP-INF-6 " "440194","HENDERSONVILLE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "440194","HENDERSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","34 patients","2 ","2","SCIP-CARD-2 " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","HF-3 " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","105 patients",,,"HF-2 " "440194","HENDERSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","134 patients","2 ","2","SCIP-VTE-1 " "440194","HENDERSONVILLE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","109 patients",,,"PN-2 " "440194","HENDERSONVILLE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","112 patients",,,"PN-5C " "440194","HENDERSONVILLE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","76 patients",,,"PN-7 " "440194","HENDERSONVILLE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","77 patients",,,"PN-6 " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","7 patients","1 ","1","AMI-8A " "440194","HENDERSONVILLE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","147 patients","2 ","2","SCIP-INF-3 " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","71 patients",,,"AMI-2 " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","89 patients",,,"HF-1 " "440194","HENDERSONVILLE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","135 patients",,,"HF-2 " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","6 patients","1 ","1","AMI-8A " "440197","SOUTHERN HILLS MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","146 patients","2 ","2","SCIP-VTE-1 " "440197","SOUTHERN HILLS MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","112 patients",,,"PN-5C " "440197","SOUTHERN HILLS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","159 patients","2 ","2","SCIP-INF-1 " "440197","SOUTHERN HILLS MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients","2 ","2","SCIP-CARD-2 " "440197","SOUTHERN HILLS MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","146 patients","2 ","2","SCIP-VTE-2 " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "440197","SOUTHERN HILLS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","145 patients","2 ","2","SCIP-INF-3 " "440197","SOUTHERN HILLS MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"PN-4 " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","62%","8 patients","1 ","1","AMI-7A " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","55 patients",,,"AMI-5 " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","67 patients",,,"AMI-1 " "440197","SOUTHERN HILLS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","117 patients",,,"HF-1 " "440197","SOUTHERN HILLS MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","96 patients",,,"PN-6 " "440197","SOUTHERN HILLS MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","69 patients",,,"PN-2 " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"HF-3 " "440197","SOUTHERN HILLS MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","116 patients",,,"PN-3B " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","54 patients",,,"AMI-2 " "440197","SOUTHERN HILLS MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "440197","SOUTHERN HILLS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","160 patients","2 ","2","SCIP-INF-2 " "440197","SOUTHERN HILLS MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","57 patients",,,"PN-7 " "440197","SOUTHERN HILLS MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","305 patients","2 ","2","SCIP-INF-6 " "440200","STONES RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","37 patients","2 ","2","SCIP-INF-3 " "440200","STONES RIVER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "440200","STONES RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","23 patients","1,2 ","12","SCIP-VTE-2 " "440200","STONES RIVER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","45 patients",,,"PN-2 " "440200","STONES RIVER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","47 patients",,,"PN-6 " "440200","STONES RIVER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","18 patients","1 ","1","HF-1 " "440200","STONES RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","41 patients","2 ","2","SCIP-INF-6 " "440200","STONES RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","38 patients","2 ","2","SCIP-INF-2 " "440200","STONES RIVER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","36 patients",,,"PN-7 " "440200","STONES RIVER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "440200","STONES RIVER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440200","STONES RIVER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","23 patients","1,2 ","12","SCIP-VTE-1 " "440200","STONES RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440200","STONES RIVER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440200","STONES RIVER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","26 patients",,,"HF-2 " "440200","STONES RIVER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1,2 ","12","SCIP-CARD-2 " "440200","STONES RIVER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","31 patients",,,"PN-3B " "440200","STONES RIVER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "440200","STONES RIVER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","38 patients","2 ","2","SCIP-INF-1 " "440200","STONES RIVER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "440200","STONES RIVER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1 ","1","PN-4 " "440200","STONES RIVER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients","3 ","3","PN-5C " "440200","STONES RIVER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","2 patients","1 ","1","AMI-5 " "440200","STONES RIVER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "440200","STONES RIVER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "440218","THE CENTER FOR SPINAL SURGERY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "440218","THE CENTER FOR SPINAL SURGERY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "440218","THE CENTER FOR SPINAL SURGERY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "440218","THE CENTER FOR SPINAL SURGERY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "440218","THE CENTER FOR SPINAL SURGERY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "440218","THE CENTER FOR SPINAL SURGERY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "440218","THE CENTER FOR SPINAL SURGERY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "440218","THE CENTER FOR SPINAL SURGERY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "440218","THE CENTER FOR SPINAL SURGERY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "440218","THE CENTER FOR SPINAL SURGERY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "440218","THE CENTER FOR SPINAL SURGERY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "440218","THE CENTER FOR SPINAL SURGERY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "440218","THE CENTER FOR SPINAL SURGERY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "440218","THE CENTER FOR SPINAL SURGERY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "440218","THE CENTER FOR SPINAL SURGERY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "440218","THE CENTER FOR SPINAL SURGERY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "440218","THE CENTER FOR SPINAL SURGERY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "440218","THE CENTER FOR SPINAL SURGERY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "440218","THE CENTER FOR SPINAL SURGERY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "440218","THE CENTER FOR SPINAL SURGERY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "440218","THE CENTER FOR SPINAL SURGERY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "440218","THE CENTER FOR SPINAL SURGERY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "440218","THE CENTER FOR SPINAL SURGERY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "440218","THE CENTER FOR SPINAL SURGERY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "440218","THE CENTER FOR SPINAL SURGERY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "440226","BAPTIST HOSPITAL WEST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","88 patients",,,"PN-5C " "440226","BAPTIST HOSPITAL WEST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","95 patients",,,"HF-2 " "440226","BAPTIST HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","733 patients",,,"SCIP-INF-6 " "440226","BAPTIST HOSPITAL WEST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","68 patients",,,"PN-7 " "440226","BAPTIST HOSPITAL WEST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","14 patients","1 ","1","AMI-3 " "440226","BAPTIST HOSPITAL WEST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","90 patients",,,"PN-2 " "440226","BAPTIST HOSPITAL WEST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","64 patients",,,"PN-6 " "440226","BAPTIST HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","466 patients",,,"SCIP-INF-2 " "440226","BAPTIST HOSPITAL WEST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","42 patients",,,"PN-4 " "440226","BAPTIST HOSPITAL WEST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","365 patients",,,"SCIP-VTE-1 " "440226","BAPTIST HOSPITAL WEST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","83 patients",,,"HF-1 " "440226","BAPTIST HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","451 patients",,,"SCIP-INF-3 " "440226","BAPTIST HOSPITAL WEST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","8 patients","1 ","1","AMI-8A " "440226","BAPTIST HOSPITAL WEST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","364 patients",,,"SCIP-VTE-2 " "440226","BAPTIST HOSPITAL WEST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","84 patients",,,"AMI-2 " "440226","BAPTIST HOSPITAL WEST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients",,,"HF-3 " "440226","BAPTIST HOSPITAL WEST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","81 patients",,,"AMI-5 " "440226","BAPTIST HOSPITAL WEST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","35 patients",,,"AMI-4 " "440226","BAPTIST HOSPITAL WEST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","100 patients",,,"PN-3B " "440226","BAPTIST HOSPITAL WEST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440226","BAPTIST HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","472 patients",,,"SCIP-INF-1 " "440226","BAPTIST HOSPITAL WEST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","54 patients",,,"AMI-1 " "440226","BAPTIST HOSPITAL WEST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","70 patients",,,"SCIP-INF-4 " "440226","BAPTIST HOSPITAL WEST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","HF-4 " "440226","BAPTIST HOSPITAL WEST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","132 patients",,,"SCIP-CARD-2 " "440227","STONECREST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","75 patients",,,"PN-7 " "440227","STONECREST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "440227","STONECREST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","105 patients",,,"PN-5C " "440227","STONECREST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","81 patients",,,"PN-2 " "440227","STONECREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","134 patients","2 ","2","SCIP-VTE-1 " "440227","STONECREST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","38 patients",,,"AMI-1 " "440227","STONECREST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","91 patients",,,"PN-6 " "440227","STONECREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","170 patients","2 ","2","SCIP-INF-3 " "440227","STONECREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","30 patients","2 ","2","SCIP-CARD-2 " "440227","STONECREST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440227","STONECREST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "440227","STONECREST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "440227","STONECREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","285 patients","2 ","2","SCIP-INF-6 " "440227","STONECREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","134 patients","2 ","2","SCIP-VTE-2 " "440227","STONECREST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","96 patients",,,"HF-2 " "440227","STONECREST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","128 patients",,,"PN-3B " "440227","STONECREST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "440227","STONECREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440227","STONECREST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","20 patients","1 ","1","AMI-2 " "440227","STONECREST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "440227","STONECREST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"PN-4 " "440227","STONECREST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "440227","STONECREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","194 patients","2 ","2","SCIP-INF-2 " "440227","STONECREST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","193 patients","2 ","2","SCIP-INF-1 " "440227","STONECREST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","88 patients",,,"HF-1 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","140 patients",,,"PN-2 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","220 patients",,,"PN-3B " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","199 patients","2 ","2","SCIP-INF-3 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"PN-4 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","117 patients","2 ","2","SCIP-VTE-2 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","117 patients","2 ","2","SCIP-VTE-1 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","164 patients",,,"HF-1 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","62 patients",,,"HF-3 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","304 patients","2 ","2","SCIP-INF-6 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","182 patients",,,"HF-2 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","200 patients","2 ","2","SCIP-INF-2 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","200 patients","2 ","2","SCIP-INF-1 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","216 patients",,,"PN-5C " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","9 patients","1 ","1","AMI-2 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","98 patients",,,"PN-7 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","25 patients","2 ","2","SCIP-CARD-2 " "440228","SAINT FRANCIS BARTLETT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","181 patients",,,"PN-6 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","52%","25 patients",,,"PN-3B " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","12%","17 patients","1 ","1","PN-2 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","63%","27 patients",,,"PN-5C " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","37%","19 patients","1 ","1","PN-6 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1 ","1","PN-4 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","15%","13 patients","1 ","1","PN-7 " "441300","HICKMAN COMMUNITY HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "441301","TROUSDALE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","55%","11 patients","1 ","1","HF-3 " "441301","TROUSDALE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","30 patients",,,"PN-4 " "441301","TROUSDALE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","39 patients",,,"HF-2 " "441301","TROUSDALE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","HF-4 " "441301","TROUSDALE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "441301","TROUSDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441301","TROUSDALE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "441301","TROUSDALE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "441301","TROUSDALE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "441301","TROUSDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441301","TROUSDALE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "441301","TROUSDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441301","TROUSDALE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,3 ","13","AMI-5 " "441301","TROUSDALE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","46 patients",,,"PN-2 " "441301","TROUSDALE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","18 patients","1 ","1","PN-3B " "441301","TROUSDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441301","TROUSDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441301","TROUSDALE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","35 patients",,,"PN-6 " "441301","TROUSDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441301","TROUSDALE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "441301","TROUSDALE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","35 patients",,,"PN-7 " "441301","TROUSDALE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","51 patients",,,"PN-5C " "441301","TROUSDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441301","TROUSDALE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","19 patients","1 ","1","HF-1 " "441301","TROUSDALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441307","RIVERVIEW REGIONAL MEDICAL CENTER SOUTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "441308","MEDICAL CENTER OF MANCHESTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "441308","MEDICAL CENTER OF MANCHESTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "441308","MEDICAL CENTER OF MANCHESTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "441308","MEDICAL CENTER OF MANCHESTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "441308","MEDICAL CENTER OF MANCHESTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","HF-3 " "441308","MEDICAL CENTER OF MANCHESTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","27 patients",,,"PN-7 " "441308","MEDICAL CENTER OF MANCHESTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "441308","MEDICAL CENTER OF MANCHESTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","20%","50 patients",,,"HF-2 " "441308","MEDICAL CENTER OF MANCHESTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "441308","MEDICAL CENTER OF MANCHESTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441308","MEDICAL CENTER OF MANCHESTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "441308","MEDICAL CENTER OF MANCHESTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","29 patients",,,"PN-6 " "441308","MEDICAL CENTER OF MANCHESTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","34%","38 patients",,,"HF-1 " "441308","MEDICAL CENTER OF MANCHESTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "441308","MEDICAL CENTER OF MANCHESTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","31 patients",,,"PN-2 " "441308","MEDICAL CENTER OF MANCHESTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "441308","MEDICAL CENTER OF MANCHESTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","58%","12 patients","1 ","1","PN-4 " "441308","MEDICAL CENTER OF MANCHESTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "441308","MEDICAL CENTER OF MANCHESTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","43%","7 patients","1 ","1","PN-3B " "441308","MEDICAL CENTER OF MANCHESTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "441308","MEDICAL CENTER OF MANCHESTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "441308","MEDICAL CENTER OF MANCHESTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","7 patients","1 ","1","HF-4 " "441308","MEDICAL CENTER OF MANCHESTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "441308","MEDICAL CENTER OF MANCHESTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","41 patients",,,"PN-5C " "441308","MEDICAL CENTER OF MANCHESTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "441309","MARSHALL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "441309","MARSHALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441309","MARSHALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441309","MARSHALL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "441309","MARSHALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441309","MARSHALL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "441309","MARSHALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441309","MARSHALL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "441309","MARSHALL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "441309","MARSHALL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "441309","MARSHALL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "441309","MARSHALL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "441309","MARSHALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441309","MARSHALL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "441309","MARSHALL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "441309","MARSHALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441309","MARSHALL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "441309","MARSHALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441309","MARSHALL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441309","MARSHALL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "441309","MARSHALL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "441309","MARSHALL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "441309","MARSHALL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "441309","MARSHALL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "441309","MARSHALL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "441310","RHEA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "441310","RHEA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","89 patients",,,"PN-2 " "441310","RHEA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "441310","RHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1 ","1","SCIP-VTE-1 " "441310","RHEA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","33 patients",,,"HF-1 " "441310","RHEA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","49 patients",,,"PN-7 " "441310","RHEA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","94 patients",,,"PN-6 " "441310","RHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","4 patients","1 ","1","SCIP-VTE-2 " "441310","RHEA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "441310","RHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","2 patients","1 ","1","SCIP-INF-3 " "441310","RHEA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "441310","RHEA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "441310","RHEA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","122 patients",,,"PN-5C " "441310","RHEA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "441310","RHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "441310","RHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "441310","RHEA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","44 patients",,,"HF-2 " "441310","RHEA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "441310","RHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1 ","1","SCIP-INF-1 " "441310","RHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","50%","2 patients","1 ","1","SCIP-INF-2 " "441310","RHEA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "441310","RHEA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","8 patients","1 ","1","SCIP-INF-6 " "441310","RHEA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "441310","RHEA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","103 patients",,,"PN-3B " "441310","RHEA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,3 ","13","PN-6 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1 ","1","PN-7 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,3 ","13","PN-4 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,3 ","13","PN-2 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1,3 ","13","PN-5C " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "441311","CENTENNIAL MEDICAL CENTER OF ASHLAND CITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1,2 ","12","HF-4 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,2 ","12","AMI-1 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","20 patients","1,2 ","12","PN-4 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","63 patients","2 ","2","HF-2 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2 ","12","AMI-5 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2 ","12","AMI-2 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","53 patients","2 ","2","PN-6 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","34 patients",,,"PN-7 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","36 patients","2 ","2","PN-3B " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2 ","12","HF-3 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","64 patients","2 ","2","PN-5C " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","33 patients","2 ","2","HF-1 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441312","PATIENTS' CHOICE MEDICAL CENTER OF ERIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","61 patients","2 ","2","PN-2 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","13 patients","1 ","1","HF-1 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","14 patients","1 ","1","HF-2 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","13 patients","1 ","1","PN-7 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","18 patients","1 ","1","PN-2 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","27 patients",,,"PN-3B " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","17 patients","1 ","1","PN-6 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1 ","1","PN-5C " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441313","WELLMONT HANCOCK COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","29 patients",,,"PN-2 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","26 patients",,,"PN-3B " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","44 patients",,,"HF-1 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","19 patients","1 ","1","PN-7 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","65%","26 patients",,,"PN-6 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","37 patients",,,"PN-5C " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","52 patients",,,"HF-2 " "441314","BAPTIST MEMORIAL HOSPITAL LAUDERDALE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "441315","COPPER BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441315","COPPER BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441315","COPPER BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441315","COPPER BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441315","COPPER BASIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","23 patients","1 ","1","HF-1 " "441315","COPPER BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441315","COPPER BASIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "441315","COPPER BASIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "441315","COPPER BASIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "441315","COPPER BASIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "441315","COPPER BASIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","30 patients",,,"PN-7 " "441315","COPPER BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441315","COPPER BASIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "441315","COPPER BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441315","COPPER BASIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","44%","9 patients","1 ","1","PN-4 " "441315","COPPER BASIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "441315","COPPER BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441315","COPPER BASIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "441315","COPPER BASIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","7 patients","1 ","1","PN-3B " "441315","COPPER BASIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","18 patients","1 ","1","PN-6 " "441315","COPPER BASIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","39 patients",,,"HF-2 " "441315","COPPER BASIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","30 patients",,,"PN-2 " "441315","COPPER BASIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","28 patients",,,"PN-5C " "441315","COPPER BASIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "441315","COPPER BASIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","69%","13 patients","1 ","1","HF-3 " "441316","CAMDEN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "441316","CAMDEN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "441316","CAMDEN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "441316","CAMDEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "441316","CAMDEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "441316","CAMDEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "441316","CAMDEN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "441316","CAMDEN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "441316","CAMDEN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "441316","CAMDEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "441316","CAMDEN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "441316","CAMDEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "441316","CAMDEN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "441316","CAMDEN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "441316","CAMDEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "441316","CAMDEN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "441316","CAMDEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "441316","CAMDEN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","23 patients","1 ","1","PN-7 " "441316","CAMDEN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "441316","CAMDEN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients",,,"PN-6 " "441316","CAMDEN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "441316","CAMDEN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","32 patients",,,"PN-2 " "441316","CAMDEN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","39 patients",,,"PN-5C " "441316","CAMDEN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "441316","CAMDEN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","36 patients",,,"PN-3B " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","246 patients",,,"HF-1 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","289 patients","2 ","2","SCIP-INF-3 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","201 patients",,,"PN-2 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","446 patients","2 ","2","SCIP-INF-6 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","313 patients","2 ","2","SCIP-INF-2 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","46 patients","2 ","2","SCIP-CARD-2 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","154 patients","2 ","2","SCIP-VTE-2 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","140 patients",,,"AMI-1 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","156 patients",,,"PN-7 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","303 patients","2 ","2","SCIP-INF-1 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","93 patients",,,"HF-3 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","127 patients",,,"AMI-5 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","36 patients",,,"AMI-3 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","155 patients","2 ","2","SCIP-VTE-1 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","272 patients",,,"HF-2 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","46 patients",,,"PN-4 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","181 patients",,,"PN-5C " "450002","PROVIDENCE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","81 patients","2 ","2","SCIP-INF-4 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","161 patients",,,"PN-3B " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","66%","29 patients",,,"AMI-8A " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-7A " "450002","PROVIDENCE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","119 patients",,,"PN-6 " "450002","PROVIDENCE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","129 patients",,,"AMI-2 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","33 patients",,,"SCIP-VTE-1 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","67 patients",,,"SCIP-INF-2 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","38 patients",,,"PN-7 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","87 patients",,,"SCIP-INF-6 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","63 patients",,,"SCIP-INF-3 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","57 patients",,,"PN-5C " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","14 patients","1 ","1","SCIP-CARD-2 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","28 patients",,,"AMI-1 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","65 patients",,,"HF-1 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","67 patients",,,"SCIP-INF-1 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1 ","1","AMI-2 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","52 patients",,,"PN-2 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1 ","1","AMI-5 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","52 patients",,,"PN-6 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","33 patients",,,"SCIP-VTE-2 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","53 patients",,,"PN-3B " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","91 patients",,,"HF-2 " "450005","MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients",,,"HF-3 " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","79 patients",,,"HF-2 " "450007","PETERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","78 patients",,,"PN-4 " "450007","PETERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","428 patients","2 ","2","SCIP-INF-2 " "450007","PETERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450007","PETERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","117 patients",,,"PN-6 " "450007","PETERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","239 patients",,,"PN-5C " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "450007","PETERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","428 patients","2 ","2","SCIP-INF-1 " "450007","PETERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","419 patients","2 ","2","SCIP-INF-3 " "450007","PETERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","251 patients",,,"PN-3B " "450007","PETERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","68 patients",,,"SCIP-CARD-2 " "450007","PETERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","236 patients","2 ","2","SCIP-VTE-1 " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "450007","PETERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","563 patients","2 ","2","SCIP-INF-6 " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","34 patients",,,"HF-3 " "450007","PETERSON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","236 patients","2 ","2","SCIP-VTE-2 " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","53 patients",,,"HF-1 " "450007","PETERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","177 patients",,,"PN-7 " "450007","PETERSON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450007","PETERSON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","243 patients",,,"PN-2 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","188 patients","2 ","2","SCIP-INF-6 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","21 patients","1 ","1","PN-7 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","132 patients","2 ","2","SCIP-INF-1 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","132 patients","2 ","2","SCIP-INF-2 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","112 patients","2 ","2","SCIP-VTE-2 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","27 patients",,,"PN-3B " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","34 patients",,,"HF-2 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","131 patients","2 ","2","SCIP-INF-3 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","29 patients",,,"PN-6 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","30 patients",,,"PN-5C " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","29 patients",,,"HF-1 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","19 patients","1 ","1","PN-2 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1,2 ","12","SCIP-CARD-2 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","115 patients","2 ","2","SCIP-VTE-1 " "450008","KINGS DAUGHTERS HOSPITAL-SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","249 patients","2 ","2","AMI-5 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","95 patients","2 ","2","AMI-4 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","364 patients",,,"HF-1 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","93 patients","2 ","2","PN-6 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","117 patients","2 ","2","PN-3B " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","153 patients",,,"HF-3 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","294 patients","2 ","2","SCIP-INF-2 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","57 patients","2 ","2","PN-4 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","135 patients","2 ","2","PN-5C " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","147 patients","2 ","2","AMI-1 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","66 patients","2 ","2","SCIP-CARD-2 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","110 patients",,,"HF-4 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","462 patients",,,"HF-2 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","302 patients","2 ","2","SCIP-INF-1 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","450 patients","2 ","2","SCIP-INF-6 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","27 patients","2 ","2","AMI-8A " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","87 patients","2 ","2","SCIP-INF-4 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","156 patients","2 ","2","SCIP-VTE-2 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","117 patients","2 ","2","PN-2 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","274 patients","2 ","2","SCIP-INF-3 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","82 patients","2 ","2","PN-7 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","37 patients","2 ","2","AMI-3 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","257 patients","2 ","2","AMI-2 " "450010","UNITED REGIONAL HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","156 patients","2 ","2","SCIP-VTE-1 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","221 patients",,,"AMI-1 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","171 patients","2 ","2","SCIP-VTE-2 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"AMI-4 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","354 patients","2 ","2","SCIP-INF-2 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","120 patients",,,"PN-6 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","33 patients",,,"AMI-8A " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","516 patients",,,"HF-2 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","483 patients","2 ","2","SCIP-INF-6 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","85 patients",,,"HF-4 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","103 patients","2 ","2","SCIP-INF-4 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","230 patients",,,"AMI-5 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","175 patients","2 ","2","SCIP-VTE-1 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","68 patients","2 ","2","SCIP-CARD-2 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","438 patients",,,"HF-1 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","163 patients",,,"PN-7 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","348 patients","2 ","2","SCIP-INF-1 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","213 patients",,,"PN-5C " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","53 patients",,,"AMI-3 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","216 patients",,,"PN-3B " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","276 patients",,,"AMI-2 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","200 patients",,,"HF-3 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","195 patients",,,"PN-2 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","339 patients","2 ","2","SCIP-INF-3 " "450011","ST JOSEPH REGIONAL HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","519 patients","2 ","2","SCIP-INF-3 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","103 patients","2 ","2","PN-6 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","108 patients","2 ","2","PN-7 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1,2 ","12","SCIP-INF-4 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","384 patients","2 ","2","HF-2 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","548 patients","2 ","2","SCIP-INF-2 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","169 patients","2 ","2","HF-3 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","845 patients","2 ","2","SCIP-INF-6 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","246 patients","2 ","2","AMI-1 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","159 patients","2 ","2","PN-3B " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","213 patients","2 ","2","AMI-2 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","469 patients","2 ","2","SCIP-VTE-1 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","71 patients","2 ","2","PN-2 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","53 patients","2 ","2","AMI-3 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","58%","45 patients","2 ","2","AMI-8A " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","468 patients","2 ","2","SCIP-VTE-2 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","195 patients","2 ","2","AMI-5 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","139 patients","2 ","2","HF-4 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","135 patients","2 ","2","PN-5C " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","104 patients","2 ","2","AMI-4 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","131 patients","2 ","2","PN-4 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","62 patients","2 ","2","SCIP-CARD-2 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","543 patients","2 ","2","SCIP-INF-1 " "450015","PARKLAND HEALTH AND HOSPITAL SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","370 patients","2 ","2","HF-1 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2,3 ","23","HF-4 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","181 patients","2,3 ","23","SCIP-INF-1 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","22 patients","1,2,3 ","123","AMI-3 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","58%","12 patients","1,2,3 ","123","PN-3B " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","9 patients","1,2,3 ","123","AMI-8A " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","24 patients","1,2,3 ","123","PN-6 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","275 patients","2,3 ","23","SCIP-INF-6 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","166 patients","2,3 ","23","SCIP-INF-3 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","89 patients","2,3 ","23","HF-3 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients","2,3 ","23","PN-4 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","51 patients","2,3 ","23","AMI-1 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","141 patients","2,3 ","23","SCIP-VTE-2 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","134 patients","2,3 ","23","HF-2 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","31 patients","2,3 ","23","PN-2 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","11 patients","1,3 ","13","PN-7 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","76 patients","2,3 ","23","AMI-5 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","187 patients","2,3 ","23","SCIP-INF-2 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","75%","52 patients","2,3 ","23","SCIP-INF-4 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2,3 ","23","AMI-4 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","73 patients","2,3 ","23","AMI-2 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","129 patients","2,3 ","23","HF-1 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","141 patients","2,3 ","23","SCIP-VTE-1 " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","70%","30 patients","2,3 ","23","PN-5C " "450018","UNIVERSITY OF TEXAS MEDICAL BRANCH GAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","52 patients","2 ","2","SCIP-CARD-2 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","702 patients",,,"HF-1 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","337 patients",,,"AMI-5 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","510 patients",,,"PN-5C " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","301 patients",,,"HF-3 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","3114 patients","2 ","2","SCIP-INF-2 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3668 patients","2 ","2","SCIP-INF-6 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","100 patients",,,"AMI-3 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","1437 patients","2 ","2","SCIP-VTE-2 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","814 patients",,,"HF-2 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","421 patients",,,"PN-2 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","2939 patients","2 ","2","SCIP-INF-3 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","3060 patients","2 ","2","SCIP-INF-1 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","219 patients",,,"HF-4 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","371 patients",,,"AMI-2 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","234 patients",,,"AMI-1 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","493 patients","2 ","2","SCIP-CARD-2 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","582 patients",,,"PN-3B " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","277 patients",,,"PN-6 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","174 patients",,,"AMI-4 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","263 patients",,,"PN-4 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","89 patients",,,"AMI-8A " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","1438 patients","2 ","2","SCIP-VTE-1 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","617 patients","2 ","2","SCIP-INF-4 " "450021","BAYLOR UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","385 patients",,,"PN-7 " "450023","CITIZENS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","100 patients",,,"HF-3 " "450023","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","949 patients",,,"SCIP-INF-6 " "450023","CITIZENS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","149 patients",,,"PN-7 " "450023","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","653 patients",,,"SCIP-INF-3 " "450023","CITIZENS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","151 patients",,,"AMI-2 " "450023","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","449 patients",,,"SCIP-VTE-1 " "450023","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","659 patients",,,"SCIP-INF-1 " "450023","CITIZENS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","107 patients",,,"PN-6 " "450023","CITIZENS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","139 patients",,,"AMI-1 " "450023","CITIZENS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","304 patients",,,"HF-1 " "450023","CITIZENS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450023","CITIZENS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","27 patients",,,"AMI-8A " "450023","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","660 patients",,,"SCIP-INF-2 " "450023","CITIZENS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "450023","CITIZENS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"PN-4 " "450023","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","108 patients",,,"SCIP-CARD-2 " "450023","CITIZENS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "450023","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","449 patients",,,"SCIP-VTE-2 " "450023","CITIZENS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","145 patients",,,"AMI-5 " "450023","CITIZENS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients",,,"AMI-3 " "450023","CITIZENS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","192 patients",,,"PN-5C " "450023","CITIZENS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","167 patients",,,"PN-3B " "450023","CITIZENS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","355 patients",,,"HF-2 " "450023","CITIZENS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","60 patients",,,"SCIP-INF-4 " "450023","CITIZENS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","184 patients",,,"PN-2 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","71 patients",,,"HF-3 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","414 patients","2 ","2","SCIP-INF-6 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","212 patients",,,"HF-1 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","PN-4 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","203 patients","2 ","2","SCIP-VTE-2 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","222 patients","2 ","2","SCIP-INF-3 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","252 patients","2 ","2","SCIP-INF-2 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","8 patients","1 ","1","AMI-7A " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","78%","51 patients","2 ","2","SCIP-INF-4 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","117 patients","2 ","2","PN-3B " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","79 patients",,,"AMI-5 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","96 patients","2 ","2","PN-6 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","99 patients",,,"AMI-1 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","20%","10 patients","1 ","1","AMI-8A " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","246 patients","2 ","2","SCIP-INF-1 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","67 patients","2 ","2","PN-7 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"HF-4 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","203 patients","2 ","2","SCIP-VTE-1 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","91 patients",,,"AMI-2 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","214 patients",,,"HF-2 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients","2 ","2","SCIP-CARD-2 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","57 patients","2 ","2","PN-2 " "450024","UNIVERSITY MEDICAL CENTER OF EL PASO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","113 patients","2 ","2","PN-5C " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","132 patients","2 ","2","PN-7 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","20 patients","1,2 ","12","PN-4 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","109 patients","2 ","2","SCIP-VTE-1 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","171 patients","2 ","2","PN-5C " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","190 patients","2 ","2","PN-2 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","81 patients","2 ","2","HF-3 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","162 patients","2 ","2","PN-3B " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","144 patients",,,"AMI-1 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","31 patients","2 ","2","SCIP-CARD-2 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","195 patients","2 ","2","SCIP-INF-2 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","189 patients","2 ","2","SCIP-INF-3 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","HF-4 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","124 patients",,,"AMI-5 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","103 patients","2 ","2","SCIP-VTE-2 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","193 patients","2 ","2","SCIP-INF-1 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","12 patients","1 ","1","AMI-8A " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","81 patients","2 ","2","PN-6 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","262 patients","2 ","2","HF-2 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"AMI-3 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","218 patients","2 ","2","HF-1 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","344 patients","2 ","2","SCIP-INF-6 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","122 patients",,,"AMI-2 " "450028","VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","37 patients","2 ","2","SCIP-INF-4 " "450029","LAREDO MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","257 patients",,,"PN-3B " "450029","LAREDO MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","156 patients",,,"AMI-1 " "450029","LAREDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","64%","56 patients","2 ","2","SCIP-INF-4 " "450029","LAREDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","185 patients","2 ","2","SCIP-VTE-2 " "450029","LAREDO MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","126 patients",,,"AMI-5 " "450029","LAREDO MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","522 patients",,,"HF-2 " "450029","LAREDO MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","44 patients",,,"HF-4 " "450029","LAREDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","242 patients","2 ","2","SCIP-INF-2 " "450029","LAREDO MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","188 patients",,,"PN-6 " "450029","LAREDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","187 patients","2 ","2","SCIP-VTE-1 " "450029","LAREDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","35 patients","2 ","2","SCIP-CARD-2 " "450029","LAREDO MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","204 patients",,,"PN-7 " "450029","LAREDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","225 patients","2 ","2","SCIP-INF-3 " "450029","LAREDO MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"AMI-4 " "450029","LAREDO MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","272 patients",,,"PN-5C " "450029","LAREDO MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","281 patients",,,"PN-2 " "450029","LAREDO MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","154 patients",,,"HF-3 " "450029","LAREDO MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","25 patients",,,"AMI-8A " "450029","LAREDO MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "450029","LAREDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","421 patients","2 ","2","SCIP-INF-6 " "450029","LAREDO MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","65%","23 patients","1 ","1","AMI-3 " "450029","LAREDO MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","242 patients","2 ","2","SCIP-INF-1 " "450029","LAREDO MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","135 patients",,,"AMI-2 " "450029","LAREDO MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","70%","10 patients","1 ","1","AMI-7A " "450029","LAREDO MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","473 patients",,,"HF-1 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","69 patients","2 ","2","PN-6 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","69 patients","2 ","2","PN-3B " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","25 patients","2 ","2","HF-3 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1,2 ","12","HF-4 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","82 patients","2 ","2","SCIP-VTE-2 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","59 patients","2 ","2","SCIP-INF-1 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","AMI-3 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","20 patients","1,2 ","12","AMI-2 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","82 patients","2 ","2","SCIP-VTE-1 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","52%","29 patients","2 ","2","PN-7 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","59 patients","2 ","2","SCIP-INF-2 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","41 patients","2 ","2","PN-2 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","32 patients","2 ","2","AMI-1 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","95 patients","2 ","2","HF-1 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1,2 ","12","SCIP-CARD-2 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","77 patients","2 ","2","PN-5C " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","PN-4 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","20 patients","1,2 ","12","AMI-5 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","59 patients","2 ","2","SCIP-INF-3 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","AMI-4 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","76%","115 patients","2 ","2","SCIP-INF-6 " "450032","GOOD SHEPHERD MEDICAL CENTER MARSHALL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","111 patients","2 ","2","HF-2 " "450033","VALLEY BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","227 patients",,,"PN-6 " "450033","VALLEY BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","70 patients",,,"PN-4 " "450033","VALLEY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","239 patients","2 ","2","SCIP-VTE-1 " "450033","VALLEY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","78%","78 patients","2 ","2","SCIP-INF-4 " "450033","VALLEY BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","371 patients",,,"PN-3B " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","53 patients",,,"HF-4 " "450033","VALLEY BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","288 patients",,,"PN-7 " "450033","VALLEY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","333 patients","2 ","2","SCIP-INF-2 " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"AMI-4 " "450033","VALLEY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","320 patients","2 ","2","SCIP-INF-3 " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","46 patients",,,"AMI-3 " "450033","VALLEY BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","404 patients",,,"PN-5C " "450033","VALLEY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","456 patients","2 ","2","SCIP-INF-6 " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","36 patients",,,"AMI-8A " "450033","VALLEY BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","372 patients",,,"PN-2 " "450033","VALLEY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","79 patients","2 ","2","SCIP-CARD-2 " "450033","VALLEY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","239 patients","2 ","2","SCIP-VTE-2 " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","594 patients",,,"HF-1 " "450033","VALLEY BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","328 patients","2 ","2","SCIP-INF-1 " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","240 patients",,,"AMI-1 " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","235 patients",,,"AMI-5 " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","206 patients",,,"HF-3 " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","659 patients",,,"HF-2 " "450033","VALLEY BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","221 patients",,,"AMI-2 " "450034","CHRISTUS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","127 patients","2 ","2","HF-4 " "450034","CHRISTUS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","312 patients","2 ","2","AMI-1 " "450034","CHRISTUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","681 patients","2 ","2","SCIP-INF-1 " "450034","CHRISTUS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","150 patients","2 ","2","PN-7 " "450034","CHRISTUS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","357 patients","2 ","2","AMI-2 " "450034","CHRISTUS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","251 patients","2 ","2","PN-5C " "450034","CHRISTUS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","530 patients","2 ","2","HF-2 " "450034","CHRISTUS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","45 patients","2 ","2","AMI-8A " "450034","CHRISTUS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","444 patients","2 ","2","SCIP-VTE-1 " "450034","CHRISTUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","690 patients","2 ","2","SCIP-INF-2 " "450034","CHRISTUS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","267 patients","2 ","2","PN-3B " "450034","CHRISTUS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","129 patients","2 ","2","SCIP-CARD-2 " "450034","CHRISTUS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","66 patients","2 ","2","AMI-3 " "450034","CHRISTUS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450034","CHRISTUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","665 patients","2 ","2","SCIP-INF-3 " "450034","CHRISTUS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","438 patients","2 ","2","SCIP-VTE-2 " "450034","CHRISTUS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","189 patients","2 ","2","PN-6 " "450034","CHRISTUS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","192 patients","2 ","2","HF-3 " "450034","CHRISTUS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","455 patients","2 ","2","HF-1 " "450034","CHRISTUS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","99 patients","2 ","2","PN-4 " "450034","CHRISTUS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","140 patients","2 ","2","AMI-4 " "450034","CHRISTUS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","195 patients","2 ","2","PN-2 " "450034","CHRISTUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","943 patients","2 ","2","SCIP-INF-6 " "450034","CHRISTUS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","355 patients","2 ","2","AMI-5 " "450034","CHRISTUS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","168 patients","2 ","2","SCIP-INF-4 " "450035","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","116 patients",,,"AMI-1 " "450035","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","70 patients",,,"PN-4 " "450035","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","409 patients",,,"HF-2 " "450035","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","30 patients",,,"AMI-4 " "450035","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","33%","9 patients","1 ","1","AMI-8A " "450035","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","558 patients","2 ","2","SCIP-INF-3 " "450035","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","110 patients",,,"PN-7 " "450035","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","100 patients",,,"HF-4 " "450035","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","355 patients",,,"HF-1 " "450035","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","181 patients",,,"HF-3 " "450035","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","575 patients","2 ","2","SCIP-INF-2 " "450035","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","76 patients","2 ","2","SCIP-CARD-2 " "450035","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","139 patients",,,"PN-6 " "450035","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","99 patients",,,"AMI-2 " "450035","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450035","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","164 patients",,,"PN-5C " "450035","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","144 patients",,,"PN-3B " "450035","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","93 patients",,,"AMI-5 " "450035","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","130 patients",,,"PN-2 " "450035","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","325 patients","2 ","2","SCIP-VTE-1 " "450035","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","325 patients","2 ","2","SCIP-VTE-2 " "450035","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","573 patients","2 ","2","SCIP-INF-1 " "450035","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","71%","100 patients","2 ","2","SCIP-INF-4 " "450035","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","30 patients",,,"AMI-3 " "450035","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","761 patients","2 ","2","SCIP-INF-6 " "450037","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","130 patients","2 ","2","PN-5C " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","33 patients","2 ","2","AMI-8A " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","101 patients","2 ","2","HF-3 " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients","2 ","2","HF-4 " "450037","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","105 patients","2 ","2","SCIP-INF-4 " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","104 patients","2 ","2","AMI-4 " "450037","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","483 patients","2 ","2","SCIP-INF-6 " "450037","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","128 patients","2 ","2","PN-3B " "450037","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","287 patients","2 ","2","SCIP-INF-3 " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","282 patients","2 ","2","HF-2 " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","234 patients","2 ","2","HF-1 " "450037","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","98 patients","2 ","2","PN-2 " "450037","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","87 patients","2 ","2","SCIP-CARD-2 " "450037","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","341 patients","2 ","2","SCIP-INF-2 " "450037","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","69%","156 patients","2 ","2","SCIP-VTE-2 " "450037","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","69 patients","2 ","2","PN-6 " "450037","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","79 patients","2 ","2","PN-7 " "450037","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","158 patients","2 ","2","SCIP-VTE-1 " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","225 patients","2 ","2","AMI-1 " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","253 patients","2 ","2","AMI-5 " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","40 patients","2 ","2","AMI-3 " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","251 patients","2 ","2","AMI-2 " "450037","GOOD SHEPHERD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","329 patients","2 ","2","SCIP-INF-1 " "450037","GOOD SHEPHERD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","55 patients","2 ","2","PN-4 " "450037","GOOD SHEPHERD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450039","JPS HEALTH NETWORK","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","108 patients","2 ","2","SCIP-CARD-2 " "450039","JPS HEALTH NETWORK","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","455 patients",,,"HF-1 " "450039","JPS HEALTH NETWORK","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","88 patients","2 ","2","PN-4 " "450039","JPS HEALTH NETWORK","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","475 patients",,,"HF-2 " "450039","JPS HEALTH NETWORK","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","175 patients",,,"AMI-5 " "450039","JPS HEALTH NETWORK","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","114 patients","2 ","2","PN-3B " "450039","JPS HEALTH NETWORK","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","404 patients","2 ","2","SCIP-VTE-1 " "450039","JPS HEALTH NETWORK","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","78 patients","2 ","2","PN-6 " "450039","JPS HEALTH NETWORK","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","402 patients","2 ","2","SCIP-VTE-2 " "450039","JPS HEALTH NETWORK","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","186 patients",,,"HF-4 " "450039","JPS HEALTH NETWORK","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","176 patients",,,"AMI-2 " "450039","JPS HEALTH NETWORK","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","238 patients",,,"HF-3 " "450039","JPS HEALTH NETWORK","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","69%","143 patients","2 ","2","PN-5C " "450039","JPS HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","596 patients","2 ","2","SCIP-INF-2 " "450039","JPS HEALTH NETWORK","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450039","JPS HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450039","JPS HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","584 patients","2 ","2","SCIP-INF-3 " "450039","JPS HEALTH NETWORK","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","70 patients","2 ","2","PN-7 " "450039","JPS HEALTH NETWORK","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"AMI-4 " "450039","JPS HEALTH NETWORK","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","204 patients",,,"AMI-1 " "450039","JPS HEALTH NETWORK","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","34 patients",,,"AMI-3 " "450039","JPS HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","598 patients","2 ","2","SCIP-INF-1 " "450039","JPS HEALTH NETWORK","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","52%","46 patients",,,"AMI-8A " "450039","JPS HEALTH NETWORK","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","33 patients","2 ","2","PN-2 " "450039","JPS HEALTH NETWORK","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","832 patients","2 ","2","SCIP-INF-6 " "450040","COVENANT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","196 patients",,,"AMI-4 " "450040","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","581 patients","2 ","2","SCIP-INF-1 " "450040","COVENANT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","317 patients",,,"PN-6 " "450040","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","869 patients","2 ","2","SCIP-INF-6 " "450040","COVENANT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","506 patients",,,"AMI-2 " "450040","COVENANT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","50 patients",,,"AMI-8A " "450040","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","127 patients","2 ","2","SCIP-CARD-2 " "450040","COVENANT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","578 patients",,,"HF-2 " "450040","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","270 patients","2 ","2","SCIP-VTE-1 " "450040","COVENANT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","199 patients",,,"PN-4 " "450040","COVENANT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","548 patients",,,"PN-3B " "450040","COVENANT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","523 patients",,,"AMI-5 " "450040","COVENANT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","492 patients",,,"PN-2 " "450040","COVENANT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","227 patients",,,"AMI-1 " "450040","COVENANT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","90 patients",,,"AMI-3 " "450040","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","269 patients","2 ","2","SCIP-VTE-2 " "450040","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","132 patients","2 ","2","SCIP-INF-4 " "450040","COVENANT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "450040","COVENANT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","497 patients",,,"HF-1 " "450040","COVENANT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","437 patients",,,"PN-5C " "450040","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","554 patients","2 ","2","SCIP-INF-3 " "450040","COVENANT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"HF-4 " "450040","COVENANT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","405 patients",,,"PN-7 " "450040","COVENANT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","589 patients","2 ","2","SCIP-INF-2 " "450040","COVENANT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","136 patients",,,"HF-3 " "450042","PROVIDENCE HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","61%","71 patients","2 ","2","SCIP-CARD-2 " "450042","PROVIDENCE HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","283 patients",,,"AMI-5 " "450042","PROVIDENCE HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","247 patients",,,"AMI-1 " "450042","PROVIDENCE HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","253 patients",,,"PN-6 " "450042","PROVIDENCE HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","39 patients",,,"AMI-3 " "450042","PROVIDENCE HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","115 patients",,,"HF-4 " "450042","PROVIDENCE HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","416 patients",,,"HF-1 " "450042","PROVIDENCE HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","539 patients",,,"HF-2 " "450042","PROVIDENCE HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-7A " "450042","PROVIDENCE HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","298 patients",,,"AMI-2 " "450042","PROVIDENCE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","317 patients","2 ","2","SCIP-INF-3 " "450042","PROVIDENCE HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","315 patients",,,"PN-2 " "450042","PROVIDENCE HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","150 patients","2 ","2","SCIP-VTE-2 " "450042","PROVIDENCE HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","152 patients","2 ","2","SCIP-VTE-1 " "450042","PROVIDENCE HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","111 patients",,,"AMI-4 " "450042","PROVIDENCE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","342 patients","2 ","2","SCIP-INF-1 " "450042","PROVIDENCE HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","249 patients",,,"PN-7 " "450042","PROVIDENCE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","340 patients","2 ","2","SCIP-INF-2 " "450042","PROVIDENCE HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","367 patients",,,"PN-3B " "450042","PROVIDENCE HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","299 patients",,,"PN-5C " "450042","PROVIDENCE HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","173 patients",,,"HF-3 " "450042","PROVIDENCE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","103 patients","2 ","2","SCIP-INF-4 " "450042","PROVIDENCE HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","497 patients","2 ","2","SCIP-INF-6 " "450042","PROVIDENCE HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","138 patients",,,"PN-4 " "450042","PROVIDENCE HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","56 patients",,,"AMI-8A " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","136 patients","2 ","2","SCIP-INF-4 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","140 patients",,,"AMI-5 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","181 patients","2 ","2","SCIP-VTE-2 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","104 patients",,,"PN-3B " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","87 patients","2 ","2","SCIP-CARD-2 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","145 patients",,,"AMI-2 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","109 patients",,,"PN-5C " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","527 patients",,,"HF-2 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","240 patients",,,"HF-3 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","66%","556 patients","2 ","2","SCIP-INF-6 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","86 patients",,,"HF-4 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","181 patients","2 ","2","SCIP-VTE-1 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","397 patients","2 ","2","SCIP-INF-2 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"AMI-4 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","119 patients",,,"PN-2 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","18 patients","1 ","1","AMI-8A " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","390 patients","2 ","2","SCIP-INF-1 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","103 patients",,,"PN-7 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","376 patients","2 ","2","SCIP-INF-3 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","64 patients",,,"PN-6 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","135 patients",,,"AMI-1 " "450044","UT SOUTHWESTERN UNIVERSITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","474 patients",,,"HF-1 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","1868 patients",,,"SCIP-INF-1 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","1363 patients",,,"SCIP-VTE-1 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","1357 patients",,,"SCIP-VTE-2 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","73 patients",,,"AMI-3 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","3048 patients",,,"SCIP-INF-6 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","1210 patients",,,"HF-2 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","463 patients",,,"AMI-5 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","69%","1825 patients",,,"SCIP-INF-3 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","260 patients",,,"PN-4 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","640 patients",,,"PN-2 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","52 patients",,,"AMI-8A " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","659 patients",,,"PN-3B " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1880 patients",,,"SCIP-INF-2 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","203 patients",,,"HF-4 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","1033 patients",,,"HF-1 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","504 patients",,,"PN-7 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","419 patients",,,"PN-6 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","399 patients",,,"HF-3 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","174 patients",,,"AMI-4 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","299 patients",,,"SCIP-INF-4 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","356 patients",,,"SCIP-CARD-2 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","702 patients",,,"PN-5C " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","475 patients",,,"AMI-2 " "450046","CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","319 patients",,,"AMI-1 " "450051","METHODIST DALLAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","339 patients","2 ","2","SCIP-INF-3 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450051","METHODIST DALLAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","354 patients","2 ","2","SCIP-INF-1 " "450051","METHODIST DALLAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","207 patients",,,"PN-3B " "450051","METHODIST DALLAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","179 patients",,,"PN-2 " "450051","METHODIST DALLAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","206 patients","2 ","2","SCIP-VTE-2 " "450051","METHODIST DALLAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","539 patients","2 ","2","SCIP-INF-6 " "450051","METHODIST DALLAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","207 patients","2 ","2","SCIP-VTE-1 " "450051","METHODIST DALLAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","194 patients",,,"PN-5C " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"HF-4 " "450051","METHODIST DALLAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"PN-4 " "450051","METHODIST DALLAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","73 patients","2 ","2","SCIP-CARD-2 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","398 patients",,,"HF-1 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","47 patients",,,"AMI-8A " "450051","METHODIST DALLAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","121 patients",,,"PN-6 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","316 patients",,,"AMI-5 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","454 patients",,,"HF-2 " "450051","METHODIST DALLAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","145 patients",,,"PN-7 " "450051","METHODIST DALLAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","101 patients","2 ","2","SCIP-INF-4 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","345 patients",,,"AMI-2 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","199 patients",,,"HF-3 " "450051","METHODIST DALLAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","360 patients","2 ","2","SCIP-INF-2 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","71 patients",,,"AMI-3 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","243 patients",,,"AMI-1 " "450051","METHODIST DALLAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","145 patients",,,"AMI-4 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1,2 ","12","HF-3 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","HF-4 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","12 patients","1,2 ","12","SCIP-INF-1 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","84 patients","2 ","2","PN-5C " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","51 patients","2 ","2","PN-6 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","65 patients","2 ","2","PN-3B " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","79%","14 patients","1,2 ","12","AMI-1 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","20 patients","1,2 ","12","SCIP-VTE-2 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,2 ","12","AMI-3 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","21%","24 patients","1,2 ","12","SCIP-INF-6 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","8 patients","1,2 ","12","AMI-2 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","18 patients","1,2 ","12","PN-4 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","13 patients","1,2 ","12","SCIP-INF-2 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","52 patients","2 ","2","PN-7 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","75 patients","2 ","2","PN-2 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","28 patients","2 ","2","HF-1 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","49 patients","2 ","2","HF-2 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","75%","12 patients","1,2 ","12","SCIP-INF-3 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1,2 ","12","AMI-5 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","48%","21 patients","1,2 ","12","SCIP-VTE-1 " "450052","GOODALL WITCHER HEALTHCARE FOUNDATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "450054","SCOTT & WHITE HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","117 patients","2 ","2","PN-4 " "450054","SCOTT & WHITE HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","358 patients","2 ","2","HF-2 " "450054","SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450054","SCOTT & WHITE HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","112 patients","2 ","2","HF-3 " "450054","SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","940 patients","2 ","2","SCIP-INF-2 " "450054","SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","68 patients","2 ","2","AMI-3 " "450054","SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","129 patients","2 ","2","AMI-4 " "450054","SCOTT & WHITE HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","259 patients","2 ","2","PN-2 " "450054","SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","57 patients","2 ","2","AMI-8A " "450054","SCOTT & WHITE HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","51%","175 patients","2 ","2","PN-7 " "450054","SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","929 patients","2 ","2","SCIP-INF-1 " "450054","SCOTT & WHITE HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","88 patients","2 ","2","PN-6 " "450054","SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","540 patients","2 ","2","SCIP-VTE-1 " "450054","SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","267 patients","2 ","2","AMI-1 " "450054","SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","253 patients","2 ","2","SCIP-INF-4 " "450054","SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","367 patients","2 ","2","AMI-2 " "450054","SCOTT & WHITE HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","373 patients","2 ","2","AMI-5 " "450054","SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","537 patients","2 ","2","SCIP-VTE-2 " "450054","SCOTT & WHITE HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","250 patients","2 ","2","PN-5C " "450054","SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","196 patients","2 ","2","SCIP-CARD-2 " "450054","SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1264 patients","2 ","2","SCIP-INF-6 " "450054","SCOTT & WHITE HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","884 patients","2 ","2","SCIP-INF-3 " "450054","SCOTT & WHITE HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","300 patients","2 ","2","HF-1 " "450054","SCOTT & WHITE HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","HF-4 " "450054","SCOTT & WHITE HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","214 patients","2 ","2","PN-3B " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","35 patients",,,"HF-1 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","16 patients","1 ","1","SCIP-INF-3 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","30 patients",,,"SCIP-INF-6 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","88 patients",,,"PN-5C " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","63 patients",,,"PN-7 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","17 patients","1 ","1","SCIP-INF-1 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","56 patients",,,"PN-3B " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"PN-4 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","12 patients","1 ","1","SCIP-VTE-1 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","83 patients",,,"PN-2 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","12 patients","1 ","1","SCIP-VTE-2 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","54 patients",,,"PN-6 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","46 patients",,,"HF-2 " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450055","ROLLING PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","16 patients","1 ","1","SCIP-INF-2 " "450056","SETON MEDICAL CENTER AUSTIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","109 patients","2 ","2","PN-3B " "450056","SETON MEDICAL CENTER AUSTIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","138 patients",,,"AMI-1 " "450056","SETON MEDICAL CENTER AUSTIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","234 patients",,,"AMI-2 " "450056","SETON MEDICAL CENTER AUSTIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","125 patients","2 ","2","SCIP-INF-4 " "450056","SETON MEDICAL CENTER AUSTIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","28 patients",,,"AMI-8A " "450056","SETON MEDICAL CENTER AUSTIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","209 patients","2 ","2","SCIP-VTE-1 " "450056","SETON MEDICAL CENTER AUSTIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","113 patients","2 ","2","PN-5C " "450056","SETON MEDICAL CENTER AUSTIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","404 patients","2 ","2","SCIP-INF-1 " "450056","SETON MEDICAL CENTER AUSTIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","427 patients","2 ","2","SCIP-INF-2 " "450056","SETON MEDICAL CENTER AUSTIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","122 patients","2 ","2","PN-2 " "450056","SETON MEDICAL CENTER AUSTIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","393 patients","2 ","2","SCIP-INF-3 " "450056","SETON MEDICAL CENTER AUSTIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","47 patients","2 ","2","PN-6 " "450056","SETON MEDICAL CENTER AUSTIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","47 patients","2 ","2","PN-4 " "450056","SETON MEDICAL CENTER AUSTIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients","2 ","2","HF-4 " "450056","SETON MEDICAL CENTER AUSTIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","208 patients","2 ","2","SCIP-VTE-2 " "450056","SETON MEDICAL CENTER AUSTIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","85 patients","2 ","2","PN-7 " "450056","SETON MEDICAL CENTER AUSTIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","219 patients",,,"AMI-5 " "450056","SETON MEDICAL CENTER AUSTIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","228 patients","2 ","2","HF-1 " "450056","SETON MEDICAL CENTER AUSTIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","566 patients","2 ","2","SCIP-INF-6 " "450056","SETON MEDICAL CENTER AUSTIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"AMI-4 " "450056","SETON MEDICAL CENTER AUSTIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","92 patients","2 ","2","SCIP-CARD-2 " "450056","SETON MEDICAL CENTER AUSTIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"AMI-3 " "450056","SETON MEDICAL CENTER AUSTIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450056","SETON MEDICAL CENTER AUSTIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","90 patients","2 ","2","HF-3 " "450056","SETON MEDICAL CENTER AUSTIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","272 patients","2 ","2","HF-2 " "450058","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","1367 patients","2 ","2","SCIP-INF-3 " "450058","BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","434 patients","2 ","2","PN-7 " "450058","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","403 patients","2 ","2","SCIP-CARD-2 " "450058","BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","541 patients","2 ","2","PN-5C " "450058","BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","125 patients","2 ","2","AMI-8A " "450058","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1477 patients","2 ","2","SCIP-INF-2 " "450058","BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","978 patients","2 ","2","HF-1 " "450058","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","545 patients","2 ","2","SCIP-VTE-2 " "450058","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1460 patients","2 ","2","SCIP-INF-1 " "450058","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","81%","311 patients","2 ","2","SCIP-INF-4 " "450058","BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","1175 patients","2 ","2","HF-2 " "450058","BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","166 patients","2 ","2","PN-4 " "450058","BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","701 patients","2 ","2","AMI-2 " "450058","BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","713 patients","2 ","2","AMI-5 " "450058","BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450058","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","546 patients","2 ","2","SCIP-VTE-1 " "450058","BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","492 patients","2 ","2","PN-3B " "450058","BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","209 patients","2 ","2","HF-4 " "450058","BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","664 patients","2 ","2","AMI-1 " "450058","BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","219 patients","2 ","2","AMI-4 " "450058","BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","96 patients","2 ","2","AMI-3 " "450058","BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","313 patients","2 ","2","HF-3 " "450058","BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1863 patients","2 ","2","SCIP-INF-6 " "450058","BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","333 patients","2 ","2","PN-6 " "450058","BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","550 patients","2 ","2","PN-2 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","62 patients",,,"AMI-8A " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","440 patients",,,"HF-2 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","339 patients","2 ","2","SCIP-INF-3 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","85 patients","2 ","2","SCIP-INF-4 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","213 patients","2 ","2","SCIP-VTE-1 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","298 patients",,,"PN-2 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","514 patients","2 ","2","SCIP-INF-6 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","160 patients",,,"HF-3 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","361 patients","2 ","2","SCIP-INF-1 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","366 patients","2 ","2","SCIP-INF-2 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"HF-4 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","314 patients",,,"PN-5C " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","52 patients",,,"AMI-3 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"AMI-4 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","228 patients",,,"PN-6 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","203 patients",,,"PN-7 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","226 patients",,,"AMI-5 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","355 patients",,,"HF-1 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","254 patients",,,"AMI-1 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","352 patients",,,"PN-3B " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","213 patients","2 ","2","SCIP-VTE-2 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","231 patients",,,"AMI-2 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","81 patients","2 ","2","SCIP-CARD-2 " "450064","TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"PN-4 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","108 patients",,,"PN-2 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","327 patients",,,"AMI-2 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","171 patients",,,"AMI-1 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","145 patients",,,"PN-3B " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","705 patients","2 ","2","SCIP-INF-1 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","40%","204 patients",,,"CAC-3 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","322 patients",,,"AMI-5 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","288 patients","2 ","2","SCIP-INF-4 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","201 patients",,,"CAC-1 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1054 patients","2 ","2","SCIP-INF-6 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","83 patients",,,"PN-4 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","727 patients","2 ","2","SCIP-INF-2 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","118 patients",,,"PN-5C " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","641 patients","2 ","2","SCIP-INF-3 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","72 patients",,,"AMI-3 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","22 patients","1 ","1","AMI-8A " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","515 patients",,,"HF-2 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","105 patients",,,"PN-7 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","303 patients","2 ","2","SCIP-VTE-2 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","142 patients",,,"AMI-4 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","303 patients","2 ","2","SCIP-VTE-1 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","485 patients",,,"HF-1 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","238 patients",,,"HF-3 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","61 patients",,,"PN-6 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","165 patients",,,"HF-4 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","206 patients",,,"CAC-2 " "450068","MEMORIAL HERMANN TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","210 patients","2 ","2","SCIP-CARD-2 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","146 patients",,,"HF-1 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","80%","5 patients","1,2 ","12","SCIP-INF-4 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","66 patients",,,"AMI-5 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"AMI-4 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","63 patients",,,"AMI-2 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","129 patients","2 ","2","PN-2 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","253 patients","2 ","2","SCIP-INF-6 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","145 patients","2 ","2","PN-5C " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","42 patients","2 ","2","PN-4 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","143 patients","2 ","2","SCIP-VTE-1 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","166 patients",,,"HF-2 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","50 patients",,,"HF-3 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","152 patients","2 ","2","SCIP-INF-3 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","99 patients",,,"AMI-1 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","AMI-3 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","97 patients","2 ","2","PN-6 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","38 patients","2 ","2","SCIP-CARD-2 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","151 patients","2 ","2","PN-3B " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","154 patients","2 ","2","SCIP-INF-1 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","141 patients","2 ","2","SCIP-VTE-2 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","97 patients","2 ","2","PN-7 " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","88%","26 patients",,,"AMI-7A " "450072","BRAZOSPORT REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","156 patients","2 ","2","SCIP-INF-2 " "450073","COGDELL MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450073","COGDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450073","COGDELL MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","36 patients",,,"PN-5C " "450073","COGDELL MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","23 patients","1 ","1","PN-7 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "450073","COGDELL MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","27 patients",,,"PN-6 " "450073","COGDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450073","COGDELL MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","27 patients",,,"PN-3B " "450073","COGDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "450073","COGDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450073","COGDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450073","COGDELL MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","32 patients",,,"PN-2 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","HF-4 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1,2 ","12","HF-3 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","30 patients","2 ","2","HF-2 " "450073","COGDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450073","COGDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450073","COGDELL MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","23 patients","1,2 ","12","HF-1 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450073","COGDELL MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450073","COGDELL MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450078","ANSON GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","PN-4 " "450078","ANSON GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","7 patients","1 ","1","PN-3B " "450078","ANSON GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "450078","ANSON GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "450078","ANSON GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450078","ANSON GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","42%","26 patients",,,"PN-7 " "450078","ANSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450078","ANSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450078","ANSON GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "450078","ANSON GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "450078","ANSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450078","ANSON GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450078","ANSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450078","ANSON GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","3 patients","1,3 ","13","HF-1 " "450078","ANSON GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","12 patients","1 ","1","PN-6 " "450078","ANSON GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450078","ANSON GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","6 patients","1,3 ","13","HF-2 " "450078","ANSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450078","ANSON GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450078","ANSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450078","ANSON GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","27 patients",,,"PN-2 " "450078","ANSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450078","ANSON GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "450078","ANSON GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","25 patients",,,"PN-5C " "450078","ANSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"HF-4 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","125 patients",,,"HF-3 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"AMI-4 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","130 patients",,,"PN-7 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"PN-4 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","324 patients","2 ","2","SCIP-VTE-1 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","40 patients",,,"AMI-8A " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","170 patients",,,"AMI-5 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","236 patients",,,"HF-1 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","76 patients","2 ","2","SCIP-CARD-2 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","223 patients",,,"PN-3B " "450079","BAYLOR MEDICAL CENTER AT IRVING","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","147 patients",,,"PN-2 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","614 patients","2 ","2","SCIP-INF-2 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","197 patients",,,"AMI-1 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","67 patients","2 ","2","SCIP-INF-4 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","582 patients","2 ","2","SCIP-INF-3 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450079","BAYLOR MEDICAL CENTER AT IRVING","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","136 patients",,,"PN-6 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","207 patients",,,"PN-5C " "450079","BAYLOR MEDICAL CENTER AT IRVING","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","324 patients","2 ","2","SCIP-VTE-2 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","792 patients","2 ","2","SCIP-INF-6 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","608 patients","2 ","2","SCIP-INF-1 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","274 patients",,,"HF-2 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"AMI-3 " "450079","BAYLOR MEDICAL CENTER AT IRVING","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","180 patients",,,"AMI-2 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","23 patients","1 ","1","PN-3B " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","80 patients",,,"HF-2 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","23 patients","1 ","1","SCIP-CARD-2 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","115 patients",,,"SCIP-VTE-2 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","85 patients",,,"PN-7 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","92 patients",,,"PN-5C " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","91 patients",,,"PN-2 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","56 patients",,,"PN-6 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","44 patients",,,"PN-4 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","68%","19 patients","1 ","1","HF-4 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","46%","70 patients",,,"HF-1 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","117 patients",,,"SCIP-VTE-1 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","276 patients",,,"SCIP-INF-6 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","22 patients","1 ","1","HF-3 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","192 patients",,,"SCIP-INF-1 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","70%","186 patients",,,"SCIP-INF-3 " "450080","TITUS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","195 patients",,,"SCIP-INF-2 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","32 patients",,,"SCIP-INF-1 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","98 patients",,,"PN-5C " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","74 patients",,,"PN-6 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","5 patients","1,3 ","13","AMI-5 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","32 patients",,,"SCIP-INF-3 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","AMI-3 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","48 patients",,,"SCIP-INF-6 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","60 patients",,,"PN-7 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","14 patients","1 ","1","SCIP-VTE-2 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","32 patients",,,"SCIP-INF-2 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","25 patients",,,"HF-3 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1,3 ","13","AMI-1 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","68 patients",,,"HF-1 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","86 patients",,,"PN-2 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","97 patients",,,"PN-3B " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","94 patients",,,"HF-2 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","14 patients","1 ","1","SCIP-VTE-1 " "450082","CHRISTUS SPOHN HOSPITAL BEEVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "450083","EAST TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","355 patients","2 ","2","SCIP-INF-1 " "450083","EAST TEXAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","263 patients","2 ","2","AMI-5 " "450083","EAST TEXAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","25 patients","2 ","2","PN-3B " "450083","EAST TEXAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","12 patients","1,2 ","12","AMI-8A " "450083","EAST TEXAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","HF-4 " "450083","EAST TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","90 patients","2 ","2","SCIP-CARD-2 " "450083","EAST TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","339 patients","2 ","2","SCIP-INF-3 " "450083","EAST TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","191 patients","2 ","2","SCIP-VTE-2 " "450083","EAST TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","555 patients","2 ","2","SCIP-INF-6 " "450083","EAST TEXAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","282 patients","2 ","2","HF-2 " "450083","EAST TEXAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","81 patients","2 ","2","AMI-1 " "450083","EAST TEXAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","71 patients","2 ","2","PN-4 " "450083","EAST TEXAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","112 patients","2 ","2","PN-2 " "450083","EAST TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","362 patients","2 ","2","SCIP-INF-2 " "450083","EAST TEXAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","68%","53 patients","2 ","2","PN-6 " "450083","EAST TEXAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","45 patients","2 ","2","AMI-3 " "450083","EAST TEXAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","82 patients","2 ","2","PN-7 " "450083","EAST TEXAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","126 patients","2 ","2","AMI-4 " "450083","EAST TEXAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","104 patients","2 ","2","HF-3 " "450083","EAST TEXAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","76 patients","2 ","2","PN-5C " "450083","EAST TEXAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","272 patients","2 ","2","AMI-2 " "450083","EAST TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","119 patients","2 ","2","SCIP-INF-4 " "450083","EAST TEXAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","219 patients","2 ","2","HF-1 " "450083","EAST TEXAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450083","EAST TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","192 patients","2 ","2","SCIP-VTE-1 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","HF-4 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1,2,3 ","123","AMI-2 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1,2 ","12","HF-3 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","50 patients","2 ","2","HF-1 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","28 patients","2 ","2","SCIP-INF-1 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,2 ","12","PN-4 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1,2,3 ","123","AMI-1 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2,3 ","123","AMI-4 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","52 patients","2 ","2","HF-2 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","40 patients","2 ","2","SCIP-INF-6 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450085","GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","86 patients","2 ","2","PN-3B " "450085","GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","28 patients","2 ","2","SCIP-INF-3 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450085","GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","20 patients","1,2 ","12","SCIP-VTE-2 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2,3 ","123","AMI-3 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","28 patients","2 ","2","SCIP-INF-2 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","81 patients","2 ","2","PN-5C " "450085","GRAHAM REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1,2,3 ","123","AMI-5 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","77 patients","2 ","2","PN-2 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","53 patients","2 ","2","PN-7 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","20 patients","1,2 ","12","SCIP-VTE-1 " "450085","GRAHAM REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","44 patients","2 ","2","PN-6 " "450087","NORTH HILLS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","194 patients",,,"HF-1 " "450087","NORTH HILLS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"AMI-4 " "450087","NORTH HILLS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","248 patients",,,"HF-2 " "450087","NORTH HILLS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","81 patients","2 ","2","PN-4 " "450087","NORTH HILLS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "450087","NORTH HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","523 patients","2 ","2","SCIP-INF-6 " "450087","NORTH HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","319 patients","2 ","2","SCIP-INF-1 " "450087","NORTH HILLS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","94 patients","2 ","2","PN-7 " "450087","NORTH HILLS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","128 patients","2 ","2","PN-2 " "450087","NORTH HILLS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","124 patients","2 ","2","PN-6 " "450087","NORTH HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","298 patients","2 ","2","SCIP-INF-3 " "450087","NORTH HILLS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","202 patients",,,"AMI-1 " "450087","NORTH HILLS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","178 patients","2 ","2","PN-5C " "450087","NORTH HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","83 patients","2 ","2","SCIP-INF-4 " "450087","NORTH HILLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","222 patients","2 ","2","SCIP-VTE-1 " "450087","NORTH HILLS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450087","NORTH HILLS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","71 patients","2 ","2","SCIP-CARD-2 " "450087","NORTH HILLS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","28 patients",,,"AMI-3 " "450087","NORTH HILLS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","61 patients",,,"AMI-8A " "450087","NORTH HILLS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","65 patients",,,"HF-3 " "450087","NORTH HILLS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","168 patients",,,"AMI-5 " "450087","NORTH HILLS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","178 patients",,,"AMI-2 " "450087","NORTH HILLS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","191 patients","2 ","2","PN-3B " "450087","NORTH HILLS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","324 patients","2 ","2","SCIP-INF-2 " "450087","NORTH HILLS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","222 patients","2 ","2","SCIP-VTE-2 " "450090","NORTH TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","42 patients","2 ","2","SCIP-INF-1 " "450090","NORTH TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","31 patients","2 ","2","SCIP-VTE-2 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450090","NORTH TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","72 patients","2 ","2","SCIP-INF-6 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450090","NORTH TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","37 patients","2 ","2","SCIP-INF-3 " "450090","NORTH TEXAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","46 patients",,,"PN-7 " "450090","NORTH TEXAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","67 patients",,,"PN-5C " "450090","NORTH TEXAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","58 patients",,,"HF-1 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","87 patients",,,"HF-2 " "450090","NORTH TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450090","NORTH TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","40 patients","2 ","2","SCIP-INF-2 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1,3 ","13","AMI-5 " "450090","NORTH TEXAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","66 patients",,,"PN-2 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","7 patients","1,3 ","13","AMI-2 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450090","NORTH TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","31 patients","2 ","2","SCIP-VTE-1 " "450090","NORTH TEXAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","53 patients",,,"PN-3B " "450090","NORTH TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1,2 ","12","SCIP-CARD-2 " "450090","NORTH TEXAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","51 patients",,,"PN-6 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","HF-3 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1,3 ","13","AMI-3 " "450090","NORTH TEXAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1,3 ","13","AMI-1 " "450090","NORTH TEXAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"PN-4 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450092","FORT DUNCAN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","68 patients",,,"PN-6 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","147 patients",,,"HF-1 " "450092","FORT DUNCAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "450092","FORT DUNCAN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","97 patients",,,"PN-2 " "450092","FORT DUNCAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","122 patients",,,"HF-3 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","18 patients","1 ","1","AMI-2 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450092","FORT DUNCAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","79 patients",,,"SCIP-INF-2 " "450092","FORT DUNCAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","55 patients",,,"SCIP-VTE-2 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","34 patients",,,"AMI-1 " "450092","FORT DUNCAN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","57 patients",,,"PN-7 " "450092","FORT DUNCAN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","91 patients",,,"PN-5C " "450092","FORT DUNCAN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","78 patients",,,"PN-3B " "450092","FORT DUNCAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","78 patients",,,"SCIP-INF-1 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","192 patients",,,"HF-2 " "450092","FORT DUNCAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","144 patients",,,"SCIP-INF-6 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "450092","FORT DUNCAN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "450092","FORT DUNCAN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "450092","FORT DUNCAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","55 patients",,,"SCIP-VTE-1 " "450092","FORT DUNCAN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "450092","FORT DUNCAN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","78 patients",,,"SCIP-INF-3 " "450097","BAYSHORE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","496 patients",,,"HF-2 " "450097","BAYSHORE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","202 patients",,,"AMI-5 " "450097","BAYSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","57 patients","2 ","2","SCIP-CARD-2 " "450097","BAYSHORE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"AMI-3 " "450097","BAYSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","612 patients","2 ","2","SCIP-INF-6 " "450097","BAYSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","253 patients","2 ","2","SCIP-VTE-2 " "450097","BAYSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","362 patients","2 ","2","SCIP-INF-2 " "450097","BAYSHORE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","209 patients",,,"PN-4 " "450097","BAYSHORE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","215 patients",,,"PN-6 " "450097","BAYSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","253 patients","2 ","2","SCIP-VTE-1 " "450097","BAYSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","362 patients","2 ","2","SCIP-INF-1 " "450097","BAYSHORE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","163 patients",,,"HF-3 " "450097","BAYSHORE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","326 patients",,,"PN-2 " "450097","BAYSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","62 patients","2 ","2","SCIP-INF-4 " "450097","BAYSHORE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","229 patients",,,"AMI-2 " "450097","BAYSHORE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","401 patients",,,"HF-1 " "450097","BAYSHORE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","322 patients",,,"PN-5C " "450097","BAYSHORE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","239 patients",,,"PN-7 " "450097","BAYSHORE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","316 patients",,,"PN-3B " "450097","BAYSHORE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"AMI-4 " "450097","BAYSHORE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","34 patients",,,"AMI-8A " "450097","BAYSHORE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "450097","BAYSHORE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","260 patients",,,"AMI-1 " "450097","BAYSHORE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","108 patients",,,"HF-4 " "450097","BAYSHORE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","306 patients","2 ","2","SCIP-INF-3 " "450099","PAMPA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","50 patients",,,"PN-6 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "450099","PAMPA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","111 patients",,,"SCIP-VTE-1 " "450099","PAMPA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","41 patients",,,"PN-7 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","44 patients",,,"HF-1 " "450099","PAMPA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","115 patients",,,"SCIP-INF-3 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","17 patients","1 ","1","AMI-1 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "450099","PAMPA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","26 patients",,,"SCIP-CARD-2 " "450099","PAMPA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","120 patients",,,"SCIP-INF-1 " "450099","PAMPA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","60 patients",,,"HF-2 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "450099","PAMPA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","122 patients",,,"SCIP-INF-2 " "450099","PAMPA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","65 patients",,,"PN-5C " "450099","PAMPA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450099","PAMPA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","39 patients",,,"PN-3B " "450099","PAMPA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","157 patients",,,"SCIP-INF-6 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450099","PAMPA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","44 patients",,,"PN-2 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"HF-3 " "450099","PAMPA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","111 patients",,,"SCIP-VTE-2 " "450099","PAMPA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450101","HILLCREST BAPTIST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","118 patients",,,"PN-6 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","190 patients",,,"HF-2 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","20 patients","1 ","1","AMI-8A " "450101","HILLCREST BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","322 patients","2 ","2","SCIP-INF-2 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","69 patients","2 ","2","SCIP-INF-4 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","87 patients",,,"PN-4 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","148 patients",,,"AMI-2 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","128 patients",,,"PN-7 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","70 patients","2 ","2","SCIP-CARD-2 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","143 patients",,,"PN-2 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450101","HILLCREST BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","325 patients","2 ","2","SCIP-INF-1 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","143 patients",,,"PN-3B " "450101","HILLCREST BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","455 patients","2 ","2","SCIP-INF-6 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","144 patients",,,"HF-1 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","122 patients",,,"AMI-1 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","152 patients",,,"PN-5C " "450101","HILLCREST BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","295 patients","2 ","2","SCIP-INF-3 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","40 patients",,,"HF-3 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","160 patients","2 ","2","SCIP-VTE-1 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","143 patients",,,"AMI-5 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"AMI-4 " "450101","HILLCREST BAPTIST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","159 patients","2 ","2","SCIP-VTE-2 " "450102","MOTHER FRANCES HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","143 patients",,,"HF-3 " "450102","MOTHER FRANCES HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","308 patients",,,"PN-3B " "450102","MOTHER FRANCES HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","508 patients","2 ","2","SCIP-INF-2 " "450102","MOTHER FRANCES HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","645 patients",,,"AMI-2 " "450102","MOTHER FRANCES HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","665 patients",,,"AMI-5 " "450102","MOTHER FRANCES HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","464 patients","2 ","2","SCIP-INF-3 " "450102","MOTHER FRANCES HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","399 patients",,,"AMI-1 " "450102","MOTHER FRANCES HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","263 patients",,,"PN-7 " "450102","MOTHER FRANCES HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","112 patients",,,"HF-4 " "450102","MOTHER FRANCES HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","134 patients","2 ","2","SCIP-CARD-2 " "450102","MOTHER FRANCES HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","597 patients",,,"HF-2 " "450102","MOTHER FRANCES HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"PN-4 " "450102","MOTHER FRANCES HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","745 patients","2 ","2","SCIP-INF-6 " "450102","MOTHER FRANCES HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","262 patients",,,"AMI-4 " "450102","MOTHER FRANCES HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","484 patients",,,"HF-1 " "450102","MOTHER FRANCES HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","500 patients","2 ","2","SCIP-INF-1 " "450102","MOTHER FRANCES HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","117 patients",,,"AMI-3 " "450102","MOTHER FRANCES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","211 patients","2 ","2","SCIP-VTE-2 " "450102","MOTHER FRANCES HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","158 patients","2 ","2","SCIP-INF-4 " "450102","MOTHER FRANCES HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","357 patients",,,"PN-5C " "450102","MOTHER FRANCES HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","391 patients",,,"PN-2 " "450102","MOTHER FRANCES HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","56 patients",,,"AMI-8A " "450102","MOTHER FRANCES HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","231 patients",,,"PN-6 " "450102","MOTHER FRANCES HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","211 patients","2 ","2","SCIP-VTE-1 " "450102","MOTHER FRANCES HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","140 patients","2 ","2","SCIP-VTE-1 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","135 patients",,,"HF-2 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","223 patients","2 ","2","SCIP-INF-1 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","218 patients","2 ","2","SCIP-INF-2 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","149 patients",,,"PN-2 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","84 patients",,,"PN-6 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","130 patients",,,"PN-5C " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","207 patients","2 ","2","SCIP-INF-3 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","29 patients",,,"AMI-1 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","128 patients",,,"PN-3B " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","18 patients","1 ","1","AMI-5 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","94 patients",,,"HF-1 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","19 patients","1 ","1","AMI-2 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","377 patients","2 ","2","SCIP-INF-6 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","42 patients",,,"PN-4 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","31 patients",,,"SCIP-CARD-2 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","41 patients",,,"HF-3 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","117 patients",,,"PN-7 " "450104","GUADALUPE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","140 patients","2 ","2","SCIP-VTE-2 " "450107","LAS PALMAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","591 patients","2 ","2","SCIP-INF-6 " "450107","LAS PALMAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","183 patients","2 ","2","SCIP-VTE-2 " "450107","LAS PALMAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","79 patients",,,"HF-3 " "450107","LAS PALMAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","69 patients",,,"AMI-5 " "450107","LAS PALMAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "450107","LAS PALMAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "450107","LAS PALMAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","68 patients","2 ","2","SCIP-CARD-2 " "450107","LAS PALMAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "450107","LAS PALMAS MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","85%","74 patients",,,"CAC-3 " "450107","LAS PALMAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","415 patients","2 ","2","SCIP-INF-1 " "450107","LAS PALMAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "450107","LAS PALMAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","68 patients",,,"AMI-2 " "450107","LAS PALMAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"PN-4 " "450107","LAS PALMAS MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","74 patients",,,"CAC-1 " "450107","LAS PALMAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","140 patients",,,"PN-3B " "450107","LAS PALMAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","132 patients",,,"PN-2 " "450107","LAS PALMAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","183 patients","2 ","2","SCIP-VTE-1 " "450107","LAS PALMAS MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","74 patients",,,"CAC-2 " "450107","LAS PALMAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","111 patients",,,"PN-6 " "450107","LAS PALMAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","9 patients","1 ","1","AMI-8A " "450107","LAS PALMAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","102 patients",,,"PN-7 " "450107","LAS PALMAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","171 patients",,,"HF-1 " "450107","LAS PALMAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","90 patients","2 ","2","SCIP-INF-4 " "450107","LAS PALMAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","191 patients",,,"HF-2 " "450107","LAS PALMAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","138 patients",,,"PN-5C " "450107","LAS PALMAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","83 patients",,,"AMI-1 " "450107","LAS PALMAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","421 patients","2 ","2","SCIP-INF-2 " "450107","LAS PALMAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","408 patients","2 ","2","SCIP-INF-3 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","29 patients",,,"PN-6 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","10 patients","1,2,3 ","123","SCIP-VTE-1 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","10 patients","1,2,3 ","123","SCIP-INF-1 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","35 patients",,,"PN-5C " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","30 patients",,,"PN-7 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","27 patients",,,"AMI-1 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2,3 ","23","SCIP-CARD-2 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","71 patients",,,"HF-2 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","15 patients","1,2,3 ","123","SCIP-INF-6 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","42 patients",,,"PN-3B " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","31 patients",,,"PN-2 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","HF-3 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","10 patients","1,2,3 ","123","SCIP-VTE-2 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","10 patients","1,2,3 ","123","SCIP-INF-2 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","10 patients","1,2,3 ","123","SCIP-INF-3 " "450108","CONNALLY MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","54 patients",,,"HF-1 " "450119","SOUTH TEXAS HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","112 patients","2 ","2","PN-3B " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","316 patients","2 ","2","HF-2 " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","260 patients","2 ","2","AMI-5 " "450119","SOUTH TEXAS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","453 patients","2 ","2","SCIP-INF-1 " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","57 patients","2 ","2","AMI-3 " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","AMI-4 " "450119","SOUTH TEXAS HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","81 patients","2 ","2","PN-6 " "450119","SOUTH TEXAS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","326 patients","2 ","2","SCIP-INF-4 " "450119","SOUTH TEXAS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","200 patients","2 ","2","SCIP-VTE-2 " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","265 patients","2 ","2","HF-1 " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","283 patients","2 ","2","AMI-2 " "450119","SOUTH TEXAS HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","34 patients","2 ","2","PN-4 " "450119","SOUTH TEXAS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","200 patients","2 ","2","SCIP-VTE-1 " "450119","SOUTH TEXAS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","765 patients","2 ","2","SCIP-INF-6 " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients","2 ","2","HF-4 " "450119","SOUTH TEXAS HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","112 patients","2 ","2","PN-2 " "450119","SOUTH TEXAS HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","116 patients","2 ","2","PN-5C " "450119","SOUTH TEXAS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","117 patients","2 ","2","SCIP-CARD-2 " "450119","SOUTH TEXAS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","473 patients","2 ","2","SCIP-INF-2 " "450119","SOUTH TEXAS HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","74 patients","2 ","2","PN-7 " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","279 patients","2 ","2","AMI-1 " "450119","SOUTH TEXAS HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","420 patients","2 ","2","SCIP-INF-3 " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","46 patients","2 ","2","AMI-8A " "450119","SOUTH TEXAS HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","105 patients","2 ","2","HF-3 " "450123","RENAISSANCE HOSPITAL- GROVES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "450123","RENAISSANCE HOSPITAL- GROVES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","33%","6 patients","1 ","1","SCIP-INF-3 " "450123","RENAISSANCE HOSPITAL- GROVES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","29 patients",,,"PN-6 " "450123","RENAISSANCE HOSPITAL- GROVES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","6 patients","1 ","1","SCIP-INF-1 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","12 patients","1 ","1","HF-4 " "450123","RENAISSANCE HOSPITAL- GROVES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1 ","1","SCIP-INF-2 " "450123","RENAISSANCE HOSPITAL- GROVES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","41%","29 patients",,,"PN-7 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450123","RENAISSANCE HOSPITAL- GROVES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","22 patients","1 ","1","PN-3B " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450123","RENAISSANCE HOSPITAL- GROVES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","27 patients","3 ","3","PN-5C " "450123","RENAISSANCE HOSPITAL- GROVES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","32 patients",,,"PN-2 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "450123","RENAISSANCE HOSPITAL- GROVES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450123","RENAISSANCE HOSPITAL- GROVES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","10 patients","1 ","1","SCIP-VTE-2 " "450123","RENAISSANCE HOSPITAL- GROVES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","12 patients","1 ","1","SCIP-VTE-1 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","49 patients",,,"HF-2 " "450123","RENAISSANCE HOSPITAL- GROVES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","21 patients","1 ","1","SCIP-INF-6 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","8%","39 patients",,,"HF-1 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "450123","RENAISSANCE HOSPITAL- GROVES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "450123","RENAISSANCE HOSPITAL- GROVES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","35 patients","2 ","2","SCIP-CARD-2 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","107 patients",,,"HF-3 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","79 patients",,,"AMI-5 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","84 patients",,,"AMI-1 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","119 patients","2 ","2","PN-5C " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","71 patients","2 ","2","PN-4 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","260 patients",,,"HF-2 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","192 patients","2 ","2","SCIP-INF-1 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","71%","38 patients","2 ","2","SCIP-INF-4 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","326 patients","2 ","2","SCIP-INF-6 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","23 patients","1,2 ","12","PN-6 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","90 patients",,,"AMI-2 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","167 patients","2 ","2","SCIP-VTE-1 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","44 patients","2 ","2","PN-2 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","253 patients",,,"HF-1 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","46%","63 patients","2 ","2","PN-7 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","165 patients","2 ","2","SCIP-VTE-2 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","111 patients","2 ","2","PN-3B " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","202 patients","2 ","2","SCIP-INF-2 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","90 patients",,,"HF-4 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","187 patients","2 ","2","SCIP-INF-3 " "450124","UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","22 patients","1 ","1","AMI-8A " "450128","KNAPP MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","37 patients",,,"SCIP-CARD-2 " "450128","KNAPP MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","206 patients",,,"PN-5C " "450128","KNAPP MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","130 patients",,,"PN-7 " "450128","KNAPP MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","135 patients",,,"PN-6 " "450128","KNAPP MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "450128","KNAPP MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","260 patients",,,"HF-2 " "450128","KNAPP MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "450128","KNAPP MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","147 patients",,,"SCIP-VTE-2 " "450128","KNAPP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","240 patients",,,"SCIP-INF-1 " "450128","KNAPP MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","187 patients",,,"PN-2 " "450128","KNAPP MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "450128","KNAPP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","234 patients",,,"SCIP-INF-3 " "450128","KNAPP MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","29 patients",,,"AMI-2 " "450128","KNAPP MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","30 patients",,,"AMI-5 " "450128","KNAPP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","347 patients",,,"SCIP-INF-6 " "450128","KNAPP MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","77 patients",,,"AMI-1 " "450128","KNAPP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","239 patients",,,"SCIP-INF-2 " "450128","KNAPP MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","48 patients",,,"HF-3 " "450128","KNAPP MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","179 patients",,,"PN-3B " "450128","KNAPP MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "450128","KNAPP MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450128","KNAPP MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450128","KNAPP MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","147 patients",,,"SCIP-VTE-1 " "450128","KNAPP MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "450128","KNAPP MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","222 patients",,,"HF-1 " "450130","NIX HEALTH CARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","10 patients","1,2 ","12","PN-6 " "450130","NIX HEALTH CARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","39 patients","2 ","2","AMI-2 " "450130","NIX HEALTH CARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","54 patients","2 ","2","PN-2 " "450130","NIX HEALTH CARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1,2 ","12","AMI-3 " "450130","NIX HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","29 patients","2 ","2","SCIP-CARD-2 " "450130","NIX HEALTH CARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1,2 ","12","HF-4 " "450130","NIX HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","132 patients","2 ","2","SCIP-VTE-2 " "450130","NIX HEALTH CARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","25 patients","2 ","2","PN-5C " "450130","NIX HEALTH CARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450130","NIX HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","14 patients","1,2 ","12","SCIP-INF-4 " "450130","NIX HEALTH CARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","62 patients","2 ","2","HF-1 " "450130","NIX HEALTH CARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","29 patients","2 ","2","AMI-1 " "450130","NIX HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","148 patients","2 ","2","SCIP-INF-1 " "450130","NIX HEALTH CARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","81 patients","2 ","2","HF-2 " "450130","NIX HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","150 patients","2 ","2","SCIP-INF-2 " "450130","NIX HEALTH CARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients","2 ","2","HF-3 " "450130","NIX HEALTH CARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","38 patients","2 ","2","PN-7 " "450130","NIX HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","135 patients","2 ","2","SCIP-VTE-1 " "450130","NIX HEALTH CARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-8A " "450130","NIX HEALTH CARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","37 patients","2 ","2","AMI-5 " "450130","NIX HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","141 patients","2 ","2","SCIP-INF-3 " "450130","NIX HEALTH CARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","230 patients","2 ","2","SCIP-INF-6 " "450130","NIX HEALTH CARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2 ","2","PN-3B " "450130","NIX HEALTH CARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1,2 ","12","PN-4 " "450130","NIX HEALTH CARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","AMI-4 " "450132","MEDICAL CENTER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","149 patients",,,"PN-7 " "450132","MEDICAL CENTER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","100 patients",,,"AMI-3 " "450132","MEDICAL CENTER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","506 patients",,,"HF-2 " "450132","MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","130 patients","2 ","2","SCIP-INF-4 " "450132","MEDICAL CENTER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","169 patients",,,"PN-2 " "450132","MEDICAL CENTER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","189 patients",,,"PN-3B " "450132","MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","248 patients","2 ","2","SCIP-VTE-2 " "450132","MEDICAL CENTER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","142 patients",,,"PN-6 " "450132","MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","251 patients","2 ","2","SCIP-VTE-1 " "450132","MEDICAL CENTER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","149 patients",,,"AMI-4 " "450132","MEDICAL CENTER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450132","MEDICAL CENTER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","272 patients",,,"AMI-1 " "450132","MEDICAL CENTER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","451 patients",,,"HF-1 " "450132","MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","123 patients","2 ","2","SCIP-CARD-2 " "450132","MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","553 patients","2 ","2","SCIP-INF-1 " "450132","MEDICAL CENTER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","167 patients",,,"HF-3 " "450132","MEDICAL CENTER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","367 patients",,,"AMI-2 " "450132","MEDICAL CENTER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","132 patients",,,"HF-4 " "450132","MEDICAL CENTER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","110 patients",,,"PN-4 " "450132","MEDICAL CENTER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","215 patients",,,"PN-5C " "450132","MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","771 patients","2 ","2","SCIP-INF-6 " "450132","MEDICAL CENTER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","43 patients",,,"AMI-8A " "450132","MEDICAL CENTER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","327 patients",,,"AMI-5 " "450132","MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","555 patients","2 ","2","SCIP-INF-2 " "450132","MEDICAL CENTER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","505 patients","2 ","2","SCIP-INF-3 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","185 patients",,,"AMI-1 " "450133","MIDLAND MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","210 patients","2 ","2","PN-2 " "450133","MIDLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","388 patients","2 ","2","SCIP-VTE-2 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","44 patients",,,"AMI-8A " "450133","MIDLAND MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","162 patients",,,"PN-7 " "450133","MIDLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","389 patients","2 ","2","SCIP-VTE-1 " "450133","MIDLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","140 patients","2 ","2","SCIP-CARD-2 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","206 patients",,,"AMI-5 " "450133","MIDLAND MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","165 patients","2 ","2","PN-5C " "450133","MIDLAND MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","90 patients","2 ","2","PN-6 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","269 patients",,,"HF-1 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","203 patients",,,"AMI-2 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450133","MIDLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","91 patients","2 ","2","SCIP-INF-4 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","71 patients",,,"HF-4 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","326 patients",,,"HF-2 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"AMI-4 " "450133","MIDLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","691 patients","2 ","2","SCIP-INF-3 " "450133","MIDLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","747 patients","2 ","2","SCIP-INF-2 " "450133","MIDLAND MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","77 patients","2 ","2","PN-4 " "450133","MIDLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","744 patients","2 ","2","SCIP-INF-1 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","83 patients",,,"HF-3 " "450133","MIDLAND MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","122 patients","2 ","2","PN-3B " "450133","MIDLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","971 patients","2 ","2","SCIP-INF-6 " "450133","MIDLAND MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","47 patients",,,"AMI-3 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","180 patients",,,"HF-4 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","231 patients","2 ","2","SCIP-VTE-2 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","233 patients","2 ","2","SCIP-VTE-1 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","911 patients",,,"HF-2 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","518 patients",,,"PN-5C " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","259 patients",,,"AMI-4 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","411 patients","2 ","2","SCIP-INF-3 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","396 patients",,,"PN-2 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","574 patients",,,"PN-3B " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","500 patients",,,"AMI-1 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","720 patients",,,"HF-1 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","90 patients",,,"AMI-8A " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","339 patients",,,"PN-7 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","190 patients",,,"PN-4 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","74%","141 patients","2 ","2","SCIP-INF-4 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","425 patients","2 ","2","SCIP-INF-1 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","290 patients",,,"HF-3 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","301 patients",,,"PN-6 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","91 patients",,,"AMI-3 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","719 patients",,,"AMI-2 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","727 patients",,,"AMI-5 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","429 patients","2 ","2","SCIP-INF-2 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","129 patients","2 ","2","SCIP-CARD-2 " "450135","TEXAS HEALTH HARRIS METHODIST FORT WORTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","642 patients","2 ","2","SCIP-INF-6 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","180 patients",,,"PN-6 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","230 patients",,,"AMI-5 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","249 patients",,,"PN-2 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1213 patients","2 ","2","SCIP-INF-2 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"HF-4 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","296 patients",,,"PN-3B " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","153 patients","2 ","2","SCIP-CARD-2 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","697 patients","2 ","2","SCIP-VTE-2 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","109 patients",,,"HF-3 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","312 patients",,,"PN-5C " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","208 patients",,,"AMI-2 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","38 patients",,,"AMI-8A " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","54 patients",,,"AMI-3 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","100 patients",,,"PN-4 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","697 patients","2 ","2","SCIP-VTE-1 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","298 patients",,,"HF-1 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1211 patients","2 ","2","SCIP-INF-1 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1156 patients","2 ","2","SCIP-INF-3 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","360 patients",,,"HF-2 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"AMI-4 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","118 patients","2 ","2","SCIP-INF-4 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","225 patients",,,"AMI-1 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1537 patients","2 ","2","SCIP-INF-6 " "450137","BAYLOR ALL SAINTS MEDICAL CENTER AT FW","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","195 patients",,,"PN-7 " "450143","SMITHVILLE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","61 patients","2 ","2","PN-6 " "450143","SMITHVILLE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","83 patients","2 ","2","PN-5C " "450143","SMITHVILLE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","48 patients","2 ","2","PN-7 " "450143","SMITHVILLE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients","2 ","2","PN-4 " "450143","SMITHVILLE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","87 patients","2 ","2","PN-3B " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "450143","SMITHVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","10 patients","1 ","1","SCIP-VTE-1 " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","35 patients",,,"HF-1 " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450143","SMITHVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "450143","SMITHVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","10 patients","1 ","1","SCIP-VTE-2 " "450143","SMITHVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","14 patients","1 ","1","SCIP-INF-1 " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","HF-3 " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450143","SMITHVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","15 patients","1 ","1","SCIP-INF-2 " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","33%","3 patients","1,3 ","13","AMI-1 " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","53 patients",,,"HF-2 " "450143","SMITHVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients",,,"SCIP-INF-6 " "450143","SMITHVILLE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450143","SMITHVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450143","SMITHVILLE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","14 patients","1 ","1","SCIP-INF-3 " "450143","SMITHVILLE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","62 patients","2 ","2","PN-2 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","6 patients","1 ","1","SCIP-CARD-2 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","19 patients","1 ","1","PN-7 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","11 patients","1 ","1","PN-4 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","7 patients","1 ","1","HF-1 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","78 patients",,,"SCIP-INF-6 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","61 patients",,,"SCIP-INF-3 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","21 patients","1 ","1","PN-3B " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","29 patients",,,"PN-5C " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","32 patients",,,"PN-6 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","34 patients",,,"SCIP-VTE-2 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","38%","8 patients","1 ","1","HF-2 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","34 patients",,,"SCIP-VTE-1 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","61 patients",,,"SCIP-INF-1 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","29 patients",,,"PN-2 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","62 patients",,,"SCIP-INF-2 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450144","PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450147","DETAR HOSPITAL NAVARRO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","75 patients",,,"PN-6 " "450147","DETAR HOSPITAL NAVARRO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","172 patients",,,"HF-1 " "450147","DETAR HOSPITAL NAVARRO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","318 patients",,,"SCIP-INF-2 " "450147","DETAR HOSPITAL NAVARRO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","68 patients",,,"SCIP-CARD-2 " "450147","DETAR HOSPITAL NAVARRO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","111 patients",,,"PN-3B " "450147","DETAR HOSPITAL NAVARRO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","264 patients",,,"SCIP-VTE-2 " "450147","DETAR HOSPITAL NAVARRO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","527 patients",,,"SCIP-INF-6 " "450147","DETAR HOSPITAL NAVARRO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","125 patients",,,"AMI-2 " "450147","DETAR HOSPITAL NAVARRO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","216 patients",,,"HF-2 " "450147","DETAR HOSPITAL NAVARRO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","119 patients",,,"PN-2 " "450147","DETAR HOSPITAL NAVARRO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","299 patients",,,"SCIP-INF-3 " "450147","DETAR HOSPITAL NAVARRO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","39 patients",,,"SCIP-INF-4 " "450147","DETAR HOSPITAL NAVARRO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","317 patients",,,"SCIP-INF-1 " "450147","DETAR HOSPITAL NAVARRO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","264 patients",,,"SCIP-VTE-1 " "450147","DETAR HOSPITAL NAVARRO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "450147","DETAR HOSPITAL NAVARRO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","71 patients",,,"AMI-1 " "450147","DETAR HOSPITAL NAVARRO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","18 patients","1 ","1","AMI-8A " "450147","DETAR HOSPITAL NAVARRO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","88 patients",,,"PN-7 " "450147","DETAR HOSPITAL NAVARRO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "450147","DETAR HOSPITAL NAVARRO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450147","DETAR HOSPITAL NAVARRO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"HF-3 " "450147","DETAR HOSPITAL NAVARRO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","121 patients",,,"AMI-5 " "450147","DETAR HOSPITAL NAVARRO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "450147","DETAR HOSPITAL NAVARRO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","AMI-3 " "450147","DETAR HOSPITAL NAVARRO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","122 patients",,,"PN-5C " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","202 patients","2 ","2","SCIP-INF-1 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","22 patients","1,2 ","12","SCIP-CARD-2 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","198 patients","2 ","2","SCIP-INF-3 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","123 patients",,,"PN-2 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","203 patients","2 ","2","SCIP-INF-2 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","HF-4 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","68 patients",,,"PN-4 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","291 patients","2 ","2","SCIP-INF-6 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","150 patients",,,"PN-5C " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","155 patients","2 ","2","SCIP-VTE-2 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","105 patients",,,"HF-1 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","99 patients",,,"PN-6 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","147 patients",,,"HF-2 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"HF-3 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","88 patients",,,"PN-7 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","134 patients",,,"PN-3B " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","155 patients","2 ","2","SCIP-VTE-1 " "450148","TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450152","METROPLEX HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","42 patients",,,"AMI-2 " "450152","METROPLEX HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "450152","METROPLEX HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","54 patients",,,"AMI-1 " "450152","METROPLEX HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-8A " "450152","METROPLEX HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450152","METROPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","350 patients",,,"SCIP-INF-2 " "450152","METROPLEX HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","95 patients",,,"PN-6 " "450152","METROPLEX HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","64 patients",,,"PN-4 " "450152","METROPLEX HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","135 patients",,,"PN-5C " "450152","METROPLEX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","217 patients",,,"SCIP-VTE-1 " "450152","METROPLEX HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","124 patients",,,"PN-3B " "450152","METROPLEX HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","43 patients",,,"AMI-5 " "450152","METROPLEX HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"HF-4 " "450152","METROPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450152","METROPLEX HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","85 patients",,,"PN-7 " "450152","METROPLEX HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","205 patients",,,"HF-2 " "450152","METROPLEX HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","93 patients",,,"PN-2 " "450152","METROPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","334 patients",,,"SCIP-INF-3 " "450152","METROPLEX HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "450152","METROPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","355 patients",,,"SCIP-INF-1 " "450152","METROPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","423 patients",,,"SCIP-INF-6 " "450152","METROPLEX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","217 patients",,,"SCIP-VTE-2 " "450152","METROPLEX HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","49 patients",,,"SCIP-CARD-2 " "450152","METROPLEX HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","67 patients",,,"HF-3 " "450152","METROPLEX HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","185 patients",,,"HF-1 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","150 patients",,,"SCIP-INF-6 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","59%","27 patients",,,"PN-6 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","14 patients","1 ","1","AMI-1 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","82 patients",,,"HF-1 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","40 patients",,,"HF-3 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","71%","56 patients",,,"PN-5C " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","53%","87 patients",,,"SCIP-VTE-1 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","40 patients",,,"PN-2 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","36%","11 patients","1 ","1","SCIP-CARD-2 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","96 patients",,,"HF-2 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","4 patients","1 ","1","PN-4 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","105 patients",,,"SCIP-INF-1 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","58%","79 patients",,,"SCIP-VTE-2 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","30 patients",,,"PN-7 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","98 patients",,,"SCIP-INF-2 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","98 patients",,,"SCIP-INF-3 " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450154","VAL VERDE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","41 patients",,,"PN-3B " "450155","HEREFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","10 patients","1,2 ","12","SCIP-INF-3 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","34 patients","2 ","2","PN-5C " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450155","HEREFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","23 patients","1,2 ","12","PN-7 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","14 patients","1,2 ","12","PN-3B " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","29 patients","2 ","2","HF-1 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","10 patients","1,2 ","12","SCIP-INF-2 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450155","HEREFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","16 patients","1,2 ","12","SCIP-INF-6 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","65%","31 patients","2 ","2","HF-2 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","36 patients","2 ","2","PN-6 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","40%","10 patients","1,2 ","12","SCIP-VTE-1 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","26 patients","2 ","2","PN-2 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","10 patients","1,2 ","12","SCIP-INF-1 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","PN-4 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","HF-4 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","40%","10 patients","1,2 ","12","SCIP-VTE-2 " "450155","HEREFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","HF-3 " "450162","GRACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","7 patients","1 ","1","SCIP-CARD-2 " "450162","GRACE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "450162","GRACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","74%","88 patients",,,"SCIP-INF-6 " "450162","GRACE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","33 patients",,,"PN-6 " "450162","GRACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","34 patients",,,"SCIP-INF-3 " "450162","GRACE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450162","GRACE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450162","GRACE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450162","GRACE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450162","GRACE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","23 patients","1 ","1","PN-2 " "450162","GRACE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","32 patients",,,"PN-3B " "450162","GRACE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","17 patients","1 ","1","HF-1 " "450162","GRACE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "450162","GRACE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","23 patients","1 ","1","HF-2 " "450162","GRACE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","30 patients",,,"PN-5C " "450162","GRACE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "450162","GRACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450162","GRACE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450162","GRACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","34 patients",,,"SCIP-INF-2 " "450162","GRACE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450162","GRACE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "450162","GRACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","33 patients",,,"SCIP-VTE-2 " "450162","GRACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","34 patients",,,"SCIP-INF-1 " "450162","GRACE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","17 patients","1 ","1","PN-7 " "450162","GRACE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","33 patients",,,"SCIP-VTE-1 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","68 patients",,,"HF-3 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","54 patients",,,"SCIP-INF-2 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","97 patients",,,"PN-6 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","59 patients",,,"SCIP-VTE-1 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","203 patients",,,"HF-1 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","89 patients",,,"PN-3B " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","50 patients",,,"SCIP-INF-3 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","135 patients",,,"PN-5C " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1,3 ","13","AMI-1 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","74 patients",,,"PN-7 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","235 patients",,,"HF-2 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","100 patients",,,"PN-2 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","54 patients",,,"SCIP-INF-1 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","4 patients","1 ","1","SCIP-CARD-2 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","124 patients",,,"SCIP-INF-6 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450163","CHRISTUS SPOHN HOSPITAL KLEBERG","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","56 patients",,,"SCIP-VTE-2 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","72 patients",,,"HF-2 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","90 patients",,,"PN-7 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","95 patients","2 ","2","SCIP-INF-2 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","61 patients",,,"HF-1 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","10 patients","1 ","1","AMI-2 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","7 patients","1,2 ","12","SCIP-CARD-2 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","136 patients","2 ","2","SCIP-INF-6 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","143 patients",,,"PN-5C " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","93 patients","2 ","2","SCIP-INF-1 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","99 patients",,,"PN-2 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","89 patients","2 ","2","SCIP-INF-3 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","46 patients","2 ","2","SCIP-VTE-1 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","93 patients",,,"PN-6 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","46 patients","2 ","2","SCIP-VTE-2 " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","140 patients",,,"PN-3B " "450165","SOUTH TEXAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450176","MISSION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","83 patients",,,"AMI-1 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","18%","11 patients","1 ","1","AMI-8A " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","67 patients",,,"AMI-5 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "450176","MISSION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","429 patients",,,"SCIP-INF-6 " "450176","MISSION REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","78%","201 patients",,,"PN-5C " "450176","MISSION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","222 patients",,,"SCIP-INF-2 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "450176","MISSION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","196 patients",,,"SCIP-VTE-2 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","260 patients",,,"HF-1 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","72 patients",,,"AMI-2 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","14 patients","1 ","1","AMI-3 " "450176","MISSION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","213 patients",,,"SCIP-INF-3 " "450176","MISSION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","198 patients",,,"SCIP-VTE-1 " "450176","MISSION REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","94 patients",,,"PN-6 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","306 patients",,,"HF-2 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","72 patients",,,"HF-3 " "450176","MISSION REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","191 patients",,,"PN-2 " "450176","MISSION REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","AMI-4 " "450176","MISSION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","53 patients",,,"SCIP-CARD-2 " "450176","MISSION REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","149 patients",,,"PN-7 " "450176","MISSION REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","168 patients",,,"PN-3B " "450176","MISSION REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","225 patients",,,"SCIP-INF-1 " "450176","MISSION REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "450177","UVALDE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","36 patients",,,"PN-6 " "450177","UVALDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","65%","17 patients","1 ","1","SCIP-INF-3 " "450177","UVALDE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "450177","UVALDE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","HF-4 " "450177","UVALDE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","PN-4 " "450177","UVALDE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","53 patients",,,"PN-2 " "450177","UVALDE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "450177","UVALDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450177","UVALDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "450177","UVALDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-2 " "450177","UVALDE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","21 patients","1 ","1","HF-3 " "450177","UVALDE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","52 patients",,,"PN-5C " "450177","UVALDE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450177","UVALDE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","83 patients",,,"HF-2 " "450177","UVALDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","21 patients","1 ","1","SCIP-VTE-1 " "450177","UVALDE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","70 patients",,,"HF-1 " "450177","UVALDE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450177","UVALDE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "450177","UVALDE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","42 patients",,,"PN-7 " "450177","UVALDE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "450177","UVALDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","34 patients",,,"SCIP-INF-6 " "450177","UVALDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","21 patients","1 ","1","SCIP-VTE-2 " "450177","UVALDE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450177","UVALDE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","18 patients","1 ","1","SCIP-INF-1 " "450177","UVALDE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","38 patients",,,"PN-3B " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,2 ","12","PN-4 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","33%","3 patients","1 ","1","SCIP-CARD-2 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,2,3 ","123","AMI-2 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","10 patients","1,2 ","12","PN-3B " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","57 patients","2 ","2","HF-2 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","25 patients","2 ","2","SCIP-INF-3 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","70%","40 patients","2 ","2","HF-3 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","49 patients","2 ","2","HF-1 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","25 patients","2 ","2","SCIP-INF-1 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1,2 ","12","HF-4 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","21 patients","1,2 ","12","PN-6 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","38 patients","2 ","2","SCIP-INF-6 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","30 patients","2 ","2","PN-5C " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","12 patients","1,2 ","12","PN-7 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","25 patients","2 ","2","SCIP-INF-2 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","16 patients","1,2 ","12","PN-2 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","16 patients","1,2 ","12","SCIP-VTE-1 " "450178","PECOS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","44%","16 patients","1,2 ","12","SCIP-VTE-2 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","1031 patients",,,"PN-3B " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","410 patients","2 ","2","SCIP-CARD-2 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","1467 patients",,,"HF-1 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","354 patients",,,"HF-4 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","1087 patients",,,"PN-2 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","1247 patients","2 ","2","SCIP-VTE-1 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","3582 patients","2 ","2","SCIP-INF-6 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","660 patients",,,"PN-6 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","2568 patients","2 ","2","SCIP-INF-3 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","2727 patients","2 ","2","SCIP-INF-2 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","877 patients",,,"AMI-2 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","193 patients",,,"AMI-3 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","764 patients",,,"AMI-1 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","1242 patients","2 ","2","SCIP-VTE-2 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","1009 patients",,,"PN-5C " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","868 patients",,,"PN-7 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","674 patients",,,"HF-3 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","360 patients","2 ","2","SCIP-INF-4 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","2678 patients","2 ","2","SCIP-INF-1 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1738 patients",,,"HF-2 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","489 patients",,,"PN-4 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","865 patients",,,"AMI-5 " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","168 patients",,,"AMI-8A " "450184","MEMORIAL HERMANN HOSPITAL SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","298 patients",,,"AMI-4 " "450187","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","161 patients","2 ","2","SCIP-INF-6 " "450187","TRINITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450187","TRINITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","58 patients","2 ","2","PN-2 " "450187","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","76 patients","2 ","2","SCIP-VTE-1 " "450187","TRINITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450187","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","27 patients","2 ","2","SCIP-CARD-2 " "450187","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","76 patients","2 ","2","SCIP-VTE-2 " "450187","TRINITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","PN-4 " "450187","TRINITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","70 patients","2 ","2","PN-5C " "450187","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","120 patients","2 ","2","SCIP-INF-1 " "450187","TRINITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450187","TRINITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "450187","TRINITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "450187","TRINITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","50 patients",,,"HF-2 " "450187","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","115 patients","2 ","2","SCIP-INF-3 " "450187","TRINITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","16 patients","1 ","1","HF-3 " "450187","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","119 patients","2 ","2","SCIP-INF-2 " "450187","TRINITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450187","TRINITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "450187","TRINITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","37 patients","2 ","2","PN-7 " "450187","TRINITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "450187","TRINITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","53 patients","2 ","2","PN-3B " "450187","TRINITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "450187","TRINITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients","2 ","2","PN-6 " "450187","TRINITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","47 patients",,,"HF-1 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","68 patients",,,"PN-4 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","104 patients",,,"PN-2 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","70 patients",,,"PN-7 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","66%","113 patients",,,"PN-6 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","88 patients",,,"HF-2 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","23 patients","1 ","1","HF-4 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1 ","1","AMI-2 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","49 patients",,,"PN-3B " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","140 patients",,,"PN-5C " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","65 patients",,,"HF-1 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450188","EAST TEXAS MEDICAL CENTER - CLARKSVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450192","HILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450192","HILL REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","60 patients",,,"PN-3B " "450192","HILL REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","73 patients",,,"PN-5C " "450192","HILL REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "450192","HILL REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","63 patients",,,"HF-2 " "450192","HILL REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","64 patients",,,"PN-2 " "450192","HILL REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "450192","HILL REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "450192","HILL REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "450192","HILL REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","50 patients",,,"PN-7 " "450192","HILL REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1 ","1","AMI-1 " "450192","HILL REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"PN-4 " "450192","HILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","29 patients","2 ","2","SCIP-INF-3 " "450192","HILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","49 patients","2 ","2","SCIP-INF-6 " "450192","HILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","26 patients","2 ","2","SCIP-VTE-2 " "450192","HILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","30 patients","2 ","2","SCIP-INF-1 " "450192","HILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,2 ","12","SCIP-CARD-2 " "450192","HILL REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450192","HILL REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "450192","HILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","30 patients","2 ","2","SCIP-INF-2 " "450192","HILL REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450192","HILL REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","40 patients",,,"PN-6 " "450192","HILL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","26 patients","2 ","2","SCIP-VTE-1 " "450192","HILL REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","46 patients",,,"HF-1 " "450192","HILL REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","25 patients","2 ","2","AMI-8A " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","264 patients","2 ","2","HF-1 " "450193","ST LUKES EPISCOPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","362 patients","2 ","2","SCIP-INF-3 " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450193","ST LUKES EPISCOPAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","99 patients","2 ","2","SCIP-CARD-2 " "450193","ST LUKES EPISCOPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","622 patients","2 ","2","SCIP-INF-6 " "450193","ST LUKES EPISCOPAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","81 patients","2 ","2","PN-7 " "450193","ST LUKES EPISCOPAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","60 patients","2 ","2","PN-5C " "450193","ST LUKES EPISCOPAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","95 patients","2 ","2","PN-3B " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","156 patients","2 ","2","AMI-1 " "450193","ST LUKES EPISCOPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","126 patients","2 ","2","SCIP-INF-4 " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","120 patients","2 ","2","HF-3 " "450193","ST LUKES EPISCOPAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","26 patients","2 ","2","PN-6 " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","49 patients","2 ","2","AMI-3 " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","242 patients","2 ","2","AMI-2 " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","222 patients","2 ","2","AMI-5 " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","289 patients","2 ","2","HF-2 " "450193","ST LUKES EPISCOPAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients","2 ","2","PN-4 " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","HF-4 " "450193","ST LUKES EPISCOPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","393 patients","2 ","2","SCIP-INF-1 " "450193","ST LUKES EPISCOPAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients","2 ","2","AMI-4 " "450193","ST LUKES EPISCOPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","249 patients","2 ","2","SCIP-VTE-1 " "450193","ST LUKES EPISCOPAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","249 patients","2 ","2","SCIP-VTE-2 " "450193","ST LUKES EPISCOPAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","402 patients","2 ","2","SCIP-INF-2 " "450193","ST LUKES EPISCOPAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","83 patients","2 ","2","PN-2 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","55 patients","2 ","2","SCIP-INF-1 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","56 patients",,,"HF-1 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","54 patients","2 ","2","SCIP-INF-2 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","37 patients",,,"PN-6 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","16 patients","1 ","1","HF-4 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","98 patients","2 ","2","SCIP-INF-6 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","97 patients",,,"HF-2 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","11 patients","1 ","1","SCIP-CARD-2 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","45 patients",,,"PN-7 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","18 patients","1 ","1","PN-4 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","59 patients",,,"PN-2 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","58 patients","2 ","2","SCIP-VTE-2 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","59 patients","2 ","2","SCIP-VTE-1 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","47 patients","2 ","2","SCIP-INF-3 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","61 patients",,,"PN-5C " "450194","EAST TEXAS MEDICAL CENTER JACKSONVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","45 patients",,,"PN-3B " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","96 patients",,,"AMI-1 " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","170 patients",,,"AMI-5 " "450196","PARIS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","134 patients",,,"PN-6 " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","48 patients",,,"AMI-3 " "450196","PARIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","601 patients","2 ","2","SCIP-INF-1 " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","46 patients",,,"HF-4 " "450196","PARIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","607 patients","2 ","2","SCIP-INF-2 " "450196","PARIS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","165 patients",,,"PN-3B " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","225 patients",,,"HF-2 " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","65%","17 patients","1 ","1","AMI-8A " "450196","PARIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","113 patients",,,"SCIP-CARD-2 " "450196","PARIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","529 patients","2 ","2","SCIP-INF-3 " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","160 patients",,,"AMI-2 " "450196","PARIS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","185 patients",,,"PN-5C " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","81 patients",,,"HF-3 " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","176 patients",,,"HF-1 " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450196","PARIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","79 patients","2 ","2","SCIP-INF-4 " "450196","PARIS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","205 patients",,,"PN-2 " "450196","PARIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","824 patients","2 ","2","SCIP-INF-6 " "450196","PARIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"AMI-4 " "450196","PARIS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"PN-4 " "450196","PARIS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","146 patients",,,"PN-7 " "450196","PARIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","283 patients","2 ","2","SCIP-VTE-1 " "450196","PARIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","280 patients","2 ","2","SCIP-VTE-2 " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "450200","WADLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","351 patients","2 ","2","SCIP-INF-2 " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","31%","13 patients","1 ","1","AMI-8A " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","185 patients",,,"HF-1 " "450200","WADLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","204 patients","2 ","2","SCIP-VTE-2 " "450200","WADLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","337 patients","2 ","2","SCIP-INF-3 " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","47 patients",,,"AMI-3 " "450200","WADLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","541 patients","2 ","2","SCIP-INF-6 " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","97 patients",,,"AMI-1 " "450200","WADLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","51 patients","2 ","2","SCIP-INF-4 " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","61 patients",,,"AMI-4 " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","226 patients",,,"HF-2 " "450200","WADLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","104 patients",,,"PN-2 " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","116 patients",,,"AMI-5 " "450200","WADLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","74 patients",,,"PN-6 " "450200","WADLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","204 patients","2 ","2","SCIP-VTE-1 " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","110 patients",,,"HF-3 " "450200","WADLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","76 patients",,,"PN-7 " "450200","WADLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"PN-4 " "450200","WADLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","348 patients","2 ","2","SCIP-INF-1 " "450200","WADLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","85 patients","2 ","2","SCIP-CARD-2 " "450200","WADLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","117 patients",,,"AMI-2 " "450200","WADLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","117 patients",,,"PN-5C " "450200","WADLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","105 patients",,,"PN-3B " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","160 patients",,,"PN-5C " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","181 patients","2 ","2","SCIP-INF-6 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","100 patients",,,"PN-6 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","29 patients","2 ","2","SCIP-CARD-2 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","155 patients","2 ","2","SCIP-INF-2 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","112 patients","2 ","2","SCIP-VTE-2 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","112 patients","2 ","2","SCIP-VTE-1 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","146 patients","2 ","2","SCIP-INF-3 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","154 patients","2 ","2","SCIP-INF-1 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","94 patients",,,"PN-7 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","147 patients",,,"PN-2 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","130 patients",,,"HF-1 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","152 patients",,,"PN-3B " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","HF-3 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","169 patients",,,"HF-2 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450203","WEATHERFORD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","111 patients",,,"HF-3 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","109 patients",,,"PN-4 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","215 patients",,,"HF-1 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","521 patients","2 ","2","SCIP-INF-3 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","152 patients","2 ","2","SCIP-INF-4 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","267 patients",,,"HF-2 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","230 patients",,,"AMI-5 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","58%","48 patients",,,"AMI-8A " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","133 patients",,,"PN-6 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","144 patients",,,"PN-3B " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"HF-4 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","163 patients",,,"AMI-1 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","124 patients",,,"PN-7 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","130 patients",,,"PN-2 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","544 patients","2 ","2","SCIP-INF-2 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","110 patients","2 ","2","SCIP-CARD-2 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","95 patients",,,"AMI-4 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","284 patients","2 ","2","SCIP-VTE-2 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","732 patients","2 ","2","SCIP-INF-6 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","232 patients",,,"AMI-2 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","167 patients",,,"PN-5C " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","27 patients",,,"AMI-3 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","540 patients","2 ","2","SCIP-INF-1 " "450209","NORTHWEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","288 patients","2 ","2","SCIP-VTE-1 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","62%","8 patients","1 ","1","AMI-1 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","25 patients",,,"PN-7 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","28 patients",,,"HF-1 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","52 patients",,,"HF-2 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","0%","2 patients","1,3 ","13","SCIP-INF-3 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","6 patients","1,3 ","13","SCIP-VTE-2 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","38 patients",,,"PN-2 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","2 patients","1,3 ","13","SCIP-INF-1 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","10 patients","1 ","1","HF-4 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","52 patients",,,"PN-5C " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","32 patients",,,"PN-6 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","30 patients",,,"PN-3B " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","6 patients","1,3 ","13","SCIP-VTE-1 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","2 patients","1,3 ","13","SCIP-INF-2 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","21 patients","1 ","1","PN-4 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "450210","EAST TEXAS MEDICAL CENTER-CARTHAGE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","172 patients","2 ","2","AMI-2 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","107 patients","2 ","2","PN-5C " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","251 patients","2 ","2","SCIP-INF-1 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","234 patients","2 ","2","SCIP-INF-3 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","74 patients","2 ","2","AMI-4 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","66 patients","2 ","2","PN-6 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","190 patients","2 ","2","HF-1 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","57 patients","2 ","2","SCIP-CARD-2 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","184 patients","2 ","2","SCIP-VTE-1 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","55 patients","2 ","2","SCIP-INF-4 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","183 patients","2 ","2","SCIP-VTE-2 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","61 patients","2 ","2","PN-4 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","174 patients","2 ","2","AMI-5 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","384 patients","2 ","2","SCIP-INF-6 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","37 patients","2 ","2","HF-4 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","126 patients","2 ","2","AMI-1 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","83 patients","2 ","2","HF-3 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","251 patients","2 ","2","SCIP-INF-2 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","122 patients","2 ","2","PN-2 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","86 patients","2 ","2","PN-7 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","85 patients","2 ","2","PN-3B " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","58%","19 patients","1,2 ","12","AMI-8A " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","246 patients","2 ","2","HF-2 " "450211","MEMORIAL HEALTH SYSTEM OF EAST TEXAS- LUFKIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","41 patients","2 ","2","AMI-3 " "450213","UNIVERSITY HEALTH SYSTEM","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","0%","9 patients","1 ","1","CAC-3 " "450213","UNIVERSITY HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","343 patients",,,"HF-1 " "450213","UNIVERSITY HEALTH SYSTEM","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-2 " "450213","UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","49 patients","2 ","2","PN-2 " "450213","UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","72%","447 patients","2 ","2","SCIP-INF-1 " "450213","UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","107 patients","2 ","2","PN-3B " "450213","UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"AMI-4 " "450213","UNIVERSITY HEALTH SYSTEM","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-1 " "450213","UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","84 patients","2 ","2","PN-7 " "450213","UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","123 patients",,,"AMI-5 " "450213","UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","86 patients","2 ","2","PN-6 " "450213","UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","84 patients","2 ","2","PN-4 " "450213","UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450213","UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","68 patients","2 ","2","SCIP-CARD-2 " "450213","UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","658 patients","2 ","2","SCIP-INF-6 " "450213","UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","402 patients","2 ","2","SCIP-INF-3 " "450213","UNIVERSITY HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","350 patients",,,"HF-2 " "450213","UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","25 patients",,,"AMI-3 " "450213","UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","127 patients","2 ","2","SCIP-INF-4 " "450213","UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","77%","120 patients","2 ","2","PN-5C " "450213","UNIVERSITY HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","82 patients",,,"HF-4 " "450213","UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","127 patients",,,"AMI-2 " "450213","UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","25 patients",,,"AMI-8A " "450213","UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","301 patients","2 ","2","SCIP-VTE-1 " "450213","UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","125 patients",,,"AMI-1 " "450213","UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","417 patients","2 ","2","SCIP-INF-2 " "450213","UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","301 patients","2 ","2","SCIP-VTE-2 " "450213","UNIVERSITY HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","193 patients",,,"HF-3 " "450214","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","113 patients",,,"SCIP-INF-6 " "450214","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450214","GULF COAST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","51 patients",,,"PN-2 " "450214","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","69 patients",,,"SCIP-INF-2 " "450214","GULF COAST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "450214","GULF COAST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","26 patients",,,"HF-3 " "450214","GULF COAST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450214","GULF COAST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450214","GULF COAST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","67 patients",,,"PN-3B " "450214","GULF COAST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","44 patients",,,"PN-7 " "450214","GULF COAST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450214","GULF COAST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "450214","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","60 patients",,,"SCIP-VTE-2 " "450214","GULF COAST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","79 patients",,,"PN-5C " "450214","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","68 patients",,,"SCIP-INF-3 " "450214","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","12 patients","1 ","1","SCIP-CARD-2 " "450214","GULF COAST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450214","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","68 patients",,,"SCIP-INF-1 " "450214","GULF COAST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","63 patients",,,"HF-1 " "450214","GULF COAST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "450214","GULF COAST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "450214","GULF COAST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","41 patients",,,"PN-6 " "450214","GULF COAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","60 patients",,,"SCIP-VTE-1 " "450214","GULF COAST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1 ","1","AMI-1 " "450214","GULF COAST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","76 patients",,,"HF-2 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","30 patients","2 ","2","SCIP-INF-6 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","12 patients","1,2 ","12","SCIP-VTE-1 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","111 patients","2 ","2","PN-5C " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","21 patients","1 ","1","HF-1 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","111 patients","2 ","2","PN-2 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","66 patients","2 ","2","PN-6 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1,2 ","12","SCIP-INF-2 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","8 patients","1,2 ","12","SCIP-INF-1 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","25 patients",,,"HF-2 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","98 patients","2 ","2","PN-3B " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","26 patients","2 ","2","PN-4 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","80 patients","2 ","2","PN-7 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","8 patients","1,2 ","12","SCIP-INF-3 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "450219","LLANO MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","12 patients","1,2 ","12","SCIP-VTE-2 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","59%","17 patients","1 ","1","SCIP-VTE-1 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1,2 ","12","HF-3 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1,2 ","12","HF-4 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","43 patients",,,"PN-2 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","38 patients",,,"PN-6 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450221","MOORE COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","64%","14 patients","1 ","1","SCIP-INF-3 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","39 patients",,,"PN-3B " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","14 patients","1 ","1","SCIP-INF-2 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","64 patients","2 ","2","HF-2 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","46 patients","2 ","2","HF-1 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients",,,"SCIP-INF-6 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","59%","17 patients","1 ","1","SCIP-VTE-2 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","14 patients","1 ","1","SCIP-INF-1 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","32 patients",,,"PN-5C " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","36 patients",,,"PN-7 " "450221","MOORE COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","475 patients",,,"HF-1 " "450222","CONROE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","300 patients",,,"PN-2 " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450222","CONROE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","298 patients",,,"PN-3B " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"AMI-3 " "450222","CONROE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","292 patients",,,"PN-5C " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","279 patients",,,"AMI-2 " "450222","CONROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","736 patients","2 ","2","SCIP-INF-6 " "450222","CONROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","165 patients","2 ","2","SCIP-INF-4 " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","135 patients",,,"HF-4 " "450222","CONROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","273 patients","2 ","2","SCIP-VTE-2 " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","164 patients",,,"HF-3 " "450222","CONROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","122 patients","2 ","2","SCIP-CARD-2 " "450222","CONROE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","235 patients",,,"PN-7 " "450222","CONROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","273 patients","2 ","2","SCIP-VTE-1 " "450222","CONROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","456 patients","2 ","2","SCIP-INF-1 " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","241 patients",,,"AMI-5 " "450222","CONROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","467 patients","2 ","2","SCIP-INF-2 " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","60 patients",,,"AMI-8A " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","563 patients",,,"HF-2 " "450222","CONROE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","410 patients","2 ","2","SCIP-INF-3 " "450222","CONROE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","233 patients",,,"PN-6 " "450222","CONROE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","178 patients",,,"PN-4 " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","216 patients",,,"AMI-1 " "450222","CONROE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","133 patients",,,"AMI-4 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","30 patients","2 ","2","SCIP-VTE-1 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","28 patients","2 ","2","SCIP-VTE-2 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1,2 ","12","SCIP-CARD-2 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","41 patients","2 ","2","SCIP-INF-6 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","24 patients","1 ","1","PN-2 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","17 patients","1,2 ","12","SCIP-INF-2 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","11 patients","1 ","1","HF-1 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","25 patients",,,"PN-5C " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","18 patients","1 ","1","HF-2 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","19 patients","1 ","1","PN-6 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","17 patients","1,2 ","12","SCIP-INF-1 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","20 patients","1 ","1","PN-7 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","17 patients","1,2 ","12","SCIP-INF-3 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "450224","PRESBYTERIAN HOSPITAL OF WINNSBORO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","27 patients",,,"PN-3B " "450229","HENDRICK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "450229","HENDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","399 patients","2 ","2","SCIP-INF-2 " "450229","HENDRICK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "450229","HENDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","215 patients","2 ","2","SCIP-VTE-1 " "450229","HENDRICK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","177 patients",,,"PN-7 " "450229","HENDRICK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","51%","47 patients",,,"AMI-8A " "450229","HENDRICK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","275 patients",,,"HF-2 " "450229","HENDRICK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","91 patients",,,"HF-3 " "450229","HENDRICK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","168 patients",,,"PN-6 " "450229","HENDRICK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","232 patients",,,"PN-3B " "450229","HENDRICK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","289 patients",,,"AMI-5 " "450229","HENDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","89 patients","2 ","2","SCIP-CARD-2 " "450229","HENDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","100 patients","2 ","2","SCIP-INF-4 " "450229","HENDRICK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "450229","HENDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","384 patients","2 ","2","SCIP-INF-1 " "450229","HENDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","566 patients","2 ","2","SCIP-INF-6 " "450229","HENDRICK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","37 patients",,,"AMI-3 " "450229","HENDRICK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","296 patients",,,"AMI-2 " "450229","HENDRICK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","186 patients",,,"PN-2 " "450229","HENDRICK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","110 patients",,,"AMI-4 " "450229","HENDRICK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","224 patients",,,"HF-1 " "450229","HENDRICK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","226 patients",,,"PN-5C " "450229","HENDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","215 patients","2 ","2","SCIP-VTE-2 " "450229","HENDRICK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","370 patients","2 ","2","SCIP-INF-3 " "450229","HENDRICK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","193 patients",,,"AMI-1 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","298 patients","2 ","2","SCIP-VTE-1 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","19%","57 patients",,,"CAC-3 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients","2 ","2","HF-4 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","39 patients","2 ","2","AMI-3 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","258 patients","2 ","2","AMI-5 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","120 patients","2 ","2","SCIP-CARD-2 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","57 patients",,,"CAC-1 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","257 patients","2 ","2","AMI-2 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","73 patients","2 ","2","PN-6 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","79 patients","2 ","2","AMI-4 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","184 patients","2 ","2","AMI-1 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","476 patients","2 ","2","SCIP-INF-3 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","230 patients","2 ","2","HF-1 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","175 patients","2 ","2","PN-2 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","37 patients","2 ","2","AMI-8A " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","719 patients","2 ","2","SCIP-INF-6 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","74 patients","2 ","2","PN-4 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","297 patients","2 ","2","HF-2 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","117 patients","2 ","2","PN-7 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","296 patients","2 ","2","SCIP-VTE-2 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","75 patients","2 ","2","HF-3 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","134 patients","2 ","2","PN-3B " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","512 patients","2 ","2","SCIP-INF-1 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","518 patients","2 ","2","SCIP-INF-2 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","110 patients","2 ","2","SCIP-INF-4 " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","147 patients","2 ","2","PN-5C " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450231","BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","57 patients",,,"CAC-2 " "450234","COMANCHE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","14 patients","1 ","1","SCIP-INF-3 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","33 patients",,,"AMI-1 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","25 patients",,,"AMI-2 " "450234","COMANCHE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","16 patients","1 ","1","SCIP-INF-1 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","16%","37 patients","2 ","2","HF-1 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450234","COMANCHE COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","28 patients",,,"PN-3B " "450234","COMANCHE COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","44 patients",,,"PN-6 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450234","COMANCHE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","14 patients","1 ","1","SCIP-INF-2 " "450234","COMANCHE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1 ","1","SCIP-VTE-1 " "450234","COMANCHE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","25 patients",,,"SCIP-INF-6 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1,2 ","12","HF-4 " "450234","COMANCHE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450234","COMANCHE COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","18 patients","1 ","1","PN-4 " "450234","COMANCHE COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","57 patients",,,"PN-2 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "450234","COMANCHE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1 ","1","SCIP-VTE-2 " "450234","COMANCHE COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","46 patients",,,"PN-7 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","25 patients",,,"AMI-5 " "450234","COMANCHE COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","59 patients",,,"PN-5C " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1,2 ","12","HF-3 " "450234","COMANCHE COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","50 patients","2 ","2","HF-2 " "450234","COMANCHE COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","33%","6 patients","1 ","1","SCIP-CARD-2 " "450235","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450235","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","41 patients",,,"PN-7 " "450235","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450235","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","40 patients",,,"PN-3B " "450235","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "450235","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "450235","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450235","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","PN-4 " "450235","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","29%","7 patients","1 ","1","SCIP-VTE-1 " "450235","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","60 patients",,,"PN-5C " "450235","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","17 patients","1 ","1","SCIP-INF-1 " "450235","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients",,,"SCIP-INF-6 " "450235","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "450235","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","51 patients",,,"HF-2 " "450235","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450235","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","31 patients",,,"HF-1 " "450235","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","38 patients",,,"PN-6 " "450235","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","29%","7 patients","1 ","1","SCIP-VTE-2 " "450235","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","17 patients","1 ","1","SCIP-INF-2 " "450235","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "450235","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","17 patients","1 ","1","SCIP-INF-3 " "450235","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450235","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","57 patients",,,"PN-2 " "450235","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "450235","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","74 patients",,,"HF-1 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","154 patients","2 ","2","SCIP-INF-1 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","80 patients",,,"PN-6 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","96 patients","2 ","2","SCIP-VTE-2 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","154 patients","2 ","2","SCIP-INF-2 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","40%","15 patients","1 ","1","SCIP-CARD-2 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","46 patients",,,"PN-3B " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","35 patients",,,"AMI-1 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","97 patients","2 ","2","SCIP-VTE-1 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"PN-4 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","58 patients",,,"PN-2 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","217 patients","2 ","2","SCIP-INF-6 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","91 patients",,,"PN-5C " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","149 patients","2 ","2","SCIP-INF-3 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","99 patients",,,"HF-2 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","22 patients","1 ","1","HF-3 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","23 patients","1 ","1","AMI-2 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","78%","27 patients",,,"AMI-5 " "450236","HOPKINS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","55 patients",,,"PN-7 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","74%","121 patients",,,"SCIP-INF-4 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","246 patients",,,"AMI-1 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","239 patients",,,"AMI-5 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","440 patients",,,"HF-1 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","540 patients",,,"HF-2 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","88%","56 patients",,,"AMI-4 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","1159 patients",,,"SCIP-INF-3 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","938 patients",,,"SCIP-VTE-1 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","2033 patients",,,"SCIP-INF-6 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","254 patients",,,"PN-6 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","1208 patients",,,"SCIP-INF-2 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","208 patients",,,"CAC-1 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","227 patients",,,"AMI-2 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","314 patients",,,"PN-2 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","926 patients",,,"SCIP-VTE-2 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","164 patients",,,"HF-3 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","285 patients",,,"PN-7 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450237","CHRISTUS SANTA ROSA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","242 patients",,,"SCIP-CARD-2 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","79%","47 patients",,,"AMI-3 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","36 patients",,,"AMI-8A " "450237","CHRISTUS SANTA ROSA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","1212 patients",,,"SCIP-INF-1 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","415 patients",,,"PN-5C " "450237","CHRISTUS SANTA ROSA HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","78%","207 patients",,,"CAC-3 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","75 patients",,,"HF-4 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","208 patients",,,"CAC-2 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","84%","134 patients",,,"PN-4 " "450237","CHRISTUS SANTA ROSA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","422 patients",,,"PN-3B " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","HF-3 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1,3 ","13","SCIP-VTE-2 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","38 patients",,,"HF-2 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","38 patients",,,"PN-7 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","78 patients",,,"PN-5C " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,3 ","13","SCIP-VTE-1 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","45%","47 patients",,,"PN-6 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","51 patients",,,"PN-2 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","61%","28 patients",,,"HF-1 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","41 patients",,,"PN-3B " "450239","CORYELL MEMORIAL HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450241","FAITH COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","41 patients","2 ","2","PN-2 " "450241","FAITH COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1,2 ","12","PN-4 " "450241","FAITH COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","25 patients","2 ","2","PN-3B " "450241","FAITH COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450241","FAITH COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,2 ","12","AMI-2 " "450241","FAITH COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "450241","FAITH COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "450241","FAITH COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","32 patients","2 ","2","PN-7 " "450241","FAITH COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","54 patients","2 ","2","PN-5C " "450241","FAITH COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","HF-4 " "450241","FAITH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450241","FAITH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450241","FAITH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450241","FAITH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450241","FAITH COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","19 patients","1,2 ","12","HF-1 " "450241","FAITH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450241","FAITH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450241","FAITH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450241","FAITH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450241","FAITH COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1,2 ","12","AMI-5 " "450241","FAITH COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,2 ","12","AMI-1 " "450241","FAITH COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,2 ","12","AMI-3 " "450241","FAITH COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","47%","15 patients","1,2 ","12","HF-3 " "450241","FAITH COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","29 patients","2 ","2","PN-6 " "450241","FAITH COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","23 patients","1,2 ","12","HF-2 " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450243","HAMLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450243","HAMLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "450243","HAMLIN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1 ","1","PN-6 " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450243","HAMLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450243","HAMLIN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","PN-4 " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450243","HAMLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450243","HAMLIN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","6 patients","1 ","1","PN-3B " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","11 patients","1,3 ","13","HF-1 " "450243","HAMLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450243","HAMLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450243","HAMLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","53%","15 patients","1,3 ","13","HF-2 " "450243","HAMLIN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","9 patients","1 ","1","PN-7 " "450243","HAMLIN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","43%","14 patients","1 ","1","PN-2 " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450243","HAMLIN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450243","HAMLIN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","6 patients","1 ","1","PN-5C " "450243","HAMLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450253","BELLVILLE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","17 patients","1,2 ","12","PN-7 " "450253","BELLVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2,3 ","23","SCIP-CARD-2 " "450253","BELLVILLE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,2,3 ","123","AMI-3 " "450253","BELLVILLE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "450253","BELLVILLE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2 ","12","HF-4 " "450253","BELLVILLE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","59%","17 patients","1,2 ","12","PN-6 " "450253","BELLVILLE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,2,3 ","123","AMI-5 " "450253","BELLVILLE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1,2 ","12","HF-3 " "450253","BELLVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,2,3 ","123","SCIP-INF-3 " "450253","BELLVILLE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","33%","3 patients","1,2,3 ","123","AMI-2 " "450253","BELLVILLE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","20 patients","1,2 ","12","PN-5C " "450253","BELLVILLE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450253","BELLVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,2,3 ","123","SCIP-INF-6 " "450253","BELLVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,2,3 ","123","SCIP-INF-2 " "450253","BELLVILLE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","22 patients","1,2 ","12","PN-2 " "450253","BELLVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,2,3 ","123","SCIP-VTE-2 " "450253","BELLVILLE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1,2 ","12","PN-4 " "450253","BELLVILLE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","21 patients","1,2 ","12","HF-1 " "450253","BELLVILLE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","71%","14 patients","1,2 ","12","PN-3B " "450253","BELLVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","2 patients","1,2,3 ","123","SCIP-INF-1 " "450253","BELLVILLE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,2,3 ","123","AMI-1 " "450253","BELLVILLE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450253","BELLVILLE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","23 patients","1,2 ","12","HF-2 " "450253","BELLVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "450253","BELLVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,2,3 ","123","SCIP-VTE-1 " "450270","LAKE WHITNEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450270","LAKE WHITNEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","PN-4 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2 ","12","AMI-1 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","3 patients","1,2,3 ","123","HF-2 " "450270","LAKE WHITNEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1,2 ","12","PN-7 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","2 patients","1,2,3 ","123","HF-1 " "450270","LAKE WHITNEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450270","LAKE WHITNEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","3 patients","1,2 ","12","PN-2 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2,3 ","123","HF-4 " "450270","LAKE WHITNEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2 ","12","AMI-2 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "450270","LAKE WHITNEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,2 ","12","PN-6 " "450270","LAKE WHITNEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450270","LAKE WHITNEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450270","LAKE WHITNEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1,2 ","12","PN-3B " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,2 ","12","AMI-5 " "450270","LAKE WHITNEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450270","LAKE WHITNEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450270","LAKE WHITNEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "450270","LAKE WHITNEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450270","LAKE WHITNEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,2 ","12","PN-5C " "450271","WISE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","41 patients",,,"SCIP-CARD-2 " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","11 patients","1 ","1","AMI-8A " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","97 patients",,,"HF-2 " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","74 patients",,,"AMI-2 " "450271","WISE REGIONAL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","91 patients",,,"PN-7 " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","AMI-4 " "450271","WISE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","251 patients","2 ","2","SCIP-INF-1 " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","20 patients","1 ","1","AMI-3 " "450271","WISE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","181 patients","2 ","2","SCIP-VTE-2 " "450271","WISE REGIONAL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","107 patients",,,"PN-5C " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","31 patients",,,"HF-3 " "450271","WISE REGIONAL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","95 patients",,,"PN-3B " "450271","WISE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","237 patients","2 ","2","SCIP-INF-3 " "450271","WISE REGIONAL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"PN-4 " "450271","WISE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","252 patients","2 ","2","SCIP-INF-2 " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","74 patients",,,"AMI-5 " "450271","WISE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","65%","34 patients","2 ","2","SCIP-INF-4 " "450271","WISE REGIONAL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","109 patients",,,"PN-2 " "450271","WISE REGIONAL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","78 patients",,,"PN-6 " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","75 patients",,,"HF-1 " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","64 patients",,,"AMI-1 " "450271","WISE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","334 patients","2 ","2","SCIP-INF-6 " "450271","WISE REGIONAL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","181 patients","2 ","2","SCIP-VTE-1 " "450271","WISE REGIONAL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "450272","CENTRAL TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","238 patients","2 ","2","SCIP-INF-6 " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "450272","CENTRAL TEXAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","47 patients",,,"PN-4 " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","44 patients",,,"AMI-1 " "450272","CENTRAL TEXAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","103 patients",,,"PN-7 " "450272","CENTRAL TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450272","CENTRAL TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","126 patients","2 ","2","SCIP-INF-1 " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","59 patients",,,"HF-3 " "450272","CENTRAL TEXAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","163 patients",,,"PN-5C " "450272","CENTRAL TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","146 patients","2 ","2","SCIP-VTE-2 " "450272","CENTRAL TEXAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","109 patients",,,"PN-6 " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","27 patients",,,"AMI-2 " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "450272","CENTRAL TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1,2 ","12","SCIP-CARD-2 " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450272","CENTRAL TEXAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","125 patients",,,"PN-2 " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","160 patients",,,"HF-2 " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "450272","CENTRAL TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","147 patients","2 ","2","SCIP-VTE-1 " "450272","CENTRAL TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","132 patients","2 ","2","SCIP-INF-2 " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","139 patients",,,"HF-1 " "450272","CENTRAL TEXAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","126 patients","2 ","2","SCIP-INF-3 " "450272","CENTRAL TEXAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","42 patients",,,"PN-3B " "450272","CENTRAL TEXAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","121 patients",,,"PN-4 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","86 patients","2 ","2","SCIP-CARD-2 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","143 patients",,,"AMI-5 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","73 patients",,,"AMI-4 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","292 patients",,,"PN-5C " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","85 patients",,,"HF-4 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","270 patients",,,"PN-3B " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","120 patients",,,"HF-3 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","257 patients",,,"PN-2 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","166 patients",,,"AMI-2 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","181 patients",,,"AMI-1 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","736 patients","2 ","2","SCIP-INF-6 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients",,,"AMI-3 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","54 patients","2 ","2","SCIP-INF-4 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","204 patients",,,"PN-7 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","490 patients","2 ","2","SCIP-INF-3 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","279 patients","2 ","2","SCIP-VTE-1 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","379 patients",,,"HF-2 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","47 patients",,,"AMI-8A " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","539 patients","2 ","2","SCIP-INF-1 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","541 patients","2 ","2","SCIP-INF-2 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","278 patients","2 ","2","SCIP-VTE-2 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","209 patients",,,"PN-6 " "450280","BAYLOR MEDICAL CENTER AT GARLAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","315 patients",,,"HF-1 " "450283","COZBY-GERMANY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","20 patients","1,3 ","13","PN-5C " "450283","COZBY-GERMANY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "450283","COZBY-GERMANY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","9 patients","1,3 ","13","HF-2 " "450283","COZBY-GERMANY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450283","COZBY-GERMANY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450283","COZBY-GERMANY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","24 patients","1,3 ","13","PN-6 " "450283","COZBY-GERMANY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","6 patients","1,3 ","13","HF-1 " "450283","COZBY-GERMANY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "450283","COZBY-GERMANY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "450283","COZBY-GERMANY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450283","COZBY-GERMANY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "450283","COZBY-GERMANY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","22 patients","1 ","1","PN-7 " "450283","COZBY-GERMANY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450283","COZBY-GERMANY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "450283","COZBY-GERMANY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "450283","COZBY-GERMANY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "450283","COZBY-GERMANY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "450283","COZBY-GERMANY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1,3 ","13","PN-4 " "450283","COZBY-GERMANY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "450283","COZBY-GERMANY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "450283","COZBY-GERMANY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450283","COZBY-GERMANY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","18 patients","1,3 ","13","PN-3B " "450283","COZBY-GERMANY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","30 patients","3 ","3","PN-2 " "450283","COZBY-GERMANY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-2 " "450283","COZBY-GERMANY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","139 patients","2 ","2","PN-7 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","536 patients","2 ","2","SCIP-VTE-2 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","66%","247 patients","2 ","2","PN-5C " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","193 patients",,,"AMI-1 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","83 patients","2 ","2","SCIP-CARD-2 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","537 patients","2 ","2","SCIP-VTE-1 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","97 patients","2 ","2","SCIP-INF-4 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","224 patients","2 ","2","HF-4 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","173 patients","2 ","2","PN-4 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","421 patients","2 ","2","SCIP-INF-3 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","451 patients","2 ","2","SCIP-INF-2 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","61%","18 patients","1 ","1","AMI-8A " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","666 patients","2 ","2","HF-2 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","306 patients","2 ","2","PN-3B " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","377 patients","2 ","2","HF-3 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","236 patients",,,"AMI-2 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","444 patients","2 ","2","SCIP-INF-1 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","170 patients","2 ","2","PN-6 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","97 patients",,,"AMI-4 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","83 patients","2 ","2","PN-2 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","942 patients","2 ","2","SCIP-INF-6 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","654 patients","2 ","2","HF-1 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","240 patients",,,"AMI-5 " "450289","HARRIS COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","91 patients",,,"AMI-3 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","68 patients","2 ","2","SCIP-VTE-1 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","127 patients",,,"HF-1 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","68 patients","2 ","2","SCIP-VTE-2 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","39 patients",,,"AMI-1 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","71 patients",,,"PN-3B " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","10 patients","1,2 ","12","SCIP-CARD-2 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","21 patients","1 ","1","AMI-2 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","109 patients","2 ","2","SCIP-INF-2 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"HF-3 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","142 patients",,,"HF-2 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","143 patients","2 ","2","SCIP-INF-6 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","55 patients",,,"PN-6 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","101 patients","2 ","2","SCIP-INF-3 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","74 patients",,,"PN-5C " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","40 patients",,,"PN-7 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","61 patients",,,"PN-2 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","109 patients","2 ","2","SCIP-INF-1 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450292","TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "450293","FRIO REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","18 patients","1 ","1","HF-2 " "450293","FRIO REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "450293","FRIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450293","FRIO REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450293","FRIO REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "450293","FRIO REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "450293","FRIO REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","20 patients","1 ","1","PN-5C " "450293","FRIO REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "450293","FRIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450293","FRIO REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "450293","FRIO REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "450293","FRIO REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450293","FRIO REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","20 patients","1 ","1","PN-3B " "450293","FRIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450293","FRIO REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","14 patients","1 ","1","PN-2 " "450293","FRIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450293","FRIO REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450293","FRIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450293","FRIO REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","16 patients","1 ","1","PN-7 " "450293","FRIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450293","FRIO REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "450293","FRIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450293","FRIO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450293","FRIO REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","17 patients","1 ","1","HF-1 " "450293","FRIO REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1 ","1","AMI-2 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","64 patients",,,"PN-2 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"PN-4 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","80 patients",,,"PN-3B " "450296","CLEVELAND REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","89 patients","2 ","2","SCIP-INF-2 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","51 patients","2 ","2","SCIP-VTE-1 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","77 patients",,,"PN-6 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","17 patients","1 ","1","AMI-1 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","87 patients","2 ","2","SCIP-INF-3 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"HF-3 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","95 patients",,,"PN-5C " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","142 patients",,,"HF-2 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","51 patients","2 ","2","SCIP-VTE-2 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","123 patients",,,"HF-1 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","90 patients","2 ","2","SCIP-INF-1 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1,2 ","12","SCIP-CARD-2 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","41 patients",,,"PN-7 " "450296","CLEVELAND REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","142 patients","2 ","2","SCIP-INF-6 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","154 patients",,,"HF-2 " "450299","COLLEGE STATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","127 patients",,,"SCIP-VTE-1 " "450299","COLLEGE STATION MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","65 patients",,,"PN-2 " "450299","COLLEGE STATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","24 patients","1 ","1","SCIP-CARD-2 " "450299","COLLEGE STATION MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "450299","COLLEGE STATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","185 patients",,,"SCIP-INF-3 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","51 patients",,,"AMI-1 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","65 patients",,,"HF-3 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","64 patients",,,"AMI-2 " "450299","COLLEGE STATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","197 patients",,,"SCIP-INF-2 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","58 patients",,,"AMI-5 " "450299","COLLEGE STATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","127 patients",,,"SCIP-VTE-2 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450299","COLLEGE STATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","323 patients",,,"SCIP-INF-6 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "450299","COLLEGE STATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","43 patients",,,"SCIP-INF-4 " "450299","COLLEGE STATION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","196 patients",,,"SCIP-INF-1 " "450299","COLLEGE STATION MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","33 patients",,,"PN-7 " "450299","COLLEGE STATION MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","44 patients",,,"PN-6 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","132 patients",,,"HF-1 " "450299","COLLEGE STATION MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","60 patients",,,"PN-3B " "450299","COLLEGE STATION MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "450299","COLLEGE STATION MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","11 patients","1 ","1","AMI-8A " "450299","COLLEGE STATION MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","74 patients",,,"PN-5C " "450306","STAMFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450306","STAMFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450306","STAMFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","8 patients","1,3 ","13","HF-2 " "450306","STAMFORD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1,3 ","13","PN-2 " "450306","STAMFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450306","STAMFORD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","10 patients","1 ","1","PN-7 " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450306","STAMFORD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","PN-4 " "450306","STAMFORD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1,3 ","13","PN-6 " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1,3 ","13","HF-3 " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "450306","STAMFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450306","STAMFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450306","STAMFORD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","17%","6 patients","1,3 ","13","HF-1 " "450306","STAMFORD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1,3 ","13","PN-5C " "450306","STAMFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450306","STAMFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450306","STAMFORD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450315","VISTA HOSPITAL OF DALLAS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450315","VISTA HOSPITAL OF DALLAS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450315","VISTA HOSPITAL OF DALLAS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450315","VISTA HOSPITAL OF DALLAS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450315","VISTA HOSPITAL OF DALLAS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450315","VISTA HOSPITAL OF DALLAS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450315","VISTA HOSPITAL OF DALLAS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450315","VISTA HOSPITAL OF DALLAS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,2 ","12","SCIP-INF-2 " "450315","VISTA HOSPITAL OF DALLAS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450315","VISTA HOSPITAL OF DALLAS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450315","VISTA HOSPITAL OF DALLAS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "450315","VISTA HOSPITAL OF DALLAS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450315","VISTA HOSPITAL OF DALLAS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450315","VISTA HOSPITAL OF DALLAS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450315","VISTA HOSPITAL OF DALLAS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450315","VISTA HOSPITAL OF DALLAS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450315","VISTA HOSPITAL OF DALLAS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450315","VISTA HOSPITAL OF DALLAS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","67%","3 patients","1,2 ","12","SCIP-INF-3 " "450315","VISTA HOSPITAL OF DALLAS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","55%","31 patients","2 ","2","SCIP-VTE-1 " "450315","VISTA HOSPITAL OF DALLAS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","3 patients","1,2 ","12","SCIP-INF-1 " "450315","VISTA HOSPITAL OF DALLAS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","55%","31 patients","2 ","2","SCIP-VTE-2 " "450315","VISTA HOSPITAL OF DALLAS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450315","VISTA HOSPITAL OF DALLAS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450315","VISTA HOSPITAL OF DALLAS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450315","VISTA HOSPITAL OF DALLAS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","41 patients","2 ","2","SCIP-INF-6 " "450324","TEXOMA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","101 patients",,,"AMI-1 " "450324","TEXOMA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","189 patients",,,"HF-2 " "450324","TEXOMA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450324","TEXOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","372 patients","2 ","2","SCIP-INF-2 " "450324","TEXOMA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","133 patients","2 ","2","PN-6 " "450324","TEXOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","144 patients","2 ","2","SCIP-VTE-1 " "450324","TEXOMA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","156 patients","2 ","2","PN-3B " "450324","TEXOMA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients",,,"AMI-3 " "450324","TEXOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","521 patients","2 ","2","SCIP-INF-6 " "450324","TEXOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","180 patients","2 ","2","SCIP-INF-4 " "450324","TEXOMA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "450324","TEXOMA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","17 patients","1 ","1","AMI-8A " "450324","TEXOMA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","85 patients",,,"HF-3 " "450324","TEXOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","90 patients","2 ","2","SCIP-CARD-2 " "450324","TEXOMA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","165 patients","2 ","2","PN-2 " "450324","TEXOMA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","62 patients","2 ","2","PN-4 " "450324","TEXOMA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","115 patients",,,"AMI-2 " "450324","TEXOMA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"AMI-4 " "450324","TEXOMA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","107 patients",,,"AMI-5 " "450324","TEXOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","369 patients","2 ","2","SCIP-INF-1 " "450324","TEXOMA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","166 patients","2 ","2","PN-5C " "450324","TEXOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","325 patients","2 ","2","SCIP-INF-3 " "450324","TEXOMA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","148 patients",,,"HF-1 " "450324","TEXOMA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","143 patients","2 ","2","SCIP-VTE-2 " "450324","TEXOMA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","112 patients","2 ","2","PN-7 " "450330","OAKBEND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450330","OAKBEND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "450330","OAKBEND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","135 patients",,,"HF-1 " "450330","OAKBEND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "450330","OAKBEND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450330","OAKBEND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","159 patients",,,"PN-5C " "450330","OAKBEND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","90 patients",,,"PN-7 " "450330","OAKBEND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450330","OAKBEND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","162 patients","2 ","2","SCIP-INF-2 " "450330","OAKBEND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "450330","OAKBEND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","159 patients",,,"PN-3B " "450330","OAKBEND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","26 patients",,,"AMI-5 " "450330","OAKBEND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","152 patients","2 ","2","SCIP-INF-3 " "450330","OAKBEND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","120 patients","2 ","2","SCIP-VTE-1 " "450330","OAKBEND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","45 patients",,,"AMI-1 " "450330","OAKBEND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","159 patients","2 ","2","SCIP-INF-1 " "450330","OAKBEND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","118 patients","2 ","2","SCIP-VTE-2 " "450330","OAKBEND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "450330","OAKBEND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","69 patients",,,"HF-3 " "450330","OAKBEND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","185 patients",,,"HF-2 " "450330","OAKBEND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","229 patients","2 ","2","SCIP-INF-6 " "450330","OAKBEND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","17 patients","1,2 ","12","SCIP-CARD-2 " "450330","OAKBEND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","32 patients",,,"HF-4 " "450330","OAKBEND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","79 patients",,,"PN-6 " "450330","OAKBEND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","117 patients",,,"PN-2 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","163 patients",,,"HF-2 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"HF-3 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","15 patients","1 ","1","AMI-8A " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","376 patients",,,"SCIP-INF-2 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","129 patients",,,"PN-2 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","375 patients",,,"SCIP-INF-1 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","101 patients",,,"SCIP-CARD-2 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","143 patients",,,"PN-3B " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","313 patients",,,"SCIP-VTE-1 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","135 patients",,,"PN-7 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","63 patients",,,"AMI-5 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","68 patients",,,"AMI-2 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","365 patients",,,"SCIP-INF-3 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","108 patients",,,"HF-1 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","312 patients",,,"SCIP-VTE-2 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","65 patients",,,"AMI-1 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","156 patients",,,"PN-5C " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","564 patients",,,"SCIP-INF-6 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","87 patients",,,"PN-6 " "450340","SAN ANGELO COMMUNITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","25 patients",,,"SCIP-INF-4 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","224 patients",,,"AMI-5 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","714 patients","2 ","2","SCIP-INF-6 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","198 patients","2 ","2","PN-2 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","209 patients",,,"AMI-2 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","161 patients","2 ","2","PN-7 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","275 patients","2 ","2","PN-5C " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","32 patients",,,"AMI-8A " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","105 patients","2 ","2","SCIP-CARD-2 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","311 patients","2 ","2","SCIP-VTE-1 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"AMI-4 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","95 patients","2 ","2","HF-4 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","282 patients","2 ","2","PN-3B " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","459 patients","2 ","2","SCIP-INF-1 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","199 patients",,,"AMI-1 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"AMI-3 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","300 patients","2 ","2","SCIP-VTE-2 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","379 patients","2 ","2","HF-2 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","427 patients","2 ","2","SCIP-INF-3 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","154 patients","2 ","2","PN-6 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","313 patients","2 ","2","HF-1 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","113 patients","2 ","2","SCIP-INF-4 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","100 patients","2 ","2","HF-3 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","472 patients","2 ","2","SCIP-INF-2 " "450346","MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","96 patients","2 ","2","PN-4 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","24 patients","1 ","1","SCIP-CARD-2 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","139 patients",,,"SCIP-VTE-2 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","93 patients",,,"PN-6 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","104 patients",,,"PN-3B " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","119 patients",,,"PN-5C " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","159 patients",,,"SCIP-INF-2 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","76 patients",,,"PN-7 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","139 patients",,,"SCIP-VTE-1 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","150 patients",,,"SCIP-INF-3 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","95 patients",,,"PN-2 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","82 patients",,,"HF-2 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","159 patients",,,"SCIP-INF-1 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","25 patients",,,"HF-3 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","67 patients",,,"HF-1 " "450347","HUNTSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","78%","208 patients",,,"SCIP-INF-6 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1,2 ","12","HF-4 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","60 patients","2 ","2","HF-2 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","46 patients","2 ","2","HF-1 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","98 patients","2 ","2","PN-6 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","76 patients","2 ","2","PN-3B " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","15 patients","1,2 ","12","HF-3 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","91 patients","2 ","2","PN-2 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","131 patients","2 ","2","PN-5C " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","80 patients","2 ","2","PN-7 " "450348","FALLS COMMUNITY HOSPITAL AND CLINIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","49 patients","2 ","2","PN-4 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","95 patients","2 ","2","SCIP-VTE-2 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","81 patients",,,"PN-3B " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","17 patients","1,2 ","12","SCIP-CARD-2 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","23 patients","1 ","1","AMI-2 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","HF-4 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","144 patients","2 ","2","SCIP-INF-3 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","35 patients",,,"AMI-1 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","147 patients","2 ","2","SCIP-INF-2 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","17 patients","1 ","1","HF-3 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","22 patients","1 ","1","AMI-5 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","63 patients",,,"HF-1 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","77 patients",,,"PN-2 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","95 patients","2 ","2","SCIP-VTE-1 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","73 patients",,,"PN-5C " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","146 patients","2 ","2","SCIP-INF-1 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","213 patients","2 ","2","SCIP-INF-6 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","30 patients",,,"PN-4 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","44 patients",,,"PN-7 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","84 patients",,,"HF-2 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","67 patients",,,"PN-6 " "450351","TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "450352","HUNT REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","116 patients",,,"PN-5C " "450352","HUNT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450352","HUNT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","250 patients","2 ","2","SCIP-VTE-1 " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","168 patients",,,"HF-1 " "450352","HUNT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","378 patients","2 ","2","SCIP-INF-1 " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450352","HUNT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","452 patients","2 ","2","SCIP-INF-6 " "450352","HUNT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","49 patients",,,"SCIP-CARD-2 " "450352","HUNT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","77%","373 patients","2 ","2","SCIP-INF-2 " "450352","HUNT REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","260 patients",,,"PN-3B " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "450352","HUNT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","51%","364 patients","2 ","2","SCIP-INF-3 " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","228 patients",,,"HF-2 " "450352","HUNT REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","69%","108 patients",,,"PN-4 " "450352","HUNT REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","182 patients",,,"PN-7 " "450352","HUNT REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","249 patients",,,"PN-2 " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","72%","18 patients","1 ","1","AMI-2 " "450352","HUNT REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","52%","239 patients","2 ","2","SCIP-VTE-2 " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","35 patients",,,"AMI-1 " "450352","HUNT REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","160 patients",,,"PN-6 " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","70 patients",,,"HF-3 " "450352","HUNT REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","71%","38 patients",,,"HF-4 " "450358","METHODIST HOSPITAL,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","911 patients","2 ","2","HF-2 " "450358","METHODIST HOSPITAL,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450358","METHODIST HOSPITAL,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","262 patients","2 ","2","SCIP-VTE-1 " "450358","METHODIST HOSPITAL,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","392 patients","2 ","2","HF-3 " "450358","METHODIST HOSPITAL,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","357 patients","2 ","2","PN-2 " "450358","METHODIST HOSPITAL,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","302 patients","2 ","2","PN-3B " "450358","METHODIST HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","365 patients","2 ","2","SCIP-INF-3 " "450358","METHODIST HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","130 patients","2 ","2","SCIP-INF-4 " "450358","METHODIST HOSPITAL,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","275 patients","2 ","2","PN-7 " "450358","METHODIST HOSPITAL,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","126 patients","2 ","2","AMI-4 " "450358","METHODIST HOSPITAL,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","570 patients","2 ","2","AMI-5 " "450358","METHODIST HOSPITAL,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","152 patients","2 ","2","PN-6 " "450358","METHODIST HOSPITAL,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","301 patients","2 ","2","PN-5C " "450358","METHODIST HOSPITAL,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","262 patients","2 ","2","SCIP-VTE-2 " "450358","METHODIST HOSPITAL,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","143 patients","2 ","2","HF-4 " "450358","METHODIST HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","420 patients","2 ","2","SCIP-INF-2 " "450358","METHODIST HOSPITAL,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","28 patients","2 ","2","AMI-8A " "450358","METHODIST HOSPITAL,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","290 patients","2 ","2","AMI-1 " "450358","METHODIST HOSPITAL,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","122 patients","2 ","2","SCIP-CARD-2 " "450358","METHODIST HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","407 patients","2 ","2","SCIP-INF-1 " "450358","METHODIST HOSPITAL,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","814 patients","2 ","2","HF-1 " "450358","METHODIST HOSPITAL,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","113 patients","2 ","2","AMI-3 " "450358","METHODIST HOSPITAL,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","117 patients","2 ","2","PN-4 " "450358","METHODIST HOSPITAL,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","542 patients","2 ","2","AMI-2 " "450358","METHODIST HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","705 patients","2 ","2","SCIP-INF-6 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","41 patients",,,"SCIP-INF-1 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","23 patients","1 ","1","SCIP-VTE-2 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","35 patients",,,"HF-1 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","45 patients",,,"PN-2 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","40%","10 patients","1 ","1","HF-3 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","47 patients",,,"PN-5C " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","39 patients",,,"HF-2 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","41 patients",,,"SCIP-INF-2 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","40 patients",,,"SCIP-INF-3 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1 ","1","SCIP-CARD-2 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1 ","1","PN-3B " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","30 patients",,,"PN-6 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","23 patients","1 ","1","SCIP-VTE-1 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450369","CHILDRESS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","41 patients",,,"SCIP-INF-6 " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","13 patients","1,2 ","12","HF-1 " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450370","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","33 patients","2 ","2","PN-2 " "450370","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","29 patients",,,"SCIP-INF-3 " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","HF-4 " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450370","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","31 patients",,,"SCIP-INF-2 " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "450370","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients","2 ","2","PN-5C " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "450370","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","15 patients","1,2 ","12","PN-6 " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1,2 ","12","HF-3 " "450370","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","20 patients","1 ","1","PN-7 " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "450370","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","22 patients","1,2 ","12","PN-3B " "450370","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","37 patients",,,"SCIP-VTE-1 " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","22 patients","1,2 ","12","HF-2 " "450370","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","57 patients",,,"SCIP-INF-6 " "450370","COLUMBUS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450370","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","37 patients",,,"SCIP-VTE-2 " "450370","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "450370","COLUMBUS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","PN-4 " "450370","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","31 patients",,,"SCIP-INF-1 " "450370","COLUMBUS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","282 patients","2 ","2","SCIP-INF-2 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"HF-3 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","101 patients",,,"PN-6 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","86 patients",,,"HF-1 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","103 patients",,,"HF-2 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","138 patients","2 ","2","SCIP-VTE-2 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","138 patients","2 ","2","SCIP-VTE-1 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","140 patients",,,"PN-5C " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1 ","1","AMI-5 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","275 patients","2 ","2","SCIP-INF-3 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","36 patients","2 ","2","SCIP-CARD-2 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","89 patients",,,"PN-2 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","323 patients","2 ","2","SCIP-INF-6 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","282 patients","2 ","2","SCIP-INF-1 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","69 patients",,,"PN-7 " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","158 patients",,,"PN-3B " "450372","BAYLOR MEDICAL CENTER AT WAXAHACHIE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1,2 ","12","PN-3B " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2,3 ","123","AMI-5 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,2,3 ","123","SCIP-INF-3 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,2,3 ","123","SCIP-INF-2 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","21 patients","1,2 ","12","PN-6 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,2,3 ","123","SCIP-INF-6 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","18 patients","1,2 ","12","HF-2 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","32 patients","2 ","2","PN-2 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","23 patients","1,2 ","12","PN-7 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,2 ","12","PN-4 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1,2 ","12","HF-3 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","8%","12 patients","1,2 ","12","HF-1 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,2 ","12","HF-4 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,2,3 ","123","SCIP-VTE-1 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,2,3 ","123","SCIP-INF-1 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2,3 ","123","AMI-2 " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","34 patients","2 ","2","PN-5C " "450373","EAST TEXAS MEDICAL CENTER MOUNT VERNON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","2,3 ","23","SCIP-VTE-2 " "450379","RHD MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","63 patients",,,"PN-2 " "450379","RHD MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","71 patients",,,"SCIP-VTE-2 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","128 patients",,,"HF-1 " "450379","RHD MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","64 patients",,,"PN-5C " "450379","RHD MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","129 patients",,,"SCIP-INF-6 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","48 patients",,,"AMI-1 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","20%","5 patients","1 ","1","AMI-8A " "450379","RHD MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","62 patients",,,"SCIP-INF-2 " "450379","RHD MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","71 patients",,,"PN-3B " "450379","RHD MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","28 patients",,,"PN-6 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","169 patients",,,"HF-2 " "450379","RHD MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","PN-4 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","AMI-3 " "450379","RHD MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","13 patients","1 ","1","SCIP-CARD-2 " "450379","RHD MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","61 patients",,,"SCIP-INF-1 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "450379","RHD MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","49 patients",,,"PN-7 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","42 patients",,,"AMI-2 " "450379","RHD MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","59 patients",,,"SCIP-INF-3 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","61 patients",,,"HF-3 " "450379","RHD MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","71 patients",,,"SCIP-VTE-1 " "450379","RHD MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450379","RHD MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","43 patients",,,"AMI-5 " "450388","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1151 patients","2 ","2","SCIP-INF-6 " "450388","METHODIST HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","445 patients","2 ","2","CAC-2 " "450388","METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450388","METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","844 patients",,,"PN-2 " "450388","METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","281 patients",,,"AMI-4 " "450388","METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","208 patients",,,"HF-4 " "450388","METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","576 patients",,,"PN-6 " "450388","METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","453 patients",,,"HF-3 " "450388","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","723 patients","2 ","2","SCIP-INF-1 " "450388","METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","951 patients",,,"PN-5C " "450388","METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","730 patients",,,"PN-7 " "450388","METHODIST HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","86%","447 patients","2 ","2","CAC-3 " "450388","METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","736 patients",,,"AMI-1 " "450388","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","228 patients","2 ","2","SCIP-INF-4 " "450388","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","146 patients","2 ","2","SCIP-CARD-2 " "450388","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","435 patients","2 ","2","SCIP-VTE-2 " "450388","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","736 patients","2 ","2","SCIP-INF-2 " "450388","METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","1185 patients",,,"HF-1 " "450388","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","695 patients","2 ","2","SCIP-INF-3 " "450388","METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","864 patients",,,"AMI-5 " "450388","METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","299 patients",,,"PN-4 " "450388","METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","438 patients","2 ","2","SCIP-VTE-1 " "450388","METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","869 patients",,,"AMI-2 " "450388","METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","867 patients",,,"PN-3B " "450388","METHODIST HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","448 patients","2 ","2","CAC-1 " "450388","METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","1456 patients",,,"HF-2 " "450388","METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","181 patients",,,"AMI-8A " "450388","METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","123 patients",,,"AMI-3 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","197 patients","2 ","2","PN-6 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","63%","247 patients","2 ","2","SCIP-INF-3 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"HF-4 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","176 patients","2 ","2","SCIP-VTE-2 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","90 patients","2 ","2","PN-4 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","247 patients","2 ","2","SCIP-INF-1 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","158 patients","2 ","2","PN-2 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","77 patients",,,"HF-3 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","248 patients","2 ","2","SCIP-INF-2 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","246 patients","2 ","2","PN-5C " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","50 patients","2 ","2","PN-3B " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","390 patients","2 ","2","SCIP-INF-6 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","177 patients","2 ","2","SCIP-VTE-1 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","122 patients","2 ","2","PN-7 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","288 patients",,,"HF-2 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","31 patients","2 ","2","SCIP-CARD-2 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","222 patients",,,"HF-1 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","79%","33 patients",,,"AMI-2 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","81%","31 patients",,,"AMI-5 " "450389","EAST TEXAS MEDICAL CENTER ATHENS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","66 patients",,,"AMI-1 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","50 patients","2 ","2","PN-4 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","65 patients","2 ","2","PN-7 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","106 patients","2 ","2","PN-5C " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","176 patients","2 ","2","HF-2 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","70%","86 patients","2 ","2","PN-3B " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2 ","2","AMI-2 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","25 patients","2 ","2","HF-4 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","28 patients","2 ","2","SCIP-CARD-2 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","90 patients","2 ","2","PN-2 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","177 patients","2 ","2","SCIP-INF-1 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,2 ","12","AMI-1 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2 ","12","AMI-5 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","226 patients","2 ","2","SCIP-INF-6 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","74%","127 patients","2 ","2","SCIP-VTE-2 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","40%","174 patients","2 ","2","SCIP-INF-3 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","79 patients","2 ","2","PN-6 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","179 patients","2 ","2","SCIP-INF-2 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","132 patients","2 ","2","SCIP-VTE-1 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","117 patients","2 ","2","HF-1 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","30 patients","2 ","2","HF-3 " "450395","MEMORIAL MEDICAL CENTER LIVINGSTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1 ","1","HF-4 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","5 patients","1 ","1","PN-3B " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","24 patients","1 ","1","PN-6 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","42 patients",,,"PN-5C " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","47%","38 patients",,,"HF-2 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","25 patients",,,"PN-7 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","58%","31 patients",,,"PN-2 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","10%","31 patients",,,"HF-1 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","56%","9 patients","1 ","1","PN-4 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "450399","BROWNFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","5 patients","1 ","1","AMI-1 " "450400","PARKVIEW REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","117 patients",,,"PN-2 " "450400","PARKVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","79 patients",,,"HF-1 " "450400","PARKVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450400","PARKVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","22 patients","1 ","1","SCIP-INF-6 " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "450400","PARKVIEW REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"PN-4 " "450400","PARKVIEW REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","147 patients",,,"PN-5C " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "450400","PARKVIEW REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","66 patients",,,"PN-6 " "450400","PARKVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","14 patients","1 ","1","SCIP-INF-1 " "450400","PARKVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","64%","11 patients","1 ","1","SCIP-VTE-1 " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450400","PARKVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","14 patients","1 ","1","SCIP-INF-2 " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "450400","PARKVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","14 patients","1 ","1","SCIP-INF-3 " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","19 patients","1 ","1","AMI-1 " "450400","PARKVIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","64%","11 patients","1 ","1","SCIP-VTE-2 " "450400","PARKVIEW REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","116 patients",,,"PN-3B " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","105 patients",,,"HF-2 " "450400","PARKVIEW REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450400","PARKVIEW REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","113 patients",,,"PN-7 " "450403","MEDICAL CENTER OF MCKINNEY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","294 patients","2 ","2","SCIP-INF-2 " "450403","MEDICAL CENTER OF MCKINNEY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","39 patients","2 ","2","SCIP-INF-4 " "450403","MEDICAL CENTER OF MCKINNEY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","188 patients","2 ","2","SCIP-VTE-1 " "450403","MEDICAL CENTER OF MCKINNEY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","131 patients",,,"PN-7 " "450403","MEDICAL CENTER OF MCKINNEY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","97 patients",,,"PN-6 " "450403","MEDICAL CENTER OF MCKINNEY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "450403","MEDICAL CENTER OF MCKINNEY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","182 patients",,,"PN-5C " "450403","MEDICAL CENTER OF MCKINNEY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","37 patients",,,"AMI-3 " "450403","MEDICAL CENTER OF MCKINNEY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","200 patients",,,"AMI-1 " "450403","MEDICAL CENTER OF MCKINNEY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","201 patients",,,"HF-1 " "450403","MEDICAL CENTER OF MCKINNEY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","277 patients","2 ","2","SCIP-INF-3 " "450403","MEDICAL CENTER OF MCKINNEY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","212 patients",,,"AMI-5 " "450403","MEDICAL CENTER OF MCKINNEY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","468 patients","2 ","2","SCIP-INF-6 " "450403","MEDICAL CENTER OF MCKINNEY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","70 patients","2 ","2","SCIP-CARD-2 " "450403","MEDICAL CENTER OF MCKINNEY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","188 patients","2 ","2","SCIP-VTE-2 " "450403","MEDICAL CENTER OF MCKINNEY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","185 patients",,,"PN-2 " "450403","MEDICAL CENTER OF MCKINNEY","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","25 patients",,,"CAC-1 " "450403","MEDICAL CENTER OF MCKINNEY","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","79%","24 patients","1 ","1","CAC-3 " "450403","MEDICAL CENTER OF MCKINNEY","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","25 patients",,,"CAC-2 " "450403","MEDICAL CENTER OF MCKINNEY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "450403","MEDICAL CENTER OF MCKINNEY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","294 patients","2 ","2","SCIP-INF-1 " "450403","MEDICAL CENTER OF MCKINNEY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","49 patients",,,"AMI-8A " "450403","MEDICAL CENTER OF MCKINNEY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450403","MEDICAL CENTER OF MCKINNEY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","273 patients",,,"HF-2 " "450403","MEDICAL CENTER OF MCKINNEY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","210 patients",,,"AMI-2 " "450403","MEDICAL CENTER OF MCKINNEY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","69 patients",,,"HF-3 " "450403","MEDICAL CENTER OF MCKINNEY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"AMI-4 " "450403","MEDICAL CENTER OF MCKINNEY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","196 patients",,,"PN-3B " "450411","EASTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","3 patients","1 ","1","SCIP-CARD-2 " "450411","EASTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","15 patients","1 ","1","SCIP-INF-2 " "450411","EASTLAND MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","49 patients",,,"PN-6 " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450411","EASTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450411","EASTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","15 patients","1 ","1","SCIP-INF-1 " "450411","EASTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","60%","15 patients","1 ","1","SCIP-INF-3 " "450411","EASTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","21 patients","1 ","1","SCIP-VTE-1 " "450411","EASTLAND MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","62 patients",,,"PN-7 " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","65 patients",,,"HF-2 " "450411","EASTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","56%","34 patients",,,"SCIP-INF-6 " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450411","EASTLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","21 patients","1 ","1","SCIP-VTE-2 " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","48 patients",,,"HF-1 " "450411","EASTLAND MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","77 patients",,,"PN-5C " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450411","EASTLAND MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","80 patients",,,"PN-2 " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1 ","1","AMI-1 " "450411","EASTLAND MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"PN-4 " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "450411","EASTLAND MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","65 patients",,,"PN-3B " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","10 patients","1 ","1","HF-4 " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "450411","EASTLAND MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","144 patients",,,"PN-3B " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","119 patients",,,"PN-2 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","165 patients",,,"PN-5C " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","49 patients","2 ","2","SCIP-INF-3 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","111 patients",,,"PN-7 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","56 patients",,,"HF-1 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","79 patients",,,"HF-2 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","18 patients","1 ","1","AMI-1 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","75 patients","2 ","2","SCIP-INF-6 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","52 patients","2 ","2","SCIP-INF-2 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","120 patients",,,"PN-6 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","49 patients","2 ","2","SCIP-VTE-2 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1,2 ","12","SCIP-CARD-2 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","52 patients","2 ","2","SCIP-INF-1 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","49 patients","2 ","2","SCIP-VTE-1 " "450419","TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","56 patients",,,"PN-4 " "450422","MARY SHIELS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450422","MARY SHIELS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450422","MARY SHIELS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450422","MARY SHIELS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450422","MARY SHIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","2,3 ","23","SCIP-INF-1 " "450422","MARY SHIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,2,3 ","123","SCIP-INF-6 " "450422","MARY SHIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","2,3 ","23","SCIP-INF-3 " "450422","MARY SHIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "450422","MARY SHIELS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","2,3 ","23","SCIP-VTE-2 " "450422","MARY SHIELS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450422","MARY SHIELS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450422","MARY SHIELS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450422","MARY SHIELS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450422","MARY SHIELS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450422","MARY SHIELS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450422","MARY SHIELS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2,3 ","123","SCIP-CARD-2 " "450422","MARY SHIELS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450422","MARY SHIELS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450422","MARY SHIELS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450422","MARY SHIELS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450422","MARY SHIELS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","2,3 ","23","SCIP-VTE-1 " "450422","MARY SHIELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","2,3 ","23","SCIP-INF-2 " "450422","MARY SHIELS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450422","MARY SHIELS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450422","MARY SHIELS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450424","SAN JACINTO METHODIST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","139 patients","2 ","2","PN-2 " "450424","SAN JACINTO METHODIST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","PN-4 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","46 patients","2 ","2","AMI-3 " "450424","SAN JACINTO METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","213 patients","2 ","2","SCIP-INF-1 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","90 patients","2 ","2","HF-3 " "450424","SAN JACINTO METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","28 patients","2 ","2","SCIP-CARD-2 " "450424","SAN JACINTO METHODIST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","81 patients","2 ","2","PN-7 " "450424","SAN JACINTO METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","220 patients","2 ","2","AMI-1 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","57 patients","2 ","2","HF-4 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","19 patients","1,2 ","12","AMI-8A " "450424","SAN JACINTO METHODIST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","153 patients","2 ","2","PN-3B " "450424","SAN JACINTO METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","216 patients","2 ","2","SCIP-INF-2 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","248 patients","2 ","2","HF-1 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","84 patients","2 ","2","AMI-4 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","186 patients","2 ","2","AMI-5 " "450424","SAN JACINTO METHODIST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","198 patients","2 ","2","PN-5C " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450424","SAN JACINTO METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","205 patients","2 ","2","SCIP-INF-3 " "450424","SAN JACINTO METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","333 patients","2 ","2","SCIP-INF-6 " "450424","SAN JACINTO METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","147 patients","2 ","2","SCIP-VTE-2 " "450424","SAN JACINTO METHODIST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","121 patients","2 ","2","PN-6 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","179 patients","2 ","2","AMI-2 " "450424","SAN JACINTO METHODIST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","149 patients","2 ","2","SCIP-VTE-1 " "450424","SAN JACINTO METHODIST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","296 patients","2 ","2","HF-2 " "450431","ST DAVIDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","412 patients","2 ","2","SCIP-VTE-1 " "450431","ST DAVIDS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","352 patients",,,"HF-1 " "450431","ST DAVIDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","98 patients","2 ","2","SCIP-INF-4 " "450431","ST DAVIDS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","112 patients",,,"AMI-5 " "450431","ST DAVIDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","546 patients","2 ","2","SCIP-INF-2 " "450431","ST DAVIDS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","192 patients",,,"PN-2 " "450431","ST DAVIDS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","80 patients","2 ","2","SCIP-CARD-2 " "450431","ST DAVIDS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","30 patients",,,"AMI-8A " "450431","ST DAVIDS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","175 patients",,,"PN-7 " "450431","ST DAVIDS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","133 patients",,,"HF-3 " "450431","ST DAVIDS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","74 patients",,,"HF-4 " "450431","ST DAVIDS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "450431","ST DAVIDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","815 patients","2 ","2","SCIP-INF-6 " "450431","ST DAVIDS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","116 patients",,,"AMI-2 " "450431","ST DAVIDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","412 patients","2 ","2","SCIP-VTE-2 " "450431","ST DAVIDS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "450431","ST DAVIDS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","437 patients",,,"HF-2 " "450431","ST DAVIDS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","115 patients",,,"PN-4 " "450431","ST DAVIDS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","228 patients",,,"PN-5C " "450431","ST DAVIDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","544 patients","2 ","2","SCIP-INF-1 " "450431","ST DAVIDS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","253 patients",,,"PN-3B " "450431","ST DAVIDS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","156 patients",,,"PN-6 " "450431","ST DAVIDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","518 patients","2 ","2","SCIP-INF-3 " "450431","ST DAVIDS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","107 patients",,,"AMI-1 " "450431","ST DAVIDS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450438","COLORADO FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","6 patients","1 ","1","AMI-2 " "450438","COLORADO FAYETTE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","22%","23 patients","1 ","1","HF-1 " "450438","COLORADO FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "450438","COLORADO FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","6 patients","1 ","1","SCIP-VTE-1 " "450438","COLORADO FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","10 patients","1 ","1","SCIP-INF-1 " "450438","COLORADO FAYETTE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","18 patients","1 ","1","PN-5C " "450438","COLORADO FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","9 patients","1 ","1","SCIP-INF-3 " "450438","COLORADO FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","17 patients","1 ","1","SCIP-INF-6 " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450438","COLORADO FAYETTE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","20 patients","1 ","1","PN-7 " "450438","COLORADO FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","6 patients","1 ","1","SCIP-VTE-2 " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "450438","COLORADO FAYETTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","10 patients","1 ","1","SCIP-INF-2 " "450438","COLORADO FAYETTE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","14 patients","1 ","1","PN-6 " "450438","COLORADO FAYETTE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","34 patients",,,"PN-2 " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","47%","43 patients",,,"HF-2 " "450438","COLORADO FAYETTE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","6 patients","1 ","1","AMI-1 " "450438","COLORADO FAYETTE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "450446","RIVERSIDE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "450446","RIVERSIDE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450446","RIVERSIDE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "450446","RIVERSIDE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","2,3 ","23","PN-2 " "450446","RIVERSIDE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450446","RIVERSIDE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450446","RIVERSIDE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "450446","RIVERSIDE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450446","RIVERSIDE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","2 ","2","PN-7 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450446","RIVERSIDE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "450446","RIVERSIDE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450446","RIVERSIDE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","2,3 ","23","HF-1 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450446","RIVERSIDE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450446","RIVERSIDE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,"0 patients","2,3 ","23","HF-2 " "450446","RIVERSIDE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450447","NAVARRO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450447","NAVARRO REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","103 patients",,,"PN-2 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","32 patients",,,"AMI-1 " "450447","NAVARRO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","113 patients",,,"SCIP-VTE-1 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "450447","NAVARRO REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","96 patients",,,"PN-3B " "450447","NAVARRO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","122 patients",,,"SCIP-INF-1 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","179 patients",,,"HF-2 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","63 patients",,,"HF-3 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","114 patients",,,"HF-1 " "450447","NAVARRO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","23 patients","1 ","1","SCIP-CARD-2 " "450447","NAVARRO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","120 patients",,,"SCIP-INF-3 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "450447","NAVARRO REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","114 patients",,,"PN-5C " "450447","NAVARRO REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","70 patients",,,"PN-7 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","AMI-3 " "450447","NAVARRO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","121 patients",,,"SCIP-INF-2 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450447","NAVARRO REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450447","NAVARRO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","188 patients",,,"SCIP-INF-6 " "450447","NAVARRO REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","113 patients",,,"SCIP-VTE-2 " "450447","NAVARRO REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "450447","NAVARRO REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","65 patients",,,"PN-6 " "450451","GLEN ROSE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450451","GLEN ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","47 patients",,,"SCIP-INF-1 " "450451","GLEN ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","47 patients",,,"SCIP-INF-2 " "450451","GLEN ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450451","GLEN ROSE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450451","GLEN ROSE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","29 patients",,,"PN-7 " "450451","GLEN ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","32 patients",,,"SCIP-VTE-2 " "450451","GLEN ROSE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450451","GLEN ROSE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450451","GLEN ROSE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "450451","GLEN ROSE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450451","GLEN ROSE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,2 ","12","PN-4 " "450451","GLEN ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","32 patients",,,"SCIP-VTE-1 " "450451","GLEN ROSE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","42 patients","2 ","2","PN-6 " "450451","GLEN ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "450451","GLEN ROSE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450451","GLEN ROSE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","65 patients","2 ","2","PN-2 " "450451","GLEN ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","42%","45 patients",,,"SCIP-INF-3 " "450451","GLEN ROSE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","51 patients",,,"SCIP-INF-6 " "450451","GLEN ROSE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","22 patients","1 ","1","HF-1 " "450451","GLEN ROSE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "450451","GLEN ROSE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","48 patients",,,"HF-2 " "450451","GLEN ROSE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","32 patients","2 ","2","PN-3B " "450451","GLEN ROSE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450451","GLEN ROSE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","58 patients","2 ","2","PN-5C " "450460","TYLER COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","38 patients","2 ","2","PN-3B " "450460","TYLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450460","TYLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450460","TYLER COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,2,3 ","123","AMI-5 " "450460","TYLER COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","65%","43 patients","2 ","2","PN-2 " "450460","TYLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450460","TYLER COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "450460","TYLER COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","62%","8 patients","1,2 ","12","HF-4 " "450460","TYLER COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450460","TYLER COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,2,3 ","123","AMI-2 " "450460","TYLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450460","TYLER COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","35 patients","2 ","2","PN-7 " "450460","TYLER COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","43 patients","2 ","2","PN-6 " "450460","TYLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450460","TYLER COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","41%","22 patients","1,2 ","12","HF-1 " "450460","TYLER COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","52%","29 patients","2 ","2","HF-2 " "450460","TYLER COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1,2 ","12","HF-3 " "450460","TYLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450460","TYLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450460","TYLER COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450460","TYLER COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","59 patients","2 ","2","PN-5C " "450460","TYLER COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2,3 ","123","AMI-4 " "450460","TYLER COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1,2,3 ","123","AMI-1 " "450460","TYLER COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","15 patients","1,2 ","12","PN-4 " "450460","TYLER COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","456 patients","2 ","2","SCIP-INF-2 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","22 patients","1 ","1","AMI-8A " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","67 patients",,,"PN-4 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","438 patients","2 ","2","SCIP-INF-3 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","93 patients",,,"AMI-4 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","155 patients",,,"PN-6 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","277 patients",,,"AMI-5 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","107 patients","2 ","2","SCIP-CARD-2 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"HF-4 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","261 patients",,,"PN-5C " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","517 patients",,,"HF-2 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","143 patients","2 ","2","SCIP-INF-4 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","206 patients","2 ","2","SCIP-VTE-1 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","206 patients","2 ","2","SCIP-VTE-2 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","182 patients",,,"PN-7 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","188 patients",,,"HF-3 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","64 patients",,,"AMI-3 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","289 patients",,,"PN-3B " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","166 patients",,,"AMI-1 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","659 patients","2 ","2","SCIP-INF-6 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","287 patients",,,"AMI-2 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","399 patients",,,"HF-1 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","449 patients","2 ","2","SCIP-INF-1 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","262 patients",,,"PN-2 " "450462","TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","22 patients","1 ","1","HF-3 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","57 patients",,,"PN-2 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","46 patients",,,"PN-6 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","23 patients","1 ","1","PN-4 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1 ","1","SCIP-CARD-2 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","37 patients",,,"PN-7 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","4 patients","1 ","1","AMI-7A " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","43 patients",,,"SCIP-VTE-2 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","41 patients",,,"SCIP-INF-3 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","46 patients",,,"PN-3B " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","86 patients",,,"SCIP-INF-6 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","44 patients",,,"SCIP-VTE-1 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","48 patients",,,"SCIP-INF-1 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","54%","46 patients",,,"HF-1 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","33 patients",,,"AMI-1 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","47 patients",,,"SCIP-INF-2 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","64 patients",,,"PN-5C " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","21 patients","1 ","1","AMI-2 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450465","MATAGORDA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","57 patients",,,"HF-2 " "450469","WILSON N JONES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","536 patients","2 ","2","SCIP-INF-1 " "450469","WILSON N JONES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients",,,"AMI-3 " "450469","WILSON N JONES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","141 patients",,,"AMI-1 " "450469","WILSON N JONES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","188 patients",,,"HF-1 " "450469","WILSON N JONES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","102 patients",,,"HF-3 " "450469","WILSON N JONES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","313 patients",,,"PN-5C " "450469","WILSON N JONES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","292 patients",,,"PN-2 " "450469","WILSON N JONES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","243 patients",,,"HF-2 " "450469","WILSON N JONES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","128 patients",,,"PN-4 " "450469","WILSON N JONES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","99 patients","2 ","2","SCIP-INF-4 " "450469","WILSON N JONES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","220 patients",,,"PN-6 " "450469","WILSON N JONES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450469","WILSON N JONES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","121 patients",,,"SCIP-CARD-2 " "450469","WILSON N JONES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","69 patients",,,"AMI-4 " "450469","WILSON N JONES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","30 patients",,,"AMI-8A " "450469","WILSON N JONES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","148 patients",,,"AMI-2 " "450469","WILSON N JONES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","342 patients","2 ","2","SCIP-VTE-2 " "450469","WILSON N JONES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","478 patients","2 ","2","SCIP-INF-3 " "450469","WILSON N JONES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","222 patients",,,"PN-7 " "450469","WILSON N JONES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","765 patients","2 ","2","SCIP-INF-6 " "450469","WILSON N JONES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "450469","WILSON N JONES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","543 patients","2 ","2","SCIP-INF-2 " "450469","WILSON N JONES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","342 patients","2 ","2","SCIP-VTE-1 " "450469","WILSON N JONES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","144 patients",,,"AMI-5 " "450469","WILSON N JONES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","325 patients",,,"PN-3B " "450475","ETMC HENDERSON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","60 patients",,,"PN-3B " "450475","ETMC HENDERSON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450475","ETMC HENDERSON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","38%","8 patients","1 ","1","SCIP-CARD-2 " "450475","ETMC HENDERSON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","64 patients",,,"SCIP-INF-1 " "450475","ETMC HENDERSON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","58 patients",,,"SCIP-VTE-2 " "450475","ETMC HENDERSON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","78%","59 patients",,,"SCIP-INF-3 " "450475","ETMC HENDERSON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "450475","ETMC HENDERSON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","65 patients",,,"SCIP-INF-2 " "450475","ETMC HENDERSON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450475","ETMC HENDERSON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "450475","ETMC HENDERSON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450475","ETMC HENDERSON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","42 patients",,,"PN-6 " "450475","ETMC HENDERSON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450475","ETMC HENDERSON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","59 patients",,,"SCIP-VTE-1 " "450475","ETMC HENDERSON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","68 patients",,,"PN-5C " "450475","ETMC HENDERSON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "450475","ETMC HENDERSON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450475","ETMC HENDERSON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","82 patients",,,"SCIP-INF-6 " "450475","ETMC HENDERSON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "450475","ETMC HENDERSON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","61 patients",,,"PN-2 " "450475","ETMC HENDERSON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "450475","ETMC HENDERSON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","75 patients",,,"HF-1 " "450475","ETMC HENDERSON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "450475","ETMC HENDERSON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","103 patients",,,"HF-2 " "450475","ETMC HENDERSON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","36 patients",,,"PN-7 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","456 patients",,,"SCIP-INF-6 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"AMI-3 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","64 patients",,,"SCIP-CARD-2 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","135 patients",,,"PN-2 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","72 patients",,,"HF-3 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","98 patients",,,"AMI-2 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","79 patients",,,"SCIP-INF-4 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","195 patients",,,"SCIP-VTE-1 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","106 patients",,,"PN-5C " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","326 patients",,,"SCIP-INF-1 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","298 patients",,,"SCIP-INF-3 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","170 patients",,,"HF-2 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","332 patients",,,"SCIP-INF-2 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","94 patients",,,"PN-3B " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","97 patients",,,"PN-7 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","67 patients",,,"AMI-1 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","139 patients",,,"HF-1 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","11 patients","1 ","1","AMI-8A " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","71 patients",,,"PN-6 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","194 patients",,,"SCIP-VTE-2 " "450484","WOODLAND HEIGHTS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","91 patients",,,"AMI-5 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","2,3 ","23","HF-1 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","3 patients","1,2,3 ","123","PN-2 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1,2 ","12","PN-7 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,"0 patients","2,3 ","23","HF-2 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450488","ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450489","MEDICAL ARTS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450489","MEDICAL ARTS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450489","MEDICAL ARTS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450489","MEDICAL ARTS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450489","MEDICAL ARTS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","26 patients",,,"PN-2 " "450489","MEDICAL ARTS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "450489","MEDICAL ARTS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","22 patients","1 ","1","PN-6 " "450489","MEDICAL ARTS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450489","MEDICAL ARTS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "450489","MEDICAL ARTS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450489","MEDICAL ARTS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "450489","MEDICAL ARTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450489","MEDICAL ARTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450489","MEDICAL ARTS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","47%","32 patients",,,"HF-2 " "450489","MEDICAL ARTS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","31 patients",,,"HF-1 " "450489","MEDICAL ARTS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450489","MEDICAL ARTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450489","MEDICAL ARTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450489","MEDICAL ARTS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","37 patients",,,"PN-5C " "450489","MEDICAL ARTS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450489","MEDICAL ARTS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "450489","MEDICAL ARTS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450489","MEDICAL ARTS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450489","MEDICAL ARTS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","20 patients","1 ","1","PN-3B " "450489","MEDICAL ARTS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","18 patients","1 ","1","PN-7 " "450497","BOWIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1,2 ","12","SCIP-INF-1 " "450497","BOWIE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "450497","BOWIE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1,2 ","12","HF-3 " "450497","BOWIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","40%","5 patients","1,2 ","12","SCIP-INF-2 " "450497","BOWIE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450497","BOWIE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","24 patients","1,2 ","12","HF-1 " "450497","BOWIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "450497","BOWIE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1,2 ","12","HF-4 " "450497","BOWIE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients","2 ","2","HF-2 " "450497","BOWIE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","111 patients","2 ","2","PN-5C " "450497","BOWIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","36%","11 patients","1,2 ","12","SCIP-INF-6 " "450497","BOWIE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","67 patients","2 ","2","PN-3B " "450497","BOWIE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","AMI-4 " "450497","BOWIE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","90 patients","2 ","2","PN-2 " "450497","BOWIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","7 patients","1,2 ","12","SCIP-VTE-2 " "450497","BOWIE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","74 patients","2 ","2","PN-7 " "450497","BOWIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450497","BOWIE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","39 patients","2 ","2","PN-4 " "450497","BOWIE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,2 ","12","AMI-5 " "450497","BOWIE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,2 ","12","AMI-2 " "450497","BOWIE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,2 ","12","AMI-1 " "450497","BOWIE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","AMI-3 " "450497","BOWIE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","33 patients","2 ","2","PN-6 " "450497","BOWIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1,2 ","12","SCIP-INF-3 " "450497","BOWIE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","7 patients","1,2 ","12","SCIP-VTE-1 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450498","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","21 patients","1 ","1","PN-4 " "450498","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450498","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","40 patients",,,"HF-2 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "450498","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","56 patients",,,"PN-3B " "450498","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","25 patients",,,"HF-1 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "450498","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450498","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "450498","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450498","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","56 patients",,,"PN-5C " "450498","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","64 patients",,,"PN-2 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "450498","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450498","STEPHENS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450498","STEPHENS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450498","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","39 patients",,,"PN-7 " "450498","STEPHENS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","41 patients",,,"PN-6 " "450508","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","43 patients","2 ","2","SCIP-CARD-2 " "450508","MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","81 patients",,,"AMI-2 " "450508","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","160 patients","2 ","2","SCIP-INF-3 " "450508","MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450508","MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","73%","78 patients",,,"AMI-5 " "450508","MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","54 patients",,,"AMI-1 " "450508","MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"AMI-4 " "450508","MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"AMI-3 " "450508","MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"HF-4 " "450508","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","274 patients","2 ","2","SCIP-INF-6 " "450508","MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","274 patients",,,"HF-2 " "450508","MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","107 patients",,,"PN-6 " "450508","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","20 patients","1,2 ","12","SCIP-INF-4 " "450508","MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","117 patients",,,"PN-7 " "450508","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","138 patients","2 ","2","SCIP-VTE-2 " "450508","MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","20 patients","1 ","1","AMI-8A " "450508","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","147 patients","2 ","2","SCIP-VTE-1 " "450508","MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"PN-4 " "450508","MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","126 patients",,,"PN-3B " "450508","MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","219 patients",,,"HF-1 " "450508","MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","110 patients",,,"HF-3 " "450508","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","170 patients","2 ","2","SCIP-INF-1 " "450508","MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","168 patients","2 ","2","SCIP-INF-2 " "450508","MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","159 patients",,,"PN-5C " "450508","MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","129 patients",,,"PN-2 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","78 patients",,,"AMI-2 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","458 patients",,,"SCIP-INF-6 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","70 patients",,,"SCIP-INF-4 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","82 patients",,,"AMI-1 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","91 patients",,,"PN-2 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","80 patients",,,"PN-3B " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","121 patients",,,"PN-5C " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","74 patients",,,"AMI-5 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","32%","22 patients","1 ","1","AMI-8A " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","319 patients",,,"SCIP-INF-1 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","44 patients",,,"HF-4 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","54 patients",,,"HF-3 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","319 patients",,,"SCIP-INF-2 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","185 patients",,,"HF-2 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","54 patients",,,"PN-4 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","157 patients",,,"HF-1 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","222 patients",,,"SCIP-VTE-1 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","313 patients",,,"SCIP-INF-3 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","63 patients",,,"PN-7 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","222 patients",,,"SCIP-VTE-2 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","88 patients",,,"PN-6 " "450518","THE MEDICAL CENTER OF SOUTHEAST TEXAS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","69 patients",,,"SCIP-CARD-2 " "450530","MAINLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450530","MAINLAND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","207 patients",,,"PN-6 " "450530","MAINLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","53 patients","2 ","2","SCIP-CARD-2 " "450530","MAINLAND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","266 patients",,,"PN-3B " "450530","MAINLAND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"AMI-4 " "450530","MAINLAND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","178 patients",,,"AMI-1 " "450530","MAINLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","378 patients","2 ","2","SCIP-INF-6 " "450530","MAINLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","180 patients","2 ","2","SCIP-VTE-1 " "450530","MAINLAND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","258 patients",,,"PN-2 " "450530","MAINLAND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","247 patients",,,"PN-5C " "450530","MAINLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","212 patients","2 ","2","SCIP-INF-3 " "450530","MAINLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","224 patients","2 ","2","SCIP-INF-1 " "450530","MAINLAND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450530","MAINLAND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","23 patients","1 ","1","AMI-8A " "450530","MAINLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","180 patients","2 ","2","SCIP-VTE-2 " "450530","MAINLAND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","228 patients","2 ","2","SCIP-INF-2 " "450530","MAINLAND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","42 patients",,,"AMI-3 " "450530","MAINLAND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","126 patients",,,"AMI-5 " "450530","MAINLAND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","126 patients",,,"AMI-2 " "450530","MAINLAND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","216 patients",,,"PN-7 " "450530","MAINLAND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","150 patients",,,"PN-4 " "450530","MAINLAND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","470 patients",,,"HF-2 " "450530","MAINLAND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","102 patients",,,"HF-4 " "450530","MAINLAND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","396 patients",,,"HF-1 " "450530","MAINLAND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","175 patients",,,"HF-3 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","111 patients",,,"PN-2 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","82 patients",,,"PN-7 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","59 patients",,,"AMI-2 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","220 patients","2 ","2","SCIP-INF-1 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","120 patients","2 ","2","SCIP-VTE-1 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","56 patients",,,"AMI-1 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","215 patients","2 ","2","SCIP-INF-3 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","60 patients",,,"HF-1 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","83 patients",,,"PN-6 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","120 patients","2 ","2","SCIP-VTE-2 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","133 patients",,,"PN-5C " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"HF-3 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","87 patients",,,"HF-2 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","15 patients","1 ","1","AMI-8A " "450537","METHODIST RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","40 patients","2 ","2","SCIP-INF-4 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients","2 ","2","SCIP-CARD-2 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450537","METHODIST RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","227 patients","2 ","2","SCIP-INF-2 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","144 patients",,,"PN-3B " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","55 patients",,,"AMI-5 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "450537","METHODIST RICHARDSON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","364 patients","2 ","2","SCIP-INF-6 " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","48%","50 patients",,,"HF-2 " "450539","COVENANT HOSPITAL PLAINVIEW","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","104 patients",,,"SCIP-INF-6 " "450539","COVENANT HOSPITAL PLAINVIEW","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","84%","74 patients",,,"SCIP-INF-2 " "450539","COVENANT HOSPITAL PLAINVIEW","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","122 patients",,,"PN-5C " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450539","COVENANT HOSPITAL PLAINVIEW","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","65 patients",,,"PN-7 " "450539","COVENANT HOSPITAL PLAINVIEW","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","75 patients",,,"SCIP-INF-1 " "450539","COVENANT HOSPITAL PLAINVIEW","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","50 patients",,,"PN-3B " "450539","COVENANT HOSPITAL PLAINVIEW","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","53%","47 patients",,,"SCIP-VTE-2 " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450539","COVENANT HOSPITAL PLAINVIEW","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","81 patients",,,"PN-6 " "450539","COVENANT HOSPITAL PLAINVIEW","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","9 patients","1 ","1","SCIP-CARD-2 " "450539","COVENANT HOSPITAL PLAINVIEW","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","47 patients",,,"SCIP-VTE-1 " "450539","COVENANT HOSPITAL PLAINVIEW","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","74 patients",,,"SCIP-INF-3 " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "450539","COVENANT HOSPITAL PLAINVIEW","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "450539","COVENANT HOSPITAL PLAINVIEW","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","29 patients",,,"PN-4 " "450539","COVENANT HOSPITAL PLAINVIEW","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","96 patients",,,"PN-2 " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","42 patients",,,"HF-1 " "450539","COVENANT HOSPITAL PLAINVIEW","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","45%","20 patients","1 ","1","SCIP-VTE-1 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","56 patients",,,"PN-2 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","45 patients",,,"PN-7 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","49 patients",,,"PN-3B " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","44 patients",,,"HF-2 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","52 patients",,,"PN-6 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","59 patients",,,"PN-5C " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","11 patients","1 ","1","SCIP-INF-3 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","39%","36 patients",,,"HF-1 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-1 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","28 patients",,,"SCIP-INF-6 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","45%","20 patients","1 ","1","SCIP-VTE-2 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "450547","EAST TEXAS MEDICAL CENTER QUITMAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","11 patients","1 ","1","SCIP-INF-2 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","44 patients",,,"AMI-3 " "450558","ABILENE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","111 patients",,,"PN-5C " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","87 patients",,,"AMI-1 " "450558","ABILENE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","91 patients",,,"PN-7 " "450558","ABILENE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","94 patients",,,"PN-3B " "450558","ABILENE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","511 patients",,,"SCIP-INF-1 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","70 patients",,,"HF-3 " "450558","ABILENE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","243 patients",,,"SCIP-VTE-1 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","177 patients",,,"AMI-5 " "450558","ABILENE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","126 patients",,,"PN-2 " "450558","ABILENE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","498 patients",,,"SCIP-INF-3 " "450558","ABILENE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","525 patients",,,"SCIP-INF-2 " "450558","ABILENE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","233 patients",,,"SCIP-VTE-2 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","161 patients",,,"HF-1 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","10 patients","1 ","1","AMI-8A " "450558","ABILENE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","108 patients",,,"SCIP-CARD-2 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "450558","ABILENE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","698 patients",,,"SCIP-INF-6 " "450558","ABILENE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"PN-4 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","67 patients",,,"AMI-4 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","190 patients",,,"AMI-2 " "450558","ABILENE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","75%","163 patients",,,"SCIP-INF-4 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","49 patients",,,"HF-4 " "450558","ABILENE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","74 patients",,,"PN-6 " "450558","ABILENE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","192 patients",,,"HF-2 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","186 patients",,,"AMI-2 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","180 patients",,,"HF-1 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","367 patients","2 ","2","SCIP-VTE-2 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","208 patients",,,"HF-2 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","70 patients",,,"HF-3 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","148 patients",,,"PN-7 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","193 patients",,,"AMI-1 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","171 patients",,,"PN-6 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","819 patients","2 ","2","SCIP-INF-6 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","28 patients",,,"AMI-3 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","367 patients","2 ","2","SCIP-VTE-1 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","589 patients","2 ","2","SCIP-INF-3 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"PN-4 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","102 patients","2 ","2","SCIP-CARD-2 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","52 patients",,,"AMI-8A " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","124 patients","2 ","2","SCIP-INF-4 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","201 patients",,,"PN-5C " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","226 patients",,,"PN-3B " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","625 patients","2 ","2","SCIP-INF-1 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","171 patients",,,"PN-2 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","185 patients",,,"AMI-5 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","629 patients","2 ","2","SCIP-INF-2 " "450563","BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"AMI-4 " "450565","PALO PINTO GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","42 patients",,,"PN-4 " "450565","PALO PINTO GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "450565","PALO PINTO GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","6 patients","1 ","1","AMI-1 " "450565","PALO PINTO GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450565","PALO PINTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450565","PALO PINTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","91%","198 patients",,,"SCIP-INF-6 " "450565","PALO PINTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","97 patients",,,"SCIP-VTE-2 " "450565","PALO PINTO GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","73 patients",,,"PN-2 " "450565","PALO PINTO GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","61 patients",,,"HF-2 " "450565","PALO PINTO GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","71%","89 patients",,,"PN-3B " "450565","PALO PINTO GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1 ","1","AMI-5 " "450565","PALO PINTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","156 patients",,,"SCIP-INF-2 " "450565","PALO PINTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","55%","155 patients",,,"SCIP-INF-3 " "450565","PALO PINTO GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","94 patients",,,"PN-6 " "450565","PALO PINTO GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","123 patients",,,"PN-5C " "450565","PALO PINTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","159 patients",,,"SCIP-INF-1 " "450565","PALO PINTO GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "450565","PALO PINTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "450565","PALO PINTO GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","51 patients",,,"HF-1 " "450565","PALO PINTO GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450565","PALO PINTO GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","18 patients","1 ","1","HF-3 " "450565","PALO PINTO GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","97 patients",,,"SCIP-VTE-1 " "450565","PALO PINTO GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","79%","19 patients","1 ","1","HF-4 " "450565","PALO PINTO GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450565","PALO PINTO GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","74 patients",,,"PN-7 " "450571","SHANNON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","146 patients",,,"AMI-5 " "450571","SHANNON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","223 patients",,,"PN-5C " "450571","SHANNON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","722 patients","2 ","2","SCIP-INF-2 " "450571","SHANNON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450571","SHANNON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","30 patients",,,"AMI-3 " "450571","SHANNON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","165 patients","2 ","2","SCIP-INF-4 " "450571","SHANNON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","118 patients",,,"AMI-1 " "450571","SHANNON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","182 patients",,,"PN-7 " "450571","SHANNON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","446 patients","2 ","2","SCIP-VTE-1 " "450571","SHANNON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","78 patients",,,"PN-4 " "450571","SHANNON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","177 patients",,,"PN-6 " "450571","SHANNON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","952 patients","2 ","2","SCIP-INF-6 " "450571","SHANNON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","193 patients",,,"HF-2 " "450571","SHANNON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","654 patients","2 ","2","SCIP-INF-3 " "450571","SHANNON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","193 patients",,,"PN-2 " "450571","SHANNON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"AMI-4 " "450571","SHANNON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","105 patients",,,"PN-3B " "450571","SHANNON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","117 patients","2 ","2","SCIP-CARD-2 " "450571","SHANNON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"HF-4 " "450571","SHANNON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","168 patients",,,"AMI-2 " "450571","SHANNON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","712 patients","2 ","2","SCIP-INF-1 " "450571","SHANNON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","26 patients",,,"AMI-8A " "450571","SHANNON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","445 patients","2 ","2","SCIP-VTE-2 " "450571","SHANNON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","162 patients",,,"HF-1 " "450571","SHANNON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","66 patients",,,"HF-3 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","101 patients",,,"PN-5C " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","31 patients",,,"SCIP-VTE-1 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","HF-3 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","48 patients",,,"HF-1 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","86 patients",,,"PN-2 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","83 patients",,,"PN-6 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1 ","1","AMI-5 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","31 patients",,,"SCIP-VTE-2 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","58 patients",,,"HF-2 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","37 patients",,,"SCIP-INF-2 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","75 patients",,,"PN-3B " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","60%","10 patients","1 ","1","AMI-1 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","60 patients",,,"PN-7 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","57 patients",,,"SCIP-INF-6 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","35 patients",,,"SCIP-INF-1 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","32 patients",,,"SCIP-INF-3 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","36 patients",,,"PN-4 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450573","CHRISTUS JASPER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450578","HEMPHILL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450578","HEMPHILL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450578","HEMPHILL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450578","HEMPHILL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "450578","HEMPHILL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1,2,3 ","123","PN-5C " "450578","HEMPHILL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450578","HEMPHILL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "450578","HEMPHILL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,2,3 ","123","PN-6 " "450578","HEMPHILL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,2,3 ","123","PN-4 " "450578","HEMPHILL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450578","HEMPHILL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450578","HEMPHILL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450578","HEMPHILL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450578","HEMPHILL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "450578","HEMPHILL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","13 patients","1,2 ","12","PN-7 " "450578","HEMPHILL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "450578","HEMPHILL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","4 patients","1,2,3 ","123","HF-1 " "450578","HEMPHILL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","5 patients","1,2,3 ","123","HF-2 " "450578","HEMPHILL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450578","HEMPHILL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1,2,3 ","123","PN-3B " "450578","HEMPHILL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "450578","HEMPHILL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450578","HEMPHILL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","10 patients","1,2,3 ","123","PN-2 " "450578","HEMPHILL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","0%","1 patients","1,2,3 ","123","AMI-5 " "450578","HEMPHILL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1 ","1","SCIP-CARD-2 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","38 patients",,,"SCIP-INF-3 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","63 patients",,,"PN-5C " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","106 patients",,,"HF-2 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","72 patients",,,"HF-1 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","52 patients",,,"PN-6 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","43 patients",,,"PN-3B " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","38 patients",,,"SCIP-INF-1 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","38 patients",,,"SCIP-INF-2 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","35 patients",,,"SCIP-VTE-2 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","59 patients",,,"PN-2 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","46 patients",,,"PN-7 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","35 patients",,,"SCIP-VTE-1 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450580","EAST TEXAS MEDICAL CENTER CROCKETT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","74 patients",,,"SCIP-INF-6 " "450584","WILBARGER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","14 patients","1 ","1","SCIP-VTE-2 " "450584","WILBARGER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450584","WILBARGER GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450584","WILBARGER GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients",,,"PN-5C " "450584","WILBARGER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","18 patients","1 ","1","SCIP-INF-6 " "450584","WILBARGER GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "450584","WILBARGER GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "450584","WILBARGER GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "450584","WILBARGER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1 ","1","SCIP-INF-3 " "450584","WILBARGER GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "450584","WILBARGER GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","PN-4 " "450584","WILBARGER GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450584","WILBARGER GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","37 patients",,,"PN-2 " "450584","WILBARGER GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","20 patients","1 ","1","HF-2 " "450584","WILBARGER GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","11 patients","1 ","1","HF-1 " "450584","WILBARGER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-1 " "450584","WILBARGER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-2 " "450584","WILBARGER GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450584","WILBARGER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "450584","WILBARGER GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","30 patients",,,"PN-6 " "450584","WILBARGER GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","34 patients",,,"PN-3B " "450584","WILBARGER GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "450584","WILBARGER GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","57%","14 patients","1 ","1","SCIP-VTE-1 " "450584","WILBARGER GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","21 patients","1 ","1","PN-7 " "450584","WILBARGER GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","HF-3 " "450586","SEYMOUR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1,2 ","12","PN-5C " "450586","SEYMOUR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "450586","SEYMOUR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450586","SEYMOUR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","33 patients","2 ","2","PN-7 " "450586","SEYMOUR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450586","SEYMOUR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "450586","SEYMOUR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450586","SEYMOUR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450586","SEYMOUR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450586","SEYMOUR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450586","SEYMOUR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "450586","SEYMOUR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450586","SEYMOUR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1,2 ","12","HF-3 " "450586","SEYMOUR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "450586","SEYMOUR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "450586","SEYMOUR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,2 ","12","HF-4 " "450586","SEYMOUR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","9 patients","1,2 ","12","PN-3B " "450586","SEYMOUR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "450586","SEYMOUR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","41 patients","2 ","2","PN-2 " "450586","SEYMOUR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1,2 ","12","PN-4 " "450586","SEYMOUR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "450586","SEYMOUR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","40 patients","2 ","2","PN-6 " "450586","SEYMOUR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","15 patients","1,2 ","12","HF-1 " "450586","SEYMOUR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450586","SEYMOUR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","19 patients","1,2 ","12","HF-2 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","177 patients",,,"SCIP-VTE-1 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1 ","1","AMI-2 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","318 patients",,,"SCIP-INF-6 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","60 patients",,,"PN-3B " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","153 patients",,,"PN-5C " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","161 patients",,,"PN-2 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","147 patients",,,"HF-2 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","177 patients",,,"SCIP-VTE-2 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","29 patients",,,"SCIP-CARD-2 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","193 patients",,,"SCIP-INF-1 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","60 patients",,,"PN-4 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","186 patients",,,"SCIP-INF-3 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","128 patients",,,"PN-7 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","101 patients",,,"PN-6 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","194 patients",,,"SCIP-INF-2 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","35 patients",,,"HF-3 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1 ","1","AMI-1 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","105 patients",,,"HF-1 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450587","BROWNWOOD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","56 patients",,,"PN-7 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","65 patients",,,"PN-2 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","65%","54 patients",,,"PN-3B " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","70 patients",,,"PN-5C " "450591","ANGLETON-DANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","123 patients",,,"SCIP-INF-3 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","169 patients",,,"SCIP-INF-6 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"PN-4 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","47 patients",,,"HF-1 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450591","ANGLETON-DANBURY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","49 patients",,,"PN-6 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","76 patients",,,"SCIP-VTE-1 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450591","ANGLETON-DANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","124 patients",,,"SCIP-INF-2 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","63 patients",,,"HF-2 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","126 patients",,,"SCIP-INF-1 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","HF-3 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","74 patients",,,"SCIP-VTE-2 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "450591","ANGLETON-DANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","30 patients",,,"SCIP-CARD-2 " "450596","LAKE GRANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","208 patients","2 ","2","SCIP-INF-6 " "450596","LAKE GRANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","151 patients","2 ","2","SCIP-INF-3 " "450596","LAKE GRANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","152 patients","2 ","2","SCIP-INF-2 " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450596","LAKE GRANBURY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","73 patients",,,"PN-2 " "450596","LAKE GRANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","78 patients","2 ","2","SCIP-VTE-2 " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450596","LAKE GRANBURY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","26 patients",,,"PN-4 " "450596","LAKE GRANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","79 patients","2 ","2","SCIP-VTE-1 " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","86 patients",,,"HF-2 " "450596","LAKE GRANBURY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","87 patients",,,"PN-5C " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450596","LAKE GRANBURY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","85 patients",,,"PN-3B " "450596","LAKE GRANBURY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","47 patients",,,"PN-7 " "450596","LAKE GRANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","25 patients",,,"HF-3 " "450596","LAKE GRANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","152 patients","2 ","2","SCIP-INF-1 " "450596","LAKE GRANBURY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","16 patients","1,2 ","12","SCIP-CARD-2 " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","57 patients",,,"HF-1 " "450596","LAKE GRANBURY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","64 patients",,,"PN-6 " "450596","LAKE GRANBURY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "450597","CUERO COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","81 patients",,,"HF-1 " "450597","CUERO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","4 patients","1 ","1","SCIP-INF-1 " "450597","CUERO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","8 patients","1 ","1","SCIP-VTE-2 " "450597","CUERO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","50%","4 patients","1 ","1","SCIP-INF-2 " "450597","CUERO COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","67 patients",,,"PN-6 " "450597","CUERO COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450597","CUERO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "450597","CUERO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1 ","1","SCIP-INF-6 " "450597","CUERO COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","9 patients","1 ","1","AMI-5 " "450597","CUERO COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450597","CUERO COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450597","CUERO COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","60 patients",,,"PN-7 " "450597","CUERO COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","42 patients",,,"HF-3 " "450597","CUERO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "450597","CUERO COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","91 patients",,,"PN-5C " "450597","CUERO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450597","CUERO COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450597","CUERO COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","64 patients",,,"PN-3B " "450597","CUERO COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "450597","CUERO COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "450597","CUERO COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "450597","CUERO COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","76 patients",,,"PN-2 " "450597","CUERO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","8 patients","1 ","1","SCIP-VTE-1 " "450597","CUERO COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","112 patients",,,"HF-2 " "450597","CUERO COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","252 patients","2 ","2","SCIP-VTE-2 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","377 patients","2 ","2","SCIP-INF-3 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","473 patients","2 ","2","SCIP-INF-6 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","252 patients","2 ","2","SCIP-VTE-1 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","385 patients","2 ","2","SCIP-INF-2 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","85 patients",,,"PN-5C " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","67 patients","2 ","2","SCIP-CARD-2 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","74 patients",,,"PN-7 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","77 patients",,,"PN-3B " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","57 patients",,,"PN-6 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","49 patients",,,"HF-1 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","117 patients",,,"PN-2 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","383 patients","2 ","2","SCIP-INF-1 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","75 patients",,,"HF-2 " "450604","HILL COUNTRY MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "450605","NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","4 patients","1,2 ","12","SCIP-INF-1 " "450605","NORTH BAY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","20 patients","1,2 ","12","PN-7 " "450605","NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","5 patients","1,2 ","12","SCIP-VTE-2 " "450605","NORTH BAY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","59 patients","2 ","2","HF-2 " "450605","NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","14 patients","1,2 ","12","SCIP-INF-6 " "450605","NORTH BAY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","19 patients","1,2 ","12","PN-2 " "450605","NORTH BAY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "450605","NORTH BAY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "450605","NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","25%","4 patients","1,2 ","12","SCIP-INF-2 " "450605","NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1,2 ","12","SCIP-INF-3 " "450605","NORTH BAY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","39 patients","2 ","2","HF-1 " "450605","NORTH BAY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "450605","NORTH BAY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "450605","NORTH BAY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","42%","12 patients","1,2 ","12","PN-6 " "450605","NORTH BAY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1,2 ","12","HF-4 " "450605","NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450605","NORTH BAY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,2 ","12","PN-4 " "450605","NORTH BAY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","73%","22 patients","1,2 ","12","PN-3B " "450605","NORTH BAY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "450605","NORTH BAY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450605","NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "450605","NORTH BAY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1,2 ","12","HF-3 " "450605","NORTH BAY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450605","NORTH BAY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","12%","8 patients","1,2 ","12","SCIP-VTE-1 " "450605","NORTH BAY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","30 patients","2 ","2","PN-5C " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","65 patients",,,"PN-2 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","57 patients",,,"PN-7 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","82 patients",,,"HF-2 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","55 patients","2 ","2","SCIP-CARD-2 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","68 patients",,,"HF-1 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","123 patients",,,"SCIP-INF-2 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","122 patients",,,"SCIP-INF-1 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","76 patients",,,"PN-5C " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","57 patients",,,"PN-6 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","198 patients","2 ","2","SCIP-INF-6 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","135 patients","2 ","2","SCIP-VTE-1 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","21 patients","1 ","1","HF-4 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","43 patients",,,"HF-3 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","73 patients",,,"PN-3B " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","122 patients",,,"SCIP-INF-3 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","135 patients","2 ","2","SCIP-VTE-2 " "45060F","VA AMARILLO HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","131 patients",,,"PN-6 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","169 patients",,,"PN-7 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","613 patients","2 ","2","SCIP-INF-6 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","234 patients",,,"PN-3B " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","535 patients",,,"HF-2 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","251 patients",,,"PN-2 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","438 patients",,,"HF-1 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","58 patients",,,"PN-4 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","44 patients",,,"AMI-8A " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","167 patients",,,"HF-3 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","435 patients","2 ","2","SCIP-INF-1 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","97 patients","2 ","2","SCIP-CARD-2 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","442 patients","2 ","2","SCIP-INF-2 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","185 patients",,,"AMI-5 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"AMI-4 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","414 patients","2 ","2","SCIP-INF-3 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","227 patients","2 ","2","SCIP-VTE-2 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"AMI-3 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"HF-4 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","192 patients",,,"AMI-1 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","185 patients",,,"PN-5C " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","227 patients","2 ","2","SCIP-VTE-1 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","197 patients",,,"AMI-2 " "450610","MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","130 patients","2 ","2","SCIP-INF-4 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","HF-4 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450615","ATLANTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","58%","12 patients","1 ","1","SCIP-VTE-2 " "450615","ATLANTA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","58 patients",,,"PN-5C " "450615","ATLANTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","17 patients","1 ","1","SCIP-INF-6 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","61 patients",,,"HF-1 " "450615","ATLANTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "450615","ATLANTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","6 patients","1 ","1","SCIP-INF-3 " "450615","ATLANTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450615","ATLANTA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","48 patients",,,"PN-7 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","27 patients",,,"HF-3 " "450615","ATLANTA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","PN-4 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450615","ATLANTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","58%","12 patients","1 ","1","SCIP-VTE-1 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","90 patients",,,"HF-2 " "450615","ATLANTA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","16 patients","1 ","1","PN-3B " "450615","ATLANTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-2 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "450615","ATLANTA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","57 patients",,,"PN-6 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","9 patients","1 ","1","AMI-5 " "450615","ATLANTA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-1 " "450615","ATLANTA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450615","ATLANTA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","54 patients",,,"PN-2 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","284 patients",,,"AMI-1 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","98 patients","2 ","2","SCIP-CARD-2 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","234 patients",,,"PN-7 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","265 patients","2 ","2","SCIP-VTE-1 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","346 patients",,,"PN-2 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","355 patients","2 ","2","SCIP-INF-1 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","628 patients","2 ","2","SCIP-INF-6 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","351 patients",,,"AMI-5 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","141 patients",,,"PN-4 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","184 patients",,,"HF-3 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","127 patients",,,"AMI-4 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","343 patients",,,"AMI-2 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","225 patients",,,"PN-5C " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","52 patients",,,"AMI-8A " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","335 patients","2 ","2","SCIP-INF-3 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","535 patients",,,"HF-2 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","103 patients",,,"HF-4 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","159 patients",,,"PN-6 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","81 patients",,,"AMI-3 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","431 patients",,,"HF-1 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","207 patients",,,"PN-3B " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","117 patients","2 ","2","SCIP-INF-4 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","363 patients","2 ","2","SCIP-INF-2 " "450617","CLEAR LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","264 patients","2 ","2","SCIP-VTE-2 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","30 patients","2 ","2","PN-6 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","81%","36 patients","2 ","2","PN-3B " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2,3 ","23","SCIP-CARD-2 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","2,3 ","23","SCIP-INF-3 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","HF-3 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","5%","21 patients","1,2 ","12","HF-2 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","1 patients","1,2,3 ","123","SCIP-INF-1 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","2,3 ","23","SCIP-INF-2 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","40%","10 patients","1,2,3 ","123","SCIP-INF-6 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","8 patients","1,2,3 ","123","SCIP-VTE-1 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","41%","22 patients","1,2 ","12","PN-7 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","16 patients","1,2 ","12","HF-1 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","8 patients","1,2,3 ","123","SCIP-VTE-2 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","37 patients","2 ","2","PN-5C " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","7 patients","1,2 ","12","PN-4 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2 ","12","HF-4 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","27 patients","2 ","2","PN-2 " "450620","DIMMIT COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450630","SPRING BRANCH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","72 patients",,,"PN-6 " "450630","SPRING BRANCH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "450630","SPRING BRANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","29 patients","2 ","2","SCIP-INF-4 " "450630","SPRING BRANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","163 patients","2 ","2","SCIP-VTE-2 " "450630","SPRING BRANCH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","73 patients",,,"AMI-1 " "450630","SPRING BRANCH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","111 patients",,,"PN-7 " "450630","SPRING BRANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","319 patients","2 ","2","SCIP-INF-6 " "450630","SPRING BRANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","164 patients","2 ","2","SCIP-VTE-1 " "450630","SPRING BRANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","171 patients","2 ","2","SCIP-INF-1 " "450630","SPRING BRANCH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450630","SPRING BRANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients","2 ","2","SCIP-CARD-2 " "450630","SPRING BRANCH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","148 patients",,,"PN-3B " "450630","SPRING BRANCH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","74 patients",,,"HF-3 " "450630","SPRING BRANCH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","245 patients",,,"HF-2 " "450630","SPRING BRANCH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","136 patients",,,"PN-5C " "450630","SPRING BRANCH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","205 patients",,,"HF-1 " "450630","SPRING BRANCH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","18 patients","1 ","1","AMI-8A " "450630","SPRING BRANCH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "450630","SPRING BRANCH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","71 patients",,,"AMI-5 " "450630","SPRING BRANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","165 patients","2 ","2","SCIP-INF-3 " "450630","SPRING BRANCH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","69 patients",,,"AMI-2 " "450630","SPRING BRANCH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","128 patients",,,"PN-2 " "450630","SPRING BRANCH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"PN-4 " "450630","SPRING BRANCH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "450630","SPRING BRANCH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","173 patients","2 ","2","SCIP-INF-2 " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","226 patients",,,"HF-1 " "450634","DENTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","161 patients","2 ","2","SCIP-INF-4 " "450634","DENTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","338 patients","2 ","2","SCIP-INF-1 " "450634","DENTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","316 patients","2 ","2","SCIP-INF-3 " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","56 patients",,,"HF-3 " "450634","DENTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","553 patients","2 ","2","SCIP-INF-6 " "450634","DENTON REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","144 patients","2 ","2","PN-3B " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","229 patients",,,"AMI-5 " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","33 patients",,,"AMI-8A " "450634","DENTON REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","116 patients","2 ","2","PN-2 " "450634","DENTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","192 patients","2 ","2","SCIP-VTE-1 " "450634","DENTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","191 patients","2 ","2","SCIP-VTE-2 " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "450634","DENTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","75 patients","2 ","2","SCIP-CARD-2 " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","228 patients",,,"AMI-2 " "450634","DENTON REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "450634","DENTON REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","62 patients","2 ","2","PN-6 " "450634","DENTON REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","346 patients","2 ","2","SCIP-INF-2 " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","169 patients",,,"AMI-1 " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","78 patients",,,"AMI-4 " "450634","DENTON REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","171 patients","2 ","2","PN-5C " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450634","DENTON REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","89 patients","2 ","2","PN-7 " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","37 patients",,,"AMI-3 " "450634","DENTON REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","304 patients",,,"HF-2 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","116 patients","2 ","2","SCIP-CARD-2 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","64 patients",,,"AMI-3 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","278 patients",,,"PN-5C " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","530 patients",,,"HF-1 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","425 patients","2 ","2","SCIP-VTE-1 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","273 patients",,,"PN-3B " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","632 patients","2 ","2","SCIP-INF-3 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","159 patients","2 ","2","SCIP-INF-4 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","138 patients",,,"PN-4 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","372 patients",,,"AMI-1 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","699 patients","2 ","2","SCIP-INF-1 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","245 patients",,,"HF-3 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","425 patients","2 ","2","SCIP-VTE-2 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","367 patients",,,"AMI-5 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","711 patients","2 ","2","SCIP-INF-2 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","56 patients",,,"AMI-8A " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","133 patients",,,"HF-4 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","139 patients",,,"AMI-4 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","605 patients",,,"HF-2 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","170 patients",,,"PN-6 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","267 patients",,,"PN-2 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","974 patients","2 ","2","SCIP-INF-6 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","239 patients",,,"PN-7 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","347 patients",,,"AMI-2 " "450638","HOUSTON NORTHWEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-7A " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","328 patients",,,"PN-3B " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","55 patients","2 ","2","SCIP-INF-4 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","460 patients","2 ","2","SCIP-INF-6 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"AMI-3 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","305 patients",,,"PN-5C " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","344 patients",,,"HF-2 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","119 patients",,,"HF-3 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","255 patients","2 ","2","SCIP-INF-3 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","195 patients",,,"AMI-1 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","194 patients",,,"AMI-5 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","238 patients",,,"PN-2 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","47 patients",,,"AMI-8A " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","225 patients",,,"PN-6 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","284 patients","2 ","2","SCIP-INF-1 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"AMI-4 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","231 patients","2 ","2","SCIP-VTE-2 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","91 patients",,,"PN-4 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","231 patients","2 ","2","SCIP-VTE-1 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","285 patients","2 ","2","SCIP-INF-2 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","189 patients",,,"AMI-2 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","61 patients","2 ","2","SCIP-CARD-2 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","265 patients",,,"HF-1 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","157 patients",,,"PN-7 " "450639","TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","17 patients","1 ","1","HF-3 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","19 patients","1 ","1","PN-6 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","27 patients",,,"HF-1 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","31 patients",,,"HF-2 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","12 patients","1 ","1","PN-7 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1 ","1","PN-5C " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","18 patients","1 ","1","PN-3B " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","16 patients","1 ","1","PN-2 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "45063F","VA WEST TEXAS HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450641","NOCONA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","57%","30 patients",,,"PN-6 " "450641","NOCONA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450641","NOCONA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450641","NOCONA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"PN-4 " "450641","NOCONA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450641","NOCONA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450641","NOCONA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "450641","NOCONA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","44 patients",,,"HF-2 " "450641","NOCONA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450641","NOCONA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "450641","NOCONA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","39 patients",,,"HF-1 " "450641","NOCONA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","63 patients",,,"PN-5C " "450641","NOCONA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","6 patients","1 ","1","AMI-2 " "450641","NOCONA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450641","NOCONA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450641","NOCONA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","54 patients",,,"PN-2 " "450641","NOCONA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "450641","NOCONA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "450641","NOCONA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450641","NOCONA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450641","NOCONA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450641","NOCONA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450641","NOCONA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","3 patients","1 ","1","PN-3B " "450641","NOCONA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","45 patients",,,"PN-7 " "450641","NOCONA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "450643","DOCTORS HOSPITAL OF LAREDO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450643","DOCTORS HOSPITAL OF LAREDO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","174 patients","2 ","2","SCIP-VTE-2 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","226 patients",,,"HF-2 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450643","DOCTORS HOSPITAL OF LAREDO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","109 patients",,,"PN-2 " "450643","DOCTORS HOSPITAL OF LAREDO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","116 patients",,,"PN-5C " "450643","DOCTORS HOSPITAL OF LAREDO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","182 patients","2 ","2","SCIP-INF-3 " "450643","DOCTORS HOSPITAL OF LAREDO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","180 patients","2 ","2","SCIP-VTE-1 " "450643","DOCTORS HOSPITAL OF LAREDO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","70 patients",,,"PN-7 " "450643","DOCTORS HOSPITAL OF LAREDO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "450643","DOCTORS HOSPITAL OF LAREDO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","326 patients","2 ","2","SCIP-INF-6 " "450643","DOCTORS HOSPITAL OF LAREDO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","95 patients",,,"PN-3B " "450643","DOCTORS HOSPITAL OF LAREDO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","190 patients","2 ","2","SCIP-INF-1 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","193 patients",,,"HF-1 " "450643","DOCTORS HOSPITAL OF LAREDO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","193 patients","2 ","2","SCIP-INF-2 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","27 patients",,,"AMI-1 " "450643","DOCTORS HOSPITAL OF LAREDO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1,2 ","12","SCIP-CARD-2 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","75%","4 patients","1 ","1","AMI-7A " "450643","DOCTORS HOSPITAL OF LAREDO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","92 patients",,,"PN-6 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","14 patients","1 ","1","AMI-5 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "450643","DOCTORS HOSPITAL OF LAREDO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","63 patients",,,"HF-3 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "450644","WEST HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","325 patients","2 ","2","SCIP-INF-1 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","150 patients",,,"AMI-5 " "450644","WEST HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","289 patients","2 ","2","SCIP-INF-3 " "450644","WEST HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","229 patients","2 ","2","SCIP-VTE-1 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","293 patients",,,"HF-2 " "450644","WEST HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","327 patients","2 ","2","SCIP-INF-2 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450644","WEST HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","68 patients","2 ","2","SCIP-CARD-2 " "450644","WEST HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","502 patients","2 ","2","SCIP-INF-6 " "450644","WEST HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","229 patients","2 ","2","SCIP-VTE-2 " "450644","WEST HOUSTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","155 patients",,,"PN-2 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","217 patients",,,"HF-1 " "450644","WEST HOUSTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","69%","81 patients","2 ","2","SCIP-INF-4 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","96 patients",,,"HF-3 " "450644","WEST HOUSTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","161 patients",,,"PN-3B " "450644","WEST HOUSTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"AMI-4 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","176 patients",,,"AMI-1 " "450644","WEST HOUSTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"PN-4 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","21 patients","1 ","1","AMI-8A " "450644","WEST HOUSTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","134 patients",,,"PN-5C " "450644","WEST HOUSTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","135 patients",,,"PN-7 " "450644","WEST HOUSTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","165 patients",,,"AMI-2 " "450644","WEST HOUSTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","94 patients",,,"PN-6 " "450646","DEL SOL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","10 patients","1 ","1","AMI-7A " "450646","DEL SOL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","30 patients","2 ","2","SCIP-CARD-2 " "450646","DEL SOL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","311 patients",,,"HF-1 " "450646","DEL SOL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","202 patients","2 ","2","SCIP-INF-1 " "450646","DEL SOL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","146 patients","2 ","2","SCIP-VTE-2 " "450646","DEL SOL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","341 patients",,,"HF-2 " "450646","DEL SOL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","293 patients",,,"PN-5C " "450646","DEL SOL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","175 patients",,,"AMI-1 " "450646","DEL SOL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","184 patients",,,"PN-7 " "450646","DEL SOL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","24 patients","1 ","1","AMI-8A " "450646","DEL SOL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","161 patients",,,"PN-6 " "450646","DEL SOL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","147 patients",,,"HF-3 " "450646","DEL SOL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","154 patients",,,"AMI-5 " "450646","DEL SOL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "450646","DEL SOL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","151 patients",,,"AMI-2 " "450646","DEL SOL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","391 patients","2 ","2","SCIP-INF-6 " "450646","DEL SOL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "450646","DEL SOL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","238 patients",,,"PN-2 " "450646","DEL SOL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "450646","DEL SOL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","49 patients","2 ","2","SCIP-INF-4 " "450646","DEL SOL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","168 patients","2 ","2","SCIP-INF-3 " "450646","DEL SOL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","323 patients",,,"PN-3B " "450646","DEL SOL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","146 patients","2 ","2","SCIP-VTE-1 " "450646","DEL SOL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","205 patients","2 ","2","SCIP-INF-2 " "450646","DEL SOL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"AMI-3 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","390 patients",,,"HF-1 " "450647","MEDICAL CITY DALLAS HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","292 patients",,,"CAC-2 " "450647","MEDICAL CITY DALLAS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"PN-4 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450647","MEDICAL CITY DALLAS HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","89%","293 patients",,,"CAC-3 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","31 patients",,,"AMI-8A " "450647","MEDICAL CITY DALLAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","341 patients","2 ","2","SCIP-VTE-2 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","123 patients",,,"AMI-1 " "450647","MEDICAL CITY DALLAS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","203 patients",,,"PN-3B " "450647","MEDICAL CITY DALLAS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","182 patients",,,"PN-5C " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","118 patients",,,"AMI-5 " "450647","MEDICAL CITY DALLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","182 patients","2 ","2","SCIP-INF-4 " "450647","MEDICAL CITY DALLAS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","107 patients",,,"PN-6 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","466 patients",,,"HF-2 " "450647","MEDICAL CITY DALLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","619 patients","2 ","2","SCIP-INF-2 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","126 patients",,,"AMI-2 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","192 patients",,,"HF-3 " "450647","MEDICAL CITY DALLAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","341 patients","2 ","2","SCIP-VTE-1 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "450647","MEDICAL CITY DALLAS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","177 patients",,,"PN-2 " "450647","MEDICAL CITY DALLAS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","120 patients",,,"PN-7 " "450647","MEDICAL CITY DALLAS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"HF-4 " "450647","MEDICAL CITY DALLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","888 patients","2 ","2","SCIP-INF-6 " "450647","MEDICAL CITY DALLAS HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","294 patients",,,"CAC-1 " "450647","MEDICAL CITY DALLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","605 patients","2 ","2","SCIP-INF-1 " "450647","MEDICAL CITY DALLAS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","137 patients","2 ","2","SCIP-CARD-2 " "450647","MEDICAL CITY DALLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","510 patients","2 ","2","SCIP-INF-3 " "450651","MEDICAL CENTER OF PLANO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","114 patients","2 ","2","SCIP-INF-4 " "450651","MEDICAL CENTER OF PLANO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","150 patients",,,"AMI-1 " "450651","MEDICAL CENTER OF PLANO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","245 patients","2 ","2","SCIP-VTE-1 " "450651","MEDICAL CENTER OF PLANO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","325 patients","2 ","2","SCIP-INF-1 " "450651","MEDICAL CENTER OF PLANO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450651","MEDICAL CENTER OF PLANO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","79 patients","2 ","2","PN-7 " "450651","MEDICAL CENTER OF PLANO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","556 patients","2 ","2","SCIP-INF-6 " "450651","MEDICAL CENTER OF PLANO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","244 patients","2 ","2","SCIP-VTE-2 " "450651","MEDICAL CENTER OF PLANO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","335 patients","2 ","2","SCIP-INF-2 " "450651","MEDICAL CENTER OF PLANO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","315 patients","2 ","2","SCIP-INF-3 " "450651","MEDICAL CENTER OF PLANO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "450651","MEDICAL CENTER OF PLANO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","213 patients",,,"HF-2 " "450651","MEDICAL CENTER OF PLANO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","82 patients","2 ","2","SCIP-CARD-2 " "450651","MEDICAL CENTER OF PLANO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","72 patients","2 ","2","PN-6 " "450651","MEDICAL CENTER OF PLANO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "450651","MEDICAL CENTER OF PLANO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","168 patients",,,"HF-1 " "450651","MEDICAL CENTER OF PLANO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","154 patients",,,"AMI-2 " "450651","MEDICAL CENTER OF PLANO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"AMI-4 " "450651","MEDICAL CENTER OF PLANO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","AMI-3 " "450651","MEDICAL CENTER OF PLANO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","133 patients","2 ","2","PN-5C " "450651","MEDICAL CENTER OF PLANO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","62 patients",,,"HF-3 " "450651","MEDICAL CENTER OF PLANO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","46 patients",,,"AMI-8A " "450651","MEDICAL CENTER OF PLANO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","127 patients","2 ","2","PN-3B " "450651","MEDICAL CENTER OF PLANO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","154 patients",,,"AMI-5 " "450651","MEDICAL CENTER OF PLANO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","125 patients","2 ","2","PN-2 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","61 patients","2 ","2","SCIP-INF-2 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","47 patients",,,"PN-7 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","45 patients",,,"PN-3B " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","112 patients","2 ","2","SCIP-INF-6 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","100 patients",,,"HF-1 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","51 patients",,,"PN-2 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","62 patients","2 ","2","SCIP-VTE-1 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","61 patients","2 ","2","SCIP-VTE-2 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","47 patients",,,"PN-6 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","28 patients",,,"PN-4 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","62 patients","2 ","2","SCIP-INF-1 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","71 patients",,,"PN-5C " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","84%","19 patients","1 ","1","AMI-1 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","119 patients",,,"HF-2 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","57 patients","2 ","2","SCIP-INF-3 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","13 patients","1,2 ","12","SCIP-CARD-2 " "450653","SCENIC MOUNTAIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","61 patients",,,"HF-3 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","39%","140 patients","2 ","2","PN-2 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","63%","27 patients",,,"AMI-5 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","45%","106 patients","2 ","2","PN-7 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,2 ","12","HF-4 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","31 patients",,,"AMI-1 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450654","STARR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","157 patients","2 ","2","PN-6 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","72%","25 patients",,,"AMI-2 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","36%","22 patients","1,2 ","12","PN-4 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","133 patients","2 ","2","PN-3B " "450654","STARR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","51%","55 patients","2 ","2","HF-2 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2 ","12","HF-3 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","184 patients","2 ","2","PN-5C " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","AMI-4 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","49 patients","2 ","2","HF-1 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450654","STARR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450656","NACOGDOCHES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "450656","NACOGDOCHES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450656","NACOGDOCHES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","59 patients",,,"PN-6 " "450656","NACOGDOCHES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","77 patients",,,"AMI-5 " "450656","NACOGDOCHES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","153 patients","2 ","2","SCIP-VTE-1 " "450656","NACOGDOCHES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","215 patients","2 ","2","SCIP-INF-3 " "450656","NACOGDOCHES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","87 patients",,,"PN-3B " "450656","NACOGDOCHES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","231 patients","2 ","2","SCIP-INF-2 " "450656","NACOGDOCHES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","366 patients","2 ","2","SCIP-INF-6 " "450656","NACOGDOCHES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","11 patients","1 ","1","AMI-8A " "450656","NACOGDOCHES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","77 patients",,,"AMI-1 " "450656","NACOGDOCHES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","44 patients",,,"HF-3 " "450656","NACOGDOCHES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "450656","NACOGDOCHES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","152 patients","2 ","2","SCIP-VTE-2 " "450656","NACOGDOCHES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","111 patients",,,"HF-1 " "450656","NACOGDOCHES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","107 patients",,,"PN-2 " "450656","NACOGDOCHES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","99 patients",,,"PN-5C " "450656","NACOGDOCHES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","76%","50 patients","2 ","2","SCIP-INF-4 " "450656","NACOGDOCHES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","237 patients","2 ","2","SCIP-INF-1 " "450656","NACOGDOCHES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","40 patients","2 ","2","SCIP-CARD-2 " "450656","NACOGDOCHES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","23 patients","1 ","1","AMI-3 " "450656","NACOGDOCHES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","80 patients",,,"PN-7 " "450656","NACOGDOCHES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","124 patients",,,"HF-2 " "450656","NACOGDOCHES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","81 patients",,,"AMI-2 " "450656","NACOGDOCHES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","44 patients",,,"PN-3B " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","44 patients",,,"PN-2 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","HF-4 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","39%","56 patients",,,"HF-1 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","24 patients","1 ","1","PN-7 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","9 patients","1 ","1","HF-3 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","35 patients",,,"PN-6 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","48 patients",,,"PN-5C " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","9 patients","1 ","1","PN-4 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","43%","76 patients",,,"HF-2 " "450658","EAST TEXAS MEDICAL CENTER - FAIRFIELD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450659","PARK PLAZA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","63%","46 patients",,,"HF-3 " "450659","PARK PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","155 patients","2 ","2","SCIP-VTE-1 " "450659","PARK PLAZA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","35 patients",,,"AMI-5 " "450659","PARK PLAZA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","84%","45 patients",,,"AMI-1 " "450659","PARK PLAZA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","118 patients",,,"PN-2 " "450659","PARK PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","155 patients","2 ","2","SCIP-VTE-2 " "450659","PARK PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","28 patients","2 ","2","SCIP-CARD-2 " "450659","PARK PLAZA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "450659","PARK PLAZA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","61 patients",,,"PN-6 " "450659","PARK PLAZA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","45 patients",,,"HF-4 " "450659","PARK PLAZA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","AMI-4 " "450659","PARK PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","320 patients","2 ","2","SCIP-INF-6 " "450659","PARK PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "450659","PARK PLAZA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","98 patients",,,"PN-7 " "450659","PARK PLAZA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","221 patients",,,"HF-2 " "450659","PARK PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","201 patients","2 ","2","SCIP-INF-3 " "450659","PARK PLAZA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","118 patients",,,"PN-3B " "450659","PARK PLAZA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","181 patients",,,"HF-1 " "450659","PARK PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","213 patients","2 ","2","SCIP-INF-1 " "450659","PARK PLAZA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "450659","PARK PLAZA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "450659","PARK PLAZA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","30 patients",,,"AMI-2 " "450659","PARK PLAZA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450659","PARK PLAZA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","135 patients",,,"PN-5C " "450659","PARK PLAZA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","212 patients","2 ","2","SCIP-INF-2 " "450661","ODESSA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","161 patients",,,"HF-2 " "450661","ODESSA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"AMI-4 " "450661","ODESSA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","461 patients",,,"SCIP-INF-2 " "450661","ODESSA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","197 patients",,,"SCIP-VTE-2 " "450661","ODESSA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","55 patients",,,"PN-2 " "450661","ODESSA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","78 patients",,,"AMI-5 " "450661","ODESSA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","60 patients",,,"HF-3 " "450661","ODESSA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "450661","ODESSA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450661","ODESSA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","202 patients",,,"SCIP-VTE-1 " "450661","ODESSA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","137 patients",,,"HF-1 " "450661","ODESSA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","72%","350 patients",,,"SCIP-INF-3 " "450661","ODESSA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","51 patients",,,"PN-6 " "450661","ODESSA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","38 patients",,,"AMI-1 " "450661","ODESSA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","71 patients",,,"SCIP-CARD-2 " "450661","ODESSA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","452 patients",,,"SCIP-INF-1 " "450661","ODESSA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","611 patients",,,"SCIP-INF-6 " "450661","ODESSA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "450661","ODESSA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","49 patients",,,"PN-7 " "450661","ODESSA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","41 patients",,,"PN-3B " "450661","ODESSA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","5 patients","1 ","1","AMI-8A " "450661","ODESSA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","84 patients",,,"AMI-2 " "450661","ODESSA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","65%","72 patients",,,"SCIP-INF-4 " "450661","ODESSA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","72%","18 patients","1 ","1","AMI-3 " "450661","ODESSA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","57 patients",,,"PN-5C " "450662","VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","42 patients","2 ","2","SCIP-CARD-2 " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","138 patients",,,"HF-1 " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"AMI-3 " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","128 patients",,,"AMI-1 " "450662","VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","137 patients",,,"PN-6 " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "450662","VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","208 patients",,,"PN-3B " "450662","VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","401 patients","2 ","2","SCIP-INF-6 " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","62 patients",,,"HF-3 " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","20 patients","1 ","1","AMI-8A " "450662","VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","168 patients","2 ","2","SCIP-VTE-1 " "450662","VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","229 patients","2 ","2","SCIP-INF-3 " "450662","VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","34 patients","2 ","2","SCIP-INF-4 " "450662","VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","198 patients",,,"PN-5C " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","123 patients",,,"AMI-2 " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","156 patients",,,"HF-2 " "450662","VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","137 patients",,,"PN-7 " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","114 patients",,,"AMI-5 " "450662","VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","244 patients","2 ","2","SCIP-INF-1 " "450662","VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","167 patients","2 ","2","SCIP-VTE-2 " "450662","VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "450662","VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","249 patients","2 ","2","SCIP-INF-2 " "450662","VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "450662","VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","193 patients",,,"PN-2 " "450668","SIERRA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","208 patients",,,"PN-5C " "450668","SIERRA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "450668","SIERRA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","123 patients",,,"PN-6 " "450668","SIERRA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","159 patients","2 ","2","SCIP-VTE-1 " "450668","SIERRA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","487 patients","2 ","2","SCIP-INF-6 " "450668","SIERRA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "450668","SIERRA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","208 patients",,,"PN-3B " "450668","SIERRA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","164 patients",,,"PN-7 " "450668","SIERRA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","114 patients",,,"HF-3 " "450668","SIERRA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","321 patients","2 ","2","SCIP-INF-3 " "450668","SIERRA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","239 patients",,,"PN-2 " "450668","SIERRA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","262 patients",,,"HF-1 " "450668","SIERRA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","91 patients",,,"AMI-5 " "450668","SIERRA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "450668","SIERRA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","351 patients","2 ","2","SCIP-INF-2 " "450668","SIERRA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","288 patients",,,"HF-2 " "450668","SIERRA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","108 patients",,,"AMI-2 " "450668","SIERRA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","117 patients","2 ","2","SCIP-INF-4 " "450668","SIERRA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","70 patients","2 ","2","SCIP-CARD-2 " "450668","SIERRA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","159 patients","2 ","2","SCIP-VTE-2 " "450668","SIERRA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","120 patients",,,"AMI-1 " "450668","SIERRA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","336 patients","2 ","2","SCIP-INF-1 " "450668","SIERRA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","58%","19 patients","1 ","1","AMI-8A " "450668","SIERRA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","AMI-3 " "450668","SIERRA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "450669","MEDICAL CENTER OF LEWISVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","306 patients","2 ","2","SCIP-INF-1 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","15 patients","1 ","1","AMI-2 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450669","MEDICAL CENTER OF LEWISVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","47 patients","2 ","2","SCIP-CARD-2 " "450669","MEDICAL CENTER OF LEWISVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","217 patients","2 ","2","SCIP-VTE-1 " "450669","MEDICAL CENTER OF LEWISVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","462 patients","2 ","2","SCIP-INF-6 " "450669","MEDICAL CENTER OF LEWISVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","102 patients","2 ","2","PN-6 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","65 patients",,,"HF-3 " "450669","MEDICAL CENTER OF LEWISVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","83 patients","2 ","2","PN-7 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450669","MEDICAL CENTER OF LEWISVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","301 patients","2 ","2","SCIP-INF-3 " "450669","MEDICAL CENTER OF LEWISVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","50%","2 patients","1,2 ","12","SCIP-INF-4 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","38 patients",,,"AMI-1 " "450669","MEDICAL CENTER OF LEWISVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","217 patients","2 ","2","SCIP-VTE-2 " "450669","MEDICAL CENTER OF LEWISVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","124 patients","2 ","2","PN-5C " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "450669","MEDICAL CENTER OF LEWISVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","119 patients","2 ","2","PN-3B " "450669","MEDICAL CENTER OF LEWISVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","307 patients","2 ","2","SCIP-INF-2 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","149 patients",,,"HF-1 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "450669","MEDICAL CENTER OF LEWISVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","120 patients","2 ","2","PN-2 " "450669","MEDICAL CENTER OF LEWISVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","PN-4 " "450669","MEDICAL CENTER OF LEWISVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","180 patients",,,"HF-2 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","447 patients","2 ","2","SCIP-INF-6 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","129 patients",,,"PN-2 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"AMI-4 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","82 patients",,,"AMI-2 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","317 patients",,,"SCIP-INF-1 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","89 patients",,,"PN-4 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","163 patients",,,"PN-5C " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","236 patients",,,"HF-4 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","323 patients",,,"SCIP-INF-2 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","203 patients","2 ","2","SCIP-VTE-2 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","194 patients","2 ","2","SCIP-CARD-2 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","130 patients",,,"PN-7 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","352 patients",,,"HF-3 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","203 patients","2 ","2","SCIP-VTE-1 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","686 patients",,,"HF-2 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","150 patients","2 ","2","SCIP-INF-4 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","61%","18 patients","1 ","1","AMI-8A " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","89 patients",,,"AMI-1 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","309 patients",,,"SCIP-INF-3 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","96 patients",,,"PN-6 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","671 patients",,,"HF-1 " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","147 patients",,,"PN-3B " "45066F","DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","82 patients",,,"AMI-5 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","168 patients","2 ","2","AMI-1 " "450670","TOMBALL REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","170 patients","2 ","2","PN-2 " "450670","TOMBALL REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","156 patients","2 ","2","PN-5C " "450670","TOMBALL REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","AMI-4 " "450670","TOMBALL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","82%","491 patients","2 ","2","SCIP-INF-6 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","149 patients","2 ","2","AMI-5 " "450670","TOMBALL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","232 patients","2 ","2","SCIP-VTE-2 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","77%","35 patients","2 ","2","AMI-8A " "450670","TOMBALL REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","76 patients","2 ","2","PN-4 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1,2 ","12","AMI-3 " "450670","TOMBALL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","325 patients","2 ","2","SCIP-INF-1 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","299 patients","2 ","2","HF-2 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","154 patients","2 ","2","AMI-2 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450670","TOMBALL REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","104 patients","2 ","2","PN-6 " "450670","TOMBALL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","335 patients","2 ","2","SCIP-INF-2 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","71 patients","2 ","2","HF-3 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","228 patients","2 ","2","HF-1 " "450670","TOMBALL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","61 patients","2 ","2","SCIP-CARD-2 " "450670","TOMBALL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","60 patients","2 ","2","SCIP-INF-4 " "450670","TOMBALL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","310 patients","2 ","2","SCIP-INF-3 " "450670","TOMBALL REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","234 patients","2 ","2","SCIP-VTE-1 " "450670","TOMBALL REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","HF-4 " "450670","TOMBALL REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","119 patients","2 ","2","PN-3B " "450670","TOMBALL REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","116 patients","2 ","2","PN-7 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","123 patients",,,"AMI-1 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","77 patients",,,"HF-4 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","569 patients","2 ","2","SCIP-INF-2 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","536 patients","2 ","2","SCIP-INF-3 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","240 patients","2 ","2","SCIP-VTE-2 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","218 patients","2 ","2","SCIP-INF-4 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","291 patients",,,"HF-1 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","323 patients",,,"AMI-5 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","76 patients",,,"PN-6 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","240 patients","2 ","2","SCIP-VTE-1 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","179 patients",,,"PN-3B " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","322 patients",,,"HF-2 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","126 patients",,,"PN-7 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"PN-4 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","36 patients",,,"AMI-8A " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","150 patients","2 ","2","SCIP-CARD-2 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","186 patients",,,"PN-2 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","790 patients","2 ","2","SCIP-INF-6 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","567 patients","2 ","2","SCIP-INF-1 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","303 patients",,,"AMI-2 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","128 patients",,,"AMI-4 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"AMI-3 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","94 patients",,,"HF-3 " "450672","PLAZA MEDICAL CENTER OF FORT WORTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","156 patients",,,"PN-5C " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450674","WOMANS HOSPITAL OF TEXAS,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "450674","WOMANS HOSPITAL OF TEXAS,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","232 patients","2 ","2","SCIP-INF-6 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","129 patients","2 ","2","SCIP-INF-1 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","130 patients","2 ","2","SCIP-INF-2 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","111 patients","2 ","2","SCIP-VTE-1 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","122 patients","2 ","2","SCIP-INF-3 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1,2 ","12","SCIP-CARD-2 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "450674","WOMANS HOSPITAL OF TEXAS,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","111 patients","2 ","2","SCIP-VTE-2 " "450674","WOMANS HOSPITAL OF TEXAS,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "450675","MEDICAL CENTER OF ARLINGTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","295 patients","2 ","2","SCIP-INF-2 " "450675","MEDICAL CENTER OF ARLINGTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","97 patients","2 ","2","PN-7 " "450675","MEDICAL CENTER OF ARLINGTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","215 patients",,,"AMI-2 " "450675","MEDICAL CENTER OF ARLINGTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","126 patients","2 ","2","PN-5C " "450675","MEDICAL CENTER OF ARLINGTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","286 patients",,,"HF-1 " "450675","MEDICAL CENTER OF ARLINGTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","55 patients",,,"AMI-3 " "450675","MEDICAL CENTER OF ARLINGTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","38 patients",,,"AMI-8A " "450675","MEDICAL CENTER OF ARLINGTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450675","MEDICAL CENTER OF ARLINGTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","292 patients","2 ","2","SCIP-INF-1 " "450675","MEDICAL CENTER OF ARLINGTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","56 patients","2 ","2","PN-4 " "450675","MEDICAL CENTER OF ARLINGTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","249 patients","2 ","2","SCIP-VTE-1 " "450675","MEDICAL CENTER OF ARLINGTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","252 patients",,,"AMI-1 " "450675","MEDICAL CENTER OF ARLINGTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","247 patients","2 ","2","SCIP-VTE-2 " "450675","MEDICAL CENTER OF ARLINGTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","121 patients","2 ","2","PN-3B " "450675","MEDICAL CENTER OF ARLINGTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","89 patients",,,"HF-4 " "450675","MEDICAL CENTER OF ARLINGTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","342 patients",,,"HF-2 " "450675","MEDICAL CENTER OF ARLINGTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","248 patients","2 ","2","SCIP-INF-3 " "450675","MEDICAL CENTER OF ARLINGTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","79 patients",,,"HF-3 " "450675","MEDICAL CENTER OF ARLINGTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","497 patients","2 ","2","SCIP-INF-6 " "450675","MEDICAL CENTER OF ARLINGTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","124 patients","2 ","2","PN-2 " "450675","MEDICAL CENTER OF ARLINGTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","93 patients","2 ","2","SCIP-INF-4 " "450675","MEDICAL CENTER OF ARLINGTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","111 patients",,,"AMI-4 " "450675","MEDICAL CENTER OF ARLINGTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","253 patients",,,"AMI-5 " "450675","MEDICAL CENTER OF ARLINGTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","76 patients","2 ","2","PN-6 " "450675","MEDICAL CENTER OF ARLINGTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","57 patients","2 ","2","SCIP-CARD-2 " "450677","HUGULEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","64%","77 patients","2 ","2","SCIP-INF-4 " "450677","HUGULEY HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","247 patients",,,"HF-1 " "450677","HUGULEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","398 patients","2 ","2","SCIP-INF-1 " "450677","HUGULEY HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","222 patients",,,"AMI-2 " "450677","HUGULEY HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","160 patients",,,"PN-6 " "450677","HUGULEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","403 patients","2 ","2","SCIP-INF-2 " "450677","HUGULEY HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","318 patients",,,"HF-2 " "450677","HUGULEY HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","240 patients",,,"AMI-1 " "450677","HUGULEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","266 patients","2 ","2","SCIP-VTE-1 " "450677","HUGULEY HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450677","HUGULEY HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","88 patients",,,"AMI-4 " "450677","HUGULEY HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","36 patients",,,"AMI-8A " "450677","HUGULEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","64 patients","2 ","2","SCIP-CARD-2 " "450677","HUGULEY HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","118 patients",,,"PN-4 " "450677","HUGULEY HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","246 patients",,,"PN-3B " "450677","HUGULEY HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","44 patients",,,"AMI-3 " "450677","HUGULEY HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "450677","HUGULEY HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","241 patients",,,"PN-5C " "450677","HUGULEY HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","62 patients",,,"HF-3 " "450677","HUGULEY HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","158 patients",,,"PN-7 " "450677","HUGULEY HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","222 patients",,,"AMI-5 " "450677","HUGULEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","266 patients","2 ","2","SCIP-VTE-2 " "450677","HUGULEY HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","207 patients",,,"PN-2 " "450677","HUGULEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","339 patients","2 ","2","SCIP-INF-3 " "450677","HUGULEY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","554 patients","2 ","2","SCIP-INF-6 " "450678","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","281 patients","2 ","2","SCIP-VTE-1 " "450678","DOCTORS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","229 patients",,,"PN-3B " "450678","DOCTORS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450678","DOCTORS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","55 patients",,,"HF-4 " "450678","DOCTORS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","127 patients",,,"HF-3 " "450678","DOCTORS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","141 patients",,,"PN-6 " "450678","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","59 patients","2 ","2","SCIP-CARD-2 " "450678","DOCTORS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","149 patients",,,"PN-7 " "450678","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","487 patients","2 ","2","SCIP-INF-1 " "450678","DOCTORS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","149 patients",,,"AMI-1 " "450678","DOCTORS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","193 patients",,,"PN-2 " "450678","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","281 patients","2 ","2","SCIP-VTE-2 " "450678","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","488 patients","2 ","2","SCIP-INF-2 " "450678","DOCTORS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "450678","DOCTORS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","221 patients",,,"PN-5C " "450678","DOCTORS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","340 patients",,,"HF-2 " "450678","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","468 patients","2 ","2","SCIP-INF-3 " "450678","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","630 patients","2 ","2","SCIP-INF-6 " "450678","DOCTORS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","262 patients",,,"HF-1 " "450678","DOCTORS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"AMI-4 " "450678","DOCTORS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","140 patients",,,"AMI-2 " "450678","DOCTORS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","130 patients",,,"AMI-5 " "450678","DOCTORS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","18 patients","1 ","1","AMI-8A " "450678","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","65 patients","2 ","2","SCIP-INF-4 " "450678","DOCTORS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","53 patients",,,"PN-4 " "450683","RENAISSANCE HOSPITAL TERRELL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","17%","6 patients","1,2 ","12","SCIP-INF-1 " "450683","RENAISSANCE HOSPITAL TERRELL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2 ","2","PN-6 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","24%","41 patients","2 ","2","HF-2 " "450683","RENAISSANCE HOSPITAL TERRELL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,2 ","12","PN-5C " "450683","RENAISSANCE HOSPITAL TERRELL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","2 ","2","SCIP-VTE-2 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450683","RENAISSANCE HOSPITAL TERRELL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","2 patients","1,2 ","12","SCIP-VTE-1 " "450683","RENAISSANCE HOSPITAL TERRELL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,2,3 ","123","AMI-3 " "450683","RENAISSANCE HOSPITAL TERRELL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","20%","5 patients","1,2 ","12","PN-7 " "450683","RENAISSANCE HOSPITAL TERRELL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1,2 ","12","PN-3B " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,2,3 ","123","AMI-2 " "450683","RENAISSANCE HOSPITAL TERRELL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,2,3 ","123","AMI-5 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,2 ","12","HF-3 " "450683","RENAISSANCE HOSPITAL TERRELL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","46%","13 patients","1,2 ","12","PN-2 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","10 patients","1,2 ","12","HF-4 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "450683","RENAISSANCE HOSPITAL TERRELL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","14%","7 patients","1,2 ","12","PN-4 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","4%","27 patients","2 ","2","HF-1 " "450683","RENAISSANCE HOSPITAL TERRELL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","6 patients","1,2 ","12","SCIP-INF-3 " "450683","RENAISSANCE HOSPITAL TERRELL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","6 patients","1,2 ","12","SCIP-INF-2 " "450683","RENAISSANCE HOSPITAL TERRELL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450683","RENAISSANCE HOSPITAL TERRELL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","14 patients","1,2 ","12","SCIP-INF-6 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","143 patients",,,"HF-3 " "450684","MEMORIAL HERMANN NORTHEAST","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","145 patients","2 ","2","SCIP-INF-3 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","422 patients",,,"HF-2 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","105 patients",,,"HF-4 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","70 patients",,,"AMI-2 " "450684","MEMORIAL HERMANN NORTHEAST","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","349 patients","2 ","2","SCIP-INF-6 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450684","MEMORIAL HERMANN NORTHEAST","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","154 patients","2 ","2","SCIP-VTE-1 " "450684","MEMORIAL HERMANN NORTHEAST","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "450684","MEMORIAL HERMANN NORTHEAST","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","128 patients",,,"PN-7 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450684","MEMORIAL HERMANN NORTHEAST","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","170 patients",,,"PN-2 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","145 patients",,,"AMI-1 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "450684","MEMORIAL HERMANN NORTHEAST","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","111 patients",,,"PN-4 " "450684","MEMORIAL HERMANN NORTHEAST","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","223 patients",,,"PN-5C " "450684","MEMORIAL HERMANN NORTHEAST","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","187 patients","2 ","2","SCIP-INF-2 " "450684","MEMORIAL HERMANN NORTHEAST","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","182 patients",,,"PN-3B " "450684","MEMORIAL HERMANN NORTHEAST","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","154 patients","2 ","2","SCIP-VTE-2 " "450684","MEMORIAL HERMANN NORTHEAST","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","184 patients","2 ","2","SCIP-INF-1 " "450684","MEMORIAL HERMANN NORTHEAST","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","31 patients","2 ","2","SCIP-CARD-2 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","340 patients",,,"HF-1 " "450684","MEMORIAL HERMANN NORTHEAST","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","74 patients",,,"AMI-5 " "450684","MEMORIAL HERMANN NORTHEAST","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","137 patients",,,"PN-6 " "450686","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","84 patients","2 ","2","HF-4 " "450686","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","199 patients","2 ","2","AMI-1 " "450686","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","110 patients","2 ","2","PN-5C " "450686","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","43 patients","2 ","2","AMI-8A " "450686","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","382 patients","2 ","2","SCIP-INF-1 " "450686","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","96 patients","2 ","2","PN-2 " "450686","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","94 patients","2 ","2","AMI-4 " "450686","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","586 patients","2 ","2","SCIP-INF-6 " "450686","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450686","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","99 patients","2 ","2","SCIP-INF-4 " "450686","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","368 patients","2 ","2","SCIP-INF-3 " "450686","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","83 patients","2 ","2","SCIP-CARD-2 " "450686","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","208 patients","2 ","2","AMI-2 " "450686","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","308 patients","2 ","2","HF-2 " "450686","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","50 patients","2 ","2","PN-4 " "450686","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","385 patients","2 ","2","SCIP-INF-2 " "450686","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","262 patients","2 ","2","HF-1 " "450686","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","213 patients","2 ","2","AMI-5 " "450686","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","232 patients","2 ","2","SCIP-VTE-2 " "450686","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","59 patients","2 ","2","PN-6 " "450686","UNIVERSITY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","45 patients","2 ","2","AMI-3 " "450686","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","126 patients","2 ","2","PN-3B " "450686","UNIVERSITY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","232 patients","2 ","2","SCIP-VTE-1 " "450686","UNIVERSITY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","80 patients","2 ","2","PN-7 " "450686","UNIVERSITY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","109 patients","2 ","2","HF-3 " "450688","DALLAS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","154 patients","2 ","2","PN-5C " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","54%","52 patients","2 ","2","AMI-8A " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","339 patients","2 ","2","HF-1 " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","29 patients","2 ","2","AMI-3 " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","144 patients","2 ","2","HF-3 " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450688","DALLAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","67%","63 patients","2 ","2","SCIP-INF-4 " "450688","DALLAS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","90 patients","2 ","2","PN-6 " "450688","DALLAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","180 patients","2 ","2","SCIP-VTE-2 " "450688","DALLAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","382 patients","2 ","2","SCIP-INF-1 " "450688","DALLAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","483 patients","2 ","2","SCIP-INF-6 " "450688","DALLAS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","147 patients","2 ","2","PN-3B " "450688","DALLAS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","87 patients","2 ","2","PN-7 " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","81 patients","2 ","2","AMI-4 " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","387 patients","2 ","2","HF-2 " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","185 patients","2 ","2","AMI-1 " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients","2 ","2","HF-4 " "450688","DALLAS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","96 patients","2 ","2","PN-2 " "450688","DALLAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","373 patients","2 ","2","SCIP-INF-3 " "450688","DALLAS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","60 patients","2 ","2","PN-4 " "450688","DALLAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","180 patients","2 ","2","SCIP-VTE-1 " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","184 patients","2 ","2","AMI-2 " "450688","DALLAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","385 patients","2 ","2","SCIP-INF-2 " "450688","DALLAS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","53 patients","2 ","2","SCIP-CARD-2 " "450688","DALLAS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","190 patients","2 ","2","AMI-5 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","35 patients",,,"HF-4 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","103 patients","2 ","2","PN-2 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","119 patients",,,"HF-1 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","51 patients",,,"SCIP-VTE-2 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","142 patients",,,"HF-2 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","54 patients",,,"SCIP-INF-1 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","43 patients",,,"SCIP-INF-4 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","57 patients",,,"HF-3 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","109 patients","2 ","2","PN-3B " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","47 patients","2 ","2","PN-6 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","34 patients",,,"AMI-2 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","33%","3 patients","1 ","1","AMI-8A " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","37 patients",,,"AMI-1 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","54 patients","2 ","2","PN-4 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","142 patients","2 ","2","PN-5C " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","36 patients",,,"SCIP-INF-3 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","111 patients",,,"SCIP-INF-6 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","55 patients",,,"SCIP-INF-2 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","94 patients","2 ","2","PN-7 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","51 patients",,,"SCIP-VTE-1 " "450690","UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","35 patients",,,"AMI-5 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2 ","12","HF-4 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","57%","7 patients","1 ","1","AMI-5 " "450694","EL CAMPO MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","44%","32 patients","2 ","2","PN-7 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450694","EL CAMPO MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","34 patients","2 ","2","PN-3B " "450694","EL CAMPO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-1 " "450694","EL CAMPO MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","5 patients","1,2 ","12","PN-4 " "450694","EL CAMPO MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","37 patients","2 ","2","PN-5C " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","35%","48 patients","2 ","2","HF-1 " "450694","EL CAMPO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-2 " "450694","EL CAMPO MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","16 patients","1,2 ","12","PN-6 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","52%","62 patients","2 ","2","HF-2 " "450694","EL CAMPO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","77%","26 patients",,,"SCIP-INF-6 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450694","EL CAMPO MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","44 patients","2 ","2","PN-2 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450694","EL CAMPO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","6%","18 patients","1 ","1","SCIP-VTE-2 " "450694","EL CAMPO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1 ","1","SCIP-CARD-2 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1,2 ","12","HF-3 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","6 patients","1 ","1","AMI-2 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","62%","8 patients","1 ","1","AMI-1 " "450694","EL CAMPO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450694","EL CAMPO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "450694","EL CAMPO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","5%","19 patients","1 ","1","SCIP-VTE-1 " "450694","EL CAMPO MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","19%","16 patients","1 ","1","AMI-8A " "450697","SOUTHWEST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","237 patients",,,"SCIP-INF-3 " "450697","SOUTHWEST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","37 patients",,,"SCIP-CARD-2 " "450697","SOUTHWEST GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","85 patients",,,"PN-4 " "450697","SOUTHWEST GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","108 patients",,,"PN-7 " "450697","SOUTHWEST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","208 patients",,,"SCIP-VTE-2 " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","74 patients",,,"HF-3 " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","217 patients",,,"HF-1 " "450697","SOUTHWEST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","239 patients",,,"SCIP-INF-1 " "450697","SOUTHWEST GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","175 patients",,,"PN-5C " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","85 patients",,,"AMI-2 " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","85 patients",,,"AMI-5 " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"HF-4 " "450697","SOUTHWEST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","422 patients",,,"SCIP-INF-6 " "450697","SOUTHWEST GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","135 patients",,,"PN-6 " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","272 patients",,,"HF-2 " "450697","SOUTHWEST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","74%","27 patients",,,"SCIP-INF-4 " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","92 patients",,,"AMI-1 " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450697","SOUTHWEST GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","129 patients",,,"PN-2 " "450697","SOUTHWEST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","243 patients",,,"SCIP-INF-2 " "450697","SOUTHWEST GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","150 patients",,,"PN-3B " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"AMI-4 " "450697","SOUTHWEST GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1 ","1","AMI-3 " "450697","SOUTHWEST GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","216 patients",,,"SCIP-VTE-1 " "450698","LAMB HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450698","LAMB HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450698","LAMB HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","69%","13 patients","1 ","1","PN-4 " "450698","LAMB HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","33 patients",,,"PN-5C " "450698","LAMB HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450698","LAMB HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "450698","LAMB HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","24 patients","1 ","1","PN-7 " "450698","LAMB HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450698","LAMB HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "450698","LAMB HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","27 patients",,,"PN-2 " "450698","LAMB HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","61%","18 patients","1 ","1","HF-2 " "450698","LAMB HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "450698","LAMB HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450698","LAMB HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450698","LAMB HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450698","LAMB HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450698","LAMB HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","HF-4 " "450698","LAMB HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "450698","LAMB HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","15 patients","1 ","1","HF-1 " "450698","LAMB HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "450698","LAMB HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","9 patients","1 ","1","PN-3B " "450698","LAMB HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","20 patients","1 ","1","PN-6 " "450698","LAMB HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450698","LAMB HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450698","LAMB HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","460 patients",,,"SCIP-INF-1 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","98 patients",,,"PN-2 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","436 patients",,,"SCIP-INF-3 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","120 patients",,,"HF-2 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","701 patients",,,"SCIP-INF-6 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","82 patients",,,"PN-7 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","59 patients",,,"SCIP-INF-4 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","40 patients",,,"HF-3 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","228 patients",,,"SCIP-VTE-2 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","100 patients",,,"HF-1 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","57 patients",,,"AMI-2 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","77 patients",,,"SCIP-CARD-2 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","80 patients",,,"PN-6 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","115 patients",,,"PN-5C " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","8 patients","1 ","1","AMI-8A " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","228 patients",,,"SCIP-VTE-1 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","60 patients",,,"AMI-5 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","133 patients",,,"PN-3B " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","54 patients",,,"AMI-1 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","466 patients",,,"SCIP-INF-2 " "450702","LONGVIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"PN-4 " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","154 patients",,,"HF-2 " "450709","CHRISTUS ST JOHN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","129 patients",,,"PN-2 " "450709","CHRISTUS ST JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","314 patients",,,"SCIP-INF-3 " "450709","CHRISTUS ST JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450709","CHRISTUS ST JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","332 patients",,,"SCIP-INF-2 " "450709","CHRISTUS ST JOHN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","300 patients",,,"SCIP-VTE-2 " "450709","CHRISTUS ST JOHN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","96 patients",,,"PN-6 " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"AMI-4 " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","14 patients","1 ","1","AMI-3 " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","66 patients",,,"AMI-2 " "450709","CHRISTUS ST JOHN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","141 patients",,,"PN-5C " "450709","CHRISTUS ST JOHN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","80 patients",,,"SCIP-CARD-2 " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450709","CHRISTUS ST JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","468 patients",,,"SCIP-INF-6 " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","66 patients",,,"AMI-5 " "450709","CHRISTUS ST JOHN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","332 patients",,,"SCIP-INF-1 " "450709","CHRISTUS ST JOHN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","85 patients",,,"PN-7 " "450709","CHRISTUS ST JOHN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "450709","CHRISTUS ST JOHN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","125 patients",,,"PN-3B " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","78 patients",,,"AMI-1 " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","12 patients","1 ","1","AMI-8A " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "450709","CHRISTUS ST JOHN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","304 patients",,,"SCIP-VTE-1 " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","64 patients",,,"HF-3 " "450709","CHRISTUS ST JOHN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","135 patients",,,"HF-1 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","123 patients",,,"AMI-2 " "450711","RIO GRANDE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","190 patients",,,"PN-7 " "450711","RIO GRANDE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","155 patients",,,"PN-6 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450711","RIO GRANDE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","253 patients","2 ","2","SCIP-INF-2 " "450711","RIO GRANDE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","56 patients","2 ","2","SCIP-INF-4 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","112 patients",,,"AMI-5 " "450711","RIO GRANDE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","186 patients","2 ","2","SCIP-VTE-1 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","81 patients",,,"HF-3 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","10 patients","1 ","1","AMI-8A " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","399 patients",,,"HF-1 " "450711","RIO GRANDE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","257 patients",,,"PN-3B " "450711","RIO GRANDE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","272 patients",,,"PN-2 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","492 patients",,,"HF-2 " "450711","RIO GRANDE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","252 patients","2 ","2","SCIP-INF-1 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","127 patients",,,"AMI-1 " "450711","RIO GRANDE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"HF-4 " "450711","RIO GRANDE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","186 patients","2 ","2","SCIP-VTE-2 " "450711","RIO GRANDE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "450711","RIO GRANDE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","234 patients","2 ","2","SCIP-INF-3 " "450711","RIO GRANDE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","276 patients",,,"PN-5C " "450711","RIO GRANDE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","45 patients","2 ","2","SCIP-CARD-2 " "450711","RIO GRANDE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","442 patients","2 ","2","SCIP-INF-6 " "450713","SOUTH AUSTIN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","342 patients",,,"HF-2 " "450713","SOUTH AUSTIN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","313 patients",,,"AMI-1 " "450713","SOUTH AUSTIN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","309 patients",,,"AMI-2 " "450713","SOUTH AUSTIN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","177 patients",,,"PN-2 " "450713","SOUTH AUSTIN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"PN-4 " "450713","SOUTH AUSTIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","706 patients","2 ","2","SCIP-INF-6 " "450713","SOUTH AUSTIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","148 patients","2 ","2","SCIP-INF-4 " "450713","SOUTH AUSTIN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","156 patients",,,"PN-7 " "450713","SOUTH AUSTIN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "450713","SOUTH AUSTIN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","223 patients",,,"PN-5C " "450713","SOUTH AUSTIN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","99%","97 patients",,,"AMI-8A " "450713","SOUTH AUSTIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","320 patients","2 ","2","SCIP-VTE-2 " "450713","SOUTH AUSTIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","422 patients","2 ","2","SCIP-INF-3 " "450713","SOUTH AUSTIN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","171 patients",,,"PN-6 " "450713","SOUTH AUSTIN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","107 patients","2 ","2","SCIP-CARD-2 " "450713","SOUTH AUSTIN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450713","SOUTH AUSTIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","320 patients","2 ","2","SCIP-VTE-1 " "450713","SOUTH AUSTIN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","306 patients",,,"AMI-5 " "450713","SOUTH AUSTIN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","287 patients",,,"HF-1 " "450713","SOUTH AUSTIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","458 patients","2 ","2","SCIP-INF-1 " "450713","SOUTH AUSTIN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","123 patients",,,"AMI-4 " "450713","SOUTH AUSTIN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","102 patients",,,"HF-3 " "450713","SOUTH AUSTIN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","232 patients",,,"PN-3B " "450713","SOUTH AUSTIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","463 patients","2 ","2","SCIP-INF-2 " "450713","SOUTH AUSTIN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","39 patients",,,"AMI-3 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","141 patients","2 ","2","SCIP-INF-3 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","153 patients",,,"HF-1 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","56 patients",,,"HF-3 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","105 patients","2 ","2","SCIP-VTE-2 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","164 patients",,,"PN-2 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","25 patients",,,"AMI-8A " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","153 patients","2 ","2","SCIP-INF-1 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"AMI-4 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","249 patients","2 ","2","SCIP-INF-6 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","119 patients",,,"PN-7 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","192 patients",,,"HF-2 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","31 patients","2 ","2","SCIP-CARD-2 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","117 patients",,,"AMI-2 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","193 patients",,,"PN-5C " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","128 patients",,,"AMI-1 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"PN-4 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","182 patients",,,"PN-3B " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","152 patients","2 ","2","SCIP-INF-2 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","117 patients",,,"AMI-5 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","27 patients","2 ","2","SCIP-INF-4 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","106 patients","2 ","2","SCIP-VTE-1 " "450716","CYPRESS FAIRBANKS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","134 patients",,,"PN-6 " "450718","ROUND ROCK MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"AMI-4 " "450718","ROUND ROCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","278 patients","2 ","2","SCIP-VTE-1 " "450718","ROUND ROCK MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","135 patients",,,"HF-1 " "450718","ROUND ROCK MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","128 patients",,,"PN-3B " "450718","ROUND ROCK MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","128 patients",,,"AMI-1 " "450718","ROUND ROCK MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","164 patients",,,"HF-2 " "450718","ROUND ROCK MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","125 patients",,,"AMI-5 " "450718","ROUND ROCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","329 patients","2 ","2","SCIP-INF-2 " "450718","ROUND ROCK MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"PN-4 " "450718","ROUND ROCK MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","90 patients",,,"PN-2 " "450718","ROUND ROCK MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","157 patients",,,"AMI-2 " "450718","ROUND ROCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","278 patients","2 ","2","SCIP-VTE-2 " "450718","ROUND ROCK MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "450718","ROUND ROCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","323 patients","2 ","2","SCIP-INF-1 " "450718","ROUND ROCK MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","40 patients",,,"AMI-8A " "450718","ROUND ROCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","313 patients","2 ","2","SCIP-INF-3 " "450718","ROUND ROCK MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients",,,"HF-3 " "450718","ROUND ROCK MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","87 patients",,,"PN-6 " "450718","ROUND ROCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","69 patients","2 ","2","SCIP-CARD-2 " "450718","ROUND ROCK MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","106 patients",,,"PN-5C " "450718","ROUND ROCK MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","86 patients",,,"PN-7 " "450718","ROUND ROCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","499 patients","2 ","2","SCIP-INF-6 " "450718","ROUND ROCK MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450718","ROUND ROCK MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","64 patients","2 ","2","SCIP-INF-4 " "450718","ROUND ROCK MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","236 patients",,,"HF-3 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"AMI-4 " "450723","METHODIST CHARLTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","185 patients",,,"PN-7 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","469 patients",,,"HF-1 " "450723","METHODIST CHARLTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","374 patients","2 ","2","SCIP-INF-6 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","173 patients",,,"AMI-1 " "450723","METHODIST CHARLTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","106 patients",,,"PN-4 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","9 patients","1 ","1","AMI-8A " "450723","METHODIST CHARLTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","255 patients","2 ","2","SCIP-INF-1 " "450723","METHODIST CHARLTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","118 patients",,,"AMI-5 " "450723","METHODIST CHARLTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","217 patients",,,"PN-3B " "450723","METHODIST CHARLTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","245 patients","2 ","2","SCIP-INF-3 " "450723","METHODIST CHARLTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","167 patients",,,"PN-6 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","173 patients",,,"HF-4 " "450723","METHODIST CHARLTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","209 patients",,,"PN-2 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","572 patients",,,"HF-2 " "450723","METHODIST CHARLTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","188 patients","2 ","2","SCIP-VTE-2 " "450723","METHODIST CHARLTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","59 patients","2 ","2","SCIP-CARD-2 " "450723","METHODIST CHARLTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","262 patients",,,"PN-5C " "450723","METHODIST CHARLTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","257 patients","2 ","2","SCIP-INF-2 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","33 patients",,,"AMI-3 " "450723","METHODIST CHARLTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","134 patients",,,"AMI-2 " "450723","METHODIST CHARLTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","188 patients","2 ","2","SCIP-VTE-1 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","228 patients",,,"SCIP-INF-2 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","25 patients",,,"HF-3 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","59 patients",,,"PN-7 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","23 patients","1 ","1","SCIP-CARD-2 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","47 patients",,,"PN-4 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","355 patients",,,"SCIP-INF-6 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","119 patients",,,"PN-3B " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","30 patients",,,"AMI-5 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","30 patients",,,"AMI-2 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","60 patients",,,"AMI-1 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","227 patients",,,"SCIP-INF-1 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","156 patients",,,"SCIP-VTE-1 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","155 patients",,,"SCIP-VTE-2 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","90 patients",,,"PN-6 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","222 patients",,,"SCIP-INF-3 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","76 patients",,,"PN-2 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","54 patients",,,"HF-1 " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","99 patients",,,"PN-5C " "450730","BAYLOR MEDICAL CENTER AT CARROLLTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","77 patients",,,"HF-2 " "450742","LAKE POINTE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "450742","LAKE POINTE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450742","LAKE POINTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","232 patients",,,"SCIP-INF-6 " "450742","LAKE POINTE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"PN-4 " "450742","LAKE POINTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","133 patients",,,"SCIP-INF-2 " "450742","LAKE POINTE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","14 patients","1 ","1","AMI-5 " "450742","LAKE POINTE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","78 patients",,,"PN-6 " "450742","LAKE POINTE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","147 patients",,,"HF-2 " "450742","LAKE POINTE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","102 patients",,,"PN-7 " "450742","LAKE POINTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","123 patients",,,"SCIP-INF-3 " "450742","LAKE POINTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "450742","LAKE POINTE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"HF-3 " "450742","LAKE POINTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","120 patients",,,"SCIP-VTE-1 " "450742","LAKE POINTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","131 patients",,,"SCIP-INF-1 " "450742","LAKE POINTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450742","LAKE POINTE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","130 patients",,,"PN-2 " "450742","LAKE POINTE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","120 patients",,,"SCIP-VTE-2 " "450742","LAKE POINTE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","143 patients",,,"PN-5C " "450742","LAKE POINTE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450742","LAKE POINTE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "450742","LAKE POINTE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","109 patients",,,"HF-1 " "450742","LAKE POINTE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","41 patients",,,"AMI-1 " "450742","LAKE POINTE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","171 patients",,,"PN-3B " "450742","LAKE POINTE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450742","LAKE POINTE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","61%","18 patients","1 ","1","AMI-8A " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","201 patients",,,"PN-2 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","106 patients",,,"AMI-2 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","702 patients",,,"SCIP-INF-6 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","223 patients",,,"SCIP-VTE-2 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","186 patients",,,"PN-3B " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","144 patients",,,"HF-1 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","484 patients",,,"SCIP-INF-1 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","123 patients",,,"PN-6 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","163 patients",,,"PN-7 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","473 patients",,,"SCIP-INF-3 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","491 patients",,,"SCIP-INF-2 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","16 patients","1 ","1","AMI-3 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","107 patients",,,"AMI-5 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","32 patients",,,"HF-4 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","224 patients",,,"SCIP-VTE-1 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"AMI-4 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","218 patients",,,"PN-5C " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","54 patients",,,"HF-3 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","187 patients",,,"HF-2 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","115 patients",,,"AMI-1 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","60 patients",,,"SCIP-INF-4 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","64 patients",,,"SCIP-CARD-2 " "450743","TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","70 patients",,,"PN-4 " "450746","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450746","KNOX COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450746","KNOX COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","13 patients","1,2 ","12","PN-2 " "450746","KNOX COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","9 patients","1,2 ","12","HF-1 " "450746","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450746","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450746","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450746","KNOX COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450746","KNOX COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","PN-4 " "450746","KNOX COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","11 patients","1 ","1","PN-7 " "450746","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450746","KNOX COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2 ","12","HF-4 " "450746","KNOX COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450746","KNOX COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450746","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450746","KNOX COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450746","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450746","KNOX COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","9 patients","1,2 ","12","HF-2 " "450746","KNOX COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","HF-3 " "450746","KNOX COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","67%","18 patients","1,2 ","12","PN-6 " "450746","KNOX COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450746","KNOX COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450746","KNOX COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450746","KNOX COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","8 patients","1,2 ","12","PN-3B " "450746","KNOX COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","81%","21 patients","1,2 ","12","PN-5C " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450747","PALESTINE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","180 patients",,,"SCIP-VTE-2 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","292 patients",,,"SCIP-INF-3 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","79 patients",,,"PN-7 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"PN-4 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","95 patients",,,"PN-2 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","80 patients",,,"HF-1 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","40 patients",,,"HF-3 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","102 patients",,,"HF-2 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450747","PALESTINE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","83 patients",,,"PN-6 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","130 patients",,,"PN-5C " "450747","PALESTINE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","181 patients",,,"SCIP-VTE-1 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","19 patients","1 ","1","AMI-1 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","35 patients",,,"SCIP-CARD-2 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","81 patients",,,"PN-3B " "450747","PALESTINE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","303 patients",,,"SCIP-INF-1 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","305 patients",,,"SCIP-INF-2 " "450747","PALESTINE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","411 patients",,,"SCIP-INF-6 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","24 patients","1 ","1","HF-2 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","67%","9 patients","1,3 ","13","PN-5C " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","58%","12 patients","1 ","1","PN-2 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1 ","1","PN-7 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","19 patients","1 ","1","HF-1 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","7 patients","1 ","1","PN-3B " "450749","EAST TEXAS MEDICAL CENTER TRINITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","220 patients",,,"HF-4 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","585 patients",,,"HF-2 " "45074F","HOUSTON VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","224 patients",,,"PN-5C " "45074F","HOUSTON VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","164 patients",,,"PN-2 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","12 patients","1 ","1","AMI-8A " "45074F","HOUSTON VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","131 patients",,,"PN-6 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"AMI-4 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","83 patients",,,"AMI-2 " "45074F","HOUSTON VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","184 patients",,,"PN-3B " "45074F","HOUSTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","225 patients","2 ","2","SCIP-INF-4 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","557 patients",,,"HF-1 " "45074F","HOUSTON VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","110 patients",,,"PN-4 " "45074F","HOUSTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","540 patients",,,"SCIP-INF-1 " "45074F","HOUSTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","291 patients","2 ","2","SCIP-CARD-2 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","348 patients",,,"HF-3 " "45074F","HOUSTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","326 patients","2 ","2","SCIP-VTE-1 " "45074F","HOUSTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","521 patients",,,"SCIP-INF-3 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","83 patients",,,"AMI-5 " "45074F","HOUSTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","326 patients","2 ","2","SCIP-VTE-2 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","104 patients",,,"AMI-1 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "45074F","HOUSTON VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","148 patients",,,"PN-7 " "45074F","HOUSTON VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","24 patients","1 ","1","AMI-3 " "45074F","HOUSTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","552 patients",,,"SCIP-INF-2 " "45074F","HOUSTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","693 patients","2 ","2","SCIP-INF-6 " "450754","HAMILTON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "450754","HAMILTON GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","10 patients","1 ","1","AMI-2 " "450754","HAMILTON GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","12 patients","1 ","1","HF-3 " "450754","HAMILTON GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","66 patients",,,"PN-3B " "450754","HAMILTON GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450754","HAMILTON GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","74 patients",,,"PN-6 " "450754","HAMILTON GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","90 patients",,,"HF-1 " "450754","HAMILTON GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450754","HAMILTON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "450754","HAMILTON GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","96 patients",,,"PN-5C " "450754","HAMILTON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "450754","HAMILTON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "450754","HAMILTON GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","118 patients",,,"HF-2 " "450754","HAMILTON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "450754","HAMILTON GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "450754","HAMILTON GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "450754","HAMILTON GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","13 patients","1 ","1","AMI-1 " "450754","HAMILTON GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","59 patients",,,"PN-2 " "450754","HAMILTON GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","44 patients",,,"PN-7 " "450754","HAMILTON GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "450754","HAMILTON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "450754","HAMILTON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450754","HAMILTON GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450754","HAMILTON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "450754","HAMILTON GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "450755","COVENANT HOSPITAL LEVELLAND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","28 patients",,,"PN-7 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1,2 ","12","HF-4 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450755","COVENANT HOSPITAL LEVELLAND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","85%","34 patients","2 ","2","SCIP-INF-6 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "450755","COVENANT HOSPITAL LEVELLAND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","16 patients","1,2 ","12","PN-4 " "450755","COVENANT HOSPITAL LEVELLAND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","48 patients","2 ","2","PN-5C " "450755","COVENANT HOSPITAL LEVELLAND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","27 patients","2 ","2","PN-6 " "450755","COVENANT HOSPITAL LEVELLAND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "450755","COVENANT HOSPITAL LEVELLAND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","14%","7 patients","1,2 ","12","SCIP-VTE-1 " "450755","COVENANT HOSPITAL LEVELLAND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","30 patients","2 ","2","SCIP-INF-2 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","37 patients","2 ","2","HF-2 " "450755","COVENANT HOSPITAL LEVELLAND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","29 patients","2 ","2","SCIP-INF-3 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "450755","COVENANT HOSPITAL LEVELLAND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450755","COVENANT HOSPITAL LEVELLAND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","31 patients","2 ","2","SCIP-INF-1 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","34 patients","2 ","2","HF-1 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450755","COVENANT HOSPITAL LEVELLAND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","38 patients","2 ","2","PN-2 " "450755","COVENANT HOSPITAL LEVELLAND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","14%","7 patients","1,2 ","12","SCIP-VTE-2 " "450755","COVENANT HOSPITAL LEVELLAND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450755","COVENANT HOSPITAL LEVELLAND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1,2 ","12","HF-3 " "450755","COVENANT HOSPITAL LEVELLAND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","17 patients","1,2 ","12","PN-3B " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","3 patients","1 ","1","HF-2 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients",,,"PN-5C " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","33 patients","2 ","2","SCIP-INF-2 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","55 patients","2 ","2","SCIP-VTE-2 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1 ","1","HF-1 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","60%","25 patients","2 ","2","SCIP-INF-3 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1,2 ","12","SCIP-CARD-2 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","55 patients","2 ","2","SCIP-VTE-1 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","79%","118 patients","2 ","2","SCIP-INF-6 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","33 patients","2 ","2","SCIP-INF-1 " "450766","UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1 ","1","PN-2 " "450770","CENTRAL TEXAS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450770","CENTRAL TEXAS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450770","CENTRAL TEXAS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450770","CENTRAL TEXAS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450770","CENTRAL TEXAS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450770","CENTRAL TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450770","CENTRAL TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450770","CENTRAL TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450770","CENTRAL TEXAS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450770","CENTRAL TEXAS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450770","CENTRAL TEXAS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450770","CENTRAL TEXAS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450770","CENTRAL TEXAS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450770","CENTRAL TEXAS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450770","CENTRAL TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450770","CENTRAL TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450770","CENTRAL TEXAS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450770","CENTRAL TEXAS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450770","CENTRAL TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450770","CENTRAL TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450770","CENTRAL TEXAS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450770","CENTRAL TEXAS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450770","CENTRAL TEXAS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450770","CENTRAL TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450770","CENTRAL TEXAS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","89 patients",,,"PN-6 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","164 patients",,,"PN-5C " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","68 patients",,,"HF-3 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","192 patients","2 ","2","SCIP-VTE-1 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","337 patients","2 ","2","SCIP-INF-3 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","345 patients","2 ","2","SCIP-INF-2 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","171 patients",,,"PN-3B " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","345 patients","2 ","2","SCIP-INF-1 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","69%","192 patients","2 ","2","SCIP-VTE-2 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","145 patients",,,"PN-2 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","74 patients","2 ","2","SCIP-INF-4 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","HF-4 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","136 patients",,,"AMI-1 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","27 patients",,,"AMI-8A " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","124 patients",,,"PN-7 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","195 patients",,,"HF-2 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","55 patients","2 ","2","SCIP-CARD-2 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","164 patients",,,"AMI-2 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","487 patients","2 ","2","SCIP-INF-6 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","61 patients",,,"PN-4 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","27 patients",,,"AMI-3 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","153 patients",,,"HF-1 " "450771","TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","152 patients",,,"AMI-5 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","157 patients","2 ","2","SCIP-INF-2 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","166 patients","2 ","2","SCIP-INF-6 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","67 patients","2 ","2","SCIP-VTE-1 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","67 patients","2 ","2","SCIP-VTE-2 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","153 patients","2 ","2","SCIP-INF-3 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1,2 ","12","SCIP-CARD-2 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","154 patients","2 ","2","SCIP-INF-1 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450774","TOPS SURGICAL SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450775","KINGWOOD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","205 patients",,,"AMI-2 " "450775","KINGWOOD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","91 patients",,,"AMI-4 " "450775","KINGWOOD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","160 patients",,,"PN-5C " "450775","KINGWOOD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "450775","KINGWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","306 patients","2 ","2","SCIP-INF-2 " "450775","KINGWOOD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450775","KINGWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","299 patients","2 ","2","SCIP-INF-1 " "450775","KINGWOOD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"AMI-3 " "450775","KINGWOOD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","121 patients",,,"PN-7 " "450775","KINGWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","64 patients","2 ","2","SCIP-CARD-2 " "450775","KINGWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","203 patients","2 ","2","SCIP-VTE-1 " "450775","KINGWOOD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","163 patients",,,"PN-2 " "450775","KINGWOOD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","201 patients",,,"AMI-5 " "450775","KINGWOOD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","43 patients",,,"AMI-8A " "450775","KINGWOOD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","312 patients",,,"HF-2 " "450775","KINGWOOD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","116 patients",,,"PN-6 " "450775","KINGWOOD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","265 patients",,,"HF-1 " "450775","KINGWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","490 patients","2 ","2","SCIP-INF-6 " "450775","KINGWOOD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","102 patients",,,"HF-3 " "450775","KINGWOOD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","206 patients",,,"AMI-1 " "450775","KINGWOOD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","191 patients",,,"PN-3B " "450775","KINGWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","203 patients","2 ","2","SCIP-VTE-2 " "450775","KINGWOOD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"PN-4 " "450775","KINGWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","281 patients","2 ","2","SCIP-INF-3 " "450775","KINGWOOD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","67 patients","2 ","2","SCIP-INF-4 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","203 patients",,,"PN-2 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","81 patients",,,"HF-3 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","71 patients",,,"AMI-1 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","229 patients","2 ","2","SCIP-VTE-2 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","231 patients",,,"PN-5C " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","151 patients",,,"PN-7 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","211 patients","2 ","2","SCIP-INF-1 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","168 patients",,,"PN-6 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","196 patients",,,"HF-1 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","353 patients","2 ","2","SCIP-INF-6 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","42 patients","2 ","2","SCIP-CARD-2 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","245 patients",,,"PN-3B " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","267 patients",,,"HF-2 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","200 patients","2 ","2","SCIP-INF-3 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","229 patients","2 ","2","SCIP-VTE-1 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","51 patients",,,"AMI-5 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","211 patients","2 ","2","SCIP-INF-2 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","53 patients",,,"AMI-2 " "450779","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","130 patients","2 ","2","SCIP-INF-1 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","130 patients","2 ","2","SCIP-INF-2 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","151 patients","2 ","2","SCIP-INF-6 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","37 patients","2 ","2","SCIP-VTE-1 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","130 patients","2 ","2","SCIP-INF-3 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","37 patients","2 ","2","SCIP-VTE-2 " "450780","METHODIST AMBULATORY SURGERY HOSPITAL NW","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","14 patients","1,2 ","12","SCIP-CARD-2 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","193 patients",,,"PN-6 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"AMI-3 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","158 patients",,,"AMI-1 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","233 patients",,,"AMI-2 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","248 patients",,,"PN-5C " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","182 patients","2 ","2","SCIP-INF-4 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","387 patients",,,"HF-1 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","119 patients",,,"HF-3 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","302 patients","2 ","2","SCIP-VTE-1 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","501 patients","2 ","2","SCIP-INF-3 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","438 patients",,,"HF-2 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"HF-4 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","302 patients","2 ","2","SCIP-VTE-2 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","254 patients",,,"PN-3B " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"PN-4 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","276 patients",,,"PN-2 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","115 patients","2 ","2","SCIP-CARD-2 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","789 patients","2 ","2","SCIP-INF-6 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","35 patients",,,"AMI-8A " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","211 patients",,,"PN-7 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","530 patients","2 ","2","SCIP-INF-2 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","222 patients",,,"AMI-5 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","524 patients","2 ","2","SCIP-INF-1 " "450788","CORPUS CHRISTI MEDICAL CENTER,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"AMI-4 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","70%","10 patients","1,3 ","13","HF-2 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","5 patients","1,3 ","13","PN-2 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","8 patients","1,3 ","13","HF-1 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","19 patients","1,3 ","13","SCIP-VTE-1 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1,3 ","13","HF-4 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,3 ","13","PN-4 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1,3 ","13","HF-3 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","62%","8 patients","1,3 ","13","SCIP-INF-1 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","19 patients","1,3 ","13","SCIP-VTE-2 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1,3 ","13","SCIP-CARD-2 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","8 patients","1,3 ","13","SCIP-INF-2 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450795","RENAISSANCE HOSPITAL- HOUSTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","84%","25 patients","3 ","3","SCIP-INF-6 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","40%","5 patients","1,3 ","13","PN-6 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "450795","RENAISSANCE HOSPITAL- HOUSTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1,3 ","13","AMI-4 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","25%","8 patients","1,3 ","13","SCIP-INF-3 " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450795","RENAISSANCE HOSPITAL- HOUSTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450796","NORTHWEST TEXAS SURGERY CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","15 patients","1,2 ","12","SCIP-VTE-1 " "450796","NORTHWEST TEXAS SURGERY CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450796","NORTHWEST TEXAS SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450796","NORTHWEST TEXAS SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","25 patients","2 ","2","SCIP-INF-3 " "450796","NORTHWEST TEXAS SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","26 patients","2 ","2","SCIP-INF-1 " "450796","NORTHWEST TEXAS SURGERY CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450796","NORTHWEST TEXAS SURGERY CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450796","NORTHWEST TEXAS SURGERY CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1,2 ","12","SCIP-CARD-2 " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450796","NORTHWEST TEXAS SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","53 patients","2 ","2","SCIP-INF-6 " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450796","NORTHWEST TEXAS SURGERY CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","15 patients","1,2 ","12","SCIP-VTE-2 " "450796","NORTHWEST TEXAS SURGERY CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450796","NORTHWEST TEXAS SURGERY CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450796","NORTHWEST TEXAS SURGERY CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450796","NORTHWEST TEXAS SURGERY CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450796","NORTHWEST TEXAS SURGERY CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","26 patients","2 ","2","SCIP-INF-2 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","2,3 ","23","SCIP-VTE-1 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,2,3 ","123","SCIP-INF-2 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","33%","3 patients","1,2,3 ","123","SCIP-INF-1 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","25%","4 patients","1,2,3 ","123","SCIP-INF-6 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","2,3 ","23","SCIP-VTE-2 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,2,3 ","123","SCIP-INF-3 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450797","HEALTHSOUTH HOSPITAL FOR SPECIALIZED SURGERY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","734 patients",,,"HF-2 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","618 patients","2 ","2","SCIP-VTE-1 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1140 patients","2 ","2","SCIP-INF-2 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","315 patients",,,"HF-3 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","205 patients",,,"PN-4 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1450 patients","2 ","2","SCIP-INF-6 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","428 patients",,,"AMI-5 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","148 patients",,,"PN-6 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","582 patients",,,"HF-1 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","143 patients",,,"AMI-3 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","615 patients","2 ","2","SCIP-VTE-2 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","1138 patients","2 ","2","SCIP-INF-1 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","159 patients",,,"AMI-4 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","30%","54 patients",,,"AMI-8A " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","421 patients",,,"PN-2 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","368 patients",,,"PN-5C " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","393 patients",,,"AMI-1 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","342 patients",,,"PN-7 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","176 patients","2 ","2","SCIP-CARD-2 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","423 patients",,,"AMI-2 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","1072 patients","2 ","2","SCIP-INF-3 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","290 patients",,,"PN-3B " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","75%","217 patients","2 ","2","SCIP-INF-4 " "450801","CHRISTUS ST MICHAEL HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","145 patients",,,"HF-4 " "450803","DOCTORS HOSPITAL TIDWELL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","26 patients","2 ","2","SCIP-INF-1 " "450803","DOCTORS HOSPITAL TIDWELL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","45 patients",,,"AMI-1 " "450803","DOCTORS HOSPITAL TIDWELL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","78 patients",,,"HF-3 " "450803","DOCTORS HOSPITAL TIDWELL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","47 patients","3 ","3","PN-5C " "450803","DOCTORS HOSPITAL TIDWELL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","72 patients",,,"PN-3B " "450803","DOCTORS HOSPITAL TIDWELL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","43 patients",,,"PN-6 " "450803","DOCTORS HOSPITAL TIDWELL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","45 patients",,,"PN-2 " "450803","DOCTORS HOSPITAL TIDWELL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","148 patients",,,"HF-1 " "450803","DOCTORS HOSPITAL TIDWELL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","169 patients",,,"HF-2 " "450803","DOCTORS HOSPITAL TIDWELL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","44 patients",,,"AMI-5 " "450803","DOCTORS HOSPITAL TIDWELL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","42 patients","2 ","2","SCIP-VTE-2 " "450803","DOCTORS HOSPITAL TIDWELL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","28 patients",,,"PN-4 " "450803","DOCTORS HOSPITAL TIDWELL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","60 patients",,,"HF-4 " "450803","DOCTORS HOSPITAL TIDWELL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "450803","DOCTORS HOSPITAL TIDWELL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450803","DOCTORS HOSPITAL TIDWELL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","AMI-4 " "450803","DOCTORS HOSPITAL TIDWELL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","26 patients","2 ","2","SCIP-INF-2 " "450803","DOCTORS HOSPITAL TIDWELL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","43 patients",,,"PN-7 " "450803","DOCTORS HOSPITAL TIDWELL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","77%","44 patients",,,"AMI-2 " "450803","DOCTORS HOSPITAL TIDWELL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","43 patients","2 ","2","SCIP-VTE-1 " "450803","DOCTORS HOSPITAL TIDWELL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","26 patients","2 ","2","SCIP-INF-3 " "450803","DOCTORS HOSPITAL TIDWELL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450803","DOCTORS HOSPITAL TIDWELL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","16 patients","1 ","1","AMI-3 " "450803","DOCTORS HOSPITAL TIDWELL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","25%","4 patients","1,2 ","12","SCIP-CARD-2 " "450803","DOCTORS HOSPITAL TIDWELL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","73 patients","2 ","2","SCIP-INF-6 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","216 patients","2 ","2","SCIP-INF-3 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","34 patients","2 ","2","SCIP-CARD-2 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450804","TEXAS ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","131 patients","2 ","2","SCIP-VTE-1 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","217 patients","2 ","2","SCIP-INF-2 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450804","TEXAS ORTHOPEDIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","345 patients","2 ","2","SCIP-INF-6 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","217 patients","2 ","2","SCIP-INF-1 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450804","TEXAS ORTHOPEDIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","131 patients","2 ","2","SCIP-VTE-2 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450804","TEXAS ORTHOPEDIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,2 ","12","SCIP-CARD-2 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","3 patients","1,2 ","12","SCIP-VTE-2 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","12 patients","1,2 ","12","SCIP-INF-3 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","12 patients","1,2 ","12","SCIP-INF-2 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","3 patients","1,2 ","12","SCIP-VTE-1 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","12 patients","1,2 ","12","SCIP-INF-1 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1,2 ","12","SCIP-INF-6 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450808","NORTHWEST HILLS SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","77 patients",,,"HF-3 " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","175 patients",,,"HF-1 " "450809","NORTH AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","451 patients","2 ","2","SCIP-INF-2 " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450809","NORTH AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","103 patients","2 ","2","SCIP-INF-4 " "450809","NORTH AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","72 patients","2 ","2","SCIP-CARD-2 " "450809","NORTH AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","276 patients","2 ","2","SCIP-VTE-1 " "450809","NORTH AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","424 patients","2 ","2","SCIP-INF-3 " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","136 patients",,,"AMI-2 " "450809","NORTH AUSTIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","103 patients",,,"PN-7 " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","39 patients",,,"AMI-8A " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","116 patients",,,"AMI-5 " "450809","NORTH AUSTIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","164 patients",,,"PN-5C " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","143 patients",,,"AMI-1 " "450809","NORTH AUSTIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","194 patients",,,"PN-3B " "450809","NORTH AUSTIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","134 patients",,,"PN-2 " "450809","NORTH AUSTIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","97 patients",,,"PN-6 " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","217 patients",,,"HF-2 " "450809","NORTH AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","452 patients","2 ","2","SCIP-INF-1 " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"AMI-4 " "450809","NORTH AUSTIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"PN-4 " "450809","NORTH AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","649 patients","2 ","2","SCIP-INF-6 " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "450809","NORTH AUSTIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","276 patients","2 ","2","SCIP-VTE-2 " "450809","NORTH AUSTIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"HF-4 " "450813","COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450813","COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","25%","4 patients","1 ","1","PN-7 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","14%","7 patients","1,3 ","13","HF-1 " "450813","COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","10 patients","1,3 ","13","HF-2 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450813","COMMUNITY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450813","COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450813","COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450813","COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "450813","COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","2 patients","1,3 ","13","PN-2 " "450813","COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450813","COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450813","COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1,3 ","13","PN-6 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "450813","COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450813","COMMUNITY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450813","COMMUNITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450813","COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1,3 ","13","PN-5C " "450813","COMMUNITY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","2 patients","1,3 ","13","PN-3B " "450820","METHODIST SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","379 patients","2 ","2","SCIP-INF-6 " "450820","METHODIST SUGAR LAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","76 patients","2 ","2","PN-7 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","179 patients","2 ","2","HF-2 " "450820","METHODIST SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","58 patients","2 ","2","SCIP-CARD-2 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1,2 ","12","AMI-7A " "450820","METHODIST SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","38 patients","2 ","2","SCIP-INF-4 " "450820","METHODIST SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","216 patients","2 ","2","SCIP-INF-3 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,2 ","12","HF-4 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","29 patients","2 ","2","AMI-3 " "450820","METHODIST SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","146 patients","2 ","2","SCIP-VTE-1 " "450820","METHODIST SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","251 patients","2 ","2","SCIP-INF-1 " "450820","METHODIST SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","253 patients","2 ","2","SCIP-INF-2 " "450820","METHODIST SUGAR LAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","PN-4 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","147 patients","2 ","2","HF-1 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","139 patients","2 ","2","AMI-2 " "450820","METHODIST SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","145 patients","2 ","2","SCIP-VTE-2 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","43 patients","2 ","2","AMI-8A " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","137 patients","2 ","2","AMI-5 " "450820","METHODIST SUGAR LAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","111 patients","2 ","2","PN-5C " "450820","METHODIST SUGAR LAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","74 patients","2 ","2","PN-6 " "450820","METHODIST SUGAR LAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","99 patients","2 ","2","PN-3B " "450820","METHODIST SUGAR LAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","113 patients","2 ","2","PN-2 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","AMI-4 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","151 patients","2 ","2","AMI-1 " "450820","METHODIST SUGAR LAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","62 patients","2 ","2","HF-3 " "450822","LAS COLINAS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","67 patients",,,"HF-2 " "450822","LAS COLINAS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","63 patients",,,"AMI-5 " "450822","LAS COLINAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","31 patients","2 ","2","SCIP-INF-4 " "450822","LAS COLINAS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","60 patients",,,"HF-1 " "450822","LAS COLINAS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","54 patients",,,"PN-3B " "450822","LAS COLINAS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","43 patients",,,"PN-2 " "450822","LAS COLINAS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","38 patients",,,"PN-7 " "450822","LAS COLINAS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"HF-3 " "450822","LAS COLINAS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","68 patients",,,"AMI-2 " "450822","LAS COLINAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","182 patients","2 ","2","SCIP-INF-3 " "450822","LAS COLINAS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","41 patients",,,"PN-6 " "450822","LAS COLINAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","317 patients","2 ","2","SCIP-INF-6 " "450822","LAS COLINAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","192 patients","2 ","2","SCIP-INF-2 " "450822","LAS COLINAS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "450822","LAS COLINAS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","56 patients",,,"PN-5C " "450822","LAS COLINAS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","65 patients",,,"AMI-1 " "450822","LAS COLINAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","142 patients","2 ","2","SCIP-VTE-1 " "450822","LAS COLINAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","186 patients","2 ","2","SCIP-INF-1 " "450822","LAS COLINAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","142 patients","2 ","2","SCIP-VTE-2 " "450822","LAS COLINAS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","17 patients","1 ","1","AMI-8A " "450822","LAS COLINAS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450822","LAS COLINAS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "450822","LAS COLINAS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "450822","LAS COLINAS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","36 patients","2 ","2","SCIP-CARD-2 " "450822","LAS COLINAS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","AMI-3 " "450824","HEART HOSPITAL OF AUSTIN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","30 patients",,,"PN-6 " "450824","HEART HOSPITAL OF AUSTIN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","140 patients",,,"AMI-1 " "450824","HEART HOSPITAL OF AUSTIN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "450824","HEART HOSPITAL OF AUSTIN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","242 patients",,,"HF-2 " "450824","HEART HOSPITAL OF AUSTIN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","88 patients",,,"AMI-4 " "450824","HEART HOSPITAL OF AUSTIN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","39 patients",,,"PN-5C " "450824","HEART HOSPITAL OF AUSTIN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","285 patients","2 ","2","SCIP-INF-6 " "450824","HEART HOSPITAL OF AUSTIN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","119 patients",,,"HF-3 " "450824","HEART HOSPITAL OF AUSTIN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","194 patients","2 ","2","SCIP-INF-4 " "450824","HEART HOSPITAL OF AUSTIN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","37 patients",,,"PN-3B " "450824","HEART HOSPITAL OF AUSTIN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","216 patients",,,"HF-1 " "450824","HEART HOSPITAL OF AUSTIN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","17 patients","1,2 ","12","SCIP-VTE-2 " "450824","HEART HOSPITAL OF AUSTIN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","227 patients","2 ","2","SCIP-INF-2 " "450824","HEART HOSPITAL OF AUSTIN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","217 patients","2 ","2","SCIP-INF-3 " "450824","HEART HOSPITAL OF AUSTIN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","55 patients","2 ","2","SCIP-CARD-2 " "450824","HEART HOSPITAL OF AUSTIN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","222 patients","2 ","2","SCIP-INF-1 " "450824","HEART HOSPITAL OF AUSTIN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","307 patients",,,"AMI-5 " "450824","HEART HOSPITAL OF AUSTIN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","18 patients","1,2 ","12","SCIP-VTE-1 " "450824","HEART HOSPITAL OF AUSTIN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","27 patients",,,"AMI-8A " "450824","HEART HOSPITAL OF AUSTIN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","51 patients",,,"PN-7 " "450824","HEART HOSPITAL OF AUSTIN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","60 patients",,,"PN-2 " "450824","HEART HOSPITAL OF AUSTIN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","64 patients",,,"AMI-3 " "450824","HEART HOSPITAL OF AUSTIN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450824","HEART HOSPITAL OF AUSTIN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","328 patients",,,"AMI-2 " "450824","HEART HOSPITAL OF AUSTIN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "450825","CORNERSTONE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","68 patients","2 ","2","SCIP-VTE-1 " "450825","CORNERSTONE REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450825","CORNERSTONE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","182 patients","2 ","2","SCIP-INF-6 " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450825","CORNERSTONE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450825","CORNERSTONE REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","2,3 ","23","PN-7 " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","2 patients","1,2,3 ","123","HF-2 " "450825","CORNERSTONE REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","2,3 ","23","PN-5C " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450825","CORNERSTONE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","128 patients","2 ","2","SCIP-INF-2 " "450825","CORNERSTONE REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "450825","CORNERSTONE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","21 patients","1,2 ","12","SCIP-CARD-2 " "450825","CORNERSTONE REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,2,3 ","123","PN-2 " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","HF-4 " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450825","CORNERSTONE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","128 patients","2 ","2","SCIP-INF-1 " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450825","CORNERSTONE REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,2,3 ","123","HF-1 " "450825","CORNERSTONE REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,2,3 ","123","PN-6 " "450825","CORNERSTONE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","128 patients","2 ","2","SCIP-INF-3 " "450825","CORNERSTONE REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","68 patients","2 ","2","SCIP-VTE-2 " "450827","KELL WEST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","327 patients","2 ","2","SCIP-INF-2 " "450827","KELL WEST REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","30 patients",,,"PN-3B " "450827","KELL WEST REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450827","KELL WEST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","260 patients","2 ","2","SCIP-VTE-1 " "450827","KELL WEST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","24%","324 patients","2 ","2","SCIP-INF-3 " "450827","KELL WEST REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","46 patients",,,"PN-7 " "450827","KELL WEST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","327 patients","2 ","2","SCIP-INF-1 " "450827","KELL WEST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450827","KELL WEST REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"PN-4 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","13 patients","1 ","1","HF-2 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450827","KELL WEST REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","56 patients",,,"PN-5C " "450827","KELL WEST REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","46 patients",,,"PN-2 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","11 patients","1 ","1","HF-1 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "450827","KELL WEST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","260 patients","2 ","2","SCIP-VTE-2 " "450827","KELL WEST REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","44 patients",,,"PN-6 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450827","KELL WEST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","414 patients","2 ","2","SCIP-INF-6 " "450827","KELL WEST REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","52 patients","2 ","2","SCIP-CARD-2 " "450827","KELL WEST REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","43 patients",,,"HF-3 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","185 patients",,,"PN-3B " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","HF-4 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","175 patients",,,"PN-2 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","20 patients","1 ","1","AMI-5 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","173 patients",,,"HF-2 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","72 patients",,,"SCIP-VTE-1 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","134 patients",,,"HF-1 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","224 patients",,,"PN-5C " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","62 patients",,,"SCIP-INF-2 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","129 patients",,,"PN-7 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","62 patients",,,"SCIP-INF-1 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","67 patients",,,"SCIP-VTE-2 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","121 patients",,,"PN-6 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","35 patients",,,"AMI-1 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","22 patients","1 ","1","AMI-2 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"PN-4 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","69%","55 patients",,,"SCIP-INF-3 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","119 patients",,,"SCIP-INF-6 " "450828","CHRISTUS SPOHN HOSPITAL ALICE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","9 patients","1,2 ","12","SCIP-INF-3 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","9 patients","1,2 ","12","SCIP-INF-2 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","9 patients","1,2 ","12","SCIP-INF-1 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients","2 ","2","SCIP-INF-6 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","13 patients","1,2 ","12","SCIP-VTE-2 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","62%","13 patients","1,2 ","12","SCIP-VTE-1 " "450831","SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","145 patients",,,"PN-3B " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","254 patients",,,"HF-2 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"AMI-3 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","90 patients",,,"SCIP-INF-4 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","156 patients",,,"PN-5C " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","21 patients","1 ","1","AMI-8A " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","88 patients",,,"HF-3 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","194 patients",,,"SCIP-INF-1 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","148 patients",,,"SCIP-VTE-2 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","148 patients",,,"SCIP-VTE-1 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","108 patients",,,"PN-2 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","389 patients",,,"SCIP-INF-6 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","201 patients",,,"HF-1 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","173 patients",,,"AMI-5 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"HF-4 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","179 patients",,,"AMI-2 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","59 patients",,,"SCIP-CARD-2 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","88 patients",,,"PN-6 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","196 patients",,,"SCIP-INF-2 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","145 patients",,,"AMI-1 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450832","CHRISTUS ST CATHERINE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","180 patients",,,"SCIP-INF-3 " "450832","CHRISTUS ST CATHERINE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","85 patients",,,"PN-7 " "450833","ENNIS REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","51 patients",,,"PN-7 " "450833","ENNIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","25 patients",,,"SCIP-INF-1 " "450833","ENNIS REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","67 patients",,,"PN-6 " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","89 patients",,,"HF-2 " "450833","ENNIS REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","64 patients",,,"HF-1 " "450833","ENNIS REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","64 patients",,,"PN-2 " "450833","ENNIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1 ","1","SCIP-CARD-2 " "450833","ENNIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","61 patients",,,"SCIP-INF-6 " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "450833","ENNIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","25 patients",,,"SCIP-VTE-1 " "450833","ENNIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","27 patients",,,"SCIP-INF-2 " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "450833","ENNIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","25 patients",,,"SCIP-VTE-2 " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450833","ENNIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "450833","ENNIS REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","85 patients",,,"PN-5C " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450833","ENNIS REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","25 patients",,,"SCIP-INF-3 " "450833","ENNIS REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","79 patients",,,"PN-3B " "450833","ENNIS REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients",,,"HF-3 " "450834","PHYSICIANS CENTRE,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "450834","PHYSICIANS CENTRE,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450834","PHYSICIANS CENTRE,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","176 patients",,,"SCIP-INF-1 " "450834","PHYSICIANS CENTRE,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450834","PHYSICIANS CENTRE,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450834","PHYSICIANS CENTRE,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450834","PHYSICIANS CENTRE,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450834","PHYSICIANS CENTRE,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","66 patients",,,"SCIP-VTE-1 " "450834","PHYSICIANS CENTRE,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450834","PHYSICIANS CENTRE,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450834","PHYSICIANS CENTRE,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450834","PHYSICIANS CENTRE,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,3 ","13","PN-6 " "450834","PHYSICIANS CENTRE,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450834","PHYSICIANS CENTRE,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","176 patients",,,"SCIP-INF-3 " "450834","PHYSICIANS CENTRE,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "450834","PHYSICIANS CENTRE,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","202 patients",,,"SCIP-INF-6 " "450834","PHYSICIANS CENTRE,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1 ","1","PN-7 " "450834","PHYSICIANS CENTRE,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "450834","PHYSICIANS CENTRE,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","66 patients",,,"SCIP-VTE-2 " "450834","PHYSICIANS CENTRE,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450834","PHYSICIANS CENTRE,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","177 patients",,,"SCIP-INF-2 " "450834","PHYSICIANS CENTRE,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450834","PHYSICIANS CENTRE,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1,3 ","13","PN-2 " "450834","PHYSICIANS CENTRE,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450834","PHYSICIANS CENTRE,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1 ","1","SCIP-CARD-2 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","65 patients",,,"PN-7 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","72 patients",,,"PN-6 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","50 patients",,,"HF-1 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","97 patients",,,"PN-3B " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","HF-3 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","89 patients",,,"PN-2 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","129 patients","2 ","2","SCIP-INF-1 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","88 patients",,,"PN-5C " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","129 patients","2 ","2","SCIP-INF-2 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","125 patients","2 ","2","SCIP-INF-3 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","HF-4 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","15 patients","1,2 ","12","SCIP-CARD-2 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","70 patients","2 ","2","SCIP-VTE-2 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","64 patients",,,"HF-2 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","70 patients","2 ","2","SCIP-VTE-1 " "450840","TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","205 patients","2 ","2","SCIP-INF-6 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","135 patients",,,"SCIP-INF-1 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","46%","13 patients","1,3 ","13","PN-2 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","135 patients",,,"SCIP-INF-2 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","9 patients","1 ","1","SCIP-CARD-2 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","25 patients",,,"SCIP-VTE-2 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450841","BROWNSVILLE SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","11 patients","1,3 ","13","PN-5C " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","151 patients",,,"SCIP-INF-6 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","134 patients",,,"SCIP-INF-3 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","25 patients",,,"SCIP-VTE-1 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","64%","11 patients","1,3 ","13","PN-6 " "450841","BROWNSVILLE SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450844","METHODIST WILLOWBROOK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","72 patients","2 ","2","PN-7 " "450844","METHODIST WILLOWBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450844","METHODIST WILLOWBROOK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","25 patients","2 ","2","SCIP-CARD-2 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","164 patients","2 ","2","HF-1 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients","2 ","2","HF-4 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","149 patients","2 ","2","AMI-1 " "450844","METHODIST WILLOWBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","146 patients","2 ","2","SCIP-INF-1 " "450844","METHODIST WILLOWBROOK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","129 patients","2 ","2","SCIP-VTE-2 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","68 patients","2 ","2","HF-3 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients","2 ","2","AMI-4 " "450844","METHODIST WILLOWBROOK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","85 patients","2 ","2","PN-2 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","125 patients","2 ","2","AMI-5 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","128 patients","2 ","2","AMI-2 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","183 patients","2 ","2","HF-2 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","58%","12 patients","1,2 ","12","AMI-8A " "450844","METHODIST WILLOWBROOK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","129 patients","2 ","2","SCIP-VTE-1 " "450844","METHODIST WILLOWBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","255 patients","2 ","2","SCIP-INF-6 " "450844","METHODIST WILLOWBROOK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients","2 ","2","PN-4 " "450844","METHODIST WILLOWBROOK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","87 patients","2 ","2","PN-6 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1,2 ","12","AMI-3 " "450844","METHODIST WILLOWBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","148 patients","2 ","2","SCIP-INF-2 " "450844","METHODIST WILLOWBROOK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450844","METHODIST WILLOWBROOK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","144 patients","2 ","2","PN-3B " "450844","METHODIST WILLOWBROOK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","119 patients","2 ","2","PN-5C " "450844","METHODIST WILLOWBROOK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","133 patients","2 ","2","SCIP-INF-3 " "450845","EL PASO SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450845","EL PASO SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450845","EL PASO SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","223 patients","2,3 ","23","SCIP-VTE-2 " "450845","EL PASO SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","360 patients","2,3 ","23","SCIP-INF-6 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450845","EL PASO SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","347 patients","2,3 ","23","SCIP-INF-2 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450845","EL PASO SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450845","EL PASO SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","223 patients","2,3 ","23","SCIP-VTE-1 " "450845","EL PASO SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450845","EL PASO SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450845","EL PASO SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","345 patients","2,3 ","23","SCIP-INF-3 " "450845","EL PASO SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1,3 ","13","SCIP-CARD-2 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450845","EL PASO SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450845","EL PASO SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450845","EL PASO SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450845","EL PASO SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "450845","EL PASO SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","347 patients","2,3 ","23","SCIP-INF-1 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","477 patients","2 ","2","SCIP-INF-1 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","162 patients",,,"HF-1 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","162 patients",,,"PN-2 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","213 patients",,,"HF-2 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","41 patients",,,"AMI-1 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","21 patients","1 ","1","AMI-2 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","222 patients",,,"PN-3B " "450847","MEMORIAL HERMANN KATY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","55 patients","2 ","2","SCIP-CARD-2 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","77 patients",,,"HF-3 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","484 patients","2 ","2","SCIP-INF-2 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","57 patients",,,"PN-4 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","616 patients","2 ","2","SCIP-INF-6 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","182 patients",,,"PN-5C " "450847","MEMORIAL HERMANN KATY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","115 patients",,,"PN-6 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","121 patients",,,"PN-7 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","14%","7 patients","1 ","1","AMI-7A " "450847","MEMORIAL HERMANN KATY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","228 patients","2 ","2","SCIP-VTE-1 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","228 patients","2 ","2","SCIP-VTE-2 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","464 patients","2 ","2","SCIP-INF-3 " "450847","MEMORIAL HERMANN KATY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","205 patients",,,"SCIP-INF-2 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","54 patients",,,"PN-6 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","115 patients",,,"HF-2 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","189 patients",,,"SCIP-VTE-2 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","189 patients",,,"SCIP-VTE-1 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","74 patients",,,"PN-3B " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","13 patients","1 ","1","AMI-1 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","37 patients",,,"SCIP-CARD-2 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","90 patients",,,"PN-2 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","205 patients",,,"SCIP-INF-1 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","192 patients",,,"SCIP-INF-3 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","300 patients",,,"SCIP-INF-6 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","50 patients",,,"HF-3 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","107 patients",,,"HF-1 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","67 patients",,,"PN-7 " "450848","MEMORIAL HERMANN SUGAR LAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","72 patients",,,"PN-5C " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","163 patients",,,"HF-3 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"AMI-4 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","192 patients",,,"AMI-2 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","225 patients",,,"HF-2 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","221 patients",,,"HF-1 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients",,,"SCIP-VTE-1 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","108 patients",,,"SCIP-INF-2 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","33 patients",,,"SCIP-CARD-2 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","133 patients",,,"SCIP-INF-6 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","104 patients",,,"SCIP-INF-3 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"HF-4 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","178 patients",,,"AMI-5 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients",,,"SCIP-VTE-2 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","41 patients",,,"AMI-3 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","106 patients",,,"SCIP-INF-1 " "450851","BAYLOR HEART AND VASCULAR HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","247 patients","2 ","2","SCIP-VTE-1 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,2,3 ","123","PN-6 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","1 patients","1,2,3 ","123","PN-7 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","566 patients","2 ","2","SCIP-INF-3 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","69%","581 patients","2 ","2","SCIP-INF-1 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1,2,3 ","123","PN-5C " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","46 patients","2 ","2","SCIP-CARD-2 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","688 patients","2 ","2","SCIP-INF-6 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","246 patients","2 ","2","SCIP-VTE-2 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","568 patients","2 ","2","SCIP-INF-2 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","2,3 ","23","PN-2 " "450853","BAYLOR MEDICAL CENTER AT FRISCO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,2,3 ","123","PN-3B " "450855","HARLINGEN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","52 patients",,,"PN-4 " "450855","HARLINGEN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","169 patients",,,"PN-3B " "450855","HARLINGEN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","141 patients",,,"PN-6 " "450855","HARLINGEN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","AMI-4 " "450855","HARLINGEN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","91 patients",,,"AMI-2 " "450855","HARLINGEN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","64 patients",,,"HF-3 " "450855","HARLINGEN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","45%","11 patients","1 ","1","AMI-8A " "450855","HARLINGEN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","187 patients",,,"PN-5C " "450855","HARLINGEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","622 patients","2 ","2","SCIP-INF-6 " "450855","HARLINGEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","493 patients","2 ","2","SCIP-INF-1 " "450855","HARLINGEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","86 patients","2 ","2","SCIP-CARD-2 " "450855","HARLINGEN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","171 patients",,,"HF-1 " "450855","HARLINGEN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "450855","HARLINGEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","124 patients","2 ","2","SCIP-VTE-1 " "450855","HARLINGEN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","110 patients",,,"PN-7 " "450855","HARLINGEN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450855","HARLINGEN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "450855","HARLINGEN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","82 patients",,,"AMI-1 " "450855","HARLINGEN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","85 patients",,,"AMI-5 " "450855","HARLINGEN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","199 patients",,,"HF-2 " "450855","HARLINGEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","124 patients","2 ","2","SCIP-VTE-2 " "450855","HARLINGEN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","193 patients",,,"PN-2 " "450855","HARLINGEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","476 patients","2 ","2","SCIP-INF-3 " "450855","HARLINGEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","496 patients","2 ","2","SCIP-INF-2 " "450855","HARLINGEN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","155 patients","2 ","2","SCIP-INF-4 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","82 patients","2 ","2","SCIP-INF-6 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","68 patients","2 ","2","SCIP-INF-2 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1,2 ","12","SCIP-CARD-2 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","25 patients","2 ","2","SCIP-VTE-1 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","25 patients","2 ","2","SCIP-VTE-2 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","68 patients","2 ","2","SCIP-INF-3 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","68 patients","2 ","2","SCIP-INF-1 " "450856","SOUTH TEXAS SPINE AND SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","115 patients","2 ","2","SCIP-INF-2 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","123 patients","2 ","2","SCIP-INF-6 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","43%","7 patients","1 ","1","SCIP-CARD-2 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","26%","34 patients","2 ","2","SCIP-VTE-2 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","115 patients","2 ","2","SCIP-INF-3 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","26%","34 patients","2 ","2","SCIP-VTE-1 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","115 patients","2 ","2","SCIP-INF-1 " "450860","SUGAR LAND SURGICAL HOSPITAL LLP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","79 patients","2 ","2","HF-3 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","20 patients","1,2 ","12","AMI-3 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","162 patients","2 ","2","SCIP-VTE-1 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","106 patients","2 ","2","PN-5C " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","130 patients","2 ","2","PN-3B " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","11 patients","1,2 ","12","AMI-8A " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","52 patients","2 ","2","SCIP-CARD-2 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","277 patients","2 ","2","SCIP-INF-1 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","280 patients","2 ","2","SCIP-INF-2 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","72 patients","2 ","2","PN-6 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","162 patients","2 ","2","SCIP-VTE-2 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","94 patients","2 ","2","AMI-5 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients","2 ","2","AMI-4 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","HF-4 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","99 patients","2 ","2","PN-7 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","74 patients","2 ","2","SCIP-INF-4 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","153 patients","2 ","2","HF-1 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","393 patients","2 ","2","SCIP-INF-6 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","83 patients","2 ","2","AMI-1 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","89 patients","2 ","2","AMI-2 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","115 patients","2 ","2","PN-2 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","251 patients","2 ","2","SCIP-INF-3 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","176 patients","2 ","2","HF-2 " "450862","ST LUKE'S THE WOODLANDS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","PN-4 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450864","TEXAS SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","258 patients","2 ","2","SCIP-INF-3 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450864","TEXAS SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","261 patients","2 ","2","SCIP-INF-1 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","149 patients","2 ","2","SCIP-VTE-2 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","149 patients","2 ","2","SCIP-VTE-1 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","261 patients","2 ","2","SCIP-INF-2 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","46 patients","2 ","2","SCIP-CARD-2 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450864","TEXAS SPINE AND JOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","326 patients","2 ","2","SCIP-INF-6 " "450865","SETON SOUTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450865","SETON SOUTHWEST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450865","SETON SOUTHWEST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","10 patients","1 ","1","PN-7 " "450865","SETON SOUTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","51 patients",,,"SCIP-INF-2 " "450865","SETON SOUTHWEST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450865","SETON SOUTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","49 patients",,,"SCIP-INF-1 " "450865","SETON SOUTHWEST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450865","SETON SOUTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","50 patients",,,"SCIP-VTE-2 " "450865","SETON SOUTHWEST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "450865","SETON SOUTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","50 patients",,,"SCIP-VTE-1 " "450865","SETON SOUTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","48 patients",,,"SCIP-INF-3 " "450865","SETON SOUTHWEST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","23 patients","1 ","1","PN-3B " "450865","SETON SOUTHWEST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "450865","SETON SOUTHWEST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "450865","SETON SOUTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","85 patients",,,"SCIP-INF-6 " "450865","SETON SOUTHWEST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450865","SETON SOUTHWEST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","8 patients","1 ","1","PN-6 " "450865","SETON SOUTHWEST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450865","SETON SOUTHWEST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "450865","SETON SOUTHWEST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450865","SETON SOUTHWEST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","8 patients","1 ","1","PN-2 " "450865","SETON SOUTHWEST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","21 patients","1 ","1","PN-5C " "450865","SETON SOUTHWEST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450865","SETON SOUTHWEST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "450865","SETON SOUTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "450867","SETON NORTHWEST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "450867","SETON NORTHWEST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients","2 ","2","PN-4 " "450867","SETON NORTHWEST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450867","SETON NORTHWEST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","122 patients","2 ","2","PN-3B " "450867","SETON NORTHWEST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","55 patients",,,"HF-2 " "450867","SETON NORTHWEST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","65 patients","2 ","2","PN-7 " "450867","SETON NORTHWEST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "450867","SETON NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","274 patients","2 ","2","SCIP-INF-6 " "450867","SETON NORTHWEST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","59 patients","2 ","2","PN-6 " "450867","SETON NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450867","SETON NORTHWEST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "450867","SETON NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","31 patients","2 ","2","SCIP-CARD-2 " "450867","SETON NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","157 patients","2 ","2","SCIP-VTE-1 " "450867","SETON NORTHWEST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450867","SETON NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","198 patients","2 ","2","SCIP-INF-2 " "450867","SETON NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","194 patients","2 ","2","SCIP-INF-3 " "450867","SETON NORTHWEST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","83 patients","2 ","2","PN-2 " "450867","SETON NORTHWEST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","17 patients","1 ","1","HF-4 " "450867","SETON NORTHWEST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "450867","SETON NORTHWEST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","52 patients",,,"HF-1 " "450867","SETON NORTHWEST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "450867","SETON NORTHWEST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "450867","SETON NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","157 patients","2 ","2","SCIP-VTE-2 " "450867","SETON NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","198 patients","2 ","2","SCIP-INF-1 " "450867","SETON NORTHWEST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","119 patients","2 ","2","PN-5C " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","591 patients","2 ","2","SCIP-INF-1 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","296 patients",,,"HF-2 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","184 patients","2 ","2","SCIP-INF-4 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","240 patients",,,"AMI-2 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","167 patients",,,"AMI-1 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","893 patients","2 ","2","SCIP-INF-6 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","120 patients","2 ","2","SCIP-CARD-2 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","72 patients",,,"PN-6 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","331 patients","2 ","2","SCIP-VTE-1 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","225 patients",,,"AMI-5 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","330 patients","2 ","2","SCIP-VTE-2 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","251 patients",,,"HF-1 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","92 patients",,,"PN-5C " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","105 patients",,,"PN-2 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","80 patients",,,"PN-7 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","80 patients",,,"PN-3B " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","595 patients","2 ","2","SCIP-INF-2 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","544 patients","2 ","2","SCIP-INF-3 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","44%","16 patients","1 ","1","AMI-8A " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","111 patients",,,"HF-3 " "450869","DOCTORS HOSPITAL AT RENAISSANCE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","48 patients",,,"AMI-3 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","89 patients","2 ","2","SCIP-CARD-2 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","240 patients","2 ","2","SCIP-INF-6 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"PN-4 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","149 patients",,,"SCIP-INF-1 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"HF-4 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","126 patients",,,"PN-5C " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","197 patients",,,"HF-1 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","210 patients",,,"HF-2 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","105 patients",,,"PN-3B " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","63 patients",,,"PN-6 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","185 patients","2 ","2","SCIP-VTE-2 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","151 patients",,,"SCIP-INF-2 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","148 patients",,,"PN-2 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","185 patients","2 ","2","SCIP-VTE-1 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","135 patients",,,"SCIP-INF-3 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","119 patients",,,"PN-7 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","84 patients",,,"HF-3 " "45086F","TEMPLE VA MEDICAL CENTER (VA CENTRAL TEXAS H","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450871","AUSTIN SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450871","AUSTIN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","107 patients","2 ","2","SCIP-VTE-2 " "450871","AUSTIN SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450871","AUSTIN SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450871","AUSTIN SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450871","AUSTIN SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450871","AUSTIN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","27 patients","2 ","2","SCIP-CARD-2 " "450871","AUSTIN SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450871","AUSTIN SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450871","AUSTIN SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450871","AUSTIN SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450871","AUSTIN SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450871","AUSTIN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","219 patients","2 ","2","SCIP-INF-2 " "450871","AUSTIN SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450871","AUSTIN SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450871","AUSTIN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","219 patients","2 ","2","SCIP-INF-1 " "450871","AUSTIN SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450871","AUSTIN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","107 patients","2 ","2","SCIP-VTE-1 " "450871","AUSTIN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","215 patients","2 ","2","SCIP-INF-3 " "450871","AUSTIN SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450871","AUSTIN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","256 patients","2 ","2","SCIP-INF-6 " "450871","AUSTIN SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450871","AUSTIN SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450871","AUSTIN SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450871","AUSTIN SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450872","USMD HOSPITAL AT ARLINGTON L P","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","166 patients","2 ","2","SCIP-INF-3 " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "450872","USMD HOSPITAL AT ARLINGTON L P","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","24 patients","1,2 ","12","SCIP-CARD-2 " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "450872","USMD HOSPITAL AT ARLINGTON L P","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","169 patients","2 ","2","SCIP-INF-1 " "450872","USMD HOSPITAL AT ARLINGTON L P","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","11%","9 patients","1 ","1","PN-7 " "450872","USMD HOSPITAL AT ARLINGTON L P","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","71%","21 patients","1 ","1","PN-5C " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450872","USMD HOSPITAL AT ARLINGTON L P","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","18 patients","1 ","1","PN-3B " "450872","USMD HOSPITAL AT ARLINGTON L P","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","234 patients","2 ","2","SCIP-INF-6 " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","0%","1 patients","1,3 ","13","HF-2 " "450872","USMD HOSPITAL AT ARLINGTON L P","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "450872","USMD HOSPITAL AT ARLINGTON L P","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","168 patients","2 ","2","SCIP-INF-2 " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "450872","USMD HOSPITAL AT ARLINGTON L P","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","19 patients","1 ","1","PN-6 " "450872","USMD HOSPITAL AT ARLINGTON L P","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","78 patients","2 ","2","SCIP-VTE-2 " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "450872","USMD HOSPITAL AT ARLINGTON L P","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "450872","USMD HOSPITAL AT ARLINGTON L P","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450872","USMD HOSPITAL AT ARLINGTON L P","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","42%","12 patients","1 ","1","PN-2 " "450872","USMD HOSPITAL AT ARLINGTON L P","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","78 patients","2 ","2","SCIP-VTE-1 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","74 patients","2 ","2","SCIP-INF-2 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","74 patients","2 ","2","SCIP-INF-1 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","74 patients","2 ","2","SCIP-INF-3 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1 ","1","SCIP-CARD-2 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","83 patients","2 ","2","SCIP-INF-6 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","36 patients","2 ","2","SCIP-VTE-1 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","36 patients","2 ","2","SCIP-VTE-2 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450874","IRVING COPPELL SURGICAL HOSPITAL LLP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","260 patients","2 ","2","SCIP-INF-3 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","69 patients","2 ","2","SCIP-VTE-1 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450875","QUAIL CREEK SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450875","QUAIL CREEK SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450875","QUAIL CREEK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","261 patients","2 ","2","SCIP-INF-2 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","66%","29 patients","2 ","2","SCIP-CARD-2 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","69 patients","2 ","2","SCIP-VTE-2 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","327 patients","2 ","2","SCIP-INF-6 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450875","QUAIL CREEK SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450875","QUAIL CREEK SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","263 patients","2 ","2","SCIP-INF-1 " "450876","LUBBOCK HEART HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","144 patients","2 ","2","SCIP-INF-3 " "450876","LUBBOCK HEART HOSPITAL LP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","12 patients","1,2,3 ","123","PN-5C " "450876","LUBBOCK HEART HOSPITAL LP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","47 patients","2 ","2","SCIP-CARD-2 " "450876","LUBBOCK HEART HOSPITAL LP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","41 patients","2 ","2","PN-7 " "450876","LUBBOCK HEART HOSPITAL LP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","8 patients","1,2 ","12","SCIP-VTE-2 " "450876","LUBBOCK HEART HOSPITAL LP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","201 patients","2 ","2","AMI-2 " "450876","LUBBOCK HEART HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","120 patients","2 ","2","SCIP-INF-4 " "450876","LUBBOCK HEART HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","149 patients","2 ","2","SCIP-INF-1 " "450876","LUBBOCK HEART HOSPITAL LP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","20 patients","1,2 ","12","AMI-3 " "450876","LUBBOCK HEART HOSPITAL LP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","4 patients","1,2 ","12","AMI-7A " "450876","LUBBOCK HEART HOSPITAL LP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","239 patients","2 ","2","HF-1 " "450876","LUBBOCK HEART HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","161 patients","2 ","2","SCIP-INF-2 " "450876","LUBBOCK HEART HOSPITAL LP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","19 patients","1,2 ","12","PN-6 " "450876","LUBBOCK HEART HOSPITAL LP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","64 patients","2 ","2","AMI-1 " "450876","LUBBOCK HEART HOSPITAL LP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","69 patients","2 ","2","HF-3 " "450876","LUBBOCK HEART HOSPITAL LP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","267 patients","2 ","2","HF-2 " "450876","LUBBOCK HEART HOSPITAL LP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","56%","9 patients","1,2 ","12","SCIP-VTE-1 " "450876","LUBBOCK HEART HOSPITAL LP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","62 patients","2 ","2","AMI-4 " "450876","LUBBOCK HEART HOSPITAL LP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1,2 ","12","HF-4 " "450876","LUBBOCK HEART HOSPITAL LP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","15 patients","1,2 ","12","AMI-8A " "450876","LUBBOCK HEART HOSPITAL LP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1,2 ","12","PN-3B " "450876","LUBBOCK HEART HOSPITAL LP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","197 patients","2 ","2","AMI-5 " "450876","LUBBOCK HEART HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","208 patients","2 ","2","SCIP-INF-6 " "450876","LUBBOCK HEART HOSPITAL LP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","66 patients","2 ","2","PN-2 " "450876","LUBBOCK HEART HOSPITAL LP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,2 ","12","PN-4 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","74 patients",,,"SCIP-VTE-2 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-7A " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","166 patients",,,"SCIP-INF-6 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","59 patients",,,"HF-1 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","4 patients","1 ","1","AMI-8A " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","66 patients",,,"PN-7 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","118 patients",,,"SCIP-INF-1 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","70 patients",,,"PN-2 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","17 patients","1 ","1","SCIP-CARD-2 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","22 patients","1 ","1","SCIP-INF-4 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","32 patients",,,"AMI-5 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","59 patients",,,"PN-3B " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","117 patients",,,"SCIP-INF-3 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","63 patients",,,"PN-6 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","74 patients",,,"SCIP-VTE-1 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","119 patients",,,"SCIP-INF-2 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","32 patients",,,"AMI-1 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","61 patients",,,"HF-2 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","31 patients",,,"AMI-2 " "450877","EAST EL PASO PHYSICIANS MEDICAL CENTER, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","82 patients",,,"PN-5C " "450878","TEXSAN HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","32 patients","2 ","2","SCIP-VTE-2 " "450878","TEXSAN HEART HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","444 patients",,,"AMI-2 " "450878","TEXSAN HEART HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","275 patients",,,"HF-2 " "450878","TEXSAN HEART HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "450878","TEXSAN HEART HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450878","TEXSAN HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","255 patients","2 ","2","SCIP-INF-4 " "450878","TEXSAN HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","232 patients","2 ","2","SCIP-INF-2 " "450878","TEXSAN HEART HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","32 patients","2 ","2","SCIP-VTE-1 " "450878","TEXSAN HEART HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","14 patients","1 ","1","AMI-8A " "450878","TEXSAN HEART HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "450878","TEXSAN HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","218 patients","2 ","2","SCIP-INF-3 " "450878","TEXSAN HEART HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","14 patients","1 ","1","PN-7 " "450878","TEXSAN HEART HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","248 patients",,,"HF-1 " "450878","TEXSAN HEART HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","75 patients","2 ","2","SCIP-CARD-2 " "450878","TEXSAN HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","225 patients","2 ","2","SCIP-INF-1 " "450878","TEXSAN HEART HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","17 patients","1 ","1","PN-2 " "450878","TEXSAN HEART HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1 ","1","PN-5C " "450878","TEXSAN HEART HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","315 patients","2 ","2","SCIP-INF-6 " "450878","TEXSAN HEART HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","132 patients",,,"HF-3 " "450878","TEXSAN HEART HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","128 patients",,,"AMI-4 " "450878","TEXSAN HEART HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","17 patients","1 ","1","PN-3B " "450878","TEXSAN HEART HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","97 patients",,,"AMI-1 " "450878","TEXSAN HEART HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","428 patients",,,"AMI-5 " "450878","TEXSAN HEART HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","53 patients",,,"AMI-3 " "450878","TEXSAN HEART HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","203 patients","2 ","2","SCIP-INF-3 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","204 patients","2 ","2","SCIP-INF-2 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","204 patients","2 ","2","SCIP-INF-1 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","240 patients","2 ","2","SCIP-INF-6 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","104 patients","2 ","2","SCIP-VTE-2 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1,2 ","12","SCIP-CARD-2 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450880","BAYLOR SURGICAL HOSPITAL AT FORT WORTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","104 patients","2 ","2","SCIP-VTE-1 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","9 patients","1,3 ","13","SCIP-INF-1 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","9 patients","1,3 ","13","SCIP-INF-3 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1,3 ","13","SCIP-INF-6 " "450883","BAYLOR MEDICAL CENTER AT TROPHY CLUB","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","9 patients","1,3 ","13","SCIP-INF-2 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","33 patients",,,"PN-3B " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","48 patients",,,"HF-1 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","17 patients","1 ","1","PN-4 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","37 patients",,,"PN-6 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","12 patients","1 ","1","HF-3 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1 ","1","HF-4 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","26 patients",,,"PN-7 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","65 patients",,,"HF-2 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","25 patients","3 ","3","PN-5C " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","33 patients",,,"PN-2 " "450884","EAST TEXAS MEDICAL CENTER - GILMER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "450885","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","77 patients",,,"PN-3B " "450885","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450885","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","AMI-4 " "450885","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","187 patients",,,"SCIP-INF-1 " "450885","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","45 patients",,,"PN-7 " "450885","CENTENNIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","123 patients",,,"HF-2 " "450885","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "450885","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "450885","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","42 patients",,,"SCIP-CARD-2 " "450885","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","143 patients",,,"SCIP-VTE-1 " "450885","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","299 patients",,,"SCIP-INF-6 " "450885","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","179 patients",,,"SCIP-INF-3 " "450885","CENTENNIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","85 patients",,,"HF-1 " "450885","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","70 patients",,,"AMI-1 " "450885","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","15 patients","1 ","1","AMI-8A " "450885","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","68 patients",,,"PN-2 " "450885","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","58 patients",,,"PN-6 " "450885","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","143 patients",,,"SCIP-VTE-2 " "450885","CENTENNIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "450885","CENTENNIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","71 patients",,,"PN-5C " "450885","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","188 patients",,,"SCIP-INF-2 " "450885","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","63 patients",,,"AMI-5 " "450885","CENTENNIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","35 patients",,,"HF-3 " "450885","CENTENNIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","64 patients",,,"AMI-2 " "450885","CENTENNIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","21 patients","1 ","1","SCIP-INF-4 " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450886","SOUTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","4 patients","1,2 ","12","SCIP-CARD-2 " "450886","SOUTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450886","SOUTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","37 patients","2 ","2","SCIP-VTE-1 " "450886","SOUTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","78 patients","2 ","2","SCIP-INF-3 " "450886","SOUTHWEST SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450886","SOUTHWEST SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450886","SOUTHWEST SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450886","SOUTHWEST SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450886","SOUTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","78 patients","2 ","2","SCIP-INF-2 " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450886","SOUTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","78 patients","2 ","2","SCIP-INF-1 " "450886","SOUTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","37 patients","2 ","2","SCIP-VTE-2 " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450886","SOUTHWEST SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450886","SOUTHWEST SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450886","SOUTHWEST SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450886","SOUTHWEST SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","83 patients","2 ","2","SCIP-INF-6 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","112 patients",,,"SCIP-VTE-2 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","43 patients",,,"SCIP-CARD-2 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","112 patients",,,"SCIP-VTE-1 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","256 patients",,,"SCIP-INF-1 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","306 patients",,,"SCIP-INF-6 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","277 patients",,,"SCIP-INF-2 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450888","TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","254 patients",,,"SCIP-INF-3 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","67%","3 patients","1,3 ","13","SCIP-INF-6 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "450889","TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","416 patients","2 ","2","SCIP-INF-6 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","50 patients",,,"PN-4 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","114 patients",,,"PN-7 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","87 patients",,,"HF-1 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","163 patients",,,"PN-5C " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","110 patients",,,"HF-2 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","224 patients","2 ","2","SCIP-VTE-1 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","224 patients","2 ","2","SCIP-VTE-2 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","191 patients",,,"PN-3B " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","229 patients","2 ","2","SCIP-INF-3 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","39 patients","2 ","2","SCIP-CARD-2 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","156 patients",,,"PN-2 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","240 patients","2 ","2","SCIP-INF-1 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","134 patients",,,"PN-6 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","241 patients","2 ","2","SCIP-INF-2 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","HF-3 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "450890","BAYLOR REGIONAL MEDICAL CENTER AT PLANO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","194 patients",,,"SCIP-INF-2 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","26%","57 patients",,,"SCIP-VTE-2 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","85%","230 patients",,,"SCIP-INF-6 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","26%","57 patients",,,"SCIP-VTE-1 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","188 patients",,,"SCIP-INF-3 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","197 patients",,,"SCIP-INF-1 " "450891","TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450893","NORTH TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "450893","NORTH TEXAS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450893","NORTH TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","117 patients","2 ","2","SCIP-INF-3 " "450893","NORTH TEXAS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450893","NORTH TEXAS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450893","NORTH TEXAS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "450893","NORTH TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","117 patients","2 ","2","SCIP-INF-1 " "450893","NORTH TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","133 patients","2 ","2","SCIP-INF-6 " "450893","NORTH TEXAS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450893","NORTH TEXAS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "450893","NORTH TEXAS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "450893","NORTH TEXAS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450893","NORTH TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","3 patients","1,2 ","12","SCIP-CARD-2 " "450893","NORTH TEXAS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450893","NORTH TEXAS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "450893","NORTH TEXAS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450893","NORTH TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","24%","34 patients","2 ","2","SCIP-VTE-2 " "450893","NORTH TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","24%","34 patients","2 ","2","SCIP-VTE-1 " "450893","NORTH TEXAS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450893","NORTH TEXAS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450893","NORTH TEXAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","117 patients","2 ","2","SCIP-INF-2 " "450893","NORTH TEXAS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450893","NORTH TEXAS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "450893","NORTH TEXAS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","2,3 ","23","AMI-1 " "450893","NORTH TEXAS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "450894","PINE CREEK MEDICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","99 patients","2 ","2","SCIP-INF-1 " "450894","PINE CREEK MEDICAL CENTER LLP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "450894","PINE CREEK MEDICAL CENTER LLP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "450894","PINE CREEK MEDICAL CENTER LLP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "450894","PINE CREEK MEDICAL CENTER LLP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","44 patients","2 ","2","SCIP-VTE-1 " "450894","PINE CREEK MEDICAL CENTER LLP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "450894","PINE CREEK MEDICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","84%","141 patients","2 ","2","SCIP-INF-6 " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "450894","PINE CREEK MEDICAL CENTER LLP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "450894","PINE CREEK MEDICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","94 patients","2 ","2","SCIP-INF-3 " "450894","PINE CREEK MEDICAL CENTER LLP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","9%","11 patients","1,2 ","12","SCIP-CARD-2 " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "450894","PINE CREEK MEDICAL CENTER LLP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "450894","PINE CREEK MEDICAL CENTER LLP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","44 patients","2 ","2","SCIP-VTE-2 " "450894","PINE CREEK MEDICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","94 patients","2 ","2","SCIP-INF-2 " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "450894","PINE CREEK MEDICAL CENTER LLP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "450894","PINE CREEK MEDICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","55 patients",,,"HF-3 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","72 patients",,,"PN-6 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","82 patients",,,"AMI-1 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","131 patients",,,"PN-2 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","164 patients","2 ","2","SCIP-INF-4 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-8A " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","263 patients",,,"SCIP-INF-2 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","88 patients",,,"AMI-5 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","183 patients",,,"HF-2 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","AMI-3 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","210 patients","2 ","2","SCIP-CARD-2 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","258 patients",,,"SCIP-INF-1 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","130 patients","2 ","2","SCIP-VTE-1 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","130 patients","2 ","2","SCIP-VTE-2 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","244 patients",,,"SCIP-INF-3 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","383 patients","2 ","2","SCIP-INF-6 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","117 patients",,,"PN-7 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"PN-4 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","123 patients",,,"PN-3B " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","116 patients",,,"PN-5C " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","173 patients",,,"HF-1 " "45090F","SAN ANTONIO VA MEDICAL CENTER (VA SOUTH TEXA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","61 patients",,,"AMI-2 " "451301","REAGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451301","REAGAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,2,3 ","123","PN-6 " "451301","REAGAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2,3 ","123","PN-4 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451301","REAGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451301","REAGAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","2,3 ","23","PN-7 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451301","REAGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451301","REAGAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1,2,3 ","123","PN-2 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451301","REAGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451301","REAGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451301","REAGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451301","REAGAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","3 patients","1,2,3 ","123","PN-5C " "451301","REAGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451301","REAGAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451301","REAGAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451301","REAGAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451301","REAGAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,2,3 ","123","PN-3B " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","7 patients","1 ","1","SCIP-VTE-1 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","62%","8 patients","1 ","1","HF-3 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","25 patients",,,"PN-2 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","4 patients","1 ","1","PN-3B " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","38%","8 patients","1 ","1","HF-4 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","7 patients","1 ","1","SCIP-VTE-2 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","10 patients","1 ","1","PN-4 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","25 patients",,,"PN-5C " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","7 patients","1 ","1","SCIP-INF-3 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","8 patients","1 ","1","SCIP-INF-2 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","20 patients","1 ","1","HF-1 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","22%","9 patients","1 ","1","SCIP-INF-6 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","14 patients","1 ","1","PN-6 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","20 patients","1 ","1","PN-7 " "451302","GOOD SHEPHARD MEDICAL CENTER-LINDEN","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","44%","9 patients","1 ","1","SCIP-INF-1 " "451303","LIMESTONE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","73%","11 patients","1 ","1","PN-5C " "451303","LIMESTONE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451303","LIMESTONE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","53%","15 patients","1 ","1","PN-2 " "451303","LIMESTONE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451303","LIMESTONE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451303","LIMESTONE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451303","LIMESTONE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "451303","LIMESTONE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","6 patients","1 ","1","PN-6 " "451303","LIMESTONE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","13 patients","1 ","1","PN-7 " "451303","LIMESTONE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451303","LIMESTONE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","20%","15 patients","1 ","1","HF-2 " "451303","LIMESTONE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "451303","LIMESTONE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "451303","LIMESTONE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451303","LIMESTONE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451303","LIMESTONE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451303","LIMESTONE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451303","LIMESTONE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451303","LIMESTONE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451303","LIMESTONE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451303","LIMESTONE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451303","LIMESTONE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1 ","1","PN-3B " "451303","LIMESTONE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451303","LIMESTONE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451303","LIMESTONE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","12%","8 patients","1 ","1","HF-1 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","0%","1 patients","1,3 ","13","PN-5C " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","12 patients","1 ","1","PN-7 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451305","BURLESON ST JOSEPH HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","10 patients","1,3 ","13","PN-2 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451305","BURLESON ST JOSEPH HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1,3 ","13","PN-6 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,3 ","13","PN-4 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","62%","8 patients","1,3 ","13","PN-3B " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","5 patients","1,3 ","13","HF-2 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451305","BURLESON ST JOSEPH HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","5 patients","1,3 ","13","HF-1 " "451309","MCCAMEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "451309","MCCAMEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451309","MCCAMEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451309","MCCAMEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "451309","MCCAMEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451309","MCCAMEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "451309","MCCAMEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","1 patients","1,3 ","13","PN-7 " "451309","MCCAMEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451309","MCCAMEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451309","MCCAMEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451309","MCCAMEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451309","MCCAMEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "451309","MCCAMEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","1 patients","1,3 ","13","PN-2 " "451309","MCCAMEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "451309","MCCAMEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451309","MCCAMEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451309","MCCAMEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451309","MCCAMEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451309","MCCAMEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451309","MCCAMEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "451309","MCCAMEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451309","MCCAMEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451309","MCCAMEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "451309","MCCAMEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451309","MCCAMEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "451313","FISHER COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451313","FISHER COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1,3 ","13","PN-7 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","3 patients","1,3 ","13","PN-2 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,3 ","13","PN-6 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451313","FISHER COUNTY HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "451313","FISHER COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451315","NORTH RUNNELS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451315","NORTH RUNNELS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "451315","NORTH RUNNELS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451315","NORTH RUNNELS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451315","NORTH RUNNELS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "451315","NORTH RUNNELS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "451315","NORTH RUNNELS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451315","NORTH RUNNELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451315","NORTH RUNNELS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451315","NORTH RUNNELS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451315","NORTH RUNNELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451315","NORTH RUNNELS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451315","NORTH RUNNELS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451315","NORTH RUNNELS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "451315","NORTH RUNNELS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "451315","NORTH RUNNELS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "451315","NORTH RUNNELS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451315","NORTH RUNNELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451315","NORTH RUNNELS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451315","NORTH RUNNELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451315","NORTH RUNNELS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451315","NORTH RUNNELS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451315","NORTH RUNNELS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451315","NORTH RUNNELS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451315","NORTH RUNNELS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451316","MADISON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451316","MADISON ST JOSEPH HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "451316","MADISON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "451316","MADISON ST JOSEPH HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","10 patients","1 ","1","PN-3B " "451316","MADISON ST JOSEPH HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","9 patients","1 ","1","PN-2 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "451316","MADISON ST JOSEPH HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1 ","1","PN-6 " "451316","MADISON ST JOSEPH HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1 ","1","PN-5C " "451316","MADISON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "451316","MADISON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1 ","1","HF-1 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "451316","MADISON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451316","MADISON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451316","MADISON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1,3 ","13","AMI-7A " "451316","MADISON ST JOSEPH HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","6 patients","1 ","1","HF-2 " "451316","MADISON ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451316","MADISON ST JOSEPH HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","21 patients","1 ","1","PN-7 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","33 patients",,,"PN-6 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","94 patients",,,"SCIP-INF-6 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","25 patients",,,"PN-2 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients",,,"AMI-5 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","80 patients",,,"SCIP-INF-1 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","81 patients",,,"SCIP-INF-2 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","32 patients",,,"HF-1 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","39 patients",,,"HF-2 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","PN-4 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","47 patients",,,"SCIP-VTE-1 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","77 patients",,,"SCIP-INF-3 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","47 patients",,,"SCIP-VTE-2 " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","32 patients",,,"PN-3B " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","44 patients",,,"PN-5C " "451319","MOTHER FRANCES HOSPITAL JACKSONVILLE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "451320","BAYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451320","BAYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","PN-4 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","15 patients","1,2,3 ","123","HF-1 " "451320","BAYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","11%","18 patients","1,2,3 ","123","HF-2 " "451320","BAYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","1 patients","1,2,3 ","123","PN-3B " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451320","BAYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","38%","8 patients","1,2,3 ","123","HF-4 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451320","BAYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451320","BAYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1,2 ","12","PN-7 " "451320","BAYSIDE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "451320","BAYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451320","BAYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","7 patients","1,2,3 ","123","PN-6 " "451320","BAYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451320","BAYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451320","BAYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","7 patients","1,2,3 ","123","PN-5C " "451320","BAYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","5 patients","1,2,3 ","123","PN-2 " "451320","BAYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","17 patients","1 ","1","PN-6 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1,3 ","13","HF-1 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","HF-3 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","33 patients",,,"PN-2 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","12 patients","1,3 ","13","HF-2 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","37 patients",,,"PN-7 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","30 patients",,,"PN-5C " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","27 patients",,,"PN-3B " "451321","HUNT REGIONAL COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "451322","GRIMES ST JOSEPH HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451322","GRIMES ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451322","GRIMES ST JOSEPH HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","40 patients",,,"PN-6 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","76 patients",,,"PN-5C " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","48 patients",,,"PN-3B " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients",,,"AMI-2 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","13 patients","1 ","1","HF-1 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","71 patients",,,"PN-2 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","50 patients",,,"PN-7 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","PN-4 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","29 patients",,,"HF-2 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451323","ROLLINS BROOK COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451330","MEDINA REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","11 patients","1 ","1","PN-7 " "451330","MEDINA REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "451330","MEDINA REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","PN-4 " "451330","MEDINA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451330","MEDINA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451330","MEDINA REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "451330","MEDINA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451330","MEDINA REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "451330","MEDINA REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "451330","MEDINA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451330","MEDINA REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451330","MEDINA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451330","MEDINA REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","14%","21 patients","1 ","1","HF-1 " "451330","MEDINA REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","18 patients","1 ","1","PN-3B " "451330","MEDINA REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","18 patients","1 ","1","PN-6 " "451330","MEDINA REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "451330","MEDINA REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "451330","MEDINA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451330","MEDINA REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "451330","MEDINA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451330","MEDINA REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","14 patients","1 ","1","PN-2 " "451330","MEDINA REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","26 patients",,,"PN-5C " "451330","MEDINA REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","HF-3 " "451330","MEDINA REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451330","MEDINA REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","25 patients",,,"HF-2 " "451331","COON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","19%","16 patients","1 ","1","HF-2 " "451331","COON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "451331","COON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451331","COON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "451331","COON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451331","COON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","38%","13 patients","1 ","1","HF-1 " "451331","COON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","3 patients","1 ","1","HF-3 " "451331","COON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","33 patients",,,"PN-5C " "451331","COON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451331","COON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "451331","COON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "451331","COON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451331","COON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","20 patients","1 ","1","PN-6 " "451331","COON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","14 patients","1 ","1","PN-7 " "451331","COON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","10 patients","1 ","1","PN-3B " "451331","COON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451331","COON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","48%","21 patients","1 ","1","PN-2 " "451331","COON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451331","COON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451331","COON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "451331","COON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "451331","COON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "451331","COON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451331","COON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","PN-4 " "451331","COON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451334","PARKVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451334","PARKVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "451334","PARKVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "451334","PARKVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451334","PARKVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451334","PARKVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451334","PARKVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "451334","PARKVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451334","PARKVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451334","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451334","PARKVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451334","PARKVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451334","PARKVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "451334","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451334","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451334","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451334","PARKVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451334","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451334","PARKVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451334","PARKVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "451334","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451334","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451334","PARKVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451334","PARKVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "451334","PARKVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451337","W J MANGOLD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","23 patients","1 ","1","PN-2 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1 ","1","PN-3B " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","31 patients",,,"PN-5C " "451337","W J MANGOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","19 patients","1 ","1","PN-7 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451337","W J MANGOLD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","21 patients","1 ","1","PN-6 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451342","MITCHELL COUNTY HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451343","ELECTRA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451343","ELECTRA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "451343","ELECTRA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451343","ELECTRA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451343","ELECTRA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451343","ELECTRA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451343","ELECTRA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "451343","ELECTRA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451343","ELECTRA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451343","ELECTRA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451343","ELECTRA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "451343","ELECTRA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "451343","ELECTRA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451343","ELECTRA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "451343","ELECTRA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "451344","HANSFORD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451344","HANSFORD COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451344","HANSFORD COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451344","HANSFORD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451344","HANSFORD COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,3 ","13","PN-6 " "451344","HANSFORD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451344","HANSFORD COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451344","HANSFORD COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451344","HANSFORD COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "451344","HANSFORD COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451344","HANSFORD COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","7 patients","1 ","1","PN-7 " "451344","HANSFORD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451344","HANSFORD COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,"0 patients","3 ","3","HF-2 " "451344","HANSFORD COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1,3 ","13","PN-2 " "451344","HANSFORD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451344","HANSFORD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451344","HANSFORD COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,3 ","13","PN-3B " "451344","HANSFORD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451344","HANSFORD COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "451344","HANSFORD COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1,3 ","13","PN-5C " "451344","HANSFORD COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "451344","HANSFORD COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451344","HANSFORD COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451344","HANSFORD COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "451344","HANSFORD COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451346","YOAKUM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "451346","YOAKUM COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,3 ","13","PN-4 " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","8 patients","1,3 ","13","AMI-1 " "451346","YOAKUM COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","20 patients","1,3 ","13","PN-5C " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","19 patients","1,3 ","13","HF-1 " "451346","YOAKUM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451346","YOAKUM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","32 patients","3 ","3","HF-2 " "451346","YOAKUM COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","22 patients","1,3 ","13","PN-2 " "451346","YOAKUM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1,3 ","13","HF-3 " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451346","YOAKUM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","62%","8 patients","1,3 ","13","AMI-5 " "451346","YOAKUM COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1,3 ","13","PN-6 " "451346","YOAKUM COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1,3 ","13","PN-3B " "451346","YOAKUM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "451346","YOAKUM COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","13 patients","1,3 ","13","PN-7 " "451346","YOAKUM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451346","YOAKUM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","8 patients","1,3 ","13","AMI-2 " "451346","YOAKUM COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","AMI-3 " "451347","COLEMAN COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","15 patients","1 ","1","PN-7 " "451347","COLEMAN COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","20 patients","1 ","1","PN-2 " "451347","COLEMAN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451347","COLEMAN COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","11 patients","1 ","1","PN-5C " "451347","COLEMAN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451347","COLEMAN COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","19 patients","1 ","1","PN-3B " "451347","COLEMAN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451347","COLEMAN COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","60%","5 patients","1 ","1","AMI-5 " "451347","COLEMAN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "451347","COLEMAN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","21 patients","1 ","1","HF-2 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","12 patients","1 ","1","HF-1 " "451347","COLEMAN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "451347","COLEMAN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451347","COLEMAN COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "451347","COLEMAN COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451347","COLEMAN COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451349","SWISHER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","35%","17 patients","1 ","1","PN-2 " "451349","SWISHER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","17 patients","1 ","1","PN-5C " "451349","SWISHER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451349","SWISHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451349","SWISHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","12%","17 patients","1 ","1","HF-2 " "451349","SWISHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451349","SWISHER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "451349","SWISHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451349","SWISHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451349","SWISHER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","42%","12 patients","1 ","1","PN-7 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "451349","SWISHER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","20%","5 patients","1 ","1","PN-4 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451349","SWISHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451349","SWISHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451349","SWISHER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","16 patients","1 ","1","HF-1 " "451349","SWISHER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "451349","SWISHER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451350","PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451350","PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451350","PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451350","PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451350","PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451350","PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "451350","PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451350","PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451350","PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "451350","PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "451350","PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451350","PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451350","PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451350","PLAINS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451350","PLAINS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451350","PLAINS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451356","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","18 patients","1 ","1","SCIP-INF-2 " "451356","MEMORIAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","44 patients",,,"PN-7 " "451356","MEMORIAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "451356","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","60%","5 patients","1 ","1","SCIP-VTE-1 " "451356","MEMORIAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","64 patients",,,"PN-5C " "451356","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "451356","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","13 patients","1 ","1","SCIP-INF-6 " "451356","MEMORIAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","44 patients",,,"PN-6 " "451356","MEMORIAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","58 patients",,,"PN-2 " "451356","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","17%","18 patients","1 ","1","SCIP-INF-3 " "451356","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "451356","MEMORIAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","21 patients","1 ","1","PN-4 " "451356","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "451356","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "451356","MEMORIAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "451356","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "451356","MEMORIAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","67%","57 patients",,,"HF-2 " "451356","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","18 patients","1 ","1","SCIP-INF-1 " "451356","MEMORIAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","48 patients",,,"HF-1 " "451356","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "451356","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","5 patients","1 ","1","SCIP-VTE-2 " "451356","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "451356","MEMORIAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "451356","MEMORIAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "451356","MEMORIAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","52 patients",,,"PN-3B " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "451364","OTTO KAISER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1,2,3 ","123","PN-5C " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","7 patients","1,3 ","13","HF-1 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2,3 ","123","PN-4 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","47%","19 patients","1,2,3 ","123","PN-2 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","31%","16 patients","1,3 ","13","HF-2 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","37%","19 patients","1,2 ","12","PN-7 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1,2,3 ","123","PN-6 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","11 patients","1,2,3 ","123","PN-3B " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "451364","OTTO KAISER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "451364","OTTO KAISER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451365","SETON HIGHLAND LAKES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "451365","SETON HIGHLAND LAKES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","30 patients",,,"HF-1 " "451365","SETON HIGHLAND LAKES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","87 patients",,,"PN-3B " "451365","SETON HIGHLAND LAKES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "451365","SETON HIGHLAND LAKES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","31 patients",,,"PN-6 " "451365","SETON HIGHLAND LAKES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "451365","SETON HIGHLAND LAKES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "451365","SETON HIGHLAND LAKES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","69 patients",,,"PN-2 " "451365","SETON HIGHLAND LAKES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "451365","SETON HIGHLAND LAKES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","35 patients",,,"SCIP-INF-3 " "451365","SETON HIGHLAND LAKES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","47 patients",,,"PN-7 " "451365","SETON HIGHLAND LAKES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","25 patients",,,"SCIP-VTE-2 " "451365","SETON HIGHLAND LAKES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","49 patients",,,"SCIP-INF-6 " "451365","SETON HIGHLAND LAKES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","46 patients",,,"HF-2 " "451365","SETON HIGHLAND LAKES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "451365","SETON HIGHLAND LAKES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"HF-3 " "451365","SETON HIGHLAND LAKES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","PN-4 " "451365","SETON HIGHLAND LAKES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "451365","SETON HIGHLAND LAKES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","82%","40 patients",,,"SCIP-INF-2 " "451365","SETON HIGHLAND LAKES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","8 patients","1 ","1","HF-4 " "451365","SETON HIGHLAND LAKES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451365","SETON HIGHLAND LAKES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","74%","35 patients",,,"SCIP-INF-1 " "451365","SETON HIGHLAND LAKES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","74 patients",,,"PN-5C " "451365","SETON HIGHLAND LAKES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","25 patients",,,"SCIP-VTE-1 " "451365","SETON HIGHLAND LAKES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "451367","EAST TEXAS MEDICAL CENTER PITTSBURG","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","20 patients","1 ","1","PN-6 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","29 patients",,,"PN-3B " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","15 patients","1 ","1","SCIP-VTE-2 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","11 patients","1 ","1","HF-1 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","26 patients",,,"SCIP-INF-1 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","23 patients","1 ","1","PN-7 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","54%","13 patients","1 ","1","PN-4 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","29 patients",,,"PN-2 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","47%","15 patients","1 ","1","SCIP-VTE-1 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","36 patients",,,"SCIP-INF-6 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","25 patients",,,"SCIP-INF-2 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","25 patients",,,"SCIP-INF-3 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","36 patients",,,"PN-5C " "451369","GOLDEN PLAINS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","40%","15 patients","1 ","1","HF-2 " "451370","RED RIVER REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","14 patients","1,3 ","13","PN-3B " "451370","RED RIVER REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "451370","RED RIVER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451370","RED RIVER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451370","RED RIVER REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","39 patients","3 ","3","HF-2 " "451370","RED RIVER REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","23 patients","1,3 ","13","PN-2 " "451370","RED RIVER REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451370","RED RIVER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451370","RED RIVER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451370","RED RIVER REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "451370","RED RIVER REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "451370","RED RIVER REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","21 patients","1,3 ","13","PN-5C " "451370","RED RIVER REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","PN-4 " "451370","RED RIVER REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "451370","RED RIVER REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "451370","RED RIVER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451370","RED RIVER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451370","RED RIVER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451370","RED RIVER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451370","RED RIVER REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "451370","RED RIVER REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1,3 ","13","HF-3 " "451370","RED RIVER REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","7 patients","1,3 ","13","PN-6 " "451370","RED RIVER REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "451370","RED RIVER REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","22 patients","1,3 ","13","HF-1 " "451370","RED RIVER REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","19 patients","1,3 ","13","PN-7 " "451371","SETON EDGAR B DAVIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","37 patients",,,"PN-6 " "451371","SETON EDGAR B DAVIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "451371","SETON EDGAR B DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "451371","SETON EDGAR B DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","60%","5 patients","1,3 ","13","SCIP-INF-3 " "451371","SETON EDGAR B DAVIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","43 patients",,,"PN-3B " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","24 patients","1 ","1","HF-1 " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "451371","SETON EDGAR B DAVIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","44 patients",,,"PN-7 " "451371","SETON EDGAR B DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "451371","SETON EDGAR B DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1 ","1","SCIP-INF-6 " "451371","SETON EDGAR B DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","7 patients","1,3 ","13","SCIP-INF-1 " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "451371","SETON EDGAR B DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1,3 ","13","SCIP-INF-2 " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "451371","SETON EDGAR B DAVIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","53 patients",,,"PN-2 " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","31 patients",,,"HF-2 " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "451371","SETON EDGAR B DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "451371","SETON EDGAR B DAVIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "451371","SETON EDGAR B DAVIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","55 patients",,,"PN-5C " "451371","SETON EDGAR B DAVIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "451373","WARD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","HF-4 " "451373","WARD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "451373","WARD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "451373","WARD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "451373","WARD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","6 patients","1,2 ","12","HF-1 " "451373","WARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451373","WARD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","10 patients","1,2 ","12","PN-3B " "451373","WARD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "451373","WARD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","9 patients","1,2 ","12","PN-2 " "451373","WARD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,2,3 ","123","AMI-1 " "451373","WARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451373","WARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451373","WARD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1,2 ","12","PN-4 " "451373","WARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451373","WARD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1,2 ","12","PN-5C " "451373","WARD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "451373","WARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451373","WARD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "451373","WARD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","9 patients","1 ","1","PN-7 " "451373","WARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451373","WARD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,2 ","12","HF-2 " "451373","WARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451373","WARD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","16 patients","1,2 ","12","PN-6 " "451373","WARD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,2 ","12","HF-3 " "451373","WARD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451374","JOHNS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "451374","JOHNS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","28 patients",,,"PN-5C " "451374","JOHNS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "451374","JOHNS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "451374","JOHNS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","69%","16 patients","1 ","1","PN-3B " "451374","JOHNS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "451374","JOHNS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "451374","JOHNS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","18 patients","1 ","1","PN-6 " "451374","JOHNS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","37 patients",,,"HF-2 " "451374","JOHNS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "451374","JOHNS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,3 ","13","SCIP-VTE-1 " "451374","JOHNS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","20 patients","1 ","1","HF-1 " "451374","JOHNS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451374","JOHNS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","33 patients",,,"PN-2 " "451374","JOHNS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451374","JOHNS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "451374","JOHNS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "451374","JOHNS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "451374","JOHNS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "451374","JOHNS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "451374","JOHNS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "451374","JOHNS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "451374","JOHNS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1,3 ","13","SCIP-VTE-2 " "451374","JOHNS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "451374","JOHNS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","19 patients","1 ","1","PN-7 " "451376","LAVACA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "451376","LAVACA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "451376","LAVACA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "451376","LAVACA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "451376","LAVACA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "451376","LAVACA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","29 patients",,,"HF-2 " "451376","LAVACA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","57 patients",,,"PN-5C " "451376","LAVACA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","58 patients",,,"PN-2 " "451376","LAVACA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "451376","LAVACA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "451376","LAVACA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","34 patients",,,"PN-7 " "451376","LAVACA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "451376","LAVACA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "451376","LAVACA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","11 patients","1 ","1","HF-1 " "451376","LAVACA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","48 patients",,,"PN-3B " "451376","LAVACA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","24 patients","1 ","1","PN-6 " "451376","LAVACA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "451376","LAVACA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "451376","LAVACA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "451376","LAVACA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "451376","LAVACA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "451376","LAVACA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "451376","LAVACA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "451376","LAVACA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451376","LAVACA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "451378","BIG BEND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","4 patients","1 ","1","SCIP-INF-3 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","32 patients",,,"PN-7 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","11 patients","1 ","1","SCIP-VTE-2 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","38 patients",,,"PN-3B " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","4 patients","1 ","1","SCIP-INF-2 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","17 patients","1 ","1","SCIP-INF-6 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","27 patients",,,"HF-1 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "451378","BIG BEND REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","51 patients",,,"PN-5C " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","46 patients",,,"PN-6 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","73%","11 patients","1 ","1","SCIP-VTE-1 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","50%","4 patients","1 ","1","SCIP-INF-1 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","29 patients",,,"HF-2 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "451378","BIG BEND REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","50 patients",,,"PN-2 " "453300","COOK FT WORTH CHILDRENS MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","275 patients","2 ","2","CAC-1 " "453300","COOK FT WORTH CHILDRENS MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","69%","275 patients","2 ","2","CAC-3 " "453300","COOK FT WORTH CHILDRENS MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","275 patients","2 ","2","CAC-2 " "453301","DRISCOLL CHILDRENS HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","82%","306 patients",,,"CAC-3 " "453301","DRISCOLL CHILDRENS HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","302 patients",,,"CAC-1 " "453301","DRISCOLL CHILDRENS HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","305 patients",,,"CAC-2 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","39 patients","2 ","2","AMI-8A " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","164 patients","2 ","2","HF-1 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","121 patients","2 ","2","PN-3B " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","342 patients","2 ","2","SCIP-VTE-2 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","464 patients","2 ","2","SCIP-INF-3 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","144 patients","2 ","2","SCIP-INF-4 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","204 patients","2 ","2","HF-2 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","41 patients","2 ","2","AMI-3 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","122 patients","2 ","2","PN-7 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1,2 ","12","HF-4 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","345 patients","2 ","2","SCIP-VTE-1 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","493 patients","2 ","2","SCIP-INF-2 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","308 patients","2 ","2","AMI-2 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","483 patients","2 ","2","SCIP-INF-1 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","PN-4 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","85 patients","2 ","2","SCIP-CARD-2 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","78 patients","2 ","2","AMI-4 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","147 patients","2 ","2","PN-2 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","802 patients","2 ","2","SCIP-INF-6 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","135 patients","2 ","2","AMI-1 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","136 patients","2 ","2","PN-5C " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","96 patients","2 ","2","PN-6 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","298 patients","2 ","2","AMI-5 " "460001","UTAH VALLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","59 patients","2 ","2","HF-3 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","23 patients","1 ","1","AMI-1 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","63 patients",,,"PN-3B " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","59 patients",,,"PN-5C " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","107 patients",,,"SCIP-VTE-2 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","298 patients",,,"SCIP-INF-6 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","164 patients",,,"SCIP-INF-1 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","38 patients",,,"SCIP-INF-4 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","71 patients",,,"HF-2 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","57%","7 patients","1 ","1","AMI-8A " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","38 patients",,,"PN-2 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","43 patients",,,"AMI-2 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","34 patients",,,"PN-4 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","152 patients",,,"SCIP-INF-3 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","165 patients",,,"SCIP-INF-2 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","33 patients",,,"AMI-5 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","HF-3 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","22 patients","1 ","1","AMI-4 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","55 patients",,,"HF-1 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","25 patients",,,"PN-7 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","107 patients",,,"SCIP-VTE-1 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","27 patients",,,"SCIP-CARD-2 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","36 patients",,,"PN-6 " "460003","SALT LAKE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "460004","MCKAY-DEE HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","183 patients","2 ","2","PN-5C " "460004","MCKAY-DEE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","62%","212 patients","2 ","2","SCIP-VTE-2 " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","206 patients","2 ","2","HF-2 " "460004","MCKAY-DEE HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","123 patients","2 ","2","PN-7 " "460004","MCKAY-DEE HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","196 patients","2 ","2","PN-3B " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","228 patients","2 ","2","AMI-2 " "460004","MCKAY-DEE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","212 patients","2 ","2","SCIP-VTE-1 " "460004","MCKAY-DEE HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","177 patients","2 ","2","PN-2 " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","169 patients","2 ","2","HF-1 " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","60 patients","2 ","2","HF-3 " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","228 patients","2 ","2","AMI-5 " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients","2 ","2","AMI-3 " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients","2 ","2","AMI-4 " "460004","MCKAY-DEE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","716 patients","2 ","2","SCIP-INF-6 " "460004","MCKAY-DEE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","155 patients","2 ","2","SCIP-INF-4 " "460004","MCKAY-DEE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","474 patients","2 ","2","SCIP-INF-3 " "460004","MCKAY-DEE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","495 patients","2 ","2","SCIP-INF-2 " "460004","MCKAY-DEE HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","56 patients","2 ","2","PN-4 " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","31 patients","2 ","2","AMI-8A " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","170 patients","2 ","2","AMI-1 " "460004","MCKAY-DEE HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","166 patients","2 ","2","PN-6 " "460004","MCKAY-DEE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","489 patients","2 ","2","SCIP-INF-1 " "460004","MCKAY-DEE HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","28 patients","2 ","2","HF-4 " "460004","MCKAY-DEE HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","87 patients","2 ","2","SCIP-CARD-2 " "460005","OGDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","178 patients","2 ","2","SCIP-VTE-2 " "460005","OGDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","70 patients","2 ","2","SCIP-CARD-2 " "460005","OGDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","347 patients","2 ","2","SCIP-INF-3 " "460005","OGDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","74 patients",,,"PN-7 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460005","OGDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","97 patients",,,"PN-2 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","86 patients",,,"HF-2 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","81 patients",,,"AMI-5 " "460005","OGDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","178 patients","2 ","2","SCIP-VTE-1 " "460005","OGDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","364 patients","2 ","2","SCIP-INF-1 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","25 patients",,,"AMI-8A " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "460005","OGDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","375 patients","2 ","2","SCIP-INF-2 " "460005","OGDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","105 patients",,,"PN-5C " "460005","OGDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","77 patients",,,"PN-6 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","73 patients",,,"HF-1 " "460005","OGDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","109 patients","2 ","2","SCIP-INF-4 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","71 patients",,,"AMI-1 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","88 patients",,,"AMI-2 " "460005","OGDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"PN-4 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","32 patients",,,"HF-3 " "460005","OGDEN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","522 patients","2 ","2","SCIP-INF-6 " "460005","OGDEN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "460005","OGDEN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","110 patients",,,"PN-3B " "460006","LDS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "460006","LDS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","51 patients",,,"HF-1 " "460006","LDS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","105 patients","2 ","2","PN-3B " "460006","LDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","347 patients","2 ","2","SCIP-INF-2 " "460006","LDS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1,3 ","13","AMI-1 " "460006","LDS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"HF-3 " "460006","LDS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","66%","38 patients","2 ","2","SCIP-CARD-2 " "460006","LDS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","79 patients","2 ","2","PN-6 " "460006","LDS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "460006","LDS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "460006","LDS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "460006","LDS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","82 patients","2 ","2","PN-7 " "460006","LDS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","64 patients",,,"HF-2 " "460006","LDS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "460006","LDS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","111 patients","2 ","2","PN-5C " "460006","LDS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "460006","LDS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","52 patients","2 ","2","PN-4 " "460006","LDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","187 patients","2 ","2","SCIP-VTE-2 " "460006","LDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","187 patients","2 ","2","SCIP-VTE-1 " "460006","LDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","502 patients","2 ","2","SCIP-INF-6 " "460006","LDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","346 patients","2 ","2","SCIP-INF-1 " "460006","LDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","337 patients","2 ","2","SCIP-INF-3 " "460006","LDS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "460006","LDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460006","LDS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","99 patients","2 ","2","PN-2 " "460007","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","216 patients","2 ","2","SCIP-INF-1 " "460007","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","63 patients","2 ","2","PN-6 " "460007","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","123 patients","2 ","2","SCIP-VTE-1 " "460007","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","57%","7 patients","1 ","1","AMI-5 " "460007","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1 ","1","AMI-1 " "460007","VALLEY VIEW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","17 patients","1 ","1","HF-1 " "460007","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","48 patients","2 ","2","PN-2 " "460007","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","30 patients","2 ","2","SCIP-CARD-2 " "460007","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","214 patients","2 ","2","SCIP-INF-2 " "460007","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460007","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "460007","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","62%","210 patients","2 ","2","SCIP-INF-3 " "460007","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460007","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "460007","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","65 patients","2 ","2","PN-5C " "460007","VALLEY VIEW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","23 patients","1 ","1","HF-2 " "460007","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","7 patients","1 ","1","AMI-2 " "460007","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","123 patients","2 ","2","SCIP-VTE-2 " "460007","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","33 patients","2 ","2","PN-7 " "460007","VALLEY VIEW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "460007","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1,2 ","12","PN-4 " "460007","VALLEY VIEW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","48 patients","2 ","2","PN-3B " "460007","VALLEY VIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","89%","281 patients","2 ","2","SCIP-INF-6 " "460007","VALLEY VIEW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "460007","VALLEY VIEW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","79 patients","2 ","2","SCIP-INF-4 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","HF-4 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","136 patients","2 ","2","PN-3B " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","108 patients","2 ","2","PN-7 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","28 patients","2 ","2","AMI-8A " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","343 patients","2 ","2","SCIP-INF-1 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","357 patients","2 ","2","SCIP-INF-2 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","543 patients","2 ","2","SCIP-INF-6 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","110 patients","2 ","2","PN-2 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","105 patients","2 ","2","AMI-5 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","338 patients","2 ","2","SCIP-INF-3 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","194 patients","2 ","2","HF-1 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","227 patients","2 ","2","HF-2 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","57 patients","2 ","2","SCIP-CARD-2 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","168 patients","2 ","2","PN-5C " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","109 patients","2 ","2","PN-6 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","76 patients","2 ","2","AMI-4 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","88 patients","2 ","2","HF-3 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","83 patients","2 ","2","AMI-1 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","178 patients","2 ","2","AMI-2 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1,2 ","12","AMI-3 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","189 patients","2 ","2","SCIP-VTE-1 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","70 patients","2 ","2","PN-4 " "460009","UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","189 patients","2 ","2","SCIP-VTE-2 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","75 patients","2 ","2","AMI-3 " "460010","INTERMOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","504 patients","2 ","2","SCIP-INF-3 " "460010","INTERMOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","340 patients","2 ","2","SCIP-VTE-1 " "460010","INTERMOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","116 patients","2 ","2","SCIP-CARD-2 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","438 patients","2 ","2","AMI-5 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","435 patients","2 ","2","HF-1 " "460010","INTERMOUNTAIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","75 patients","2 ","2","PN-3B " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","75 patients","2 ","2","AMI-8A " "460010","INTERMOUNTAIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","125 patients","2 ","2","PN-2 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","473 patients","2 ","2","AMI-2 " "460010","INTERMOUNTAIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","104 patients","2 ","2","PN-6 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","282 patients","2 ","2","AMI-1 " "460010","INTERMOUNTAIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","111 patients","2 ","2","PN-7 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","484 patients","2 ","2","HF-2 " "460010","INTERMOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","545 patients","2 ","2","SCIP-INF-2 " "460010","INTERMOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","179 patients","2 ","2","SCIP-INF-4 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "460010","INTERMOUNTAIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","160 patients","2 ","2","PN-5C " "460010","INTERMOUNTAIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","73 patients","2 ","2","PN-4 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","132 patients","2 ","2","AMI-4 " "460010","INTERMOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","534 patients","2 ","2","SCIP-INF-1 " "460010","INTERMOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","946 patients","2 ","2","SCIP-INF-6 " "460010","INTERMOUNTAIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","340 patients","2 ","2","SCIP-VTE-2 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","221 patients","2 ","2","HF-3 " "460010","INTERMOUNTAIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","65 patients","2 ","2","HF-4 " "460011","CASTLEVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "460011","CASTLEVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","19 patients","1 ","1","HF-1 " "460011","CASTLEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","112 patients",,,"SCIP-INF-2 " "460011","CASTLEVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "460011","CASTLEVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "460011","CASTLEVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","81 patients",,,"PN-5C " "460011","CASTLEVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "460011","CASTLEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","60 patients",,,"SCIP-VTE-1 " "460011","CASTLEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "460011","CASTLEVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","52 patients",,,"PN-7 " "460011","CASTLEVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "460011","CASTLEVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","67 patients",,,"PN-6 " "460011","CASTLEVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "460011","CASTLEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","60 patients",,,"SCIP-VTE-2 " "460011","CASTLEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","151 patients",,,"SCIP-INF-6 " "460011","CASTLEVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "460011","CASTLEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","111 patients",,,"SCIP-INF-1 " "460011","CASTLEVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","81 patients",,,"PN-3B " "460011","CASTLEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","109 patients",,,"SCIP-INF-3 " "460011","CASTLEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "460011","CASTLEVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "460011","CASTLEVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "460011","CASTLEVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","31 patients",,,"HF-2 " "460011","CASTLEVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "460011","CASTLEVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","67 patients",,,"PN-2 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "460013","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460013","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","99 patients",,,"PN-6 " "460013","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","249 patients","2 ","2","SCIP-INF-3 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "460013","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","94 patients",,,"PN-3B " "460013","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","100 patients",,,"PN-2 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","22 patients","1 ","1","AMI-5 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "460013","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","360 patients","2 ","2","SCIP-INF-6 " "460013","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","180 patients","2 ","2","SCIP-VTE-2 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","15 patients","1 ","1","AMI-8A " "460013","MOUNTAIN VIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","30 patients",,,"HF-1 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "460013","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "460013","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","262 patients","2 ","2","SCIP-INF-1 " "460013","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","71 patients",,,"PN-7 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","33 patients",,,"AMI-2 " "460013","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","30 patients","2 ","2","SCIP-CARD-2 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","35 patients",,,"AMI-1 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "460013","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","180 patients","2 ","2","SCIP-VTE-1 " "460013","MOUNTAIN VIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","118 patients",,,"PN-5C " "460013","MOUNTAIN VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","265 patients","2 ","2","SCIP-INF-2 " "460013","MOUNTAIN VIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","39 patients",,,"HF-2 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "460014","MOUNTAIN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460014","MOUNTAIN WEST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","63 patients",,,"PN-6 " "460014","MOUNTAIN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1,2 ","12","SCIP-CARD-2 " "460014","MOUNTAIN WEST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","47 patients",,,"PN-2 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","46 patients",,,"HF-2 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "460014","MOUNTAIN WEST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","62 patients",,,"PN-3B " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","32 patients",,,"HF-1 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "460014","MOUNTAIN WEST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "460014","MOUNTAIN WEST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","70 patients",,,"PN-5C " "460014","MOUNTAIN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","112 patients","2 ","2","SCIP-INF-2 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "460014","MOUNTAIN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","113 patients","2 ","2","SCIP-INF-1 " "460014","MOUNTAIN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","132 patients","2 ","2","SCIP-INF-6 " "460014","MOUNTAIN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","47 patients","2 ","2","SCIP-VTE-1 " "460014","MOUNTAIN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","111 patients","2 ","2","SCIP-INF-3 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460014","MOUNTAIN WEST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","47 patients","2 ","2","SCIP-VTE-2 " "460014","MOUNTAIN WEST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "460014","MOUNTAIN WEST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","34 patients",,,"PN-7 " "460015","LOGAN REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "460015","LOGAN REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460015","LOGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","235 patients","2 ","2","SCIP-INF-3 " "460015","LOGAN REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "460015","LOGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","141 patients","2 ","2","SCIP-VTE-1 " "460015","LOGAN REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","55 patients",,,"HF-2 " "460015","LOGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","141 patients","2 ","2","SCIP-VTE-2 " "460015","LOGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","244 patients","2 ","2","SCIP-INF-2 " "460015","LOGAN REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "460015","LOGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","376 patients","2 ","2","SCIP-INF-6 " "460015","LOGAN REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","91 patients","2 ","2","PN-5C " "460015","LOGAN REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","40 patients",,,"HF-1 " "460015","LOGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","243 patients","2 ","2","SCIP-INF-1 " "460015","LOGAN REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","53 patients","2 ","2","PN-7 " "460015","LOGAN REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "460015","LOGAN REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "460015","LOGAN REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","80 patients","2 ","2","PN-3B " "460015","LOGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","26 patients","2 ","2","SCIP-CARD-2 " "460015","LOGAN REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "460015","LOGAN REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","80 patients","2 ","2","PN-2 " "460015","LOGAN REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","57 patients","2 ","2","PN-6 " "460015","LOGAN REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460015","LOGAN REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","14 patients","1 ","1","AMI-1 " "460015","LOGAN REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "460015","LOGAN REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1,2 ","12","PN-4 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","16 patients","1 ","1","PN-6 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","15 patients","1 ","1","PN-5C " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","13 patients","1 ","1","PN-7 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","162 patients",,,"SCIP-INF-6 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","13 patients","1 ","1","PN-2 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","123 patients",,,"SCIP-INF-2 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","53 patients",,,"SCIP-VTE-2 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","5 patients","1 ","1","HF-1 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","53 patients",,,"SCIP-VTE-1 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","122 patients",,,"SCIP-INF-1 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","10 patients","1 ","1","SCIP-CARD-2 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","5 patients","1 ","1","HF-2 " "460017","BRIGHAM CITY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","114 patients",,,"SCIP-INF-3 " "460019","UINTAH BASIN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1 ","1","PN-4 " "460019","UINTAH BASIN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","17 patients","1 ","1","PN-7 " "460019","UINTAH BASIN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","47%","30 patients",,,"HF-2 " "460019","UINTAH BASIN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","21 patients","1 ","1","PN-3B " "460019","UINTAH BASIN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","HF-3 " "460019","UINTAH BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","7 patients","1,2 ","12","SCIP-CARD-2 " "460019","UINTAH BASIN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "460019","UINTAH BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460019","UINTAH BASIN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","34 patients",,,"PN-6 " "460019","UINTAH BASIN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "460019","UINTAH BASIN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "460019","UINTAH BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","126 patients","2 ","2","SCIP-INF-2 " "460019","UINTAH BASIN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","20 patients","1 ","1","PN-2 " "460019","UINTAH BASIN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "460019","UINTAH BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","148 patients","2 ","2","SCIP-INF-6 " "460019","UINTAH BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","126 patients","2 ","2","SCIP-INF-1 " "460019","UINTAH BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","65 patients","2 ","2","SCIP-VTE-1 " "460019","UINTAH BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","65 patients","2 ","2","SCIP-VTE-2 " "460019","UINTAH BASIN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients",,,"PN-5C " "460019","UINTAH BASIN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "460019","UINTAH BASIN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "460019","UINTAH BASIN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","126 patients","2 ","2","SCIP-INF-3 " "460019","UINTAH BASIN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "460019","UINTAH BASIN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","8%","26 patients",,,"HF-1 " "460019","UINTAH BASIN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","194 patients","2 ","2","AMI-1 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","59 patients","2 ","2","HF-3 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","49 patients","2 ","2","AMI-8A " "460021","DIXIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","195 patients","2 ","2","SCIP-VTE-1 " "460021","DIXIE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","151 patients","2 ","2","PN-5C " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","69 patients","2 ","2","AMI-4 " "460021","DIXIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","735 patients","2 ","2","SCIP-INF-6 " "460021","DIXIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","483 patients","2 ","2","SCIP-INF-2 " "460021","DIXIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","472 patients","2 ","2","SCIP-INF-1 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","273 patients","2 ","2","AMI-2 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","HF-4 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","251 patients","2 ","2","AMI-5 " "460021","DIXIE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","200 patients","2 ","2","PN-2 " "460021","DIXIE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","140 patients","2 ","2","PN-6 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "460021","DIXIE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","142 patients","2 ","2","PN-3B " "460021","DIXIE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","135 patients","2 ","2","PN-7 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients","2 ","2","AMI-3 " "460021","DIXIE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","41 patients","2 ","2","PN-4 " "460021","DIXIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","195 patients","2 ","2","SCIP-VTE-2 " "460021","DIXIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","459 patients","2 ","2","SCIP-INF-3 " "460021","DIXIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","179 patients","2 ","2","SCIP-INF-4 " "460021","DIXIE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","103 patients","2 ","2","SCIP-CARD-2 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","184 patients","2 ","2","HF-2 " "460021","DIXIE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","149 patients","2 ","2","HF-1 " "460023","AMERICAN FORK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "460023","AMERICAN FORK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","65 patients","2 ","2","PN-3B " "460023","AMERICAN FORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","268 patients","2 ","2","SCIP-INF-6 " "460023","AMERICAN FORK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","105 patients","2 ","2","SCIP-VTE-1 " "460023","AMERICAN FORK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","PN-4 " "460023","AMERICAN FORK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","66 patients","2 ","2","PN-2 " "460023","AMERICAN FORK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "460023","AMERICAN FORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","182 patients","2 ","2","SCIP-INF-2 " "460023","AMERICAN FORK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","38 patients",,,"HF-1 " "460023","AMERICAN FORK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "460023","AMERICAN FORK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "460023","AMERICAN FORK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460023","AMERICAN FORK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","9 patients","1,2 ","12","SCIP-CARD-2 " "460023","AMERICAN FORK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "460023","AMERICAN FORK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "460023","AMERICAN FORK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "460023","AMERICAN FORK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","100 patients","2 ","2","PN-5C " "460023","AMERICAN FORK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","49 patients",,,"HF-2 " "460023","AMERICAN FORK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","105 patients","2 ","2","SCIP-VTE-2 " "460023","AMERICAN FORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","176 patients","2 ","2","SCIP-INF-3 " "460023","AMERICAN FORK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1 ","1","AMI-5 " "460023","AMERICAN FORK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","82 patients","2 ","2","PN-6 " "460023","AMERICAN FORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","180 patients","2 ","2","SCIP-INF-1 " "460023","AMERICAN FORK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460023","AMERICAN FORK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","54 patients","2 ","2","PN-7 " "460026","SEVIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","18 patients","1,2 ","12","SCIP-INF-2 " "460026","SEVIER VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","32 patients",,,"PN-6 " "460026","SEVIER VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "460026","SEVIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","18 patients","1,2 ","12","SCIP-INF-3 " "460026","SEVIER VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","30 patients",,,"PN-5C " "460026","SEVIER VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","12 patients","1 ","1","PN-3B " "460026","SEVIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "460026","SEVIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "460026","SEVIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","18 patients","1,2 ","12","SCIP-INF-1 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","11 patients","1 ","1","HF-1 " "460026","SEVIER VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","22 patients","1 ","1","PN-2 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "460026","SEVIER VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","15 patients","1 ","1","PN-7 " "460026","SEVIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","29 patients","2 ","2","SCIP-INF-6 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "460026","SEVIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","15 patients","1,2 ","12","SCIP-VTE-2 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","15 patients","1 ","1","HF-2 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "460026","SEVIER VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "460026","SEVIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","15 patients","1,2 ","12","SCIP-VTE-1 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","142 patients","2 ","2","SCIP-VTE-2 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","42 patients",,,"AMI-2 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"PN-4 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","47 patients",,,"AMI-1 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","85 patients",,,"PN-7 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","64 patients",,,"HF-4 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","108 patients",,,"PN-3B " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","119 patients",,,"HF-3 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","217 patients",,,"SCIP-INF-2 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","34 patients",,,"AMI-5 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","102 patients",,,"PN-2 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","76 patients",,,"PN-6 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","AMI-4 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","313 patients","2 ","2","SCIP-INF-6 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","221 patients",,,"HF-1 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","61 patients","2 ","2","SCIP-INF-4 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","142 patients","2 ","2","SCIP-VTE-1 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","212 patients",,,"SCIP-INF-3 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","217 patients",,,"SCIP-INF-1 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","8 patients","1 ","1","AMI-8A " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","236 patients",,,"HF-2 " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","106 patients",,,"PN-5C " "46002F","VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","63 patients","2 ","2","SCIP-CARD-2 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","115 patients",,,"SCIP-INF-6 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","58 patients",,,"SCIP-VTE-1 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","31 patients",,,"PN-7 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","29 patients",,,"HF-2 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "460030","ASHLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","56 patients",,,"PN-5C " "460030","ASHLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","85 patients",,,"SCIP-INF-1 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","54 patients",,,"PN-6 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1 ","1","SCIP-CARD-2 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","84 patients",,,"SCIP-INF-3 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","61 patients",,,"PN-3B " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","86 patients",,,"SCIP-INF-2 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","58 patients",,,"SCIP-VTE-2 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","24 patients","1 ","1","HF-1 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","37 patients",,,"PN-2 " "460030","ASHLEY REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","PN-4 " "460033","GARFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "460033","GARFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "460033","GARFIELD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","22 patients","1 ","1","PN-6 " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "460033","GARFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","11 patients","1 ","1","HF-1 " "460033","GARFIELD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","7 patients","1 ","1","PN-7 " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "460033","GARFIELD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1 ","1","PN-5C " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "460033","GARFIELD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","14 patients","1 ","1","PN-2 " "460033","GARFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "460033","GARFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "460033","GARFIELD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "460033","GARFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "460033","GARFIELD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "460033","GARFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "460033","GARFIELD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","11 patients","1 ","1","HF-2 " "460033","GARFIELD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "460039","BEAR RIVER VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "460039","BEAR RIVER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","16 patients","1,2 ","12","SCIP-INF-1 " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "460039","BEAR RIVER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","15 patients","1,2 ","12","SCIP-INF-3 " "460039","BEAR RIVER VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","14 patients","1 ","1","PN-2 " "460039","BEAR RIVER VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1 ","1","HF-2 " "460039","BEAR RIVER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","22 patients","1,2 ","12","SCIP-INF-6 " "460039","BEAR RIVER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1,2 ","12","SCIP-CARD-2 " "460039","BEAR RIVER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","16 patients","1,2 ","12","SCIP-INF-2 " "460039","BEAR RIVER VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","13 patients","1 ","1","PN-6 " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "460039","BEAR RIVER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","8 patients","1,2 ","12","SCIP-VTE-2 " "460039","BEAR RIVER VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","18 patients","1 ","1","PN-5C " "460039","BEAR RIVER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "460039","BEAR RIVER VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","8 patients","1,2 ","12","SCIP-VTE-1 " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1 ","1","HF-1 " "460039","BEAR RIVER VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1 ","1","PN-3B " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "460039","BEAR RIVER VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","71 patients",,,"PN-5C " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","51 patients",,,"HF-1 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","452 patients",,,"SCIP-INF-3 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"AMI-4 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","188 patients",,,"SCIP-VTE-1 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","458 patients",,,"SCIP-INF-1 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","590 patients",,,"SCIP-INF-6 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","188 patients",,,"SCIP-VTE-2 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","60 patients",,,"PN-6 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","69 patients",,,"PN-3B " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","22 patients","1 ","1","SCIP-CARD-2 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","42 patients",,,"PN-7 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","84 patients",,,"AMI-5 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","88 patients",,,"AMI-2 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","31 patients",,,"AMI-8A " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","462 patients",,,"SCIP-INF-2 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","63 patients",,,"HF-2 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","HF-3 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","59 patients",,,"PN-2 " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460041","DAVIS HOSPITAL AND MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","89 patients",,,"AMI-1 " "460042","LAKEVIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"PN-4 " "460042","LAKEVIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460042","LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","271 patients","2 ","2","SCIP-INF-2 " "460042","LAKEVIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","87 patients",,,"PN-6 " "460042","LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460042","LAKEVIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","34 patients",,,"HF-1 " "460042","LAKEVIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","44 patients",,,"AMI-1 " "460042","LAKEVIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","123 patients",,,"PN-3B " "460042","LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","262 patients","2 ","2","SCIP-INF-3 " "460042","LAKEVIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "460042","LAKEVIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "460042","LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","34 patients","2 ","2","SCIP-CARD-2 " "460042","LAKEVIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","40 patients",,,"AMI-5 " "460042","LAKEVIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","133 patients",,,"PN-5C " "460042","LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","379 patients","2 ","2","SCIP-INF-6 " "460042","LAKEVIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","AMI-4 " "460042","LAKEVIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","136 patients",,,"PN-2 " "460042","LAKEVIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","43 patients",,,"AMI-2 " "460042","LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","268 patients","2 ","2","SCIP-INF-1 " "460042","LAKEVIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","75 patients",,,"PN-7 " "460042","LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","120 patients","2 ","2","SCIP-VTE-1 " "460042","LAKEVIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","24 patients","1 ","1","AMI-8A " "460042","LAKEVIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","118 patients","2 ","2","SCIP-VTE-2 " "460042","LAKEVIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","48 patients",,,"HF-2 " "460042","LAKEVIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "460043","OREM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","9 patients","1,2 ","12","SCIP-VTE-2 " "460043","OREM COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "460043","OREM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","13 patients","1,2 ","12","SCIP-INF-1 " "460043","OREM COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "460043","OREM COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "460043","OREM COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "460043","OREM COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "460043","OREM COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "460043","OREM COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "460043","OREM COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "460043","OREM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","14 patients","1,2 ","12","SCIP-INF-2 " "460043","OREM COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "460043","OREM COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "460043","OREM COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "460043","OREM COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "460043","OREM COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "460043","OREM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","13 patients","1,2 ","12","SCIP-INF-3 " "460043","OREM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","9 patients","1,2 ","12","SCIP-VTE-1 " "460043","OREM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2 ","2","SCIP-CARD-2 " "460043","OREM COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "460043","OREM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460043","OREM COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "460043","OREM COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","20 patients","1,2 ","12","SCIP-INF-6 " "460043","OREM COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "460043","OREM COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "460044","ALTA VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","250 patients","2 ","2","SCIP-INF-3 " "460044","ALTA VIEW HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "460044","ALTA VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","256 patients","2 ","2","SCIP-INF-1 " "460044","ALTA VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","144 patients","2 ","2","SCIP-VTE-2 " "460044","ALTA VIEW HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "460044","ALTA VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","383 patients","2 ","2","SCIP-INF-6 " "460044","ALTA VIEW HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","144 patients","2 ","2","SCIP-VTE-1 " "460044","ALTA VIEW HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1,2 ","12","PN-4 " "460044","ALTA VIEW HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","44 patients",,,"HF-2 " "460044","ALTA VIEW HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "460044","ALTA VIEW HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "460044","ALTA VIEW HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","123 patients","2 ","2","PN-6 " "460044","ALTA VIEW HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","116 patients","2 ","2","PN-2 " "460044","ALTA VIEW HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "460044","ALTA VIEW HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "460044","ALTA VIEW HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "460044","ALTA VIEW HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","HF-3 " "460044","ALTA VIEW HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","98 patients","2 ","2","PN-3B " "460044","ALTA VIEW HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","129 patients","2 ","2","PN-5C " "460044","ALTA VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","256 patients","2 ","2","SCIP-INF-2 " "460044","ALTA VIEW HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460044","ALTA VIEW HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","65 patients","2 ","2","PN-7 " "460044","ALTA VIEW HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","34 patients",,,"HF-1 " "460044","ALTA VIEW HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","64%","25 patients","2 ","2","SCIP-CARD-2 " "460044","ALTA VIEW HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "460047","ST MARKS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","102 patients",,,"AMI-1 " "460047","ST MARKS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","171 patients",,,"HF-2 " "460047","ST MARKS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","56 patients","2 ","2","PN-4 " "460047","ST MARKS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","78 patients","2 ","2","SCIP-CARD-2 " "460047","ST MARKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","567 patients","2 ","2","SCIP-INF-3 " "460047","ST MARKS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","164 patients","2 ","2","PN-5C " "460047","ST MARKS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","46 patients",,,"AMI-8A " "460047","ST MARKS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460047","ST MARKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","836 patients","2 ","2","SCIP-INF-6 " "460047","ST MARKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","77%","199 patients","2 ","2","SCIP-INF-4 " "460047","ST MARKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","595 patients","2 ","2","SCIP-INF-2 " "460047","ST MARKS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","160 patients","2 ","2","PN-2 " "460047","ST MARKS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","132 patients","2 ","2","PN-6 " "460047","ST MARKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","289 patients","2 ","2","SCIP-VTE-1 " "460047","ST MARKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","582 patients","2 ","2","SCIP-INF-1 " "460047","ST MARKS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","129 patients",,,"HF-1 " "460047","ST MARKS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","121 patients",,,"AMI-5 " "460047","ST MARKS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","142 patients","2 ","2","PN-3B " "460047","ST MARKS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","115 patients","2 ","2","PN-7 " "460047","ST MARKS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"AMI-4 " "460047","ST MARKS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "460047","ST MARKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","288 patients","2 ","2","SCIP-VTE-2 " "460047","ST MARKS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","119 patients",,,"AMI-2 " "460047","ST MARKS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","56 patients",,,"HF-3 " "460047","ST MARKS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","208 patients","2 ","2","SCIP-INF-3 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","80 patients","2 ","2","SCIP-VTE-1 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","211 patients","2 ","2","SCIP-INF-2 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","304 patients","2 ","2","SCIP-INF-6 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","80 patients","2 ","2","SCIP-VTE-2 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","211 patients","2 ","2","SCIP-INF-1 " "460049","THE ORTHOPEDIC SPECIALTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","24 patients","1,2 ","12","SCIP-CARD-2 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","134 patients",,,"PN-7 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","148 patients",,,"AMI-2 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","383 patients",,,"SCIP-VTE-2 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","HF-4 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","254 patients",,,"PN-3B " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","140 patients",,,"AMI-5 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","56 patients","2 ","2","HF-3 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","156 patients",,,"AMI-1 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","778 patients",,,"SCIP-INF-6 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","589 patients",,,"SCIP-INF-1 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","100 patients",,,"PN-4 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","57 patients",,,"AMI-4 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","75%","67 patients",,,"AMI-8A " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","AMI-3 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","231 patients",,,"PN-6 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","4 patients","1 ","1","AMI-7A " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","383 patients",,,"SCIP-VTE-1 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","253 patients",,,"PN-5C " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","44 patients",,,"SCIP-CARD-2 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","153 patients","2 ","2","HF-2 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","138 patients","2 ","2","HF-1 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","180 patients",,,"PN-2 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","589 patients",,,"SCIP-INF-2 " "460051","JORDAN VALLEY MEDICAL CENTER, LP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","573 patients",,,"SCIP-INF-3 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","35 patients",,,"AMI-1 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","46 patients",,,"HF-2 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","54 patients",,,"PN-6 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","277 patients","2 ","2","SCIP-INF-3 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","162 patients","2 ","2","SCIP-VTE-2 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","42 patients",,,"AMI-2 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","53 patients",,,"PN-2 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "460052","TIMPANOGOS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","403 patients","2 ","2","SCIP-INF-6 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","45 patients",,,"PN-7 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","34 patients",,,"HF-1 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","11 patients","1 ","1","AMI-8A " "460052","TIMPANOGOS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","285 patients","2 ","2","SCIP-INF-1 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","42 patients","2 ","2","SCIP-CARD-2 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","295 patients","2 ","2","SCIP-INF-2 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","72 patients","2 ","2","SCIP-INF-4 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","35 patients",,,"AMI-5 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","162 patients","2 ","2","SCIP-VTE-1 " "460052","TIMPANOGOS REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","67 patients",,,"PN-3B " "460052","TIMPANOGOS REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","64 patients",,,"PN-5C " "460052","TIMPANOGOS REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","12 patients","1 ","1","HF-3 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","99 patients","2 ","2","SCIP-VTE-1 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","228 patients","2 ","2","SCIP-INF-6 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","7 patients","1 ","1","PN-7 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","17 patients","1,2 ","12","SCIP-CARD-2 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","1 patients","1,3 ","13","HF-1 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1,2 ","12","PN-6 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","33%","3 patients","1,2 ","12","PN-3B " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","56%","153 patients","2 ","2","SCIP-INF-3 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2 ","12","PN-4 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","154 patients","2 ","2","SCIP-INF-2 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","99 patients","2 ","2","SCIP-VTE-2 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","75%","8 patients","1,2 ","12","PN-5C " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","5 patients","1,2 ","12","PN-2 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "460054","CACHE VALLEY SPECIALITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","76%","173 patients","2 ","2","SCIP-INF-1 " "460056","BLUE MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "460056","BLUE MOUNTAIN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "460056","BLUE MOUNTAIN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "460056","BLUE MOUNTAIN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "460056","BLUE MOUNTAIN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "460056","BLUE MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "460056","BLUE MOUNTAIN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "460056","BLUE MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "460056","BLUE MOUNTAIN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "460056","BLUE MOUNTAIN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "460056","BLUE MOUNTAIN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "460056","BLUE MOUNTAIN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "460056","BLUE MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "460056","BLUE MOUNTAIN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "460056","BLUE MOUNTAIN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "460056","BLUE MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "460056","BLUE MOUNTAIN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "460056","BLUE MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "460056","BLUE MOUNTAIN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "460056","BLUE MOUNTAIN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "460056","BLUE MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "460056","BLUE MOUNTAIN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "460056","BLUE MOUNTAIN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "460056","BLUE MOUNTAIN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "460056","BLUE MOUNTAIN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","13 patients","1,3 ","13","PN-5C " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","5 patients","1 ","1","HF-1 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","8 patients","1 ","1","HF-2 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","10 patients","1,3 ","13","PN-3B " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","8 patients","1 ","1","PN-7 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","11 patients","1,3 ","13","PN-2 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "461300","DELTA COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","12 patients","1,3 ","13","PN-6 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","5 patients","1,3 ","13","HF-2 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","7 patients","1 ","1","PN-2 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","8 patients","1 ","1","PN-5C " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","4 patients","1,3 ","13","HF-1 " "461301","FILLMORE COMMUNITY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "461303","SANPETE VALLEY HOSPITAL - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","15 patients","1 ","1","PN-7 " "461303","SANPETE VALLEY HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","4 patients","1,2,3 ","123","SCIP-INF-6 " "461303","SANPETE VALLEY HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","3 patients","1,2,3 ","123","SCIP-VTE-2 " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","4 patients","1,3 ","13","HF-2 " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "461303","SANPETE VALLEY HOSPITAL - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","7 patients","1 ","1","PN-3B " "461303","SANPETE VALLEY HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "461303","SANPETE VALLEY HOSPITAL - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","18 patients","1 ","1","PN-6 " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "461303","SANPETE VALLEY HOSPITAL - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","18 patients","1 ","1","PN-2 " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "461303","SANPETE VALLEY HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,2,3 ","123","SCIP-INF-2 " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1,3 ","13","HF-1 " "461303","SANPETE VALLEY HOSPITAL - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","3 patients","1,2,3 ","123","SCIP-VTE-1 " "461303","SANPETE VALLEY HOSPITAL - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "461303","SANPETE VALLEY HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,2,3 ","123","SCIP-INF-1 " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "461303","SANPETE VALLEY HOSPITAL - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","2,3 ","23","SCIP-CARD-2 " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "461303","SANPETE VALLEY HOSPITAL - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,2,3 ","123","SCIP-INF-3 " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "461303","SANPETE VALLEY HOSPITAL - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","26 patients",,,"PN-5C " "461303","SANPETE VALLEY HOSPITAL - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","45 patients",,,"PN-6 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","31 patients",,,"PN-7 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","8 patients","1 ","1","SCIP-VTE-2 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","16 patients","1 ","1","HF-2 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients",,,"SCIP-INF-6 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","75%","8 patients","1 ","1","SCIP-VTE-1 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","25 patients",,,"SCIP-INF-2 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","54 patients",,,"PN-5C " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","15 patients","1 ","1","HF-1 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","14 patients","1 ","1","PN-3B " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","25 patients",,,"SCIP-INF-1 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","69%","13 patients","1 ","1","PN-4 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","35 patients",,,"PN-2 " "461304","CENTRAL VALLEY MEDICAL CENTER - CAH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","25 patients",,,"SCIP-INF-3 " "461306","GUNNISON VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,3 ","13","HF-4 " "461306","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","PN-4 " "461306","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "461306","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "461306","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "461306","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "461306","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "461306","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "461306","GUNNISON VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","30%","10 patients","1,3 ","13","HF-2 " "461306","GUNNISON VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "461306","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","26 patients",,,"PN-6 " "461306","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","23 patients","1 ","1","PN-5C " "461306","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "461306","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "461306","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","44%","18 patients","1 ","1","PN-2 " "461306","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "461306","GUNNISON VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","46%","13 patients","1 ","1","PN-7 " "461306","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "461306","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "461306","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "461306","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "461306","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "461306","GUNNISON VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "461306","GUNNISON VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","38%","8 patients","1,3 ","13","HF-1 " "461306","GUNNISON VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "461307","HEBER VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "461307","HEBER VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","13 patients","1 ","1","PN-2 " "461307","HEBER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","40 patients","2 ","2","SCIP-VTE-2 " "461307","HEBER VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","17 patients","1 ","1","PN-5C " "461307","HEBER VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","4 patients","1,3 ","13","HF-1 " "461307","HEBER VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "461307","HEBER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "461307","HEBER VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "461307","HEBER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","95 patients","2 ","2","SCIP-INF-1 " "461307","HEBER VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "461307","HEBER VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "461307","HEBER VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "461307","HEBER VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "461307","HEBER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","95 patients","2 ","2","SCIP-INF-2 " "461307","HEBER VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "461307","HEBER VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","9 patients","1 ","1","PN-3B " "461307","HEBER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","98 patients","2 ","2","SCIP-INF-6 " "461307","HEBER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","95 patients","2 ","2","SCIP-INF-3 " "461307","HEBER VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","5 patients","1,3 ","13","HF-2 " "461307","HEBER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1,2 ","12","SCIP-CARD-2 " "461307","HEBER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","40 patients","2 ","2","SCIP-VTE-1 " "461307","HEBER VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "461307","HEBER VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "461307","HEBER VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "461307","HEBER VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "463301","PRIMARY CHILDRENS MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","382 patients",,,"CAC-1 " "463301","PRIMARY CHILDRENS MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","79%","381 patients",,,"CAC-3 " "463301","PRIMARY CHILDRENS MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","99%","381 patients",,,"CAC-2 " "470001","CENTRAL VERMONT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","97 patients",,,"PN-6 " "470001","CENTRAL VERMONT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","95 patients",,,"PN-3B " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "470001","CENTRAL VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","126 patients",,,"SCIP-INF-1 " "470001","CENTRAL VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","67 patients",,,"HF-2 " "470001","CENTRAL VERMONT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "470001","CENTRAL VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","198 patients",,,"SCIP-INF-6 " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "470001","CENTRAL VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","125 patients",,,"SCIP-INF-2 " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "470001","CENTRAL VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","113 patients",,,"SCIP-VTE-1 " "470001","CENTRAL VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","117 patients",,,"SCIP-INF-3 " "470001","CENTRAL VERMONT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","94 patients",,,"PN-7 " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "470001","CENTRAL VERMONT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","137 patients",,,"PN-2 " "470001","CENTRAL VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","113 patients",,,"SCIP-VTE-2 " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","51 patients",,,"HF-1 " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "470001","CENTRAL VERMONT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","135 patients",,,"PN-5C " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "470001","CENTRAL VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","25 patients",,,"SCIP-CARD-2 " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "470001","CENTRAL VERMONT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","90 patients","2 ","2","SCIP-CARD-2 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","479 patients","2 ","2","SCIP-INF-6 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","457 patients","2 ","2","AMI-2 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","253 patients","2 ","2","HF-1 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","113 patients","2 ","2","PN-6 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","92 patients","2 ","2","PN-4 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","204 patients","2 ","2","SCIP-VTE-1 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","186 patients","2 ","2","PN-7 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","88 patients","2 ","2","AMI-3 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","3 patients","1,2 ","12","AMI-8A " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","215 patients","2 ","2","PN-5C " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","148 patients","2 ","2","AMI-1 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","417 patients","2 ","2","SCIP-INF-1 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","395 patients","2 ","2","SCIP-INF-3 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","199 patients","2 ","2","PN-3B " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","422 patients","2 ","2","SCIP-INF-2 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","202 patients","2 ","2","SCIP-VTE-2 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","HF-4 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","130 patients","2 ","2","SCIP-INF-4 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","316 patients","2 ","2","HF-2 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","162 patients","2 ","2","AMI-4 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","241 patients","2 ","2","PN-2 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","109 patients","2 ","2","HF-3 " "470003","FLETCHER ALLEN HOSPITAL OF VERMONT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","447 patients","2 ","2","AMI-5 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","HF-4 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","405 patients","2 ","2","SCIP-INF-3 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","114 patients",,,"PN-6 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","224 patients","2 ","2","SCIP-VTE-1 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","24 patients","1 ","1","AMI-5 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","33 patients",,,"AMI-1 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","76 patients","2 ","2","SCIP-CARD-2 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","17 patients","1 ","1","AMI-2 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "470005","RUTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","157 patients",,,"PN-5C " "470005","RUTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","113 patients",,,"PN-7 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","224 patients","2 ","2","SCIP-VTE-2 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","415 patients","2 ","2","SCIP-INF-1 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","43 patients",,,"HF-3 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","107 patients",,,"HF-1 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","141 patients",,,"HF-2 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","AMI-3 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"PN-4 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","180 patients",,,"PN-2 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","157 patients",,,"PN-3B " "470005","RUTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","593 patients","2 ","2","SCIP-INF-6 " "470005","RUTLAND REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","417 patients","2 ","2","SCIP-INF-2 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","45 patients",,,"PN-6 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","39 patients",,,"SCIP-CARD-2 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","153 patients",,,"SCIP-INF-1 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","107 patients",,,"SCIP-VTE-2 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","222 patients",,,"SCIP-INF-6 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","107 patients",,,"SCIP-VTE-1 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","87 patients",,,"PN-5C " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","154 patients",,,"SCIP-INF-2 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","84 patients",,,"PN-3B " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","HF-3 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","33 patients",,,"HF-1 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","67 patients",,,"PN-2 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","148 patients",,,"SCIP-INF-3 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","39 patients",,,"HF-2 " "470011","BRATTLEBORO MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","43 patients",,,"PN-7 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","188 patients",,,"PN-5C " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","98 patients",,,"HF-1 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","34 patients",,,"HF-3 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","204 patients",,,"PN-2 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","158 patients","2 ","2","SCIP-VTE-1 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","166 patients","2 ","2","SCIP-INF-3 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","17 patients","1 ","1","AMI-2 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"PN-4 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","42 patients","2 ","2","SCIP-CARD-2 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","174 patients","2 ","2","SCIP-INF-2 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","158 patients","2 ","2","SCIP-VTE-2 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","209 patients",,,"PN-3B " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","127 patients",,,"PN-6 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","274 patients","2 ","2","SCIP-INF-6 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","26 patients",,,"AMI-1 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","138 patients",,,"HF-2 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","154 patients",,,"PN-7 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","172 patients","2 ","2","SCIP-INF-1 " "470012","SOUTHWESTERN VERMONT MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","18 patients","1 ","1","PN-4 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","64 patients",,,"HF-2 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","72 patients","2 ","2","SCIP-CARD-2 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","113 patients","2 ","2","SCIP-VTE-1 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","42 patients",,,"PN-7 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","65 patients",,,"PN-2 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","152 patients","2 ","2","SCIP-INF-6 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","45 patients",,,"PN-3B " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","78 patients",,,"SCIP-INF-1 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","52 patients",,,"PN-5C " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","HF-4 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","76 patients",,,"SCIP-INF-3 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","58 patients",,,"HF-1 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","79 patients",,,"SCIP-INF-2 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","28 patients",,,"PN-6 " "47001F","WHITE RIVER JCT VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","113 patients","2 ","2","SCIP-VTE-2 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "470024","NORTHWESTERN MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","121 patients",,,"PN-2 " "470024","NORTHWESTERN MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","24 patients","1 ","1","SCIP-CARD-2 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "470024","NORTHWESTERN MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","70 patients",,,"SCIP-VTE-1 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","42 patients",,,"HF-2 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "470024","NORTHWESTERN MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","106 patients",,,"PN-5C " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","26 patients",,,"HF-1 " "470024","NORTHWESTERN MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","158 patients",,,"SCIP-INF-1 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "470024","NORTHWESTERN MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"PN-4 " "470024","NORTHWESTERN MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","159 patients",,,"SCIP-INF-2 " "470024","NORTHWESTERN MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","87 patients",,,"PN-6 " "470024","NORTHWESTERN MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","76 patients",,,"PN-7 " "470024","NORTHWESTERN MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","187 patients",,,"SCIP-INF-6 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "470024","NORTHWESTERN MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "470024","NORTHWESTERN MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "470024","NORTHWESTERN MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","99 patients",,,"PN-3B " "470024","NORTHWESTERN MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","151 patients",,,"SCIP-INF-3 " "470024","NORTHWESTERN MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","70 patients",,,"SCIP-VTE-2 " "471300","GRACE COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "471300","GRACE COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "471300","GRACE COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "471300","GRACE COTTAGE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","10 patients","1 ","1","PN-7 " "471300","GRACE COTTAGE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "471300","GRACE COTTAGE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","PN-4 " "471300","GRACE COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "471300","GRACE COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "471300","GRACE COTTAGE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","8 patients","1,3 ","13","HF-1 " "471300","GRACE COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "471300","GRACE COTTAGE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","10 patients","1,3 ","13","HF-2 " "471300","GRACE COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "471300","GRACE COTTAGE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "471300","GRACE COTTAGE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "471300","GRACE COTTAGE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "471300","GRACE COTTAGE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "471300","GRACE COTTAGE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","16 patients","1 ","1","PN-6 " "471300","GRACE COTTAGE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "471300","GRACE COTTAGE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "471300","GRACE COTTAGE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "471300","GRACE COTTAGE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","23 patients","1 ","1","PN-2 " "471300","GRACE COTTAGE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "471300","GRACE COTTAGE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "471300","GRACE COTTAGE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "471300","GRACE COTTAGE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","13 patients","1 ","1","PN-5C " "471301","GIFFORD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "471301","GIFFORD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "471301","GIFFORD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","39 patients",,,"HF-2 " "471301","GIFFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "471301","GIFFORD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "471301","GIFFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "471301","GIFFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","90 patients",,,"SCIP-INF-6 " "471301","GIFFORD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","68 patients",,,"PN-5C " "471301","GIFFORD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "471301","GIFFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","85 patients",,,"SCIP-INF-1 " "471301","GIFFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","31 patients",,,"SCIP-VTE-2 " "471301","GIFFORD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "471301","GIFFORD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","53 patients",,,"PN-3B " "471301","GIFFORD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","29 patients",,,"HF-1 " "471301","GIFFORD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "471301","GIFFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","31 patients",,,"SCIP-VTE-1 " "471301","GIFFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","80 patients",,,"SCIP-INF-3 " "471301","GIFFORD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","45 patients",,,"PN-6 " "471301","GIFFORD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","60 patients",,,"PN-2 " "471301","GIFFORD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "471301","GIFFORD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "471301","GIFFORD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","45 patients",,,"PN-7 " "471301","GIFFORD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "471301","GIFFORD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "471301","GIFFORD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","85 patients",,,"SCIP-INF-2 " "471302","MT ASCUTNEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","17 patients","1 ","1","PN-6 " "471302","MT ASCUTNEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","30 patients",,,"SCIP-INF-6 " "471302","MT ASCUTNEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","13 patients","1 ","1","PN-3B " "471302","MT ASCUTNEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","14 patients","1 ","1","PN-7 " "471302","MT ASCUTNEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "471302","MT ASCUTNEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","22 patients","1 ","1","SCIP-VTE-1 " "471302","MT ASCUTNEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","22 patients","1 ","1","HF-2 " "471302","MT ASCUTNEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","7 patients","1 ","1","HF-1 " "471302","MT ASCUTNEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","26 patients",,,"PN-2 " "471302","MT ASCUTNEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "471302","MT ASCUTNEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","27 patients",,,"SCIP-INF-3 " "471302","MT ASCUTNEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "471302","MT ASCUTNEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","27 patients",,,"SCIP-INF-2 " "471302","MT ASCUTNEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","28 patients",,,"SCIP-INF-1 " "471302","MT ASCUTNEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","PN-4 " "471302","MT ASCUTNEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","22 patients","1 ","1","SCIP-VTE-2 " "471302","MT ASCUTNEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","19 patients","1 ","1","PN-5C " "471302","MT ASCUTNEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "471302","MT ASCUTNEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "471302","MT ASCUTNEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "471302","MT ASCUTNEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "471302","MT ASCUTNEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "471302","MT ASCUTNEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "471302","MT ASCUTNEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "471302","MT ASCUTNEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","31 patients",,,"HF-2 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","84 patients",,,"SCIP-VTE-1 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","96 patients",,,"SCIP-INF-2 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","128 patients",,,"SCIP-INF-6 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","21 patients","1 ","1","HF-1 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","47 patients",,,"PN-5C " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","28 patients",,,"PN-7 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","33 patients",,,"PN-6 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","38 patients",,,"PN-2 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","46 patients",,,"PN-3B " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","21 patients","1 ","1","SCIP-CARD-2 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","96 patients",,,"SCIP-INF-1 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","93 patients",,,"SCIP-INF-3 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","84 patients",,,"SCIP-VTE-2 " "471303","NORTHEASTERN VERMONT REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","53 patients",,,"SCIP-VTE-1 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","71 patients",,,"SCIP-INF-2 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","70 patients",,,"SCIP-INF-3 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","23 patients","1 ","1","PN-7 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","28 patients",,,"HF-1 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","81 patients",,,"SCIP-INF-6 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","53 patients",,,"SCIP-VTE-2 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","20 patients","1 ","1","SCIP-CARD-2 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","71 patients",,,"SCIP-INF-1 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","43 patients",,,"PN-2 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","PN-4 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1 ","1","AMI-2 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","36 patients",,,"PN-5C " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","18 patients","1 ","1","PN-6 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients",,,"PN-3B " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "471304","NORTH COUNTRY HOSPITAL AND HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","41 patients",,,"HF-2 " "471305","COPLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","14 patients","1,2 ","12","SCIP-CARD-2 " "471305","COPLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "471305","COPLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","63 patients",,,"PN-5C " "471305","COPLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "471305","COPLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","109 patients","2 ","2","SCIP-INF-3 " "471305","COPLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","44 patients",,,"PN-6 " "471305","COPLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "471305","COPLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","40 patients",,,"PN-3B " "471305","COPLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "471305","COPLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","58 patients",,,"PN-2 " "471305","COPLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","76 patients","2 ","2","SCIP-VTE-1 " "471305","COPLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "471305","COPLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "471305","COPLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "471305","COPLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "471305","COPLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","112 patients","2 ","2","SCIP-INF-1 " "471305","COPLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "471305","COPLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","76 patients","2 ","2","SCIP-VTE-2 " "471305","COPLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "471305","COPLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "471305","COPLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","39 patients",,,"PN-7 " "471305","COPLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","132 patients","2 ","2","SCIP-INF-6 " "471305","COPLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","37 patients",,,"HF-2 " "471305","COPLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","112 patients","2 ","2","SCIP-INF-2 " "471305","COPLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","26 patients",,,"HF-1 " "471306","SPRINGFIELD HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","102 patients",,,"PN-2 " "471306","SPRINGFIELD HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","72 patients",,,"PN-7 " "471306","SPRINGFIELD HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "471306","SPRINGFIELD HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","15 patients","1 ","1","AMI-1 " "471306","SPRINGFIELD HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","42 patients",,,"HF-1 " "471306","SPRINGFIELD HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "471306","SPRINGFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","56 patients","2 ","2","SCIP-VTE-2 " "471306","SPRINGFIELD HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "471306","SPRINGFIELD HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "471306","SPRINGFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","72 patients","2 ","2","SCIP-INF-2 " "471306","SPRINGFIELD HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","125 patients",,,"PN-5C " "471306","SPRINGFIELD HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "471306","SPRINGFIELD HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","101 patients",,,"PN-6 " "471306","SPRINGFIELD HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","56 patients","2 ","2","SCIP-VTE-1 " "471306","SPRINGFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "471306","SPRINGFIELD HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","144 patients",,,"PN-3B " "471306","SPRINGFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","69 patients","2 ","2","SCIP-INF-3 " "471306","SPRINGFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","107 patients","2 ","2","SCIP-INF-6 " "471306","SPRINGFIELD HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "471306","SPRINGFIELD HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "471306","SPRINGFIELD HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","18 patients","1,2 ","12","SCIP-CARD-2 " "471306","SPRINGFIELD HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "471306","SPRINGFIELD HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","71 patients","2 ","2","SCIP-INF-1 " "471306","SPRINGFIELD HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","60 patients",,,"HF-2 " "471306","SPRINGFIELD HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "471307","PORTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","22 patients","1,2 ","12","SCIP-CARD-2 " "471307","PORTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","109 patients","2 ","2","SCIP-INF-3 " "471307","PORTER HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","58 patients",,,"PN-3B " "471307","PORTER HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","87 patients",,,"PN-5C " "471307","PORTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "471307","PORTER HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "471307","PORTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","49 patients","2 ","2","SCIP-VTE-2 " "471307","PORTER HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","PN-4 " "471307","PORTER HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","29 patients",,,"HF-2 " "471307","PORTER HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","48 patients",,,"PN-7 " "471307","PORTER HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "471307","PORTER HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","21 patients","1 ","1","HF-1 " "471307","PORTER HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "471307","PORTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","109 patients","2 ","2","SCIP-INF-2 " "471307","PORTER HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "471307","PORTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","141 patients","2 ","2","SCIP-INF-6 " "471307","PORTER HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "471307","PORTER HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","85 patients",,,"PN-2 " "471307","PORTER HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "471307","PORTER HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","70 patients",,,"PN-6 " "471307","PORTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","52 patients","2 ","2","SCIP-VTE-1 " "471307","PORTER HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "471307","PORTER HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "471307","PORTER HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","110 patients","2 ","2","SCIP-INF-1 " "471307","PORTER HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","76 patients",,,"SCIP-VTE-1 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","40 patients",,,"PN-3B " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","76 patients",,,"SCIP-VTE-2 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","90 patients",,,"HF-1 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","15 patients","1 ","1","AMI-1 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","21 patients","1 ","1","SCIP-CARD-2 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","66%","128 patients",,,"SCIP-INF-3 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","HF-4 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","31 patients",,,"PN-2 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","38 patients",,,"PN-6 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","128 patients",,,"SCIP-INF-2 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","18 patients","1 ","1","AMI-2 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","129 patients",,,"SCIP-INF-1 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","41 patients",,,"PN-5C " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","91 patients",,,"HF-2 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","51 patients",,,"HF-3 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","152 patients",,,"SCIP-INF-6 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","18 patients","1 ","1","AMI-5 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","25 patients",,,"PN-7 " "480001","ROY LESTER SCHNEIDER HOSPITAL,THE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","40%","5 patients","1 ","1","AMI-8A " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","70%","56 patients",,,"SCIP-INF-1 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","55%","38 patients",,,"PN-2 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","AMI-4 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","49 patients",,,"PN-3B " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","90 patients",,,"HF-1 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","64%","91 patients",,,"SCIP-VTE-1 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","31 patients",,,"AMI-2 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","45 patients",,,"HF-3 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","64%","90 patients",,,"SCIP-VTE-2 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","6 patients","1 ","1","SCIP-CARD-2 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","10 patients","1 ","1","AMI-8A " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","53 patients",,,"SCIP-INF-2 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","55%","29 patients",,,"PN-7 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","162 patients",,,"SCIP-INF-6 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","71%","48 patients",,,"PN-5C " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","41 patients",,,"PN-6 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","55 patients",,,"SCIP-INF-3 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","33 patients",,,"AMI-5 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","91 patients",,,"HF-2 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "480002","GOV JUAN F LUIS HOSPITAL & MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","33 patients",,,"AMI-1 " "490001","NORTON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","90 patients","2 ","2","PN-5C " "490001","NORTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","67 patients","2 ","2","SCIP-INF-6 " "490001","NORTON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","50 patients","2 ","2","PN-6 " "490001","NORTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","7 patients","1,2 ","12","SCIP-CARD-2 " "490001","NORTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","40 patients","2 ","2","SCIP-VTE-2 " "490001","NORTON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1,2 ","12","AMI-1 " "490001","NORTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","40 patients","2 ","2","SCIP-VTE-1 " "490001","NORTON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","43 patients","2 ","2","PN-4 " "490001","NORTON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1,2 ","12","HF-3 " "490001","NORTON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "490001","NORTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","36 patients","2 ","2","SCIP-INF-3 " "490001","NORTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490001","NORTON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","71 patients","2 ","2","PN-7 " "490001","NORTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","39 patients","2 ","2","SCIP-INF-1 " "490001","NORTON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "490001","NORTON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1,2 ","12","HF-4 " "490001","NORTON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","70 patients","2 ","2","HF-2 " "490001","NORTON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","40 patients","2 ","2","SCIP-INF-2 " "490001","NORTON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","67 patients","2 ","2","HF-1 " "490001","NORTON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "490001","NORTON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","91 patients","2 ","2","PN-2 " "490001","NORTON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","80 patients","2 ","2","PN-3B " "490001","NORTON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1,2 ","12","AMI-2 " "490001","NORTON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,2 ","12","AMI-4 " "490001","NORTON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1,2 ","12","AMI-5 " "490002","RUSSELL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2,3 ","123","AMI-3 " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2,3 ","123","AMI-4 " "490002","RUSSELL COUNTY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","82 patients","2 ","2","PN-7 " "490002","RUSSELL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2,3 ","123","SCIP-CARD-2 " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1,2,3 ","123","AMI-2 " "490002","RUSSELL COUNTY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","119 patients","2 ","2","PN-3B " "490002","RUSSELL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","11 patients","1,2,3 ","123","SCIP-VTE-1 " "490002","RUSSELL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","15 patients","1,2,3 ","123","SCIP-INF-6 " "490002","RUSSELL COUNTY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","112 patients","2 ","2","PN-6 " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1,2 ","12","HF-4 " "490002","RUSSELL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,2,3 ","123","SCIP-INF-3 " "490002","RUSSELL COUNTY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","142 patients","2 ","2","PN-5C " "490002","RUSSELL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1,2,3 ","123","SCIP-INF-1 " "490002","RUSSELL COUNTY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","61 patients","2 ","2","PN-4 " "490002","RUSSELL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","33%","3 patients","1,2,3 ","123","SCIP-INF-2 " "490002","RUSSELL COUNTY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","113 patients","2 ","2","PN-2 " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1,2,3 ","123","AMI-1 " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","8 patients","1,2,3 ","123","AMI-5 " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","70 patients","2 ","2","HF-1 " "490002","RUSSELL COUNTY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","11 patients","1,2,3 ","123","SCIP-VTE-2 " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1,2 ","12","HF-3 " "490002","RUSSELL COUNTY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","84 patients","2 ","2","HF-2 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","54 patients","2 ","2","PN-4 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","219 patients","2 ","2","SCIP-VTE-2 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","285 patients",,,"AMI-1 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","271 patients",,,"AMI-2 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","414 patients","2 ","2","SCIP-INF-2 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","58 patients",,,"AMI-8A " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","201 patients","2 ","2","PN-2 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","146 patients","2 ","2","PN-7 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","92 patients","2 ","2","HF-3 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","84 patients","2 ","2","SCIP-CARD-2 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","153 patients","2 ","2","PN-5C " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","95 patients",,,"AMI-4 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","220 patients","2 ","2","SCIP-VTE-1 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","45 patients","2 ","2","HF-4 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","410 patients","2 ","2","SCIP-INF-1 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","358 patients","2 ","2","SCIP-INF-3 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","267 patients",,,"AMI-5 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","269 patients","2 ","2","HF-1 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","343 patients","2 ","2","HF-2 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","113 patients","2 ","2","PN-6 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","49 patients",,,"AMI-3 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","133 patients","2 ","2","PN-3B " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","98 patients","2 ","2","SCIP-INF-4 " "490004","ROCKINGHAM MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","566 patients","2 ","2","SCIP-INF-6 " "490005","WINCHESTER MEDICAL CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","181 patients","2 ","2","PN-3B " "490005","WINCHESTER MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","305 patients","2 ","2","SCIP-VTE-2 " "490005","WINCHESTER MEDICAL CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","305 patients","2 ","2","AMI-2 " "490005","WINCHESTER MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","305 patients","2 ","2","SCIP-VTE-1 " "490005","WINCHESTER MEDICAL CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","112 patients","2 ","2","HF-4 " "490005","WINCHESTER MEDICAL CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","184 patients","2 ","2","HF-3 " "490005","WINCHESTER MEDICAL CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","35 patients","2 ","2","AMI-8A " "490005","WINCHESTER MEDICAL CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","597 patients","2 ","2","HF-2 " "490005","WINCHESTER MEDICAL CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "490005","WINCHESTER MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","109 patients","2 ","2","SCIP-INF-4 " "490005","WINCHESTER MEDICAL CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","265 patients","2 ","2","AMI-5 " "490005","WINCHESTER MEDICAL CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","232 patients","2 ","2","PN-5C " "490005","WINCHESTER MEDICAL CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","64 patients","2 ","2","AMI-3 " "490005","WINCHESTER MEDICAL CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","196 patients","2 ","2","PN-7 " "490005","WINCHESTER MEDICAL CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","525 patients","2 ","2","HF-1 " "490005","WINCHESTER MEDICAL CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","123 patients","2 ","2","PN-6 " "490005","WINCHESTER MEDICAL CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","107 patients","2 ","2","PN-4 " "490005","WINCHESTER MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","105 patients","2 ","2","SCIP-CARD-2 " "490005","WINCHESTER MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","622 patients","2 ","2","SCIP-INF-2 " "490005","WINCHESTER MEDICAL CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","141 patients","2 ","2","AMI-4 " "490005","WINCHESTER MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","585 patients","2 ","2","SCIP-INF-3 " "490005","WINCHESTER MEDICAL CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","240 patients","2 ","2","PN-2 " "490005","WINCHESTER MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","827 patients","2 ","2","SCIP-INF-6 " "490005","WINCHESTER MEDICAL CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","162 patients","2 ","2","AMI-1 " "490005","WINCHESTER MEDICAL CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","623 patients","2 ","2","SCIP-INF-1 " "490007","SENTARA NORFOLK GENL HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","791 patients",,,"HF-2 " "490007","SENTARA NORFOLK GENL HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","153 patients",,,"HF-4 " "490007","SENTARA NORFOLK GENL HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","727 patients",,,"HF-1 " "490007","SENTARA NORFOLK GENL HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","157 patients",,,"PN-7 " "490007","SENTARA NORFOLK GENL HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490007","SENTARA NORFOLK GENL HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"PN-4 " "490007","SENTARA NORFOLK GENL HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","311 patients",,,"HF-3 " "490007","SENTARA NORFOLK GENL HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","541 patients",,,"AMI-2 " "490007","SENTARA NORFOLK GENL HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","223 patients",,,"AMI-4 " "490007","SENTARA NORFOLK GENL HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1047 patients","2 ","2","SCIP-INF-2 " "490007","SENTARA NORFOLK GENL HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","200 patients",,,"PN-5C " "490007","SENTARA NORFOLK GENL HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","300 patients","2 ","2","SCIP-CARD-2 " "490007","SENTARA NORFOLK GENL HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","1382 patients","2 ","2","SCIP-INF-6 " "490007","SENTARA NORFOLK GENL HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","15 patients","1 ","1","AMI-8A " "490007","SENTARA NORFOLK GENL HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","907 patients","2 ","2","SCIP-INF-3 " "490007","SENTARA NORFOLK GENL HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","226 patients","2 ","2","SCIP-VTE-1 " "490007","SENTARA NORFOLK GENL HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","731 patients","2 ","2","SCIP-INF-4 " "490007","SENTARA NORFOLK GENL HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","124 patients",,,"AMI-1 " "490007","SENTARA NORFOLK GENL HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1016 patients","2 ","2","SCIP-INF-1 " "490007","SENTARA NORFOLK GENL HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","527 patients",,,"AMI-5 " "490007","SENTARA NORFOLK GENL HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","88 patients",,,"PN-6 " "490007","SENTARA NORFOLK GENL HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","100 patients",,,"AMI-3 " "490007","SENTARA NORFOLK GENL HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","158 patients",,,"PN-2 " "490007","SENTARA NORFOLK GENL HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","226 patients","2 ","2","SCIP-VTE-2 " "490007","SENTARA NORFOLK GENL HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","151 patients",,,"PN-3B " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","7%","30 patients","2 ","2","CAC-3 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","127 patients","2 ","2","AMI-4 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients","2 ","2","HF-4 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","238 patients","2 ","2","SCIP-VTE-2 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","59 patients","2 ","2","PN-6 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","90%","30 patients","2 ","2","CAC-2 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","390 patients","2 ","2","SCIP-INF-2 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","PN-4 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","66 patients","2 ","2","PN-7 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","136 patients","2 ","2","AMI-1 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","90 patients","2 ","2","PN-2 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","374 patients","2 ","2","SCIP-INF-3 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","27 patients","2 ","2","AMI-8A " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","98 patients","2 ","2","PN-5C " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","245 patients","2 ","2","HF-1 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","81 patients","2 ","2","SCIP-CARD-2 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","282 patients","2 ","2","HF-2 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","88 patients","2 ","2","PN-3B " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","284 patients","2 ","2","AMI-2 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","388 patients","2 ","2","SCIP-INF-1 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","265 patients","2 ","2","AMI-5 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","87%","118 patients","2 ","2","SCIP-INF-4 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","70 patients","2 ","2","AMI-3 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","239 patients","2 ","2","SCIP-VTE-1 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","106 patients","2 ","2","HF-3 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","30 patients","2 ","2","CAC-1 " "490009","UNIVERSITY OF VIRGINIA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","622 patients","2 ","2","SCIP-INF-6 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","188 patients",,,"HF-1 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","86 patients",,,"AMI-5 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","231 patients",,,"HF-2 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","198 patients","2 ","2","SCIP-VTE-2 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","285 patients","2 ","2","SCIP-INF-3 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","AMI-3 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"PN-4 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","36 patients","2 ","2","SCIP-CARD-2 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","87 patients",,,"HF-3 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","69 patients",,,"PN-6 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"AMI-4 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","295 patients","2 ","2","SCIP-INF-2 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","292 patients","2 ","2","SCIP-INF-1 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","116 patients",,,"AMI-1 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"HF-4 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","111 patients",,,"PN-2 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","136 patients",,,"PN-5C " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","145 patients",,,"PN-3B " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","83 patients",,,"PN-7 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","198 patients","2 ","2","SCIP-VTE-1 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","92 patients",,,"AMI-2 " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-8A " "490011","BON SECOURS - DEPAUL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","423 patients","2 ","2","SCIP-INF-6 " "490012","LEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","25%","8 patients","1 ","1","SCIP-INF-2 " "490012","LEE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","152 patients",,,"PN-5C " "490012","LEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","87%","15 patients","1 ","1","AMI-5 " "490012","LEE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","94 patients",,,"PN-7 " "490012","LEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490012","LEE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","74%","19 patients","1 ","1","HF-4 " "490012","LEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "490012","LEE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","80 patients",,,"PN-3B " "490012","LEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","AMI-4 " "490012","LEE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","32 patients",,,"HF-3 " "490012","LEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","30 patients",,,"SCIP-VTE-2 " "490012","LEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","75%","8 patients","1 ","1","SCIP-INF-1 " "490012","LEE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","74 patients",,,"HF-1 " "490012","LEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","38%","8 patients","1 ","1","SCIP-INF-3 " "490012","LEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","25%","4 patients","1 ","1","SCIP-CARD-2 " "490012","LEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490012","LEE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","116 patients",,,"PN-2 " "490012","LEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","84%","19 patients","1 ","1","AMI-1 " "490012","LEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","57%","30 patients",,,"SCIP-VTE-1 " "490012","LEE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","80 patients",,,"PN-4 " "490012","LEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","69%","13 patients","1 ","1","AMI-2 " "490012","LEE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "490012","LEE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","97 patients",,,"PN-6 " "490012","LEE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","87 patients",,,"HF-2 " "490012","LEE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","36 patients",,,"SCIP-INF-6 " "490013","HALIFAX REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","2 patients","1 ","1","AMI-7A " "490013","HALIFAX REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","72%","39 patients",,,"SCIP-CARD-2 " "490013","HALIFAX REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","AMI-3 " "490013","HALIFAX REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","37 patients",,,"HF-4 " "490013","HALIFAX REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","127 patients",,,"PN-2 " "490013","HALIFAX REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","153 patients",,,"SCIP-INF-2 " "490013","HALIFAX REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","58 patients",,,"AMI-2 " "490013","HALIFAX REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","159 patients",,,"HF-1 " "490013","HALIFAX REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","59 patients",,,"AMI-5 " "490013","HALIFAX REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","132 patients",,,"SCIP-VTE-1 " "490013","HALIFAX REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","128 patients",,,"SCIP-VTE-2 " "490013","HALIFAX REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","97 patients",,,"PN-7 " "490013","HALIFAX REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","65 patients",,,"PN-3B " "490013","HALIFAX REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-8A " "490013","HALIFAX REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"AMI-4 " "490013","HALIFAX REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490013","HALIFAX REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","240 patients",,,"SCIP-INF-6 " "490013","HALIFAX REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","188 patients",,,"HF-2 " "490013","HALIFAX REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","77%","141 patients",,,"SCIP-INF-3 " "490013","HALIFAX REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","88 patients",,,"PN-6 " "490013","HALIFAX REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","151 patients",,,"PN-5C " "490013","HALIFAX REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","67 patients",,,"HF-3 " "490013","HALIFAX REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","73 patients",,,"AMI-1 " "490013","HALIFAX REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","52 patients",,,"PN-4 " "490013","HALIFAX REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","72%","152 patients",,,"SCIP-INF-1 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"PN-4 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","603 patients","2 ","2","SCIP-INF-1 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","178 patients",,,"AMI-1 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","754 patients","2 ","2","SCIP-INF-6 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","113 patients",,,"HF-4 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients",,,"AMI-3 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","588 patients","2 ","2","SCIP-INF-3 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","15 patients","1 ","1","AMI-8A " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","419 patients",,,"HF-1 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","105 patients",,,"PN-6 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","183 patients",,,"PN-5C " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","611 patients","2 ","2","SCIP-INF-2 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","79 patients","2 ","2","SCIP-CARD-2 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","135 patients",,,"PN-7 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","165 patients",,,"PN-3B " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","116 patients","2 ","2","SCIP-INF-4 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","321 patients","2 ","2","SCIP-VTE-1 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","185 patients",,,"AMI-5 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","173 patients",,,"PN-2 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","189 patients",,,"AMI-2 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","487 patients",,,"HF-2 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","144 patients",,,"HF-3 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","321 patients","2 ","2","SCIP-VTE-2 " "490017","BON SECOURS - MARYVIEW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","68 patients",,,"AMI-4 " "490018","AUGUSTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","378 patients","2 ","2","SCIP-VTE-1 " "490018","AUGUSTA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","370 patients",,,"HF-2 " "490018","AUGUSTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","696 patients","2 ","2","SCIP-INF-1 " "490018","AUGUSTA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"HF-4 " "490018","AUGUSTA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490018","AUGUSTA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","251 patients",,,"PN-7 " "490018","AUGUSTA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","124 patients",,,"AMI-2 " "490018","AUGUSTA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","307 patients",,,"PN-3B " "490018","AUGUSTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","684 patients","2 ","2","SCIP-INF-3 " "490018","AUGUSTA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","AMI-3 " "490018","AUGUSTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","378 patients","2 ","2","SCIP-VTE-2 " "490018","AUGUSTA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","282 patients",,,"HF-1 " "490018","AUGUSTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","111 patients","2 ","2","SCIP-CARD-2 " "490018","AUGUSTA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-8A " "490018","AUGUSTA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"AMI-4 " "490018","AUGUSTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","697 patients","2 ","2","SCIP-INF-2 " "490018","AUGUSTA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","144 patients",,,"AMI-1 " "490018","AUGUSTA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","315 patients",,,"PN-5C " "490018","AUGUSTA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","127 patients",,,"HF-3 " "490018","AUGUSTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490018","AUGUSTA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","337 patients",,,"PN-2 " "490018","AUGUSTA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","111 patients",,,"AMI-5 " "490018","AUGUSTA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","879 patients","2 ","2","SCIP-INF-6 " "490018","AUGUSTA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","101 patients",,,"PN-4 " "490018","AUGUSTA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","228 patients",,,"PN-6 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490019","CULPEPER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","129 patients",,,"SCIP-VTE-2 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","324 patients",,,"SCIP-INF-6 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","96 patients",,,"HF-1 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","226 patients",,,"SCIP-INF-3 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","33 patients",,,"PN-4 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","231 patients",,,"SCIP-INF-2 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","44 patients",,,"SCIP-CARD-2 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","88 patients",,,"PN-7 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","131 patients",,,"PN-2 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","129 patients",,,"SCIP-VTE-1 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","123 patients",,,"HF-2 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","132 patients",,,"PN-3B " "490019","CULPEPER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","238 patients",,,"SCIP-INF-1 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490019","CULPEPER MEMORIAL HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","75 patients",,,"PN-6 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","28 patients",,,"HF-3 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490019","CULPEPER MEMORIAL HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","137 patients",,,"PN-5C " "490019","CULPEPER MEMORIAL HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","174 patients",,,"HF-1 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","30 patients",,,"AMI-2 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","74 patients",,,"PN-7 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","88 patients",,,"SCIP-VTE-2 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","78 patients",,,"HF-3 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","68 patients",,,"PN-4 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","36 patients",,,"SCIP-INF-2 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","33 patients",,,"AMI-5 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","121 patients",,,"PN-3B " "490020","JOHN RANDOLPH MEDICAL CENTER`","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","30 patients",,,"SCIP-INF-3 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","95 patients",,,"PN-6 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","36 patients",,,"SCIP-INF-1 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","197 patients",,,"HF-2 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","52 patients",,,"AMI-1 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490020","JOHN RANDOLPH MEDICAL CENTER`","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","113 patients",,,"SCIP-INF-6 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490020","JOHN RANDOLPH MEDICAL CENTER`","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","15 patients","1 ","1","SCIP-CARD-2 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","88 patients",,,"SCIP-VTE-1 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490020","JOHN RANDOLPH MEDICAL CENTER`","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","102 patients",,,"PN-5C " "490020","JOHN RANDOLPH MEDICAL CENTER`","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","79 patients",,,"PN-2 " "490021","CENTRA HEALTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","209 patients",,,"AMI-4 " "490021","CENTRA HEALTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","282 patients","2 ","2","PN-3B " "490021","CENTRA HEALTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","794 patients","2 ","2","HF-2 " "490021","CENTRA HEALTH","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","22 patients","1 ","1","CAC-1 " "490021","CENTRA HEALTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","1040 patients","2 ","2","SCIP-INF-3 " "490021","CENTRA HEALTH","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","95%","20 patients","1 ","1","CAC-3 " "490021","CENTRA HEALTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","295 patients","2 ","2","SCIP-INF-4 " "490021","CENTRA HEALTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","94 patients",,,"AMI-8A " "490021","CENTRA HEALTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","493 patients","2 ","2","SCIP-VTE-2 " "490021","CENTRA HEALTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","357 patients","2 ","2","PN-5C " "490021","CENTRA HEALTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1108 patients","2 ","2","SCIP-INF-2 " "490021","CENTRA HEALTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","414 patients",,,"AMI-1 " "490021","CENTRA HEALTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","139 patients","2 ","2","HF-4 " "490021","CENTRA HEALTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","503 patients",,,"AMI-2 " "490021","CENTRA HEALTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","274 patients","2 ","2","SCIP-CARD-2 " "490021","CENTRA HEALTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","370 patients","2 ","2","PN-2 " "490021","CENTRA HEALTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490021","CENTRA HEALTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","58 patients",,,"AMI-3 " "490021","CENTRA HEALTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","479 patients",,,"AMI-5 " "490021","CENTRA HEALTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1089 patients","2 ","2","SCIP-INF-1 " "490021","CENTRA HEALTH","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","22 patients","1 ","1","CAC-2 " "490021","CENTRA HEALTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","213 patients","2 ","2","PN-6 " "490021","CENTRA HEALTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","605 patients","2 ","2","HF-1 " "490021","CENTRA HEALTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","227 patients","2 ","2","HF-3 " "490021","CENTRA HEALTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","241 patients","2 ","2","PN-7 " "490021","CENTRA HEALTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","493 patients","2 ","2","SCIP-VTE-1 " "490021","CENTRA HEALTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","146 patients","2 ","2","PN-4 " "490021","CENTRA HEALTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1569 patients","2 ","2","SCIP-INF-6 " "490022","MARY WASHINGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","121 patients","2 ","2","PN-4 " "490022","MARY WASHINGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","258 patients","2 ","2","PN-6 " "490022","MARY WASHINGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","268 patients","2 ","2","PN-2 " "490022","MARY WASHINGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","205 patients","2 ","2","PN-7 " "490022","MARY WASHINGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","185 patients","2 ","2","HF-3 " "490022","MARY WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","322 patients","2 ","2","SCIP-VTE-1 " "490022","MARY WASHINGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","74%","53 patients","2 ","2","AMI-8A " "490022","MARY WASHINGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "490022","MARY WASHINGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","438 patients","2 ","2","AMI-1 " "490022","MARY WASHINGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","62 patients","2 ","2","AMI-3 " "490022","MARY WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","978 patients","2 ","2","SCIP-INF-6 " "490022","MARY WASHINGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","125 patients","2 ","2","HF-4 " "490022","MARY WASHINGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","618 patients","2 ","2","HF-1 " "490022","MARY WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","321 patients","2 ","2","SCIP-VTE-2 " "490022","MARY WASHINGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","390 patients","2 ","2","AMI-2 " "490022","MARY WASHINGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","241 patients","2 ","2","AMI-5 " "490022","MARY WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","178 patients","2 ","2","SCIP-INF-4 " "490022","MARY WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","671 patients","2 ","2","SCIP-INF-2 " "490022","MARY WASHINGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","171 patients","2 ","2","AMI-4 " "490022","MARY WASHINGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","324 patients","2 ","2","PN-5C " "490022","MARY WASHINGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","747 patients","2 ","2","HF-2 " "490022","MARY WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","622 patients","2 ","2","SCIP-INF-3 " "490022","MARY WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","661 patients","2 ","2","SCIP-INF-1 " "490022","MARY WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","138 patients","2 ","2","SCIP-CARD-2 " "490022","MARY WASHINGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","358 patients","2 ","2","PN-3B " "490023","FAUQUIER HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "490023","FAUQUIER HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","132 patients","2 ","2","HF-1 " "490023","FAUQUIER HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","389 patients","2 ","2","SCIP-INF-6 " "490023","FAUQUIER HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","229 patients","2 ","2","SCIP-VTE-2 " "490023","FAUQUIER HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","50 patients","2 ","2","HF-3 " "490023","FAUQUIER HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","156 patients","2 ","2","HF-2 " "490023","FAUQUIER HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","56 patients","2 ","2","PN-4 " "490023","FAUQUIER HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","27 patients","2 ","2","HF-4 " "490023","FAUQUIER HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","157 patients","2 ","2","PN-3B " "490023","FAUQUIER HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490023","FAUQUIER HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","116 patients",,,"PN-7 " "490023","FAUQUIER HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490023","FAUQUIER HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","52 patients","2 ","2","SCIP-CARD-2 " "490023","FAUQUIER HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","107 patients","2 ","2","PN-6 " "490023","FAUQUIER HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "490023","FAUQUIER HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","279 patients","2 ","2","SCIP-INF-1 " "490023","FAUQUIER HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "490023","FAUQUIER HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","266 patients","2 ","2","SCIP-INF-3 " "490023","FAUQUIER HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","144 patients","2 ","2","PN-2 " "490023","FAUQUIER HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "490023","FAUQUIER HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","75%","279 patients","2 ","2","SCIP-INF-2 " "490023","FAUQUIER HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","15 patients","1 ","1","AMI-5 " "490023","FAUQUIER HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","229 patients","2 ","2","SCIP-VTE-1 " "490023","FAUQUIER HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","55 patients",,,"AMI-1 " "490023","FAUQUIER HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","146 patients","2 ","2","PN-5C " "490024","CARILION MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490024","CARILION MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","95 patients",,,"AMI-8A " "490024","CARILION MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","1135 patients",,,"AMI-2 " "490024","CARILION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","2202 patients","2 ","2","SCIP-INF-3 " "490024","CARILION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","732 patients","2 ","2","SCIP-VTE-1 " "490024","CARILION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","2251 patients","2 ","2","SCIP-INF-1 " "490024","CARILION MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","498 patients",,,"AMI-1 " "490024","CARILION MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","370 patients",,,"PN-3B " "490024","CARILION MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","192 patients",,,"AMI-3 " "490024","CARILION MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","192 patients",,,"PN-4 " "490024","CARILION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","2257 patients","2 ","2","SCIP-INF-2 " "490024","CARILION MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","471 patients",,,"AMI-4 " "490024","CARILION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","503 patients","2 ","2","SCIP-INF-4 " "490024","CARILION MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","374 patients",,,"PN-2 " "490024","CARILION MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","85%","463 patients",,,"PN-5C " "490024","CARILION MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","1163 patients",,,"AMI-5 " "490024","CARILION MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","168 patients",,,"HF-4 " "490024","CARILION MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","822 patients",,,"HF-2 " "490024","CARILION MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","732 patients","2 ","2","SCIP-VTE-2 " "490024","CARILION MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","316 patients",,,"PN-6 " "490024","CARILION MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","275 patients",,,"PN-7 " "490024","CARILION MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2643 patients","2 ","2","SCIP-INF-6 " "490024","CARILION MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","387 patients","2 ","2","SCIP-CARD-2 " "490024","CARILION MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","643 patients",,,"HF-1 " "490024","CARILION MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","259 patients",,,"HF-3 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","55 patients",,,"PN-3B " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","59 patients",,,"PN-2 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","15 patients","1 ","1","SCIP-CARD-2 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","HF-3 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","55 patients",,,"PN-5C " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","40 patients",,,"PN-6 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","27 patients",,,"AMI-1 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","48 patients",,,"PN-7 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","52 patients",,,"SCIP-INF-1 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","52 patients",,,"SCIP-INF-2 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","72 patients",,,"SCIP-INF-6 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","38 patients",,,"SCIP-VTE-2 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","96 patients",,,"HF-1 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-7A " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","93%","14 patients","1 ","1","AMI-5 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","49 patients",,,"SCIP-INF-3 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","113 patients",,,"HF-2 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","14 patients","1 ","1","AMI-2 " "490027","MOUNTAIN VIEW REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","39 patients",,,"SCIP-VTE-1 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","316 patients",,,"AMI-5 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","83 patients",,,"PN-6 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","306 patients",,,"HF-3 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","190 patients",,,"PN-3B " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","433 patients","2 ","2","SCIP-INF-1 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","176 patients",,,"HF-4 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","161 patients",,,"PN-7 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","73 patients","2 ","2","SCIP-CARD-2 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","208 patients",,,"AMI-1 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","176 patients",,,"PN-4 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","222 patients",,,"PN-5C " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","557 patients",,,"HF-2 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","45 patients",,,"AMI-8A " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","446 patients","2 ","2","SCIP-INF-2 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","85 patients",,,"AMI-3 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","412 patients","2 ","2","SCIP-INF-3 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","530 patients",,,"HF-1 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","339 patients",,,"AMI-2 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","138 patients","2 ","2","SCIP-INF-4 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","295 patients","2 ","2","SCIP-VTE-1 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","143 patients",,,"AMI-4 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","115 patients",,,"PN-2 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","295 patients","2 ","2","SCIP-VTE-2 " "490032","VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","766 patients","2 ","2","SCIP-INF-6 " "490033","WARREN MEMORIAL HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "490033","WARREN MEMORIAL HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","74 patients",,,"HF-2 " "490033","WARREN MEMORIAL HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","54 patients",,,"PN-7 " "490033","WARREN MEMORIAL HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "490033","WARREN MEMORIAL HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","48 patients",,,"SCIP-VTE-2 " "490033","WARREN MEMORIAL HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","84 patients",,,"PN-5C " "490033","WARREN MEMORIAL HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","94 patients",,,"PN-3B " "490033","WARREN MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","59 patients",,,"SCIP-INF-1 " "490033","WARREN MEMORIAL HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "490033","WARREN MEMORIAL HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","78 patients",,,"PN-2 " "490033","WARREN MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","86 patients",,,"SCIP-INF-6 " "490033","WARREN MEMORIAL HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "490033","WARREN MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","54 patients",,,"SCIP-INF-3 " "490033","WARREN MEMORIAL HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "490033","WARREN MEMORIAL HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "490033","WARREN MEMORIAL HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "490033","WARREN MEMORIAL HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490033","WARREN MEMORIAL HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "490033","WARREN MEMORIAL HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","46 patients",,,"PN-6 " "490033","WARREN MEMORIAL HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","48 patients",,,"SCIP-VTE-1 " "490033","WARREN MEMORIAL HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","58 patients",,,"HF-1 " "490033","WARREN MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","59 patients",,,"SCIP-INF-2 " "490033","WARREN MEMORIAL HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490033","WARREN MEMORIAL HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490033","WARREN MEMORIAL HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","9 patients","1 ","1","SCIP-CARD-2 " "490037","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","52 patients",,,"SCIP-INF-3 " "490037","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","41 patients",,,"SCIP-VTE-1 " "490037","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","70 patients",,,"PN-7 " "490037","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","54 patients",,,"SCIP-INF-1 " "490037","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","112 patients",,,"PN-3B " "490037","SHORE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","61 patients",,,"HF-3 " "490037","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","14 patients","1 ","1","AMI-2 " "490037","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "490037","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","54 patients",,,"SCIP-INF-2 " "490037","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","96 patients",,,"PN-2 " "490037","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1 ","1","SCIP-CARD-2 " "490037","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490037","SHORE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","118 patients",,,"HF-1 " "490037","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "490037","SHORE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "490037","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490037","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","87 patients",,,"SCIP-INF-6 " "490037","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "490037","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490037","SHORE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","41 patients",,,"SCIP-VTE-2 " "490037","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","122 patients",,,"PN-5C " "490037","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "490037","SHORE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","144 patients",,,"HF-2 " "490037","SHORE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","41 patients",,,"PN-6 " "490037","SHORE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","29 patients",,,"AMI-1 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1,2 ","12","HF-4 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","65 patients","2 ","2","SCIP-VTE-1 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","18 patients","1,2 ","12","PN-5C " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","82 patients","2 ","2","PN-6 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","119 patients","2 ","2","SCIP-INF-2 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1,2 ","12","AMI-1 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","117 patients","2 ","2","SCIP-INF-3 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","77 patients","2 ","2","PN-7 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","35 patients","2 ","2","HF-1 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","152 patients","2 ","2","SCIP-INF-6 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1,2 ","12","HF-3 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1,2 ","12","AMI-5 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1,2 ","12","AMI-2 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","65 patients","2 ","2","SCIP-VTE-2 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","119 patients","2 ","2","SCIP-INF-1 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","33 patients","2 ","2","PN-4 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","59 patients","2 ","2","PN-3B " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1,2 ","12","SCIP-CARD-2 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","102 patients","2 ","2","PN-2 " "490038","SMYTH COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients","2 ","2","HF-2 " "490040","INOVA ALEXANDRIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","558 patients","2 ","2","SCIP-INF-6 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","313 patients","2 ","2","HF-2 " "490040","INOVA ALEXANDRIA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","156 patients","2 ","2","PN-3B " "490040","INOVA ALEXANDRIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","87 patients","2 ","2","SCIP-INF-4 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","38 patients",,,"AMI-8A " "490040","INOVA ALEXANDRIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","387 patients","2 ","2","SCIP-INF-1 " "490040","INOVA ALEXANDRIA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","79 patients","2 ","2","PN-7 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","185 patients",,,"AMI-1 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","103 patients","2 ","2","HF-3 " "490040","INOVA ALEXANDRIA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","153 patients","2 ","2","PN-5C " "490040","INOVA ALEXANDRIA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","61 patients","2 ","2","SCIP-CARD-2 " "490040","INOVA ALEXANDRIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","389 patients","2 ","2","SCIP-INF-2 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","251 patients","2 ","2","HF-1 " "490040","INOVA ALEXANDRIA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","33 patients","2 ","2","PN-4 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","54 patients","2 ","2","HF-4 " "490040","INOVA ALEXANDRIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","59%","382 patients","2 ","2","SCIP-INF-3 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","185 patients",,,"AMI-2 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","191 patients",,,"AMI-5 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"AMI-4 " "490040","INOVA ALEXANDRIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","234 patients","2 ","2","SCIP-VTE-2 " "490040","INOVA ALEXANDRIA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","122 patients","2 ","2","PN-2 " "490040","INOVA ALEXANDRIA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","92 patients","2 ","2","PN-6 " "490040","INOVA ALEXANDRIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","235 patients","2 ","2","SCIP-VTE-1 " "490040","INOVA ALEXANDRIA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","37 patients",,,"AMI-3 " "490041","MARY IMMACULATE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490041","MARY IMMACULATE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","84 patients",,,"HF-3 " "490041","MARY IMMACULATE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","47%","19 patients","1 ","1","AMI-8A " "490041","MARY IMMACULATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","891 patients","2 ","2","SCIP-INF-1 " "490041","MARY IMMACULATE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","AMI-3 " "490041","MARY IMMACULATE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","320 patients","2 ","2","SCIP-VTE-2 " "490041","MARY IMMACULATE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","128 patients",,,"PN-3B " "490041","MARY IMMACULATE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","81 patients",,,"AMI-2 " "490041","MARY IMMACULATE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","119 patients",,,"PN-2 " "490041","MARY IMMACULATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "490041","MARY IMMACULATE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"HF-4 " "490041","MARY IMMACULATE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","134 patients",,,"PN-5C " "490041","MARY IMMACULATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","880 patients","2 ","2","SCIP-INF-3 " "490041","MARY IMMACULATE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","135 patients","2 ","2","SCIP-CARD-2 " "490041","MARY IMMACULATE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","33 patients",,,"AMI-4 " "490041","MARY IMMACULATE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","99 patients",,,"AMI-1 " "490041","MARY IMMACULATE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","320 patients","2 ","2","SCIP-VTE-1 " "490041","MARY IMMACULATE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","79 patients",,,"PN-7 " "490041","MARY IMMACULATE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","226 patients",,,"HF-2 " "490041","MARY IMMACULATE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","173 patients",,,"HF-1 " "490041","MARY IMMACULATE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"PN-4 " "490041","MARY IMMACULATE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","86 patients",,,"AMI-5 " "490041","MARY IMMACULATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1046 patients","2 ","2","SCIP-INF-6 " "490041","MARY IMMACULATE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","64 patients",,,"PN-6 " "490041","MARY IMMACULATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","891 patients","2 ","2","SCIP-INF-2 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","246 patients",,,"SCIP-INF-2 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","36 patients",,,"AMI-5 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","42 patients",,,"SCIP-CARD-2 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","111 patients",,,"PN-2 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","236 patients",,,"SCIP-INF-3 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","36 patients",,,"HF-3 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","93 patients",,,"PN-7 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","363 patients",,,"SCIP-INF-6 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1 ","1","AMI-4 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","36 patients",,,"AMI-2 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","137 patients",,,"SCIP-VTE-2 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","152 patients",,,"PN-3B " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","133 patients",,,"PN-6 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","154 patients",,,"HF-2 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","53 patients",,,"AMI-1 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","64 patients",,,"PN-4 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","156 patients",,,"PN-5C " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","138 patients",,,"SCIP-VTE-1 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","240 patients",,,"SCIP-INF-1 " "490042","CARILION NEW RIVER VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","128 patients",,,"HF-1 " "490043","INOVA LOUDOUN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","119 patients",,,"PN-2 " "490043","INOVA LOUDOUN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "490043","INOVA LOUDOUN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","27 patients",,,"AMI-5 " "490043","INOVA LOUDOUN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","221 patients",,,"SCIP-VTE-2 " "490043","INOVA LOUDOUN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","48 patients",,,"AMI-1 " "490043","INOVA LOUDOUN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","29 patients",,,"AMI-2 " "490043","INOVA LOUDOUN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","221 patients",,,"SCIP-VTE-1 " "490043","INOVA LOUDOUN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","256 patients",,,"SCIP-INF-3 " "490043","INOVA LOUDOUN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"PN-4 " "490043","INOVA LOUDOUN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1 ","1","SCIP-INF-4 " "490043","INOVA LOUDOUN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","180 patients",,,"HF-2 " "490043","INOVA LOUDOUN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","51 patients",,,"SCIP-CARD-2 " "490043","INOVA LOUDOUN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "490043","INOVA LOUDOUN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","261 patients",,,"SCIP-INF-2 " "490043","INOVA LOUDOUN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","124 patients",,,"PN-3B " "490043","INOVA LOUDOUN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","86 patients",,,"PN-6 " "490043","INOVA LOUDOUN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","120 patients",,,"PN-5C " "490043","INOVA LOUDOUN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490043","INOVA LOUDOUN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","100 patients",,,"PN-7 " "490043","INOVA LOUDOUN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490043","INOVA LOUDOUN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "490043","INOVA LOUDOUN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","55 patients",,,"HF-3 " "490043","INOVA LOUDOUN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","155 patients",,,"HF-1 " "490043","INOVA LOUDOUN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","446 patients",,,"SCIP-INF-6 " "490043","INOVA LOUDOUN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","261 patients",,,"SCIP-INF-1 " "490044","SENTARA OBICI HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","411 patients",,,"HF-1 " "490044","SENTARA OBICI HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","81 patients","2 ","2","SCIP-CARD-2 " "490044","SENTARA OBICI HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","170 patients",,,"PN-2 " "490044","SENTARA OBICI HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","124 patients",,,"AMI-1 " "490044","SENTARA OBICI HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","125 patients",,,"PN-6 " "490044","SENTARA OBICI HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","518 patients","2 ","2","SCIP-INF-3 " "490044","SENTARA OBICI HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "490044","SENTARA OBICI HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","91 patients",,,"AMI-2 " "490044","SENTARA OBICI HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","168 patients",,,"PN-3B " "490044","SENTARA OBICI HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","103 patients",,,"HF-4 " "490044","SENTARA OBICI HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","126 patients",,,"PN-7 " "490044","SENTARA OBICI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","294 patients","2 ","2","SCIP-VTE-1 " "490044","SENTARA OBICI HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"AMI-4 " "490044","SENTARA OBICI HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","83 patients",,,"PN-4 " "490044","SENTARA OBICI HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","29 patients",,,"AMI-8A " "490044","SENTARA OBICI HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","150 patients",,,"HF-3 " "490044","SENTARA OBICI HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","480 patients",,,"HF-2 " "490044","SENTARA OBICI HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","549 patients","2 ","2","SCIP-INF-2 " "490044","SENTARA OBICI HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","93 patients",,,"AMI-5 " "490044","SENTARA OBICI HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","547 patients","2 ","2","SCIP-INF-1 " "490044","SENTARA OBICI HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490044","SENTARA OBICI HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","189 patients",,,"PN-5C " "490044","SENTARA OBICI HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","692 patients","2 ","2","SCIP-INF-6 " "490044","SENTARA OBICI HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","294 patients","2 ","2","SCIP-VTE-2 " "490044","SENTARA OBICI HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","20 patients","1 ","1","AMI-3 " "490045","PRINCE WILLIAM HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","23 patients","1 ","1","AMI-2 " "490045","PRINCE WILLIAM HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490045","PRINCE WILLIAM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","157 patients",,,"SCIP-VTE-1 " "490045","PRINCE WILLIAM HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","124 patients",,,"PN-7 " "490045","PRINCE WILLIAM HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","174 patients",,,"HF-2 " "490045","PRINCE WILLIAM HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","58 patients",,,"SCIP-CARD-2 " "490045","PRINCE WILLIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","328 patients",,,"SCIP-INF-2 " "490045","PRINCE WILLIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","320 patients",,,"SCIP-INF-3 " "490045","PRINCE WILLIAM HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","24 patients","1 ","1","AMI-5 " "490045","PRINCE WILLIAM HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","157 patients",,,"SCIP-VTE-2 " "490045","PRINCE WILLIAM HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","189 patients",,,"PN-5C " "490045","PRINCE WILLIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","455 patients",,,"SCIP-INF-6 " "490045","PRINCE WILLIAM HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","45 patients",,,"PN-4 " "490045","PRINCE WILLIAM HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","57 patients",,,"HF-3 " "490045","PRINCE WILLIAM HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"HF-4 " "490045","PRINCE WILLIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","333 patients",,,"SCIP-INF-1 " "490045","PRINCE WILLIAM HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","144 patients",,,"HF-1 " "490045","PRINCE WILLIAM HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "490045","PRINCE WILLIAM HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","145 patients",,,"PN-2 " "490045","PRINCE WILLIAM HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","65 patients",,,"AMI-1 " "490045","PRINCE WILLIAM HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","218 patients",,,"PN-3B " "490045","PRINCE WILLIAM HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490045","PRINCE WILLIAM HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","154 patients",,,"PN-6 " "490045","PRINCE WILLIAM HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "490045","PRINCE WILLIAM HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "490046","SENTARA LEIGH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","116 patients",,,"AMI-5 " "490046","SENTARA LEIGH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","86%","44 patients",,,"AMI-8A " "490046","SENTARA LEIGH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","211 patients",,,"PN-2 " "490046","SENTARA LEIGH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","1124 patients","2 ","2","SCIP-VTE-1 " "490046","SENTARA LEIGH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"HF-4 " "490046","SENTARA LEIGH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","124 patients",,,"AMI-2 " "490046","SENTARA LEIGH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","105 patients",,,"PN-6 " "490046","SENTARA LEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1873 patients","2 ","2","SCIP-INF-6 " "490046","SENTARA LEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","0%","1 patients","1,2 ","12","SCIP-INF-4 " "490046","SENTARA LEIGH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","154 patients",,,"AMI-1 " "490046","SENTARA LEIGH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","230 patients","2 ","2","SCIP-CARD-2 " "490046","SENTARA LEIGH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","158 patients",,,"PN-7 " "490046","SENTARA LEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","1679 patients","2 ","2","SCIP-INF-3 " "490046","SENTARA LEIGH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","310 patients",,,"HF-1 " "490046","SENTARA LEIGH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","211 patients",,,"PN-3B " "490046","SENTARA LEIGH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","1124 patients","2 ","2","SCIP-VTE-2 " "490046","SENTARA LEIGH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","26 patients",,,"AMI-3 " "490046","SENTARA LEIGH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490046","SENTARA LEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","1693 patients","2 ","2","SCIP-INF-1 " "490046","SENTARA LEIGH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1695 patients","2 ","2","SCIP-INF-2 " "490046","SENTARA LEIGH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "490046","SENTARA LEIGH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","117 patients",,,"HF-3 " "490046","SENTARA LEIGH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"PN-4 " "490046","SENTARA LEIGH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","381 patients",,,"HF-2 " "490046","SENTARA LEIGH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","176 patients",,,"PN-5C " "490048","LEWIS-GALE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","220 patients",,,"PN-6 " "490048","LEWIS-GALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","495 patients","2 ","2","SCIP-INF-3 " "490048","LEWIS-GALE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","278 patients",,,"PN-7 " "490048","LEWIS-GALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","135 patients","2 ","2","SCIP-INF-4 " "490048","LEWIS-GALE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","106 patients",,,"HF-3 " "490048","LEWIS-GALE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","25 patients",,,"AMI-8A " "490048","LEWIS-GALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","286 patients","2 ","2","SCIP-VTE-2 " "490048","LEWIS-GALE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","256 patients",,,"AMI-5 " "490048","LEWIS-GALE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","371 patients",,,"PN-5C " "490048","LEWIS-GALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","127 patients","2 ","2","SCIP-CARD-2 " "490048","LEWIS-GALE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","376 patients",,,"PN-2 " "490048","LEWIS-GALE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","58 patients",,,"HF-4 " "490048","LEWIS-GALE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","362 patients",,,"PN-3B " "490048","LEWIS-GALE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","309 patients",,,"AMI-2 " "490048","LEWIS-GALE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","431 patients",,,"HF-2 " "490048","LEWIS-GALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","728 patients","2 ","2","SCIP-INF-6 " "490048","LEWIS-GALE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","175 patients",,,"AMI-1 " "490048","LEWIS-GALE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","132 patients",,,"AMI-4 " "490048","LEWIS-GALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","534 patients","2 ","2","SCIP-INF-2 " "490048","LEWIS-GALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","286 patients","2 ","2","SCIP-VTE-1 " "490048","LEWIS-GALE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490048","LEWIS-GALE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","50 patients",,,"AMI-3 " "490048","LEWIS-GALE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","120 patients",,,"PN-4 " "490048","LEWIS-GALE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","325 patients",,,"HF-1 " "490048","LEWIS-GALE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","526 patients","2 ","2","SCIP-INF-1 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","28 patients",,,"AMI-8A " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"AMI-4 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","146 patients",,,"AMI-2 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","144 patients",,,"AMI-5 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","103 patients","2 ","2","HF-3 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","496 patients","2 ","2","SCIP-INF-1 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","300 patients","2 ","2","SCIP-VTE-1 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","197 patients","2 ","2","PN-3B " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","456 patients","2 ","2","SCIP-INF-3 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1,2 ","12","HF-4 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","85 patients","2 ","2","SCIP-INF-4 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","94 patients","2 ","2","PN-6 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","152 patients",,,"AMI-1 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","665 patients","2 ","2","SCIP-INF-6 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","192 patients","2 ","2","PN-2 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","502 patients","2 ","2","SCIP-INF-2 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","235 patients","2 ","2","HF-2 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","299 patients","2 ","2","SCIP-VTE-2 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","166 patients","2 ","2","PN-5C " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","138 patients","2 ","2","PN-7 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","39 patients",,,"AMI-3 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","177 patients","2 ","2","HF-1 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","77 patients","2 ","2","SCIP-CARD-2 " "490050","VIRGINIA HOSPITAL CENTER - ARLINGTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","434 patients",,,"HF-2 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","87 patients","2 ","2","SCIP-CARD-2 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","192 patients",,,"PN-5C " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","202 patients",,,"PN-2 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","149 patients",,,"PN-7 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","206 patients","2 ","2","SCIP-VTE-1 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","58 patients",,,"AMI-3 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","235 patients",,,"AMI-1 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","338 patients",,,"AMI-5 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","423 patients","2 ","2","SCIP-INF-1 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","120 patients","2 ","2","SCIP-INF-4 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","201 patients",,,"PN-3B " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"AMI-4 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","124 patients",,,"PN-6 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","591 patients","2 ","2","SCIP-INF-6 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","206 patients","2 ","2","SCIP-VTE-2 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","358 patients",,,"HF-1 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","75 patients",,,"PN-4 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","335 patients",,,"AMI-2 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","107 patients",,,"HF-4 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","403 patients","2 ","2","SCIP-INF-3 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","32 patients",,,"AMI-8A " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","183 patients",,,"HF-3 " "490052","RIVERSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","427 patients","2 ","2","SCIP-INF-2 " "490053","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","166 patients",,,"PN-2 " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","AMI-4 " "490053","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","95 patients",,,"SCIP-CARD-2 " "490053","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","66 patients",,,"PN-4 " "490053","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","184 patients",,,"SCIP-VTE-1 " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "490053","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","539 patients",,,"SCIP-INF-6 " "490053","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","113 patients",,,"PN-7 " "490053","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","395 patients",,,"SCIP-INF-2 " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","77 patients",,,"AMI-1 " "490053","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","184 patients",,,"HF-2 " "490053","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","394 patients",,,"SCIP-INF-1 " "490053","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","370 patients",,,"SCIP-INF-3 " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","39 patients",,,"HF-3 " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","49 patients",,,"AMI-2 " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","52 patients",,,"AMI-5 " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","157 patients",,,"HF-1 " "490053","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","162 patients",,,"PN-5C " "490053","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","124 patients",,,"PN-6 " "490053","JOHNSTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","154 patients",,,"PN-3B " "490053","JOHNSTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","184 patients",,,"SCIP-VTE-2 " "490053","JOHNSTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","428 patients","2 ","2","SCIP-VTE-1 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","58 patients",,,"HF-4 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","102 patients","2 ","2","SCIP-CARD-2 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","428 patients","2 ","2","SCIP-VTE-2 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","203 patients",,,"AMI-5 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","183 patients",,,"AMI-1 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","84%","44 patients",,,"AMI-8A " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","116 patients","2 ","2","SCIP-INF-4 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","692 patients","2 ","2","SCIP-INF-2 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","290 patients",,,"HF-1 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","647 patients","2 ","2","SCIP-INF-3 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","60 patients",,,"AMI-3 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","92 patients",,,"PN-4 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","242 patients",,,"PN-5C " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","890 patients","2 ","2","SCIP-INF-6 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","232 patients",,,"PN-3B " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","281 patients",,,"PN-2 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","359 patients",,,"HF-2 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","101 patients",,,"AMI-4 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","687 patients","2 ","2","SCIP-INF-1 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","220 patients",,,"AMI-2 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","202 patients",,,"PN-7 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","107 patients",,,"HF-3 " "490057","SENTARA VIRGINIA BEACH GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","171 patients",,,"PN-6 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1660 patients","2 ","2","SCIP-INF-6 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","56 patients",,,"AMI-4 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1342 patients","2 ","2","SCIP-INF-3 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","133 patients",,,"PN-6 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","227 patients",,,"AMI-2 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","1383 patients","2 ","2","SCIP-INF-1 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","41 patients",,,"AMI-8A " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","504 patients","2 ","2","SCIP-VTE-2 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","256 patients",,,"PN-5C " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","189 patients",,,"AMI-1 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","292 patients",,,"PN-3B " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","122 patients",,,"HF-3 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","197 patients",,,"PN-7 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","317 patients",,,"HF-1 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","221 patients",,,"AMI-5 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","271 patients",,,"PN-2 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","504 patients","2 ","2","SCIP-VTE-1 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","251 patients","2 ","2","SCIP-CARD-2 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","46 patients",,,"AMI-3 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1394 patients","2 ","2","SCIP-INF-2 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"HF-4 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","397 patients",,,"HF-2 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"PN-4 " "490059","BON SECOURS - ST MARYS HOSPITAL OF RICHMOND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","219 patients","2 ","2","SCIP-INF-4 " "490060","CLINCH VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "490060","CLINCH VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","75 patients",,,"PN-6 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","51 patients",,,"AMI-1 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","175 patients",,,"HF-2 " "490060","CLINCH VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","124 patients",,,"PN-3B " "490060","CLINCH VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","140 patients","2 ","2","SCIP-INF-6 " "490060","CLINCH VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","69 patients","2 ","2","SCIP-VTE-2 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","32 patients",,,"AMI-5 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","168 patients",,,"HF-1 " "490060","CLINCH VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1,2 ","12","SCIP-CARD-2 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","32 patients",,,"HF-3 " "490060","CLINCH VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","89 patients","2 ","2","SCIP-INF-1 " "490060","CLINCH VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","130 patients",,,"PN-5C " "490060","CLINCH VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","97 patients",,,"PN-2 " "490060","CLINCH VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","91 patients","2 ","2","SCIP-INF-2 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490060","CLINCH VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","62 patients",,,"PN-7 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-7A " "490060","CLINCH VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","82 patients","2 ","2","SCIP-INF-3 " "490060","CLINCH VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","28 patients",,,"AMI-2 " "490060","CLINCH VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","69 patients","2 ","2","SCIP-VTE-1 " "490060","CLINCH VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "490063","INOVA FAIRFAX HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","542 patients","2 ","2","SCIP-INF-1 " "490063","INOVA FAIRFAX HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","PN-4 " "490063","INOVA FAIRFAX HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","816 patients","2 ","2","SCIP-INF-6 " "490063","INOVA FAIRFAX HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","89 patients","2 ","2","PN-5C " "490063","INOVA FAIRFAX HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","313 patients","2 ","2","HF-2 " "490063","INOVA FAIRFAX HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","41 patients","2 ","2","AMI-3 " "490063","INOVA FAIRFAX HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","141 patients","2 ","2","AMI-1 " "490063","INOVA FAIRFAX HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","262 patients","2 ","2","HF-1 " "490063","INOVA FAIRFAX HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","89 patients","2 ","2","AMI-4 " "490063","INOVA FAIRFAX HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","98 patients","2 ","2","PN-3B " "490063","INOVA FAIRFAX HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","79 patients","2 ","2","SCIP-CARD-2 " "490063","INOVA FAIRFAX HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","61 patients","2 ","2","PN-6 " "490063","INOVA FAIRFAX HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","116 patients","2 ","2","PN-2 " "490063","INOVA FAIRFAX HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","266 patients","2 ","2","AMI-5 " "490063","INOVA FAIRFAX HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","534 patients","2 ","2","SCIP-INF-3 " "490063","INOVA FAIRFAX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","279 patients","2 ","2","SCIP-VTE-1 " "490063","INOVA FAIRFAX HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","43 patients","2 ","2","AMI-8A " "490063","INOVA FAIRFAX HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","111 patients",,,"CAC-1 " "490063","INOVA FAIRFAX HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","273 patients","2 ","2","AMI-2 " "490063","INOVA FAIRFAX HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","102 patients","2 ","2","HF-3 " "490063","INOVA FAIRFAX HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","71 patients","2 ","2","PN-7 " "490063","INOVA FAIRFAX HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","111 patients",,,"CAC-2 " "490063","INOVA FAIRFAX HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","551 patients","2 ","2","SCIP-INF-2 " "490063","INOVA FAIRFAX HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "490063","INOVA FAIRFAX HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","31 patients","2 ","2","HF-4 " "490063","INOVA FAIRFAX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","279 patients","2 ","2","SCIP-VTE-2 " "490063","INOVA FAIRFAX HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","38%","111 patients",,,"CAC-3 " "490063","INOVA FAIRFAX HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","182 patients","2 ","2","SCIP-INF-4 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","86 patients",,,"AMI-2 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","466 patients","2 ","2","SCIP-INF-6 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","191 patients",,,"PN-3B " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","289 patients","2 ","2","SCIP-INF-3 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","306 patients","2 ","2","SCIP-INF-2 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","152 patients",,,"PN-6 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","66 patients","2 ","2","SCIP-CARD-2 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","118 patients",,,"PN-7 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","19 patients","1 ","1","AMI-8A " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","60 patients",,,"HF-3 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","240 patients","2 ","2","SCIP-VTE-1 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","217 patients",,,"HF-1 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","85 patients",,,"AMI-5 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","178 patients",,,"PN-5C " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","104 patients",,,"AMI-1 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","170 patients",,,"PN-2 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","306 patients","2 ","2","SCIP-INF-1 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","239 patients","2 ","2","SCIP-VTE-2 " "490066","SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","258 patients",,,"HF-2 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","174 patients",,,"PN-3B " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","204 patients","2 ","2","SCIP-INF-1 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","185 patients",,,"PN-2 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","204 patients",,,"PN-5C " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","146 patients","2 ","2","SCIP-VTE-1 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","308 patients","2 ","2","SCIP-INF-6 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","37 patients","2 ","2","SCIP-CARD-2 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","191 patients","2 ","2","SCIP-INF-3 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","483 patients",,,"HF-2 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","146 patients","2 ","2","SCIP-VTE-2 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","41 patients",,,"AMI-3 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","125 patients",,,"PN-6 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","242 patients",,,"AMI-1 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","73 patients",,,"AMI-4 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","79%","34 patients",,,"AMI-8A " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","389 patients",,,"HF-1 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","188 patients",,,"AMI-2 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","105 patients",,,"HF-4 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","93 patients",,,"PN-4 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","158 patients",,,"HF-3 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","154 patients",,,"PN-7 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","198 patients",,,"AMI-5 " "490067","SOUTHSIDE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","203 patients","2 ","2","SCIP-INF-2 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","662 patients","2 ","2","SCIP-INF-2 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","303 patients","2 ","2","AMI-5 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","265 patients","2 ","2","HF-1 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","342 patients","2 ","2","SCIP-VTE-2 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","112 patients","2 ","2","AMI-4 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","209 patients","2 ","2","PN-3B " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","205 patients","2 ","2","PN-2 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","140 patients","2 ","2","PN-7 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","342 patients","2 ","2","SCIP-VTE-1 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","337 patients","2 ","2","HF-2 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","209 patients","2 ","2","PN-5C " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","153 patients","2 ","2","PN-6 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","141 patients","2 ","2","SCIP-INF-4 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","46 patients","2 ","2","HF-4 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","60 patients","2 ","2","AMI-8A " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","69 patients","2 ","2","AMI-3 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","912 patients","2 ","2","SCIP-INF-6 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","304 patients","2 ","2","AMI-2 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","132 patients","2 ","2","SCIP-CARD-2 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","292 patients","2 ","2","AMI-1 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","87 patients","2 ","2","PN-4 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","629 patients","2 ","2","SCIP-INF-3 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","658 patients","2 ","2","SCIP-INF-1 " "490069","BON SECOURS - MEMORIAL REGIONAL MEDICAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","99 patients","2 ","2","HF-3 " "49006F","HAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","66 patients","2 ","2","SCIP-INF-6 " "49006F","HAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","50 patients",,,"SCIP-INF-1 " "49006F","HAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","23 patients","1,2 ","12","SCIP-VTE-1 " "49006F","HAMPTON VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "49006F","HAMPTON VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1 ","1","PN-6 " "49006F","HAMPTON VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","27 patients",,,"PN-5C " "49006F","HAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","23 patients","1,2 ","12","SCIP-VTE-2 " "49006F","HAMPTON VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "49006F","HAMPTON VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "49006F","HAMPTON VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","48 patients",,,"HF-3 " "49006F","HAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","22 patients","1,2 ","12","SCIP-CARD-2 " "49006F","HAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "49006F","HAMPTON VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "49006F","HAMPTON VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "49006F","HAMPTON VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","95 patients",,,"HF-1 " "49006F","HAMPTON VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","25 patients",,,"PN-7 " "49006F","HAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","50 patients",,,"SCIP-INF-2 " "49006F","HAMPTON VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "49006F","HAMPTON VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","97 patients",,,"HF-2 " "49006F","HAMPTON VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "49006F","HAMPTON VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "49006F","HAMPTON VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","19 patients","1 ","1","PN-2 " "49006F","HAMPTON VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "49006F","HAMPTON VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","23 patients","1 ","1","PN-3B " "49006F","HAMPTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","50 patients",,,"SCIP-INF-3 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","199 patients","2 ","2","SCIP-VTE-1 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","219 patients","2 ","2","PN-5C " "490075","DANVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","69%","128 patients","2 ","2","PN-7 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-8A " "490075","DANVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","146 patients","2 ","2","PN-6 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","150 patients",,,"AMI-2 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","177 patients","2 ","2","PN-2 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","71%","34 patients",,,"AMI-7A " "490075","DANVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","288 patients","2 ","2","SCIP-INF-1 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","371 patients",,,"HF-2 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","151 patients",,,"AMI-5 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"AMI-4 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","278 patients","2 ","2","SCIP-INF-3 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","173 patients","2 ","2","PN-3B " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","120 patients",,,"HF-3 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","304 patients",,,"HF-1 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","189 patients",,,"AMI-1 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","443 patients","2 ","2","SCIP-INF-6 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","57 patients","2 ","2","SCIP-INF-4 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","70 patients","2 ","2","SCIP-CARD-2 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","75 patients","2 ","2","PN-4 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","76 patients",,,"HF-4 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","31 patients",,,"AMI-3 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","198 patients","2 ","2","SCIP-VTE-2 " "490075","DANVILLE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","288 patients","2 ","2","SCIP-INF-2 " "490077","MARTHA JEFFERSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","102 patients","2 ","2","PN-7 " "490077","MARTHA JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","305 patients","2 ","2","SCIP-INF-3 " "490077","MARTHA JEFFERSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","128 patients","2 ","2","PN-5C " "490077","MARTHA JEFFERSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","170 patients",,,"AMI-1 " "490077","MARTHA JEFFERSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","93 patients","2 ","2","PN-6 " "490077","MARTHA JEFFERSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","154 patients",,,"AMI-2 " "490077","MARTHA JEFFERSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"AMI-4 " "490077","MARTHA JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","63 patients","2 ","2","SCIP-CARD-2 " "490077","MARTHA JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","318 patients","2 ","2","SCIP-INF-2 " "490077","MARTHA JEFFERSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","38 patients",,,"AMI-8A " "490077","MARTHA JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","461 patients","2 ","2","SCIP-INF-6 " "490077","MARTHA JEFFERSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"HF-4 " "490077","MARTHA JEFFERSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","65 patients","2 ","2","PN-4 " "490077","MARTHA JEFFERSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","151 patients",,,"AMI-5 " "490077","MARTHA JEFFERSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490077","MARTHA JEFFERSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","118 patients",,,"HF-3 " "490077","MARTHA JEFFERSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","164 patients","2 ","2","PN-2 " "490077","MARTHA JEFFERSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","314 patients",,,"HF-2 " "490077","MARTHA JEFFERSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","32 patients",,,"AMI-3 " "490077","MARTHA JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490077","MARTHA JEFFERSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","109 patients","2 ","2","PN-3B " "490077","MARTHA JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","155 patients","2 ","2","SCIP-VTE-2 " "490077","MARTHA JEFFERSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","263 patients",,,"HF-1 " "490077","MARTHA JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","155 patients","2 ","2","SCIP-VTE-1 " "490077","MARTHA JEFFERSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","318 patients","2 ","2","SCIP-INF-1 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","133 patients",,,"SCIP-VTE-2 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","126 patients","2 ","2","PN-5C " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","214 patients",,,"SCIP-INF-1 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","332 patients",,,"SCIP-INF-6 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","134 patients",,,"SCIP-VTE-1 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","56 patients",,,"AMI-2 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","270 patients",,,"HF-2 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"HF-4 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","59 patients",,,"AMI-5 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","125 patients","2 ","2","PN-3B " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","106 patients",,,"HF-3 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","40 patients",,,"SCIP-CARD-2 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","AMI-4 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","62%","8 patients","1 ","1","AMI-8A " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","74 patients",,,"AMI-1 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","89 patients","2 ","2","PN-7 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients","2 ","2","PN-4 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","208 patients",,,"SCIP-INF-3 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","73 patients","2 ","2","PN-6 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","220 patients",,,"HF-1 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","214 patients",,,"SCIP-INF-2 " "490079","MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","126 patients","2 ","2","PN-2 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","93 patients",,,"SCIP-INF-2 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","139 patients",,,"SCIP-INF-6 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","66 patients",,,"PN-3B " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","46 patients",,,"PN-2 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","92 patients",,,"SCIP-INF-3 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","35 patients",,,"AMI-1 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","86 patients",,,"HF-2 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","92 patients",,,"SCIP-VTE-2 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","52 patients",,,"PN-6 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","61 patients",,,"PN-5C " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","93 patients",,,"SCIP-INF-1 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","16 patients","1 ","1","SCIP-CARD-2 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","67 patients",,,"HF-1 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","40 patients",,,"PN-7 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","34 patients",,,"HF-3 " "490084","RIVERSIDE TAPPAHANNOCK HOSP INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","92 patients",,,"SCIP-VTE-1 " "490088","BEDFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","59%","22 patients","1 ","1","SCIP-VTE-2 " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","13 patients","1 ","1","HF-3 " "490088","BEDFORD MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","68 patients",,,"PN-5C " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","34 patients",,,"HF-1 " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490088","BEDFORD MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","52 patients",,,"PN-2 " "490088","BEDFORD MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","77%","13 patients","1 ","1","PN-4 " "490088","BEDFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","73%","15 patients","1 ","1","SCIP-INF-1 " "490088","BEDFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","59%","22 patients","1 ","1","SCIP-VTE-1 " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","41 patients",,,"HF-2 " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "490088","BEDFORD MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","48 patients",,,"PN-6 " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "490088","BEDFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","15 patients","1 ","1","SCIP-INF-3 " "490088","BEDFORD MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","80 patients",,,"PN-3B " "490088","BEDFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","19 patients","1 ","1","SCIP-INF-2 " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "490088","BEDFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "490088","BEDFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","42 patients",,,"SCIP-INF-6 " "490088","BEDFORD MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490088","BEDFORD MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","29 patients",,,"PN-7 " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490088","BEDFORD MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","10 patients","1 ","1","AMI-1 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","58 patients",,,"PN-6 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","42 patients","2 ","2","SCIP-INF-2 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","61 patients",,,"HF-1 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","82 patients",,,"PN-5C " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","42 patients","2 ","2","SCIP-INF-3 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","HF-4 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","32 patients","2 ","2","SCIP-VTE-1 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","97 patients",,,"PN-3B " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","14 patients","1 ","1","AMI-1 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","88 patients",,,"HF-2 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","54 patients",,,"PN-7 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","31 patients","2 ","2","SCIP-VTE-2 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","66 patients","2 ","2","SCIP-INF-6 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","44 patients","2 ","2","SCIP-INF-1 " "490089","CARILION FRANKLIN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","61 patients",,,"PN-2 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","136 patients",,,"HF-2 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","25 patients",,,"HF-4 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","13 patients","1 ","1","AMI-5 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","48 patients",,,"SCIP-VTE-1 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","115 patients",,,"PN-5C " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","10 patients","1 ","1","AMI-2 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","11 patients","1 ","1","SCIP-CARD-2 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","49 patients",,,"SCIP-INF-3 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","48 patients",,,"SCIP-VTE-2 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","98 patients",,,"PN-2 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","120 patients",,,"PN-3B " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","52 patients",,,"SCIP-INF-1 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","55 patients",,,"SCIP-INF-2 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","56 patients",,,"HF-3 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","111 patients",,,"HF-1 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","98 patients",,,"SCIP-INF-6 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","67 patients",,,"PN-7 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","81 patients",,,"PN-6 " "490090","SOUTHSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","55 patients",,,"PN-6 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","88 patients","2 ","2","SCIP-INF-3 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","52 patients",,,"HF-3 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","118 patients",,,"HF-1 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","94 patients","2 ","2","SCIP-INF-1 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","57 patients","2 ","2","SCIP-VTE-1 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","52 patients",,,"PN-3B " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","74 patients",,,"PN-5C " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","118 patients","2 ","2","SCIP-INF-6 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","94 patients","2 ","2","SCIP-INF-2 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","15 patients","1,2 ","12","SCIP-CARD-2 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","62 patients",,,"PN-2 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","150 patients",,,"HF-2 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","PN-4 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","78%","9 patients","1 ","1","AMI-1 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","48 patients",,,"PN-7 " "490092","SOUTHAMPTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","57 patients","2 ","2","SCIP-VTE-2 " "490093","SENTARA CAREPLEX HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","98 patients",,,"AMI-2 " "490093","SENTARA CAREPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","341 patients","2 ","2","SCIP-INF-3 " "490093","SENTARA CAREPLEX HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","110 patients",,,"AMI-5 " "490093","SENTARA CAREPLEX HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","29 patients",,,"AMI-8A " "490093","SENTARA CAREPLEX HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","346 patients",,,"HF-1 " "490093","SENTARA CAREPLEX HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","126 patients",,,"AMI-1 " "490093","SENTARA CAREPLEX HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","72 patients","2 ","2","SCIP-CARD-2 " "490093","SENTARA CAREPLEX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","270 patients","2 ","2","SCIP-VTE-1 " "490093","SENTARA CAREPLEX HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"AMI-4 " "490093","SENTARA CAREPLEX HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","190 patients",,,"PN-2 " "490093","SENTARA CAREPLEX HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","151 patients",,,"PN-7 " "490093","SENTARA CAREPLEX HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","253 patients",,,"PN-3B " "490093","SENTARA CAREPLEX HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","74 patients",,,"PN-4 " "490093","SENTARA CAREPLEX HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","270 patients","2 ","2","SCIP-VTE-2 " "490093","SENTARA CAREPLEX HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490093","SENTARA CAREPLEX HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","71 patients",,,"HF-4 " "490093","SENTARA CAREPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","365 patients","2 ","2","SCIP-INF-1 " "490093","SENTARA CAREPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490093","SENTARA CAREPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","368 patients","2 ","2","SCIP-INF-2 " "490093","SENTARA CAREPLEX HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","AMI-3 " "490093","SENTARA CAREPLEX HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","134 patients",,,"HF-3 " "490093","SENTARA CAREPLEX HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","546 patients","2 ","2","SCIP-INF-6 " "490093","SENTARA CAREPLEX HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","241 patients",,,"PN-5C " "490093","SENTARA CAREPLEX HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","123 patients",,,"PN-6 " "490093","SENTARA CAREPLEX HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","399 patients",,,"HF-2 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","27 patients",,,"PN-7 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,3 ","13","SCIP-CARD-2 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","43 patients",,,"PN-6 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","42%","12 patients","1,3 ","13","SCIP-VTE-1 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","49 patients",,,"PN-5C " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","50%","4 patients","1,3 ","13","SCIP-INF-3 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","17 patients","1 ","1","PN-2 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1,3 ","13","SCIP-INF-6 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","7 patients","1 ","1","AMI-1 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1,3 ","13","SCIP-INF-1 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","86 patients",,,"HF-1 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"HF-3 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"PN-4 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","4 patients","1,3 ","13","SCIP-INF-2 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","93 patients",,,"HF-2 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","48 patients",,,"PN-3B " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","42%","12 patients","1,3 ","13","SCIP-VTE-2 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "490094","BON SECOURS - RICHMOND COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","21 patients","1,2 ","12","SCIP-INF-2 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","82 patients",,,"HF-3 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","26 patients",,,"AMI-5 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","26 patients","2 ","2","SCIP-VTE-2 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","20 patients","1,2 ","12","SCIP-INF-3 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","64 patients",,,"PN-7 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","86%","21 patients","1 ","1","AMI-2 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","240 patients",,,"HF-2 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","67 patients",,,"PN-3B " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","82 patients",,,"PN-2 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","212 patients",,,"HF-1 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","53 patients",,,"HF-4 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1,2 ","12","SCIP-CARD-2 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","96 patients",,,"PN-6 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","40 patients","2 ","2","SCIP-INF-6 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","26 patients","2 ","2","SCIP-VTE-1 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","43 patients",,,"AMI-1 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","134 patients",,,"PN-5C " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","21 patients","1,2 ","12","SCIP-INF-1 " "490097","SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "490098","COMMUNITY MEM HEALTHCENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","47 patients",,,"PN-6 " "490098","COMMUNITY MEM HEALTHCENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","60 patients",,,"HF-4 " "490098","COMMUNITY MEM HEALTHCENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","79 patients","2 ","2","SCIP-INF-2 " "490098","COMMUNITY MEM HEALTHCENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","112 patients","2 ","2","SCIP-VTE-2 " "490098","COMMUNITY MEM HEALTHCENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","13 patients","1,2 ","12","SCIP-CARD-2 " "490098","COMMUNITY MEM HEALTHCENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","86 patients",,,"PN-5C " "490098","COMMUNITY MEM HEALTHCENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","36 patients",,,"AMI-2 " "490098","COMMUNITY MEM HEALTHCENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","159 patients","2 ","2","SCIP-INF-6 " "490098","COMMUNITY MEM HEALTHCENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma",,,,,"CAC-3 " "490098","COMMUNITY MEM HEALTHCENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","71 patients",,,"PN-3B " "490098","COMMUNITY MEM HEALTHCENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","70 patients",,,"HF-3 " "490098","COMMUNITY MEM HEALTHCENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","78 patients","2 ","2","SCIP-INF-1 " "490098","COMMUNITY MEM HEALTHCENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","PN-4 " "490098","COMMUNITY MEM HEALTHCENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","3 patients","1 ","1","CAC-1 " "490098","COMMUNITY MEM HEALTHCENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","54 patients",,,"AMI-1 " "490098","COMMUNITY MEM HEALTHCENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","77 patients","2 ","2","SCIP-INF-3 " "490098","COMMUNITY MEM HEALTHCENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490098","COMMUNITY MEM HEALTHCENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","262 patients",,,"HF-2 " "490098","COMMUNITY MEM HEALTHCENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","3 patients","1 ","1","CAC-2 " "490098","COMMUNITY MEM HEALTHCENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490098","COMMUNITY MEM HEALTHCENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","93 patients",,,"PN-2 " "490098","COMMUNITY MEM HEALTHCENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "490098","COMMUNITY MEM HEALTHCENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490098","COMMUNITY MEM HEALTHCENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","114 patients","2 ","2","SCIP-VTE-1 " "490098","COMMUNITY MEM HEALTHCENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","55 patients",,,"PN-7 " "490098","COMMUNITY MEM HEALTHCENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","33 patients",,,"AMI-5 " "490098","COMMUNITY MEM HEALTHCENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","228 patients",,,"HF-1 " "490098","COMMUNITY MEM HEALTHCENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "490101","INOVA FAIR OAKS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","129 patients","2 ","2","PN-2 " "490101","INOVA FAIR OAKS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","174 patients","2 ","2","HF-1 " "490101","INOVA FAIR OAKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","160 patients","2 ","2","SCIP-VTE-1 " "490101","INOVA FAIR OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","284 patients","2 ","2","SCIP-INF-1 " "490101","INOVA FAIR OAKS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "490101","INOVA FAIR OAKS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","53 patients","2 ","2","SCIP-CARD-2 " "490101","INOVA FAIR OAKS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","44 patients",,,"AMI-1 " "490101","INOVA FAIR OAKS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","25 patients","2 ","2","PN-4 " "490101","INOVA FAIR OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","416 patients","2 ","2","SCIP-INF-6 " "490101","INOVA FAIR OAKS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","20 patients","1 ","1","AMI-2 " "490101","INOVA FAIR OAKS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","132 patients","2 ","2","PN-5C " "490101","INOVA FAIR OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490101","INOVA FAIR OAKS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","160 patients","2 ","2","SCIP-VTE-2 " "490101","INOVA FAIR OAKS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","HF-4 " "490101","INOVA FAIR OAKS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490101","INOVA FAIR OAKS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490101","INOVA FAIR OAKS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "490101","INOVA FAIR OAKS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","132 patients","2 ","2","PN-3B " "490101","INOVA FAIR OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","281 patients","2 ","2","SCIP-INF-3 " "490101","INOVA FAIR OAKS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","289 patients","2 ","2","SCIP-INF-2 " "490101","INOVA FAIR OAKS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","97 patients","2 ","2","PN-6 " "490101","INOVA FAIR OAKS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","56 patients","2 ","2","HF-3 " "490101","INOVA FAIR OAKS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","100 patients","2 ","2","PN-7 " "490101","INOVA FAIR OAKS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","25 patients",,,"AMI-5 " "490101","INOVA FAIR OAKS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","203 patients","2 ","2","HF-2 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "490105","SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "490106","WESTERN STATE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "490106","WESTERN STATE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "490106","WESTERN STATE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "490106","WESTERN STATE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "490106","WESTERN STATE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "490106","WESTERN STATE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "490106","WESTERN STATE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "490106","WESTERN STATE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "490106","WESTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "490106","WESTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "490106","WESTERN STATE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "490106","WESTERN STATE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "490106","WESTERN STATE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "490106","WESTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "490106","WESTERN STATE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "490106","WESTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "490106","WESTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "490106","WESTERN STATE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "490106","WESTERN STATE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "490106","WESTERN STATE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "490106","WESTERN STATE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "490106","WESTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "490106","WESTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "490106","WESTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "490106","WESTERN STATE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "490107","RESTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","235 patients","2 ","2","SCIP-VTE-2 " "490107","RESTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490107","RESTON HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","87 patients",,,"PN-6 " "490107","RESTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","517 patients","2 ","2","SCIP-INF-6 " "490107","RESTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","342 patients","2 ","2","SCIP-INF-1 " "490107","RESTON HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","84 patients",,,"PN-7 " "490107","RESTON HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","22 patients","1 ","1","AMI-2 " "490107","RESTON HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "490107","RESTON HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"HF-3 " "490107","RESTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","347 patients","2 ","2","SCIP-INF-2 " "490107","RESTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","328 patients","2 ","2","SCIP-INF-3 " "490107","RESTON HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "490107","RESTON HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","121 patients",,,"PN-2 " "490107","RESTON HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "490107","RESTON HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "490107","RESTON HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","131 patients",,,"PN-3B " "490107","RESTON HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "490107","RESTON HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","149 patients",,,"HF-1 " "490107","RESTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","235 patients","2 ","2","SCIP-VTE-1 " "490107","RESTON HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","37 patients",,,"AMI-1 " "490107","RESTON HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","185 patients",,,"HF-2 " "490107","RESTON HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","105 patients",,,"PN-5C " "490107","RESTON HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "490107","RESTON HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","41 patients","2 ","2","SCIP-CARD-2 " "490107","RESTON HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490109","EASTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "490109","EASTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "490109","EASTERN STATE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "490109","EASTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "490109","EASTERN STATE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","3 ","3","PN-7 " "490109","EASTERN STATE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","0%","1 patients","1,2,3 ","123","PN-5C " "490109","EASTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "490109","EASTERN STATE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "490109","EASTERN STATE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","HF-4 " "490109","EASTERN STATE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","2,3 ","23","PN-3B " "490109","EASTERN STATE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "490109","EASTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "490109","EASTERN STATE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "490109","EASTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "490109","EASTERN STATE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "490109","EASTERN STATE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "490109","EASTERN STATE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "490109","EASTERN STATE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "490109","EASTERN STATE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,2 ","12","HF-3 " "490109","EASTERN STATE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","2 patients","1,2,3 ","123","PN-2 " "490109","EASTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "490109","EASTERN STATE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","2,3 ","23","PN-6 " "490109","EASTERN STATE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "490109","EASTERN STATE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","2 patients","1,2 ","12","HF-2 " "490109","EASTERN STATE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","2 ","2","HF-1 " "49010F","RICHMOND VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","41 patients",,,"PN-4 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "49010F","RICHMOND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","182 patients","2 ","2","SCIP-VTE-2 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","AMI-4 " "49010F","RICHMOND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","182 patients","2 ","2","SCIP-VTE-1 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","111 patients",,,"HF-3 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","50 patients",,,"HF-4 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-7A " "49010F","RICHMOND VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","89 patients",,,"PN-3B " "49010F","RICHMOND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","319 patients",,,"SCIP-INF-2 " "49010F","RICHMOND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","210 patients","2 ","2","SCIP-CARD-2 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","54 patients",,,"AMI-5 " "49010F","RICHMOND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","127 patients","2 ","2","SCIP-INF-4 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","59 patients",,,"AMI-2 " "49010F","RICHMOND VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","82 patients",,,"PN-2 " "49010F","RICHMOND VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","66 patients",,,"PN-6 " "49010F","RICHMOND VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","67 patients",,,"PN-7 " "49010F","RICHMOND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","429 patients","2 ","2","SCIP-INF-6 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","209 patients",,,"HF-1 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","3 patients","1 ","1","AMI-8A " "49010F","RICHMOND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","285 patients",,,"SCIP-INF-3 " "49010F","RICHMOND VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","313 patients",,,"SCIP-INF-1 " "49010F","RICHMOND VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","219 patients",,,"HF-2 " "49010F","RICHMOND VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","105 patients",,,"PN-5C " "49010F","RICHMOND VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","56 patients",,,"AMI-1 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","108 patients",,,"PN-5C " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","31 patients",,,"AMI-2 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","15 patients","1 ","1","AMI-8A " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","103 patients",,,"PN-3B " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","73 patients",,,"PN-6 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","137 patients",,,"SCIP-VTE-2 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","94 patients",,,"HF-2 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","43 patients",,,"SCIP-CARD-2 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","267 patients",,,"SCIP-INF-2 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","79 patients",,,"PN-7 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","137 patients",,,"SCIP-VTE-1 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","265 patients",,,"SCIP-INF-1 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","HF-3 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","103 patients",,,"PN-2 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","68 patients",,,"HF-1 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","36 patients",,,"AMI-5 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","44 patients",,,"AMI-1 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","362 patients",,,"SCIP-INF-6 " "490110","MONTGOMERY REGIONAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","234 patients",,,"SCIP-INF-3 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","122 patients",,,"PN-3B " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","260 patients",,,"SCIP-INF-3 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","262 patients",,,"SCIP-INF-2 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","172 patients",,,"PN-5C " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","320 patients",,,"SCIP-INF-6 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","15 patients","1 ","1","AMI-2 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","24 patients","1 ","1","AMI-1 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","260 patients",,,"SCIP-INF-1 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","76 patients",,,"PN-4 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","124 patients",,,"PN-2 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","19 patients","1 ","1","HF-3 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","111 patients",,,"PN-7 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","91 patients",,,"SCIP-VTE-1 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","84 patients",,,"HF-2 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","30 patients",,,"SCIP-CARD-2 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","110 patients",,,"PN-6 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","91 patients",,,"SCIP-VTE-2 " "490111","WYTHE COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","60 patients",,,"HF-1 " "490112","CJW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","90 patients",,,"AMI-3 " "490112","CJW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","145 patients",,,"PN-4 " "490112","CJW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","915 patients","2 ","2","SCIP-INF-6 " "490112","CJW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","326 patients","2 ","2","SCIP-VTE-2 " "490112","CJW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","580 patients","2 ","2","SCIP-INF-1 " "490112","CJW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","72 patients",,,"AMI-8A " "490112","CJW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","161 patients","2 ","2","SCIP-INF-4 " "490112","CJW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","521 patients","2 ","2","SCIP-INF-3 " "490112","CJW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","129 patients",,,"HF-4 " "490112","CJW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","340 patients",,,"PN-3B " "490112","CJW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","355 patients",,,"AMI-1 " "490112","CJW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","349 patients",,,"AMI-5 " "490112","CJW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","744 patients",,,"HF-2 " "490112","CJW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","417 patients",,,"AMI-2 " "490112","CJW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","624 patients",,,"HF-1 " "490112","CJW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","125 patients","2 ","2","SCIP-CARD-2 " "490112","CJW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","225 patients",,,"HF-3 " "490112","CJW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","287 patients",,,"PN-2 " "490112","CJW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","196 patients",,,"AMI-4 " "490112","CJW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","585 patients","2 ","2","SCIP-INF-2 " "490112","CJW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","224 patients",,,"PN-7 " "490112","CJW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","297 patients",,,"PN-5C " "490112","CJW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","197 patients",,,"PN-6 " "490112","CJW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490112","CJW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","326 patients","2 ","2","SCIP-VTE-1 " "490113","POTOMAC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","201 patients","2 ","2","SCIP-INF-1 " "490113","POTOMAC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","317 patients","2 ","2","SCIP-INF-6 " "490113","POTOMAC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","53 patients",,,"AMI-5 " "490113","POTOMAC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","143 patients",,,"PN-5C " "490113","POTOMAC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","47 patients",,,"AMI-2 " "490113","POTOMAC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","AMI-4 " "490113","POTOMAC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","158 patients","2 ","2","SCIP-VTE-1 " "490113","POTOMAC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","93 patients",,,"PN-7 " "490113","POTOMAC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","190 patients",,,"PN-3B " "490113","POTOMAC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","221 patients",,,"HF-1 " "490113","POTOMAC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","158 patients","2 ","2","SCIP-VTE-2 " "490113","POTOMAC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","30 patients","2 ","2","SCIP-CARD-2 " "490113","POTOMAC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "490113","POTOMAC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490113","POTOMAC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "490113","POTOMAC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","106 patients",,,"PN-6 " "490113","POTOMAC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","109 patients",,,"PN-2 " "490113","POTOMAC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","64 patients",,,"HF-3 " "490113","POTOMAC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","2 patients","1,2 ","12","SCIP-INF-4 " "490113","POTOMAC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","252 patients",,,"HF-2 " "490113","POTOMAC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","202 patients","2 ","2","SCIP-INF-2 " "490113","POTOMAC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "490113","POTOMAC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","94 patients",,,"AMI-1 " "490113","POTOMAC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490113","POTOMAC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","196 patients","2 ","2","SCIP-INF-3 " "490114","WELLMONT LONESOME PINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","47 patients","2 ","2","SCIP-VTE-2 " "490114","WELLMONT LONESOME PINE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","47 patients","2 ","2","SCIP-VTE-1 " "490114","WELLMONT LONESOME PINE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","55 patients",,,"PN-7 " "490114","WELLMONT LONESOME PINE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","64 patients",,,"PN-3B " "490114","WELLMONT LONESOME PINE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","45 patients",,,"PN-6 " "490114","WELLMONT LONESOME PINE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","69 patients",,,"PN-2 " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1 ","1","AMI-4 " "490114","WELLMONT LONESOME PINE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1,2 ","12","SCIP-CARD-2 " "490114","WELLMONT LONESOME PINE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","48 patients",,,"PN-4 " "490114","WELLMONT LONESOME PINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","65 patients","2 ","2","SCIP-INF-1 " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","88%","58 patients",,,"AMI-1 " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","84%","43 patients",,,"AMI-5 " "490114","WELLMONT LONESOME PINE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","80 patients",,,"PN-5C " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490114","WELLMONT LONESOME PINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","26 patients",,,"HF-3 " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","38 patients",,,"AMI-2 " "490114","WELLMONT LONESOME PINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","88 patients","2 ","2","SCIP-INF-6 " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","83 patients",,,"HF-2 " "490114","WELLMONT LONESOME PINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","59 patients","2 ","2","SCIP-INF-3 " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "490114","WELLMONT LONESOME PINE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","67 patients","2 ","2","SCIP-INF-2 " "490114","WELLMONT LONESOME PINE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","67 patients",,,"HF-1 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","162 patients",,,"PN-2 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","118 patients",,,"SCIP-VTE-1 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","88 patients",,,"HF-1 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","202 patients",,,"SCIP-INF-6 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","118 patients",,,"SCIP-VTE-2 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490115","TWIN COUNTY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","26 patients",,,"SCIP-CARD-2 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","16 patients","1 ","1","AMI-1 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","54 patients",,,"PN-4 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","117 patients",,,"SCIP-INF-1 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490115","TWIN COUNTY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","122 patients",,,"PN-7 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","175 patients",,,"PN-5C " "490115","TWIN COUNTY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","126 patients",,,"HF-2 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","205 patients",,,"PN-3B " "490115","TWIN COUNTY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","101 patients",,,"SCIP-INF-3 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","144 patients",,,"PN-6 " "490115","TWIN COUNTY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","118 patients",,,"SCIP-INF-2 " "490116","PULASKI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "490116","PULASKI COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","89 patients",,,"PN-2 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","99 patients",,,"HF-2 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490116","PULASKI COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "490116","PULASKI COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","55 patients",,,"PN-6 " "490116","PULASKI COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","53 patients",,,"PN-7 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","15 patients","1 ","1","AMI-3 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490116","PULASKI COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","77 patients",,,"PN-5C " "490116","PULASKI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","40 patients",,,"SCIP-INF-3 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "490116","PULASKI COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","86 patients",,,"PN-3B " "490116","PULASKI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","84 patients",,,"SCIP-INF-6 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","41 patients",,,"AMI-1 " "490116","PULASKI COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "490116","PULASKI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","50 patients",,,"SCIP-INF-2 " "490116","PULASKI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","15 patients","1 ","1","SCIP-CARD-2 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","61 patients",,,"HF-1 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"HF-3 " "490116","PULASKI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","47 patients",,,"SCIP-VTE-2 " "490116","PULASKI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","47 patients",,,"SCIP-VTE-1 " "490116","PULASKI COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","32 patients",,,"AMI-2 " "490116","PULASKI COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","49 patients",,,"SCIP-INF-1 " "490117","TAZEWELL COMMUNITY HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","25%","4 patients","1,3 ","13","SCIP-VTE-2 " "490117","TAZEWELL COMMUNITY HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","53 patients",,,"PN-3B " "490117","TAZEWELL COMMUNITY HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","94 patients",,,"HF-2 " "490117","TAZEWELL COMMUNITY HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","15 patients","1 ","1","AMI-5 " "490117","TAZEWELL COMMUNITY HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "490117","TAZEWELL COMMUNITY HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "490117","TAZEWELL COMMUNITY HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","21 patients","1 ","1","AMI-1 " "490117","TAZEWELL COMMUNITY HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490117","TAZEWELL COMMUNITY HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"HF-4 " "490117","TAZEWELL COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "490117","TAZEWELL COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","5 patients","1,3 ","13","SCIP-INF-6 " "490117","TAZEWELL COMMUNITY HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","26 patients",,,"PN-7 " "490117","TAZEWELL COMMUNITY HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490117","TAZEWELL COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "490117","TAZEWELL COMMUNITY HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","55 patients",,,"PN-5C " "490117","TAZEWELL COMMUNITY HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "490117","TAZEWELL COMMUNITY HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "490117","TAZEWELL COMMUNITY HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","31 patients",,,"PN-6 " "490117","TAZEWELL COMMUNITY HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","20 patients","1 ","1","HF-3 " "490117","TAZEWELL COMMUNITY HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","25%","4 patients","1,3 ","13","SCIP-VTE-1 " "490117","TAZEWELL COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "490117","TAZEWELL COMMUNITY HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","68 patients",,,"HF-1 " "490117","TAZEWELL COMMUNITY HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","33 patients",,,"PN-2 " "490117","TAZEWELL COMMUNITY HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "490117","TAZEWELL COMMUNITY HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","53%","15 patients","1 ","1","AMI-2 " "490118","HENRICO DOCTORS' HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","154 patients","2 ","2","PN-6 " "490118","HENRICO DOCTORS' HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","245 patients","2 ","2","PN-2 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","236 patients",,,"AMI-5 " "490118","HENRICO DOCTORS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","800 patients","2 ","2","SCIP-INF-3 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","254 patients",,,"AMI-2 " "490118","HENRICO DOCTORS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","832 patients","2 ","2","SCIP-INF-1 " "490118","HENRICO DOCTORS' HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","144 patients","2 ","2","PN-3B " "490118","HENRICO DOCTORS' HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","252 patients","2 ","2","PN-5C " "490118","HENRICO DOCTORS' HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","608 patients","2 ","2","SCIP-VTE-2 " "490118","HENRICO DOCTORS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","181 patients","2 ","2","SCIP-INF-4 " "490118","HENRICO DOCTORS' HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","232 patients",,,"PN-7 " "490118","HENRICO DOCTORS' HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","123 patients","2 ","2","SCIP-CARD-2 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","32 patients",,,"AMI-8A " "490118","HENRICO DOCTORS' HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","608 patients","2 ","2","SCIP-VTE-1 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","250 patients","2 ","2","HF-1 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","351 patients","2 ","2","HF-2 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","109 patients","2 ","2","HF-3 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","44 patients","2 ","2","HF-4 " "490118","HENRICO DOCTORS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","841 patients","2 ","2","SCIP-INF-2 " "490118","HENRICO DOCTORS' HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","106 patients","2 ","2","PN-4 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","183 patients",,,"AMI-1 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","48 patients",,,"AMI-3 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490118","HENRICO DOCTORS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1271 patients","2 ","2","SCIP-INF-6 " "490118","HENRICO DOCTORS' HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","99 patients",,,"AMI-4 " "490119","SENTARA BAYSIDE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","75 patients",,,"AMI-5 " "490119","SENTARA BAYSIDE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490119","SENTARA BAYSIDE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","72 patients",,,"AMI-2 " "490119","SENTARA BAYSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","128 patients",,,"SCIP-INF-3 " "490119","SENTARA BAYSIDE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","139 patients",,,"PN-7 " "490119","SENTARA BAYSIDE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","84 patients",,,"AMI-1 " "490119","SENTARA BAYSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","132 patients",,,"SCIP-INF-1 " "490119","SENTARA BAYSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","117 patients",,,"SCIP-VTE-2 " "490119","SENTARA BAYSIDE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"AMI-4 " "490119","SENTARA BAYSIDE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","23 patients","1 ","1","SCIP-CARD-2 " "490119","SENTARA BAYSIDE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","23 patients","1 ","1","AMI-8A " "490119","SENTARA BAYSIDE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","134 patients",,,"PN-5C " "490119","SENTARA BAYSIDE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","19 patients","1 ","1","AMI-3 " "490119","SENTARA BAYSIDE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"PN-4 " "490119","SENTARA BAYSIDE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"HF-4 " "490119","SENTARA BAYSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490119","SENTARA BAYSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","135 patients",,,"SCIP-INF-2 " "490119","SENTARA BAYSIDE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","227 patients",,,"SCIP-INF-6 " "490119","SENTARA BAYSIDE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","117 patients",,,"SCIP-VTE-1 " "490119","SENTARA BAYSIDE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","186 patients",,,"HF-2 " "490119","SENTARA BAYSIDE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","95 patients",,,"PN-6 " "490119","SENTARA BAYSIDE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","148 patients",,,"PN-3B " "490119","SENTARA BAYSIDE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","70 patients",,,"HF-3 " "490119","SENTARA BAYSIDE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","162 patients",,,"HF-1 " "490119","SENTARA BAYSIDE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","145 patients",,,"PN-2 " "49011F","SALEM VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"HF-4 " "49011F","SALEM VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","0%","3 patients","1 ","1","AMI-8A " "49011F","SALEM VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","40 patients",,,"PN-4 " "49011F","SALEM VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","137 patients",,,"HF-1 " "49011F","SALEM VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","118 patients",,,"PN-2 " "49011F","SALEM VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","111 patients",,,"PN-5C " "49011F","SALEM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","122 patients","2 ","2","SCIP-VTE-2 " "49011F","SALEM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "49011F","SALEM VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","60 patients",,,"HF-3 " "49011F","SALEM VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","28 patients",,,"AMI-5 " "49011F","SALEM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","118 patients",,,"SCIP-INF-3 " "49011F","SALEM VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","36 patients",,,"AMI-1 " "49011F","SALEM VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "49011F","SALEM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","122 patients","2 ","2","SCIP-VTE-1 " "49011F","SALEM VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","AMI-4 " "49011F","SALEM VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "49011F","SALEM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","123 patients",,,"SCIP-INF-2 " "49011F","SALEM VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","67 patients",,,"PN-6 " "49011F","SALEM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","54 patients","2 ","2","SCIP-CARD-2 " "49011F","SALEM VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","79 patients",,,"PN-7 " "49011F","SALEM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","123 patients",,,"SCIP-INF-1 " "49011F","SALEM VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","157 patients",,,"HF-2 " "49011F","SALEM VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","27 patients",,,"AMI-2 " "49011F","SALEM VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","98 patients",,,"PN-3B " "49011F","SALEM VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","181 patients","2 ","2","SCIP-INF-6 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","230 patients",,,"AMI-1 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"AMI-3 " "490120","CHESAPEAKE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","201 patients","2 ","2","SCIP-VTE-1 " "490120","CHESAPEAKE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","438 patients","2 ","2","SCIP-INF-6 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","186 patients",,,"HF-3 " "490120","CHESAPEAKE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","302 patients","2 ","2","SCIP-INF-1 " "490120","CHESAPEAKE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","293 patients",,,"PN-5C " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"HF-4 " "490120","CHESAPEAKE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","284 patients",,,"PN-2 " "490120","CHESAPEAKE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","201 patients","2 ","2","SCIP-VTE-2 " "490120","CHESAPEAKE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","220 patients",,,"PN-7 " "490120","CHESAPEAKE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","179 patients",,,"PN-6 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"AMI-4 " "490120","CHESAPEAKE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","491 patients",,,"HF-2 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","51 patients",,,"AMI-8A " "490120","CHESAPEAKE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","306 patients","2 ","2","SCIP-INF-2 " "490120","CHESAPEAKE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","297 patients",,,"PN-3B " "490120","CHESAPEAKE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","271 patients","2 ","2","SCIP-INF-3 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","421 patients",,,"HF-1 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","191 patients",,,"AMI-2 " "490120","CHESAPEAKE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","117 patients",,,"PN-4 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490120","CHESAPEAKE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","63 patients","2 ","2","SCIP-CARD-2 " "490120","CHESAPEAKE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","196 patients",,,"AMI-5 " "490122","INOVA MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","208 patients","2 ","2","SCIP-INF-1 " "490122","INOVA MOUNT VERNON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","67 patients",,,"PN-7 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","50 patients",,,"AMI-1 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","215 patients",,,"HF-2 " "490122","INOVA MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","45 patients","2 ","2","SCIP-CARD-2 " "490122","INOVA MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","142 patients","2 ","2","SCIP-VTE-2 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490122","INOVA MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"HF-4 " "490122","INOVA MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","143 patients","2 ","2","SCIP-VTE-1 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","24 patients","1 ","1","AMI-5 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "490122","INOVA MOUNT VERNON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","66 patients",,,"PN-6 " "490122","INOVA MOUNT VERNON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","97 patients",,,"PN-3B " "490122","INOVA MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","210 patients","2 ","2","SCIP-INF-2 " "490122","INOVA MOUNT VERNON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","23 patients","1 ","1","AMI-2 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","173 patients",,,"HF-1 " "490122","INOVA MOUNT VERNON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","93 patients",,,"PN-2 " "490122","INOVA MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","205 patients","2 ","2","SCIP-INF-3 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","58 patients",,,"HF-3 " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490122","INOVA MOUNT VERNON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "490122","INOVA MOUNT VERNON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","334 patients","2 ","2","SCIP-INF-6 " "490122","INOVA MOUNT VERNON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","106 patients",,,"PN-5C " "490123","RAPPAHANNOCK GENL HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","136 patients",,,"SCIP-INF-6 " "490123","RAPPAHANNOCK GENL HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","46 patients",,,"HF-1 " "490123","RAPPAHANNOCK GENL HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490123","RAPPAHANNOCK GENL HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490123","RAPPAHANNOCK GENL HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "490123","RAPPAHANNOCK GENL HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","13 patients","1 ","1","SCIP-CARD-2 " "490123","RAPPAHANNOCK GENL HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "490123","RAPPAHANNOCK GENL HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","18 patients","1 ","1","AMI-1 " "490123","RAPPAHANNOCK GENL HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","50 patients",,,"HF-2 " "490123","RAPPAHANNOCK GENL HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","42 patients",,,"PN-6 " "490123","RAPPAHANNOCK GENL HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "490123","RAPPAHANNOCK GENL HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","46 patients",,,"PN-7 " "490123","RAPPAHANNOCK GENL HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","70 patients",,,"PN-2 " "490123","RAPPAHANNOCK GENL HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","71 patients",,,"SCIP-VTE-1 " "490123","RAPPAHANNOCK GENL HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","81 patients",,,"SCIP-INF-2 " "490123","RAPPAHANNOCK GENL HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "490123","RAPPAHANNOCK GENL HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","71 patients",,,"SCIP-VTE-2 " "490123","RAPPAHANNOCK GENL HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","81 patients",,,"SCIP-INF-1 " "490123","RAPPAHANNOCK GENL HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","10 patients","1 ","1","AMI-5 " "490123","RAPPAHANNOCK GENL HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490123","RAPPAHANNOCK GENL HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","66 patients",,,"PN-5C " "490123","RAPPAHANNOCK GENL HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","75 patients",,,"SCIP-INF-3 " "490123","RAPPAHANNOCK GENL HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","16 patients","1 ","1","HF-3 " "490123","RAPPAHANNOCK GENL HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","58 patients",,,"PN-3B " "490123","RAPPAHANNOCK GENL HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","PN-4 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","150 patients",,,"HF-1 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "490126","ALLEGHANY REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","127 patients",,,"PN-2 " "490126","ALLEGHANY REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"PN-4 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","20 patients","1 ","1","AMI-1 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1 ","1","AMI-5 " "490126","ALLEGHANY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","123 patients",,,"SCIP-VTE-1 " "490126","ALLEGHANY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","191 patients",,,"SCIP-INF-3 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "490126","ALLEGHANY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490126","ALLEGHANY REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","143 patients",,,"PN-5C " "490126","ALLEGHANY REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","92 patients",,,"PN-7 " "490126","ALLEGHANY REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","80 patients",,,"PN-6 " "490126","ALLEGHANY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","245 patients",,,"SCIP-INF-6 " "490126","ALLEGHANY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","197 patients",,,"SCIP-INF-1 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","187 patients",,,"HF-2 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "490126","ALLEGHANY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "490126","ALLEGHANY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","123 patients",,,"SCIP-VTE-2 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490126","ALLEGHANY REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","124 patients",,,"PN-3B " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"HF-3 " "490126","ALLEGHANY REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","200 patients",,,"SCIP-INF-2 " "490126","ALLEGHANY REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","65 patients",,,"HF-1 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490127","BUCHANAN GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","44 patients",,,"PN-7 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490127","BUCHANAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","7 patients","1,2 ","12","SCIP-INF-2 " "490127","BUCHANAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1,2 ","12","SCIP-INF-1 " "490127","BUCHANAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","17%","6 patients","1,2 ","12","SCIP-INF-3 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "490127","BUCHANAN GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "490127","BUCHANAN GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","65 patients",,,"PN-2 " "490127","BUCHANAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","33%","27 patients","2 ","2","SCIP-VTE-2 " "490127","BUCHANAN GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","87 patients",,,"PN-3B " "490127","BUCHANAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","33%","27 patients","2 ","2","SCIP-VTE-1 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","HF-3 " "490127","BUCHANAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","5 patients","1,2 ","12","SCIP-CARD-2 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","69 patients",,,"HF-2 " "490127","BUCHANAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","36 patients","2 ","2","SCIP-INF-6 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "490127","BUCHANAN GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","100 patients",,,"PN-5C " "490127","BUCHANAN GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "490127","BUCHANAN GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "490127","BUCHANAN GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","61 patients",,,"PN-6 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","37 patients",,,"HF-3 " "490130","RIVERSIDE WALTER REED HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","131 patients",,,"PN-2 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","101 patients",,,"HF-1 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","84%","19 patients","1 ","1","AMI-2 " "490130","RIVERSIDE WALTER REED HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","186 patients",,,"PN-3B " "490130","RIVERSIDE WALTER REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","146 patients",,,"SCIP-INF-1 " "490130","RIVERSIDE WALTER REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","73%","145 patients",,,"SCIP-INF-2 " "490130","RIVERSIDE WALTER REED HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","41 patients",,,"PN-4 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","39 patients",,,"AMI-1 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490130","RIVERSIDE WALTER REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","204 patients",,,"SCIP-INF-6 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","126 patients",,,"HF-2 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "490130","RIVERSIDE WALTER REED HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","158 patients",,,"PN-5C " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "490130","RIVERSIDE WALTER REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","139 patients",,,"SCIP-INF-3 " "490130","RIVERSIDE WALTER REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490130","RIVERSIDE WALTER REED HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","61%","99 patients",,,"SCIP-VTE-1 " "490130","RIVERSIDE WALTER REED HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","132 patients",,,"PN-6 " "490130","RIVERSIDE WALTER REED HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","32 patients",,,"SCIP-CARD-2 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1 ","1","AMI-3 " "490130","RIVERSIDE WALTER REED HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "490130","RIVERSIDE WALTER REED HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","98 patients",,,"SCIP-VTE-2 " "490130","RIVERSIDE WALTER REED HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","92 patients",,,"PN-7 " "490134","PIEDMONT GERIATRIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "490134","PIEDMONT GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "490134","PIEDMONT GERIATRIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "490134","PIEDMONT GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "490134","PIEDMONT GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "490134","PIEDMONT GERIATRIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "490134","PIEDMONT GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "490134","PIEDMONT GERIATRIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "490134","PIEDMONT GERIATRIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "490134","PIEDMONT GERIATRIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "490134","PIEDMONT GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "490134","PIEDMONT GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "490134","PIEDMONT GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "490134","PIEDMONT GERIATRIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "490134","PIEDMONT GERIATRIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","86 patients",,,"HF-3 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","992 patients",,,"SCIP-INF-6 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","104 patients",,,"PN-6 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","740 patients",,,"SCIP-INF-1 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","372 patients",,,"SCIP-VTE-2 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","731 patients",,,"SCIP-INF-3 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","103 patients",,,"PN-2 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","209 patients",,,"HF-1 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","61 patients",,,"AMI-5 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","238 patients",,,"HF-2 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","126 patients",,,"SCIP-CARD-2 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","89 patients",,,"AMI-1 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","373 patients",,,"SCIP-VTE-1 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","138 patients",,,"PN-5C " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","741 patients",,,"SCIP-INF-2 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","86 patients",,,"PN-7 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"HF-4 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","63 patients",,,"AMI-2 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","15 patients","1 ","1","AMI-8A " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "490136","BON SECOURS - ST FRANCIS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","137 patients",,,"PN-3B " "490140","STAFFORD HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "490140","STAFFORD HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "490140","STAFFORD HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "490140","STAFFORD HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "490140","STAFFORD HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "490140","STAFFORD HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "490140","STAFFORD HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "490140","STAFFORD HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "490140","STAFFORD HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "490140","STAFFORD HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "490140","STAFFORD HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "490140","STAFFORD HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "490140","STAFFORD HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "490140","STAFFORD HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "490140","STAFFORD HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "490140","STAFFORD HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "490140","STAFFORD HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "490140","STAFFORD HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "490140","STAFFORD HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "490140","STAFFORD HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "490140","STAFFORD HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "490140","STAFFORD HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "490140","STAFFORD HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "490140","STAFFORD HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "490140","STAFFORD HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1 ","1","HF-4 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","29 patients",,,"PN-6 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","36 patients",,,"PN-3B " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","9 patients","1 ","1","HF-3 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","34 patients",,,"PN-5C " "491300","BATH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","64%","36 patients",,,"PN-2 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","24 patients","1 ","1","PN-7 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "491300","BATH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","56%","34 patients",,,"HF-2 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","28 patients",,,"HF-1 " "491300","BATH COUNTY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "491302","CARILION GILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","15 patients","1,3 ","13","SCIP-INF-6 " "491302","CARILION GILES MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","85 patients",,,"PN-3B " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","69 patients",,,"HF-2 " "491302","CARILION GILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","33%","3 patients","1,3 ","13","SCIP-INF-3 " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "491302","CARILION GILES MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","70 patients",,,"PN-2 " "491302","CARILION GILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","12 patients","1 ","1","AMI-5 " "491302","CARILION GILES MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","56 patients",,,"PN-6 " "491302","CARILION GILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","67%","3 patients","1,3 ","13","SCIP-INF-1 " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","9 patients","1 ","1","AMI-2 " "491302","CARILION GILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,3 ","13","SCIP-CARD-2 " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "491302","CARILION GILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,3 ","13","SCIP-INF-2 " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","51 patients",,,"HF-1 " "491302","CARILION GILES MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","49 patients",,,"PN-7 " "491302","CARILION GILES MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "491302","CARILION GILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","12 patients","1,3 ","13","SCIP-VTE-1 " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "491302","CARILION GILES MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "491302","CARILION GILES MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","82 patients",,,"PN-5C " "491302","CARILION GILES MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","12 patients","1,3 ","13","SCIP-VTE-2 " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "491303","DICKENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "491303","DICKENSON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1,3 ","13","PN-3B " "491303","DICKENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "491303","DICKENSON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1,3 ","13","PN-2 " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "491303","DICKENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "491303","DICKENSON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "491303","DICKENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "491303","DICKENSON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "491303","DICKENSON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,3 ","13","PN-6 " "491303","DICKENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "491303","DICKENSON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "491303","DICKENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "491303","DICKENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "491303","DICKENSON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "491303","DICKENSON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","51 patients",,,"HF-1 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","54 patients",,,"PN-3B " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "491304","CARILION STONEWALL JACKSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","46 patients",,,"PN-6 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","15 patients","1,3 ","13","SCIP-VTE-1 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","21 patients","1,3 ","13","SCIP-INF-1 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "491304","CARILION STONEWALL JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","15 patients","1,3 ","13","SCIP-VTE-2 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","7 patients","1 ","1","SCIP-CARD-2 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","21 patients","1,3 ","13","SCIP-INF-3 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","60 patients",,,"HF-2 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","21 patients","1 ","1","AMI-1 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","13 patients","1 ","1","AMI-5 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","HF-3 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","34 patients",,,"PN-7 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","54 patients",,,"PN-5C " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","53 patients",,,"PN-2 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients","3 ","3","SCIP-INF-6 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","21 patients","1,3 ","13","SCIP-INF-2 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","13 patients","1 ","1","AMI-2 " "491304","CARILION STONEWALL JACKSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","PN-4 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","95 patients",,,"SCIP-VTE-2 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","95 patients",,,"SCIP-VTE-1 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","113 patients",,,"SCIP-INF-3 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "491305","SHENANDOAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","121 patients",,,"SCIP-INF-1 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","91 patients",,,"PN-6 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","47 patients",,,"HF-1 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "491305","SHENANDOAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","174 patients",,,"SCIP-INF-6 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","103 patients",,,"PN-7 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","121 patients",,,"SCIP-INF-2 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","30 patients",,,"SCIP-CARD-2 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","116 patients",,,"PN-2 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","63 patients",,,"HF-2 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"PN-4 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","99 patients",,,"PN-3B " "491305","SHENANDOAH MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","114 patients",,,"PN-5C " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1 ","1","AMI-5 " "491305","SHENANDOAH MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "491306","PATRICK HOSPITAL, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "491306","PATRICK HOSPITAL, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "491306","PATRICK HOSPITAL, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "491306","PATRICK HOSPITAL, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "491306","PATRICK HOSPITAL, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "491306","PATRICK HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "491306","PATRICK HOSPITAL, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","3 ","3","PN-7 " "491306","PATRICK HOSPITAL, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "491306","PATRICK HOSPITAL, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "491306","PATRICK HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "491306","PATRICK HOSPITAL, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "491306","PATRICK HOSPITAL, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "491306","PATRICK HOSPITAL, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "491306","PATRICK HOSPITAL, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "491306","PATRICK HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "491306","PATRICK HOSPITAL, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "491306","PATRICK HOSPITAL, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "491306","PATRICK HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "491306","PATRICK HOSPITAL, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "491306","PATRICK HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "491306","PATRICK HOSPITAL, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "491306","PATRICK HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "491306","PATRICK HOSPITAL, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "491306","PATRICK HOSPITAL, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "491306","PATRICK HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "491307","PAGE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","37 patients",,,"HF-1 " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","16 patients","1 ","1","HF-3 " "491307","PAGE MEMORIAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","32 patients",,,"PN-6 " "491307","PAGE MEMORIAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","54 patients",,,"PN-5C " "491307","PAGE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "491307","PAGE MEMORIAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","54 patients",,,"PN-2 " "491307","PAGE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","51 patients",,,"HF-2 " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","88%","8 patients","1,3 ","13","AMI-5 " "491307","PAGE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "491307","PAGE MEMORIAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","40 patients",,,"PN-7 " "491307","PAGE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "491307","PAGE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1,3 ","13","AMI-1 " "491307","PAGE MEMORIAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","39 patients",,,"PN-3B " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1,3 ","13","AMI-2 " "491307","PAGE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "491307","PAGE MEMORIAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","11 patients","1 ","1","PN-4 " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "491307","PAGE MEMORIAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "491307","PAGE MEMORIAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "500001","NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","390 patients","2 ","2","SCIP-INF-3 " "500001","NORTHWEST HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","162 patients",,,"PN-6 " "500001","NORTHWEST HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"AMI-4 " "500001","NORTHWEST HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "500001","NORTHWEST HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","111 patients",,,"AMI-1 " "500001","NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","274 patients","2 ","2","SCIP-VTE-1 " "500001","NORTHWEST HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","71 patients",,,"HF-3 " "500001","NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","408 patients","2 ","2","SCIP-INF-1 " "500001","NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","44 patients","2 ","2","SCIP-INF-4 " "500001","NORTHWEST HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500001","NORTHWEST HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","223 patients",,,"HF-2 " "500001","NORTHWEST HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","181 patients",,,"HF-1 " "500001","NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","273 patients","2 ","2","SCIP-VTE-2 " "500001","NORTHWEST HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","104 patients",,,"AMI-2 " "500001","NORTHWEST HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "500001","NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","405 patients","2 ","2","SCIP-INF-2 " "500001","NORTHWEST HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","249 patients",,,"PN-5C " "500001","NORTHWEST HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","101 patients",,,"AMI-5 " "500001","NORTHWEST HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"PN-4 " "500001","NORTHWEST HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","155 patients",,,"PN-7 " "500001","NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","613 patients","2 ","2","SCIP-INF-6 " "500001","NORTHWEST HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","245 patients",,,"PN-2 " "500001","NORTHWEST HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","272 patients",,,"PN-3B " "500001","NORTHWEST HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","30 patients",,,"AMI-8A " "500001","NORTHWEST HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","66 patients","2 ","2","SCIP-CARD-2 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","316 patients",,,"SCIP-INF-3 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","462 patients",,,"SCIP-INF-6 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","44 patients",,,"SCIP-CARD-2 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","89 patients",,,"PN-6 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","322 patients",,,"SCIP-INF-1 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"PN-4 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","87 patients",,,"PN-7 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","319 patients",,,"SCIP-INF-2 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","210 patients",,,"SCIP-VTE-1 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","62 patients",,,"HF-1 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","120 patients",,,"PN-3B " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","209 patients",,,"SCIP-VTE-2 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1 ","1","SCIP-INF-4 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","143 patients",,,"PN-5C " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","123 patients",,,"PN-2 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "500002","PROVIDENCE ST MARY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","80 patients",,,"HF-2 " "500003","SKAGIT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","202 patients","2 ","2","SCIP-VTE-2 " "500003","SKAGIT VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","124 patients",,,"HF-1 " "500003","SKAGIT VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","142 patients",,,"PN-6 " "500003","SKAGIT VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"AMI-4 " "500003","SKAGIT VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","157 patients",,,"HF-2 " "500003","SKAGIT VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","221 patients",,,"PN-2 " "500003","SKAGIT VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "500003","SKAGIT VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "500003","SKAGIT VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","104 patients",,,"AMI-1 " "500003","SKAGIT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","325 patients","2 ","2","SCIP-INF-2 " "500003","SKAGIT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","323 patients","2 ","2","SCIP-INF-1 " "500003","SKAGIT VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","166 patients",,,"PN-7 " "500003","SKAGIT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","309 patients","2 ","2","SCIP-INF-3 " "500003","SKAGIT VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","128 patients",,,"AMI-2 " "500003","SKAGIT VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","220 patients",,,"PN-5C " "500003","SKAGIT VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","44 patients",,,"HF-3 " "500003","SKAGIT VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","27 patients",,,"AMI-8A " "500003","SKAGIT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","202 patients","2 ","2","SCIP-VTE-1 " "500003","SKAGIT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","466 patients","2 ","2","SCIP-INF-6 " "500003","SKAGIT VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","125 patients",,,"AMI-5 " "500003","SKAGIT VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","209 patients",,,"PN-3B " "500003","SKAGIT VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","80 patients",,,"PN-4 " "500003","SKAGIT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "500003","SKAGIT VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500003","SKAGIT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","53 patients","2 ","2","SCIP-CARD-2 " "500005","VIRGINIA MASON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","561 patients","2 ","2","SCIP-INF-3 " "500005","VIRGINIA MASON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","124 patients","2 ","2","PN-7 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"HF-4 " "500005","VIRGINIA MASON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","123 patients","2 ","2","SCIP-CARD-2 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","37 patients",,,"AMI-3 " "500005","VIRGINIA MASON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","67 patients","2 ","2","PN-6 " "500005","VIRGINIA MASON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","55 patients","2 ","2","PN-4 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","390 patients",,,"HF-2 " "500005","VIRGINIA MASON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","829 patients","2 ","2","SCIP-INF-6 " "500005","VIRGINIA MASON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","252 patients","2 ","2","SCIP-VTE-1 " "500005","VIRGINIA MASON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","125 patients","2 ","2","PN-3B " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","270 patients",,,"AMI-5 " "500005","VIRGINIA MASON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","220 patients","2 ","2","SCIP-INF-4 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","46 patients",,,"AMI-4 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","275 patients",,,"AMI-2 " "500005","VIRGINIA MASON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","252 patients","2 ","2","SCIP-VTE-2 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","324 patients",,,"HF-1 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","204 patients",,,"AMI-1 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500005","VIRGINIA MASON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","598 patients","2 ","2","SCIP-INF-1 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","116 patients",,,"HF-3 " "500005","VIRGINIA MASON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","171 patients","2 ","2","PN-2 " "500005","VIRGINIA MASON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","35 patients",,,"AMI-8A " "500005","VIRGINIA MASON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","604 patients","2 ","2","SCIP-INF-2 " "500005","VIRGINIA MASON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","133 patients","2 ","2","PN-5C " "500007","ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","413 patients",,,"SCIP-INF-6 " "500007","ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","284 patients",,,"SCIP-INF-3 " "500007","ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","48 patients",,,"SCIP-CARD-2 " "500007","ISLAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","92 patients",,,"PN-3B " "500007","ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "500007","ISLAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500007","ISLAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","11 patients","1 ","1","AMI-5 " "500007","ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","76%","189 patients",,,"SCIP-VTE-2 " "500007","ISLAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "500007","ISLAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "500007","ISLAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500007","ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","193 patients",,,"SCIP-VTE-1 " "500007","ISLAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","60 patients",,,"PN-7 " "500007","ISLAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","100 patients",,,"PN-5C " "500007","ISLAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","58%","24 patients","1 ","1","PN-4 " "500007","ISLAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","118 patients",,,"PN-2 " "500007","ISLAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "500007","ISLAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","47 patients",,,"HF-1 " "500007","ISLAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","4 patients","1 ","1","AMI-3 " "500007","ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","285 patients",,,"SCIP-INF-1 " "500007","ISLAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","61 patients",,,"HF-2 " "500007","ISLAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","62 patients",,,"PN-6 " "500007","ISLAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","76%","21 patients","1 ","1","HF-3 " "500007","ISLAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","14%","7 patients","1 ","1","HF-4 " "500007","ISLAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","285 patients",,,"SCIP-INF-2 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","42%","12 patients","1,2 ","12","AMI-8A " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","298 patients","2 ","2","HF-1 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","82 patients","2 ","2","PN-2 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","73 patients","2 ","2","AMI-2 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1,2 ","12","AMI-4 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","107 patients","2 ","2","PN-3B " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","373 patients","2 ","2","SCIP-INF-1 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1,2 ","12","AMI-3 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","359 patients","2 ","2","SCIP-INF-3 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","191 patients","2 ","2","HF-3 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","324 patients","2 ","2","HF-2 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","70 patients","2 ","2","PN-7 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","61 patients","2 ","2","AMI-1 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","90 patients","2 ","2","AMI-5 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","PN-4 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","106 patients","2 ","2","PN-5C " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","127 patients","2 ","2","SCIP-INF-4 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","573 patients","2 ","2","SCIP-INF-6 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","47 patients","2 ","2","HF-4 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","249 patients","2 ","2","SCIP-VTE-2 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","249 patients","2 ","2","SCIP-VTE-1 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","50 patients","2 ","2","PN-6 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","85 patients","2 ","2","SCIP-CARD-2 " "500008","UNIVERSITY OF WASHINGTON MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","372 patients","2 ","2","SCIP-INF-2 " "500011","HIGHLINE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","44 patients",,,"HF-4 " "500011","HIGHLINE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","225 patients",,,"PN-2 " "500011","HIGHLINE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","39 patients",,,"AMI-8A " "500011","HIGHLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","337 patients",,,"SCIP-INF-1 " "500011","HIGHLINE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500011","HIGHLINE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","161 patients",,,"PN-7 " "500011","HIGHLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","68 patients",,,"SCIP-CARD-2 " "500011","HIGHLINE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","211 patients",,,"HF-2 " "500011","HIGHLINE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","219 patients",,,"PN-3B " "500011","HIGHLINE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","AMI-4 " "500011","HIGHLINE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","249 patients",,,"PN-5C " "500011","HIGHLINE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","103 patients",,,"AMI-1 " "500011","HIGHLINE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","90 patients",,,"PN-4 " "500011","HIGHLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","259 patients",,,"SCIP-VTE-1 " "500011","HIGHLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","337 patients",,,"SCIP-INF-2 " "500011","HIGHLINE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","85 patients",,,"AMI-5 " "500011","HIGHLINE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","167 patients",,,"PN-6 " "500011","HIGHLINE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","35 patients",,,"HF-3 " "500011","HIGHLINE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","163 patients",,,"HF-1 " "500011","HIGHLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","562 patients",,,"SCIP-INF-6 " "500011","HIGHLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "500011","HIGHLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","322 patients",,,"SCIP-INF-3 " "500011","HIGHLINE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","259 patients",,,"SCIP-VTE-2 " "500011","HIGHLINE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","AMI-3 " "500011","HIGHLINE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","87 patients",,,"AMI-2 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","213 patients",,,"SCIP-VTE-1 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","105 patients",,,"AMI-4 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","229 patients",,,"AMI-5 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","556 patients",,,"SCIP-INF-6 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","327 patients",,,"SCIP-INF-1 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","60 patients",,,"PN-7 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","64 patients",,,"PN-6 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","72 patients",,,"PN-2 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","337 patients",,,"SCIP-INF-2 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","104 patients",,,"SCIP-CARD-2 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-2 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","86 patients",,,"PN-5C " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","212 patients",,,"SCIP-VTE-2 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","221 patients",,,"AMI-2 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","323 patients",,,"SCIP-INF-3 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","4 patients","1 ","1","CAC-1 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","237 patients",,,"HF-2 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"HF-4 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","82%","206 patients",,,"SCIP-INF-4 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","158 patients",,,"AMI-1 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","208 patients",,,"HF-1 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","82 patients",,,"HF-3 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","84 patients",,,"PN-3B " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","25%","4 patients","1 ","1","CAC-3 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","41 patients",,,"AMI-8A " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"AMI-3 " "500012","YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"PN-4 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","490 patients",,,"PN-7 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","480 patients","2 ","2","SCIP-INF-2 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","471 patients","2 ","2","SCIP-INF-1 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","466 patients",,,"HF-2 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","172 patients","2 ","2","SCIP-VTE-1 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","639 patients","2 ","2","SCIP-INF-6 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","148 patients","2 ","2","SCIP-INF-4 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","191 patients",,,"AMI-4 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","116 patients","2 ","2","SCIP-CARD-2 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","595 patients",,,"PN-3B " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","409 patients",,,"HF-1 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","560 patients",,,"AMI-5 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","443 patients","2 ","2","SCIP-INF-3 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","171 patients","2 ","2","SCIP-VTE-2 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","546 patients",,,"AMI-2 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","89%","119 patients",,,"AMI-8A " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","622 patients",,,"PN-2 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","428 patients",,,"PN-6 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","331 patients",,,"PN-4 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","625 patients",,,"PN-5C " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","156 patients",,,"HF-3 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","82 patients",,,"AMI-3 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","79 patients",,,"HF-4 " "500014","PROVIDENCE REGIONAL MEDICAL CENTER EVERETT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","446 patients",,,"AMI-1 " "500015","AUBURN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","63%","117 patients","2 ","2","SCIP-VTE-1 " "500015","AUBURN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500015","AUBURN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","94 patients","2 ","2","SCIP-INF-3 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","70%","40 patients",,,"AMI-8A " "500015","AUBURN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","87%","95 patients","2 ","2","SCIP-INF-2 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","36 patients",,,"AMI-4 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","38 patients",,,"HF-4 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"HF-3 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","102 patients",,,"AMI-2 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","120 patients",,,"AMI-1 " "500015","AUBURN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","296 patients","2 ","2","SCIP-INF-6 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "500015","AUBURN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","168 patients",,,"PN-2 " "500015","AUBURN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","118 patients",,,"PN-7 " "500015","AUBURN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","65%","113 patients","2 ","2","SCIP-VTE-2 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","104 patients",,,"AMI-5 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","145 patients",,,"HF-1 " "500015","AUBURN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","96 patients","2 ","2","SCIP-INF-1 " "500015","AUBURN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","180 patients",,,"HF-2 " "500015","AUBURN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","87%","94 patients",,,"PN-4 " "500015","AUBURN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","224 patients",,,"PN-5C " "500015","AUBURN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","146 patients",,,"PN-6 " "500015","AUBURN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","30 patients","2 ","2","SCIP-CARD-2 " "500015","AUBURN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","197 patients",,,"PN-3B " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","91 patients",,,"AMI-1 " "500016","CENTRAL WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","358 patients","2 ","2","SCIP-VTE-1 " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","175 patients",,,"AMI-5 " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","168 patients",,,"HF-1 " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","71 patients",,,"HF-3 " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","213 patients",,,"HF-2 " "500016","CENTRAL WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","83%","155 patients","2 ","2","SCIP-INF-4 " "500016","CENTRAL WASHINGTON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","73 patients",,,"PN-6 " "500016","CENTRAL WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","711 patients","2 ","2","SCIP-INF-3 " "500016","CENTRAL WASHINGTON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","121 patients",,,"PN-3B " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","182 patients",,,"AMI-2 " "500016","CENTRAL WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","729 patients","2 ","2","SCIP-INF-1 " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"AMI-4 " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","18 patients","1 ","1","AMI-8A " "500016","CENTRAL WASHINGTON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","67 patients",,,"PN-4 " "500016","CENTRAL WASHINGTON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","135 patients",,,"PN-5C " "500016","CENTRAL WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","167 patients",,,"SCIP-CARD-2 " "500016","CENTRAL WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","355 patients","2 ","2","SCIP-VTE-2 " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500016","CENTRAL WASHINGTON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","44 patients",,,"HF-4 " "500016","CENTRAL WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","732 patients","2 ","2","SCIP-INF-2 " "500016","CENTRAL WASHINGTON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","77 patients",,,"PN-7 " "500016","CENTRAL WASHINGTON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","147 patients",,,"PN-2 " "500016","CENTRAL WASHINGTON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","1093 patients","2 ","2","SCIP-INF-6 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","150 patients",,,"PN-5C " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","22 patients","1 ","1","AMI-5 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","96 patients",,,"HF-1 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","38 patients","2 ","2","SCIP-CARD-2 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","89%","18 patients","1 ","1","AMI-2 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","32 patients",,,"AMI-1 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","402 patients","2 ","2","SCIP-INF-6 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","276 patients","2 ","2","SCIP-INF-1 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","273 patients","2 ","2","SCIP-INF-2 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","114 patients",,,"HF-2 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","60 patients",,,"PN-4 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","267 patients","2 ","2","SCIP-INF-3 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","185 patients","2 ","2","SCIP-VTE-1 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","76 patients",,,"PN-7 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","98 patients",,,"PN-3B " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","31 patients",,,"HF-3 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","185 patients","2 ","2","SCIP-VTE-2 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","128 patients",,,"PN-2 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500019","PROVIDENCE CENTRALIA HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","HF-4 " "500019","PROVIDENCE CENTRALIA HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","100 patients",,,"PN-6 " "500021","SAINT CLARE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","178 patients","2 ","2","HF-2 " "500021","SAINT CLARE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","108 patients","2 ","2","PN-2 " "500021","SAINT CLARE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","57 patients","2 ","2","SCIP-CARD-2 " "500021","SAINT CLARE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","19 patients","1,2 ","12","AMI-2 " "500021","SAINT CLARE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","97 patients","2 ","2","PN-4 " "500021","SAINT CLARE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "500021","SAINT CLARE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "500021","SAINT CLARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500021","SAINT CLARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","592 patients","2 ","2","SCIP-INF-6 " "500021","SAINT CLARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","375 patients","2 ","2","SCIP-INF-2 " "500021","SAINT CLARE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","321 patients","2 ","2","SCIP-VTE-1 " "500021","SAINT CLARE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","19 patients","1,2 ","12","AMI-5 " "500021","SAINT CLARE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","45 patients","2 ","2","HF-4 " "500021","SAINT CLARE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","161 patients","2 ","2","HF-1 " "500021","SAINT CLARE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","161 patients","2 ","2","PN-5C " "500021","SAINT CLARE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,2 ","12","AMI-3 " "500021","SAINT CLARE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","34 patients","2 ","2","AMI-1 " "500021","SAINT CLARE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","109 patients","2 ","2","PN-3B " "500021","SAINT CLARE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","132 patients","2 ","2","PN-6 " "500021","SAINT CLARE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","88 patients",,,"PN-7 " "500021","SAINT CLARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","356 patients","2 ","2","SCIP-INF-3 " "500021","SAINT CLARE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","320 patients","2 ","2","SCIP-VTE-2 " "500021","SAINT CLARE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","55 patients","2 ","2","HF-3 " "500021","SAINT CLARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","370 patients","2 ","2","SCIP-INF-1 " "500021","SAINT CLARE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,2 ","12","AMI-4 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","78 patients",,,"AMI-8A " "500024","PROVIDENCE ST PETER HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","254 patients",,,"PN-6 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","82 patients",,,"HF-4 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","437 patients",,,"HF-2 " "500024","PROVIDENCE ST PETER HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","77 patients","2 ","2","SCIP-CARD-2 " "500024","PROVIDENCE ST PETER HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","608 patients","2 ","2","SCIP-INF-6 " "500024","PROVIDENCE ST PETER HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","28 patients",,,"CAC-1 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","205 patients",,,"AMI-4 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","143 patients",,,"HF-3 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","341 patients",,,"AMI-1 " "500024","PROVIDENCE ST PETER HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","451 patients","2 ","2","SCIP-INF-2 " "500024","PROVIDENCE ST PETER HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","151 patients","2 ","2","SCIP-INF-4 " "500024","PROVIDENCE ST PETER HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","134 patients",,,"PN-4 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","510 patients",,,"AMI-5 " "500024","PROVIDENCE ST PETER HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","325 patients",,,"PN-3B " "500024","PROVIDENCE ST PETER HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","233 patients",,,"PN-7 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","76 patients",,,"AMI-3 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","545 patients",,,"AMI-2 " "500024","PROVIDENCE ST PETER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","154 patients","2 ","2","SCIP-VTE-1 " "500024","PROVIDENCE ST PETER HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","424 patients","2 ","2","SCIP-INF-3 " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500024","PROVIDENCE ST PETER HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","363 patients",,,"HF-1 " "500024","PROVIDENCE ST PETER HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","308 patients",,,"PN-2 " "500024","PROVIDENCE ST PETER HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","28 patients",,,"CAC-2 " "500024","PROVIDENCE ST PETER HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","154 patients","2 ","2","SCIP-VTE-2 " "500024","PROVIDENCE ST PETER HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","441 patients","2 ","2","SCIP-INF-1 " "500024","PROVIDENCE ST PETER HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","22%","27 patients",,,"CAC-3 " "500024","PROVIDENCE ST PETER HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","343 patients",,,"PN-5C " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","48 patients","2 ","2","SCIP-VTE-1 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","48 patients",,,"AMI-8A " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","48 patients","2 ","2","SCIP-VTE-2 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","333 patients",,,"AMI-2 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","25%","89 patients","2 ","2","SCIP-CARD-2 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","409 patients",,,"HF-2 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","219 patients","2 ","2","SCIP-INF-1 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","55 patients",,,"AMI-3 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","337 patients",,,"HF-1 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","308 patients",,,"AMI-5 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","343 patients","2 ","2","SCIP-INF-6 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","55 patients",,,"HF-4 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1 ","1","PN-3B " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"AMI-4 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","41 patients",,,"PN-2 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","223 patients","2 ","2","SCIP-INF-2 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","179 patients",,,"AMI-1 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","146 patients",,,"HF-3 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","22 patients","1 ","1","PN-5C " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","7 patients","1 ","1","PN-6 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","84%","175 patients","2 ","2","SCIP-INF-4 " "500025","SWEDISH MEDICAL CENTER/CHERRY HILL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","214 patients","2 ","2","SCIP-INF-3 " "500026","STEVENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","366 patients",,,"SCIP-INF-3 " "500026","STEVENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "500026","STEVENS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","51 patients",,,"AMI-4 " "500026","STEVENS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","81 patients",,,"PN-4 " "500026","STEVENS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","45 patients",,,"AMI-8A " "500026","STEVENS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","28 patients",,,"AMI-3 " "500026","STEVENS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","127 patients",,,"HF-2 " "500026","STEVENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","384 patients",,,"SCIP-INF-2 " "500026","STEVENS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "500026","STEVENS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","245 patients",,,"PN-5C " "500026","STEVENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","629 patients",,,"SCIP-INF-6 " "500026","STEVENS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","382 patients",,,"SCIP-INF-1 " "500026","STEVENS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","136 patients",,,"AMI-2 " "500026","STEVENS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","304 patients",,,"SCIP-VTE-2 " "500026","STEVENS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","160 patients",,,"PN-7 " "500026","STEVENS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","187 patients",,,"PN-3B " "500026","STEVENS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","58 patients",,,"SCIP-CARD-2 " "500026","STEVENS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","125 patients",,,"AMI-5 " "500026","STEVENS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "500026","STEVENS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","106 patients",,,"HF-1 " "500026","STEVENS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","168 patients",,,"PN-6 " "500026","STEVENS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","163 patients",,,"AMI-1 " "500026","STEVENS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","42 patients",,,"HF-3 " "500026","STEVENS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","304 patients",,,"SCIP-VTE-1 " "500026","STEVENS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","205 patients",,,"PN-2 " "500027","SWEDISH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","355 patients",,,"PN-5C " "500027","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","478 patients","2 ","2","SCIP-INF-1 " "500027","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","267 patients","2 ","2","SCIP-VTE-2 " "500027","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","481 patients","2 ","2","SCIP-INF-2 " "500027","SWEDISH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "500027","SWEDISH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500027","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","267 patients","2 ","2","SCIP-VTE-1 " "500027","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","52%","87 patients","2 ","2","SCIP-CARD-2 " "500027","SWEDISH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","82%","11 patients","1 ","1","AMI-2 " "500027","SWEDISH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","65 patients",,,"HF-3 " "500027","SWEDISH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "500027","SWEDISH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","199 patients",,,"PN-6 " "500027","SWEDISH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "500027","SWEDISH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","282 patients",,,"PN-7 " "500027","SWEDISH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","393 patients",,,"PN-2 " "500027","SWEDISH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "500027","SWEDISH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","86%","14 patients","1 ","1","AMI-1 " "500027","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","477 patients","2 ","2","SCIP-INF-3 " "500027","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","722 patients","2 ","2","SCIP-INF-6 " "500027","SWEDISH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","222 patients",,,"HF-2 " "500027","SWEDISH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500027","SWEDISH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","348 patients",,,"PN-3B " "500027","SWEDISH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500027","SWEDISH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","154 patients",,,"PN-4 " "500027","SWEDISH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","174 patients",,,"HF-1 " "500030","ST JOSEPHS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","358 patients",,,"PN-3B " "500030","ST JOSEPHS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","139 patients",,,"PN-4 " "500030","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1125 patients","2 ","2","SCIP-INF-2 " "500030","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1615 patients","2 ","2","SCIP-INF-6 " "500030","ST JOSEPHS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","363 patients",,,"PN-5C " "500030","ST JOSEPHS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","241 patients",,,"PN-6 " "500030","ST JOSEPHS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","235 patients",,,"HF-1 " "500030","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","486 patients","2 ","2","SCIP-VTE-2 " "500030","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","176 patients","2 ","2","SCIP-INF-4 " "500030","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","231 patients","2 ","2","SCIP-CARD-2 " "500030","ST JOSEPHS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","287 patients",,,"HF-2 " "500030","ST JOSEPHS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","261 patients",,,"AMI-1 " "500030","ST JOSEPHS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","111 patients",,,"HF-3 " "500030","ST JOSEPHS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","237 patients",,,"PN-7 " "500030","ST JOSEPHS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","77%","35 patients",,,"HF-4 " "500030","ST JOSEPHS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","297 patients",,,"AMI-2 " "500030","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","486 patients","2 ","2","SCIP-VTE-1 " "500030","ST JOSEPHS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","46 patients",,,"AMI-3 " "500030","ST JOSEPHS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","316 patients",,,"AMI-5 " "500030","ST JOSEPHS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "500030","ST JOSEPHS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","89 patients",,,"AMI-4 " "500030","ST JOSEPHS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","46 patients",,,"AMI-8A " "500030","ST JOSEPHS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","317 patients",,,"PN-2 " "500030","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","1083 patients","2 ","2","SCIP-INF-3 " "500030","ST JOSEPHS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","1117 patients","2 ","2","SCIP-INF-1 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","202 patients",,,"SCIP-VTE-2 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","154 patients",,,"PN-7 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","267 patients",,,"PN-5C " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","21 patients","1 ","1","AMI-1 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","52 patients",,,"HF-4 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","202 patients",,,"SCIP-VTE-1 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","10 patients","1 ","1","AMI-2 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","118 patients",,,"PN-4 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","234 patients",,,"SCIP-INF-3 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","330 patients",,,"SCIP-INF-6 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","51 patients",,,"SCIP-CARD-2 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","212 patients",,,"PN-2 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","213 patients",,,"HF-1 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","239 patients",,,"SCIP-INF-2 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","66 patients",,,"HF-3 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","259 patients",,,"HF-2 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","235 patients",,,"SCIP-INF-1 " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","239 patients",,,"PN-3B " "500031","GRAYS HARBOR COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","127 patients",,,"PN-6 " "500033","SAMARITAN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","80 patients","2 ","2","PN-3B " "500033","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","250 patients","2 ","2","SCIP-INF-3 " "500033","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","255 patients","2 ","2","SCIP-INF-1 " "500033","SAMARITAN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "500033","SAMARITAN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients","2 ","2","PN-4 " "500033","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","131 patients","2 ","2","SCIP-VTE-2 " "500033","SAMARITAN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500033","SAMARITAN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","93 patients","2 ","2","PN-5C " "500033","SAMARITAN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "500033","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","317 patients","2 ","2","SCIP-INF-6 " "500033","SAMARITAN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "500033","SAMARITAN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","50 patients","2 ","2","PN-7 " "500033","SAMARITAN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","47 patients","2 ","2","PN-6 " "500033","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","255 patients","2 ","2","SCIP-INF-2 " "500033","SAMARITAN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "500033","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","32 patients","2 ","2","SCIP-CARD-2 " "500033","SAMARITAN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","78 patients","2 ","2","PN-2 " "500033","SAMARITAN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","54%","37 patients",,,"HF-1 " "500033","SAMARITAN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","52 patients",,,"HF-2 " "500033","SAMARITAN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","73%","11 patients","1 ","1","AMI-5 " "500033","SAMARITAN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "500033","SAMARITAN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500033","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500033","SAMARITAN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "500033","SAMARITAN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","133 patients","2 ","2","SCIP-VTE-1 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","520 patients","2 ","2","SCIP-VTE-2 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1076 patients","2 ","2","SCIP-INF-6 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","83 patients",,,"HF-3 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","866 patients","2 ","2","SCIP-INF-2 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","260 patients",,,"PN-3B " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","147 patients",,,"AMI-2 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","881 patients","2 ","2","SCIP-INF-1 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","152 patients",,,"PN-6 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"PN-4 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","AMI-3 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","140 patients",,,"AMI-5 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","522 patients","2 ","2","SCIP-VTE-1 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","162 patients",,,"PN-7 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"HF-4 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","268 patients",,,"HF-1 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","109 patients","2 ","2","SCIP-CARD-2 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","220 patients",,,"PN-2 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","319 patients",,,"HF-2 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","154 patients",,,"AMI-1 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"AMI-4 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","22 patients","1 ","1","AMI-8A " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","246 patients",,,"PN-5C " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","853 patients","2 ","2","SCIP-INF-3 " "500036","YAKIMA VALLEY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500037","TOPPENISH COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","28 patients",,,"PN-7 " "500037","TOPPENISH COMMUNITY HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","17 patients","1 ","1","CAC-1 " "500037","TOPPENISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","2 ","2","SCIP-INF-1 " "500037","TOPPENISH COMMUNITY HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","94%","17 patients","1 ","1","CAC-2 " "500037","TOPPENISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","2 ","2","SCIP-INF-3 " "500037","TOPPENISH COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","51 patients",,,"PN-3B " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "500037","TOPPENISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","44 patients",,,"HF-1 " "500037","TOPPENISH COMMUNITY HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","82%","17 patients","1 ","1","CAC-3 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500037","TOPPENISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","2 ","2","SCIP-INF-2 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "500037","TOPPENISH COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","33 patients",,,"PN-6 " "500037","TOPPENISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","27 patients","2 ","2","SCIP-INF-6 " "500037","TOPPENISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "500037","TOPPENISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","60%","10 patients","1,2 ","12","SCIP-VTE-2 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","12 patients","1 ","1","AMI-2 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500037","TOPPENISH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","70%","10 patients","1,2 ","12","SCIP-VTE-1 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","53 patients",,,"HF-2 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "500037","TOPPENISH COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","48 patients",,,"PN-5C " "500037","TOPPENISH COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","26 patients",,,"PN-2 " "500037","TOPPENISH COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","15 patients","1 ","1","AMI-5 " "500037","TOPPENISH COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "500039","HARRISON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","590 patients","2 ","2","SCIP-INF-2 " "500039","HARRISON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","70 patients","2 ","2","PN-6 " "500039","HARRISON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","70 patients","2 ","2","PN-3B " "500039","HARRISON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","323 patients","2 ","2","HF-2 " "500039","HARRISON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","344 patients",,,"AMI-5 " "500039","HARRISON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","113 patients",,,"AMI-4 " "500039","HARRISON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","66 patients",,,"AMI-8A " "500039","HARRISON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","569 patients","2 ","2","SCIP-INF-3 " "500039","HARRISON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","185 patients","2 ","2","SCIP-INF-4 " "500039","HARRISON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","29 patients",,,"AMI-3 " "500039","HARRISON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","291 patients","2 ","2","SCIP-VTE-1 " "500039","HARRISON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","40 patients","2 ","2","PN-4 " "500039","HARRISON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","271 patients",,,"AMI-1 " "500039","HARRISON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","156 patients","2 ","2","PN-2 " "500039","HARRISON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","333 patients",,,"AMI-2 " "500039","HARRISON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","584 patients","2 ","2","SCIP-INF-1 " "500039","HARRISON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","106 patients","2 ","2","PN-5C " "500039","HARRISON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500039","HARRISON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","65%","140 patients","2 ","2","SCIP-CARD-2 " "500039","HARRISON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","108 patients","2 ","2","HF-3 " "500039","HARRISON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","231 patients","2 ","2","HF-1 " "500039","HARRISON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","809 patients","2 ","2","SCIP-INF-6 " "500039","HARRISON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","66%","100 patients","2 ","2","PN-7 " "500039","HARRISON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","290 patients","2 ","2","SCIP-VTE-2 " "500039","HARRISON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","44 patients","2 ","2","HF-4 " "500041","ST JOHN MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","76 patients",,,"HF-3 " "500041","ST JOHN MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "500041","ST JOHN MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","224 patients",,,"PN-2 " "500041","ST JOHN MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "500041","ST JOHN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500041","ST JOHN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","712 patients","2 ","2","SCIP-INF-1 " "500041","ST JOHN MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","87 patients",,,"PN-4 " "500041","ST JOHN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","463 patients","2 ","2","SCIP-VTE-1 " "500041","ST JOHN MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","50 patients",,,"AMI-2 " "500041","ST JOHN MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","274 patients",,,"PN-5C " "500041","ST JOHN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","714 patients","2 ","2","SCIP-INF-2 " "500041","ST JOHN MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","462 patients","2 ","2","SCIP-VTE-2 " "500041","ST JOHN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","904 patients","2 ","2","SCIP-INF-6 " "500041","ST JOHN MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","135 patients","2 ","2","SCIP-CARD-2 " "500041","ST JOHN MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","686 patients","2 ","2","SCIP-INF-3 " "500041","ST JOHN MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","74 patients",,,"AMI-1 " "500041","ST JOHN MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "500041","ST JOHN MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","141 patients",,,"PN-7 " "500041","ST JOHN MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","187 patients",,,"PN-3B " "500041","ST JOHN MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","195 patients",,,"PN-6 " "500041","ST JOHN MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "500041","ST JOHN MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","227 patients",,,"HF-2 " "500041","ST JOHN MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","191 patients",,,"HF-1 " "500041","ST JOHN MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500041","ST JOHN MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","66 patients",,,"AMI-5 " "500044","DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","202 patients","2 ","2","SCIP-VTE-1 " "500044","DEACONESS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","234 patients","2 ","2","AMI-5 " "500044","DEACONESS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","205 patients",,,"HF-1 " "500044","DEACONESS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","30 patients","2 ","2","AMI-8A " "500044","DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","392 patients","2 ","2","SCIP-INF-2 " "500044","DEACONESS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","60 patients","2 ","2","PN-6 " "500044","DEACONESS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","71 patients","2 ","2","PN-3B " "500044","DEACONESS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","104 patients","2 ","2","AMI-4 " "500044","DEACONESS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"HF-4 " "500044","DEACONESS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","244 patients","2 ","2","AMI-2 " "500044","DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","374 patients","2 ","2","SCIP-INF-3 " "500044","DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","129 patients","2 ","2","SCIP-INF-4 " "500044","DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","201 patients","2 ","2","SCIP-VTE-2 " "500044","DEACONESS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","66 patients","2 ","2","PN-7 " "500044","DEACONESS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients","2 ","2","PN-4 " "500044","DEACONESS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","96 patients",,,"HF-3 " "500044","DEACONESS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","236 patients",,,"HF-2 " "500044","DEACONESS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "500044","DEACONESS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","88 patients","2 ","2","PN-5C " "500044","DEACONESS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","74%","87 patients","2 ","2","PN-2 " "500044","DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","390 patients","2 ","2","SCIP-INF-1 " "500044","DEACONESS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","38 patients","2 ","2","AMI-3 " "500044","DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","55 patients","2 ","2","SCIP-CARD-2 " "500044","DEACONESS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","74 patients","2 ","2","AMI-1 " "500044","DEACONESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","518 patients","2 ","2","SCIP-INF-6 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500049","WALLA WALLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","72 patients","2 ","2","SCIP-VTE-1 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "500049","WALLA WALLA GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","18 patients","1 ","1","PN-7 " "500049","WALLA WALLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","72 patients","2 ","2","SCIP-VTE-2 " "500049","WALLA WALLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","156 patients","2 ","2","SCIP-INF-2 " "500049","WALLA WALLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","156 patients","2 ","2","SCIP-INF-1 " "500049","WALLA WALLA GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","32 patients",,,"PN-2 " "500049","WALLA WALLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","24 patients","1,2 ","12","SCIP-CARD-2 " "500049","WALLA WALLA GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","41 patients",,,"PN-3B " "500049","WALLA WALLA GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","23 patients","1 ","1","PN-6 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "500049","WALLA WALLA GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","31 patients",,,"PN-5C " "500049","WALLA WALLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","27 patients",,,"HF-1 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","37 patients",,,"HF-2 " "500049","WALLA WALLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","218 patients","2 ","2","SCIP-INF-6 " "500049","WALLA WALLA GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "500049","WALLA WALLA GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","141 patients","2 ","2","SCIP-INF-3 " "500049","WALLA WALLA GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "500050","S W WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","142 patients","2 ","2","SCIP-INF-4 " "500050","S W WASHINGTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","153 patients","2 ","2","PN-5C " "500050","S W WASHINGTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","544 patients",,,"AMI-5 " "500050","S W WASHINGTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","97 patients","2 ","2","PN-7 " "500050","S W WASHINGTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","67 patients",,,"AMI-3 " "500050","S W WASHINGTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","154 patients",,,"AMI-4 " "500050","S W WASHINGTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","552 patients",,,"AMI-2 " "500050","S W WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","667 patients","2 ","2","SCIP-INF-6 " "500050","S W WASHINGTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","120 patients",,,"HF-3 " "500050","S W WASHINGTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","137 patients","2 ","2","PN-3B " "500050","S W WASHINGTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","500 patients",,,"AMI-1 " "500050","S W WASHINGTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","78 patients",,,"AMI-8A " "500050","S W WASHINGTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","473 patients",,,"HF-1 " "500050","S W WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","103 patients","2 ","2","SCIP-CARD-2 " "500050","S W WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","240 patients","2 ","2","SCIP-VTE-2 " "500050","S W WASHINGTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","125 patients","2 ","2","PN-2 " "500050","S W WASHINGTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","538 patients",,,"HF-2 " "500050","S W WASHINGTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","85 patients","2 ","2","PN-6 " "500050","S W WASHINGTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","68 patients","2 ","2","PN-4 " "500050","S W WASHINGTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","84 patients",,,"HF-4 " "500050","S W WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","478 patients","2 ","2","SCIP-INF-1 " "500050","S W WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","433 patients","2 ","2","SCIP-INF-3 " "500050","S W WASHINGTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "500050","S W WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","484 patients","2 ","2","SCIP-INF-2 " "500050","S W WASHINGTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","240 patients","2 ","2","SCIP-VTE-1 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","156 patients",,,"PN-5C " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","116 patients","2 ","2","SCIP-CARD-2 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","418 patients",,,"HF-2 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","189 patients","2 ","2","SCIP-VTE-1 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","521 patients","2 ","2","SCIP-INF-2 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","120 patients",,,"PN-3B " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","47 patients",,,"AMI-3 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"HF-4 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","270 patients",,,"PN-2 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","328 patients",,,"HF-1 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","258 patients",,,"AMI-2 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","51 patients",,,"AMI-4 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","59 patients",,,"PN-4 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","55 patients",,,"AMI-8A " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","160 patients","2 ","2","SCIP-INF-4 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","138 patients",,,"HF-3 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","488 patients","2 ","2","SCIP-INF-3 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","189 patients","2 ","2","SCIP-VTE-2 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","235 patients",,,"AMI-1 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","177 patients",,,"PN-7 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","511 patients","2 ","2","SCIP-INF-1 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","275 patients",,,"AMI-5 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","148 patients",,,"PN-6 " "500051","OVERLAKE HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","676 patients","2 ","2","SCIP-INF-6 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "500052","GROUP HEALTH CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "500052","GROUP HEALTH CENTRAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "500052","GROUP HEALTH CENTRAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "500052","GROUP HEALTH CENTRAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "500053","KENNEWICK GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","87%","30 patients",,,"AMI-2 " "500053","KENNEWICK GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","69 patients",,,"PN-6 " "500053","KENNEWICK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","193 patients","2 ","2","SCIP-INF-1 " "500053","KENNEWICK GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","132 patients",,,"PN-2 " "500053","KENNEWICK GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500053","KENNEWICK GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","11 patients","1 ","1","AMI-3 " "500053","KENNEWICK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","16 patients","1,2 ","12","SCIP-CARD-2 " "500053","KENNEWICK GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","44 patients",,,"AMI-1 " "500053","KENNEWICK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","194 patients","2 ","2","SCIP-INF-2 " "500053","KENNEWICK GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","AMI-4 " "500053","KENNEWICK GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","40 patients",,,"PN-4 " "500053","KENNEWICK GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","102 patients",,,"PN-3B " "500053","KENNEWICK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","190 patients","2 ","2","SCIP-INF-3 " "500053","KENNEWICK GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","91 patients",,,"PN-7 " "500053","KENNEWICK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","138 patients","2 ","2","SCIP-VTE-2 " "500053","KENNEWICK GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","33 patients",,,"AMI-5 " "500053","KENNEWICK GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","127 patients",,,"PN-5C " "500053","KENNEWICK GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","42 patients",,,"HF-3 " "500053","KENNEWICK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500053","KENNEWICK GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","116 patients",,,"HF-1 " "500053","KENNEWICK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","138 patients","2 ","2","SCIP-VTE-1 " "500053","KENNEWICK GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","283 patients","2 ","2","SCIP-INF-6 " "500053","KENNEWICK GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "500053","KENNEWICK GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","139 patients",,,"HF-2 " "500053","KENNEWICK GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","87 patients",,,"CAC-1 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","441 patients","2 ","2","SCIP-INF-1 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","87 patients",,,"CAC-2 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","308 patients",,,"PN-2 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","177 patients",,,"AMI-3 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"HF-4 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","147 patients",,,"PN-4 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","235 patients",,,"AMI-1 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","508 patients",,,"AMI-2 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","25%","87 patients",,,"CAC-3 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","481 patients",,,"HF-2 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","623 patients","2 ","2","SCIP-INF-6 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","179 patients",,,"AMI-4 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","192 patients","2 ","2","SCIP-VTE-1 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","446 patients","2 ","2","SCIP-INF-2 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","192 patients","2 ","2","SCIP-VTE-2 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","81 patients","2 ","2","SCIP-CARD-2 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","210 patients",,,"PN-7 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","215 patients",,,"HF-3 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","324 patients",,,"PN-3B " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","427 patients","2 ","2","SCIP-INF-3 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","139 patients","2 ","2","SCIP-INF-4 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","521 patients",,,"AMI-5 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","166 patients",,,"PN-6 " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","52 patients",,,"AMI-8A " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","314 patients",,,"PN-5C " "500054","PROVIDENCE SACRED HEART MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","416 patients",,,"HF-1 " "500058","KADLEC MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","162 patients",,,"PN-5C " "500058","KADLEC MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","127 patients",,,"PN-7 " "500058","KADLEC MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","86 patients",,,"PN-6 " "500058","KADLEC MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","179 patients",,,"PN-3B " "500058","KADLEC MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","174 patients",,,"PN-2 " "500058","KADLEC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","469 patients","2 ","2","SCIP-INF-1 " "500058","KADLEC MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "500058","KADLEC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","444 patients","2 ","2","SCIP-INF-3 " "500058","KADLEC MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","294 patients",,,"AMI-5 " "500058","KADLEC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","620 patients","2 ","2","SCIP-INF-6 " "500058","KADLEC MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","151 patients",,,"AMI-1 " "500058","KADLEC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","140 patients","2 ","2","SCIP-INF-4 " "500058","KADLEC MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","208 patients",,,"HF-1 " "500058","KADLEC MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","236 patients",,,"HF-2 " "500058","KADLEC MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","309 patients",,,"AMI-2 " "500058","KADLEC MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","65 patients",,,"PN-4 " "500058","KADLEC MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","98 patients","2 ","2","SCIP-CARD-2 " "500058","KADLEC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","207 patients","2 ","2","SCIP-VTE-1 " "500058","KADLEC MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","44 patients",,,"AMI-3 " "500058","KADLEC MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","117 patients",,,"AMI-4 " "500058","KADLEC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","472 patients","2 ","2","SCIP-INF-2 " "500058","KADLEC MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","48 patients",,,"AMI-8A " "500058","KADLEC MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500058","KADLEC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","206 patients","2 ","2","SCIP-VTE-2 " "500058","KADLEC MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","77 patients",,,"HF-3 " "500060","CASCADE VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1 ","1","AMI-5 " "500060","CASCADE VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","62 patients",,,"PN-7 " "500060","CASCADE VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","123 patients",,,"PN-3B " "500060","CASCADE VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","37 patients",,,"PN-4 " "500060","CASCADE VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "500060","CASCADE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","79 patients",,,"SCIP-VTE-1 " "500060","CASCADE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","162 patients",,,"SCIP-INF-3 " "500060","CASCADE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","79 patients",,,"SCIP-VTE-2 " "500060","CASCADE VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","116 patients",,,"PN-5C " "500060","CASCADE VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","82%","11 patients","1 ","1","AMI-1 " "500060","CASCADE VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","61 patients",,,"PN-6 " "500060","CASCADE VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","99 patients",,,"PN-2 " "500060","CASCADE VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500060","CASCADE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "500060","CASCADE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","234 patients",,,"SCIP-INF-6 " "500060","CASCADE VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "500060","CASCADE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","27 patients",,,"SCIP-CARD-2 " "500060","CASCADE VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","33 patients",,,"HF-1 " "500060","CASCADE VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","37 patients",,,"HF-2 " "500060","CASCADE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","163 patients",,,"SCIP-INF-1 " "500060","CASCADE VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "500060","CASCADE VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500060","CASCADE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","167 patients",,,"SCIP-INF-2 " "500060","CASCADE VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "500060","CASCADE VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "500064","HARBORVIEW MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","27 patients","2 ","2","AMI-8A " "500064","HARBORVIEW MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","201 patients","2 ","2","HF-2 " "500064","HARBORVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","133 patients","2 ","2","SCIP-INF-2 " "500064","HARBORVIEW MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","109 patients","2 ","2","PN-5C " "500064","HARBORVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","32 patients","2 ","2","SCIP-CARD-2 " "500064","HARBORVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","113 patients","2 ","2","SCIP-INF-3 " "500064","HARBORVIEW MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","AMI-4 " "500064","HARBORVIEW MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","72 patients","2 ","2","PN-6 " "500064","HARBORVIEW MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","107 patients","2 ","2","PN-3B " "500064","HARBORVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","131 patients","2 ","2","SCIP-INF-1 " "500064","HARBORVIEW MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1,2 ","12","AMI-3 " "500064","HARBORVIEW MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","95 patients","2 ","2","AMI-1 " "500064","HARBORVIEW MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","89 patients","2 ","2","HF-3 " "500064","HARBORVIEW MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "500064","HARBORVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","142 patients","2 ","2","SCIP-VTE-1 " "500064","HARBORVIEW MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","86 patients","2 ","2","HF-4 " "500064","HARBORVIEW MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","83 patients","2 ","2","AMI-5 " "500064","HARBORVIEW MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","75 patients","2 ","2","AMI-2 " "500064","HARBORVIEW MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","56 patients","2 ","2","PN-7 " "500064","HARBORVIEW MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","45 patients","2 ","2","PN-2 " "500064","HARBORVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500064","HARBORVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","141 patients","2 ","2","SCIP-VTE-2 " "500064","HARBORVIEW MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","88 patients","2 ","2","PN-4 " "500064","HARBORVIEW MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","265 patients","2 ","2","SCIP-INF-6 " "500064","HARBORVIEW MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","175 patients","2 ","2","HF-1 " "500072","OLYMPIC MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","56 patients",,,"HF-3 " "500072","OLYMPIC MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","29 patients",,,"AMI-2 " "500072","OLYMPIC MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","27 patients",,,"AMI-5 " "500072","OLYMPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","177 patients",,,"SCIP-VTE-2 " "500072","OLYMPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","292 patients",,,"SCIP-INF-2 " "500072","OLYMPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","292 patients",,,"SCIP-INF-1 " "500072","OLYMPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","402 patients",,,"SCIP-INF-6 " "500072","OLYMPIC MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","134 patients",,,"PN-3B " "500072","OLYMPIC MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500072","OLYMPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "500072","OLYMPIC MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","131 patients",,,"HF-2 " "500072","OLYMPIC MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "500072","OLYMPIC MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","41 patients",,,"PN-4 " "500072","OLYMPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","274 patients",,,"SCIP-INF-3 " "500072","OLYMPIC MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","2 patients","1 ","1","AMI-7A " "500072","OLYMPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","38 patients",,,"SCIP-CARD-2 " "500072","OLYMPIC MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","39 patients",,,"AMI-1 " "500072","OLYMPIC MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","177 patients",,,"SCIP-VTE-1 " "500072","OLYMPIC MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","109 patients",,,"HF-1 " "500072","OLYMPIC MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","87 patients",,,"PN-7 " "500072","OLYMPIC MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","143 patients",,,"PN-5C " "500072","OLYMPIC MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","111 patients",,,"PN-6 " "500072","OLYMPIC MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","148 patients",,,"PN-2 " "500072","OLYMPIC MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "500072","OLYMPIC MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","117 patients",,,"AMI-1 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","147 patients","2 ","2","SCIP-VTE-1 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","61 patients",,,"HF-3 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","342 patients","2 ","2","SCIP-INF-6 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","125 patients",,,"PN-4 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","175 patients",,,"HF-2 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","235 patients",,,"PN-6 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","45 patients",,,"AMI-4 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","30 patients","2 ","2","SCIP-CARD-2 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","257 patients",,,"PN-2 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","126 patients",,,"HF-1 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","81%","32 patients",,,"AMI-8A " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","147 patients","2 ","2","SCIP-VTE-2 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","300 patients",,,"PN-5C " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","187 patients",,,"PN-7 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","231 patients","2 ","2","SCIP-INF-2 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","229 patients","2 ","2","SCIP-INF-1 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients",,,"HF-4 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","341 patients",,,"PN-3B " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","219 patients","2 ","2","SCIP-INF-3 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","92 patients",,,"AMI-5 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "500077","PROVIDENCE HOLY FAMILY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","94 patients",,,"AMI-2 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","194 patients","2 ","2","SCIP-VTE-2 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","81%","59 patients","2 ","2","PN-4 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","184 patients","2 ","2","AMI-5 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","24 patients","1 ","1","CAC-2 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","327 patients","2 ","2","SCIP-INF-3 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","24 patients","1 ","1","CAC-1 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","64 patients","2 ","2","SCIP-CARD-2 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","34 patients","2 ","2","AMI-3 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","194 patients","2 ","2","SCIP-VTE-1 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","337 patients","2 ","2","SCIP-INF-2 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","155 patients","2 ","2","PN-3B " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","89%","63 patients","2 ","2","AMI-4 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","81 patients","2 ","2","PN-7 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","153 patients","2 ","2","PN-5C " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","66 patients","2 ","2","PN-6 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","218 patients","2 ","2","AMI-1 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","91%","23 patients","1 ","1","CAC-3 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","309 patients","2 ","2","HF-2 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","43 patients","2 ","2","AMI-8A " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","260 patients","2 ","2","HF-1 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","1 patients","1,2 ","12","SCIP-INF-4 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","49 patients","2 ","2","HF-4 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","82 patients","2 ","2","HF-3 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","490 patients","2 ","2","SCIP-INF-6 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","335 patients","2 ","2","SCIP-INF-1 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","108 patients","2 ","2","PN-2 " "500079","GOOD SAMARITAN HOSPITAL & REHAB CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","177 patients","2 ","2","AMI-2 " "500084","VALLEY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","HF-4 " "500084","VALLEY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500084","VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","81 patients",,,"SCIP-INF-3 " "500084","VALLEY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "500084","VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","156 patients",,,"SCIP-INF-6 " "500084","VALLEY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","54 patients",,,"PN-2 " "500084","VALLEY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500084","VALLEY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","69 patients",,,"PN-3B " "500084","VALLEY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","53 patients",,,"PN-6 " "500084","VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","82 patients",,,"SCIP-INF-2 " "500084","VALLEY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "500084","VALLEY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "500084","VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","76%","83 patients",,,"SCIP-VTE-1 " "500084","VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","70%","83 patients",,,"SCIP-VTE-2 " "500084","VALLEY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","40 patients",,,"PN-7 " "500084","VALLEY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "500084","VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "500084","VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","82 patients",,,"SCIP-INF-1 " "500084","VALLEY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "500084","VALLEY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","77 patients",,,"PN-5C " "500084","VALLEY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","30 patients",,,"PN-4 " "500084","VALLEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","55%","11 patients","1 ","1","SCIP-CARD-2 " "500084","VALLEY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","45 patients",,,"HF-1 " "500084","VALLEY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "500084","VALLEY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","48 patients",,,"HF-2 " "500088","VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","234 patients","2 ","2","SCIP-VTE-2 " "500088","VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","236 patients","2 ","2","SCIP-VTE-1 " "500088","VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","100 patients","2 ","2","HF-3 " "500088","VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","78 patients","2 ","2","PN-7 " "500088","VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","123 patients","2 ","2","PN-5C " "500088","VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","118 patients","2 ","2","PN-3B " "500088","VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","79 patients","2 ","2","PN-6 " "500088","VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","69 patients",,,"AMI-4 " "500088","VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","59 patients","2 ","2","PN-4 " "500088","VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","311 patients","2 ","2","HF-2 " "500088","VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","129 patients","2 ","2","PN-2 " "500088","VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500088","VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","517 patients","2 ","2","SCIP-INF-6 " "500088","VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","201 patients",,,"AMI-2 " "500088","VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","46 patients",,,"AMI-3 " "500088","VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500088","VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","379 patients","2 ","2","SCIP-INF-2 " "500088","VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","55 patients","2 ","2","HF-4 " "500088","VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","225 patients",,,"AMI-1 " "500088","VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","194 patients",,,"AMI-5 " "500088","VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","55 patients","2 ","2","SCIP-CARD-2 " "500088","VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","267 patients","2 ","2","HF-1 " "500088","VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","75 patients",,,"AMI-8A " "500088","VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","380 patients","2 ","2","SCIP-INF-3 " "500088","VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","386 patients","2 ","2","SCIP-INF-1 " "500108","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","205 patients",,,"PN-3B " "500108","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","288 patients",,,"AMI-1 " "500108","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","1030 patients","2 ","2","SCIP-INF-3 " "500108","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","171 patients",,,"PN-2 " "500108","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","408 patients",,,"AMI-5 " "500108","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","237 patients",,,"PN-5C " "500108","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","139 patients",,,"PN-6 " "500108","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","389 patients","2 ","2","SCIP-INF-4 " "500108","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","46 patients",,,"AMI-8A " "500108","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1602 patients","2 ","2","SCIP-INF-6 " "500108","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","72 patients",,,"AMI-3 " "500108","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500108","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","124 patients",,,"PN-7 " "500108","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","179 patients","2 ","2","SCIP-CARD-2 " "500108","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","396 patients",,,"HF-1 " "500108","ST JOSEPH MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","129 patients",,,"PN-4 " "500108","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","1117 patients","2 ","2","SCIP-INF-1 " "500108","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","407 patients",,,"AMI-2 " "500108","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","537 patients","2 ","2","SCIP-VTE-2 " "500108","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","537 patients","2 ","2","SCIP-VTE-1 " "500108","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","135 patients",,,"HF-4 " "500108","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","161 patients",,,"HF-3 " "500108","ST JOSEPH MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","155 patients",,,"AMI-4 " "500108","ST JOSEPH MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","1135 patients","2 ","2","SCIP-INF-2 " "500108","ST JOSEPH MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","456 patients",,,"HF-2 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","196 patients","2 ","2","SCIP-INF-1 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","85 patients",,,"PN-6 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","14 patients","1 ","1","HF-3 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","124 patients",,,"PN-5C " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","47 patients",,,"HF-1 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","308 patients","2 ","2","SCIP-INF-6 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","29 patients","2 ","2","SCIP-CARD-2 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","61%","75 patients",,,"PN-7 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","116 patients",,,"PN-2 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","192 patients","2 ","2","SCIP-INF-3 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","68 patients",,,"HF-2 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","103 patients",,,"PN-3B " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","195 patients","2 ","2","SCIP-INF-2 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","131 patients","2 ","2","SCIP-VTE-2 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","131 patients","2 ","2","SCIP-VTE-1 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "500119","VALLEY HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","63 patients",,,"PN-4 " "50011F","SPOKANE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "50011F","SPOKANE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "50011F","SPOKANE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","PN-4 " "50011F","SPOKANE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","58 patients",,,"HF-1 " "50011F","SPOKANE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "50011F","SPOKANE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "50011F","SPOKANE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","35 patients",,,"PN-7 " "50011F","SPOKANE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "50011F","SPOKANE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "50011F","SPOKANE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "50011F","SPOKANE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "50011F","SPOKANE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "50011F","SPOKANE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","64 patients",,,"HF-2 " "50011F","SPOKANE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "50011F","SPOKANE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "50011F","SPOKANE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","45 patients",,,"PN-5C " "50011F","SPOKANE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","89%","18 patients","1 ","1","HF-3 " "50011F","SPOKANE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "50011F","SPOKANE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "50011F","SPOKANE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "50011F","SPOKANE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","29 patients",,,"PN-6 " "50011F","SPOKANE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","44 patients",,,"PN-2 " "50011F","SPOKANE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","15 patients","1 ","1","HF-4 " "50011F","SPOKANE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","41 patients",,,"PN-3B " "50011F","SPOKANE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","140 patients","2 ","2","PN-2 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","50 patients","2 ","2","PN-4 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","53 patients",,,"HF-3 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","25 patients",,,"HF-4 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","177 patients","2 ","2","PN-3B " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","215 patients","2 ","2","SCIP-VTE-2 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","160 patients","2 ","2","PN-5C " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","345 patients","2 ","2","SCIP-INF-2 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","46 patients",,,"AMI-8A " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","172 patients",,,"AMI-1 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","AMI-3 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","172 patients",,,"HF-2 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","335 patients","2 ","2","SCIP-INF-3 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","481 patients","2 ","2","SCIP-INF-6 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","215 patients","2 ","2","SCIP-VTE-1 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","162 patients",,,"AMI-5 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","108 patients","2 ","2","PN-7 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"AMI-4 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","47 patients","2 ","2","SCIP-CARD-2 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","343 patients","2 ","2","SCIP-INF-1 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","106 patients","2 ","2","PN-6 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","136 patients",,,"HF-1 " "500124","EVERGREEN HOSPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","162 patients",,,"AMI-2 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","263 patients","2 ","2","HF-1 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","345 patients","2 ","2","SCIP-VTE-2 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","54%","113 patients","2 ","2","SCIP-CARD-2 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","620 patients","2 ","2","SCIP-INF-1 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","61 patients","2 ","2","HF-4 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","41 patients",,,"AMI-3 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","320 patients","2 ","2","HF-2 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","114 patients","2 ","2","SCIP-INF-4 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","102 patients","2 ","2","HF-3 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","579 patients","2 ","2","SCIP-INF-3 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","170 patients",,,"AMI-5 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","624 patients","2 ","2","SCIP-INF-2 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","140 patients","2 ","2","PN-2 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","213 patients","2 ","2","PN-5C " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","29 patients",,,"AMI-8A " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","179 patients",,,"AMI-1 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","346 patients","2 ","2","SCIP-VTE-1 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","62 patients",,,"AMI-4 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","96 patients","2 ","2","PN-4 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","204 patients","2 ","2","PN-3B " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","950 patients","2 ","2","SCIP-INF-6 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","183 patients",,,"AMI-2 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","68%","136 patients","2 ","2","PN-7 " "500129","TACOMA GENERAL ALLENMORE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","131 patients","2 ","2","PN-6 " "500139","CAPITAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "500139","CAPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","537 patients","2 ","2","SCIP-INF-6 " "500139","CAPITAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "500139","CAPITAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","36 patients",,,"HF-1 " "500139","CAPITAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","50 patients",,,"PN-3B " "500139","CAPITAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500139","CAPITAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","63%","38 patients",,,"PN-7 " "500139","CAPITAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","51 patients",,,"HF-2 " "500139","CAPITAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","PN-4 " "500139","CAPITAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "500139","CAPITAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","63 patients",,,"PN-2 " "500139","CAPITAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","62 patients",,,"PN-5C " "500139","CAPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","377 patients","2 ","2","SCIP-INF-1 " "500139","CAPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","378 patients","2 ","2","SCIP-INF-2 " "500139","CAPITAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","30 patients",,,"AMI-1 " "500139","CAPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","368 patients","2 ","2","SCIP-INF-3 " "500139","CAPITAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "500139","CAPITAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","31 patients",,,"PN-6 " "500139","CAPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","214 patients","2 ","2","SCIP-VTE-1 " "500139","CAPITAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","25%","4 patients","1 ","1","AMI-8A " "500139","CAPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","53 patients","2 ","2","SCIP-CARD-2 " "500139","CAPITAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","29 patients",,,"AMI-2 " "500139","CAPITAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","27 patients",,,"AMI-5 " "500139","CAPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","214 patients","2 ","2","SCIP-VTE-2 " "500139","CAPITAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "50013F","WALLA WALLA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "50013F","WALLA WALLA VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "50013F","WALLA WALLA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "50013F","WALLA WALLA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "50013F","WALLA WALLA VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "50013F","WALLA WALLA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "50013F","WALLA WALLA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "50013F","WALLA WALLA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "50013F","WALLA WALLA VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "50013F","WALLA WALLA VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "50013F","WALLA WALLA VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "50013F","WALLA WALLA VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "50013F","WALLA WALLA VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "50013F","WALLA WALLA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "50013F","WALLA WALLA VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","69 patients","2 ","2","SCIP-CARD-2 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","425 patients","2 ","2","SCIP-INF-1 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","153 patients",,,"PN-3B " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","105 patients",,,"AMI-5 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","37 patients",,,"HF-4 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","415 patients","2 ","2","SCIP-INF-3 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "500141","ST FRANCIS COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","76 patients",,,"PN-7 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","282 patients","2 ","2","SCIP-VTE-2 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","114 patients",,,"AMI-1 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","424 patients","2 ","2","SCIP-INF-2 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","118 patients",,,"PN-2 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","52 patients",,,"PN-4 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","208 patients",,,"HF-2 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","100 patients",,,"AMI-2 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","76%","29 patients",,,"AMI-8A " "500141","ST FRANCIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","644 patients","2 ","2","SCIP-INF-6 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","282 patients","2 ","2","SCIP-VTE-1 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","66%","173 patients",,,"HF-1 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","70 patients",,,"HF-3 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","151 patients",,,"PN-5C " "500141","ST FRANCIS COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","125 patients",,,"PN-6 " "500141","ST FRANCIS COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"AMI-4 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "500143","PROV ST PETER CHEMICAL DEPENDENCY CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "500148","WENATCHEE VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "500148","WENATCHEE VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "500148","WENATCHEE VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "500148","WENATCHEE VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","PN-4 " "500148","WENATCHEE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","77 patients","2 ","2","SCIP-VTE-1 " "500148","WENATCHEE VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "500148","WENATCHEE VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "500148","WENATCHEE VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "500148","WENATCHEE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","77 patients","2 ","2","SCIP-VTE-2 " "500148","WENATCHEE VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "500148","WENATCHEE VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1,2,3 ","123","PN-6 " "500148","WENATCHEE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","311 patients","2 ","2","SCIP-INF-6 " "500148","WENATCHEE VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1,2,3 ","123","PN-3B " "500148","WENATCHEE VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "500148","WENATCHEE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","20 patients","1,2 ","12","SCIP-CARD-2 " "500148","WENATCHEE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","190 patients","2 ","2","SCIP-INF-2 " "500148","WENATCHEE VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "500148","WENATCHEE VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,2,3 ","123","PN-5C " "500148","WENATCHEE VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "500148","WENATCHEE VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","3 patients","1,2 ","12","PN-7 " "500148","WENATCHEE VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "500148","WENATCHEE VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","5 patients","1,2,3 ","123","PN-2 " "500148","WENATCHEE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500148","WENATCHEE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","188 patients","2 ","2","SCIP-INF-1 " "500148","WENATCHEE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","186 patients","2 ","2","SCIP-INF-3 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","53 patients",,,"HF-3 " "500150","LEGACY SALMON CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","320 patients","2 ","2","SCIP-INF-1 " "500150","LEGACY SALMON CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","307 patients","2 ","2","SCIP-INF-3 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","AMI-4 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","223 patients",,,"HF-2 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","36 patients",,,"AMI-5 " "500150","LEGACY SALMON CREEK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","197 patients",,,"PN-3B " "500150","LEGACY SALMON CREEK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","79 patients",,,"PN-4 " "500150","LEGACY SALMON CREEK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","149 patients",,,"PN-2 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "500150","LEGACY SALMON CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "500150","LEGACY SALMON CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","317 patients","2 ","2","SCIP-INF-2 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "500150","LEGACY SALMON CREEK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","108 patients",,,"PN-7 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","34 patients",,,"AMI-2 " "500150","LEGACY SALMON CREEK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","215 patients","2 ","2","SCIP-VTE-2 " "500150","LEGACY SALMON CREEK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","193 patients",,,"PN-5C " "500150","LEGACY SALMON CREEK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","40 patients","2 ","2","SCIP-CARD-2 " "500150","LEGACY SALMON CREEK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","216 patients","2 ","2","SCIP-VTE-1 " "500150","LEGACY SALMON CREEK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","111 patients",,,"PN-6 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","199 patients",,,"HF-1 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","48 patients",,,"AMI-1 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "500150","LEGACY SALMON CREEK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","447 patients","2 ","2","SCIP-INF-6 " "500150","LEGACY SALMON CREEK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients",,,"HF-4 " "500151","ST ANTHONY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "500151","ST ANTHONY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "500151","ST ANTHONY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "500151","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "500151","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "500151","ST ANTHONY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "500151","ST ANTHONY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "500151","ST ANTHONY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "500151","ST ANTHONY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "500151","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "500151","ST ANTHONY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "500151","ST ANTHONY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "500151","ST ANTHONY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "500151","ST ANTHONY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "500151","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "500151","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "500151","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "500151","ST ANTHONY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "500151","ST ANTHONY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "500151","ST ANTHONY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "500151","ST ANTHONY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "500151","ST ANTHONY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "500151","ST ANTHONY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "500151","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "500151","ST ANTHONY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-8A " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","47 patients",,,"AMI-5 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","346 patients","2 ","2","SCIP-VTE-1 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","AMI-3 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","86 patients","2 ","2","SCIP-INF-4 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","81%","52 patients",,,"HF-4 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","470 patients",,,"SCIP-INF-1 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","578 patients","2 ","2","SCIP-INF-6 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","46 patients",,,"AMI-2 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","64 patients",,,"HF-3 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","44 patients",,,"PN-4 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","42 patients",,,"PN-3B " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","227 patients","2 ","2","SCIP-CARD-2 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","68 patients",,,"PN-2 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","53 patients",,,"PN-6 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","189 patients",,,"HF-2 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","46 patients",,,"AMI-1 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","346 patients","2 ","2","SCIP-VTE-2 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","168 patients",,,"HF-1 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","AMI-4 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","469 patients",,,"SCIP-INF-2 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","461 patients",,,"SCIP-INF-3 " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","75 patients",,,"PN-5C " "50030F","SEATTLE VA MEDICAL CENTER (VA PUGIT SOUND HE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","49 patients",,,"PN-7 " "501304","MARK REED HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "501304","MARK REED HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "501304","MARK REED HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501304","MARK REED HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "501304","MARK REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "501304","MARK REED HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "501304","MARK REED HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1,3 ","13","PN-3B " "501304","MARK REED HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","5 patients","1,3 ","13","PN-7 " "501304","MARK REED HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "501304","MARK REED HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "501304","MARK REED HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "501304","MARK REED HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","4 patients","1,3 ","13","PN-2 " "501304","MARK REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "501304","MARK REED HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "501304","MARK REED HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,3 ","13","PN-6 " "501304","MARK REED HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "501304","MARK REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "501304","MARK REED HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "501304","MARK REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "501304","MARK REED HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "501304","MARK REED HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "501304","MARK REED HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "501304","MARK REED HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "501304","MARK REED HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "501304","MARK REED HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "501305","LINCOLN HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","11 patients","1 ","1","HF-2 " "501305","LINCOLN HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "501305","LINCOLN HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","20 patients","1 ","1","PN-6 " "501305","LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","9 patients","1 ","1","SCIP-VTE-1 " "501305","LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "501305","LINCOLN HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "501305","LINCOLN HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","50%","2 patients","1,3 ","13","AMI-1 " "501305","LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","15 patients","1 ","1","SCIP-INF-3 " "501305","LINCOLN HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","44%","25 patients",,,"PN-2 " "501305","LINCOLN HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "501305","LINCOLN HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","38%","8 patients","1 ","1","HF-1 " "501305","LINCOLN HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "501305","LINCOLN HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","0%","1 patients","1,3 ","13","AMI-2 " "501305","LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","8 patients","1 ","1","SCIP-VTE-2 " "501305","LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","15 patients","1 ","1","SCIP-INF-2 " "501305","LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501305","LINCOLN HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "501305","LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1 ","1","SCIP-INF-6 " "501305","LINCOLN HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","4 patients","1 ","1","PN-3B " "501305","LINCOLN HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","25 patients",,,"PN-5C " "501305","LINCOLN HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","16 patients","1 ","1","SCIP-INF-1 " "501305","LINCOLN HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "501305","LINCOLN HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "501305","LINCOLN HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "501305","LINCOLN HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","14 patients","1 ","1","PN-7 " "501308","COULEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "501308","COULEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "501308","COULEE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "501308","COULEE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "501308","COULEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501308","COULEE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "501308","COULEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "501308","COULEE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "501308","COULEE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "501308","COULEE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "501308","COULEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "501308","COULEE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "501308","COULEE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "501308","COULEE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "501308","COULEE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "501308","COULEE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "501308","COULEE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "501308","COULEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "501308","COULEE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "501308","COULEE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "501308","COULEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "501308","COULEE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "501308","COULEE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "501308","COULEE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "501308","COULEE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","7 patients","1 ","1","SCIP-VTE-1 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","39 patients",,,"PN-5C " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","17 patients","1 ","1","SCIP-INF-2 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","29 patients",,,"PN-7 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","39 patients",,,"PN-2 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","7 patients","1 ","1","SCIP-VTE-2 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","17 patients","1 ","1","SCIP-INF-1 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","26 patients",,,"PN-6 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","22 patients","1 ","1","PN-3B " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","10 patients","1 ","1","HF-2 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","9 patients","1 ","1","HF-1 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","17 patients","1 ","1","SCIP-INF-3 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","24 patients","1 ","1","SCIP-INF-6 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1 ","1","AMI-1 " "501309","PROVIDENCE ST JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "501312","PROSSER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","21 patients","1 ","1","SCIP-VTE-1 " "501312","PROSSER MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "501312","PROSSER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","19 patients","1 ","1","SCIP-INF-3 " "501312","PROSSER MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "501312","PROSSER MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "501312","PROSSER MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "501312","PROSSER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "501312","PROSSER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","19 patients","1 ","1","SCIP-INF-2 " "501312","PROSSER MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "501312","PROSSER MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","27 patients",,,"PN-5C " "501312","PROSSER MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "501312","PROSSER MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "501312","PROSSER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","47%","19 patients","1 ","1","SCIP-INF-1 " "501312","PROSSER MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","71%","21 patients","1 ","1","PN-3B " "501312","PROSSER MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "501312","PROSSER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","21 patients","1 ","1","SCIP-VTE-2 " "501312","PROSSER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","22 patients","1 ","1","SCIP-INF-6 " "501312","PROSSER MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "501312","PROSSER MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","9 patients","1,3 ","13","HF-2 " "501312","PROSSER MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501312","PROSSER MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","8 patients","1,3 ","13","HF-1 " "501312","PROSSER MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","14 patients","1 ","1","PN-7 " "501312","PROSSER MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","29 patients",,,"PN-6 " "501312","PROSSER MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "501312","PROSSER MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","21 patients","1 ","1","PN-2 " "501314","OCEAN BEACH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501314","OCEAN BEACH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","5 patients","1,3 ","13","HF-1 " "501314","OCEAN BEACH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","33%","6 patients","1,3 ","13","AMI-1 " "501314","OCEAN BEACH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","7 patients","1 ","1","PN-7 " "501314","OCEAN BEACH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "501314","OCEAN BEACH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","7 patients","1,3 ","13","SCIP-VTE-2 " "501314","OCEAN BEACH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1,3 ","13","AMI-5 " "501314","OCEAN BEACH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","7 patients","1,3 ","13","SCIP-VTE-1 " "501314","OCEAN BEACH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "501314","OCEAN BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "501314","OCEAN BEACH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "501314","OCEAN BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","11 patients","1,3 ","13","SCIP-INF-1 " "501314","OCEAN BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","11 patients","1,3 ","13","SCIP-INF-2 " "501314","OCEAN BEACH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","8 patients","1,3 ","13","PN-2 " "501314","OCEAN BEACH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","9 patients","1,3 ","13","PN-5C " "501314","OCEAN BEACH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1,3 ","13","PN-4 " "501314","OCEAN BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","11 patients","1,3 ","13","SCIP-INF-3 " "501314","OCEAN BEACH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "501314","OCEAN BEACH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","40%","5 patients","1,3 ","13","AMI-2 " "501314","OCEAN BEACH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "501314","OCEAN BEACH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","4 patients","1,3 ","13","HF-2 " "501314","OCEAN BEACH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1,3 ","13","PN-3B " "501314","OCEAN BEACH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","11 patients","1,3 ","13","SCIP-INF-6 " "501314","OCEAN BEACH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","7 patients","1,3 ","13","PN-6 " "501314","OCEAN BEACH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "501316","KLICKITAT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "501316","KLICKITAT VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","82%","11 patients","1 ","1","PN-6 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","36%","11 patients","1 ","1","HF-2 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","8 patients","1 ","1","HF-1 " "501316","KLICKITAT VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","57%","7 patients","1 ","1","PN-2 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "501316","KLICKITAT VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "501316","KLICKITAT VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","29%","7 patients","1 ","1","PN-4 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "501316","KLICKITAT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501316","KLICKITAT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "501316","KLICKITAT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "501316","KLICKITAT VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","14 patients","1 ","1","PN-5C " "501316","KLICKITAT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "501316","KLICKITAT VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1 ","1","PN-3B " "501316","KLICKITAT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "501316","KLICKITAT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "501316","KLICKITAT VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","9 patients","1 ","1","PN-7 " "501316","KLICKITAT VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "501316","KLICKITAT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "501318","OTHELLO COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "501318","OTHELLO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "501318","OTHELLO COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients","3 ","3","PN-7 " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1,3 ","13","HF-1 " "501318","OTHELLO COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,3 ","13","HF-3 " "501318","OTHELLO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-1 " "501318","OTHELLO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","4 patients","1,3 ","13","SCIP-INF-6 " "501318","OTHELLO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "501318","OTHELLO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","4 patients","1,3 ","13","SCIP-VTE-2 " "501318","OTHELLO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","4 patients","1,3 ","13","SCIP-VTE-1 " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","9 patients","1,3 ","13","HF-2 " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "501318","OTHELLO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "501318","OTHELLO COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "501318","OTHELLO COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,"0 patients","3 ","3","PN-2 " "501318","OTHELLO COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "501318","OTHELLO COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "501318","OTHELLO COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","PN-4 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","94 patients",,,"SCIP-INF-3 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","107 patients",,,"SCIP-INF-6 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","95 patients",,,"SCIP-INF-1 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","56 patients",,,"HF-2 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","56 patients",,,"PN-3B " "501323","JEFFERSON HEALTHCARE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","66 patients",,,"PN-5C " "501323","JEFFERSON HEALTHCARE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","50 patients",,,"PN-2 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "501323","JEFFERSON HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","95 patients",,,"SCIP-INF-2 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","47 patients",,,"SCIP-VTE-2 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","36 patients",,,"PN-7 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","40 patients",,,"HF-1 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","44 patients",,,"PN-6 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "501323","JEFFERSON HEALTHCARE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","47 patients",,,"SCIP-VTE-1 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","36 patients","2 ","2","SCIP-INF-2 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","52 patients",,,"HF-2 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","10 patients","1,2 ","12","SCIP-CARD-2 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","25 patients",,,"PN-4 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","76 patients","2 ","2","SCIP-INF-6 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","60 patients",,,"PN-3B " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","36 patients",,,"PN-6 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","41 patients",,,"PN-7 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","45 patients","2 ","2","SCIP-VTE-2 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","35 patients","2 ","2","SCIP-INF-3 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","68 patients",,,"PN-5C " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","36 patients","2 ","2","SCIP-INF-1 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","59 patients",,,"PN-2 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","40 patients",,,"HF-1 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","45 patients","2 ","2","SCIP-VTE-1 " "501326","PROVIDENCE MOUNT CARMEL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "501329","UNITED GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "501329","UNITED GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "501329","UNITED GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-2 " "501329","UNITED GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","3 patients","1 ","1","SCIP-INF-1 " "501329","UNITED GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","37 patients",,,"PN-7 " "501329","UNITED GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","47 patients",,,"PN-2 " "501329","UNITED GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "501329","UNITED GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "501329","UNITED GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1 ","1","SCIP-INF-3 " "501329","UNITED GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","45 patients",,,"PN-6 " "501329","UNITED GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "501329","UNITED GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","45 patients",,,"PN-3B " "501329","UNITED GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "501329","UNITED GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","29 patients",,,"HF-1 " "501329","UNITED GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","14 patients","1 ","1","SCIP-INF-6 " "501329","UNITED GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "501329","UNITED GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","36 patients",,,"HF-2 " "501329","UNITED GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "501329","UNITED GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","12 patients","1 ","1","SCIP-VTE-1 " "501329","UNITED GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "501329","UNITED GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","12 patients","1 ","1","SCIP-VTE-2 " "501329","UNITED GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "501329","UNITED GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","57 patients",,,"PN-5C " "501329","UNITED GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "501329","UNITED GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","26 patients","2 ","2","SCIP-VTE-2 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","30 patients","2 ","2","PN-2 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","25 patients","2 ","2","PN-6 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","29 patients","2 ","2","SCIP-INF-2 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","28 patients",,,"HF-1 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","34 patients","2 ","2","PN-3B " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","16 patients","1,2 ","12","PN-4 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","58 patients","2 ","2","SCIP-INF-6 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","21 patients","1 ","1","PN-7 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","29 patients","2 ","2","SCIP-VTE-1 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","29 patients","2 ","2","SCIP-INF-1 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","36 patients",,,"HF-2 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","29 patients","2 ","2","SCIP-INF-3 " "501330","SUNNYSIDE COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","39 patients","2 ","2","PN-5C " "501331","PULLMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "501331","PULLMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "501331","PULLMAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","16 patients","1 ","1","PN-2 " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "501331","PULLMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "501331","PULLMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "501331","PULLMAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","72%","25 patients",,,"PN-3B " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "501331","PULLMAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","27 patients",,,"PN-5C " "501331","PULLMAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","14 patients","1 ","1","PN-6 " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","31%","13 patients","1 ","1","HF-1 " "501331","PULLMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "501331","PULLMAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","PN-4 " "501331","PULLMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","13 patients","1 ","1","HF-2 " "501331","PULLMAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "501331","PULLMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "501331","PULLMAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501331","PULLMAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","8 patients","1 ","1","PN-7 " "501332","TRI-STATE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","183 patients","2 ","2","SCIP-INF-3 " "501332","TRI-STATE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","248 patients","2 ","2","SCIP-INF-6 " "501332","TRI-STATE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","40%","10 patients","1 ","1","PN-6 " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","HF-3 " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "501332","TRI-STATE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","29 patients",,,"PN-7 " "501332","TRI-STATE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","183 patients","2 ","2","SCIP-INF-2 " "501332","TRI-STATE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","83 patients","2 ","2","SCIP-VTE-2 " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "501332","TRI-STATE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","10 patients","1 ","1","PN-5C " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "501332","TRI-STATE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501332","TRI-STATE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","83 patients","2 ","2","SCIP-VTE-1 " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "501332","TRI-STATE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","52 patients",,,"PN-2 " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "501332","TRI-STATE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "501332","TRI-STATE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","183 patients","2 ","2","SCIP-INF-1 " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","31 patients",,,"HF-2 " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","17 patients","1 ","1","HF-1 " "501332","TRI-STATE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "501332","TRI-STATE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","45 patients",,,"PN-3B " "501332","TRI-STATE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","PN-4 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","25 patients",,,"PN-6 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","50 patients",,,"SCIP-INF-3 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","21 patients","1 ","1","PN-2 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","35 patients",,,"SCIP-VTE-2 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","22 patients","1 ","1","HF-2 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","32 patients",,,"PN-3B " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","51 patients",,,"SCIP-INF-1 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","16 patients","1 ","1","PN-7 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","30 patients",,,"PN-5C " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","63 patients",,,"SCIP-INF-6 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1 ","1","HF-1 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","51 patients",,,"SCIP-INF-2 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","35 patients",,,"SCIP-VTE-1 " "501333","KITTITAS VALLEY COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1,3 ","13","SCIP-VTE-1 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","1 patients","1,3 ","13","SCIP-INF-3 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","1 patients","1,3 ","13","SCIP-INF-2 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1,3 ","13","SCIP-VTE-2 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","0%","1 patients","1,3 ","13","SCIP-INF-1 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "501334","LAKE CHELAN COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","51 patients",,,"SCIP-VTE-2 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","27 patients",,,"PN-7 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","59 patients",,,"SCIP-INF-2 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","55 patients",,,"SCIP-INF-3 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","37 patients",,,"PN-2 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","28 patients",,,"HF-2 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1,3 ","13","AMI-2 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","51 patients",,,"SCIP-VTE-1 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","PN-4 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","18 patients","1 ","1","HF-1 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","35 patients",,,"PN-6 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","43 patients",,,"PN-5C " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","111 patients",,,"SCIP-INF-6 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1,3 ","13","AMI-5 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","41 patients",,,"PN-3B " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","5 patients","1 ","1","SCIP-CARD-2 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "501335","ENUMCLAW REGIONAL HOSPITAL ASSOCIATION","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","59 patients",,,"SCIP-INF-1 " "501336","MASON GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients",,,"PN-4 " "501336","MASON GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","38 patients",,,"HF-2 " "501336","MASON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "501336","MASON GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "501336","MASON GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "501336","MASON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "501336","MASON GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "501336","MASON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "501336","MASON GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "501336","MASON GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "501336","MASON GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","71 patients",,,"PN-2 " "501336","MASON GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","53 patients",,,"PN-7 " "501336","MASON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "501336","MASON GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","80 patients",,,"PN-3B " "501336","MASON GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "501336","MASON GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","76%","45 patients",,,"PN-6 " "501336","MASON GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","31 patients",,,"HF-1 " "501336","MASON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501336","MASON GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","14 patients","1 ","1","HF-3 " "501336","MASON GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","88 patients",,,"PN-5C " "501336","MASON GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "501336","MASON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "501336","MASON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "501336","MASON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "501336","MASON GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "501337","LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501337","LOURDES MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "501337","LOURDES MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","36 patients",,,"HF-2 " "501337","LOURDES MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "501337","LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","483 patients",,,"SCIP-INF-3 " "501337","LOURDES MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "501337","LOURDES MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "501337","LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","562 patients",,,"SCIP-INF-6 " "501337","LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","216 patients",,,"SCIP-VTE-1 " "501337","LOURDES MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "501337","LOURDES MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","34 patients",,,"PN-2 " "501337","LOURDES MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "501337","LOURDES MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "501337","LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","485 patients",,,"SCIP-INF-2 " "501337","LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","82%","487 patients",,,"SCIP-INF-1 " "501337","LOURDES MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","32 patients",,,"PN-6 " "501337","LOURDES MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","76%","41 patients",,,"PN-3B " "501337","LOURDES MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "501337","LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","214 patients",,,"SCIP-VTE-2 " "501337","LOURDES MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","27 patients",,,"HF-1 " "501337","LOURDES MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","45 patients",,,"PN-5C " "501337","LOURDES MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "501337","LOURDES MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "501337","LOURDES MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","14 patients","1 ","1","PN-7 " "501337","LOURDES MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "501338","SNOQUALMIE VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "501338","SNOQUALMIE VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","71%","14 patients","1 ","1","PN-7 " "501338","SNOQUALMIE VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","16 patients","1,3 ","13","PN-2 " "501338","SNOQUALMIE VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","12 patients","1,3 ","13","PN-5C " "501338","SNOQUALMIE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "501338","SNOQUALMIE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "501338","SNOQUALMIE VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","14 patients","1,3 ","13","PN-3B " "501338","SNOQUALMIE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "501338","SNOQUALMIE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "501338","SNOQUALMIE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "501338","SNOQUALMIE VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","9 patients","1,3 ","13","PN-6 " "501338","SNOQUALMIE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","4 patients","1,3 ","13","HF-2 " "501338","SNOQUALMIE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "501338","SNOQUALMIE VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "501338","SNOQUALMIE VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "501339","WHIDBEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","71 patients",,,"SCIP-INF-3 " "501339","WHIDBEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1 ","1","SCIP-CARD-2 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","67%","3 patients","1,3 ","13","AMI-2 " "501339","WHIDBEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","43 patients",,,"SCIP-VTE-2 " "501339","WHIDBEY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","63 patients","2 ","2","PN-6 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "501339","WHIDBEY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","63 patients",,,"PN-7 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","AMI-3 " "501339","WHIDBEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","43 patients",,,"SCIP-VTE-1 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2,3 ","123","HF-4 " "501339","WHIDBEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","85%","73 patients",,,"SCIP-INF-1 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "501339","WHIDBEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","72 patients",,,"SCIP-INF-2 " "501339","WHIDBEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","54 patients","2,3 ","23","HF-2 " "501339","WHIDBEY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","91 patients","2 ","2","PN-2 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1,2,3 ","123","HF-3 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1,3 ","13","AMI-5 " "501339","WHIDBEY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1,2 ","12","PN-4 " "501339","WHIDBEY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","61 patients","2 ","2","PN-3B " "501339","WHIDBEY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","59%","51 patients","2,3 ","23","HF-1 " "501339","WHIDBEY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","87 patients",,,"SCIP-INF-6 " "501339","WHIDBEY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1,3 ","13","AMI-1 " "501339","WHIDBEY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","90 patients","2 ","2","PN-5C " "503300","CHILDREN'S HOSP & REGIONAL MED CTR","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","318 patients",,,"CAC-2 " "503300","CHILDREN'S HOSP & REGIONAL MED CTR","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","318 patients",,,"CAC-1 " "503300","CHILDREN'S HOSP & REGIONAL MED CTR","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","11%","317 patients",,,"CAC-3 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","428 patients",,,"AMI-2 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","318 patients","2 ","2","SCIP-INF-4 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","308 patients","2 ","2","SCIP-VTE-1 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","832 patients","2 ","2","SCIP-INF-1 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","199 patients",,,"PN-2 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","274 patients",,,"HF-2 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","169 patients","2 ","2","SCIP-CARD-2 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","431 patients",,,"AMI-5 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","83 patients",,,"HF-3 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","64 patients",,,"PN-6 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","99 patients",,,"AMI-3 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1066 patients","2 ","2","SCIP-INF-6 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","167 patients",,,"PN-7 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","65 patients",,,"HF-4 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","185 patients",,,"AMI-1 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","159 patients",,,"PN-5C " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","838 patients","2 ","2","SCIP-INF-2 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","800 patients","2 ","2","SCIP-INF-3 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","214 patients",,,"HF-1 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","308 patients","2 ","2","SCIP-VTE-2 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","121 patients",,,"PN-3B " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","117 patients",,,"PN-4 " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","93%","27 patients",,,"AMI-8A " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510001","WEST VIRGINIA UNIVERSITY HOSPITALS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","177 patients",,,"AMI-4 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","170 patients",,,"PN-7 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","104 patients",,,"PN-6 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1 ","1","AMI-5 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","252 patients",,,"SCIP-INF-6 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","169 patients",,,"SCIP-INF-3 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","29 patients",,,"AMI-1 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","30 patients",,,"SCIP-CARD-2 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","205 patients",,,"PN-3B " "510002","GREENBRIER VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","249 patients",,,"PN-2 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","187 patients",,,"SCIP-INF-1 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","128 patients",,,"SCIP-VTE-1 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","187 patients",,,"SCIP-INF-2 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","128 patients",,,"SCIP-VTE-2 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","183 patients",,,"PN-5C " "510002","GREENBRIER VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","116 patients",,,"PN-4 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","42 patients",,,"HF-3 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","117 patients",,,"HF-2 " "510002","GREENBRIER VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","90 patients",,,"HF-1 " "510006","UNITED HOSPITAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","275 patients",,,"PN-7 " "510006","UNITED HOSPITAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","355 patients",,,"PN-2 " "510006","UNITED HOSPITAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","35 patients",,,"AMI-8A " "510006","UNITED HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","721 patients","2 ","2","SCIP-INF-6 " "510006","UNITED HOSPITAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","194 patients",,,"HF-3 " "510006","UNITED HOSPITAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","218 patients",,,"AMI-1 " "510006","UNITED HOSPITAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","55 patients",,,"AMI-3 " "510006","UNITED HOSPITAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","214 patients",,,"PN-6 " "510006","UNITED HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","333 patients","2 ","2","SCIP-VTE-2 " "510006","UNITED HOSPITAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","310 patients",,,"HF-2 " "510006","UNITED HOSPITAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","222 patients",,,"AMI-5 " "510006","UNITED HOSPITAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","135 patients",,,"PN-4 " "510006","UNITED HOSPITAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","227 patients",,,"AMI-2 " "510006","UNITED HOSPITAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "510006","UNITED HOSPITAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","279 patients",,,"PN-3B " "510006","UNITED HOSPITAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","264 patients",,,"PN-5C " "510006","UNITED HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","555 patients","2 ","2","SCIP-INF-2 " "510006","UNITED HOSPITAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510006","UNITED HOSPITAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","78 patients","2 ","2","SCIP-CARD-2 " "510006","UNITED HOSPITAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","267 patients",,,"HF-1 " "510006","UNITED HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","553 patients","2 ","2","SCIP-INF-1 " "510006","UNITED HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "510006","UNITED HOSPITAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","333 patients","2 ","2","SCIP-VTE-1 " "510006","UNITED HOSPITAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","521 patients","2 ","2","SCIP-INF-3 " "510006","UNITED HOSPITAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","101 patients",,,"AMI-4 " "510007","ST MARY'S MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","124 patients",,,"HF-3 " "510007","ST MARY'S MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","447 patients",,,"HF-1 " "510007","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","782 patients","2 ","2","SCIP-INF-1 " "510007","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","749 patients","2 ","2","SCIP-INF-3 " "510007","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510007","ST MARY'S MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","403 patients",,,"PN-2 " "510007","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","62 patients",,,"AMI-8A " "510007","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","197 patients","2 ","2","SCIP-CARD-2 " "510007","ST MARY'S MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","523 patients",,,"PN-5C " "510007","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","345 patients",,,"AMI-1 " "510007","ST MARY'S MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","531 patients",,,"HF-2 " "510007","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","262 patients","2 ","2","SCIP-INF-4 " "510007","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","271 patients","2 ","2","SCIP-VTE-2 " "510007","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","588 patients",,,"AMI-5 " "510007","ST MARY'S MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","518 patients",,,"PN-3B " "510007","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","993 patients","2 ","2","SCIP-INF-6 " "510007","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","75 patients",,,"AMI-3 " "510007","ST MARY'S MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","244 patients",,,"PN-4 " "510007","ST MARY'S MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","287 patients",,,"PN-6 " "510007","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","271 patients","2 ","2","SCIP-VTE-1 " "510007","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","261 patients",,,"AMI-4 " "510007","ST MARY'S MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","790 patients","2 ","2","SCIP-INF-2 " "510007","ST MARY'S MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","113 patients",,,"HF-4 " "510007","ST MARY'S MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","573 patients",,,"AMI-2 " "510007","ST MARY'S MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","284 patients",,,"PN-7 " "510008","CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","154 patients",,,"PN-6 " "510008","CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","112 patients",,,"HF-1 " "510008","CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","140 patients",,,"SCIP-INF-3 " "510008","CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","29 patients",,,"HF-4 " "510008","CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","119 patients",,,"PN-2 " "510008","CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","137 patients",,,"HF-2 " "510008","CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","33 patients",,,"HF-3 " "510008","CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "510008","CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510008","CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","247 patients",,,"SCIP-VTE-1 " "510008","CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","81 patients",,,"AMI-1 " "510008","CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","109 patients",,,"PN-7 " "510008","CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","158 patients",,,"SCIP-INF-2 " "510008","CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "510008","CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","62 patients",,,"SCIP-CARD-2 " "510008","CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","71 patients",,,"PN-4 " "510008","CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","150 patients",,,"SCIP-INF-1 " "510008","CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","61%","31 patients",,,"AMI-5 " "510008","CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","181 patients",,,"PN-3B " "510008","CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","244 patients",,,"SCIP-VTE-2 " "510008","CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510008","CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","194 patients",,,"PN-5C " "510008","CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","525 patients",,,"SCIP-INF-6 " "510008","CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","62%","29 patients",,,"AMI-2 " "510008","CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","AMI-4 " "510012","PLEASANT VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","109 patients",,,"HF-1 " "510012","PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510012","PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510012","PLEASANT VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","142 patients",,,"PN-5C " "510012","PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","AMI-3 " "510012","PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","67 patients",,,"SCIP-INF-1 " "510012","PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "510012","PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","65%","68 patients",,,"SCIP-INF-2 " "510012","PLEASANT VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","104 patients",,,"PN-2 " "510012","PLEASANT VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","83 patients",,,"PN-6 " "510012","PLEASANT VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","63 patients",,,"PN-4 " "510012","PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","47%","59 patients",,,"SCIP-VTE-2 " "510012","PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","58%","59 patients",,,"SCIP-VTE-1 " "510012","PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","73%","11 patients","1 ","1","AMI-2 " "510012","PLEASANT VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","106 patients",,,"PN-7 " "510012","PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","81%","103 patients",,,"SCIP-INF-6 " "510012","PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","18 patients","1 ","1","SCIP-CARD-2 " "510012","PLEASANT VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","66 patients",,,"SCIP-INF-3 " "510012","PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","14 patients","1 ","1","AMI-5 " "510012","PLEASANT VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","37 patients",,,"HF-4 " "510012","PLEASANT VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","76 patients",,,"PN-3B " "510012","PLEASANT VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","55%","47 patients",,,"HF-3 " "510012","PLEASANT VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","153 patients",,,"HF-2 " "510012","PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510012","PLEASANT VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","85%","20 patients","1 ","1","AMI-1 " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","94 patients",,,"HF-1 " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","AMI-4 " "510013","REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","66 patients",,,"SCIP-INF-1 " "510013","REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","33 patients",,,"PN-4 " "510013","REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","79 patients",,,"PN-7 " "510013","REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510013","REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","66 patients",,,"SCIP-INF-2 " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "510013","REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","83 patients",,,"PN-3B " "510013","REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","10 patients","1 ","1","SCIP-CARD-2 " "510013","REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","85 patients",,,"PN-6 " "510013","REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","59 patients",,,"SCIP-INF-3 " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","31 patients",,,"AMI-2 " "510013","REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","44 patients",,,"SCIP-VTE-2 " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","94%","53 patients",,,"AMI-1 " "510013","REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","101 patients",,,"PN-2 " "510013","REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","44 patients",,,"SCIP-VTE-1 " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","131 patients",,,"HF-2 " "510013","REYNOLDS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","116 patients",,,"PN-5C " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","22 patients","1 ","1","HF-3 " "510013","REYNOLDS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","86 patients",,,"SCIP-INF-6 " "510013","REYNOLDS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","84%","32 patients",,,"AMI-5 " "510018","JACKSON GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","78%","9 patients","1 ","1","AMI-5 " "510018","JACKSON GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","114 patients",,,"PN-2 " "510018","JACKSON GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","65 patients",,,"PN-6 " "510018","JACKSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","10 patients","1 ","1","SCIP-VTE-2 " "510018","JACKSON GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","114 patients",,,"PN-5C " "510018","JACKSON GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","91 patients",,,"PN-3B " "510018","JACKSON GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","18 patients","1 ","1","AMI-1 " "510018","JACKSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","79%","14 patients","1 ","1","SCIP-INF-6 " "510018","JACKSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510018","JACKSON GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "510018","JACKSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "510018","JACKSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","10 patients","1 ","1","SCIP-VTE-1 " "510018","JACKSON GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","78%","9 patients","1 ","1","AMI-2 " "510018","JACKSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","40%","5 patients","1 ","1","SCIP-INF-3 " "510018","JACKSON GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "510018","JACKSON GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","78 patients",,,"PN-7 " "510018","JACKSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","40%","5 patients","1 ","1","SCIP-INF-1 " "510018","JACKSON GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-2 " "510018","JACKSON GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","26 patients",,,"PN-4 " "510018","JACKSON GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "510018","JACKSON GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","78 patients",,,"HF-1 " "510018","JACKSON GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","93 patients",,,"HF-2 " "510018","JACKSON GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510018","JACKSON GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "510018","JACKSON GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","341 patients",,,"HF-3 " "510022","CHARLESTON AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","711 patients","2 ","2","SCIP-VTE-1 " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","413 patients",,,"AMI-1 " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","216 patients",,,"AMI-3 " "510022","CHARLESTON AREA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","432 patients",,,"PN-6 " "510022","CHARLESTON AREA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","654 patients",,,"PN-3B " "510022","CHARLESTON AREA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","632 patients",,,"PN-2 " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","1021 patients",,,"AMI-2 " "510022","CHARLESTON AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","3170 patients","2 ","2","SCIP-INF-6 " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","763 patients",,,"HF-1 " "510022","CHARLESTON AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","1249 patients","2 ","2","SCIP-INF-4 " "510022","CHARLESTON AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","708 patients","2 ","2","SCIP-VTE-2 " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","478 patients",,,"AMI-4 " "510022","CHARLESTON AREA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","671 patients",,,"PN-5C " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","841 patients",,,"HF-2 " "510022","CHARLESTON AREA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","379 patients",,,"PN-4 " "510022","CHARLESTON AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","2465 patients","2 ","2","SCIP-INF-2 " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","73%","55 patients",,,"AMI-8A " "510022","CHARLESTON AREA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","512 patients",,,"PN-7 " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","195 patients",,,"HF-4 " "510022","CHARLESTON AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","1963 patients","2 ","2","SCIP-INF-3 " "510022","CHARLESTON AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","2399 patients","2 ","2","SCIP-INF-1 " "510022","CHARLESTON AREA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","606 patients","2 ","2","SCIP-CARD-2 " "510022","CHARLESTON AREA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","981 patients",,,"AMI-5 " "510023","WEIRTON MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "510023","WEIRTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","55 patients","2 ","2","SCIP-CARD-2 " "510023","WEIRTON MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","46 patients",,,"AMI-5 " "510023","WEIRTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","165 patients","2 ","2","SCIP-VTE-1 " "510023","WEIRTON MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","49 patients",,,"AMI-1 " "510023","WEIRTON MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","284 patients",,,"HF-2 " "510023","WEIRTON MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","302 patients",,,"PN-5C " "510023","WEIRTON MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","134 patients",,,"PN-4 " "510023","WEIRTON MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","291 patients",,,"PN-2 " "510023","WEIRTON MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "510023","WEIRTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","250 patients","2 ","2","SCIP-INF-3 " "510023","WEIRTON MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","193 patients",,,"PN-7 " "510023","WEIRTON MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","86 patients",,,"HF-3 " "510023","WEIRTON MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","313 patients",,,"PN-3B " "510023","WEIRTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","164 patients","2 ","2","SCIP-VTE-2 " "510023","WEIRTON MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","212 patients",,,"PN-6 " "510023","WEIRTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","257 patients","2 ","2","SCIP-INF-1 " "510023","WEIRTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "510023","WEIRTON MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510023","WEIRTON MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","18 patients","1 ","1","AMI-8A " "510023","WEIRTON MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "510023","WEIRTON MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","241 patients",,,"HF-1 " "510023","WEIRTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","257 patients","2 ","2","SCIP-INF-2 " "510023","WEIRTON MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","44 patients",,,"AMI-2 " "510023","WEIRTON MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","342 patients","2 ","2","SCIP-INF-6 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","156 patients",,,"PN-5C " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1099 patients","2 ","2","SCIP-INF-6 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","887 patients","2 ","2","SCIP-INF-3 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","186 patients","2 ","2","SCIP-CARD-2 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","277 patients",,,"AMI-2 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","126 patients","2 ","2","SCIP-INF-4 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","328 patients",,,"HF-2 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","422 patients","2 ","2","SCIP-VTE-1 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","91 patients",,,"AMI-3 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","133 patients",,,"PN-6 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","290 patients",,,"AMI-5 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","419 patients","2 ","2","SCIP-VTE-2 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","898 patients","2 ","2","SCIP-INF-1 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"AMI-4 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","35 patients",,,"AMI-8A " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","176 patients",,,"PN-2 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","136 patients",,,"PN-7 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","133 patients",,,"PN-3B " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","152 patients",,,"AMI-1 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","53 patients",,,"PN-4 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","295 patients",,,"HF-1 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","910 patients","2 ","2","SCIP-INF-2 " "510024","MONONGALIA COUNTY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","122 patients",,,"HF-3 " "510029","THOMAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","154 patients","2 ","2","SCIP-VTE-2 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","54%","13 patients","1,2 ","12","AMI-3 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","71 patients","2 ","2","AMI-5 " "510029","THOMAS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","139 patients","2 ","2","PN-3B " "510029","THOMAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","42 patients","2 ","2","SCIP-CARD-2 " "510029","THOMAS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","83 patients","2 ","2","PN-7 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","111 patients","2 ","2","AMI-1 " "510029","THOMAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","155 patients","2 ","2","SCIP-VTE-1 " "510029","THOMAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","227 patients","2 ","2","SCIP-INF-2 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","55%","167 patients","2 ","2","HF-1 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1,2 ","12","AMI-7A " "510029","THOMAS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","79 patients","2 ","2","HF-3 " "510029","THOMAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","228 patients","2 ","2","HF-2 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","67%","6 patients","1,2 ","12","AMI-8A " "510029","THOMAS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","119 patients","2 ","2","PN-2 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","42 patients","2 ","2","HF-4 " "510029","THOMAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","73%","217 patients","2 ","2","SCIP-INF-3 " "510029","THOMAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","86%","329 patients","2 ","2","SCIP-INF-6 " "510029","THOMAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","226 patients","2 ","2","SCIP-INF-1 " "510029","THOMAS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","66%","53 patients","2 ","2","PN-4 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","89%","28 patients","2 ","2","AMI-4 " "510029","THOMAS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","170 patients","2 ","2","PN-5C " "510029","THOMAS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","102 patients","2 ","2","PN-6 " "510029","THOMAS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","70 patients","2 ","2","AMI-2 " "51002F","BECKLEY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "51002F","BECKLEY VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","147 patients",,,"PN-3B " "51002F","BECKLEY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "51002F","BECKLEY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "51002F","BECKLEY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","81 patients",,,"HF-1 " "51002F","BECKLEY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "51002F","BECKLEY VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","167 patients",,,"PN-2 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "51002F","BECKLEY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "51002F","BECKLEY VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","157 patients",,,"PN-5C " "51002F","BECKLEY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "51002F","BECKLEY VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","41 patients",,,"HF-3 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "51002F","BECKLEY VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","99 patients",,,"PN-6 " "51002F","BECKLEY VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","64 patients",,,"PN-4 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "51002F","BECKLEY VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","92 patients",,,"HF-2 " "51002F","BECKLEY VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","117 patients",,,"PN-7 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","HF-4 " "51002F","BECKLEY VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "510030","DAVIS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","127 patients",,,"PN-3B " "510030","DAVIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","46 patients",,,"SCIP-CARD-2 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","20 patients","1 ","1","HF-4 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","21 patients","1 ","1","AMI-5 " "510030","DAVIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","151 patients",,,"SCIP-VTE-2 " "510030","DAVIS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","135 patients",,,"PN-5C " "510030","DAVIS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","96 patients",,,"PN-7 " "510030","DAVIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","242 patients",,,"SCIP-INF-3 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510030","DAVIS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510030","DAVIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510030","DAVIS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"PN-4 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","154 patients",,,"HF-2 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","140 patients",,,"HF-1 " "510030","DAVIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","253 patients",,,"SCIP-INF-2 " "510030","DAVIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","340 patients",,,"SCIP-INF-6 " "510030","DAVIS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","103 patients",,,"PN-6 " "510030","DAVIS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","149 patients",,,"PN-2 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","44 patients",,,"HF-3 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","20 patients","1 ","1","AMI-2 " "510030","DAVIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","151 patients",,,"SCIP-VTE-1 " "510030","DAVIS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","32 patients",,,"AMI-1 " "510030","DAVIS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","250 patients",,,"SCIP-INF-1 " "510031","ST FRANCIS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","66 patients",,,"PN-2 " "510031","ST FRANCIS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","66 patients",,,"PN-3B " "510031","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","368 patients",,,"SCIP-INF-2 " "510031","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","192 patients",,,"SCIP-VTE-1 " "510031","ST FRANCIS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","76 patients",,,"AMI-2 " "510031","ST FRANCIS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","42 patients",,,"PN-4 " "510031","ST FRANCIS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","69 patients",,,"PN-5C " "510031","ST FRANCIS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","56 patients",,,"PN-7 " "510031","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","186 patients",,,"SCIP-VTE-2 " "510031","ST FRANCIS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","43%","7 patients","1 ","1","AMI-8A " "510031","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","61 patients",,,"SCIP-CARD-2 " "510031","ST FRANCIS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "510031","ST FRANCIS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510031","ST FRANCIS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","78 patients",,,"HF-1 " "510031","ST FRANCIS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","84 patients",,,"HF-2 " "510031","ST FRANCIS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","36 patients",,,"AMI-1 " "510031","ST FRANCIS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","35 patients",,,"HF-3 " "510031","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510031","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","478 patients",,,"SCIP-INF-6 " "510031","ST FRANCIS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"AMI-4 " "510031","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","362 patients",,,"SCIP-INF-3 " "510031","ST FRANCIS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","70 patients",,,"AMI-5 " "510031","ST FRANCIS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","35 patients",,,"PN-6 " "510031","ST FRANCIS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "510031","ST FRANCIS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","367 patients",,,"SCIP-INF-1 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","242 patients",,,"AMI-2 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","151 patients","2 ","2","SCIP-VTE-2 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","81 patients","2 ","2","SCIP-INF-4 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","196 patients",,,"PN-5C " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","467 patients","2 ","2","SCIP-INF-6 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","142 patients",,,"PN-6 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","85 patients","2 ","2","SCIP-CARD-2 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"HF-4 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","317 patients","2 ","2","SCIP-INF-2 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","159 patients",,,"PN-7 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","308 patients","2 ","2","SCIP-INF-1 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","152 patients","2 ","2","SCIP-VTE-1 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"AMI-4 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","216 patients",,,"PN-3B " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","208 patients",,,"PN-2 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","241 patients",,,"AMI-5 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","37 patients",,,"AMI-8A " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","42 patients",,,"AMI-3 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","272 patients",,,"HF-2 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","292 patients","2 ","2","SCIP-INF-3 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","219 patients",,,"HF-1 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","74%","80 patients",,,"HF-3 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients",,,"PN-4 " "510033","ST JOSEPHS HEALTHCARE SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","152 patients",,,"AMI-1 " "510038","STONEWALL JACKSON MEM HOSP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","38 patients",,,"PN-4 " "510038","STONEWALL JACKSON MEM HOSP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","117 patients",,,"PN-2 " "510038","STONEWALL JACKSON MEM HOSP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","72 patients",,,"PN-3B " "510038","STONEWALL JACKSON MEM HOSP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","85 patients",,,"PN-7 " "510038","STONEWALL JACKSON MEM HOSP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","115 patients",,,"PN-5C " "510038","STONEWALL JACKSON MEM HOSP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","12 patients","1 ","1","AMI-1 " "510038","STONEWALL JACKSON MEM HOSP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","71%","7 patients","1 ","1","AMI-5 " "510038","STONEWALL JACKSON MEM HOSP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","86 patients",,,"PN-6 " "510038","STONEWALL JACKSON MEM HOSP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","125 patients",,,"SCIP-INF-2 " "510038","STONEWALL JACKSON MEM HOSP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510038","STONEWALL JACKSON MEM HOSP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","20 patients","1 ","1","SCIP-CARD-2 " "510038","STONEWALL JACKSON MEM HOSP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "510038","STONEWALL JACKSON MEM HOSP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","94 patients",,,"HF-2 " "510038","STONEWALL JACKSON MEM HOSP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510038","STONEWALL JACKSON MEM HOSP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","186 patients",,,"SCIP-INF-6 " "510038","STONEWALL JACKSON MEM HOSP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","123 patients",,,"SCIP-INF-1 " "510038","STONEWALL JACKSON MEM HOSP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "510038","STONEWALL JACKSON MEM HOSP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510038","STONEWALL JACKSON MEM HOSP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","78 patients",,,"HF-1 " "510038","STONEWALL JACKSON MEM HOSP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","115 patients",,,"SCIP-INF-3 " "510038","STONEWALL JACKSON MEM HOSP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "510038","STONEWALL JACKSON MEM HOSP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "510038","STONEWALL JACKSON MEM HOSP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","87 patients",,,"SCIP-VTE-2 " "510038","STONEWALL JACKSON MEM HOSP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","87 patients",,,"SCIP-VTE-1 " "510038","STONEWALL JACKSON MEM HOSP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","41 patients",,,"HF-3 " "510039","OHIO VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","122 patients","2 ","2","PN-2 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510039","OHIO VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","89 patients","2 ","2","PN-7 " "510039","OHIO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","323 patients",,,"SCIP-INF-6 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","62 patients",,,"HF-3 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "510039","OHIO VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","88 patients","2 ","2","PN-6 " "510039","OHIO VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","134 patients","2 ","2","PN-3B " "510039","OHIO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","171 patients",,,"SCIP-VTE-1 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","170 patients",,,"HF-2 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","AMI-4 " "510039","OHIO VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","63 patients","2 ","2","PN-4 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","135 patients",,,"HF-1 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","31 patients",,,"AMI-5 " "510039","OHIO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","35 patients",,,"SCIP-CARD-2 " "510039","OHIO VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","149 patients","2 ","2","PN-5C " "510039","OHIO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","45 patients",,,"AMI-1 " "510039","OHIO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","204 patients",,,"SCIP-INF-2 " "510039","OHIO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","194 patients",,,"SCIP-INF-3 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","32 patients",,,"AMI-2 " "510039","OHIO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","171 patients",,,"SCIP-VTE-2 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510039","OHIO VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","205 patients",,,"SCIP-INF-1 " "510039","OHIO VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","107 patients",,,"HF-1 " "51003F","CLARKSBURG VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","113 patients",,,"PN-2 " "51003F","CLARKSBURG VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","82 patients",,,"PN-7 " "51003F","CLARKSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "51003F","CLARKSBURG VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","63 patients",,,"PN-3B " "51003F","CLARKSBURG VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","36 patients",,,"PN-4 " "51003F","CLARKSBURG VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","60 patients",,,"PN-6 " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "51003F","CLARKSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "51003F","CLARKSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","43 patients",,,"HF-3 " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","11 patients","1 ","1","AMI-2 " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "51003F","CLARKSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "51003F","CLARKSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "51003F","CLARKSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "51003F","CLARKSBURG VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","75 patients",,,"PN-5C " "51003F","CLARKSBURG VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","111 patients",,,"HF-2 " "51003F","CLARKSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "51003F","CLARKSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510046","PRINCETON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","77 patients",,,"SCIP-CARD-2 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","AMI-3 " "510046","PRINCETON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","467 patients","2 ","2","SCIP-INF-3 " "510046","PRINCETON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","483 patients","2 ","2","SCIP-INF-1 " "510046","PRINCETON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "510046","PRINCETON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","251 patients","2 ","2","SCIP-VTE-1 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","276 patients",,,"HF-1 " "510046","PRINCETON COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","140 patients",,,"PN-4 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","66 patients",,,"AMI-1 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510046","PRINCETON COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","201 patients",,,"PN-6 " "510046","PRINCETON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","250 patients","2 ","2","SCIP-VTE-2 " "510046","PRINCETON COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","271 patients",,,"PN-3B " "510046","PRINCETON COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","331 patients",,,"PN-5C " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","59 patients",,,"HF-4 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","79%","39 patients",,,"AMI-2 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","319 patients",,,"HF-2 " "510046","PRINCETON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","621 patients","2 ","2","SCIP-INF-6 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","47 patients",,,"AMI-5 " "510046","PRINCETON COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","226 patients",,,"PN-7 " "510046","PRINCETON COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","482 patients","2 ","2","SCIP-INF-2 " "510046","PRINCETON COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","53 patients",,,"HF-3 " "510046","PRINCETON COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","287 patients",,,"PN-2 " "510047","FAIRMONT GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","151 patients",,,"PN-7 " "510047","FAIRMONT GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510047","FAIRMONT GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","149 patients",,,"PN-5C " "510047","FAIRMONT GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","27 patients",,,"AMI-2 " "510047","FAIRMONT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","147 patients",,,"SCIP-VTE-2 " "510047","FAIRMONT GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","189 patients",,,"PN-2 " "510047","FAIRMONT GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","170 patients",,,"HF-1 " "510047","FAIRMONT GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","44 patients",,,"AMI-1 " "510047","FAIRMONT GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","215 patients",,,"HF-2 " "510047","FAIRMONT GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","136 patients",,,"PN-3B " "510047","FAIRMONT GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "510047","FAIRMONT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","147 patients",,,"SCIP-VTE-1 " "510047","FAIRMONT GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "510047","FAIRMONT GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","46 patients",,,"HF-3 " "510047","FAIRMONT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","138 patients",,,"SCIP-INF-1 " "510047","FAIRMONT GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510047","FAIRMONT GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","31 patients",,,"AMI-5 " "510047","FAIRMONT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","47 patients",,,"SCIP-CARD-2 " "510047","FAIRMONT GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","83 patients",,,"PN-4 " "510047","FAIRMONT GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "510047","FAIRMONT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","138 patients",,,"SCIP-INF-2 " "510047","FAIRMONT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","221 patients",,,"SCIP-INF-6 " "510047","FAIRMONT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510047","FAIRMONT GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","118 patients",,,"PN-6 " "510047","FAIRMONT GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","125 patients",,,"SCIP-INF-3 " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","50 patients",,,"HF-4 " "510048","LOGAN REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","343 patients",,,"PN-5C " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","17 patients","1 ","1","AMI-2 " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","186 patients",,,"HF-1 " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","30 patients",,,"AMI-1 " "510048","LOGAN REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","332 patients",,,"PN-3B " "510048","LOGAN REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","154 patients",,,"PN-4 " "510048","LOGAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","39 patients",,,"SCIP-CARD-2 " "510048","LOGAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","180 patients",,,"SCIP-INF-2 " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "510048","LOGAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510048","LOGAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","113 patients",,,"SCIP-INF-3 " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","211 patients",,,"HF-2 " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "510048","LOGAN REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","179 patients",,,"PN-7 " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","54 patients",,,"HF-3 " "510048","LOGAN REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","81%","237 patients",,,"PN-6 " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510048","LOGAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","178 patients",,,"SCIP-INF-1 " "510048","LOGAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","168 patients",,,"SCIP-VTE-1 " "510048","LOGAN REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "510048","LOGAN REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","222 patients",,,"PN-2 " "510048","LOGAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","168 patients",,,"SCIP-VTE-2 " "510048","LOGAN REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","301 patients",,,"SCIP-INF-6 " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","20 patients","1 ","1","AMI-1 " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","9 patients","1 ","1","AMI-5 " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","62 patients",,,"HF-3 " "51004F","HUNTINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","128 patients","2 ","2","SCIP-VTE-2 " "51004F","HUNTINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "51004F","HUNTINGTON VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","131 patients",,,"PN-2 " "51004F","HUNTINGTON VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","116 patients",,,"PN-3B " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","44 patients",,,"HF-4 " "51004F","HUNTINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","159 patients",,,"SCIP-INF-1 " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","166 patients",,,"HF-1 " "51004F","HUNTINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","156 patients",,,"SCIP-INF-3 " "51004F","HUNTINGTON VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","53 patients",,,"PN-6 " "51004F","HUNTINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","128 patients","2 ","2","SCIP-VTE-1 " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "51004F","HUNTINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","94 patients","2 ","2","SCIP-CARD-2 " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "51004F","HUNTINGTON VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","112 patients",,,"PN-5C " "51004F","HUNTINGTON VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","61 patients",,,"PN-4 " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "51004F","HUNTINGTON VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","171 patients",,,"HF-2 " "51004F","HUNTINGTON VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","126 patients",,,"PN-7 " "51004F","HUNTINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","245 patients","2 ","2","SCIP-INF-6 " "51004F","HUNTINGTON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","161 patients",,,"SCIP-INF-2 " "510050","WHEELING HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","56 patients","2 ","2","PN-4 " "510050","WHEELING HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510050","WHEELING HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"HF-4 " "510050","WHEELING HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","92 patients",,,"AMI-3 " "510050","WHEELING HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","140 patients",,,"HF-3 " "510050","WHEELING HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","63 patients",,,"AMI-8A " "510050","WHEELING HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","139 patients","2 ","2","PN-3B " "510050","WHEELING HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","118 patients","2 ","2","PN-6 " "510050","WHEELING HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","357 patients",,,"AMI-2 " "510050","WHEELING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","346 patients",,,"SCIP-VTE-1 " "510050","WHEELING HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","360 patients",,,"AMI-5 " "510050","WHEELING HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","277 patients",,,"SCIP-INF-4 " "510050","WHEELING HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1290 patients",,,"SCIP-INF-6 " "510050","WHEELING HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","134 patients","2 ","2","PN-7 " "510050","WHEELING HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","242 patients",,,"SCIP-CARD-2 " "510050","WHEELING HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","925 patients",,,"SCIP-INF-2 " "510050","WHEELING HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","809 patients",,,"SCIP-INF-3 " "510050","WHEELING HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","193 patients","2 ","2","PN-5C " "510050","WHEELING HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","217 patients","2 ","2","PN-2 " "510050","WHEELING HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","344 patients",,,"HF-2 " "510050","WHEELING HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","342 patients",,,"SCIP-VTE-2 " "510050","WHEELING HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","263 patients",,,"HF-1 " "510050","WHEELING HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","231 patients",,,"AMI-1 " "510050","WHEELING HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","99%","140 patients",,,"AMI-4 " "510050","WHEELING HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","912 patients",,,"SCIP-INF-1 " "510053","ST JOSEPH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","34 patients",,,"PN-6 " "510053","ST JOSEPH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "510053","ST JOSEPH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "510053","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","33 patients",,,"SCIP-INF-1 " "510053","ST JOSEPH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510053","ST JOSEPH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","36 patients",,,"PN-2 " "510053","ST JOSEPH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1 ","1","PN-5C " "510053","ST JOSEPH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","57%","7 patients","1 ","1","AMI-1 " "510053","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "510053","ST JOSEPH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","HF-3 " "510053","ST JOSEPH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","48 patients",,,"HF-1 " "510053","ST JOSEPH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "510053","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","58%","24 patients","1 ","1","SCIP-VTE-1 " "510053","ST JOSEPH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","59%","17 patients","1 ","1","PN-4 " "510053","ST JOSEPH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","70%","27 patients",,,"PN-7 " "510053","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","76%","51 patients",,,"SCIP-INF-6 " "510053","ST JOSEPH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","HF-4 " "510053","ST JOSEPH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","48 patients",,,"HF-2 " "510053","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","58%","24 patients","1 ","1","SCIP-VTE-2 " "510053","ST JOSEPH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","34 patients",,,"PN-3B " "510053","ST JOSEPH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510053","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","33 patients",,,"SCIP-INF-2 " "510053","ST JOSEPH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1 ","1","AMI-5 " "510053","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510053","ST JOSEPH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","32 patients",,,"SCIP-INF-3 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","388 patients","2 ","2","SCIP-INF-6 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","126 patients",,,"PN-7 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","157 patients","2 ","2","SCIP-VTE-1 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","91 patients",,,"HF-1 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","157 patients","2 ","2","SCIP-VTE-2 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","AMI-4 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","143 patients",,,"PN-2 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","245 patients","2 ","2","SCIP-INF-3 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","15 patients","1 ","1","AMI-2 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","109 patients",,,"HF-2 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","169 patients",,,"PN-3B " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","125 patients",,,"PN-4 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","20 patients","1 ","1","AMI-1 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","55 patients",,,"PN-6 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510055","CABELL-HUNTINGTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","254 patients","2 ","2","SCIP-INF-2 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","51 patients","2 ","2","SCIP-CARD-2 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","176 patients",,,"PN-5C " "510055","CABELL-HUNTINGTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510055","CABELL-HUNTINGTON HOSPITAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","255 patients","2 ","2","SCIP-INF-1 " "510055","CABELL-HUNTINGTON HOSPITAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","29 patients",,,"HF-3 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","426 patients","2 ","2","SCIP-INF-3 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","318 patients",,,"PN-2 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","287 patients",,,"PN-5C " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","194 patients",,,"PN-7 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","257 patients",,,"HF-1 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","218 patients",,,"PN-3B " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","657 patients","2 ","2","SCIP-INF-6 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","86 patients",,,"HF-3 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","34 patients",,,"HF-4 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","197 patients",,,"PN-6 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","256 patients","2 ","2","SCIP-VTE-1 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","154 patients",,,"AMI-1 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","255 patients","2 ","2","SCIP-VTE-2 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","114 patients",,,"PN-4 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","359 patients",,,"HF-2 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","447 patients","2 ","2","SCIP-INF-2 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","80 patients","2 ","2","SCIP-CARD-2 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","88 patients",,,"AMI-5 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","99 patients",,,"AMI-2 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","461 patients","2 ","2","SCIP-INF-1 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "510058","CAMDEN CLARK MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "510059","CHARLESTON SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "510059","CHARLESTON SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "510059","CHARLESTON SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "510059","CHARLESTON SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "510059","CHARLESTON SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "510059","CHARLESTON SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "510059","CHARLESTON SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "510059","CHARLESTON SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "510059","CHARLESTON SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "510059","CHARLESTON SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "510059","CHARLESTON SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "510059","CHARLESTON SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "510059","CHARLESTON SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "510059","CHARLESTON SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "510059","CHARLESTON SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "51005F","MARTINSBURG VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","45 patients",,,"PN-3B " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "51005F","MARTINSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "51005F","MARTINSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "51005F","MARTINSBURG VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "51005F","MARTINSBURG VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","58 patients",,,"PN-5C " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","70 patients",,,"HF-1 " "51005F","MARTINSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "51005F","MARTINSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","83 patients",,,"HF-2 " "51005F","MARTINSBURG VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","40 patients",,,"PN-7 " "51005F","MARTINSBURG VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","44 patients",,,"PN-6 " "51005F","MARTINSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "51005F","MARTINSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","47 patients",,,"HF-3 " "51005F","MARTINSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "51005F","MARTINSBURG VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "51005F","MARTINSBURG VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "51005F","MARTINSBURG VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","61 patients",,,"PN-2 " "510062","BECKLEY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","64 patients",,,"SCIP-INF-3 " "510062","BECKLEY ARH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","145 patients",,,"HF-2 " "510062","BECKLEY ARH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","53 patients",,,"PN-6 " "510062","BECKLEY ARH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","38 patients",,,"HF-3 " "510062","BECKLEY ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","65 patients",,,"SCIP-VTE-2 " "510062","BECKLEY ARH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","78%","88 patients",,,"PN-3B " "510062","BECKLEY ARH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510062","BECKLEY ARH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "510062","BECKLEY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","139 patients",,,"SCIP-INF-6 " "510062","BECKLEY ARH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","23%","22 patients","1 ","1","SCIP-CARD-2 " "510062","BECKLEY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","68 patients",,,"SCIP-INF-1 " "510062","BECKLEY ARH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","AMI-3 " "510062","BECKLEY ARH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","68 patients",,,"PN-4 " "510062","BECKLEY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510062","BECKLEY ARH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","79%","95 patients",,,"PN-5C " "510062","BECKLEY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","91%","66 patients",,,"SCIP-INF-2 " "510062","BECKLEY ARH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","15 patients","1 ","1","AMI-5 " "510062","BECKLEY ARH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","89 patients",,,"PN-2 " "510062","BECKLEY ARH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","81%","32 patients",,,"AMI-1 " "510062","BECKLEY ARH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","53%","115 patients",,,"HF-1 " "510062","BECKLEY ARH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510062","BECKLEY ARH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","62%","13 patients","1 ","1","AMI-2 " "510062","BECKLEY ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","71%","66 patients",,,"SCIP-VTE-1 " "510062","BECKLEY ARH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","65 patients",,,"PN-7 " "510062","BECKLEY ARH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","26 patients",,,"HF-4 " "510070","RALEIGH GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","282 patients",,,"HF-1 " "510070","RALEIGH GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510070","RALEIGH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","484 patients",,,"SCIP-INF-6 " "510070","RALEIGH GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","55 patients",,,"HF-3 " "510070","RALEIGH GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "510070","RALEIGH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","88%","211 patients",,,"SCIP-VTE-2 " "510070","RALEIGH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","42 patients",,,"SCIP-CARD-2 " "510070","RALEIGH GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","115 patients",,,"PN-4 " "510070","RALEIGH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","297 patients",,,"SCIP-INF-3 " "510070","RALEIGH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510070","RALEIGH GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510070","RALEIGH GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "510070","RALEIGH GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","45 patients",,,"AMI-1 " "510070","RALEIGH GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","239 patients",,,"PN-5C " "510070","RALEIGH GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","173 patients",,,"PN-6 " "510070","RALEIGH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","310 patients",,,"SCIP-INF-2 " "510070","RALEIGH GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","85%","13 patients","1 ","1","AMI-2 " "510070","RALEIGH GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","248 patients",,,"PN-3B " "510070","RALEIGH GENERAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","56%","16 patients","1 ","1","CAC-3 " "510070","RALEIGH GENERAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","16 patients","1 ","1","CAC-1 " "510070","RALEIGH GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","320 patients",,,"HF-2 " "510070","RALEIGH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","211 patients",,,"SCIP-VTE-1 " "510070","RALEIGH GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "510070","RALEIGH GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","61 patients",,,"HF-4 " "510070","RALEIGH GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","192 patients",,,"PN-7 " "510070","RALEIGH GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","307 patients",,,"SCIP-INF-1 " "510070","RALEIGH GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","249 patients",,,"PN-2 " "510070","RALEIGH GENERAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","17 patients","1 ","1","CAC-2 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","60%","183 patients",,,"HF-1 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","211 patients",,,"HF-2 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","282 patients",,,"SCIP-INF-2 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","43 patients",,,"SCIP-CARD-2 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","38 patients",,,"AMI-1 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","148 patients",,,"PN-5C " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","102 patients",,,"PN-7 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","85%","34 patients",,,"HF-4 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","312 patients",,,"SCIP-INF-6 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","54 patients",,,"HF-3 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","158 patients",,,"PN-3B " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","281 patients",,,"SCIP-INF-1 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","98 patients",,,"PN-6 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","144 patients",,,"PN-2 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","126 patients",,,"SCIP-VTE-1 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","AMI-3 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","278 patients",,,"SCIP-INF-3 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","AMI-4 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","126 patients",,,"SCIP-VTE-2 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","41 patients",,,"AMI-5 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","36 patients",,,"AMI-2 " "510071","BLUEFIELD REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","53 patients",,,"PN-4 " "510072","WETZEL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","13 patients","1 ","1","SCIP-INF-1 " "510072","WETZEL COUNTY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","63 patients",,,"HF-1 " "510072","WETZEL COUNTY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","24 patients","1 ","1","PN-4 " "510072","WETZEL COUNTY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","38 patients",,,"PN-7 " "510072","WETZEL COUNTY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","81%","16 patients","1 ","1","AMI-2 " "510072","WETZEL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients",,,"SCIP-INF-6 " "510072","WETZEL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","19 patients","1 ","1","SCIP-VTE-2 " "510072","WETZEL COUNTY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","64 patients",,,"PN-5C " "510072","WETZEL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","13 patients","1 ","1","SCIP-INF-3 " "510072","WETZEL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1 ","1","SCIP-CARD-2 " "510072","WETZEL COUNTY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","58%","19 patients","1 ","1","AMI-5 " "510072","WETZEL COUNTY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","51 patients",,,"PN-3B " "510072","WETZEL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","13 patients","1 ","1","SCIP-INF-2 " "510072","WETZEL COUNTY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "510072","WETZEL COUNTY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","88 patients",,,"HF-2 " "510072","WETZEL COUNTY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510072","WETZEL COUNTY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","69%","59 patients",,,"PN-2 " "510072","WETZEL COUNTY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","55 patients",,,"PN-6 " "510072","WETZEL COUNTY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","HF-4 " "510072","WETZEL COUNTY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","30 patients",,,"AMI-1 " "510072","WETZEL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","21 patients","1 ","1","SCIP-VTE-1 " "510072","WETZEL COUNTY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","HF-3 " "510072","WETZEL COUNTY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "510072","WETZEL COUNTY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510072","WETZEL COUNTY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510077","WILLIAMSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","38 patients",,,"PN-7 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","33 patients",,,"PN-4 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","111 patients",,,"HF-1 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","12 patients","1 ","1","SCIP-VTE-1 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","12 patients","1 ","1","SCIP-VTE-2 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","AMI-4 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","46 patients",,,"CAC-2 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","57 patients",,,"PN-6 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1 ","1","SCIP-INF-3 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","100%","46 patients",,,"CAC-3 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","70 patients",,,"PN-3B " "510077","WILLIAMSON MEMORIAL HOSPITAL","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","46 patients",,,"CAC-1 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-1 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","126 patients",,,"HF-2 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1 ","1","AMI-1 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","44 patients",,,"PN-2 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1 ","1","SCIP-INF-2 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","29 patients",,,"SCIP-INF-6 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "510077","WILLIAMSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","15 patients","1 ","1","PN-5C " "510077","WILLIAMSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","HF-3 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1,2 ","12","HF-3 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","48 patients",,,"SCIP-INF-1 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","47 patients","2 ","2","PN-2 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","73%","15 patients","1,2 ","12","PN-4 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","31 patients","2 ","2","PN-6 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","75 patients",,,"SCIP-INF-6 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","72%","68 patients","2 ","2","PN-3B " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","47 patients",,,"SCIP-VTE-2 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1,2 ","12","HF-4 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","38 patients","2 ","2","HF-1 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","10 patients","1 ","1","AMI-1 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","47 patients",,,"SCIP-INF-3 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","73 patients","2 ","2","PN-5C " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","44 patients","2 ","2","HF-2 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","47 patients",,,"SCIP-VTE-1 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","79%","48 patients",,,"SCIP-INF-2 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","27 patients","2 ","2","PN-7 " "510082","SUMMERSVILLE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "510085","CAMC TEAYS VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","103 patients",,,"PN-5C " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "510085","CAMC TEAYS VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","154 patients",,,"SCIP-INF-6 " "510085","CAMC TEAYS VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","77 patients",,,"SCIP-VTE-1 " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "510085","CAMC TEAYS VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510085","CAMC TEAYS VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","78%","58 patients",,,"SCIP-INF-2 " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "510085","CAMC TEAYS VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","54 patients",,,"SCIP-INF-3 " "510085","CAMC TEAYS VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","84 patients",,,"PN-7 " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","35 patients",,,"HF-3 " "510085","CAMC TEAYS VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","75 patients",,,"PN-6 " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","58%","59 patients",,,"HF-1 " "510085","CAMC TEAYS VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","98 patients",,,"PN-2 " "510085","CAMC TEAYS VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","76 patients",,,"SCIP-VTE-2 " "510085","CAMC TEAYS VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","61 patients",,,"PN-4 " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","68 patients",,,"HF-2 " "510085","CAMC TEAYS VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","28 patients",,,"SCIP-CARD-2 " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "510085","CAMC TEAYS VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","106 patients",,,"PN-3B " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "510085","CAMC TEAYS VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","58 patients",,,"SCIP-INF-1 " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "510085","CAMC TEAYS VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "510086","WELCH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","19 patients","1 ","1","SCIP-VTE-1 " "510086","WELCH COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "510086","WELCH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","31%","13 patients","1 ","1","SCIP-INF-1 " "510086","WELCH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","42%","12 patients","1 ","1","SCIP-INF-3 " "510086","WELCH COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1 ","1","HF-4 " "510086","WELCH COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","22%","18 patients","1 ","1","HF-2 " "510086","WELCH COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","12 patients","1 ","1","HF-1 " "510086","WELCH COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "510086","WELCH COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "510086","WELCH COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "510086","WELCH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","58%","12 patients","1 ","1","SCIP-INF-2 " "510086","WELCH COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","65%","26 patients",,,"PN-4 " "510086","WELCH COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","24 patients","1 ","1","PN-7 " "510086","WELCH COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","48%","25 patients",,,"PN-2 " "510086","WELCH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","79%","19 patients","1 ","1","SCIP-VTE-2 " "510086","WELCH COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "510086","WELCH COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","60%","5 patients","1 ","1","PN-3B " "510086","WELCH COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "510086","WELCH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "510086","WELCH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","30 patients",,,"SCIP-INF-6 " "510086","WELCH COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","49 patients",,,"PN-5C " "510086","WELCH COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "510086","WELCH COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "510086","WELCH COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","2 patients","1,3 ","13","AMI-5 " "510086","WELCH COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","64%","33 patients",,,"PN-6 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1,3 ","13","PN-6 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1,3 ","13","HF-3 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","15 patients","1,3 ","13","PN-3B " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","13 patients","1,3 ","13","HF-2 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,3 ","13","PN-4 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","44%","18 patients","1,3 ","13","PN-2 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","36%","11 patients","1,3 ","13","HF-1 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","5 patients","1,3 ","13","PN-7 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","12 patients","1,3 ","13","PN-5C " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511300","BROADDUS HOSPITAL ASSOCIATION, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","70%","10 patients","1,3 ","13","PN-2 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","15 patients","1,3 ","13","PN-5C " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1,3 ","13","PN-4 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","73%","11 patients","1,3 ","13","PN-6 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","6 patients","1,3 ","13","PN-7 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","30%","10 patients","1,3 ","13","HF-2 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","6 patients","1,3 ","13","PN-3B " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","10%","10 patients","1,3 ","13","HF-1 " "511301","WEBSTER COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "511303","MINNIE HAMILTON HEALTH CARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "511304","SISTERSVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "511304","SISTERSVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","5 patients","1,3 ","13","HF-1 " "511304","SISTERSVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511304","SISTERSVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511304","SISTERSVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511304","SISTERSVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1,3 ","13","HF-2 " "511304","SISTERSVILLE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "511304","SISTERSVILLE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","62%","8 patients","1,3 ","13","PN-2 " "511304","SISTERSVILLE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1,3 ","13","PN-6 " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "511304","SISTERSVILLE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1,3 ","13","PN-5C " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,3 ","13","HF-3 " "511304","SISTERSVILLE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","8 patients","1,3 ","13","PN-3B " "511304","SISTERSVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "511304","SISTERSVILLE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1,3 ","13","PN-7 " "511304","SISTERSVILLE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511304","SISTERSVILLE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511306","ROANE GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","29 patients",,,"PN-6 " "511306","ROANE GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "511306","ROANE GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "511306","ROANE GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "511306","ROANE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","2 patients","1 ","1","SCIP-CARD-2 " "511306","ROANE GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","8 patients","1 ","1","AMI-1 " "511306","ROANE GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","8 patients","1 ","1","AMI-2 " "511306","ROANE GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","33 patients",,,"PN-2 " "511306","ROANE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-2 " "511306","ROANE GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","15 patients","1 ","1","HF-2 " "511306","ROANE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","5 patients","1 ","1","SCIP-INF-1 " "511306","ROANE GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","12 patients","1 ","1","HF-1 " "511306","ROANE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","13 patients","1 ","1","SCIP-INF-6 " "511306","ROANE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","11 patients","1 ","1","SCIP-VTE-1 " "511306","ROANE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","11 patients","1 ","1","SCIP-VTE-2 " "511306","ROANE GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "511306","ROANE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","80%","5 patients","1 ","1","SCIP-INF-3 " "511306","ROANE GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "511306","ROANE GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","32 patients",,,"PN-3B " "511306","ROANE GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "511306","ROANE GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","37 patients",,,"PN-5C " "511306","ROANE GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "511306","ROANE GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","13 patients","1 ","1","PN-4 " "511306","ROANE GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","25 patients",,,"PN-7 " "511306","ROANE GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "511307","GRAFTON CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511307","GRAFTON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511307","GRAFTON CITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,3 ","13","HF-1 " "511307","GRAFTON CITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511307","GRAFTON CITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","17 patients","1,3 ","13","PN-5C " "511307","GRAFTON CITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "511307","GRAFTON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511307","GRAFTON CITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "511307","GRAFTON CITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "511307","GRAFTON CITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1,3 ","13","PN-3B " "511307","GRAFTON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511307","GRAFTON CITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "511307","GRAFTON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511307","GRAFTON CITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","12 patients","1,3 ","13","PN-2 " "511307","GRAFTON CITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "511307","GRAFTON CITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "511307","GRAFTON CITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1,3 ","13","PN-4 " "511307","GRAFTON CITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "511307","GRAFTON CITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","2 patients","1,3 ","13","HF-2 " "511307","GRAFTON CITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","14 patients","1,3 ","13","PN-6 " "511307","GRAFTON CITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "511307","GRAFTON CITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "511307","GRAFTON CITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511307","GRAFTON CITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511307","GRAFTON CITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","21 patients","1,3 ","13","HF-2 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1,3 ","13","PN-6 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","HF-4 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","8 patients","1,3 ","13","HF-3 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","21 patients","1,3 ","13","HF-1 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1,3 ","13","PN-3B " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","28 patients","3 ","3","PN-2 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511308","BRAXTON COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","30%","10 patients","1,3 ","13","PN-4 " "511309","MORGAN CTY WAR MEMORIAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "511309","MORGAN CTY WAR MEMORIAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "511309","MORGAN CTY WAR MEMORIAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1,3 ","13","PN-6 " "511309","MORGAN CTY WAR MEMORIAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,3 ","13","PN-5C " "511309","MORGAN CTY WAR MEMORIAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511309","MORGAN CTY WAR MEMORIAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511309","MORGAN CTY WAR MEMORIAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "511309","MORGAN CTY WAR MEMORIAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511309","MORGAN CTY WAR MEMORIAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511309","MORGAN CTY WAR MEMORIAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511309","MORGAN CTY WAR MEMORIAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "511309","MORGAN CTY WAR MEMORIAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1,3 ","13","PN-4 " "511309","MORGAN CTY WAR MEMORIAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511309","MORGAN CTY WAR MEMORIAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "511309","MORGAN CTY WAR MEMORIAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511309","MORGAN CTY WAR MEMORIAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","5 patients","1,3 ","13","HF-2 " "511309","MORGAN CTY WAR MEMORIAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","5 patients","1,3 ","13","PN-3B " "511309","MORGAN CTY WAR MEMORIAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511309","MORGAN CTY WAR MEMORIAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511309","MORGAN CTY WAR MEMORIAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "511309","MORGAN CTY WAR MEMORIAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "511309","MORGAN CTY WAR MEMORIAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","4 patients","1,3 ","13","HF-1 " "511309","MORGAN CTY WAR MEMORIAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "511309","MORGAN CTY WAR MEMORIAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","5 patients","1,3 ","13","PN-2 " "511309","MORGAN CTY WAR MEMORIAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "511310","SUMMERS COUNTY ARH HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","23 patients","1 ","1","PN-7 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "511310","SUMMERS COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511310","SUMMERS COUNTY ARH HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","PN-4 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "511310","SUMMERS COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511310","SUMMERS COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511310","SUMMERS COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511310","SUMMERS COUNTY ARH HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","72%","40 patients",,,"PN-6 " "511310","SUMMERS COUNTY ARH HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","42 patients",,,"PN-3B " "511310","SUMMERS COUNTY ARH HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","51 patients",,,"PN-5C " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","7 patients","1,3 ","13","AMI-2 " "511310","SUMMERS COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","8 patients","1,3 ","13","AMI-1 " "511310","SUMMERS COUNTY ARH HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","46 patients",,,"PN-2 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "511310","SUMMERS COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "511310","SUMMERS COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","25 patients",,,"HF-1 " "511310","SUMMERS COUNTY ARH HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","6 patients","1,3 ","13","AMI-5 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","12 patients","1 ","1","HF-3 " "511310","SUMMERS COUNTY ARH HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","37 patients",,,"HF-2 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "511311","HAMPSHIRE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "511312","PRESTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","14 patients","1 ","1","PN-7 " "511312","PRESTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511312","PRESTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "511312","PRESTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","71%","7 patients","1,3 ","13","AMI-1 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "511312","PRESTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","78%","9 patients","1 ","1","PN-4 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "511312","PRESTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511312","PRESTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","77%","26 patients",,,"PN-2 " "511312","PRESTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511312","PRESTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","19 patients","1 ","1","PN-6 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","24 patients","1 ","1","HF-1 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "511312","PRESTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","13 patients","1 ","1","PN-3B " "511312","PRESTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511312","PRESTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1,3 ","13","AMI-5 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "511312","PRESTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","22 patients","1 ","1","PN-5C " "511312","PRESTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","AMI-4 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1,3 ","13","AMI-2 " "511312","PRESTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","27 patients",,,"HF-2 " "511312","PRESTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511313","BOONE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511313","BOONE MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","44%","36 patients",,,"HF-2 " "511313","BOONE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511313","BOONE MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","40 patients",,,"PN-6 " "511313","BOONE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511313","BOONE MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","74%","62 patients",,,"PN-3B " "511313","BOONE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511313","BOONE MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "511313","BOONE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511313","BOONE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511313","BOONE MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "511313","BOONE MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","33 patients",,,"PN-7 " "511313","BOONE MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","27 patients",,,"PN-4 " "511313","BOONE MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "511313","BOONE MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "511313","BOONE MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","37 patients",,,"PN-2 " "511313","BOONE MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "511313","BOONE MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","48%","27 patients",,,"HF-1 " "511313","BOONE MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "511313","BOONE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511313","BOONE MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "511313","BOONE MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511313","BOONE MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","63%","49 patients",,,"PN-5C " "511313","BOONE MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "511313","BOONE MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1 ","1","HF-1 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "511314","POCAHONTAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","HF-3 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","13 patients","1,3 ","13","PN-6 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","14 patients","1,3 ","13","PN-5C " "511314","POCAHONTAS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","10 patients","1,3 ","13","PN-7 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "511314","POCAHONTAS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","74%","19 patients","1,3 ","13","PN-3B " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","83%","6 patients","1 ","1","HF-2 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511314","POCAHONTAS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","22 patients","1,3 ","13","PN-2 " "511315","POTOMAC VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","40 patients","2 ","2","HF-1 " "511315","POTOMAC VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,"0 patients","3 ","3","SCIP-VTE-2 " "511315","POTOMAC VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "511315","POTOMAC VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "511315","POTOMAC VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,2 ","12","AMI-5 " "511315","POTOMAC VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "511315","POTOMAC VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,"0 patients","3 ","3","SCIP-INF-6 " "511315","POTOMAC VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,2 ","12","AMI-2 " "511315","POTOMAC VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2 ","12","HF-4 " "511315","POTOMAC VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2 ","2","AMI-8A " "511315","POTOMAC VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,"0 patients","3 ","3","SCIP-VTE-1 " "511315","POTOMAC VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2 ","2","AMI-3 " "511315","POTOMAC VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "511315","POTOMAC VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511315","POTOMAC VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","14 patients","1,2 ","12","PN-4 " "511315","POTOMAC VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","39 patients","2 ","2","PN-2 " "511315","POTOMAC VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","36 patients","2 ","2","PN-6 " "511315","POTOMAC VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","80%","5 patients","1,2 ","12","AMI-1 " "511315","POTOMAC VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2 ","2","AMI-4 " "511315","POTOMAC VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","73%","11 patients","1,2 ","12","HF-3 " "511315","POTOMAC VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","29 patients",,,"PN-7 " "511315","POTOMAC VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "511315","POTOMAC VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","85%","39 patients","2 ","2","PN-3B " "511315","POTOMAC VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","45 patients","2 ","2","HF-2 " "511315","POTOMAC VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","42 patients","2 ","2","PN-5C " "511316","GRANT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","58 patients","3 ","3","SCIP-INF-1 " "511316","GRANT MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "511316","GRANT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","59 patients","3 ","3","SCIP-INF-2 " "511316","GRANT MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1,3 ","13","HF-3 " "511316","GRANT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","13 patients","1 ","1","SCIP-CARD-2 " "511316","GRANT MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","12 patients","1,3 ","13","PN-6 " "511316","GRANT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","11 patients","1,3 ","13","SCIP-VTE-2 " "511316","GRANT MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","24 patients","1,3 ","13","HF-1 " "511316","GRANT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","93%","73 patients","3 ","3","SCIP-INF-6 " "511316","GRANT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","57 patients","3 ","3","SCIP-INF-3 " "511316","GRANT MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","10 patients","1,3 ","13","PN-3B " "511316","GRANT MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "511316","GRANT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "511316","GRANT MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "511316","GRANT MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "511316","GRANT MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "511316","GRANT MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","19 patients","1,3 ","13","PN-5C " "511316","GRANT MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "511316","GRANT MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","31 patients","3 ","3","HF-2 " "511316","GRANT MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","11 patients","1,3 ","13","SCIP-VTE-1 " "511316","GRANT MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","8 patients","1,3 ","13","PN-7 " "511316","GRANT MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,3 ","13","PN-4 " "511316","GRANT MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "511316","GRANT MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "511316","GRANT MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","16 patients","1,3 ","13","PN-2 " "511317","PLATEAU MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","16 patients","1 ","1","AMI-5 " "511317","PLATEAU MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "511317","PLATEAU MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","93%","27 patients",,,"AMI-1 " "511317","PLATEAU MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "511317","PLATEAU MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "511317","PLATEAU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","63 patients","2 ","2","SCIP-INF-2 " "511317","PLATEAU MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","23 patients","1 ","1","HF-3 " "511317","PLATEAU MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","37 patients","2 ","2","SCIP-VTE-1 " "511317","PLATEAU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","126 patients","2 ","2","SCIP-INF-6 " "511317","PLATEAU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","63 patients","2 ","2","SCIP-INF-1 " "511317","PLATEAU MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","126 patients",,,"HF-2 " "511317","PLATEAU MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","12 patients","1 ","1","AMI-2 " "511317","PLATEAU MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "511317","PLATEAU MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","74 patients",,,"PN-3B " "511317","PLATEAU MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","20 patients","1,2 ","12","SCIP-CARD-2 " "511317","PLATEAU MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","78 patients",,,"PN-5C " "511317","PLATEAU MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","50 patients",,,"PN-7 " "511317","PLATEAU MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "511317","PLATEAU MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","100 patients",,,"HF-1 " "511317","PLATEAU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","63 patients","2 ","2","SCIP-INF-3 " "511317","PLATEAU MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","60 patients",,,"PN-2 " "511317","PLATEAU MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","37 patients","2 ","2","SCIP-VTE-2 " "511317","PLATEAU MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "511317","PLATEAU MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "511317","PLATEAU MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","47 patients",,,"PN-6 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","69 patients",,,"PN-7 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","105 patients",,,"PN-5C " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","81 patients",,,"PN-6 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","106 patients",,,"PN-2 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"PN-4 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","93 patients",,,"PN-3B " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","85%","33 patients",,,"HF-2 " "511318","MONTGOMERY GENERAL HOSPITAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","23 patients","1 ","1","HF-1 " "511319","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","72%","29 patients",,,"SCIP-INF-2 " "511319","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "511319","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","57 patients",,,"PN-2 " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","31 patients",,,"HF-1 " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "511319","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","71%","28 patients",,,"SCIP-INF-3 " "511319","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","57%","28 patients",,,"PN-4 " "511319","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","87 patients",,,"PN-3B " "511319","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","43 patients",,,"PN-7 " "511319","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","29 patients",,,"SCIP-VTE-2 " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","14 patients","1 ","1","HF-3 " "511319","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","84%","86 patients",,,"PN-5C " "511319","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "511319","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","56 patients",,,"SCIP-INF-6 " "511319","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","63%","30 patients",,,"SCIP-INF-1 " "511319","JEFFERSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","66 patients",,,"PN-6 " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "511319","JEFFERSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","47 patients",,,"HF-2 " "511319","JEFFERSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","29 patients",,,"SCIP-VTE-1 " "520002","ST MICHAELS HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","152 patients",,,"PN-5C " "520002","ST MICHAELS HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","192 patients",,,"SCIP-VTE-2 " "520002","ST MICHAELS HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","HF-3 " "520002","ST MICHAELS HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","53 patients",,,"HF-1 " "520002","ST MICHAELS HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "520002","ST MICHAELS HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","152 patients",,,"PN-3B " "520002","ST MICHAELS HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","407 patients",,,"SCIP-INF-2 " "520002","ST MICHAELS HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","88%","8 patients","1 ","1","AMI-2 " "520002","ST MICHAELS HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","398 patients",,,"SCIP-INF-3 " "520002","ST MICHAELS HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","90 patients",,,"HF-2 " "520002","ST MICHAELS HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","161 patients",,,"PN-2 " "520002","ST MICHAELS HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","524 patients",,,"SCIP-INF-6 " "520002","ST MICHAELS HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","12 patients","1 ","1","AMI-1 " "520002","ST MICHAELS HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","28 patients",,,"PN-4 " "520002","ST MICHAELS HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520002","ST MICHAELS HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","88 patients",,,"PN-6 " "520002","ST MICHAELS HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","192 patients",,,"SCIP-VTE-1 " "520002","ST MICHAELS HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","406 patients",,,"SCIP-INF-1 " "520002","ST MICHAELS HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","10 patients","1 ","1","AMI-5 " "520002","ST MICHAELS HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520002","ST MICHAELS HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "520002","ST MICHAELS HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520002","ST MICHAELS HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "520002","ST MICHAELS HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","80 patients",,,"SCIP-CARD-2 " "520002","ST MICHAELS HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","92 patients",,,"PN-7 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","119 patients",,,"AMI-2 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","112 patients","2 ","2","PN-5C " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","127 patients",,,"HF-2 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","138 patients","2 ","2","SCIP-CARD-2 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","44 patients",,,"HF-3 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","81 patients",,,"AMI-1 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","44 patients","2 ","2","PN-4 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","50 patients",,,"AMI-4 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","104 patients","2 ","2","PN-7 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","120 patients","2 ","2","PN-2 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","841 patients","2 ","2","SCIP-INF-6 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","432 patients","2 ","2","SCIP-VTE-2 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","78 patients",,,"HF-1 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","607 patients","2 ","2","SCIP-INF-1 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","432 patients","2 ","2","SCIP-VTE-1 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","600 patients","2 ","2","SCIP-INF-3 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","18 patients","1 ","1","AMI-8A " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","612 patients","2 ","2","SCIP-INF-2 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","61 patients","2 ","2","PN-6 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","87 patients","2 ","2","PN-3B " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","18 patients","1 ","1","AMI-3 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","HF-4 " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520004","FRANCISCAN SKEMP LA CROSSE HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","123 patients",,,"AMI-5 " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","289 patients","2 ","2","HF-2 " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","50 patients","2 ","2","AMI-3 " "520008","WAUKESHA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","149 patients","2 ","2","SCIP-INF-4 " "520008","WAUKESHA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","599 patients","2 ","2","SCIP-INF-6 " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","65 patients","2 ","2","AMI-4 " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1,2 ","12","HF-4 " "520008","WAUKESHA MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","144 patients","2 ","2","PN-2 " "520008","WAUKESHA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","192 patients","2 ","2","SCIP-VTE-2 " "520008","WAUKESHA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","192 patients","2 ","2","SCIP-VTE-1 " "520008","WAUKESHA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","428 patients","2 ","2","SCIP-INF-1 " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","202 patients","2 ","2","AMI-5 " "520008","WAUKESHA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","113 patients","2 ","2","SCIP-CARD-2 " "520008","WAUKESHA MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","152 patients","2 ","2","PN-5C " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","86 patients","2 ","2","HF-3 " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","194 patients","2 ","2","AMI-1 " "520008","WAUKESHA MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","35 patients","2 ","2","PN-4 " "520008","WAUKESHA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","432 patients","2 ","2","SCIP-INF-2 " "520008","WAUKESHA MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","82 patients","2 ","2","PN-6 " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","223 patients","2 ","2","HF-1 " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","210 patients","2 ","2","AMI-2 " "520008","WAUKESHA MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","66 patients","2 ","2","AMI-8A " "520008","WAUKESHA MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","163 patients","2 ","2","PN-3B " "520008","WAUKESHA MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","97 patients","2 ","2","PN-7 " "520008","WAUKESHA MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","397 patients","2 ","2","SCIP-INF-3 " "520009","ST ELIZABETH HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","576 patients","2 ","2","SCIP-INF-6 " "520009","ST ELIZABETH HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","93 patients","2 ","2","SCIP-CARD-2 " "520009","ST ELIZABETH HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"HF-3 " "520009","ST ELIZABETH HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","186 patients","2 ","2","SCIP-VTE-2 " "520009","ST ELIZABETH HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520009","ST ELIZABETH HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","153 patients","2 ","2","SCIP-INF-4 " "520009","ST ELIZABETH HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","82 patients",,,"HF-1 " "520009","ST ELIZABETH HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","23 patients","1 ","1","AMI-3 " "520009","ST ELIZABETH HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","117 patients",,,"PN-2 " "520009","ST ELIZABETH HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","147 patients",,,"AMI-2 " "520009","ST ELIZABETH HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","104 patients",,,"PN-5C " "520009","ST ELIZABETH HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients",,,"PN-4 " "520009","ST ELIZABETH HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","103 patients",,,"HF-2 " "520009","ST ELIZABETH HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","23 patients","1 ","1","AMI-8A " "520009","ST ELIZABETH HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","413 patients","2 ","2","SCIP-INF-1 " "520009","ST ELIZABETH HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","108 patients",,,"PN-3B " "520009","ST ELIZABETH HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","69 patients",,,"PN-7 " "520009","ST ELIZABETH HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","427 patients","2 ","2","SCIP-INF-2 " "520009","ST ELIZABETH HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","151 patients",,,"AMI-5 " "520009","ST ELIZABETH HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","69 patients",,,"PN-6 " "520009","ST ELIZABETH HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","397 patients","2 ","2","SCIP-INF-3 " "520009","ST ELIZABETH HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "520009","ST ELIZABETH HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","109 patients",,,"AMI-1 " "520009","ST ELIZABETH HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","51 patients",,,"AMI-4 " "520009","ST ELIZABETH HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","186 patients","2 ","2","SCIP-VTE-1 " "520011","LAKEVIEW MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","56 patients",,,"PN-7 " "520011","LAKEVIEW MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "520011","LAKEVIEW MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","57 patients",,,"HF-1 " "520011","LAKEVIEW MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "520011","LAKEVIEW MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "520011","LAKEVIEW MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","100 patients","2 ","2","SCIP-VTE-1 " "520011","LAKEVIEW MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","62 patients","2 ","2","SCIP-CARD-2 " "520011","LAKEVIEW MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","354 patients","2 ","2","SCIP-INF-6 " "520011","LAKEVIEW MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520011","LAKEVIEW MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "520011","LAKEVIEW MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520011","LAKEVIEW MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","69 patients",,,"HF-2 " "520011","LAKEVIEW MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520011","LAKEVIEW MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","49 patients",,,"PN-6 " "520011","LAKEVIEW MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","302 patients","2 ","2","SCIP-INF-1 " "520011","LAKEVIEW MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","9 patients","1 ","1","AMI-2 " "520011","LAKEVIEW MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","HF-3 " "520011","LAKEVIEW MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","88 patients",,,"PN-2 " "520011","LAKEVIEW MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","16 patients","1 ","1","AMI-1 " "520011","LAKEVIEW MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "520011","LAKEVIEW MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","304 patients","2 ","2","SCIP-INF-2 " "520011","LAKEVIEW MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","100 patients","2 ","2","SCIP-VTE-2 " "520011","LAKEVIEW MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","77 patients",,,"PN-5C " "520011","LAKEVIEW MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","296 patients","2 ","2","SCIP-INF-3 " "520011","LAKEVIEW MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","62 patients",,,"PN-3B " "520013","SACRED HEART HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","133 patients",,,"AMI-2 " "520013","SACRED HEART HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","94 patients",,,"PN-3B " "520013","SACRED HEART HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","150 patients",,,"AMI-5 " "520013","SACRED HEART HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"HF-4 " "520013","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","330 patients","2 ","2","SCIP-INF-1 " "520013","SACRED HEART HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","106 patients",,,"PN-5C " "520013","SACRED HEART HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","121 patients",,,"PN-7 " "520013","SACRED HEART HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","70 patients",,,"PN-6 " "520013","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","34 patients","2 ","2","SCIP-INF-4 " "520013","SACRED HEART HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","173 patients",,,"HF-2 " "520013","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","508 patients","2 ","2","SCIP-INF-6 " "520013","SACRED HEART HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","57 patients",,,"AMI-4 " "520013","SACRED HEART HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","62 patients",,,"PN-4 " "520013","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","331 patients","2 ","2","SCIP-INF-2 " "520013","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","93 patients","2 ","2","SCIP-CARD-2 " "520013","SACRED HEART HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","71 patients",,,"AMI-1 " "520013","SACRED HEART HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","148 patients",,,"PN-2 " "520013","SACRED HEART HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","12 patients","1 ","1","AMI-8A " "520013","SACRED HEART HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520013","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","322 patients","2 ","2","SCIP-INF-3 " "520013","SACRED HEART HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","42 patients",,,"HF-3 " "520013","SACRED HEART HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","121 patients",,,"HF-1 " "520013","SACRED HEART HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"AMI-3 " "520013","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","227 patients","2 ","2","SCIP-VTE-2 " "520013","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","227 patients","2 ","2","SCIP-VTE-1 " "520017","ST JOSEPHS HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","56 patients",,,"PN-3B " "520017","ST JOSEPHS HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","41 patients",,,"PN-7 " "520017","ST JOSEPHS HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","28 patients",,,"HF-1 " "520017","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","173 patients",,,"SCIP-INF-1 " "520017","ST JOSEPHS HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","45 patients",,,"HF-2 " "520017","ST JOSEPHS HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "520017","ST JOSEPHS HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "520017","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","173 patients",,,"SCIP-INF-2 " "520017","ST JOSEPHS HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","7 patients","1 ","1","AMI-2 " "520017","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","85 patients",,,"SCIP-VTE-2 " "520017","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","27 patients",,,"SCIP-CARD-2 " "520017","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520017","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","172 patients",,,"SCIP-INF-3 " "520017","ST JOSEPHS HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "520017","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","229 patients",,,"SCIP-INF-6 " "520017","ST JOSEPHS HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "520017","ST JOSEPHS HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520017","ST JOSEPHS HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520017","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","85 patients",,,"SCIP-VTE-1 " "520017","ST JOSEPHS HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","75 patients",,,"PN-2 " "520017","ST JOSEPHS HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "520017","ST JOSEPHS HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","50 patients",,,"PN-6 " "520017","ST JOSEPHS HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "520017","ST JOSEPHS HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "520017","ST JOSEPHS HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","69 patients",,,"PN-5C " "520019","ST MARYS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "520019","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","457 patients",,,"SCIP-INF-1 " "520019","ST MARYS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","111 patients",,,"HF-2 " "520019","ST MARYS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","12 patients","1 ","1","HF-4 " "520019","ST MARYS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1 ","1","AMI-2 " "520019","ST MARYS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","50 patients",,,"PN-7 " "520019","ST MARYS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","HF-3 " "520019","ST MARYS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520019","ST MARYS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","7 patients","1 ","1","AMI-5 " "520019","ST MARYS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","87 patients",,,"PN-2 " "520019","ST MARYS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","95 patients",,,"PN-5C " "520019","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","88 patients",,,"SCIP-CARD-2 " "520019","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","453 patients",,,"SCIP-INF-2 " "520019","ST MARYS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520019","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","578 patients",,,"SCIP-INF-6 " "520019","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","220 patients",,,"SCIP-VTE-2 " "520019","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","448 patients",,,"SCIP-INF-3 " "520019","ST MARYS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","77 patients",,,"PN-3B " "520019","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","222 patients",,,"SCIP-VTE-1 " "520019","ST MARYS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "520019","ST MARYS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","66 patients",,,"PN-6 " "520019","ST MARYS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "520019","ST MARYS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520019","ST MARYS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","80 patients",,,"HF-1 " "520019","ST MARYS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "520021","UNITED HSPTL SYS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","52 patients",,,"HF-4 " "520021","UNITED HSPTL SYS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","578 patients","2 ","2","SCIP-INF-6 " "520021","UNITED HSPTL SYS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","73%","84 patients","2 ","2","SCIP-CARD-2 " "520021","UNITED HSPTL SYS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","280 patients",,,"HF-2 " "520021","UNITED HSPTL SYS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","104 patients","2 ","2","PN-6 " "520021","UNITED HSPTL SYS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","56 patients","2 ","2","PN-4 " "520021","UNITED HSPTL SYS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","178 patients","2 ","2","PN-5C " "520021","UNITED HSPTL SYS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","395 patients","2 ","2","SCIP-INF-2 " "520021","UNITED HSPTL SYS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","366 patients","2 ","2","SCIP-INF-3 " "520021","UNITED HSPTL SYS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520021","UNITED HSPTL SYS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","79%","101 patients","2 ","2","SCIP-INF-4 " "520021","UNITED HSPTL SYS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","105 patients",,,"AMI-2 " "520021","UNITED HSPTL SYS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","236 patients","2 ","2","SCIP-VTE-1 " "520021","UNITED HSPTL SYS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","385 patients","2 ","2","SCIP-INF-1 " "520021","UNITED HSPTL SYS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","97 patients","2 ","2","PN-7 " "520021","UNITED HSPTL SYS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","164 patients","2 ","2","PN-3B " "520021","UNITED HSPTL SYS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","82%","22 patients","1 ","1","AMI-8A " "520021","UNITED HSPTL SYS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","135 patients","2 ","2","PN-2 " "520021","UNITED HSPTL SYS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","236 patients","2 ","2","SCIP-VTE-2 " "520021","UNITED HSPTL SYS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","102 patients",,,"AMI-5 " "520021","UNITED HSPTL SYS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","221 patients",,,"HF-1 " "520021","UNITED HSPTL SYS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"AMI-4 " "520021","UNITED HSPTL SYS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","111 patients",,,"HF-3 " "520021","UNITED HSPTL SYS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","18 patients","1 ","1","AMI-3 " "520021","UNITED HSPTL SYS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","112 patients",,,"AMI-1 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","105 patients",,,"PN-7 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","144 patients",,,"PN-6 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","42 patients",,,"PN-4 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","360 patients","2 ","2","SCIP-INF-1 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","68 patients",,,"HF-3 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","80%","168 patients","2 ","2","SCIP-VTE-1 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","159 patients",,,"HF-1 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","78%","80 patients","2 ","2","SCIP-CARD-2 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","355 patients","2 ","2","SCIP-INF-3 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","90%","149 patients",,,"AMI-5 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","201 patients",,,"PN-5C " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","71%","168 patients","2 ","2","SCIP-VTE-2 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","362 patients","2 ","2","SCIP-INF-2 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","131 patients",,,"AMI-1 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","193 patients",,,"PN-2 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","44 patients",,,"AMI-4 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","26 patients",,,"AMI-3 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","494 patients","2 ","2","SCIP-INF-6 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","185 patients",,,"PN-3B " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","91%","93 patients","2 ","2","SCIP-INF-4 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","233 patients",,,"HF-2 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","71%","48 patients",,,"AMI-8A " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","64%","25 patients",,,"HF-4 " "520027","COLUMBIA ST MARYS OZAUKEE CAMPUS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","159 patients",,,"AMI-2 " "520028","MONROE CLINIC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","52 patients",,,"PN-6 " "520028","MONROE CLINIC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","185 patients","2 ","2","SCIP-INF-1 " "520028","MONROE CLINIC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "520028","MONROE CLINIC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","175 patients","2 ","2","SCIP-INF-3 " "520028","MONROE CLINIC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","79%","38 patients","2 ","2","SCIP-CARD-2 " "520028","MONROE CLINIC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "520028","MONROE CLINIC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","186 patients","2 ","2","SCIP-INF-2 " "520028","MONROE CLINIC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "520028","MONROE CLINIC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520028","MONROE CLINIC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","122 patients",,,"PN-3B " "520028","MONROE CLINIC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","77 patients",,,"HF-2 " "520028","MONROE CLINIC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "520028","MONROE CLINIC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","13 patients","1 ","1","AMI-2 " "520028","MONROE CLINIC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","80 patients",,,"PN-7 " "520028","MONROE CLINIC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","61 patients",,,"HF-1 " "520028","MONROE CLINIC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","131 patients","2 ","2","SCIP-VTE-1 " "520028","MONROE CLINIC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520028","MONROE CLINIC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","293 patients","2 ","2","SCIP-INF-6 " "520028","MONROE CLINIC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "520028","MONROE CLINIC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "520028","MONROE CLINIC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520028","MONROE CLINIC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","115 patients",,,"PN-2 " "520028","MONROE CLINIC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","13 patients","1 ","1","AMI-5 " "520028","MONROE CLINIC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","131 patients","2 ","2","SCIP-VTE-2 " "520028","MONROE CLINIC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","110 patients",,,"PN-5C " "52002F","TOMAH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "52002F","TOMAH VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "52002F","TOMAH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "52002F","TOMAH VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "52002F","TOMAH VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "52002F","TOMAH VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "52002F","TOMAH VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "52002F","TOMAH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "52002F","TOMAH VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "52002F","TOMAH VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "52002F","TOMAH VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "52002F","TOMAH VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "52002F","TOMAH VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "52002F","TOMAH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "52002F","TOMAH VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "52002F","TOMAH VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "52002F","TOMAH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "52002F","TOMAH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "52002F","TOMAH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "52002F","TOMAH VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "52002F","TOMAH VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "52002F","TOMAH VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "52002F","TOMAH VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "52002F","TOMAH VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "52002F","TOMAH VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","84 patients","2 ","2","AMI-1 " "520030","ASPIRUS WAUSAU HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","371 patients","2 ","2","SCIP-INF-3 " "520030","ASPIRUS WAUSAU HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","66 patients","2 ","2","PN-6 " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","24 patients","1,2 ","12","AMI-8A " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","269 patients","2 ","2","HF-2 " "520030","ASPIRUS WAUSAU HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","125 patients","2 ","2","PN-5C " "520030","ASPIRUS WAUSAU HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","105 patients","2 ","2","PN-3B " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","48 patients","2 ","2","HF-3 " "520030","ASPIRUS WAUSAU HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","PN-4 " "520030","ASPIRUS WAUSAU HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","156 patients","2 ","2","SCIP-VTE-2 " "520030","ASPIRUS WAUSAU HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","156 patients","2 ","2","SCIP-VTE-1 " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","72 patients","2 ","2","AMI-4 " "520030","ASPIRUS WAUSAU HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","550 patients","2 ","2","SCIP-INF-6 " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","232 patients","2 ","2","AMI-2 " "520030","ASPIRUS WAUSAU HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","402 patients","2 ","2","SCIP-INF-2 " "520030","ASPIRUS WAUSAU HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","89 patients","2 ","2","PN-7 " "520030","ASPIRUS WAUSAU HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","137 patients","2 ","2","SCIP-INF-4 " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients","2 ","2","AMI-3 " "520030","ASPIRUS WAUSAU HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","116 patients","2 ","2","SCIP-CARD-2 " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","HF-4 " "520030","ASPIRUS WAUSAU HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","146 patients","2 ","2","PN-2 " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","211 patients","2 ","2","HF-1 " "520030","ASPIRUS WAUSAU HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","395 patients","2 ","2","SCIP-INF-1 " "520030","ASPIRUS WAUSAU HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","216 patients","2 ","2","AMI-5 " "520033","RIVERVIEW HSPTL ASSOC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","AMI-3 " "520033","RIVERVIEW HSPTL ASSOC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","17 patients","1 ","1","AMI-5 " "520033","RIVERVIEW HSPTL ASSOC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "520033","RIVERVIEW HSPTL ASSOC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","146 patients",,,"SCIP-VTE-2 " "520033","RIVERVIEW HSPTL ASSOC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520033","RIVERVIEW HSPTL ASSOC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "520033","RIVERVIEW HSPTL ASSOC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","146 patients",,,"SCIP-VTE-1 " "520033","RIVERVIEW HSPTL ASSOC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","47 patients",,,"HF-1 " "520033","RIVERVIEW HSPTL ASSOC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520033","RIVERVIEW HSPTL ASSOC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","72 patients",,,"PN-3B " "520033","RIVERVIEW HSPTL ASSOC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","397 patients",,,"SCIP-INF-6 " "520033","RIVERVIEW HSPTL ASSOC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "520033","RIVERVIEW HSPTL ASSOC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","73 patients",,,"HF-2 " "520033","RIVERVIEW HSPTL ASSOC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "520033","RIVERVIEW HSPTL ASSOC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","44 patients",,,"PN-6 " "520033","RIVERVIEW HSPTL ASSOC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","42 patients",,,"PN-7 " "520033","RIVERVIEW HSPTL ASSOC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","310 patients",,,"SCIP-INF-2 " "520033","RIVERVIEW HSPTL ASSOC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","310 patients",,,"SCIP-INF-1 " "520033","RIVERVIEW HSPTL ASSOC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","309 patients",,,"SCIP-INF-3 " "520033","RIVERVIEW HSPTL ASSOC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","69 patients",,,"PN-2 " "520033","RIVERVIEW HSPTL ASSOC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520033","RIVERVIEW HSPTL ASSOC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","98%","66 patients",,,"SCIP-CARD-2 " "520033","RIVERVIEW HSPTL ASSOC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","74 patients",,,"PN-5C " "520033","RIVERVIEW HSPTL ASSOC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","PN-4 " "520033","RIVERVIEW HSPTL ASSOC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "520034","AURORA MED CTR MANITOWOC CTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","14 patients","1 ","1","PN-4 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520034","AURORA MED CTR MANITOWOC CTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","69 patients",,,"PN-5C " "520034","AURORA MED CTR MANITOWOC CTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","72 patients","2 ","2","SCIP-VTE-2 " "520034","AURORA MED CTR MANITOWOC CTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","58 patients",,,"PN-3B " "520034","AURORA MED CTR MANITOWOC CTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","95%","22 patients","1 ","1","AMI-2 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","AMI-3 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","32 patients",,,"AMI-1 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","95%","22 patients","1 ","1","AMI-5 " "520034","AURORA MED CTR MANITOWOC CTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","143 patients","2 ","2","SCIP-INF-1 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","54 patients",,,"HF-2 " "520034","AURORA MED CTR MANITOWOC CTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","139 patients","2 ","2","SCIP-INF-3 " "520034","AURORA MED CTR MANITOWOC CTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","49 patients","2 ","2","SCIP-CARD-2 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "520034","AURORA MED CTR MANITOWOC CTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","243 patients","2 ","2","SCIP-INF-6 " "520034","AURORA MED CTR MANITOWOC CTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","142 patients","2 ","2","SCIP-INF-2 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","36 patients",,,"HF-1 " "520034","AURORA MED CTR MANITOWOC CTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","72 patients","2 ","2","SCIP-VTE-1 " "520034","AURORA MED CTR MANITOWOC CTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","57 patients",,,"PN-2 " "520034","AURORA MED CTR MANITOWOC CTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","32 patients",,,"PN-7 " "520034","AURORA MED CTR MANITOWOC CTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520034","AURORA MED CTR MANITOWOC CTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","52 patients",,,"PN-6 " "520034","AURORA MED CTR MANITOWOC CTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520035","AURORA SHEBOYGAN MEM MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","210 patients","2 ","2","SCIP-INF-1 " "520035","AURORA SHEBOYGAN MEM MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","79 patients",,,"PN-2 " "520035","AURORA SHEBOYGAN MEM MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","53 patients",,,"PN-7 " "520035","AURORA SHEBOYGAN MEM MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","211 patients","2 ","2","SCIP-INF-2 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","23 patients","1 ","1","AMI-5 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","25 patients",,,"AMI-1 " "520035","AURORA SHEBOYGAN MEM MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","94 patients",,,"PN-5C " "520035","AURORA SHEBOYGAN MEM MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","52 patients",,,"PN-6 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1 ","1","AMI-2 " "520035","AURORA SHEBOYGAN MEM MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","120 patients","2 ","2","SCIP-VTE-1 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","123 patients",,,"HF-2 " "520035","AURORA SHEBOYGAN MEM MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","85 patients",,,"PN-3B " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","83 patients",,,"HF-1 " "520035","AURORA SHEBOYGAN MEM MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","30 patients",,,"HF-3 " "520035","AURORA SHEBOYGAN MEM MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","35 patients","2 ","2","SCIP-CARD-2 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520035","AURORA SHEBOYGAN MEM MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520035","AURORA SHEBOYGAN MEM MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","207 patients","2 ","2","SCIP-INF-3 " "520035","AURORA SHEBOYGAN MEM MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","119 patients","2 ","2","SCIP-VTE-2 " "520035","AURORA SHEBOYGAN MEM MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "520035","AURORA SHEBOYGAN MEM MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","315 patients","2 ","2","SCIP-INF-6 " "520037","ST JOSEPHS HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","166 patients",,,"AMI-1 " "520037","ST JOSEPHS HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","96%","254 patients",,,"HF-1 " "520037","ST JOSEPHS HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","37 patients",,,"AMI-3 " "520037","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","914 patients",,,"SCIP-VTE-1 " "520037","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","913 patients",,,"SCIP-VTE-2 " "520037","ST JOSEPHS HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","110 patients",,,"PN-6 " "520037","ST JOSEPHS HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","94 patients",,,"PN-3B " "520037","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","1293 patients",,,"SCIP-INF-1 " "520037","ST JOSEPHS HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","365 patients",,,"AMI-5 " "520037","ST JOSEPHS HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","23 patients","1 ","1","AMI-8A " "520037","ST JOSEPHS HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "520037","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","358 patients",,,"SCIP-CARD-2 " "520037","ST JOSEPHS HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520037","ST JOSEPHS HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","90 patients",,,"HF-3 " "520037","ST JOSEPHS HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","74 patients",,,"PN-4 " "520037","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","1313 patients",,,"SCIP-INF-2 " "520037","ST JOSEPHS HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","235 patients",,,"PN-2 " "520037","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","398 patients",,,"SCIP-INF-4 " "520037","ST JOSEPHS HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","153 patients",,,"PN-7 " "520037","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2136 patients",,,"SCIP-INF-6 " "520037","ST JOSEPHS HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","90 patients",,,"AMI-4 " "520037","ST JOSEPHS HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","1286 patients",,,"SCIP-INF-3 " "520037","ST JOSEPHS HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","313 patients",,,"AMI-2 " "520037","ST JOSEPHS HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","349 patients",,,"HF-2 " "520037","ST JOSEPHS HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","167 patients",,,"PN-5C " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","45 patients",,,"PN-7 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","71 patients",,,"PN-2 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","153 patients","2 ","2","SCIP-INF-2 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","51 patients",,,"PN-6 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","50 patients",,,"HF-1 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","24 patients","1 ","1","AMI-2 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","20 patients","1 ","1","HF-3 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","80 patients",,,"PN-3B " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","PN-4 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","86 patients","2 ","2","SCIP-VTE-2 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","146 patients","2 ","2","SCIP-INF-3 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","86 patients","2 ","2","SCIP-VTE-1 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","92%","25 patients",,,"AMI-5 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","24 patients","1,2 ","12","SCIP-CARD-2 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","84 patients",,,"PN-5C " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","153 patients","2 ","2","SCIP-INF-1 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","68 patients",,,"HF-2 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","235 patients","2 ","2","SCIP-INF-6 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "520038","AURORA MED CENTER-WASHINGTON COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","30 patients",,,"AMI-1 " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","29%","7 patients","1 ","1","AMI-8A " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","84 patients",,,"HF-3 " "52003F","MILWAUKEE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","49 patients",,,"PN-3B " "52003F","MILWAUKEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","186 patients","2 ","2","SCIP-CARD-2 " "52003F","MILWAUKEE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","47 patients",,,"PN-4 " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","66 patients",,,"HF-4 " "52003F","MILWAUKEE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","85%","61 patients",,,"PN-6 " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","42 patients",,,"AMI-2 " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "52003F","MILWAUKEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","231 patients","2 ","2","SCIP-VTE-1 " "52003F","MILWAUKEE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","87%","98 patients",,,"PN-5C " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","98%","248 patients",,,"HF-1 " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","48 patients",,,"AMI-1 " "52003F","MILWAUKEE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","60 patients",,,"PN-2 " "52003F","MILWAUKEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","70 patients","2 ","2","SCIP-INF-4 " "52003F","MILWAUKEE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","57 patients",,,"PN-7 " "52003F","MILWAUKEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","231 patients","2 ","2","SCIP-VTE-2 " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "52003F","MILWAUKEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","285 patients",,,"SCIP-INF-1 " "52003F","MILWAUKEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","383 patients","2 ","2","SCIP-INF-6 " "52003F","MILWAUKEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","280 patients",,,"SCIP-INF-3 " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","41 patients",,,"AMI-5 " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","94%","17 patients","1 ","1","AMI-4 " "52003F","MILWAUKEE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","289 patients",,,"SCIP-INF-2 " "52003F","MILWAUKEE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","250 patients",,,"HF-2 " "520041","DIVINE SAVIOR HLTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","18 patients","1 ","1","PN-4 " "520041","DIVINE SAVIOR HLTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "520041","DIVINE SAVIOR HLTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","103 patients",,,"SCIP-INF-6 " "520041","DIVINE SAVIOR HLTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","66%","79 patients",,,"PN-2 " "520041","DIVINE SAVIOR HLTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","61 patients",,,"PN-6 " "520041","DIVINE SAVIOR HLTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520041","DIVINE SAVIOR HLTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "520041","DIVINE SAVIOR HLTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520041","DIVINE SAVIOR HLTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "520041","DIVINE SAVIOR HLTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","75 patients",,,"SCIP-INF-1 " "520041","DIVINE SAVIOR HLTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","82%","72 patients",,,"SCIP-INF-3 " "520041","DIVINE SAVIOR HLTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","11 patients","1 ","1","SCIP-CARD-2 " "520041","DIVINE SAVIOR HLTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","65 patients",,,"SCIP-VTE-1 " "520041","DIVINE SAVIOR HLTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","64 patients",,,"HF-2 " "520041","DIVINE SAVIOR HLTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","75%","63 patients",,,"SCIP-VTE-2 " "520041","DIVINE SAVIOR HLTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","84 patients",,,"PN-5C " "520041","DIVINE SAVIOR HLTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "520041","DIVINE SAVIOR HLTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "520041","DIVINE SAVIOR HLTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520041","DIVINE SAVIOR HLTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","76 patients",,,"SCIP-INF-2 " "520041","DIVINE SAVIOR HLTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","HF-4 " "520041","DIVINE SAVIOR HLTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","55 patients",,,"PN-3B " "520041","DIVINE SAVIOR HLTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","48 patients",,,"HF-1 " "520041","DIVINE SAVIOR HLTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","43 patients",,,"PN-7 " "520041","DIVINE SAVIOR HLTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "520044","ST NICHOLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","279 patients",,,"SCIP-INF-1 " "520044","ST NICHOLAS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","53 patients",,,"SCIP-CARD-2 " "520044","ST NICHOLAS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","12 patients","1 ","1","AMI-2 " "520044","ST NICHOLAS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "520044","ST NICHOLAS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","26 patients",,,"PN-4 " "520044","ST NICHOLAS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520044","ST NICHOLAS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","90 patients",,,"PN-5C " "520044","ST NICHOLAS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","30 patients",,,"HF-3 " "520044","ST NICHOLAS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","75 patients",,,"HF-1 " "520044","ST NICHOLAS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","AMI-3 " "520044","ST NICHOLAS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","95%","22 patients","1 ","1","AMI-1 " "520044","ST NICHOLAS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","85%","13 patients","1 ","1","AMI-5 " "520044","ST NICHOLAS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520044","ST NICHOLAS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","84 patients",,,"HF-2 " "520044","ST NICHOLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","277 patients",,,"SCIP-INF-2 " "520044","ST NICHOLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","406 patients",,,"SCIP-INF-6 " "520044","ST NICHOLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","264 patients",,,"SCIP-INF-3 " "520044","ST NICHOLAS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","68 patients",,,"PN-3B " "520044","ST NICHOLAS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","HF-4 " "520044","ST NICHOLAS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520044","ST NICHOLAS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","93 patients",,,"PN-2 " "520044","ST NICHOLAS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","58 patients",,,"PN-7 " "520044","ST NICHOLAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","157 patients",,,"SCIP-VTE-1 " "520044","ST NICHOLAS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","63 patients",,,"PN-6 " "520044","ST NICHOLAS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","157 patients",,,"SCIP-VTE-2 " "520045","THEDA CLARK MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","313 patients","2 ","2","SCIP-INF-1 " "520045","THEDA CLARK MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","AMI-3 " "520045","THEDA CLARK MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","187 patients","2 ","2","SCIP-VTE-2 " "520045","THEDA CLARK MED CTR","Children’s Asthma Care","CAC-2 ","Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-2 " "520045","THEDA CLARK MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","31 patients",,,"PN-4 " "520045","THEDA CLARK MED CTR","Children’s Asthma Care","CAC-1 ","Children Who Received Reliever Medication While Hospitalized for Asthma","100%","9 patients","1 ","1","CAC-1 " "520045","THEDA CLARK MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","469 patients","2 ","2","SCIP-INF-6 " "520045","THEDA CLARK MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520045","THEDA CLARK MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","70 patients",,,"AMI-1 " "520045","THEDA CLARK MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","68 patients",,,"PN-3B " "520045","THEDA CLARK MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","317 patients","2 ","2","SCIP-INF-2 " "520045","THEDA CLARK MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","187 patients","2 ","2","SCIP-VTE-1 " "520045","THEDA CLARK MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","HF-4 " "520045","THEDA CLARK MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","305 patients","2 ","2","SCIP-INF-3 " "520045","THEDA CLARK MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","116 patients",,,"HF-2 " "520045","THEDA CLARK MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","67 patients",,,"PN-5C " "520045","THEDA CLARK MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","85%","20 patients","1 ","1","AMI-8A " "520045","THEDA CLARK MED CTR","Children’s Asthma Care","CAC-3 ","Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma","44%","9 patients","1 ","1","CAC-3 " "520045","THEDA CLARK MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","48 patients","2 ","2","SCIP-CARD-2 " "520045","THEDA CLARK MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","44 patients",,,"PN-6 " "520045","THEDA CLARK MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","24 patients","1 ","1","HF-3 " "520045","THEDA CLARK MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520045","THEDA CLARK MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","80 patients",,,"AMI-2 " "520045","THEDA CLARK MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","78 patients",,,"AMI-5 " "520045","THEDA CLARK MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","94 patients",,,"HF-1 " "520045","THEDA CLARK MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"AMI-4 " "520045","THEDA CLARK MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","53 patients",,,"PN-7 " "520045","THEDA CLARK MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","74 patients",,,"PN-2 " "520048","MERCY MED CTR OF OSHKOSH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","69 patients","2 ","2","SCIP-CARD-2 " "520048","MERCY MED CTR OF OSHKOSH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","31 patients",,,"HF-3 " "520048","MERCY MED CTR OF OSHKOSH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","242 patients","2 ","2","SCIP-INF-1 " "520048","MERCY MED CTR OF OSHKOSH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","362 patients","2 ","2","SCIP-INF-6 " "520048","MERCY MED CTR OF OSHKOSH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","35 patients",,,"PN-4 " "520048","MERCY MED CTR OF OSHKOSH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","52 patients",,,"AMI-1 " "520048","MERCY MED CTR OF OSHKOSH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","161 patients","2 ","2","SCIP-VTE-2 " "520048","MERCY MED CTR OF OSHKOSH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520048","MERCY MED CTR OF OSHKOSH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "520048","MERCY MED CTR OF OSHKOSH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","72 patients",,,"HF-1 " "520048","MERCY MED CTR OF OSHKOSH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","AMI-4 " "520048","MERCY MED CTR OF OSHKOSH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","51 patients",,,"AMI-2 " "520048","MERCY MED CTR OF OSHKOSH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","51 patients",,,"AMI-5 " "520048","MERCY MED CTR OF OSHKOSH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","78 patients",,,"PN-5C " "520048","MERCY MED CTR OF OSHKOSH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","53 patients",,,"PN-7 " "520048","MERCY MED CTR OF OSHKOSH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","AMI-3 " "520048","MERCY MED CTR OF OSHKOSH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","70 patients",,,"PN-3B " "520048","MERCY MED CTR OF OSHKOSH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","55 patients",,,"PN-6 " "520048","MERCY MED CTR OF OSHKOSH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520048","MERCY MED CTR OF OSHKOSH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","243 patients","2 ","2","SCIP-INF-2 " "520048","MERCY MED CTR OF OSHKOSH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","161 patients","2 ","2","SCIP-VTE-1 " "520048","MERCY MED CTR OF OSHKOSH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","13 patients","1 ","1","AMI-8A " "520048","MERCY MED CTR OF OSHKOSH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","95 patients",,,"PN-2 " "520048","MERCY MED CTR OF OSHKOSH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","66%","238 patients","2 ","2","SCIP-INF-3 " "520048","MERCY MED CTR OF OSHKOSH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","98 patients",,,"HF-2 " "520049","BELLIN MEMORIAL HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","158 patients",,,"HF-1 " "520049","BELLIN MEMORIAL HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","67 patients",,,"PN-7 " "520049","BELLIN MEMORIAL HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","284 patients","2 ","2","SCIP-INF-4 " "520049","BELLIN MEMORIAL HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","179 patients","2 ","2","SCIP-VTE-2 " "520049","BELLIN MEMORIAL HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","98%","40 patients",,,"AMI-8A " "520049","BELLIN MEMORIAL HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","637 patients","2 ","2","SCIP-INF-2 " "520049","BELLIN MEMORIAL HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","615 patients","2 ","2","SCIP-INF-1 " "520049","BELLIN MEMORIAL HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","185 patients",,,"HF-2 " "520049","BELLIN MEMORIAL HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","809 patients","2 ","2","SCIP-INF-6 " "520049","BELLIN MEMORIAL HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","111 patients",,,"AMI-4 " "520049","BELLIN MEMORIAL HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520049","BELLIN MEMORIAL HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","179 patients","2 ","2","SCIP-VTE-1 " "520049","BELLIN MEMORIAL HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","21 patients","1 ","1","HF-4 " "520049","BELLIN MEMORIAL HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","327 patients",,,"AMI-5 " "520049","BELLIN MEMORIAL HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","90 patients",,,"PN-5C " "520049","BELLIN MEMORIAL HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","178 patients",,,"AMI-1 " "520049","BELLIN MEMORIAL HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","336 patients",,,"AMI-2 " "520049","BELLIN MEMORIAL HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","71 patients",,,"PN-6 " "520049","BELLIN MEMORIAL HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","46 patients",,,"HF-3 " "520049","BELLIN MEMORIAL HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","172 patients","2 ","2","SCIP-CARD-2 " "520049","BELLIN MEMORIAL HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","601 patients","2 ","2","SCIP-INF-3 " "520049","BELLIN MEMORIAL HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","99 patients",,,"PN-2 " "520049","BELLIN MEMORIAL HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","38 patients",,,"AMI-3 " "520049","BELLIN MEMORIAL HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","30 patients",,,"PN-4 " "520049","BELLIN MEMORIAL HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","91 patients",,,"PN-3B " "52004F","MADISON VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "52004F","MADISON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","179 patients",,,"SCIP-INF-2 " "52004F","MADISON VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "52004F","MADISON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","144 patients","2 ","2","SCIP-VTE-1 " "52004F","MADISON VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","77 patients",,,"PN-3B " "52004F","MADISON VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-8A " "52004F","MADISON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","167 patients",,,"SCIP-INF-3 " "52004F","MADISON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","180 patients",,,"SCIP-INF-1 " "52004F","MADISON VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","61 patients",,,"PN-5C " "52004F","MADISON VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","52 patients",,,"AMI-2 " "52004F","MADISON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","279 patients","2 ","2","SCIP-INF-6 " "52004F","MADISON VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","70 patients",,,"PN-2 " "52004F","MADISON VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","57 patients",,,"PN-6 " "52004F","MADISON VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "52004F","MADISON VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","20 patients","1 ","1","AMI-4 " "52004F","MADISON VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","44 patients",,,"HF-3 " "52004F","MADISON VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","131 patients",,,"HF-2 " "52004F","MADISON VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","51 patients",,,"AMI-5 " "52004F","MADISON VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","97%","149 patients",,,"HF-1 " "52004F","MADISON VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","54 patients",,,"PN-7 " "52004F","MADISON VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","38 patients",,,"PN-4 " "52004F","MADISON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","96%","47 patients","2 ","2","SCIP-INF-4 " "52004F","MADISON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","136 patients","2 ","2","SCIP-CARD-2 " "52004F","MADISON VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","144 patients","2 ","2","SCIP-VTE-2 " "52004F","MADISON VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","AMI-3 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","525 patients","2 ","2","SCIP-INF-3 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","210 patients",,,"PN-2 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","319 patients",,,"HF-1 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","287 patients","2 ","2","SCIP-VTE-2 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","79 patients",,,"PN-4 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","90%","115 patients","2 ","2","SCIP-INF-4 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","80%","25 patients",,,"AMI-8A " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","378 patients",,,"HF-2 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","241 patients",,,"PN-3B " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","32 patients",,,"AMI-3 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","167 patients",,,"PN-6 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","168 patients",,,"AMI-2 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","545 patients","2 ","2","SCIP-INF-2 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","164 patients",,,"PN-7 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","123 patients","2 ","2","SCIP-CARD-2 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","268 patients",,,"PN-5C " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","542 patients","2 ","2","SCIP-INF-1 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","77%","287 patients","2 ","2","SCIP-VTE-1 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","92%","79 patients",,,"HF-4 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","167 patients",,,"AMI-5 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","779 patients","2 ","2","SCIP-INF-6 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","125 patients",,,"AMI-1 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"AMI-4 " "520051","COLUMBIA ST MARYS HSPTL MILW (COL & MILW CAMPUS)","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","161 patients",,,"HF-3 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520057","ST CLARE HSPTL HLTH SVCS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","39 patients",,,"PN-7 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","26 patients",,,"HF-1 " "520057","ST CLARE HSPTL HLTH SVCS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","85 patients",,,"SCIP-VTE-2 " "520057","ST CLARE HSPTL HLTH SVCS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","138 patients",,,"SCIP-INF-3 " "520057","ST CLARE HSPTL HLTH SVCS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","55 patients",,,"PN-6 " "520057","ST CLARE HSPTL HLTH SVCS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","143 patients",,,"SCIP-INF-1 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520057","ST CLARE HSPTL HLTH SVCS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","63 patients",,,"PN-3B " "520057","ST CLARE HSPTL HLTH SVCS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "520057","ST CLARE HSPTL HLTH SVCS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","85 patients",,,"SCIP-VTE-1 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","42 patients",,,"HF-2 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","17 patients","1 ","1","HF-3 " "520057","ST CLARE HSPTL HLTH SVCS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","180 patients",,,"SCIP-INF-6 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "520057","ST CLARE HSPTL HLTH SVCS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","20 patients","1 ","1","SCIP-CARD-2 " "520057","ST CLARE HSPTL HLTH SVCS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "520057","ST CLARE HSPTL HLTH SVCS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "520057","ST CLARE HSPTL HLTH SVCS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","71 patients",,,"PN-2 " "520057","ST CLARE HSPTL HLTH SVCS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","143 patients",,,"SCIP-INF-2 " "520057","ST CLARE HSPTL HLTH SVCS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "520057","ST CLARE HSPTL HLTH SVCS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","88 patients",,,"PN-5C " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","194 patients","2 ","2","SCIP-INF-3 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","125 patients","2 ","2","SCIP-VTE-1 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","16 patients","1 ","1","HF-3 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","90 patients",,,"PN-7 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","8 patients","1 ","1","AMI-3 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","121 patients",,,"PN-3B " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-7A " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","207 patients","2 ","2","SCIP-INF-2 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","328 patients","2 ","2","SCIP-INF-6 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","69 patients",,,"HF-1 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","89 patients",,,"HF-2 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","75 patients",,,"PN-6 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","37 patients","2 ","2","SCIP-CARD-2 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","22 patients","1 ","1","AMI-1 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","203 patients","2 ","2","SCIP-INF-1 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","116 patients",,,"PN-5C " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","94%","16 patients","1 ","1","AMI-5 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","125 patients","2 ","2","SCIP-VTE-2 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","127 patients",,,"PN-2 " "520059","AURORA MEMORIAL HSPTL BURLINGTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1 ","1","AMI-2 " "520062","OCONOMOWOC MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "520062","OCONOMOWOC MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "520062","OCONOMOWOC MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520062","OCONOMOWOC MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","104 patients","2 ","2","PN-3B " "520062","OCONOMOWOC MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","38 patients",,,"AMI-2 " "520062","OCONOMOWOC MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1,2 ","12","PN-4 " "520062","OCONOMOWOC MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","86 patients",,,"HF-2 " "520062","OCONOMOWOC MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","369 patients","2 ","2","SCIP-INF-6 " "520062","OCONOMOWOC MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","118 patients","2 ","2","PN-5C " "520062","OCONOMOWOC MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","81%","16 patients","1 ","1","HF-3 " "520062","OCONOMOWOC MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","176 patients","2 ","2","SCIP-VTE-2 " "520062","OCONOMOWOC MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","252 patients","2 ","2","SCIP-INF-3 " "520062","OCONOMOWOC MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","99%","77 patients","2 ","2","PN-7 " "520062","OCONOMOWOC MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","77 patients","2 ","2","PN-6 " "520062","OCONOMOWOC MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","176 patients","2 ","2","SCIP-VTE-1 " "520062","OCONOMOWOC MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","65 patients",,,"HF-1 " "520062","OCONOMOWOC MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","35 patients",,,"AMI-5 " "520062","OCONOMOWOC MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","112 patients","2 ","2","PN-2 " "520062","OCONOMOWOC MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","258 patients","2 ","2","SCIP-INF-1 " "520062","OCONOMOWOC MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520062","OCONOMOWOC MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","11 patients","1 ","1","AMI-8A " "520062","OCONOMOWOC MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","46 patients",,,"AMI-1 " "520062","OCONOMOWOC MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","259 patients","2 ","2","SCIP-INF-2 " "520062","OCONOMOWOC MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","AMI-3 " "520062","OCONOMOWOC MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","39 patients","2 ","2","SCIP-CARD-2 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","8 patients","1 ","1","AMI-5 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","76%","33 patients",,,"PN-4 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","11 patients","1 ","1","AMI-1 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","88 patients",,,"HF-2 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","71%","7 patients","1 ","1","AMI-2 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","291 patients",,,"SCIP-INF-6 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520063","ST JOSEPHS COM HSPTL WEST BEND","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","61 patients",,,"PN-6 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","129 patients",,,"SCIP-INF-2 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","111 patients",,,"PN-2 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","29 patients",,,"SCIP-CARD-2 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","66 patients",,,"HF-1 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","111 patients",,,"PN-3B " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","148 patients",,,"SCIP-VTE-2 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","131 patients",,,"SCIP-INF-1 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","75 patients",,,"PN-7 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","148 patients",,,"SCIP-VTE-1 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","HF-3 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","125 patients",,,"SCIP-INF-3 " "520063","ST JOSEPHS COM HSPTL WEST BEND","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","123 patients",,,"PN-5C " "520066","MERCY HLTH SYS CORP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","220 patients","2 ","2","PN-2 " "520066","MERCY HLTH SYS CORP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","40 patients","2 ","2","HF-4 " "520066","MERCY HLTH SYS CORP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","208 patients","2 ","2","HF-2 " "520066","MERCY HLTH SYS CORP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","113 patients","2 ","2","AMI-5 " "520066","MERCY HLTH SYS CORP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","157 patients","2 ","2","HF-1 " "520066","MERCY HLTH SYS CORP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","31 patients","2 ","2","AMI-8A " "520066","MERCY HLTH SYS CORP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","174 patients",,,"PN-7 " "520066","MERCY HLTH SYS CORP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","214 patients","2 ","2","PN-3B " "520066","MERCY HLTH SYS CORP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","83 patients","2 ","2","PN-4 " "520066","MERCY HLTH SYS CORP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","121 patients","2 ","2","AMI-2 " "520066","MERCY HLTH SYS CORP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","65 patients","2 ","2","HF-3 " "520066","MERCY HLTH SYS CORP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","116 patients","2 ","2","AMI-1 " "520066","MERCY HLTH SYS CORP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","670 patients","2 ","2","SCIP-INF-3 " "520066","MERCY HLTH SYS CORP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","697 patients","2 ","2","SCIP-INF-2 " "520066","MERCY HLTH SYS CORP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","539 patients","2 ","2","SCIP-VTE-1 " "520066","MERCY HLTH SYS CORP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","694 patients","2 ","2","SCIP-INF-1 " "520066","MERCY HLTH SYS CORP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","128 patients","2 ","2","SCIP-CARD-2 " "520066","MERCY HLTH SYS CORP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,2 ","12","AMI-7A " "520066","MERCY HLTH SYS CORP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","224 patients","2 ","2","PN-5C " "520066","MERCY HLTH SYS CORP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","42 patients","2 ","2","AMI-4 " "520066","MERCY HLTH SYS CORP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","119 patients","2 ","2","PN-6 " "520066","MERCY HLTH SYS CORP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","539 patients","2 ","2","SCIP-VTE-2 " "520066","MERCY HLTH SYS CORP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","1031 patients","2 ","2","SCIP-INF-6 " "520066","MERCY HLTH SYS CORP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1,2 ","12","AMI-3 " "520066","MERCY HLTH SYS CORP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","79 patients","2 ","2","SCIP-INF-4 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","20 patients","1 ","1","AMI-8A " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","234 patients",,,"AMI-2 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","481 patients",,,"SCIP-VTE-2 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","132 patients",,,"PN-3B " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","238 patients",,,"AMI-5 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","269 patients",,,"HF-2 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","34 patients",,,"AMI-3 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","85 patients",,,"PN-6 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","238 patients",,,"SCIP-CARD-2 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","84 patients",,,"AMI-4 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","120 patients",,,"AMI-1 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","938 patients",,,"SCIP-INF-2 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","52 patients",,,"HF-3 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","212 patients",,,"HF-1 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1341 patients",,,"SCIP-INF-6 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","115 patients",,,"PN-7 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","33 patients",,,"PN-4 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","851 patients",,,"SCIP-INF-3 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","919 patients",,,"SCIP-INF-1 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","143 patients",,,"PN-5C " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","481 patients",,,"SCIP-VTE-1 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","262 patients",,,"SCIP-INF-4 " "520070","LUTHER HOSPITAL MAYO HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","159 patients",,,"PN-2 " "520071","FORT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","193 patients","2 ","2","SCIP-INF-2 " "520071","FORT HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "520071","FORT HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","78 patients",,,"PN-2 " "520071","FORT HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","85 patients",,,"PN-5C " "520071","FORT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520071","FORT HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520071","FORT HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1 ","1","AMI-1 " "520071","FORT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","193 patients","2 ","2","SCIP-INF-1 " "520071","FORT HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","195 patients","2 ","2","SCIP-VTE-2 " "520071","FORT HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","94%","16 patients","1 ","1","AMI-2 " "520071","FORT HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","197 patients","2 ","2","SCIP-VTE-1 " "520071","FORT HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "520071","FORT HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520071","FORT HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "520071","FORT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","356 patients","2 ","2","SCIP-INF-6 " "520071","FORT HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","96%","49 patients",,,"PN-7 " "520071","FORT HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","AMI-3 " "520071","FORT HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","47 patients",,,"PN-6 " "520071","FORT HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","44 patients",,,"HF-1 " "520071","FORT HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "520071","FORT HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","44 patients","2 ","2","SCIP-CARD-2 " "520071","FORT HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","67 patients",,,"PN-3B " "520071","FORT HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","59 patients",,,"HF-2 " "520071","FORT HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","81%","16 patients","1 ","1","AMI-5 " "520071","FORT HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","189 patients","2 ","2","SCIP-INF-3 " "520075","ST VINCENT HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","669 patients","2 ","2","SCIP-INF-6 " "520075","ST VINCENT HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","99 patients","2 ","2","PN-5C " "520075","ST VINCENT HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","59 patients","2 ","2","PN-6 " "520075","ST VINCENT HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","32 patients","2 ","2","AMI-8A " "520075","ST VINCENT HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","171 patients","2 ","2","AMI-5 " "520075","ST VINCENT HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","177 patients","2 ","2","AMI-2 " "520075","ST VINCENT HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","72 patients","2 ","2","PN-7 " "520075","ST VINCENT HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","39 patients","2 ","2","PN-4 " "520075","ST VINCENT HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "520075","ST VINCENT HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","159 patients","2 ","2","SCIP-INF-4 " "520075","ST VINCENT HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","69%","131 patients","2 ","2","SCIP-CARD-2 " "520075","ST VINCENT HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","475 patients","2 ","2","SCIP-INF-2 " "520075","ST VINCENT HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","184 patients","2 ","2","SCIP-VTE-1 " "520075","ST VINCENT HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","465 patients","2 ","2","SCIP-INF-1 " "520075","ST VINCENT HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","90 patients","2 ","2","PN-3B " "520075","ST VINCENT HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "520075","ST VINCENT HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","38 patients","2 ","2","AMI-3 " "520075","ST VINCENT HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","49 patients",,,"HF-3 " "520075","ST VINCENT HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","144 patients",,,"HF-1 " "520075","ST VINCENT HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","429 patients","2 ","2","SCIP-INF-3 " "520075","ST VINCENT HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","164 patients","2 ","2","AMI-1 " "520075","ST VINCENT HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","57 patients","2 ","2","AMI-4 " "520075","ST VINCENT HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","100 patients","2 ","2","PN-2 " "520075","ST VINCENT HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","168 patients",,,"HF-2 " "520075","ST VINCENT HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","184 patients","2 ","2","SCIP-VTE-2 " "520076","BEAVER DAM COM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","257 patients",,,"SCIP-INF-6 " "520076","BEAVER DAM COM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "520076","BEAVER DAM COM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520076","BEAVER DAM COM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","132 patients",,,"SCIP-VTE-1 " "520076","BEAVER DAM COM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","92 patients",,,"PN-2 " "520076","BEAVER DAM COM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","38 patients",,,"SCIP-CARD-2 " "520076","BEAVER DAM COM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","208 patients",,,"SCIP-INF-1 " "520076","BEAVER DAM COM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","68 patients",,,"PN-6 " "520076","BEAVER DAM COM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","49%","51 patients",,,"HF-1 " "520076","BEAVER DAM COM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","206 patients",,,"SCIP-INF-3 " "520076","BEAVER DAM COM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","97 patients",,,"PN-5C " "520076","BEAVER DAM COM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1 ","1","AMI-5 " "520076","BEAVER DAM COM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","71 patients",,,"HF-2 " "520076","BEAVER DAM COM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","26 patients",,,"PN-4 " "520076","BEAVER DAM COM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "520076","BEAVER DAM COM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "520076","BEAVER DAM COM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","63 patients",,,"PN-7 " "520076","BEAVER DAM COM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","132 patients",,,"SCIP-VTE-2 " "520076","BEAVER DAM COM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","HF-4 " "520076","BEAVER DAM COM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520076","BEAVER DAM COM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520076","BEAVER DAM COM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","64%","14 patients","1 ","1","HF-3 " "520076","BEAVER DAM COM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","211 patients",,,"SCIP-INF-2 " "520076","BEAVER DAM COM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "520076","BEAVER DAM COM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","63 patients",,,"PN-3B " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","177 patients","2 ","2","SCIP-VTE-1 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","80%","74 patients","2 ","2","SCIP-CARD-2 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","348 patients","2 ","2","SCIP-INF-3 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","64%","22 patients","1 ","1","AMI-8A " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","369 patients","2 ","2","SCIP-INF-2 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","67 patients",,,"AMI-2 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","204 patients",,,"PN-3B " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","370 patients","2 ","2","SCIP-INF-1 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","97%","29 patients",,,"AMI-4 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","193 patients",,,"PN-2 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","528 patients","2 ","2","SCIP-INF-6 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","145 patients",,,"PN-7 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","8 patients","1 ","1","AMI-3 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","190 patients",,,"PN-5C " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","69 patients",,,"AMI-1 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","126 patients",,,"PN-6 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","176 patients","2 ","2","SCIP-VTE-2 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","64 patients",,,"AMI-5 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","32 patients",,,"HF-4 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","239 patients",,,"HF-2 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","75 patients",,,"HF-3 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","64 patients","2 ","2","SCIP-INF-4 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","99%","74 patients",,,"PN-4 " "520078","WHEATON FRANCISCAN HEALTHCARE- ST FRANCIS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","173 patients",,,"HF-1 " "520083","ST MARY'S HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","77 patients",,,"AMI-3 " "520083","ST MARY'S HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520083","ST MARY'S HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","305 patients",,,"PN-3B " "520083","ST MARY'S HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","141 patients",,,"HF-3 " "520083","ST MARY'S HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","415 patients",,,"HF-2 " "520083","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","355 patients","2 ","2","SCIP-INF-4 " "520083","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","1621 patients","2 ","2","SCIP-INF-3 " "520083","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","173 patients","2 ","2","SCIP-CARD-2 " "520083","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","612 patients","2 ","2","SCIP-VTE-2 " "520083","ST MARY'S HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","335 patients",,,"PN-2 " "520083","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2066 patients","2 ","2","SCIP-INF-6 " "520083","ST MARY'S HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","224 patients",,,"PN-6 " "520083","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","1699 patients","2 ","2","SCIP-INF-1 " "520083","ST MARY'S HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","338 patients",,,"PN-5C " "520083","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","612 patients","2 ","2","SCIP-VTE-1 " "520083","ST MARY'S HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","92%","51 patients",,,"AMI-8A " "520083","ST MARY'S HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","395 patients",,,"AMI-2 " "520083","ST MARY'S HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","381 patients",,,"AMI-5 " "520083","ST MARY'S HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","193 patients",,,"AMI-1 " "520083","ST MARY'S HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","239 patients",,,"PN-7 " "520083","ST MARY'S HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1722 patients","2 ","2","SCIP-INF-2 " "520083","ST MARY'S HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","328 patients",,,"HF-1 " "520083","ST MARY'S HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","131 patients",,,"AMI-4 " "520083","ST MARY'S HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","95 patients",,,"PN-4 " "520083","ST MARY'S HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","70 patients",,,"HF-4 " "520087","GUNDERSEN LUTH MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","55 patients",,,"PN-4 " "520087","GUNDERSEN LUTH MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","66%","222 patients","2 ","2","SCIP-CARD-2 " "520087","GUNDERSEN LUTH MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","733 patients","2 ","2","SCIP-INF-2 " "520087","GUNDERSEN LUTH MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","229 patients","2 ","2","SCIP-INF-4 " "520087","GUNDERSEN LUTH MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","136 patients",,,"PN-3B " "520087","GUNDERSEN LUTH MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","256 patients",,,"AMI-5 " "520087","GUNDERSEN LUTH MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","28 patients",,,"HF-4 " "520087","GUNDERSEN LUTH MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1043 patients","2 ","2","SCIP-INF-6 " "520087","GUNDERSEN LUTH MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","690 patients","2 ","2","SCIP-INF-3 " "520087","GUNDERSEN LUTH MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","146 patients",,,"HF-2 " "520087","GUNDERSEN LUTH MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","313 patients","2 ","2","SCIP-VTE-2 " "520087","GUNDERSEN LUTH MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","313 patients","2 ","2","SCIP-VTE-1 " "520087","GUNDERSEN LUTH MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","130 patients",,,"HF-1 " "520087","GUNDERSEN LUTH MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","31 patients",,,"AMI-3 " "520087","GUNDERSEN LUTH MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","92 patients",,,"AMI-4 " "520087","GUNDERSEN LUTH MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","38 patients",,,"AMI-8A " "520087","GUNDERSEN LUTH MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","156 patients",,,"AMI-1 " "520087","GUNDERSEN LUTH MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520087","GUNDERSEN LUTH MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","724 patients","2 ","2","SCIP-INF-1 " "520087","GUNDERSEN LUTH MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","128 patients",,,"PN-5C " "520087","GUNDERSEN LUTH MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","71 patients",,,"PN-6 " "520087","GUNDERSEN LUTH MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","187 patients",,,"PN-2 " "520087","GUNDERSEN LUTH MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","111 patients",,,"PN-7 " "520087","GUNDERSEN LUTH MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","39 patients",,,"HF-3 " "520087","GUNDERSEN LUTH MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","282 patients",,,"AMI-2 " "520088","ST AGNES HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","91 patients",,,"PN-7 " "520088","ST AGNES HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","92%","49 patients","2 ","2","PN-4 " "520088","ST AGNES HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","55 patients",,,"HF-3 " "520088","ST AGNES HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","497 patients","2 ","2","SCIP-INF-6 " "520088","ST AGNES HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","146 patients",,,"AMI-1 " "520088","ST AGNES HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","67 patients","2 ","2","SCIP-CARD-2 " "520088","ST AGNES HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","14 patients","1 ","1","HF-4 " "520088","ST AGNES HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","237 patients","2 ","2","SCIP-VTE-2 " "520088","ST AGNES HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","93%","60 patients","2 ","2","SCIP-INF-4 " "520088","ST AGNES HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","147 patients",,,"AMI-2 " "520088","ST AGNES HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","74 patients","2 ","2","PN-6 " "520088","ST AGNES HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","139 patients",,,"AMI-5 " "520088","ST AGNES HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520088","ST AGNES HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","43 patients",,,"AMI-4 " "520088","ST AGNES HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","94%","34 patients",,,"AMI-8A " "520088","ST AGNES HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","357 patients","2 ","2","SCIP-INF-1 " "520088","ST AGNES HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","129 patients","2 ","2","PN-5C " "520088","ST AGNES HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","343 patients","2 ","2","SCIP-INF-3 " "520088","ST AGNES HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","151 patients",,,"HF-2 " "520088","ST AGNES HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","111 patients",,,"HF-1 " "520088","ST AGNES HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","17 patients","1 ","1","AMI-3 " "520088","ST AGNES HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","363 patients","2 ","2","SCIP-INF-2 " "520088","ST AGNES HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","237 patients","2 ","2","SCIP-VTE-1 " "520088","ST AGNES HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","125 patients","2 ","2","PN-3B " "520088","ST AGNES HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","89%","135 patients","2 ","2","PN-2 " "520089","MERITER HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","47 patients",,,"AMI-3 " "520089","MERITER HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","75 patients",,,"AMI-4 " "520089","MERITER HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","309 patients",,,"HF-2 " "520089","MERITER HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","174 patients",,,"PN-5C " "520089","MERITER HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","191 patients",,,"PN-2 " "520089","MERITER HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","39 patients",,,"AMI-8A " "520089","MERITER HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","132 patients",,,"PN-6 " "520089","MERITER HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","436 patients","2 ","2","SCIP-INF-2 " "520089","MERITER HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","148 patients",,,"PN-7 " "520089","MERITER HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","109 patients",,,"HF-3 " "520089","MERITER HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","600 patients","2 ","2","SCIP-INF-6 " "520089","MERITER HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520089","MERITER HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","124 patients",,,"PN-3B " "520089","MERITER HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","433 patients","2 ","2","SCIP-INF-3 " "520089","MERITER HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","435 patients","2 ","2","SCIP-INF-1 " "520089","MERITER HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","242 patients",,,"HF-1 " "520089","MERITER HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","194 patients",,,"AMI-1 " "520089","MERITER HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","284 patients",,,"AMI-2 " "520089","MERITER HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"HF-4 " "520089","MERITER HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","193 patients","2 ","2","SCIP-VTE-2 " "520089","MERITER HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","85 patients","2 ","2","SCIP-CARD-2 " "520089","MERITER HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","194 patients","2 ","2","SCIP-VTE-1 " "520089","MERITER HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","285 patients",,,"AMI-5 " "520089","MERITER HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","61 patients",,,"PN-4 " "520089","MERITER HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","127 patients","2 ","2","SCIP-INF-4 " "520091","HOWARD YOUNG MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","142 patients","2 ","2","SCIP-VTE-2 " "520091","HOWARD YOUNG MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","83 patients",,,"HF-1 " "520091","HOWARD YOUNG MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520091","HOWARD YOUNG MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","373 patients","2 ","2","SCIP-INF-6 " "520091","HOWARD YOUNG MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","13 patients","1 ","1","HF-3 " "520091","HOWARD YOUNG MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","31 patients",,,"PN-4 " "520091","HOWARD YOUNG MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","98 patients",,,"HF-2 " "520091","HOWARD YOUNG MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","16 patients","1 ","1","AMI-5 " "520091","HOWARD YOUNG MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520091","HOWARD YOUNG MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","267 patients","2 ","2","SCIP-INF-2 " "520091","HOWARD YOUNG MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","96%","52 patients",,,"SCIP-CARD-2 " "520091","HOWARD YOUNG MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","76 patients",,,"PN-5C " "520091","HOWARD YOUNG MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "520091","HOWARD YOUNG MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","264 patients","2 ","2","SCIP-INF-3 " "520091","HOWARD YOUNG MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","16 patients","1 ","1","AMI-2 " "520091","HOWARD YOUNG MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","59 patients",,,"PN-3B " "520091","HOWARD YOUNG MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","85 patients",,,"PN-2 " "520091","HOWARD YOUNG MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","265 patients","2 ","2","SCIP-INF-1 " "520091","HOWARD YOUNG MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","94%","16 patients","1 ","1","HF-4 " "520091","HOWARD YOUNG MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","65 patients",,,"PN-6 " "520091","HOWARD YOUNG MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "520091","HOWARD YOUNG MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","18 patients","1 ","1","AMI-1 " "520091","HOWARD YOUNG MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","87%","142 patients","2 ","2","SCIP-VTE-1 " "520091","HOWARD YOUNG MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520091","HOWARD YOUNG MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","35 patients",,,"PN-7 " "520095","SAUK PRAIRIE MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "520095","SAUK PRAIRIE MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","33 patients",,,"HF-1 " "520095","SAUK PRAIRIE MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","542 patients",,,"SCIP-INF-6 " "520095","SAUK PRAIRIE MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","48 patients",,,"HF-2 " "520095","SAUK PRAIRIE MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "520095","SAUK PRAIRIE MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","138 patients",,,"SCIP-VTE-2 " "520095","SAUK PRAIRIE MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520095","SAUK PRAIRIE MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1 ","1","PN-4 " "520095","SAUK PRAIRIE MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","470 patients",,,"SCIP-INF-2 " "520095","SAUK PRAIRIE MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "520095","SAUK PRAIRIE MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","463 patients",,,"SCIP-INF-3 " "520095","SAUK PRAIRIE MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "520095","SAUK PRAIRIE MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "520095","SAUK PRAIRIE MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "520095","SAUK PRAIRIE MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","35 patients",,,"PN-6 " "520095","SAUK PRAIRIE MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","42 patients",,,"PN-5C " "520095","SAUK PRAIRIE MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","76 patients",,,"SCIP-CARD-2 " "520095","SAUK PRAIRIE MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","40 patients",,,"PN-2 " "520095","SAUK PRAIRIE MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","35 patients",,,"PN-7 " "520095","SAUK PRAIRIE MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "520095","SAUK PRAIRIE MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","464 patients",,,"SCIP-INF-1 " "520095","SAUK PRAIRIE MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "520095","SAUK PRAIRIE MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","18 patients","1 ","1","PN-3B " "520095","SAUK PRAIRIE MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "520095","SAUK PRAIRIE MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","138 patients",,,"SCIP-VTE-1 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","72%","29 patients",,,"AMI-8A " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","667 patients","2 ","2","SCIP-INF-6 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","98 patients","2 ","2","SCIP-INF-4 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","268 patients","2 ","2","SCIP-VTE-2 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","391 patients","2 ","2","SCIP-INF-3 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","180 patients",,,"PN-6 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","417 patients","2 ","2","SCIP-INF-2 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","406 patients","2 ","2","SCIP-INF-1 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","27 patients",,,"AMI-3 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","313 patients",,,"PN-5C " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","56 patients",,,"AMI-4 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","316 patients",,,"PN-2 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","190 patients",,,"AMI-5 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","268 patients","2 ","2","SCIP-VTE-1 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","437 patients",,,"HF-2 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","188 patients",,,"AMI-2 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","79%","361 patients",,,"HF-1 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","81 patients","2 ","2","SCIP-CARD-2 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","144 patients",,,"HF-3 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","104 patients",,,"PN-4 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","197 patients",,,"AMI-1 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","207 patients",,,"PN-7 " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","360 patients",,,"PN-3B " "520096","WHEATON FRANCISCAN HEALTHCARE- ALL SAINTS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","97%","69 patients",,,"HF-4 " "520097","ST MARYS HSPTL MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","563 patients",,,"SCIP-INF-6 " "520097","ST MARYS HSPTL MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","66 patients",,,"PN-6 " "520097","ST MARYS HSPTL MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","76%","97 patients",,,"HF-1 " "520097","ST MARYS HSPTL MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","69 patients",,,"AMI-1 " "520097","ST MARYS HSPTL MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","236 patients",,,"SCIP-VTE-1 " "520097","ST MARYS HSPTL MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520097","ST MARYS HSPTL MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1 ","1","HF-4 " "520097","ST MARYS HSPTL MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","68 patients",,,"PN-7 " "520097","ST MARYS HSPTL MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","72 patients",,,"AMI-5 " "520097","ST MARYS HSPTL MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","424 patients",,,"SCIP-INF-2 " "520097","ST MARYS HSPTL MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","116 patients",,,"PN-5C " "520097","ST MARYS HSPTL MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","23 patients","1 ","1","HF-3 " "520097","ST MARYS HSPTL MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","67 patients",,,"AMI-2 " "520097","ST MARYS HSPTL MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","131 patients",,,"HF-2 " "520097","ST MARYS HSPTL MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520097","ST MARYS HSPTL MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","415 patients",,,"SCIP-INF-3 " "520097","ST MARYS HSPTL MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","78%","105 patients",,,"PN-2 " "520097","ST MARYS HSPTL MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","423 patients",,,"SCIP-INF-1 " "520097","ST MARYS HSPTL MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","AMI-4 " "520097","ST MARYS HSPTL MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","127 patients",,,"PN-3B " "520097","ST MARYS HSPTL MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","97%","30 patients",,,"AMI-8A " "520097","ST MARYS HSPTL MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","33 patients",,,"PN-4 " "520097","ST MARYS HSPTL MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","236 patients",,,"SCIP-VTE-2 " "520097","ST MARYS HSPTL MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","AMI-3 " "520097","ST MARYS HSPTL MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","79 patients",,,"SCIP-CARD-2 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","99%","253 patients","2 ","2","SCIP-VTE-2 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","30 patients","2 ","2","AMI-3 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","48 patients","2 ","2","HF-4 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","648 patients","2 ","2","SCIP-INF-6 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","82 patients","2 ","2","PN-5C " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","276 patients","2 ","2","HF-2 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","76 patients","2 ","2","HF-3 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","439 patients","2 ","2","SCIP-INF-2 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","104 patients","2 ","2","PN-2 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","253 patients","2 ","2","SCIP-VTE-1 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","82%","79 patients","2 ","2","PN-3B " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","90 patients","2 ","2","AMI-1 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients","2 ","2","PN-4 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","106 patients","2 ","2","AMI-4 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","99%","103 patients","2 ","2","SCIP-CARD-2 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","91%","22 patients","1,2 ","12","AMI-8A " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","218 patients","2 ","2","AMI-2 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","435 patients","2 ","2","SCIP-INF-1 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","206 patients","2 ","2","AMI-5 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","406 patients","2 ","2","SCIP-INF-3 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","81 patients","2 ","2","PN-7 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","34 patients","2 ","2","PN-6 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","237 patients","2 ","2","HF-1 " "520098","UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","133 patients","2 ","2","SCIP-INF-4 " "520100","BELOIT MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","AMI-3 " "520100","BELOIT MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","59 patients",,,"PN-3B " "520100","BELOIT MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","127 patients",,,"HF-1 " "520100","BELOIT MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","32 patients",,,"PN-4 " "520100","BELOIT MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","92%","86 patients",,,"AMI-1 " "520100","BELOIT MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","51 patients",,,"HF-3 " "520100","BELOIT MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","163 patients",,,"HF-2 " "520100","BELOIT MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","257 patients",,,"SCIP-INF-1 " "520100","BELOIT MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","250 patients",,,"SCIP-INF-3 " "520100","BELOIT MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","85%","20 patients","1 ","1","SCIP-INF-4 " "520100","BELOIT MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","366 patients",,,"SCIP-INF-6 " "520100","BELOIT MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","90%","88 patients",,,"PN-5C " "520100","BELOIT MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520100","BELOIT MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","260 patients",,,"SCIP-INF-2 " "520100","BELOIT MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","161 patients",,,"SCIP-VTE-2 " "520100","BELOIT MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","84%","43 patients",,,"SCIP-CARD-2 " "520100","BELOIT MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","93%","27 patients",,,"AMI-4 " "520100","BELOIT MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","42 patients",,,"HF-4 " "520100","BELOIT MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","60 patients",,,"PN-6 " "520100","BELOIT MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","51 patients",,,"PN-7 " "520100","BELOIT MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","68 patients",,,"AMI-2 " "520100","BELOIT MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-7A " "520100","BELOIT MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","161 patients",,,"SCIP-VTE-1 " "520100","BELOIT MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","80%","74 patients",,,"PN-2 " "520100","BELOIT MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","75 patients",,,"AMI-5 " "520102","AURORA LAKELAND MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","77 patients",,,"HF-2 " "520102","AURORA LAKELAND MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","100 patients","2 ","2","SCIP-VTE-1 " "520102","AURORA LAKELAND MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","9 patients","1 ","1","AMI-1 " "520102","AURORA LAKELAND MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"PN-4 " "520102","AURORA LAKELAND MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","63 patients",,,"PN-6 " "520102","AURORA LAKELAND MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","61 patients",,,"PN-7 " "520102","AURORA LAKELAND MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","24 patients","1 ","1","HF-3 " "520102","AURORA LAKELAND MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","100 patients",,,"PN-3B " "520102","AURORA LAKELAND MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520102","AURORA LAKELAND MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","122 patients","2 ","2","SCIP-INF-3 " "520102","AURORA LAKELAND MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "520102","AURORA LAKELAND MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","HF-4 " "520102","AURORA LAKELAND MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","108 patients",,,"PN-5C " "520102","AURORA LAKELAND MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520102","AURORA LAKELAND MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","223 patients","2 ","2","SCIP-INF-6 " "520102","AURORA LAKELAND MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "520102","AURORA LAKELAND MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","139 patients","2 ","2","SCIP-INF-2 " "520102","AURORA LAKELAND MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520102","AURORA LAKELAND MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "520102","AURORA LAKELAND MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","100 patients","2 ","2","SCIP-VTE-2 " "520102","AURORA LAKELAND MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "520102","AURORA LAKELAND MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","87 patients",,,"PN-2 " "520102","AURORA LAKELAND MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","136 patients","2 ","2","SCIP-INF-1 " "520102","AURORA LAKELAND MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","57 patients",,,"HF-1 " "520102","AURORA LAKELAND MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","35 patients","2 ","2","SCIP-CARD-2 " "520103","COMMUNITY MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","91%","32 patients",,,"HF-4 " "520103","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","469 patients","2 ","2","SCIP-INF-2 " "520103","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","202 patients","2 ","2","SCIP-VTE-2 " "520103","COMMUNITY MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","122 patients",,,"PN-7 " "520103","COMMUNITY MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","40 patients",,,"AMI-4 " "520103","COMMUNITY MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","149 patients",,,"AMI-1 " "520103","COMMUNITY MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","165 patients",,,"PN-3B " "520103","COMMUNITY MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","74 patients",,,"HF-3 " "520103","COMMUNITY MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","142 patients",,,"AMI-2 " "520103","COMMUNITY MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","183 patients",,,"PN-5C " "520103","COMMUNITY MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","48 patients",,,"PN-4 " "520103","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","202 patients","2 ","2","SCIP-VTE-1 " "520103","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","85 patients","2 ","2","SCIP-CARD-2 " "520103","COMMUNITY MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","220 patients",,,"HF-2 " "520103","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","461 patients","2 ","2","SCIP-INF-1 " "520103","COMMUNITY MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","63%","177 patients",,,"HF-1 " "520103","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","114 patients","2 ","2","SCIP-INF-4 " "520103","COMMUNITY MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","144 patients",,,"AMI-5 " "520103","COMMUNITY MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","183 patients",,,"PN-2 " "520103","COMMUNITY MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","119 patients",,,"PN-6 " "520103","COMMUNITY MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","23 patients","1 ","1","AMI-3 " "520103","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","626 patients","2 ","2","SCIP-INF-6 " "520103","COMMUNITY MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520103","COMMUNITY MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","96%","25 patients",,,"AMI-8A " "520103","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","441 patients","2 ","2","SCIP-INF-3 " "520107","HOLY FAMILY MEMORIAL INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520107","HOLY FAMILY MEMORIAL INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","44 patients",,,"AMI-1 " "520107","HOLY FAMILY MEMORIAL INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","HF-4 " "520107","HOLY FAMILY MEMORIAL INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","241 patients",,,"SCIP-INF-3 " "520107","HOLY FAMILY MEMORIAL INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","254 patients",,,"SCIP-INF-2 " "520107","HOLY FAMILY MEMORIAL INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","34 patients",,,"AMI-5 " "520107","HOLY FAMILY MEMORIAL INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","349 patients",,,"SCIP-INF-6 " "520107","HOLY FAMILY MEMORIAL INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","57%","7 patients","1 ","1","AMI-8A " "520107","HOLY FAMILY MEMORIAL INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520107","HOLY FAMILY MEMORIAL INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","47 patients",,,"PN-7 " "520107","HOLY FAMILY MEMORIAL INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","37 patients",,,"AMI-2 " "520107","HOLY FAMILY MEMORIAL INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","111 patients",,,"HF-2 " "520107","HOLY FAMILY MEMORIAL INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","4 patients","1 ","1","AMI-3 " "520107","HOLY FAMILY MEMORIAL INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","PN-4 " "520107","HOLY FAMILY MEMORIAL INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","76 patients",,,"HF-1 " "520107","HOLY FAMILY MEMORIAL INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","255 patients",,,"SCIP-INF-1 " "520107","HOLY FAMILY MEMORIAL INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","144 patients",,,"SCIP-VTE-1 " "520107","HOLY FAMILY MEMORIAL INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","85%","46 patients",,,"SCIP-CARD-2 " "520107","HOLY FAMILY MEMORIAL INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","144 patients",,,"SCIP-VTE-2 " "520107","HOLY FAMILY MEMORIAL INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","53 patients",,,"PN-3B " "520107","HOLY FAMILY MEMORIAL INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","AMI-4 " "520107","HOLY FAMILY MEMORIAL INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","84%","37 patients",,,"HF-3 " "520107","HOLY FAMILY MEMORIAL INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","71 patients",,,"PN-2 " "520107","HOLY FAMILY MEMORIAL INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","66 patients",,,"PN-5C " "520107","HOLY FAMILY MEMORIAL INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","43 patients",,,"PN-6 " "520109","HESS MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","25 patients",,,"PN-3B " "520109","HESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","90%","97 patients",,,"SCIP-INF-2 " "520109","HESS MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","15 patients","1 ","1","HF-3 " "520109","HESS MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "520109","HESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","63%","57 patients",,,"SCIP-VTE-2 " "520109","HESS MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "520109","HESS MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","62%","24 patients","1 ","1","PN-4 " "520109","HESS MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","73 patients",,,"PN-2 " "520109","HESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520109","HESS MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1 ","1","AMI-2 " "520109","HESS MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520109","HESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","97 patients",,,"SCIP-INF-1 " "520109","HESS MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","38%","55 patients",,,"HF-1 " "520109","HESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","153 patients",,,"SCIP-INF-6 " "520109","HESS MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","72%","47 patients",,,"PN-7 " "520109","HESS MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1 ","1","PN-6 " "520109","HESS MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","74%","66 patients",,,"HF-2 " "520109","HESS MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "520109","HESS MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520109","HESS MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","53 patients","3 ","3","PN-5C " "520109","HESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","67%","57 patients",,,"SCIP-VTE-1 " "520109","HESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","96 patients",,,"SCIP-INF-3 " "520109","HESS MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","14 patients","1 ","1","SCIP-CARD-2 " "520109","HESS MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","AMI-3 " "520109","HESS MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","12 patients","1 ","1","HF-4 " "520113","BAY AREA MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","132 patients",,,"SCIP-VTE-1 " "520113","BAY AREA MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","196 patients",,,"HF-2 " "520113","BAY AREA MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520113","BAY AREA MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520113","BAY AREA MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","93%","60 patients",,,"SCIP-CARD-2 " "520113","BAY AREA MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","164 patients",,,"SCIP-INF-2 " "520113","BAY AREA MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","21 patients","1 ","1","HF-4 " "520113","BAY AREA MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","105 patients",,,"AMI-1 " "520113","BAY AREA MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","131 patients",,,"SCIP-VTE-2 " "520113","BAY AREA MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","95 patients",,,"PN-7 " "520113","BAY AREA MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","3 patients","1 ","1","AMI-8A " "520113","BAY AREA MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","136 patients",,,"HF-1 " "520113","BAY AREA MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","154 patients",,,"PN-5C " "520113","BAY AREA MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","75 patients",,,"AMI-5 " "520113","BAY AREA MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","133 patients",,,"PN-3B " "520113","BAY AREA MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","35 patients",,,"PN-4 " "520113","BAY AREA MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","287 patients",,,"SCIP-INF-6 " "520113","BAY AREA MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","89 patients",,,"PN-6 " "520113","BAY AREA MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","87%","15 patients","1 ","1","AMI-3 " "520113","BAY AREA MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","85%","148 patients",,,"SCIP-INF-3 " "520113","BAY AREA MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","92%","71 patients",,,"AMI-2 " "520113","BAY AREA MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","54 patients",,,"HF-3 " "520113","BAY AREA MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","80%","15 patients","1 ","1","AMI-4 " "520113","BAY AREA MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","164 patients",,,"SCIP-INF-1 " "520113","BAY AREA MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","151 patients",,,"PN-2 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","165 patients","2 ","2","SCIP-INF-1 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","70 patients",,,"PN-6 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","HF-4 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","117 patients",,,"PN-3B " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","155 patients","2 ","2","SCIP-INF-3 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","233 patients","2 ","2","SCIP-INF-6 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","125 patients",,,"PN-5C " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","97%","77 patients",,,"PN-7 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","49%","37 patients",,,"HF-1 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","85%","112 patients","2 ","2","SCIP-VTE-2 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","24 patients","1 ","1","PN-4 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","54 patients",,,"HF-2 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","112 patients","2 ","2","SCIP-VTE-1 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","91%","32 patients","2 ","2","SCIP-CARD-2 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","163 patients","2 ","2","SCIP-INF-2 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","99%","112 patients",,,"PN-2 " "520116","UW HLTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","69 patients","2 ","2","SCIP-CARD-2 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","72 patients",,,"AMI-4 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","277 patients",,,"PN-5C " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","278 patients",,,"PN-3B " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","156 patients",,,"PN-4 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","137 patients",,,"AMI-1 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","257 patients","2 ","2","SCIP-VTE-1 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","336 patients","2 ","2","SCIP-INF-1 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","257 patients","2 ","2","SCIP-VTE-2 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","204 patients",,,"HF-3 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","78%","405 patients",,,"HF-1 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","30 patients",,,"AMI-3 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","63%","30 patients",,,"AMI-8A " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","118 patients",,,"AMI-2 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","103 patients",,,"AMI-5 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","187 patients",,,"PN-2 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","490 patients","2 ","2","SCIP-INF-6 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","443 patients",,,"HF-2 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","178 patients",,,"HF-4 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","340 patients","2 ","2","SCIP-INF-2 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","153 patients",,,"PN-6 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","98%","40 patients","2 ","2","SCIP-INF-4 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","153 patients",,,"PN-7 " "520136","WHEATON FRANCISCAN HEALTHCARE- ST JOSEPH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","325 patients","2 ","2","SCIP-INF-3 " "520138","AURORA HEALTH CARE METRO, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","634 patients",,,"PN-3B " "520138","AURORA HEALTH CARE METRO, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","455 patients",,,"PN-7 " "520138","AURORA HEALTH CARE METRO, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","316 patients","2 ","2","SCIP-VTE-1 " "520138","AURORA HEALTH CARE METRO, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","575 patients","2 ","2","SCIP-INF-1 " "520138","AURORA HEALTH CARE METRO, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","580 patients","2 ","2","SCIP-INF-2 " "520138","AURORA HEALTH CARE METRO, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","481 patients",,,"HF-3 " "520138","AURORA HEALTH CARE METRO, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","229 patients",,,"HF-4 " "520138","AURORA HEALTH CARE METRO, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","147 patients",,,"AMI-3 " "520138","AURORA HEALTH CARE METRO, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","140 patients","2 ","2","SCIP-INF-4 " "520138","AURORA HEALTH CARE METRO, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","457 patients",,,"PN-6 " "520138","AURORA HEALTH CARE METRO, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","620 patients",,,"PN-2 " "520138","AURORA HEALTH CARE METRO, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1405 patients",,,"HF-2 " "520138","AURORA HEALTH CARE METRO, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","185 patients","2 ","2","SCIP-CARD-2 " "520138","AURORA HEALTH CARE METRO, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","1194 patients",,,"HF-1 " "520138","AURORA HEALTH CARE METRO, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","537 patients","2 ","2","SCIP-INF-3 " "520138","AURORA HEALTH CARE METRO, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","492 patients",,,"AMI-1 " "520138","AURORA HEALTH CARE METRO, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","90%","93 patients",,,"AMI-8A " "520138","AURORA HEALTH CARE METRO, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","98%","279 patients",,,"PN-4 " "520138","AURORA HEALTH CARE METRO, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","812 patients",,,"PN-5C " "520138","AURORA HEALTH CARE METRO, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","816 patients",,,"AMI-2 " "520138","AURORA HEALTH CARE METRO, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","939 patients","2 ","2","SCIP-INF-6 " "520138","AURORA HEALTH CARE METRO, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","368 patients",,,"AMI-4 " "520138","AURORA HEALTH CARE METRO, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","315 patients","2 ","2","SCIP-VTE-2 " "520138","AURORA HEALTH CARE METRO, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520138","AURORA HEALTH CARE METRO, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","706 patients",,,"AMI-5 " "520139","WEST ALLIS MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","25 patients",,,"AMI-5 " "520139","WEST ALLIS MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","87 patients",,,"PN-4 " "520139","WEST ALLIS MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520139","WEST ALLIS MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","96%","23 patients","1 ","1","HF-4 " "520139","WEST ALLIS MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","253 patients",,,"PN-2 " "520139","WEST ALLIS MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","197 patients",,,"HF-2 " "520139","WEST ALLIS MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520139","WEST ALLIS MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","98%","134 patients",,,"PN-6 " "520139","WEST ALLIS MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","255 patients","2 ","2","SCIP-INF-1 " "520139","WEST ALLIS MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "520139","WEST ALLIS MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","36 patients",,,"HF-3 " "520139","WEST ALLIS MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","94%","190 patients","2 ","2","SCIP-VTE-1 " "520139","WEST ALLIS MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","84%","146 patients",,,"HF-1 " "520139","WEST ALLIS MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","97%","58 patients","2 ","2","SCIP-CARD-2 " "520139","WEST ALLIS MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","AMI-4 " "520139","WEST ALLIS MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","36 patients",,,"AMI-2 " "520139","WEST ALLIS MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","165 patients",,,"PN-7 " "520139","WEST ALLIS MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","255 patients","2 ","2","SCIP-INF-2 " "520139","WEST ALLIS MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","AMI-3 " "520139","WEST ALLIS MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","287 patients",,,"PN-5C " "520139","WEST ALLIS MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","56 patients",,,"AMI-1 " "520139","WEST ALLIS MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","190 patients","2 ","2","SCIP-VTE-2 " "520139","WEST ALLIS MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","208 patients",,,"PN-3B " "520139","WEST ALLIS MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","381 patients","2 ","2","SCIP-INF-6 " "520139","WEST ALLIS MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","244 patients","2 ","2","SCIP-INF-3 " "520160","APPLETON MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","1151 patients","2 ","2","SCIP-INF-1 " "520160","APPLETON MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","213 patients",,,"AMI-2 " "520160","APPLETON MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","222 patients",,,"AMI-5 " "520160","APPLETON MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","157 patients",,,"PN-3B " "520160","APPLETON MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","216 patients",,,"HF-2 " "520160","APPLETON MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520160","APPLETON MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","121 patients",,,"AMI-1 " "520160","APPLETON MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","92%","231 patients","2 ","2","SCIP-INF-4 " "520160","APPLETON MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","36 patients",,,"AMI-8A " "520160","APPLETON MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","1115 patients","2 ","2","SCIP-INF-3 " "520160","APPLETON MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","177 patients",,,"HF-1 " "520160","APPLETON MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","29 patients",,,"HF-4 " "520160","APPLETON MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","50 patients",,,"PN-4 " "520160","APPLETON MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","87%","220 patients","2 ","2","SCIP-CARD-2 " "520160","APPLETON MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","84 patients",,,"AMI-4 " "520160","APPLETON MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","178 patients",,,"PN-5C " "520160","APPLETON MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","211 patients",,,"PN-2 " "520160","APPLETON MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","127 patients",,,"PN-6 " "520160","APPLETON MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","395 patients","2 ","2","SCIP-VTE-1 " "520160","APPLETON MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","1403 patients","2 ","2","SCIP-INF-6 " "520160","APPLETON MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","1162 patients","2 ","2","SCIP-INF-2 " "520160","APPLETON MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","395 patients","2 ","2","SCIP-VTE-2 " "520160","APPLETON MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","67 patients",,,"HF-3 " "520160","APPLETON MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","50 patients",,,"AMI-3 " "520160","APPLETON MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","133 patients",,,"PN-7 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","77%","52 patients","2 ","2","SCIP-CARD-2 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","114 patients",,,"PN-5C " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","106 patients",,,"PN-3B " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","85 patients",,,"PN-6 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","HF-4 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","211 patients","2 ","2","SCIP-VTE-2 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","397 patients","2 ","2","SCIP-INF-6 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1,3 ","13","AMI-1 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","268 patients","2 ","2","SCIP-INF-1 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","80 patients",,,"PN-7 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","109 patients",,,"HF-2 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","269 patients","2 ","2","SCIP-INF-2 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","259 patients","2 ","2","SCIP-INF-3 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","97%","31 patients",,,"PN-4 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","35 patients",,,"HF-3 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","123 patients",,,"PN-2 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","211 patients","2 ","2","SCIP-VTE-1 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","68%","77 patients",,,"HF-1 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "520170","WHEATON FRANCISCAN HEALTHCARE- ELMBROOK MEMORIAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","68 patients","2 ","2","PN-6 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","749 patients","2 ","2","SCIP-INF-6 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","134 patients","2 ","2","HF-3 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","109 patients","2 ","2","PN-2 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","463 patients","2 ","2","SCIP-INF-1 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","65 patients","2 ","2","PN-4 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","99%","149 patients",,,"AMI-1 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","483 patients","2 ","2","SCIP-INF-2 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","103 patients","2 ","2","PN-3B " "520177","FROEDTERT MEM LUTHERAN HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","427 patients","2 ","2","SCIP-INF-3 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","131 patients","2 ","2","SCIP-INF-4 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","288 patients","2 ","2","SCIP-VTE-1 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","25 patients",,,"AMI-3 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","289 patients","2 ","2","HF-1 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","83 patients","2 ","2","PN-7 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","99%","95 patients","2 ","2","HF-4 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","55 patients",,,"AMI-4 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","314 patients","2 ","2","HF-2 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520177","FROEDTERT MEM LUTHERAN HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","117 patients","2 ","2","SCIP-CARD-2 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","166 patients",,,"AMI-2 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","161 patients",,,"AMI-5 " "520177","FROEDTERT MEM LUTHERAN HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","68%","25 patients",,,"AMI-8A " "520177","FROEDTERT MEM LUTHERAN HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","151 patients","2 ","2","PN-5C " "520177","FROEDTERT MEM LUTHERAN HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","287 patients","2 ","2","SCIP-VTE-2 " "520189","AURORA MED CTR KENOSHA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","172 patients","2 ","2","SCIP-INF-2 " "520189","AURORA MED CTR KENOSHA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","99%","117 patients","2 ","2","SCIP-VTE-1 " "520189","AURORA MED CTR KENOSHA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","53 patients",,,"PN-4 " "520189","AURORA MED CTR KENOSHA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","172 patients","2 ","2","SCIP-INF-1 " "520189","AURORA MED CTR KENOSHA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "520189","AURORA MED CTR KENOSHA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","106 patients",,,"PN-5C " "520189","AURORA MED CTR KENOSHA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","166 patients","2 ","2","SCIP-INF-3 " "520189","AURORA MED CTR KENOSHA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "520189","AURORA MED CTR KENOSHA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "520189","AURORA MED CTR KENOSHA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","61 patients",,,"PN-6 " "520189","AURORA MED CTR KENOSHA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","117 patients","2 ","2","SCIP-VTE-2 " "520189","AURORA MED CTR KENOSHA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520189","AURORA MED CTR KENOSHA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "520189","AURORA MED CTR KENOSHA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","21 patients","1,2 ","12","SCIP-CARD-2 " "520189","AURORA MED CTR KENOSHA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "520189","AURORA MED CTR KENOSHA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","99 patients",,,"PN-2 " "520189","AURORA MED CTR KENOSHA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","32 patients",,,"HF-3 " "520189","AURORA MED CTR KENOSHA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","77%","73 patients",,,"HF-1 " "520189","AURORA MED CTR KENOSHA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","242 patients","2 ","2","SCIP-INF-6 " "520189","AURORA MED CTR KENOSHA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "520189","AURORA MED CTR KENOSHA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"HF-4 " "520189","AURORA MED CTR KENOSHA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","90 patients",,,"HF-2 " "520189","AURORA MED CTR KENOSHA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "520189","AURORA MED CTR KENOSHA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","75 patients",,,"PN-7 " "520189","AURORA MED CTR KENOSHA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","107 patients",,,"PN-3B " "520193","AURORA BAYCARE MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","356 patients","2 ","2","SCIP-INF-2 " "520193","AURORA BAYCARE MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","98 patients",,,"HF-1 " "520193","AURORA BAYCARE MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","349 patients","2 ","2","SCIP-INF-1 " "520193","AURORA BAYCARE MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","65 patients",,,"PN-5C " "520193","AURORA BAYCARE MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","81 patients","2 ","2","SCIP-INF-4 " "520193","AURORA BAYCARE MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","145 patients","2 ","2","SCIP-VTE-1 " "520193","AURORA BAYCARE MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","76 patients",,,"AMI-1 " "520193","AURORA BAYCARE MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","27 patients",,,"PN-4 " "520193","AURORA BAYCARE MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","126 patients",,,"AMI-2 " "520193","AURORA BAYCARE MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","45 patients",,,"PN-7 " "520193","AURORA BAYCARE MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","145 patients","2 ","2","SCIP-VTE-2 " "520193","AURORA BAYCARE MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","9 patients","1 ","1","AMI-8A " "520193","AURORA BAYCARE MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","479 patients","2 ","2","SCIP-INF-6 " "520193","AURORA BAYCARE MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520193","AURORA BAYCARE MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","118 patients",,,"HF-2 " "520193","AURORA BAYCARE MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","53 patients",,,"PN-2 " "520193","AURORA BAYCARE MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","98%","43 patients",,,"AMI-4 " "520193","AURORA BAYCARE MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"HF-4 " "520193","AURORA BAYCARE MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","25 patients",,,"AMI-3 " "520193","AURORA BAYCARE MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","135 patients",,,"AMI-5 " "520193","AURORA BAYCARE MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","38 patients",,,"HF-3 " "520193","AURORA BAYCARE MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","57 patients",,,"PN-3B " "520193","AURORA BAYCARE MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","42 patients",,,"PN-6 " "520193","AURORA BAYCARE MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","333 patients","2 ","2","SCIP-INF-3 " "520193","AURORA BAYCARE MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","77 patients","2 ","2","SCIP-CARD-2 " "520194","ORTHOPAEDIC HSPTL OF WI","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","9 patients","1 ","1","SCIP-INF-1 " "520194","ORTHOPAEDIC HSPTL OF WI","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","1 patients","1 ","1","SCIP-VTE-2 " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "520194","ORTHOPAEDIC HSPTL OF WI","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","1 patients","1 ","1","SCIP-VTE-1 " "520194","ORTHOPAEDIC HSPTL OF WI","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","10 patients","1 ","1","SCIP-INF-6 " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "520194","ORTHOPAEDIC HSPTL OF WI","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "520194","ORTHOPAEDIC HSPTL OF WI","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","9 patients","1 ","1","SCIP-INF-2 " "520194","ORTHOPAEDIC HSPTL OF WI","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "520194","ORTHOPAEDIC HSPTL OF WI","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","9 patients","1 ","1","SCIP-INF-3 " "520194","ORTHOPAEDIC HSPTL OF WI","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "520194","ORTHOPAEDIC HSPTL OF WI","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "520194","ORTHOPAEDIC HSPTL OF WI","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "520194","ORTHOPAEDIC HSPTL OF WI","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520194","ORTHOPAEDIC HSPTL OF WI","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "520194","ORTHOPAEDIC HSPTL OF WI","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "520194","ORTHOPAEDIC HSPTL OF WI","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "520195","COLUMBIA CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "520195","COLUMBIA CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "520195","COLUMBIA CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "520195","COLUMBIA CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "520195","COLUMBIA CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "520195","COLUMBIA CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "520195","COLUMBIA CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "520195","COLUMBIA CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "520195","COLUMBIA CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "520195","COLUMBIA CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "520195","COLUMBIA CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "520195","COLUMBIA CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "520195","COLUMBIA CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "520195","COLUMBIA CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "520195","COLUMBIA CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "520195","COLUMBIA CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "520195","COLUMBIA CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "520195","COLUMBIA CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "520195","COLUMBIA CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "520195","COLUMBIA CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "520195","COLUMBIA CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "520195","COLUMBIA CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "520195","COLUMBIA CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "520195","COLUMBIA CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "520195","COLUMBIA CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "520196","OAK LEAF SURGCL HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "520196","OAK LEAF SURGCL HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "520196","OAK LEAF SURGCL HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "520196","OAK LEAF SURGCL HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "520196","OAK LEAF SURGCL HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "520196","OAK LEAF SURGCL HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "520196","OAK LEAF SURGCL HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "520196","OAK LEAF SURGCL HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "520196","OAK LEAF SURGCL HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "520196","OAK LEAF SURGCL HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","126 patients",,,"SCIP-VTE-1 " "520196","OAK LEAF SURGCL HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","270 patients",,,"SCIP-INF-2 " "520196","OAK LEAF SURGCL HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","270 patients",,,"SCIP-INF-1 " "520196","OAK LEAF SURGCL HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "520196","OAK LEAF SURGCL HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "520196","OAK LEAF SURGCL HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "520196","OAK LEAF SURGCL HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","126 patients",,,"SCIP-VTE-2 " "520196","OAK LEAF SURGCL HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "520196","OAK LEAF SURGCL HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "520196","OAK LEAF SURGCL HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","40 patients",,,"SCIP-CARD-2 " "520196","OAK LEAF SURGCL HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "520196","OAK LEAF SURGCL HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "520196","OAK LEAF SURGCL HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "520196","OAK LEAF SURGCL HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","268 patients",,,"SCIP-INF-3 " "520196","OAK LEAF SURGCL HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "520196","OAK LEAF SURGCL HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","330 patients",,,"SCIP-INF-6 " "520198","AURORA MED CTR OSHKOSH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","16 patients","1 ","1","HF-4 " "520198","AURORA MED CTR OSHKOSH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","71 patients",,,"PN-2 " "520198","AURORA MED CTR OSHKOSH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","34 patients","2 ","2","AMI-5 " "520198","AURORA MED CTR OSHKOSH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","162 patients","2 ","2","SCIP-INF-1 " "520198","AURORA MED CTR OSHKOSH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","17 patients","1,2 ","12","AMI-4 " "520198","AURORA MED CTR OSHKOSH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","55 patients",,,"PN-7 " "520198","AURORA MED CTR OSHKOSH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "520198","AURORA MED CTR OSHKOSH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2 ","2","AMI-7A " "520198","AURORA MED CTR OSHKOSH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","120 patients","2 ","2","SCIP-VTE-2 " "520198","AURORA MED CTR OSHKOSH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","11 patients","1,2 ","12","AMI-8A " "520198","AURORA MED CTR OSHKOSH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","242 patients","2 ","2","SCIP-INF-6 " "520198","AURORA MED CTR OSHKOSH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","41 patients","2 ","2","AMI-1 " "520198","AURORA MED CTR OSHKOSH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","25 patients",,,"PN-4 " "520198","AURORA MED CTR OSHKOSH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","120 patients","2 ","2","SCIP-VTE-1 " "520198","AURORA MED CTR OSHKOSH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","60 patients",,,"PN-6 " "520198","AURORA MED CTR OSHKOSH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","HF-3 " "520198","AURORA MED CTR OSHKOSH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","85 patients",,,"HF-2 " "520198","AURORA MED CTR OSHKOSH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","36 patients","2 ","2","AMI-2 " "520198","AURORA MED CTR OSHKOSH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","73 patients",,,"PN-5C " "520198","AURORA MED CTR OSHKOSH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","79 patients",,,"PN-3B " "520198","AURORA MED CTR OSHKOSH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","162 patients","2 ","2","SCIP-INF-2 " "520198","AURORA MED CTR OSHKOSH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,2 ","12","AMI-3 " "520198","AURORA MED CTR OSHKOSH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","38 patients","2 ","2","SCIP-CARD-2 " "520198","AURORA MED CTR OSHKOSH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","159 patients","2 ","2","SCIP-INF-3 " "520198","AURORA MED CTR OSHKOSH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","65 patients",,,"HF-1 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","135 patients","2 ","2","SCIP-INF-1 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","97%","145 patients","2 ","2","SCIP-INF-4 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","168 patients",,,"HF-2 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","137 patients","2 ","2","SCIP-INF-2 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","87%","31 patients",,,"AMI-8A " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","19 patients","1,2 ","12","SCIP-VTE-1 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","133 patients",,,"AMI-5 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","22 patients","1 ","1","PN-5C " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","26 patients",,,"AMI-3 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","79 patients",,,"HF-3 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","222 patients","2 ","2","SCIP-INF-6 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","52 patients",,,"SCIP-CARD-2 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","84 patients",,,"AMI-1 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","15 patients","1 ","1","PN-6 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","19 patients","1,2 ","12","SCIP-VTE-2 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","HF-4 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","19 patients","1 ","1","PN-3B " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","151 patients",,,"HF-1 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","99%","141 patients",,,"AMI-2 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","18 patients","1 ","1","PN-7 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","25 patients",,,"PN-2 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","122 patients","2 ","2","SCIP-INF-3 " "520199","WIS HEART HOSPITAL - WHEATON FRANCISCAN HEALTHCARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","39 patients",,,"AMI-4 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","53 patients",,,"PN-5C " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","579 patients",,,"SCIP-INF-1 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","21 patients","1 ","1","HF-3 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","54 patients",,,"PN-3B " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","89%","163 patients",,,"SCIP-INF-4 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","189 patients",,,"SCIP-VTE-1 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","124 patients",,,"HF-2 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","64 patients",,,"PN-2 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","54 patients",,,"AMI-1 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","95%","63 patients",,,"AMI-4 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","30 patients",,,"PN-4 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","190 patients",,,"AMI-2 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","35 patients",,,"PN-6 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","778 patients",,,"SCIP-INF-6 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","178 patients",,,"AMI-5 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","572 patients",,,"SCIP-INF-3 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","35 patients",,,"PN-7 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","145 patients",,,"SCIP-CARD-2 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","18 patients","1 ","1","HF-4 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","88%","8 patients","1 ","1","AMI-8A " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","27 patients",,,"AMI-3 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","99%","95 patients",,,"HF-1 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","189 patients",,,"SCIP-VTE-2 " "520202","ST CLARE'S HOSPITAL OF WESTON INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","585 patients",,,"SCIP-INF-2 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","15 patients","1,3 ","13","PN-6 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,3 ","13","PN-4 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","7 patients","1,3 ","13","SCIP-INF-2 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1,3 ","13","HF-1 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","16 patients","1,3 ","13","PN-3B " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1,3 ","13","SCIP-INF-1 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1,3 ","13","SCIP-INF-3 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,3 ","13","HF-2 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients",,,"SCIP-CARD-2 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","2 patients","1,3 ","13","SCIP-VTE-2 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","11 patients","1,3 ","13","PN-2 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","89%","9 patients","1,3 ","13","PN-7 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","2 patients","1,3 ","13","SCIP-VTE-1 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1,3 ","13","PN-5C " "520204","WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1,3 ","13","SCIP-INF-6 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "520205","MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521300","EAGLE RIVER MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "521300","EAGLE RIVER MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","52%","23 patients","1 ","1","HF-1 " "521300","EAGLE RIVER MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "521300","EAGLE RIVER MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","34 patients","2 ","2","PN-5C " "521300","EAGLE RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521300","EAGLE RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521300","EAGLE RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521300","EAGLE RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521300","EAGLE RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521300","EAGLE RIVER MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521300","EAGLE RIVER MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521300","EAGLE RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521300","EAGLE RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521300","EAGLE RIVER MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","30 patients","2 ","2","PN-6 " "521300","EAGLE RIVER MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "521300","EAGLE RIVER MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","24 patients","1 ","1","HF-2 " "521300","EAGLE RIVER MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "521300","EAGLE RIVER MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521300","EAGLE RIVER MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521300","EAGLE RIVER MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "521300","EAGLE RIVER MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","20 patients","1,2 ","12","PN-3B " "521300","EAGLE RIVER MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","82%","11 patients","1,2 ","12","PN-4 " "521300","EAGLE RIVER MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","38 patients","2 ","2","PN-2 " "521300","EAGLE RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521300","EAGLE RIVER MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","26 patients","2 ","2","PN-7 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","4 patients","1 ","1","PN-3B " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","6 patients","1 ","1","PN-5C " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1 ","1","PN-7 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","5 patients","1 ","1","PN-2 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521302","LUTHER MIDELFORT- OAKRIDGE MAYO HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","5 patients","1,3 ","13","HF-2 " "521303","WILD ROSE COM MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "521303","WILD ROSE COM MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","76%","34 patients",,,"PN-2 " "521303","WILD ROSE COM MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","60%","5 patients","1 ","1","HF-3 " "521303","WILD ROSE COM MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521303","WILD ROSE COM MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521303","WILD ROSE COM MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "521303","WILD ROSE COM MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521303","WILD ROSE COM MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521303","WILD ROSE COM MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","32 patients",,,"PN-6 " "521303","WILD ROSE COM MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521303","WILD ROSE COM MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521303","WILD ROSE COM MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","35 patients",,,"PN-5C " "521303","WILD ROSE COM MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "521303","WILD ROSE COM MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","35 patients",,,"PN-3B " "521303","WILD ROSE COM MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521303","WILD ROSE COM MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","20 patients","1 ","1","PN-7 " "521303","WILD ROSE COM MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "521303","WILD ROSE COM MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521303","WILD ROSE COM MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","31 patients",,,"HF-2 " "521303","WILD ROSE COM MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521303","WILD ROSE COM MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","23 patients","1 ","1","HF-1 " "521303","WILD ROSE COM MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "521303","WILD ROSE COM MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521303","WILD ROSE COM MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521303","WILD ROSE COM MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521304","ST JOSEPHS COM HLTH SVCS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "521304","ST JOSEPHS COM HLTH SVCS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","32%","28 patients",,,"HF-2 " "521304","ST JOSEPHS COM HLTH SVCS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-1 " "521304","ST JOSEPHS COM HLTH SVCS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","5 patients","1 ","1","SCIP-INF-3 " "521304","ST JOSEPHS COM HLTH SVCS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","50%","4 patients","1 ","1","SCIP-CARD-2 " "521304","ST JOSEPHS COM HLTH SVCS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","19%","16 patients","1 ","1","PN-2 " "521304","ST JOSEPHS COM HLTH SVCS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "521304","ST JOSEPHS COM HLTH SVCS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521304","ST JOSEPHS COM HLTH SVCS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","43%","7 patients","1 ","1","PN-7 " "521304","ST JOSEPHS COM HLTH SVCS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521304","ST JOSEPHS COM HLTH SVCS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521304","ST JOSEPHS COM HLTH SVCS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","78%","9 patients","1 ","1","SCIP-VTE-1 " "521304","ST JOSEPHS COM HLTH SVCS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "521304","ST JOSEPHS COM HLTH SVCS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","10 patients","1 ","1","PN-6 " "521304","ST JOSEPHS COM HLTH SVCS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521304","ST JOSEPHS COM HLTH SVCS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","22 patients","1 ","1","HF-1 " "521304","ST JOSEPHS COM HLTH SVCS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","80%","5 patients","1 ","1","SCIP-INF-2 " "521304","ST JOSEPHS COM HLTH SVCS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "521304","ST JOSEPHS COM HLTH SVCS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521304","ST JOSEPHS COM HLTH SVCS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521304","ST JOSEPHS COM HLTH SVCS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","9 patients","1 ","1","SCIP-VTE-2 " "521304","ST JOSEPHS COM HLTH SVCS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","14 patients","1 ","1","PN-5C " "521304","ST JOSEPHS COM HLTH SVCS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521304","ST JOSEPHS COM HLTH SVCS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","92%","12 patients","1 ","1","SCIP-INF-6 " "521304","ST JOSEPHS COM HLTH SVCS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","22 patients","1 ","1","PN-7 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","34 patients",,,"PN-2 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","21 patients","1 ","1","PN-6 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","3 patients","1 ","1","HF-1 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","37 patients",,,"PN-5C " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","23 patients","1 ","1","PN-3B " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","11 patients","1 ","1","HF-2 " "521305","FRANCISCAN SKEMP SPARTA HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521306","FRANCISCAN SKEMP ARCADIA","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521306","FRANCISCAN SKEMP ARCADIA","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","12 patients","1,3 ","13","SCIP-INF-1 " "521306","FRANCISCAN SKEMP ARCADIA","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521306","FRANCISCAN SKEMP ARCADIA","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","4 patients","1 ","1","HF-1 " "521306","FRANCISCAN SKEMP ARCADIA","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","10 patients","1 ","1","PN-7 " "521306","FRANCISCAN SKEMP ARCADIA","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","10 patients","1 ","1","HF-2 " "521306","FRANCISCAN SKEMP ARCADIA","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","21 patients","1 ","1","PN-2 " "521306","FRANCISCAN SKEMP ARCADIA","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "521306","FRANCISCAN SKEMP ARCADIA","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521306","FRANCISCAN SKEMP ARCADIA","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521306","FRANCISCAN SKEMP ARCADIA","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521306","FRANCISCAN SKEMP ARCADIA","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1 ","1","PN-3B " "521306","FRANCISCAN SKEMP ARCADIA","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "521306","FRANCISCAN SKEMP ARCADIA","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521306","FRANCISCAN SKEMP ARCADIA","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "521306","FRANCISCAN SKEMP ARCADIA","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521306","FRANCISCAN SKEMP ARCADIA","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "521306","FRANCISCAN SKEMP ARCADIA","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521306","FRANCISCAN SKEMP ARCADIA","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521306","FRANCISCAN SKEMP ARCADIA","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","12 patients","1,3 ","13","SCIP-INF-2 " "521306","FRANCISCAN SKEMP ARCADIA","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521306","FRANCISCAN SKEMP ARCADIA","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521306","FRANCISCAN SKEMP ARCADIA","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521306","FRANCISCAN SKEMP ARCADIA","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","12 patients","1,3 ","13","SCIP-INF-3 " "521306","FRANCISCAN SKEMP ARCADIA","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","18 patients","1 ","1","PN-5C " "521308","AMERY REG MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","44%","36 patients",,,"HF-2 " "521308","AMERY REG MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","56%","16 patients","1 ","1","PN-6 " "521308","AMERY REG MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521308","AMERY REG MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521308","AMERY REG MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","48 patients",,,"SCIP-VTE-1 " "521308","AMERY REG MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521308","AMERY REG MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521308","AMERY REG MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","13 patients","1 ","1","PN-4 " "521308","AMERY REG MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","40%","47 patients",,,"PN-2 " "521308","AMERY REG MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","48 patients",,,"SCIP-VTE-2 " "521308","AMERY REG MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","56%","9 patients","1 ","1","SCIP-INF-2 " "521308","AMERY REG MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "521308","AMERY REG MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","10 patients","1 ","1","PN-3B " "521308","AMERY REG MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521308","AMERY REG MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","21 patients","1 ","1","HF-1 " "521308","AMERY REG MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","57 patients",,,"PN-5C " "521308","AMERY REG MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521308","AMERY REG MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521308","AMERY REG MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","9 patients","1 ","1","SCIP-INF-3 " "521308","AMERY REG MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","10 patients","1 ","1","SCIP-INF-1 " "521308","AMERY REG MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","7 patients","1 ","1","HF-3 " "521308","AMERY REG MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521308","AMERY REG MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "521308","AMERY REG MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521308","AMERY REG MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","42%","33 patients",,,"PN-7 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","20 patients","1 ","1","HF-2 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","14 patients","1 ","1","PN-2 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","12 patients","1 ","1","PN-6 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","HF-4 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","15 patients","1 ","1","PN-5C " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","73%","15 patients","1 ","1","HF-1 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","13 patients","1 ","1","PN-3B " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","PN-4 " "521309","MOUNDVIEW MEM HSPTL AND CLINICS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "521310","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","51 patients",,,"SCIP-INF-3 " "521310","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521310","COMMUNITY MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "521310","COMMUNITY MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "521310","COMMUNITY MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "521310","COMMUNITY MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "521310","COMMUNITY MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","25 patients",,,"PN-6 " "521310","COMMUNITY MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","33 patients",,,"PN-7 " "521310","COMMUNITY MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","35 patients",,,"PN-5C " "521310","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","51 patients",,,"SCIP-INF-2 " "521310","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","51 patients",,,"SCIP-INF-1 " "521310","COMMUNITY MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","28 patients",,,"HF-1 " "521310","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521310","COMMUNITY MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","45 patients",,,"HF-2 " "521310","COMMUNITY MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521310","COMMUNITY MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "521310","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521310","COMMUNITY MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","41 patients",,,"PN-2 " "521310","COMMUNITY MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "521310","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521310","COMMUNITY MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "521310","COMMUNITY MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521310","COMMUNITY MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","23 patients","1 ","1","PN-3B " "521310","COMMUNITY MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521310","COMMUNITY MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521311","OUR LADY OF VICTORY HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","4 patients","1,3 ","13","HF-1 " "521311","OUR LADY OF VICTORY HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","10 patients","1,3 ","13","PN-3B " "521311","OUR LADY OF VICTORY HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","10 patients","1,3 ","13","HF-2 " "521311","OUR LADY OF VICTORY HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "521311","OUR LADY OF VICTORY HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","1 patients","1,3 ","13","SCIP-INF-6 " "521311","OUR LADY OF VICTORY HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "521311","OUR LADY OF VICTORY HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521311","OUR LADY OF VICTORY HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "521311","OUR LADY OF VICTORY HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "521311","OUR LADY OF VICTORY HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","17 patients","1,3 ","13","PN-2 " "521311","OUR LADY OF VICTORY HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","14 patients","1,3 ","13","PN-7 " "521311","OUR LADY OF VICTORY HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521311","OUR LADY OF VICTORY HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "521311","OUR LADY OF VICTORY HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521311","OUR LADY OF VICTORY HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "521311","OUR LADY OF VICTORY HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521311","OUR LADY OF VICTORY HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "521311","OUR LADY OF VICTORY HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "521311","OUR LADY OF VICTORY HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","11 patients","1,3 ","13","PN-6 " "521311","OUR LADY OF VICTORY HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521311","OUR LADY OF VICTORY HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "521311","OUR LADY OF VICTORY HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","PN-4 " "521311","OUR LADY OF VICTORY HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521311","OUR LADY OF VICTORY HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","15 patients","1,3 ","13","PN-5C " "521311","OUR LADY OF VICTORY HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","43 patients",,,"SCIP-INF-6 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","50%","10 patients","1 ","1","SCIP-VTE-2 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","20 patients","1 ","1","HF-2 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","10 patients","1 ","1","SCIP-VTE-1 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","17 patients","1 ","1","PN-7 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","14 patients","1 ","1","HF-1 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","37 patients",,,"SCIP-INF-2 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","4 patients","1 ","1","PN-3B " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","25 patients",,,"PN-2 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","11 patients","1 ","1","PN-6 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","37 patients",,,"SCIP-INF-1 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","8 patients","1 ","1","SCIP-CARD-2 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","81%","37 patients",,,"SCIP-INF-3 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1 ","1","HF-3 " "521312","MEMORIAL HSPTL LAFAYETTE CTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","16 patients","1 ","1","PN-5C " "521313","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521313","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521313","SACRED HEART HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521313","SACRED HEART HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","39 patients",,,"PN-5C " "521313","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521313","SACRED HEART HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","25 patients","3 ","3","HF-2 " "521313","SACRED HEART HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","20 patients","1 ","1","PN-3B " "521313","SACRED HEART HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "521313","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521313","SACRED HEART HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,3 ","13","HF-4 " "521313","SACRED HEART HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1,3 ","13","HF-3 " "521313","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521313","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521313","SACRED HEART HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "521313","SACRED HEART HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "521313","SACRED HEART HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521313","SACRED HEART HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521313","SACRED HEART HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","13 patients","1 ","1","PN-7 " "521313","SACRED HEART HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521313","SACRED HEART HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "521313","SACRED HEART HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","22 patients","1,3 ","13","HF-1 " "521313","SACRED HEART HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","25 patients",,,"PN-6 " "521313","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521313","SACRED HEART HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521313","SACRED HEART HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","35 patients",,,"PN-2 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1 ","1","HF-1 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1 ","1","PN-5C " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","14 patients","1 ","1","PN-2 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","10 patients","1 ","1","PN-3B " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","6 patients","1 ","1","HF-2 " "521314","LUTHER MIDELFORT- CHIPPEWA VALLEY MAYO HLTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1 ","1","HF-1 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","15 patients","1 ","1","SCIP-INF-1 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","26 patients",,,"SCIP-INF-6 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","HF-3 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","14 patients","1 ","1","HF-2 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","28 patients",,,"PN-5C " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","93%","14 patients","1 ","1","SCIP-VTE-2 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","28 patients",,,"PN-2 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","17 patients","1 ","1","PN-7 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","25 patients",,,"PN-3B " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","14 patients","1 ","1","SCIP-INF-3 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","14 patients","1 ","1","SCIP-VTE-1 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","14 patients","1 ","1","PN-6 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "521315","LUTHER MIDELFORT- NORTHLAND MAYO HEALTH SYSTEM","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","16 patients","1 ","1","SCIP-INF-2 " "521316","TRI COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521316","TRI COUNTY MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","8 patients","1 ","1","PN-6 " "521316","TRI COUNTY MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","7 patients","1,3 ","13","HF-1 " "521316","TRI COUNTY MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521316","TRI COUNTY MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","26 patients",,,"PN-5C " "521316","TRI COUNTY MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "521316","TRI COUNTY MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","52%","25 patients",,,"PN-2 " "521316","TRI COUNTY MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521316","TRI COUNTY MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521316","TRI COUNTY MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "521316","TRI COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521316","TRI COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521316","TRI COUNTY MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521316","TRI COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521316","TRI COUNTY MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","16 patients","1 ","1","PN-7 " "521316","TRI COUNTY MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521316","TRI COUNTY MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1,3 ","13","HF-3 " "521316","TRI COUNTY MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","26 patients",,,"PN-3B " "521316","TRI COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521316","TRI COUNTY MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","10 patients","1,3 ","13","HF-2 " "521316","TRI COUNTY MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521316","TRI COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521316","TRI COUNTY MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521316","TRI COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521316","TRI COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521317","CALUMET MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "521317","CALUMET MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1,3 ","13","PN-3B " "521317","CALUMET MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","13 patients","1,3 ","13","PN-2 " "521317","CALUMET MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","14 patients","1 ","1","PN-7 " "521317","CALUMET MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521317","CALUMET MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","19 patients","1,3 ","13","SCIP-INF-1 " "521317","CALUMET MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "521317","CALUMET MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","PN-4 " "521317","CALUMET MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521317","CALUMET MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","25 patients","3 ","3","SCIP-INF-6 " "521317","CALUMET MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","19 patients","1,3 ","13","SCIP-INF-2 " "521317","CALUMET MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521317","CALUMET MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","HF-4 " "521317","CALUMET MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","3 patients","1,3 ","13","SCIP-VTE-2 " "521317","CALUMET MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,3 ","13","SCIP-VTE-1 " "521317","CALUMET MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521317","CALUMET MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521317","CALUMET MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","19 patients","1,3 ","13","SCIP-INF-3 " "521317","CALUMET MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1,3 ","13","SCIP-CARD-2 " "521317","CALUMET MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","10 patients","1,3 ","13","HF-1 " "521317","CALUMET MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521317","CALUMET MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1,3 ","13","PN-6 " "521317","CALUMET MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521317","CALUMET MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","18 patients","1,3 ","13","HF-2 " "521317","CALUMET MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1,3 ","13","PN-5C " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521318","LADD MEMORIAL HOSPTIAL, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","0%","3 patients","1,3 ","13","PN-3B " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521318","LADD MEMORIAL HOSPTIAL, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "521318","LADD MEMORIAL HOSPTIAL, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521318","LADD MEMORIAL HOSPTIAL, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","7 patients","1,3 ","13","PN-6 " "521318","LADD MEMORIAL HOSPTIAL, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","76 patients",,,"SCIP-INF-3 " "521318","LADD MEMORIAL HOSPTIAL, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521318","LADD MEMORIAL HOSPTIAL, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521318","LADD MEMORIAL HOSPTIAL, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","22%","9 patients","1 ","1","PN-7 " "521318","LADD MEMORIAL HOSPTIAL, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","78 patients",,,"SCIP-INF-2 " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1,3 ","13","HF-3 " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","86%","7 patients","1,3 ","13","HF-1 " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","58%","12 patients","1,3 ","13","HF-2 " "521318","LADD MEMORIAL HOSPTIAL, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","12 patients","1,3 ","13","PN-5C " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521318","LADD MEMORIAL HOSPTIAL, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521318","LADD MEMORIAL HOSPTIAL, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","81%","77 patients",,,"SCIP-INF-1 " "521318","LADD MEMORIAL HOSPTIAL, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","PN-4 " "521318","LADD MEMORIAL HOSPTIAL, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","56%","9 patients","1,3 ","13","PN-2 " "521318","LADD MEMORIAL HOSPTIAL, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","1 patients","1,3 ","13","PN-2 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","1 patients","1,3 ","13","PN-5C " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1,3 ","13","PN-3B " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,"0 patients","3 ","3","PN-6 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521319","EDGERTON HOSPITAL AND HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "521320","TOMAH MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","73%","26 patients",,,"PN-7 " "521320","TOMAH MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521320","TOMAH MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","13 patients","1 ","1","AMI-1 " "521320","TOMAH MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","AMI-4 " "521320","TOMAH MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "521320","TOMAH MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521320","TOMAH MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521320","TOMAH MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","11 patients","1 ","1","AMI-2 " "521320","TOMAH MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521320","TOMAH MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521320","TOMAH MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521320","TOMAH MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","15 patients","1 ","1","PN-4 " "521320","TOMAH MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521320","TOMAH MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","24 patients","1 ","1","HF-2 " "521320","TOMAH MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521320","TOMAH MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521320","TOMAH MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","35 patients",,,"PN-3B " "521320","TOMAH MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","94%","17 patients","1 ","1","PN-5C " "521320","TOMAH MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","21 patients","1 ","1","HF-1 " "521320","TOMAH MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","6 patients","1 ","1","HF-3 " "521320","TOMAH MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","25 patients",,,"PN-6 " "521320","TOMAH MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","42 patients",,,"PN-2 " "521320","TOMAH MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "521320","TOMAH MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","91%","11 patients","1 ","1","AMI-5 " "521320","TOMAH MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "521321","RIPON MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521321","RIPON MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521321","RIPON MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521321","RIPON MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","HF-4 " "521321","RIPON MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521321","RIPON MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521321","RIPON MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","38 patients",,,"PN-3B " "521321","RIPON MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","30 patients",,,"PN-7 " "521321","RIPON MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521321","RIPON MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521321","RIPON MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521321","RIPON MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "521321","RIPON MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","41 patients",,,"PN-5C " "521321","RIPON MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521321","RIPON MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","7 patients","1 ","1","HF-3 " "521321","RIPON MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","26 patients",,,"HF-1 " "521321","RIPON MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521321","RIPON MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521321","RIPON MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","83%","42 patients",,,"PN-2 " "521321","RIPON MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","33 patients",,,"HF-2 " "521321","RIPON MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521321","RIPON MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","32 patients",,,"PN-6 " "521321","RIPON MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521321","RIPON MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521321","RIPON MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521322","GRANT REG HLTH CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521322","GRANT REG HLTH CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521322","GRANT REG HLTH CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","12 patients","1 ","1","SCIP-VTE-1 " "521322","GRANT REG HLTH CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "521322","GRANT REG HLTH CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "521322","GRANT REG HLTH CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","37 patients",,,"PN-2 " "521322","GRANT REG HLTH CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "521322","GRANT REG HLTH CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","19 patients","1 ","1","PN-3B " "521322","GRANT REG HLTH CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","2 patients","1 ","1","SCIP-CARD-2 " "521322","GRANT REG HLTH CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521322","GRANT REG HLTH CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","14 patients","1 ","1","SCIP-INF-3 " "521322","GRANT REG HLTH CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","13 patients","1 ","1","HF-1 " "521322","GRANT REG HLTH CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "521322","GRANT REG HLTH CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","71%","14 patients","1 ","1","SCIP-INF-1 " "521322","GRANT REG HLTH CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","21 patients","1 ","1","PN-7 " "521322","GRANT REG HLTH CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521322","GRANT REG HLTH CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","55%","11 patients","1 ","1","SCIP-VTE-2 " "521322","GRANT REG HLTH CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "521322","GRANT REG HLTH CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","14 patients","1 ","1","SCIP-INF-2 " "521322","GRANT REG HLTH CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","20 patients","1 ","1","PN-6 " "521322","GRANT REG HLTH CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","95%","20 patients","1 ","1","SCIP-INF-6 " "521322","GRANT REG HLTH CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","36 patients",,,"PN-5C " "521322","GRANT REG HLTH CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "521322","GRANT REG HLTH CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","35%","23 patients","1 ","1","HF-2 " "521322","GRANT REG HLTH CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521323","MEMORIAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521323","MEMORIAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521323","MEMORIAL MEDICAL CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "521323","MEMORIAL MEDICAL CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","7 patients","1 ","1","PN-3B " "521323","MEMORIAL MEDICAL CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "521323","MEMORIAL MEDICAL CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","28 patients",,,"HF-2 " "521323","MEMORIAL MEDICAL CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "521323","MEMORIAL MEDICAL CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521323","MEMORIAL MEDICAL CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521323","MEMORIAL MEDICAL CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521323","MEMORIAL MEDICAL CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521323","MEMORIAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521323","MEMORIAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521323","MEMORIAL MEDICAL CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","24 patients","1 ","1","PN-2 " "521323","MEMORIAL MEDICAL CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "521323","MEMORIAL MEDICAL CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "521323","MEMORIAL MEDICAL CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521323","MEMORIAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521323","MEMORIAL MEDICAL CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "521323","MEMORIAL MEDICAL CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521323","MEMORIAL MEDICAL CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","22 patients","1 ","1","PN-5C " "521323","MEMORIAL MEDICAL CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","16 patients","1 ","1","HF-1 " "521323","MEMORIAL MEDICAL CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","14 patients","1 ","1","PN-7 " "521323","MEMORIAL MEDICAL CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521323","MEMORIAL MEDICAL CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","24 patients","1 ","1","PN-6 " "521324","MEMORIAL HEALTH CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","19 patients","1 ","1","HF-1 " "521324","MEMORIAL HEALTH CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521324","MEMORIAL HEALTH CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","84%","63 patients",,,"SCIP-INF-6 " "521324","MEMORIAL HEALTH CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","60 patients",,,"SCIP-INF-1 " "521324","MEMORIAL HEALTH CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521324","MEMORIAL HEALTH CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","60 patients",,,"SCIP-INF-3 " "521324","MEMORIAL HEALTH CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","18 patients","1 ","1","PN-3B " "521324","MEMORIAL HEALTH CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","26 patients",,,"SCIP-VTE-1 " "521324","MEMORIAL HEALTH CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","26 patients",,,"SCIP-VTE-2 " "521324","MEMORIAL HEALTH CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521324","MEMORIAL HEALTH CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521324","MEMORIAL HEALTH CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521324","MEMORIAL HEALTH CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "521324","MEMORIAL HEALTH CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "521324","MEMORIAL HEALTH CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521324","MEMORIAL HEALTH CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "521324","MEMORIAL HEALTH CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521324","MEMORIAL HEALTH CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","61 patients",,,"SCIP-INF-2 " "521324","MEMORIAL HEALTH CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","26 patients",,,"PN-5C " "521324","MEMORIAL HEALTH CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","8 patients","1 ","1","PN-7 " "521324","MEMORIAL HEALTH CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","30 patients",,,"HF-2 " "521324","MEMORIAL HEALTH CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521324","MEMORIAL HEALTH CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","19 patients","1 ","1","PN-6 " "521324","MEMORIAL HEALTH CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521324","MEMORIAL HEALTH CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","20 patients","1 ","1","PN-2 " "521325","FLAMBEAU HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,"0 patients","3 ","3","SCIP-INF-3 " "521325","FLAMBEAU HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","23 patients","1,2 ","12","PN-7 " "521325","FLAMBEAU HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1,3 ","13","HF-3 " "521325","FLAMBEAU HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","27 patients","2,3 ","23","PN-3B " "521325","FLAMBEAU HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,2,3 ","123","PN-4 " "521325","FLAMBEAU HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","19 patients","1,3 ","13","HF-2 " "521325","FLAMBEAU HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","31 patients","2,3 ","23","PN-2 " "521325","FLAMBEAU HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521325","FLAMBEAU HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "521325","FLAMBEAU HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521325","FLAMBEAU HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521325","FLAMBEAU HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","2 patients","1,3 ","13","SCIP-INF-6 " "521325","FLAMBEAU HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "521325","FLAMBEAU HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "521325","FLAMBEAU HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","1 patients","1,3 ","13","SCIP-VTE-2 " "521325","FLAMBEAU HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","24 patients","1,2,3 ","123","PN-5C " "521325","FLAMBEAU HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","1 patients","1,3 ","13","SCIP-VTE-1 " "521325","FLAMBEAU HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,"0 patients","3 ","3","SCIP-INF-1 " "521325","FLAMBEAU HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","15 patients","1,3 ","13","HF-1 " "521325","FLAMBEAU HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","15 patients","1,2,3 ","123","PN-6 " "521325","FLAMBEAU HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "521325","FLAMBEAU HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521325","FLAMBEAU HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521325","FLAMBEAU HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,"0 patients","3 ","3","SCIP-INF-2 " "521325","FLAMBEAU HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "521326","NEW LONDON FAMILY MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "521326","NEW LONDON FAMILY MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521326","NEW LONDON FAMILY MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521326","NEW LONDON FAMILY MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","PN-4 " "521326","NEW LONDON FAMILY MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521326","NEW LONDON FAMILY MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "521326","NEW LONDON FAMILY MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521326","NEW LONDON FAMILY MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","41 patients",,,"PN-2 " "521326","NEW LONDON FAMILY MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","22 patients","1 ","1","PN-3B " "521326","NEW LONDON FAMILY MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521326","NEW LONDON FAMILY MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521326","NEW LONDON FAMILY MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521326","NEW LONDON FAMILY MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","38 patients",,,"PN-5C " "521326","NEW LONDON FAMILY MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521326","NEW LONDON FAMILY MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521326","NEW LONDON FAMILY MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521326","NEW LONDON FAMILY MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521326","NEW LONDON FAMILY MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "521326","NEW LONDON FAMILY MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521326","NEW LONDON FAMILY MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521326","NEW LONDON FAMILY MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521326","NEW LONDON FAMILY MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","28 patients",,,"PN-7 " "521326","NEW LONDON FAMILY MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","29 patients",,,"PN-6 " "521326","NEW LONDON FAMILY MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521326","NEW LONDON FAMILY MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "521327","WAUPUN MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","40 patients",,,"SCIP-VTE-2 " "521327","WAUPUN MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","17 patients","1 ","1","SCIP-CARD-2 " "521327","WAUPUN MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521327","WAUPUN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","72 patients",,,"SCIP-INF-1 " "521327","WAUPUN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","95 patients",,,"SCIP-INF-6 " "521327","WAUPUN MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "521327","WAUPUN MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521327","WAUPUN MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521327","WAUPUN MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521327","WAUPUN MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","22 patients","1 ","1","HF-1 " "521327","WAUPUN MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521327","WAUPUN MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521327","WAUPUN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521327","WAUPUN MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","40 patients",,,"SCIP-VTE-1 " "521327","WAUPUN MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","90%","29 patients",,,"HF-2 " "521327","WAUPUN MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","22 patients","1 ","1","PN-7 " "521327","WAUPUN MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "521327","WAUPUN MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","31 patients",,,"PN-3B " "521327","WAUPUN MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","28 patients",,,"PN-5C " "521327","WAUPUN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","72 patients",,,"SCIP-INF-2 " "521327","WAUPUN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","69 patients",,,"SCIP-INF-3 " "521327","WAUPUN MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","PN-4 " "521327","WAUPUN MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","35 patients",,,"PN-2 " "521327","WAUPUN MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521327","WAUPUN MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","24 patients","1 ","1","PN-6 " "521328","RUSK COUNTY MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","89%","9 patients","1 ","1","AMI-1 " "521328","RUSK COUNTY MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "521328","RUSK COUNTY MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","5 patients","1 ","1","AMI-2 " "521328","RUSK COUNTY MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "521328","RUSK COUNTY MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","50%","2 patients","1 ","1","AMI-3 " "521328","RUSK COUNTY MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","40%","5 patients","1 ","1","PN-4 " "521328","RUSK COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521328","RUSK COUNTY MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","92%","12 patients","1 ","1","PN-7 " "521328","RUSK COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521328","RUSK COUNTY MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","25 patients",,,"PN-5C " "521328","RUSK COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521328","RUSK COUNTY MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","21 patients","1 ","1","PN-2 " "521328","RUSK COUNTY MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","15 patients","1 ","1","PN-3B " "521328","RUSK COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521328","RUSK COUNTY MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "521328","RUSK COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521328","RUSK COUNTY MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "521328","RUSK COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521328","RUSK COUNTY MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","21 patients","1 ","1","HF-2 " "521328","RUSK COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521328","RUSK COUNTY MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521328","RUSK COUNTY MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1 ","1","AMI-5 " "521328","RUSK COUNTY MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","HF-3 " "521328","RUSK COUNTY MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","14 patients","1 ","1","HF-1 " "521328","RUSK COUNTY MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","17 patients","1 ","1","PN-6 " "521329","ST MARYS HSPTL SUPERIOR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","9 patients","1 ","1","PN-7 " "521329","ST MARYS HSPTL SUPERIOR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521329","ST MARYS HSPTL SUPERIOR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521329","ST MARYS HSPTL SUPERIOR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521329","ST MARYS HSPTL SUPERIOR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","9 patients","1 ","1","PN-3B " "521329","ST MARYS HSPTL SUPERIOR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","10 patients","1 ","1","PN-2 " "521329","ST MARYS HSPTL SUPERIOR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","18 patients","1 ","1","HF-2 " "521329","ST MARYS HSPTL SUPERIOR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521329","ST MARYS HSPTL SUPERIOR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521329","ST MARYS HSPTL SUPERIOR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","15 patients","1 ","1","HF-1 " "521329","ST MARYS HSPTL SUPERIOR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521329","ST MARYS HSPTL SUPERIOR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521329","ST MARYS HSPTL SUPERIOR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521329","ST MARYS HSPTL SUPERIOR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521329","ST MARYS HSPTL SUPERIOR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521329","ST MARYS HSPTL SUPERIOR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521329","ST MARYS HSPTL SUPERIOR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "521329","ST MARYS HSPTL SUPERIOR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521329","ST MARYS HSPTL SUPERIOR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","18 patients","1 ","1","PN-6 " "521329","ST MARYS HSPTL SUPERIOR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521329","ST MARYS HSPTL SUPERIOR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "521329","ST MARYS HSPTL SUPERIOR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521329","ST MARYS HSPTL SUPERIOR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521329","ST MARYS HSPTL SUPERIOR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","20 patients","1 ","1","PN-5C " "521329","ST MARYS HSPTL SUPERIOR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1 ","1","HF-3 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","14 patients","1,3 ","13","PN-3B " "521330","PRAIRIE DU CHIEN MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","7 patients","1,3 ","13","SCIP-VTE-2 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","21 patients","1,3 ","13","PN-6 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","7 patients","1,3 ","13","AMI-5 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","5 patients","1,3 ","13","HF-1 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521330","PRAIRIE DU CHIEN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-1 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","33 patients","3 ","3","PN-5C " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,3 ","13","AMI-1 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","9 patients","1,3 ","13","SCIP-INF-6 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","25 patients","3 ","3","PN-2 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","83%","6 patients","1,3 ","13","AMI-2 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","15 patients","1,3 ","13","PN-7 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","9 patients","1,3 ","13","HF-2 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1,3 ","13","PN-4 " "521330","PRAIRIE DU CHIEN MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","7 patients","1,3 ","13","SCIP-VTE-1 " "521331","BURNETT MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521331","BURNETT MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","2 patients","1 ","1","HF-4 " "521331","BURNETT MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","75%","16 patients","1 ","1","PN-3B " "521331","BURNETT MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521331","BURNETT MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","12 patients","1 ","1","HF-1 " "521331","BURNETT MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","12 patients","1 ","1","PN-7 " "521331","BURNETT MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","76%","17 patients","1,3 ","13","SCIP-INF-3 " "521331","BURNETT MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","PN-4 " "521331","BURNETT MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521331","BURNETT MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521331","BURNETT MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521331","BURNETT MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521331","BURNETT MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521331","BURNETT MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","17 patients","1,3 ","13","SCIP-INF-2 " "521331","BURNETT MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","15 patients","1 ","1","HF-2 " "521331","BURNETT MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","82%","28 patients",,,"PN-5C " "521331","BURNETT MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521331","BURNETT MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","23 patients","1 ","1","PN-2 " "521331","BURNETT MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521331","BURNETT MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","59%","17 patients","1,3 ","13","SCIP-INF-1 " "521331","BURNETT MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521331","BURNETT MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521331","BURNETT MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","6 patients","1 ","1","HF-3 " "521331","BURNETT MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521331","BURNETT MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","23 patients","1 ","1","PN-6 " "521332","SPOONER HEALTH SYS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "521332","SPOONER HEALTH SYS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","78%","27 patients",,,"PN-6 " "521332","SPOONER HEALTH SYS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521332","SPOONER HEALTH SYS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521332","SPOONER HEALTH SYS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "521332","SPOONER HEALTH SYS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521332","SPOONER HEALTH SYS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521332","SPOONER HEALTH SYS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients",,,"PN-5C " "521332","SPOONER HEALTH SYS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521332","SPOONER HEALTH SYS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "521332","SPOONER HEALTH SYS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521332","SPOONER HEALTH SYS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521332","SPOONER HEALTH SYS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521332","SPOONER HEALTH SYS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521332","SPOONER HEALTH SYS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521332","SPOONER HEALTH SYS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","5 patients","1,3 ","13","HF-2 " "521332","SPOONER HEALTH SYS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "521332","SPOONER HEALTH SYS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","19 patients","1 ","1","PN-4 " "521332","SPOONER HEALTH SYS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "521332","SPOONER HEALTH SYS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "521332","SPOONER HEALTH SYS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521332","SPOONER HEALTH SYS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","23 patients","1 ","1","PN-3B " "521332","SPOONER HEALTH SYS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","22 patients","1 ","1","PN-7 " "521332","SPOONER HEALTH SYS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","28 patients",,,"PN-2 " "521332","SPOONER HEALTH SYS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","2 patients","1,3 ","13","HF-1 " "521333","BLACK RIVER MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "521333","BLACK RIVER MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","6 patients","1,3 ","13","AMI-5 " "521333","BLACK RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521333","BLACK RIVER MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,3 ","13","AMI-1 " "521333","BLACK RIVER MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","64%","25 patients",,,"HF-2 " "521333","BLACK RIVER MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","27 patients",,,"PN-5C " "521333","BLACK RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","57 patients",,,"SCIP-INF-1 " "521333","BLACK RIVER MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "521333","BLACK RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521333","BLACK RIVER MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","16 patients","1 ","1","PN-7 " "521333","BLACK RIVER MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1,3 ","13","AMI-2 " "521333","BLACK RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","58 patients",,,"SCIP-INF-2 " "521333","BLACK RIVER MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","28 patients",,,"PN-6 " "521333","BLACK RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521333","BLACK RIVER MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521333","BLACK RIVER MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","21 patients","1 ","1","HF-1 " "521333","BLACK RIVER MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "521333","BLACK RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521333","BLACK RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","49%","61 patients",,,"SCIP-INF-6 " "521333","BLACK RIVER MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","57 patients",,,"SCIP-INF-3 " "521333","BLACK RIVER MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","77%","22 patients","1 ","1","PN-3B " "521333","BLACK RIVER MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "521333","BLACK RIVER MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521333","BLACK RIVER MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","27 patients",,,"PN-2 " "521333","BLACK RIVER MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521334","RIVERSIDE MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","104 patients",,,"PN-5C " "521334","RIVERSIDE MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521334","RIVERSIDE MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "521334","RIVERSIDE MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "521334","RIVERSIDE MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521334","RIVERSIDE MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "521334","RIVERSIDE MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","63 patients",,,"PN-7 " "521334","RIVERSIDE MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521334","RIVERSIDE MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521334","RIVERSIDE MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "521334","RIVERSIDE MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521334","RIVERSIDE MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","99 patients",,,"PN-2 " "521334","RIVERSIDE MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521334","RIVERSIDE MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "521334","RIVERSIDE MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521334","RIVERSIDE MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521334","RIVERSIDE MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521334","RIVERSIDE MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","94 patients",,,"PN-3B " "521334","RIVERSIDE MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521334","RIVERSIDE MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521334","RIVERSIDE MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521334","RIVERSIDE MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521334","RIVERSIDE MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521334","RIVERSIDE MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521334","RIVERSIDE MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","30 patients",,,"PN-6 " "521335","HUDSON HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","21 patients","1 ","1","HF-2 " "521335","HUDSON HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "521335","HUDSON HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521335","HUDSON HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "521335","HUDSON HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","54 patients",,,"PN-5C " "521335","HUDSON HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","27 patients",,,"PN-7 " "521335","HUDSON HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521335","HUDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521335","HUDSON HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521335","HUDSON HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","15 patients","1 ","1","HF-1 " "521335","HUDSON HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521335","HUDSON HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","34 patients",,,"PN-6 " "521335","HUDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521335","HUDSON HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","24 patients","1 ","1","PN-3B " "521335","HUDSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521335","HUDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521335","HUDSON HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521335","HUDSON HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","39 patients",,,"PN-2 " "521335","HUDSON HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "521335","HUDSON HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","11 patients","1 ","1","PN-4 " "521335","HUDSON HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521335","HUDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521335","HUDSON HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "521335","HUDSON HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","HF-3 " "521335","HUDSON HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521336","HAYWARD AREA MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","14 patients","1,3 ","13","SCIP-INF-6 " "521336","HAYWARD AREA MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","6 patients","1,3 ","13","SCIP-INF-1 " "521336","HAYWARD AREA MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521336","HAYWARD AREA MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","22 patients","1 ","1","PN-4 " "521336","HAYWARD AREA MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","38 patients",,,"HF-2 " "521336","HAYWARD AREA MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","90%","41 patients",,,"PN-7 " "521336","HAYWARD AREA MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521336","HAYWARD AREA MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "521336","HAYWARD AREA MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","82%","11 patients","1,3 ","13","SCIP-VTE-1 " "521336","HAYWARD AREA MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "521336","HAYWARD AREA MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","40 patients",,,"PN-3B " "521336","HAYWARD AREA MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","17%","6 patients","1,3 ","13","SCIP-INF-2 " "521336","HAYWARD AREA MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","11 patients","1,3 ","13","SCIP-VTE-2 " "521336","HAYWARD AREA MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","8 patients","1 ","1","HF-4 " "521336","HAYWARD AREA MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","49 patients",,,"PN-2 " "521336","HAYWARD AREA MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","6 patients","1,3 ","13","SCIP-INF-3 " "521336","HAYWARD AREA MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","48 patients",,,"PN-5C " "521336","HAYWARD AREA MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521336","HAYWARD AREA MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","50%","2 patients","1,3 ","13","AMI-2 " "521336","HAYWARD AREA MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","67%","3 patients","1,3 ","13","AMI-5 " "521336","HAYWARD AREA MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "521336","HAYWARD AREA MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","34 patients",,,"PN-6 " "521336","HAYWARD AREA MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521336","HAYWARD AREA MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "521336","HAYWARD AREA MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","24 patients","1 ","1","HF-1 " "521337","ST CROIX REG MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","55 patients",,,"PN-3B " "521337","ST CROIX REG MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","49%","47 patients","3 ","3","HF-2 " "521337","ST CROIX REG MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","70%","91 patients",,,"SCIP-INF-1 " "521337","ST CROIX REG MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521337","ST CROIX REG MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","68 patients",,,"PN-5C " "521337","ST CROIX REG MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","94%","88 patients",,,"SCIP-INF-2 " "521337","ST CROIX REG MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","53%","17 patients","1 ","1","PN-4 " "521337","ST CROIX REG MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521337","ST CROIX REG MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521337","ST CROIX REG MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","75 patients",,,"PN-2 " "521337","ST CROIX REG MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521337","ST CROIX REG MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521337","ST CROIX REG MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1,3 ","13","HF-4 " "521337","ST CROIX REG MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521337","ST CROIX REG MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521337","ST CROIX REG MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521337","ST CROIX REG MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521337","ST CROIX REG MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1,3 ","13","HF-3 " "521337","ST CROIX REG MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521337","ST CROIX REG MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","41 patients","3 ","3","HF-1 " "521337","ST CROIX REG MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","95%","39 patients",,,"PN-6 " "521337","ST CROIX REG MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","59%","51 patients",,,"PN-7 " "521337","ST CROIX REG MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","86 patients",,,"SCIP-INF-3 " "521337","ST CROIX REG MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521337","ST CROIX REG MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521338","COLUMBUS COM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","78%","9 patients","1 ","1","HF-3 " "521338","COLUMBUS COM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "521338","COLUMBUS COM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521338","COLUMBUS COM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521338","COLUMBUS COM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521338","COLUMBUS COM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "521338","COLUMBUS COM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521338","COLUMBUS COM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","47%","32 patients",,,"PN-7 " "521338","COLUMBUS COM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","32 patients",,,"PN-6 " "521338","COLUMBUS COM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","1 patients","1,3 ","13","AMI-1 " "521338","COLUMBUS COM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521338","COLUMBUS COM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521338","COLUMBUS COM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","42 patients",,,"SCIP-INF-6 " "521338","COLUMBUS COM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","53%","15 patients","1 ","1","PN-4 " "521338","COLUMBUS COM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521338","COLUMBUS COM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","56 patients",,,"PN-2 " "521338","COLUMBUS COM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","74%","50 patients",,,"PN-3B " "521338","COLUMBUS COM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","77%","31 patients",,,"HF-2 " "521338","COLUMBUS COM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","95%","20 patients","1 ","1","HF-1 " "521338","COLUMBUS COM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521338","COLUMBUS COM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","66 patients",,,"PN-5C " "521338","COLUMBUS COM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "521338","COLUMBUS COM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521338","COLUMBUS COM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521338","COLUMBUS COM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521339","GOOD SAMARITAN HLTH CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","52 patients",,,"SCIP-INF-2 " "521339","GOOD SAMARITAN HLTH CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "521339","GOOD SAMARITAN HLTH CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","34 patients",,,"SCIP-VTE-2 " "521339","GOOD SAMARITAN HLTH CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","22 patients","1 ","1","PN-6 " "521339","GOOD SAMARITAN HLTH CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "521339","GOOD SAMARITAN HLTH CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "521339","GOOD SAMARITAN HLTH CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "521339","GOOD SAMARITAN HLTH CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","95%","20 patients","1 ","1","PN-7 " "521339","GOOD SAMARITAN HLTH CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "521339","GOOD SAMARITAN HLTH CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "521339","GOOD SAMARITAN HLTH CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "521339","GOOD SAMARITAN HLTH CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1 ","1","HF-1 " "521339","GOOD SAMARITAN HLTH CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","31 patients",,,"PN-2 " "521339","GOOD SAMARITAN HLTH CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "521339","GOOD SAMARITAN HLTH CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","76 patients",,,"SCIP-INF-6 " "521339","GOOD SAMARITAN HLTH CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","34 patients",,,"PN-5C " "521339","GOOD SAMARITAN HLTH CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","32 patients",,,"PN-3B " "521339","GOOD SAMARITAN HLTH CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","34 patients",,,"SCIP-VTE-1 " "521339","GOOD SAMARITAN HLTH CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","94%","18 patients","1 ","1","HF-2 " "521339","GOOD SAMARITAN HLTH CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521339","GOOD SAMARITAN HLTH CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","52 patients",,,"SCIP-INF-1 " "521339","GOOD SAMARITAN HLTH CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "521339","GOOD SAMARITAN HLTH CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","51 patients",,,"SCIP-INF-3 " "521339","GOOD SAMARITAN HLTH CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "521339","GOOD SAMARITAN HLTH CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","12 patients","1 ","1","SCIP-CARD-2 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","AMI-3 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","40 patients",,,"HF-1 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","69 patients","2 ","2","SCIP-INF-1 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","69 patients","2 ","2","SCIP-INF-2 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","84%","25 patients",,,"PN-3B " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","22 patients","1 ","1","PN-7 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","35 patients",,,"PN-2 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1 ","1","PN-4 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1,3 ","13","AMI-1 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","58 patients",,,"HF-2 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","91%","11 patients","1 ","1","HF-3 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","66 patients","2 ","2","SCIP-INF-3 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","29 patients",,,"PN-6 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","83 patients","2 ","2","SCIP-INF-6 " "521340","RED CEDAR MEDICAL CENTER-MAYO HEALTH SYS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","37 patients",,,"PN-5C " "521341","RICHLAND HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","48 patients",,,"SCIP-INF-1 " "521341","RICHLAND HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","79%","38 patients",,,"PN-3B " "521341","RICHLAND HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","46 patients",,,"SCIP-INF-3 " "521341","RICHLAND HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521341","RICHLAND HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","85%","13 patients","1 ","1","HF-3 " "521341","RICHLAND HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","30 patients",,,"PN-6 " "521341","RICHLAND HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","57 patients",,,"SCIP-INF-6 " "521341","RICHLAND HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "521341","RICHLAND HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521341","RICHLAND HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "521341","RICHLAND HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","80%","41 patients",,,"PN-7 " "521341","RICHLAND HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","48 patients",,,"SCIP-INF-2 " "521341","RICHLAND HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "521341","RICHLAND HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521341","RICHLAND HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "521341","RICHLAND HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","82%","50 patients",,,"PN-2 " "521341","RICHLAND HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","76%","59 patients",,,"HF-2 " "521341","RICHLAND HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","5 patients","1 ","1","AMI-5 " "521341","RICHLAND HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","77%","35 patients",,,"PN-5C " "521341","RICHLAND HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","42 patients",,,"HF-1 " "521341","RICHLAND HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","31 patients",,,"SCIP-VTE-2 " "521341","RICHLAND HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","6 patients","1 ","1","HF-4 " "521341","RICHLAND HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "521341","RICHLAND HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","31 patients",,,"SCIP-VTE-1 " "521341","RICHLAND HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "521342","INDIANHEAD MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","PN-4 " "521342","INDIANHEAD MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "521342","INDIANHEAD MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521342","INDIANHEAD MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521342","INDIANHEAD MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "521342","INDIANHEAD MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521342","INDIANHEAD MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "521342","INDIANHEAD MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","3 patients","1,3 ","13","PN-2 " "521342","INDIANHEAD MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521342","INDIANHEAD MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521342","INDIANHEAD MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521342","INDIANHEAD MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521342","INDIANHEAD MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1,3 ","13","HF-1 " "521342","INDIANHEAD MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521342","INDIANHEAD MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521342","INDIANHEAD MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","60%","5 patients","1,3 ","13","PN-7 " "521342","INDIANHEAD MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521342","INDIANHEAD MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521342","INDIANHEAD MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521342","INDIANHEAD MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521342","INDIANHEAD MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,3 ","13","PN-6 " "521342","INDIANHEAD MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521342","INDIANHEAD MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521342","INDIANHEAD MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,3 ","13","PN-5C " "521342","INDIANHEAD MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "521343","STOUGHTON HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521343","STOUGHTON HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521343","STOUGHTON HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","72 patients",,,"SCIP-INF-6 " "521343","STOUGHTON HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521343","STOUGHTON HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521343","STOUGHTON HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","54 patients",,,"PN-3B " "521343","STOUGHTON HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","HF-4 " "521343","STOUGHTON HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","93%","57 patients",,,"PN-5C " "521343","STOUGHTON HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","75%","4 patients","1 ","1","PN-4 " "521343","STOUGHTON HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","92%","26 patients",,,"HF-1 " "521343","STOUGHTON HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521343","STOUGHTON HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","42 patients",,,"PN-6 " "521343","STOUGHTON HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521343","STOUGHTON HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","86%","36 patients",,,"HF-2 " "521343","STOUGHTON HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","27 patients",,,"SCIP-VTE-2 " "521343","STOUGHTON HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521343","STOUGHTON HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","45 patients",,,"SCIP-INF-2 " "521343","STOUGHTON HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","42 patients",,,"PN-7 " "521343","STOUGHTON HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521343","STOUGHTON HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","27 patients",,,"SCIP-VTE-1 " "521343","STOUGHTON HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","72 patients",,,"PN-2 " "521343","STOUGHTON HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521343","STOUGHTON HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","45 patients",,,"SCIP-INF-1 " "521343","STOUGHTON HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","45 patients",,,"SCIP-INF-3 " "521343","STOUGHTON HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","14 patients","1 ","1","HF-3 " "521344","BOSCOBEL AREA HEALTH CARE","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","20 patients","1 ","1","SCIP-INF-3 " "521344","BOSCOBEL AREA HEALTH CARE","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521344","BOSCOBEL AREA HEALTH CARE","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","60%","10 patients","1 ","1","PN-2 " "521344","BOSCOBEL AREA HEALTH CARE","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "521344","BOSCOBEL AREA HEALTH CARE","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521344","BOSCOBEL AREA HEALTH CARE","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","20 patients","1 ","1","SCIP-INF-1 " "521344","BOSCOBEL AREA HEALTH CARE","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","32 patients",,,"SCIP-INF-6 " "521344","BOSCOBEL AREA HEALTH CARE","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","1 patients","1 ","1","HF-1 " "521344","BOSCOBEL AREA HEALTH CARE","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","5 patients","1 ","1","PN-6 " "521344","BOSCOBEL AREA HEALTH CARE","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","21 patients","1 ","1","SCIP-INF-2 " "521344","BOSCOBEL AREA HEALTH CARE","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","27%","11 patients","1,3 ","13","SCIP-VTE-1 " "521344","BOSCOBEL AREA HEALTH CARE","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521344","BOSCOBEL AREA HEALTH CARE","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521344","BOSCOBEL AREA HEALTH CARE","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","40%","5 patients","1 ","1","PN-7 " "521344","BOSCOBEL AREA HEALTH CARE","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "521344","BOSCOBEL AREA HEALTH CARE","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "521344","BOSCOBEL AREA HEALTH CARE","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521344","BOSCOBEL AREA HEALTH CARE","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521344","BOSCOBEL AREA HEALTH CARE","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521344","BOSCOBEL AREA HEALTH CARE","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","27%","11 patients","1,3 ","13","SCIP-VTE-2 " "521344","BOSCOBEL AREA HEALTH CARE","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "521344","BOSCOBEL AREA HEALTH CARE","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","62%","8 patients","1 ","1","PN-5C " "521344","BOSCOBEL AREA HEALTH CARE","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521344","BOSCOBEL AREA HEALTH CARE","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521344","BOSCOBEL AREA HEALTH CARE","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","20%","5 patients","1 ","1","HF-2 " "521345","WESTFIELDS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521345","WESTFIELDS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","18 patients","1 ","1","PN-3B " "521345","WESTFIELDS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","83%","24 patients","1 ","1","PN-5C " "521345","WESTFIELDS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521345","WESTFIELDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521345","WESTFIELDS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","15 patients","1 ","1","HF-1 " "521345","WESTFIELDS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "521345","WESTFIELDS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","33%","3 patients","1 ","1","HF-3 " "521345","WESTFIELDS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "521345","WESTFIELDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521345","WESTFIELDS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "521345","WESTFIELDS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","64%","28 patients",,,"PN-7 " "521345","WESTFIELDS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","61%","36 patients",,,"PN-2 " "521345","WESTFIELDS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","4 patients","1 ","1","PN-4 " "521345","WESTFIELDS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521345","WESTFIELDS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","70%","23 patients","1 ","1","PN-6 " "521345","WESTFIELDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521345","WESTFIELDS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521345","WESTFIELDS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","HF-4 " "521345","WESTFIELDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521345","WESTFIELDS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521345","WESTFIELDS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","75%","4 patients","1,3 ","13","AMI-5 " "521345","WESTFIELDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521345","WESTFIELDS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","65%","23 patients","1 ","1","HF-2 " "521345","WESTFIELDS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521346","SHAWANO MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","123 patients",,,"PN-2 " "521346","SHAWANO MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","59 patients",,,"HF-1 " "521346","SHAWANO MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","12 patients","1 ","1","SCIP-INF-3 " "521346","SHAWANO MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","12 patients","1 ","1","SCIP-INF-1 " "521346","SHAWANO MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","27 patients",,,"PN-4 " "521346","SHAWANO MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","76 patients",,,"PN-7 " "521346","SHAWANO MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521346","SHAWANO MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","22 patients","1 ","1","SCIP-VTE-1 " "521346","SHAWANO MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521346","SHAWANO MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","108 patients",,,"PN-3B " "521346","SHAWANO MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521346","SHAWANO MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "521346","SHAWANO MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","HF-4 " "521346","SHAWANO MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","31 patients",,,"SCIP-INF-6 " "521346","SHAWANO MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521346","SHAWANO MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","76 patients",,,"HF-2 " "521346","SHAWANO MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1 ","1","SCIP-CARD-2 " "521346","SHAWANO MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","22 patients","1 ","1","SCIP-VTE-2 " "521346","SHAWANO MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","85%","13 patients","1 ","1","SCIP-INF-2 " "521346","SHAWANO MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","26 patients",,,"HF-3 " "521346","SHAWANO MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","112 patients",,,"PN-5C " "521346","SHAWANO MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "521346","SHAWANO MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "521346","SHAWANO MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521346","SHAWANO MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","80 patients",,,"PN-6 " "521347","BALDWIN AREA MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","71 patients",,,"PN-5C " "521347","BALDWIN AREA MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521347","BALDWIN AREA MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","13 patients","1 ","1","PN-4 " "521347","BALDWIN AREA MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","43 patients",,,"PN-7 " "521347","BALDWIN AREA MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521347","BALDWIN AREA MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521347","BALDWIN AREA MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521347","BALDWIN AREA MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","34 patients",,,"PN-3B " "521347","BALDWIN AREA MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521347","BALDWIN AREA MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "521347","BALDWIN AREA MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","34 patients",,,"HF-2 " "521347","BALDWIN AREA MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","90%","21 patients","1 ","1","HF-1 " "521347","BALDWIN AREA MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521347","BALDWIN AREA MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521347","BALDWIN AREA MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521347","BALDWIN AREA MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","64 patients",,,"PN-2 " "521347","BALDWIN AREA MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","34 patients",,,"SCIP-INF-2 " "521347","BALDWIN AREA MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521347","BALDWIN AREA MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","51 patients",,,"PN-6 " "521347","BALDWIN AREA MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521347","BALDWIN AREA MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","34 patients",,,"SCIP-INF-1 " "521347","BALDWIN AREA MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","32 patients",,,"SCIP-INF-3 " "521347","BALDWIN AREA MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1 ","1","HF-4 " "521347","BALDWIN AREA MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521347","BALDWIN AREA MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521348","VERNON MEM HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","443 patients","2 ","2","SCIP-INF-6 " "521348","VERNON MEM HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","79%","34 patients",,,"HF-2 " "521348","VERNON MEM HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","37 patients",,,"PN-6 " "521348","VERNON MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","122 patients","2 ","2","SCIP-VTE-1 " "521348","VERNON MEM HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","11 patients","1 ","1","PN-3B " "521348","VERNON MEM HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","59 patients",,,"PN-2 " "521348","VERNON MEM HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","AMI-4 " "521348","VERNON MEM HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","390 patients","2 ","2","SCIP-INF-3 " "521348","VERNON MEM HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","80%","5 patients","1,3 ","13","AMI-5 " "521348","VERNON MEM HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521348","VERNON MEM HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","22 patients","1 ","1","HF-1 " "521348","VERNON MEM HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","AMI-3 " "521348","VERNON MEM HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","399 patients","2 ","2","SCIP-INF-2 " "521348","VERNON MEM HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","122 patients","2 ","2","SCIP-VTE-2 " "521348","VERNON MEM HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","43 patients",,,"PN-7 " "521348","VERNON MEM HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","46 patients",,,"PN-5C " "521348","VERNON MEM HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","398 patients","2 ","2","SCIP-INF-1 " "521348","VERNON MEM HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521348","VERNON MEM HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "521348","VERNON MEM HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1,3 ","13","AMI-7A " "521348","VERNON MEM HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1,3 ","13","AMI-1 " "521348","VERNON MEM HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","9 patients","1 ","1","HF-3 " "521348","VERNON MEM HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","70%","87 patients",,,"SCIP-CARD-2 " "521348","VERNON MEM HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1,3 ","13","AMI-2 " "521348","VERNON MEM HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","79%","14 patients","1 ","1","PN-4 " "521349","RIVER FALLS AREA HSPTL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","15 patients","1 ","1","HF-1 " "521349","RIVER FALLS AREA HSPTL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","133 patients",,,"SCIP-INF-6 " "521349","RIVER FALLS AREA HSPTL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "521349","RIVER FALLS AREA HSPTL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "521349","RIVER FALLS AREA HSPTL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","25 patients",,,"PN-5C " "521349","RIVER FALLS AREA HSPTL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "521349","RIVER FALLS AREA HSPTL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "521349","RIVER FALLS AREA HSPTL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","90%","20 patients","1,3 ","13","SCIP-VTE-1 " "521349","RIVER FALLS AREA HSPTL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "521349","RIVER FALLS AREA HSPTL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "521349","RIVER FALLS AREA HSPTL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1 ","1","AMI-1 " "521349","RIVER FALLS AREA HSPTL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","24 patients","1 ","1","HF-2 " "521349","RIVER FALLS AREA HSPTL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "521349","RIVER FALLS AREA HSPTL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","28 patients",,,"PN-2 " "521349","RIVER FALLS AREA HSPTL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","18 patients","1 ","1","PN-7 " "521349","RIVER FALLS AREA HSPTL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","85 patients","3 ","3","SCIP-INF-2 " "521349","RIVER FALLS AREA HSPTL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "521349","RIVER FALLS AREA HSPTL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","85 patients","3 ","3","SCIP-INF-1 " "521349","RIVER FALLS AREA HSPTL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","7 patients","1 ","1","PN-3B " "521349","RIVER FALLS AREA HSPTL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","94%","18 patients","1 ","1","SCIP-CARD-2 " "521349","RIVER FALLS AREA HSPTL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "521349","RIVER FALLS AREA HSPTL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "521349","RIVER FALLS AREA HSPTL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","90%","20 patients","1,3 ","13","SCIP-VTE-2 " "521349","RIVER FALLS AREA HSPTL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","84 patients","3 ","3","SCIP-INF-3 " "521349","RIVER FALLS AREA HSPTL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","17 patients","1 ","1","PN-6 " "521350","LANGLADE HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","63 patients",,,"SCIP-INF-2 " "521350","LANGLADE HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521350","LANGLADE HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521350","LANGLADE HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","63 patients",,,"SCIP-INF-3 " "521350","LANGLADE HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","41 patients",,,"HF-2 " "521350","LANGLADE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","46 patients",,,"SCIP-VTE-2 " "521350","LANGLADE HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","10 patients","1 ","1","HF-3 " "521350","LANGLADE HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","101 patients",,,"SCIP-INF-6 " "521350","LANGLADE HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "521350","LANGLADE HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521350","LANGLADE HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","91%","32 patients",,,"HF-1 " "521350","LANGLADE HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521350","LANGLADE HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","PN-4 " "521350","LANGLADE HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521350","LANGLADE HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521350","LANGLADE HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","18 patients","1 ","1","PN-7 " "521350","LANGLADE HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","25 patients",,,"PN-3B " "521350","LANGLADE HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521350","LANGLADE HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521350","LANGLADE HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521350","LANGLADE HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","25 patients",,,"PN-2 " "521350","LANGLADE HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","31 patients",,,"PN-5C " "521350","LANGLADE HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","29 patients",,,"PN-6 " "521350","LANGLADE HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","64 patients",,,"SCIP-INF-1 " "521350","LANGLADE HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","93%","46 patients",,,"SCIP-VTE-1 " "521351","REEDSBURG AREA MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","102 patients","2 ","2","SCIP-INF-6 " "521351","REEDSBURG AREA MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","47 patients",,,"PN-3B " "521351","REEDSBURG AREA MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","HF-4 " "521351","REEDSBURG AREA MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521351","REEDSBURG AREA MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","78 patients",,,"PN-5C " "521351","REEDSBURG AREA MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","85 patients","2 ","2","SCIP-INF-3 " "521351","REEDSBURG AREA MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","89%","18 patients","1,2 ","12","SCIP-CARD-2 " "521351","REEDSBURG AREA MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "521351","REEDSBURG AREA MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","85 patients",,,"PN-2 " "521351","REEDSBURG AREA MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","23 patients","1 ","1","PN-4 " "521351","REEDSBURG AREA MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "521351","REEDSBURG AREA MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521351","REEDSBURG AREA MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","68 patients",,,"PN-6 " "521351","REEDSBURG AREA MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","85 patients","2 ","2","SCIP-INF-1 " "521351","REEDSBURG AREA MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "521351","REEDSBURG AREA MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521351","REEDSBURG AREA MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","66 patients",,,"HF-2 " "521351","REEDSBURG AREA MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "521351","REEDSBURG AREA MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","46 patients","2 ","2","SCIP-VTE-2 " "521351","REEDSBURG AREA MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","46 patients","2 ","2","SCIP-VTE-1 " "521351","REEDSBURG AREA MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521351","REEDSBURG AREA MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","84 patients","2 ","2","SCIP-INF-2 " "521351","REEDSBURG AREA MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","74%","50 patients",,,"HF-1 " "521351","REEDSBURG AREA MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521351","REEDSBURG AREA MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","47 patients",,,"PN-7 " "521352","UPLAND HILLS HLTH","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521352","UPLAND HILLS HLTH","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","26 patients",,,"SCIP-INF-1 " "521352","UPLAND HILLS HLTH","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","26 patients",,,"PN-3B " "521352","UPLAND HILLS HLTH","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","52 patients",,,"SCIP-INF-6 " "521352","UPLAND HILLS HLTH","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","24 patients","1 ","1","PN-5C " "521352","UPLAND HILLS HLTH","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","36 patients",,,"HF-2 " "521352","UPLAND HILLS HLTH","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521352","UPLAND HILLS HLTH","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","26 patients",,,"SCIP-INF-2 " "521352","UPLAND HILLS HLTH","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","8 patients","1 ","1","PN-4 " "521352","UPLAND HILLS HLTH","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "521352","UPLAND HILLS HLTH","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521352","UPLAND HILLS HLTH","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521352","UPLAND HILLS HLTH","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "521352","UPLAND HILLS HLTH","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521352","UPLAND HILLS HLTH","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","32 patients",,,"PN-2 " "521352","UPLAND HILLS HLTH","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "521352","UPLAND HILLS HLTH","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","26 patients",,,"SCIP-INF-3 " "521352","UPLAND HILLS HLTH","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521352","UPLAND HILLS HLTH","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521352","UPLAND HILLS HLTH","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","85%","20 patients","1 ","1","PN-7 " "521352","UPLAND HILLS HLTH","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "521352","UPLAND HILLS HLTH","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","2 patients","1 ","1","HF-3 " "521352","UPLAND HILLS HLTH","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521352","UPLAND HILLS HLTH","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","23 patients","1 ","1","HF-1 " "521352","UPLAND HILLS HLTH","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","AMI-3 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","44%","9 patients","1,3 ","13","HF-2 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","6 patients","1 ","1","PN-3B " "521353","CUMBERLAND MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","69%","36 patients",,,"PN-6 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","1 patients","1,3 ","13","HF-3 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","73%","56 patients",,,"PN-2 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521353","CUMBERLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1 ","1","PN-4 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","75%","32 patients",,,"PN-7 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","6 patients","1,3 ","13","HF-1 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521353","CUMBERLAND MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "521353","CUMBERLAND MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","56 patients",,,"PN-5C " "521354","SOUTHWEST HEALTH CENTER INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521354","SOUTHWEST HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521354","SOUTHWEST HEALTH CENTER INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "521354","SOUTHWEST HEALTH CENTER INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","80%","35 patients",,,"HF-2 " "521354","SOUTHWEST HEALTH CENTER INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","31 patients",,,"PN-7 " "521354","SOUTHWEST HEALTH CENTER INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","8 patients","1 ","1","HF-3 " "521354","SOUTHWEST HEALTH CENTER INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521354","SOUTHWEST HEALTH CENTER INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "521354","SOUTHWEST HEALTH CENTER INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","55 patients",,,"PN-5C " "521354","SOUTHWEST HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","44 patients",,,"SCIP-INF-6 " "521354","SOUTHWEST HEALTH CENTER INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","47 patients",,,"PN-2 " "521354","SOUTHWEST HEALTH CENTER INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521354","SOUTHWEST HEALTH CENTER INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1 ","1","PN-4 " "521354","SOUTHWEST HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","42 patients",,,"SCIP-INF-3 " "521354","SOUTHWEST HEALTH CENTER INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521354","SOUTHWEST HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521354","SOUTHWEST HEALTH CENTER INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","80%","5 patients","1 ","1","HF-4 " "521354","SOUTHWEST HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","84%","43 patients",,,"SCIP-INF-1 " "521354","SOUTHWEST HEALTH CENTER INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521354","SOUTHWEST HEALTH CENTER INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521354","SOUTHWEST HEALTH CENTER INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "521354","SOUTHWEST HEALTH CENTER INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","43 patients",,,"PN-3B " "521354","SOUTHWEST HEALTH CENTER INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","23 patients","1 ","1","HF-1 " "521354","SOUTHWEST HEALTH CENTER INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","30 patients",,,"PN-6 " "521354","SOUTHWEST HEALTH CENTER INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","42 patients",,,"SCIP-INF-2 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "521355","BERLIN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","44 patients",,,"PN-5C " "521355","BERLIN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","18 patients","1 ","1","PN-6 " "521355","BERLIN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","47 patients",,,"PN-3B " "521355","BERLIN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "521355","BERLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","80 patients","3 ","3","SCIP-INF-3 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "521355","BERLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","80%","5 patients","1,3 ","13","SCIP-VTE-2 " "521355","BERLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","87 patients","3 ","3","SCIP-INF-6 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "521355","BERLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521355","BERLIN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","50 patients",,,"PN-2 " "521355","BERLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","81 patients","3 ","3","SCIP-INF-2 " "521355","BERLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "521355","BERLIN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","21 patients","1 ","1","PN-7 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "521355","BERLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1,3 ","13","SCIP-VTE-1 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "521355","BERLIN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","80 patients","3 ","3","SCIP-INF-1 " "521355","BERLIN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","29 patients",,,"HF-2 " "521355","BERLIN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","16 patients","1 ","1","HF-1 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "521356","OCONTO HOSPITAL & MEDICAL CENTER, INC","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","7 patients","1,3 ","13","HF-1 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1,3 ","13","PN-3B " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","60 patients",,,"SCIP-INF-3 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","66 patients",,,"SCIP-INF-6 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","6 patients","1,3 ","13","PN-2 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","10 patients","1,3 ","13","PN-5C " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","30 patients",,,"SCIP-VTE-2 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1,3 ","13","HF-3 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","30 patients",,,"SCIP-VTE-1 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","11 patients","1 ","1","SCIP-CARD-2 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","PN-4 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","60 patients",,,"SCIP-INF-2 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","7 patients","1,3 ","13","HF-2 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1,3 ","13","PN-6 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","60 patients",,,"SCIP-INF-1 " "521357","MERCY WALWORTH HOSPITAL & MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1,3 ","13","HF-4 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","65%","40 patients",,,"PN-7 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","70%","10 patients","1 ","1","PN-4 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","72%","60 patients",,,"HF-1 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","73%","51 patients",,,"SCIP-VTE-2 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","81%","52 patients",,,"SCIP-VTE-1 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","62 patients",,,"SCIP-INF-2 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","14 patients","1 ","1","HF-3 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","96 patients",,,"SCIP-INF-6 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","79%","63 patients",,,"PN-2 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","64 patients",,,"SCIP-INF-1 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","42 patients",,,"PN-6 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","47 patients",,,"PN-3B " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","77 patients",,,"HF-2 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","47%","15 patients","1 ","1","SCIP-CARD-2 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","58 patients",,,"SCIP-INF-3 " "521358","DOOR COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","57 patients",,,"PN-5C " "521359","MEMORIAL MED CTR","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","82%","39 patients",,,"PN-7 " "521359","MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","125 patients",,,"SCIP-INF-3 " "521359","MEMORIAL MED CTR","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","71%","7 patients","1 ","1","AMI-3 " "521359","MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "521359","MEMORIAL MED CTR","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","14 patients","1 ","1","HF-4 " "521359","MEMORIAL MED CTR","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","91%","85 patients",,,"PN-3B " "521359","MEMORIAL MED CTR","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","21 patients","1 ","1","AMI-1 " "521359","MEMORIAL MED CTR","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","76 patients",,,"HF-2 " "521359","MEMORIAL MED CTR","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","67%","3 patients","1 ","1","AMI-4 " "521359","MEMORIAL MED CTR","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","88%","34 patients",,,"PN-4 " "521359","MEMORIAL MED CTR","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","88 patients",,,"PN-2 " "521359","MEMORIAL MED CTR","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","59 patients",,,"HF-1 " "521359","MEMORIAL MED CTR","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "521359","MEMORIAL MED CTR","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","75%","68 patients",,,"PN-6 " "521359","MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","24 patients","1 ","1","SCIP-CARD-2 " "521359","MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","105 patients",,,"SCIP-VTE-2 " "521359","MEMORIAL MED CTR","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","92 patients",,,"PN-5C " "521359","MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","127 patients",,,"SCIP-INF-2 " "521359","MEMORIAL MED CTR","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","65%","17 patients","1 ","1","AMI-2 " "521359","MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","105 patients",,,"SCIP-VTE-1 " "521359","MEMORIAL MED CTR","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","89%","19 patients","1 ","1","AMI-5 " "521359","MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","96%","179 patients",,,"SCIP-INF-6 " "521359","MEMORIAL MED CTR","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","128 patients",,,"SCIP-INF-1 " "521359","MEMORIAL MED CTR","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","97%","32 patients",,,"HF-3 " "521359","MEMORIAL MED CTR","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","54 patients",,,"SCIP-VTE-1 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1 ","1","HF-4 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","93%","71 patients",,,"HF-2 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","47 patients",,,"PN-7 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","96%","54 patients",,,"SCIP-VTE-2 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","61 patients",,,"PN-2 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","58 patients",,,"SCIP-INF-2 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","89%","91 patients",,,"PN-3B " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","47 patients",,,"PN-6 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","65%","52 patients",,,"HF-1 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","72 patients",,,"PN-5C " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","57 patients",,,"SCIP-INF-1 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","40 patients",,,"PN-4 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","8 patients","1 ","1","SCIP-CARD-2 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","127 patients",,,"SCIP-INF-6 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","17 patients","1 ","1","HF-3 " "530002","CAMPBELL COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","57 patients",,,"SCIP-INF-3 " "530006","SHERIDAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","68%","238 patients","2 ","2","SCIP-INF-1 " "530006","SHERIDAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","60%","221 patients","2 ","2","SCIP-INF-3 " "530006","SHERIDAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","98%","133 patients","2 ","2","SCIP-VTE-1 " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1 ","1","AMI-1 " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","92%","36 patients",,,"HF-2 " "530006","SHERIDAN MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","96%","89 patients",,,"PN-2 " "530006","SHERIDAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","307 patients","2 ","2","SCIP-INF-6 " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "530006","SHERIDAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","76%","29 patients",,,"SCIP-CARD-2 " "530006","SHERIDAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "530006","SHERIDAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","206 patients","2 ","2","SCIP-INF-2 " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","5 patients","1 ","1","AMI-2 " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "530006","SHERIDAN MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","71 patients",,,"PN-7 " "530006","SHERIDAN MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","91%","33 patients",,,"PN-4 " "530006","SHERIDAN MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","98 patients",,,"PN-5C " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","70%","23 patients","1 ","1","HF-1 " "530006","SHERIDAN MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","65 patients",,,"PN-6 " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","83%","6 patients","1 ","1","HF-4 " "530006","SHERIDAN MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","99 patients",,,"PN-3B " "530006","SHERIDAN MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","75%","12 patients","1 ","1","HF-3 " "530006","SHERIDAN MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","133 patients","2 ","2","SCIP-VTE-2 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","71%","21 patients","1 ","1","HF-1 " "530008","RIVERTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","53 patients",,,"SCIP-INF-2 " "530008","RIVERTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","32 patients",,,"SCIP-VTE-2 " "530008","RIVERTON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","35 patients",,,"PN-6 " "530008","RIVERTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","50 patients",,,"SCIP-INF-3 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "530008","RIVERTON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","50 patients",,,"PN-5C " "530008","RIVERTON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","96%","24 patients","1 ","1","PN-4 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","25 patients",,,"HF-2 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "530008","RIVERTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "530008","RIVERTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","32 patients",,,"SCIP-VTE-1 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "530008","RIVERTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "530008","RIVERTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","53 patients",,,"SCIP-INF-1 " "530008","RIVERTON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","69 patients",,,"SCIP-INF-6 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "530008","RIVERTON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","36 patients",,,"PN-3B " "530008","RIVERTON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","46 patients",,,"PN-2 " "530008","RIVERTON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","27 patients",,,"PN-7 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "530008","RIVERTON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","67%","3 patients","1,2 ","12","HF-3 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,2,3 ","123","AMI-1 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","3 patients","1,2 ","12","SCIP-VTE-1 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","86%","28 patients","2 ","2","PN-3B " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","60%","5 patients","1,2 ","12","SCIP-INF-6 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,2 ","12","SCIP-INF-2 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","3 patients","1,2 ","12","SCIP-VTE-2 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","33%","3 patients","1,2 ","12","HF-4 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","AMI-3 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-7A " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","37%","27 patients","2 ","2","HF-2 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,2 ","12","SCIP-INF-3 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","26 patients","2 ","2","PN-5C " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","55%","29 patients","2 ","2","PN-2 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","25 patients","2 ","2","PN-6 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","2,3 ","23","AMI-8A " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","33%","3 patients","1,2 ","12","SCIP-INF-1 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","2,3 ","23","AMI-5 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","2,3 ","23","AMI-2 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","74%","19 patients","1,2 ","12","PN-7 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","39%","18 patients","1,2 ","12","HF-1 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","2,3 ","23","AMI-4 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,2 ","12","SCIP-CARD-2 " "530009","MEMORIAL HOSPITAL OF CARBON COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","14 patients","1,2 ","12","PN-4 " "530010","LANDER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","21 patients","1 ","1","SCIP-CARD-2 " "530010","LANDER REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","58 patients",,,"PN-3B " "530010","LANDER REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "530010","LANDER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","127 patients",,,"SCIP-INF-3 " "530010","LANDER REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "530010","LANDER REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "530010","LANDER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","164 patients",,,"SCIP-INF-6 " "530010","LANDER REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","82%","34 patients",,,"HF-1 " "530010","LANDER REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","78%","41 patients",,,"PN-7 " "530010","LANDER REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","37 patients",,,"HF-2 " "530010","LANDER REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","83 patients",,,"PN-5C " "530010","LANDER REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","92%","48 patients",,,"PN-6 " "530010","LANDER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "530010","LANDER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","132 patients",,,"SCIP-INF-1 " "530010","LANDER REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "530010","LANDER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","59 patients",,,"SCIP-VTE-2 " "530010","LANDER REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1 ","1","AMI-1 " "530010","LANDER REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","82%","11 patients","1 ","1","HF-3 " "530010","LANDER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","132 patients",,,"SCIP-INF-2 " "530010","LANDER REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "530010","LANDER REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","59 patients",,,"SCIP-VTE-1 " "530010","LANDER REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "530010","LANDER REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","94%","53 patients",,,"PN-2 " "530010","LANDER REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","32 patients",,,"PN-4 " "530010","LANDER REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","AMI-3 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","29 patients",,,"HF-1 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","29 patients",,,"PN-2 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","91%","70 patients","2 ","2","SCIP-INF-3 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","71%","31 patients",,,"HF-2 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","75%","4 patients","1 ","1","AMI-1 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","22 patients","1 ","1","PN-4 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","56 patients",,,"PN-3B " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","75%","4 patients","1,2 ","12","SCIP-CARD-2 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1 ","1","HF-4 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","71 patients","2 ","2","SCIP-INF-2 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","44 patients",,,"PN-6 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","79%","81 patients","2 ","2","SCIP-INF-1 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","68%","59 patients","2 ","2","SCIP-VTE-1 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","68%","59 patients","2 ","2","SCIP-VTE-2 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","49%","35 patients",,,"PN-7 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","11 patients","1 ","1","HF-3 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","127 patients","2 ","2","SCIP-INF-6 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","55 patients",,,"PN-5C " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "530011","MEMORIAL HOSPITAL SWEETWATER COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "530012","WYOMING MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","145 patients",,,"PN-7 " "530012","WYOMING MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","156 patients",,,"AMI-4 " "530012","WYOMING MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","173 patients",,,"AMI-1 " "530012","WYOMING MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","49 patients",,,"HF-4 " "530012","WYOMING MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","211 patients","2 ","2","SCIP-VTE-2 " "530012","WYOMING MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","94%","126 patients",,,"PN-6 " "530012","WYOMING MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","95%","37 patients",,,"AMI-8A " "530012","WYOMING MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","189 patients",,,"HF-2 " "530012","WYOMING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","457 patients","2 ","2","SCIP-INF-2 " "530012","WYOMING MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","142 patients",,,"HF-1 " "530012","WYOMING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","430 patients","2 ","2","SCIP-INF-3 " "530012","WYOMING MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","209 patients",,,"PN-3B " "530012","WYOMING MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","95%","189 patients",,,"PN-2 " "530012","WYOMING MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","88%","42 patients",,,"AMI-3 " "530012","WYOMING MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","303 patients",,,"AMI-2 " "530012","WYOMING MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","74%","95 patients","2 ","2","SCIP-CARD-2 " "530012","WYOMING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","620 patients","2 ","2","SCIP-INF-6 " "530012","WYOMING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","94%","124 patients","2 ","2","SCIP-INF-4 " "530012","WYOMING MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","455 patients","2 ","2","SCIP-INF-1 " "530012","WYOMING MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","212 patients","2 ","2","SCIP-VTE-1 " "530012","WYOMING MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","224 patients",,,"PN-5C " "530012","WYOMING MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","98 patients",,,"PN-4 " "530012","WYOMING MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","73 patients",,,"HF-3 " "530012","WYOMING MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","99%","294 patients",,,"AMI-5 " "530012","WYOMING MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","91%","244 patients",,,"PN-5C " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","191 patients",,,"PN-2 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","126 patients",,,"PN-7 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","96%","162 patients",,,"AMI-2 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","78%","302 patients",,,"SCIP-VTE-2 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","79%","302 patients",,,"SCIP-VTE-1 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","203 patients",,,"PN-3B " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","89%","76 patients",,,"PN-4 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","568 patients",,,"SCIP-INF-3 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","139 patients",,,"HF-1 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","98%","114 patients",,,"AMI-1 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","66%","98 patients",,,"SCIP-CARD-2 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","86%","78 patients",,,"SCIP-INF-4 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","93%","30 patients",,,"HF-4 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","47 patients",,,"AMI-4 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","579 patients",,,"SCIP-INF-1 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","172 patients",,,"HF-2 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","30 patients",,,"AMI-3 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","63%","30 patients",,,"AMI-8A " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","580 patients",,,"SCIP-INF-2 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","841 patients",,,"SCIP-INF-6 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","68 patients",,,"HF-3 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","87%","163 patients",,,"PN-6 " "530014","CHEYENNE REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","159 patients",,,"AMI-5 " "530015","ST JOHNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","83%","217 patients","2 ","2","SCIP-INF-6 " "530015","ST JOHNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "530015","ST JOHNS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "530015","ST JOHNS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "530015","ST JOHNS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "530015","ST JOHNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","91 patients","2 ","2","SCIP-VTE-1 " "530015","ST JOHNS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "530015","ST JOHNS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1,3 ","13","AMI-1 " "530015","ST JOHNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","84%","122 patients","2 ","2","SCIP-INF-3 " "530015","ST JOHNS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1,3 ","13","AMI-2 " "530015","ST JOHNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","17%","6 patients","1,2 ","12","SCIP-CARD-2 " "530015","ST JOHNS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","33 patients",,,"PN-3B " "530015","ST JOHNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","77%","91 patients","2 ","2","SCIP-VTE-2 " "530015","ST JOHNS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","64%","28 patients",,,"HF-1 " "530015","ST JOHNS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "530015","ST JOHNS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","91%","33 patients",,,"HF-2 " "530015","ST JOHNS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","79%","28 patients",,,"PN-6 " "530015","ST JOHNS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","90%","10 patients","1 ","1","HF-3 " "530015","ST JOHNS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "530015","ST JOHNS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","29 patients",,,"PN-2 " "530015","ST JOHNS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "530015","ST JOHNS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","36 patients",,,"PN-5C " "530015","ST JOHNS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","79%","19 patients","1 ","1","PN-7 " "530015","ST JOHNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","36%","151 patients","2 ","2","SCIP-INF-1 " "530015","ST JOHNS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","116 patients","2 ","2","SCIP-INF-2 " "530025","IVINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","183 patients",,,"SCIP-INF-2 " "530025","IVINSON MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "530025","IVINSON MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","29 patients",,,"PN-7 " "530025","IVINSON MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "530025","IVINSON MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","87%","61 patients",,,"PN-2 " "530025","IVINSON MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","4 patients","1 ","1","AMI-5 " "530025","IVINSON MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "530025","IVINSON MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","85%","26 patients",,,"PN-4 " "530025","IVINSON MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","94%","18 patients","1 ","1","HF-1 " "530025","IVINSON MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","4 patients","1 ","1","AMI-2 " "530025","IVINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","256 patients",,,"SCIP-INF-6 " "530025","IVINSON MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","50 patients",,,"PN-3B " "530025","IVINSON MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "530025","IVINSON MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "530025","IVINSON MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","96%","53 patients",,,"PN-5C " "530025","IVINSON MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","6 patients","1 ","1","AMI-1 " "530025","IVINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","96%","179 patients",,,"SCIP-INF-3 " "530025","IVINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","87%","107 patients",,,"SCIP-VTE-2 " "530025","IVINSON MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "530025","IVINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","87%","183 patients",,,"SCIP-INF-1 " "530025","IVINSON MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","95%","20 patients","1 ","1","HF-2 " "530025","IVINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "530025","IVINSON MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","42 patients",,,"PN-6 " "530025","IVINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","90%","20 patients","1 ","1","SCIP-CARD-2 " "530025","IVINSON MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","107 patients",,,"SCIP-VTE-1 " "530032","EVANSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","80 patients","2 ","2","SCIP-INF-6 " "530032","EVANSTON REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "530032","EVANSTON REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","17 patients","1 ","1","PN-7 " "530032","EVANSTON REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","44 patients",,,"PN-5C " "530032","EVANSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","97%","34 patients","2 ","2","SCIP-VTE-2 " "530032","EVANSTON REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "530032","EVANSTON REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","9 patients","1 ","1","HF-2 " "530032","EVANSTON REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","HF-4 " "530032","EVANSTON REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "530032","EVANSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","60 patients","2 ","2","SCIP-INF-2 " "530032","EVANSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "530032","EVANSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","58 patients","2 ","2","SCIP-INF-1 " "530032","EVANSTON REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "530032","EVANSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","97%","34 patients","2 ","2","SCIP-VTE-1 " "530032","EVANSTON REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","21 patients","1 ","1","PN-3B " "530032","EVANSTON REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "530032","EVANSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1,2 ","12","SCIP-CARD-2 " "530032","EVANSTON REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "530032","EVANSTON REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","88%","8 patients","1 ","1","HF-1 " "530032","EVANSTON REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","97%","39 patients",,,"PN-6 " "530032","EVANSTON REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "530032","EVANSTON REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","PN-4 " "530032","EVANSTON REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","22 patients","1 ","1","PN-2 " "530032","EVANSTON REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","57 patients","2 ","2","SCIP-INF-3 " "530032","EVANSTON REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,2 ","12","SCIP-CARD-2 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","8 patients","1,2,3 ","123","SCIP-VTE-2 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","50%","2 patients","1,2,3 ","123","HF-1 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","2 patients","1,2,3 ","123","HF-2 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","3 patients","1,2,3 ","123","SCIP-INF-2 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","33%","3 patients","1,2,3 ","123","SCIP-INF-1 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","80%","5 patients","1,2,3 ","123","PN-5C " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","3 patients","1,2,3 ","123","SCIP-INF-3 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","2 patients","1,2 ","12","PN-7 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","8 patients","1,2,3 ","123","SCIP-VTE-1 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","2,3 ","23","HF-3 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,2,3 ","123","HF-4 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1,2,3 ","123","PN-6 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,2,3 ","123","PN-4 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","18 patients","1,2,3 ","123","SCIP-INF-6 " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1,2,3 ","123","PN-3B " "530033","MOUNTAIN VIEW REGIONAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","2 patients","1,2,3 ","123","PN-2 " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "53004F","CHEYENNE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "53004F","CHEYENNE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "53004F","CHEYENNE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "53004F","CHEYENNE VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "53004F","CHEYENNE VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "53004F","CHEYENNE VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "53004F","CHEYENNE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "53004F","CHEYENNE VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "53004F","CHEYENNE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "53004F","CHEYENNE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "53004F","CHEYENNE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "53004F","CHEYENNE VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "53004F","CHEYENNE VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "53004F","CHEYENNE VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "53004F","CHEYENNE VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "53005F","SHERIDAN VA MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","17 patients","1 ","1","PN-2 " "53005F","SHERIDAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"2,5 ","25","SCIP-CARD-2 " "53005F","SHERIDAN VA MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","19 patients","1 ","1","PN-4 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "53005F","SHERIDAN VA MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","17 patients","1 ","1","PN-7 " "53005F","SHERIDAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "53005F","SHERIDAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"2,5 ","25","SCIP-VTE-2 " "53005F","SHERIDAN VA MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","21 patients","1 ","1","PN-5C " "53005F","SHERIDAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "53005F","SHERIDAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"2,5 ","25","SCIP-INF-6 " "53005F","SHERIDAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"2,5 ","25","SCIP-VTE-1 " "53005F","SHERIDAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "53005F","SHERIDAN VA MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "53005F","SHERIDAN VA MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","14 patients","1 ","1","PN-6 " "53005F","SHERIDAN VA MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "53005F","SHERIDAN VA MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"2,5 ","25","SCIP-INF-4 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients","3 ","3","PN-3B " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","HF-4 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","4 patients","1,3 ","13","PN-2 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1,3 ","13","PN-5C " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1,3 ","13","PN-6 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,"0 patients","3 ","3","HF-1 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","1 patients","1,3 ","13","HF-2 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","3 patients","1 ","1","PN-7 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "531301","SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","25%","4 patients","1,3 ","13","PN-4 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","97%","75 patients",,,"SCIP-INF-3 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","75 patients",,,"SCIP-INF-1 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","75%","16 patients","1 ","1","HF-1 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","88%","25 patients",,,"PN-6 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","75%","24 patients","1 ","1","HF-2 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","84 patients",,,"SCIP-INF-6 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","16 patients","1 ","1","PN-7 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","12 patients","1 ","1","PN-4 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","80%","10 patients","1 ","1","PN-3B " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","75 patients",,,"SCIP-INF-2 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","98%","45 patients",,,"SCIP-VTE-2 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","45 patients",,,"SCIP-VTE-1 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients",,,"PN-5C " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","91%","23 patients","1 ","1","PN-2 " "531302","MEMORIAL HOSPITAL OF CONVERSE COUNTY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "531303","WESTON COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "531303","WESTON COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","62%","8 patients","1 ","1","HF-2 " "531303","WESTON COUNTY HEALTH SERVICES","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","38%","8 patients","1 ","1","PN-2 " "531303","WESTON COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "531303","WESTON COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "531303","WESTON COUNTY HEALTH SERVICES","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","5 patients","1 ","1","PN-5C " "531303","WESTON COUNTY HEALTH SERVICES","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "531303","WESTON COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "531303","WESTON COUNTY HEALTH SERVICES","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","6 patients","1 ","1","PN-6 " "531303","WESTON COUNTY HEALTH SERVICES","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","4 patients","1 ","1","PN-7 " "531303","WESTON COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "531303","WESTON COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "531303","WESTON COUNTY HEALTH SERVICES","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","67%","3 patients","1 ","1","PN-3B " "531303","WESTON COUNTY HEALTH SERVICES","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "531303","WESTON COUNTY HEALTH SERVICES","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","6 patients","1 ","1","HF-1 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "531303","WESTON COUNTY HEALTH SERVICES","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","83%","6 patients","1 ","1","PN-3B " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","67%","6 patients","1 ","1","PN-4 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","38%","13 patients","1 ","1","SCIP-VTE-2 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","17 patients","1 ","1","HF-1 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","57%","7 patients","1 ","1","PN-7 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","71%","17 patients","1 ","1","PN-2 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-1 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","69%","26 patients",,,"HF-2 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","3 patients","1 ","1","AMI-2 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","3 patients","1 ","1","HF-3 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","88%","8 patients","1 ","1","PN-5C " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","38%","13 patients","1 ","1","SCIP-VTE-1 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","4 patients","1 ","1","PN-6 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","20 patients","1 ","1","SCIP-INF-3 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","33 patients",,,"SCIP-INF-6 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","20 patients","1 ","1","SCIP-INF-2 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1 ","1","AMI-5 " "531304","HOT SPRINGS COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","3 patients","1 ","1","AMI-1 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1,3 ","13","SCIP-INF-3 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","HF-3 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","4 patients","1,3 ","13","SCIP-VTE-2 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","90%","10 patients","1 ","1","PN-4 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","88%","17 patients","1 ","1","PN-7 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1,3 ","13","AMI-1 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","8 patients","1 ","1","HF-1 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","22 patients","1 ","1","PN-6 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","13 patients","1 ","1","HF-2 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","95%","21 patients","1 ","1","PN-3B " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","4 patients","1,3 ","13","SCIP-VTE-1 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","7 patients","1,3 ","13","SCIP-INF-2 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","29 patients",,,"PN-5C " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","7 patients","1,3 ","13","SCIP-INF-6 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","27 patients",,,"PN-2 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1,3 ","13","SCIP-INF-1 " "531305","PLATTE COUNTY MEMORIAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "531306","WASHAKIE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","HF-4 " "531306","WASHAKIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","89%","44 patients",,,"SCIP-INF-3 " "531306","WASHAKIE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","2 patients","1 ","1","AMI-1 " "531306","WASHAKIE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","19 patients","1 ","1","PN-5C " "531306","WASHAKIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","46 patients",,,"SCIP-INF-1 " "531306","WASHAKIE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "531306","WASHAKIE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "531306","WASHAKIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","48 patients",,,"SCIP-VTE-2 " "531306","WASHAKIE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1 ","1","AMI-2 " "531306","WASHAKIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531306","WASHAKIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "531306","WASHAKIE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "531306","WASHAKIE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1 ","1","AMI-5 " "531306","WASHAKIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","83%","48 patients",,,"SCIP-VTE-1 " "531306","WASHAKIE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","90%","21 patients","1 ","1","PN-2 " "531306","WASHAKIE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","10 patients","1 ","1","PN-6 " "531306","WASHAKIE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "531306","WASHAKIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","66 patients",,,"SCIP-INF-6 " "531306","WASHAKIE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","84%","19 patients","1 ","1","HF-2 " "531306","WASHAKIE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "531306","WASHAKIE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","86%","7 patients","1 ","1","PN-4 " "531306","WASHAKIE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","8 patients","1 ","1","PN-3B " "531306","WASHAKIE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","67%","12 patients","1 ","1","HF-1 " "531306","WASHAKIE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","46 patients",,,"SCIP-INF-2 " "531306","WASHAKIE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","17 patients","1 ","1","PN-7 " "531307","COMMUNITY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","89%","9 patients","1 ","1","HF-1 " "531307","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "531307","COMMUNITY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","18 patients","1 ","1","PN-5C " "531307","COMMUNITY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","HF-4 " "531307","COMMUNITY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "531307","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-1 " "531307","COMMUNITY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","86%","7 patients","1 ","1","PN-7 " "531307","COMMUNITY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "531307","COMMUNITY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "531307","COMMUNITY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "531307","COMMUNITY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","11 patients","1 ","1","HF-2 " "531307","COMMUNITY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1 ","1","PN-4 " "531307","COMMUNITY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "531307","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","12 patients","1 ","1","SCIP-INF-6 " "531307","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","7 patients","1 ","1","SCIP-INF-2 " "531307","COMMUNITY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "531307","COMMUNITY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "531307","COMMUNITY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","93%","15 patients","1 ","1","PN-3B " "531307","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","7 patients","1 ","1","SCIP-INF-3 " "531307","COMMUNITY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","93%","15 patients","1 ","1","PN-2 " "531307","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531307","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","3 patients","1 ","1","SCIP-VTE-2 " "531307","COMMUNITY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","18 patients","1 ","1","PN-6 " "531307","COMMUNITY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "531307","COMMUNITY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","4 patients","1 ","1","SCIP-VTE-1 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","14%","14 patients","1 ","1","HF-2 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","25%","12 patients","1 ","1","HF-1 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients",,,"PN-5C " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","3 patients","1 ","1","PN-2 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1 ","1","PN-6 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","33%","3 patients","1 ","1","PN-7 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "531308","JOHNSON COUNTY HEALTHCARE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","17%","6 patients","1,3 ","13","HF-1 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","2 patients","1 ","1","PN-3B " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","13 patients","1 ","1","PN-5C " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","6 patients","1 ","1","AMI-2 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","60%","5 patients","1 ","1","PN-4 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","0%","1 patients","1 ","1","AMI-7A " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","50%","6 patients","1 ","1","AMI-5 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","50%","14 patients","1 ","1","PN-2 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","44%","9 patients","1,3 ","13","HF-2 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","77%","13 patients","1 ","1","PN-6 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1,3 ","13","HF-3 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","AMI-4 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","9 patients","1 ","1","PN-7 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","83%","6 patients","1 ","1","AMI-1 " "531309","NORTH BIG HORN HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "531310","POWELL VALLEY HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "531310","POWELL VALLEY HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1 ","1","PN-4 " "531310","POWELL VALLEY HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","5 patients","1 ","1","PN-3B " "531310","POWELL VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","53 patients","2 ","2","SCIP-INF-1 " "531310","POWELL VALLEY HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "531310","POWELL VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "531310","POWELL VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","53 patients","2 ","2","SCIP-INF-2 " "531310","POWELL VALLEY HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","8 patients","1 ","1","PN-7 " "531310","POWELL VALLEY HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "531310","POWELL VALLEY HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "531310","POWELL VALLEY HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","2 patients","1 ","1","PN-6 " "531310","POWELL VALLEY HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "531310","POWELL VALLEY HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "531310","POWELL VALLEY HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1 ","1","PN-2 " "531310","POWELL VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","92%","50 patients","2 ","2","SCIP-INF-3 " "531310","POWELL VALLEY HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","11 patients","1 ","1","HF-2 " "531310","POWELL VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","57 patients","2 ","2","SCIP-INF-6 " "531310","POWELL VALLEY HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","7 patients","1 ","1","PN-5C " "531310","POWELL VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","4 patients","1 ","1","SCIP-CARD-2 " "531310","POWELL VALLEY HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "531310","POWELL VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","89%","28 patients","2 ","2","SCIP-VTE-1 " "531310","POWELL VALLEY HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "531310","POWELL VALLEY HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "531310","POWELL VALLEY HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","83%","6 patients","1 ","1","HF-1 " "531310","POWELL VALLEY HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","28 patients","2 ","2","SCIP-VTE-2 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","6 patients","1,3 ","13","HF-1 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","67%","6 patients","1 ","1","PN-2 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1 ","1","PN-5C " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","80%","5 patients","1 ","1","PN-6 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1 ","1","PN-7 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","3 patients","1,3 ","13","HF-4 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1 ","1","PN-3B " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","60%","5 patients","1,3 ","13","HF-2 " "531311","CROOK COUNTY MEDICAL SERVICES DISTRCT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531312","WEST PARK HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1,3 ","13","HF-3 " "531312","WEST PARK HOSPITAL DISTRICT","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","96%","25 patients","3 ","3","PN-6 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "531312","WEST PARK HOSPITAL DISTRICT","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","62%","24 patients","1 ","1","PN-7 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","6%","17 patients","1,3 ","13","HF-1 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","72%","18 patients","1,3 ","13","HF-2 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "531312","WEST PARK HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "531312","WEST PARK HOSPITAL DISTRICT","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","64%","11 patients","1,3 ","13","PN-4 " "531312","WEST PARK HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531312","WEST PARK HOSPITAL DISTRICT","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","22 patients","1,3 ","13","PN-5C " "531312","WEST PARK HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "531312","WEST PARK HOSPITAL DISTRICT","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","1 patients","1,3 ","13","PN-3B " "531312","WEST PARK HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "531312","WEST PARK HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "531312","WEST PARK HOSPITAL DISTRICT","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "531312","WEST PARK HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "531312","WEST PARK HOSPITAL DISTRICT","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","53%","17 patients","1,3 ","13","PN-2 " "531312","WEST PARK HOSPITAL DISTRICT","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "531312","WEST PARK HOSPITAL DISTRICT","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","50%","2 patients","1,3 ","13","HF-4 " "531313","STAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","49 patients",,,"SCIP-INF-2 " "531313","STAR VALLEY MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "531313","STAR VALLEY MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","HF-3 " "531313","STAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","87%","60 patients",,,"SCIP-INF-6 " "531313","STAR VALLEY MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","12 patients","1 ","1","PN-3B " "531313","STAR VALLEY MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "531313","STAR VALLEY MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","15 patients","1 ","1","PN-6 " "531313","STAR VALLEY MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1 ","1","PN-4 " "531313","STAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","86%","37 patients",,,"SCIP-VTE-1 " "531313","STAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "531313","STAR VALLEY MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "531313","STAR VALLEY MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "531313","STAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","92%","49 patients",,,"SCIP-INF-1 " "531313","STAR VALLEY MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","17 patients","1 ","1","PN-5C " "531313","STAR VALLEY MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "531313","STAR VALLEY MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","0%","2 patients","1,3 ","13","AMI-1 " "531313","STAR VALLEY MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","17 patients","1 ","1","PN-2 " "531313","STAR VALLEY MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","57%","7 patients","1 ","1","HF-1 " "531313","STAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","55%","49 patients",,,"SCIP-INF-3 " "531313","STAR VALLEY MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","6 patients","1 ","1","PN-7 " "531313","STAR VALLEY MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "531313","STAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531313","STAR VALLEY MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "531313","STAR VALLEY MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","86%","37 patients",,,"SCIP-VTE-2 " "531313","STAR VALLEY MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","50%","10 patients","1 ","1","HF-2 " "531314","NIOBRARA HEALTH & LIFE CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "531314","NIOBRARA HEALTH & LIFE CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "531314","NIOBRARA HEALTH & LIFE CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","69%","13 patients","1 ","1","PN-5C " "531314","NIOBRARA HEALTH & LIFE CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"HF-3 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "531314","NIOBRARA HEALTH & LIFE CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","62%","8 patients","1 ","1","PN-4 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"HF-4 " "531314","NIOBRARA HEALTH & LIFE CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "531314","NIOBRARA HEALTH & LIFE CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","50%","10 patients","1 ","1","PN-6 " "531314","NIOBRARA HEALTH & LIFE CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","50%","2 patients","1 ","1","PN-3B " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","20%","5 patients","1 ","1","HF-1 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "531314","NIOBRARA HEALTH & LIFE CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","25%","12 patients","1 ","1","PN-2 " "531314","NIOBRARA HEALTH & LIFE CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","6 patients","1 ","1","PN-7 " "531314","NIOBRARA HEALTH & LIFE CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","33%","6 patients","1 ","1","HF-2 " "531314","NIOBRARA HEALTH & LIFE CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "531314","NIOBRARA HEALTH & LIFE CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "531314","NIOBRARA HEALTH & LIFE CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "531314","NIOBRARA HEALTH & LIFE CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","76%","33 patients",,,"PN-5C " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","58%","24 patients","1 ","1","PN-3B " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","71%","7 patients","1,3 ","13","SCIP-INF-2 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","82%","33 patients",,,"AMI-5 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","26%","34 patients","2 ","2","HF-1 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","9 patients","1,3 ","13","SCIP-VTE-2 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","33%","9 patients","1 ","1","AMI-7A " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","71%","24 patients","1 ","1","PN-6 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","73%","11 patients","1,3 ","13","SCIP-INF-6 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","0%","4 patients","1,2 ","12","HF-3 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","59%","34 patients","2 ","2","HF-2 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","44%","9 patients","1,2 ","12","HF-4 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","80%","35 patients",,,"AMI-2 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","7%","15 patients","1 ","1","PN-4 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","20%","20 patients","1 ","1","PN-7 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","90%","41 patients",,,"AMI-1 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","10%","21 patients","1 ","1","PN-2 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","7 patients","1,3 ","13","SCIP-INF-3 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","44%","18 patients","1 ","1","AMI-4 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","14%","7 patients","1,3 ","13","SCIP-INF-1 " "650001","GUAM MEMORIAL HOSPITAL AUTHORITY","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","9 patients","1,3 ","13","SCIP-VTE-1 " "660001","COMMONWEALTH HEALTH CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "660001","COMMONWEALTH HEALTH CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "660001","COMMONWEALTH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "660001","COMMONWEALTH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "660001","COMMONWEALTH HEALTH CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "660001","COMMONWEALTH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "660001","COMMONWEALTH HEALTH CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "660001","COMMONWEALTH HEALTH CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "660001","COMMONWEALTH HEALTH CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "660001","COMMONWEALTH HEALTH CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "660001","COMMONWEALTH HEALTH CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "660001","COMMONWEALTH HEALTH CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "660001","COMMONWEALTH HEALTH CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "660001","COMMONWEALTH HEALTH CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "660001","COMMONWEALTH HEALTH CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "660001","COMMONWEALTH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "660001","COMMONWEALTH HEALTH CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "660001","COMMONWEALTH HEALTH CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "660001","COMMONWEALTH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "660001","COMMONWEALTH HEALTH CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "660001","COMMONWEALTH HEALTH CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "660001","COMMONWEALTH HEALTH CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "660001","COMMONWEALTH HEALTH CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "660001","COMMONWEALTH HEALTH CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "660001","COMMONWEALTH HEALTH CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "670002","RENAISSANCE HOSPITAL - DALLAS","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "670002","RENAISSANCE HOSPITAL - DALLAS","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","42%","33 patients",,,"SCIP-VTE-2 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","62%","8 patients","1 ","1","AMI-2 " "670002","RENAISSANCE HOSPITAL - DALLAS","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","20%","10 patients","1 ","1","PN-4 " "670002","RENAISSANCE HOSPITAL - DALLAS","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","17%","18 patients","1 ","1","PN-7 " "670002","RENAISSANCE HOSPITAL - DALLAS","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","31 patients",,,"PN-3B " "670002","RENAISSANCE HOSPITAL - DALLAS","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","58%","31 patients",,,"SCIP-INF-3 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","45%","20 patients","1 ","1","HF-4 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","81%","108 patients",,,"HF-2 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","91%","11 patients","1 ","1","AMI-1 " "670002","RENAISSANCE HOSPITAL - DALLAS","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","28%","32 patients",,,"SCIP-INF-1 " "670002","RENAISSANCE HOSPITAL - DALLAS","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","6 patients","1 ","1","SCIP-CARD-2 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","61%","23 patients","1 ","1","HF-3 " "670002","RENAISSANCE HOSPITAL - DALLAS","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","33%","30 patients",,,"PN-2 " "670002","RENAISSANCE HOSPITAL - DALLAS","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","88%","32 patients",,,"SCIP-INF-2 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "670002","RENAISSANCE HOSPITAL - DALLAS","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","63%","19 patients","1 ","1","PN-6 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","AMI-4 " "670002","RENAISSANCE HOSPITAL - DALLAS","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","38%","39 patients",,,"SCIP-VTE-1 " "670002","RENAISSANCE HOSPITAL - DALLAS","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","33 patients",,,"PN-5C " "670002","RENAISSANCE HOSPITAL - DALLAS","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","77%","87 patients",,,"SCIP-INF-6 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","1 patients","1 ","1","AMI-3 " "670002","RENAISSANCE HOSPITAL - DALLAS","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","13%","75 patients",,,"HF-1 " "670004","ST MARKS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "670004","ST MARKS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "670004","ST MARKS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","97%","68 patients",,,"HF-2 " "670004","ST MARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","92%","60 patients",,,"SCIP-VTE-2 " "670004","ST MARKS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","95%","21 patients","1 ","1","HF-3 " "670004","ST MARKS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","92%","61 patients",,,"PN-3B " "670004","ST MARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","134 patients",,,"SCIP-INF-6 " "670004","ST MARKS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","75%","4 patients","1,3 ","13","AMI-2 " "670004","ST MARKS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","91%","55 patients",,,"PN-7 " "670004","ST MARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","86%","96 patients",,,"SCIP-INF-1 " "670004","ST MARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","92%","60 patients",,,"SCIP-VTE-1 " "670004","ST MARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "670004","ST MARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","93 patients",,,"SCIP-INF-2 " "670004","ST MARKS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "670004","ST MARKS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","81%","36 patients",,,"HF-1 " "670004","ST MARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","87%","91 patients",,,"SCIP-INF-3 " "670004","ST MARKS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","92%","86 patients",,,"PN-2 " "670004","ST MARKS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","71%","7 patients","1 ","1","HF-4 " "670004","ST MARKS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","67%","3 patients","1,3 ","13","AMI-1 " "670004","ST MARKS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","92%","51 patients","3 ","3","PN-5C " "670004","ST MARKS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","86%","14 patients","1 ","1","SCIP-CARD-2 " "670004","ST MARKS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "670004","ST MARKS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","56 patients",,,"PN-6 " "670004","ST MARKS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","3 patients","1,3 ","13","AMI-5 " "670004","ST MARKS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","64%","11 patients","1 ","1","PN-4 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","9 patients","1 ","1","SCIP-VTE-2 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","67%","3 patients","1 ","1","SCIP-CARD-2 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","55 patients",,,"SCIP-INF-3 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","56 patients",,,"SCIP-INF-1 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","56 patients",,,"SCIP-INF-2 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","9 patients","1 ","1","SCIP-VTE-1 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","65 patients",,,"SCIP-INF-6 " "670005","MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","12 patients","1,3 ","13","AMI-5 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","97%","215 patients","2 ","2","SCIP-INF-1 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1 ","1","HF-4 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","6 patients","1 ","1","PN-7 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","62%","8 patients","1,3 ","13","PN-6 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","83 patients","2 ","2","SCIP-VTE-2 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1,3 ","13","AMI-8A " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","89%","9 patients","1,3 ","13","PN-5C " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","99%","211 patients","2 ","2","SCIP-INF-3 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","3 patients","1,3 ","13","AMI-4 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","216 patients","2 ","2","SCIP-INF-2 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","14 patients","1,3 ","13","AMI-1 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","83 patients","2 ","2","SCIP-VTE-1 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","229 patients","2 ","2","SCIP-INF-6 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","9 patients","1,3 ","13","PN-3B " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","93%","14 patients","1 ","1","HF-1 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","95%","19 patients","1,2 ","12","SCIP-INF-4 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","15 patients","1 ","1","HF-2 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","18 patients","1,3 ","13","AMI-2 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","PN-4 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","8 patients","1,3 ","13","PN-2 " "670006","THE HOSPITAL AT WESTLAKE MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","19 patients","1,2 ","12","SCIP-CARD-2 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","95%","139 patients","2 ","2","SCIP-INF-2 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670008","HOUSTON PHYSICIANS' HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","16 patients","1 ","1","SCIP-CARD-2 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","58%","139 patients","2 ","2","SCIP-INF-3 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","38 patients","2 ","2","SCIP-VTE-2 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","98%","160 patients","2 ","2","SCIP-INF-6 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","80%","139 patients","2 ","2","SCIP-INF-1 " "670008","HOUSTON PHYSICIANS' HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","38 patients","2 ","2","SCIP-VTE-1 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","6 patients","1 ","1","HF-3 " "670011","LAKESIDE HOSPITAL AT BASTROP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","2 patients","1,2,3 ","123","SCIP-INF-1 " "670011","LAKESIDE HOSPITAL AT BASTROP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","83%","46 patients",,,"PN-7 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,"0 patients","3 ","3","AMI-5 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","44%","18 patients","1 ","1","HF-1 " "670011","LAKESIDE HOSPITAL AT BASTROP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","90%","79 patients",,,"PN-3B " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","1 patients","1,3 ","13","AMI-1 " "670011","LAKESIDE HOSPITAL AT BASTROP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,2,3 ","123","SCIP-INF-2 " "670011","LAKESIDE HOSPITAL AT BASTROP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1,2 ","12","SCIP-CARD-2 " "670011","LAKESIDE HOSPITAL AT BASTROP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,2,3 ","123","SCIP-VTE-1 " "670011","LAKESIDE HOSPITAL AT BASTROP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "670011","LAKESIDE HOSPITAL AT BASTROP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,2,3 ","123","SCIP-VTE-2 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,"0 patients","3 ","3","AMI-2 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "670011","LAKESIDE HOSPITAL AT BASTROP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,2,3 ","123","SCIP-INF-3 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","HF-4 " "670011","LAKESIDE HOSPITAL AT BASTROP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","65 patients",,,"PN-5C " "670011","LAKESIDE HOSPITAL AT BASTROP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","84%","79 patients",,,"PN-6 " "670011","LAKESIDE HOSPITAL AT BASTROP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","4 patients","1,2,3 ","123","SCIP-INF-6 " "670011","LAKESIDE HOSPITAL AT BASTROP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","68%","57 patients",,,"PN-2 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","96%","27 patients",,,"HF-2 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "670011","LAKESIDE HOSPITAL AT BASTROP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","83%","29 patients",,,"PN-4 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "670011","LAKESIDE HOSPITAL AT BASTROP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670012","FOUNDATION SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","88%","265 patients","2 ","2","SCIP-INF-1 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "670012","FOUNDATION SURGICAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "670012","FOUNDATION SURGICAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "670012","FOUNDATION SURGICAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670012","FOUNDATION SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670012","FOUNDATION SURGICAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670012","FOUNDATION SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","112 patients","2 ","2","SCIP-VTE-1 " "670012","FOUNDATION SURGICAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "670012","FOUNDATION SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","52 patients","2 ","2","SCIP-CARD-2 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "670012","FOUNDATION SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","263 patients","2 ","2","SCIP-INF-3 " "670012","FOUNDATION SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","112 patients","2 ","2","SCIP-VTE-2 " "670012","FOUNDATION SURGICAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "670012","FOUNDATION SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","267 patients","2 ","2","SCIP-INF-2 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670012","FOUNDATION SURGICAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","94%","324 patients","2 ","2","SCIP-INF-6 " "670012","FOUNDATION SURGICAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","50%","4 patients","1,3 ","13","SCIP-VTE-1 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","0%","3 patients","1,3 ","13","HF-1 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,"0 patients","3 ","3","SCIP-CARD-2 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","0%","2 patients","1 ","1","PN-2 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1,3 ","13","HF-4 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","2 patients","1,3 ","13","SCIP-INF-3 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,"0 patients",,,"PN-3B " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","25%","4 patients","1,3 ","13","HF-2 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,"0 patients","3 ","3","PN-5C " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","6 patients","1,3 ","13","SCIP-INF-6 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","3 patients","1,3 ","13","SCIP-VTE-2 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","2 patients","1,3 ","13","SCIP-INF-2 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","HF-3 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,"0 patients",,,"PN-7 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","25%","4 patients","1,3 ","13","SCIP-INF-1 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670018","DOCTORS DIAGNOSTIC HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"PN-4 " "670019","UNIVERSITY GENERAL HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "670019","UNIVERSITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "670019","UNIVERSITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","93%","14 patients","1,2 ","12","SCIP-INF-1 " "670019","UNIVERSITY GENERAL HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","89%","9 patients","1 ","1","HF-2 " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,"0 patients","3 ","3","AMI-1 " "670019","UNIVERSITY GENERAL HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","4 patients","1 ","1","PN-5C " "670019","UNIVERSITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","6 patients","1,2 ","12","SCIP-CARD-2 " "670019","UNIVERSITY GENERAL HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","75%","4 patients","1 ","1","PN-2 " "670019","UNIVERSITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","74%","58 patients","2 ","2","SCIP-VTE-1 " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "670019","UNIVERSITY GENERAL HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","PN-4 " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "670019","UNIVERSITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","67%","58 patients","2 ","2","SCIP-VTE-2 " "670019","UNIVERSITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","93%","14 patients","1,2 ","12","SCIP-INF-3 " "670019","UNIVERSITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","88%","106 patients","2 ","2","SCIP-INF-6 " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","33%","9 patients","1 ","1","HF-1 " "670019","UNIVERSITY GENERAL HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","86%","14 patients","1,2 ","12","SCIP-INF-2 " "670019","UNIVERSITY GENERAL HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","67%","3 patients","1 ","1","PN-7 " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","2 patients","1 ","1","HF-3 " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "670019","UNIVERSITY GENERAL HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","0%","1 patients","1 ","1","HF-4 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","158 patients",,,"PN-5C " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "670023","METHODIST MANSFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","100%","8 patients","1,2 ","12","SCIP-INF-4 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"HF-4 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","83%","114 patients","2 ","2","SCIP-VTE-2 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","84%","116 patients","2 ","2","SCIP-VTE-1 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","38 patients",,,"HF-3 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","28 patients",,,"AMI-2 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","80%","105 patients",,,"HF-1 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","97%","29 patients",,,"AMI-5 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","164 patients",,,"PN-3B " "670023","METHODIST MANSFIELD MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","47 patients",,,"PN-4 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","223 patients","2 ","2","SCIP-INF-6 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","128 patients",,,"HF-2 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","46 patients",,,"AMI-1 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","94%","97 patients",,,"PN-7 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","5 patients","1 ","1","AMI-3 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","50%","2 patients","1 ","1","AMI-8A " "670023","METHODIST MANSFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","89%","152 patients","2 ","2","SCIP-INF-2 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","90%","142 patients","2 ","2","SCIP-INF-3 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","93%","128 patients",,,"PN-6 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","153 patients","2 ","2","SCIP-INF-1 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","81%","16 patients","1,2 ","12","SCIP-CARD-2 " "670023","METHODIST MANSFIELD MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","97%","105 patients",,,"PN-2 " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","83%","42 patients",,,"AMI-8A " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","97%","196 patients",,,"AMI-1 " "670024","NORTH CYPRESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","217 patients",,,"SCIP-VTE-1 " "670024","NORTH CYPRESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","95%","215 patients",,,"SCIP-VTE-2 " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","87%","245 patients",,,"HF-2 " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","93%","192 patients",,,"AMI-2 " "670024","NORTH CYPRESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","84 patients",,,"SCIP-CARD-2 " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","87%","215 patients",,,"HF-1 " "670024","NORTH CYPRESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","664 patients",,,"SCIP-INF-6 " "670024","NORTH CYPRESS MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","95%","95 patients",,,"PN-4 " "670024","NORTH CYPRESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","431 patients",,,"SCIP-INF-3 " "670024","NORTH CYPRESS MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","227 patients",,,"PN-2 " "670024","NORTH CYPRESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","88%","75 patients",,,"SCIP-INF-4 " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","50 patients",,,"HF-3 " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","98%","42 patients",,,"HF-4 " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","184 patients",,,"AMI-5 " "670024","NORTH CYPRESS MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","77%","188 patients",,,"PN-7 " "670024","NORTH CYPRESS MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","180 patients",,,"PN-6 " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","73 patients",,,"AMI-4 " "670024","NORTH CYPRESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","450 patients",,,"SCIP-INF-1 " "670024","NORTH CYPRESS MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","204 patients",,,"PN-3B " "670024","NORTH CYPRESS MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","97%","451 patients",,,"SCIP-INF-2 " "670024","NORTH CYPRESS MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","97%","215 patients",,,"PN-5C " "670024","NORTH CYPRESS MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","93%","28 patients",,,"AMI-3 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","99%","108 patients",,,"HF-3 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","2 patients","1 ","1","PN-4 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","50%","2 patients","1 ","1","PN-7 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","165 patients",,,"HF-1 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","10 patients","1 ","1","AMI-8A " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","34 patients",,,"HF-4 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","824 patients",,,"SCIP-INF-2 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","245 patients",,,"SCIP-CARD-2 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","121 patients",,,"AMI-2 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","96%","23 patients","1 ","1","AMI-3 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","99%","801 patients",,,"SCIP-INF-4 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","1 patients","1 ","1","PN-6 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","185 patients",,,"HF-2 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","999 patients",,,"SCIP-INF-6 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","19 patients","1 ","1","SCIP-VTE-2 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","99%","802 patients",,,"SCIP-INF-1 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","98%","739 patients",,,"SCIP-INF-3 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","2 patients","1 ","1","PN-5C " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","119 patients",,,"AMI-5 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","62 patients",,,"AMI-1 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","52 patients",,,"AMI-4 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","100%","3 patients","1 ","1","PN-2 " "670025","THE HEART HOSPITAL BAYLOR PLANO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "670025","THE HEART HOSPITAL BAYLOR PLANO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","3 patients","1 ","1","PN-3B " "670025","THE HEART HOSPITAL BAYLOR PLANO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","19 patients","1 ","1","SCIP-VTE-1 " "670027","ACUITY HOSPITAL OF HOUSTON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "670027","ACUITY HOSPITAL OF HOUSTON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "670027","ACUITY HOSPITAL OF HOUSTON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "670027","ACUITY HOSPITAL OF HOUSTON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670027","ACUITY HOSPITAL OF HOUSTON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "670027","ACUITY HOSPITAL OF HOUSTON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "670027","ACUITY HOSPITAL OF HOUSTON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "670027","ACUITY HOSPITAL OF HOUSTON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "670027","ACUITY HOSPITAL OF HOUSTON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670027","ACUITY HOSPITAL OF HOUSTON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "670027","ACUITY HOSPITAL OF HOUSTON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670027","ACUITY HOSPITAL OF HOUSTON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "670027","ACUITY HOSPITAL OF HOUSTON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "670027","ACUITY HOSPITAL OF HOUSTON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "670027","ACUITY HOSPITAL OF HOUSTON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "670029","FIRST STREET HOSPITAL LP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670029","FIRST STREET HOSPITAL LP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "670029","FIRST STREET HOSPITAL LP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","5 patients","1 ","1","SCIP-VTE-1 " "670029","FIRST STREET HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","79%","14 patients","1 ","1","SCIP-INF-3 " "670029","FIRST STREET HOSPITAL LP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670029","FIRST STREET HOSPITAL LP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "670029","FIRST STREET HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","90%","41 patients",,,"SCIP-INF-6 " "670029","FIRST STREET HOSPITAL LP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670029","FIRST STREET HOSPITAL LP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "670029","FIRST STREET HOSPITAL LP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "670029","FIRST STREET HOSPITAL LP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "670029","FIRST STREET HOSPITAL LP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670029","FIRST STREET HOSPITAL LP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "670029","FIRST STREET HOSPITAL LP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "670029","FIRST STREET HOSPITAL LP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "670029","FIRST STREET HOSPITAL LP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670029","FIRST STREET HOSPITAL LP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","33%","6 patients","1 ","1","SCIP-CARD-2 " "670029","FIRST STREET HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","25%","16 patients","1 ","1","SCIP-INF-1 " "670029","FIRST STREET HOSPITAL LP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670029","FIRST STREET HOSPITAL LP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","5 patients","1 ","1","SCIP-VTE-2 " "670029","FIRST STREET HOSPITAL LP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "670029","FIRST STREET HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","14 patients","1 ","1","SCIP-INF-2 " "670029","FIRST STREET HOSPITAL LP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670029","FIRST STREET HOSPITAL LP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "670029","FIRST STREET HOSPITAL LP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "670031","PATIENTS MEDICAL CENTER, LTD","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","84%","50 patients",,,"PN-7 " "670031","PATIENTS MEDICAL CENTER, LTD","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","72%","150 patients",,,"SCIP-VTE-2 " "670031","PATIENTS MEDICAL CENTER, LTD","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","88%","59 patients",,,"PN-3B " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","89%","9 patients","1 ","1","HF-4 " "670031","PATIENTS MEDICAL CENTER, LTD","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","270 patients",,,"SCIP-INF-3 " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","82%","87 patients",,,"HF-2 " "670031","PATIENTS MEDICAL CENTER, LTD","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","390 patients",,,"SCIP-INF-6 " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","60%","10 patients","1 ","1","AMI-8A " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","86%","21 patients","1 ","1","HF-3 " "670031","PATIENTS MEDICAL CENTER, LTD","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","276 patients",,,"SCIP-INF-1 " "670031","PATIENTS MEDICAL CENTER, LTD","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","92%","274 patients",,,"SCIP-INF-2 " "670031","PATIENTS MEDICAL CENTER, LTD","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","95%","43 patients",,,"SCIP-CARD-2 " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","27 patients",,,"AMI-1 " "670031","PATIENTS MEDICAL CENTER, LTD","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","85%","68 patients",,,"PN-2 " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","91%","11 patients","1 ","1","AMI-4 " "670031","PATIENTS MEDICAL CENTER, LTD","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","72 patients",,,"PN-5C " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","43%","67 patients",,,"HF-1 " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","91%","23 patients","1 ","1","AMI-2 " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1 ","1","AMI-3 " "670031","PATIENTS MEDICAL CENTER, LTD","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","72%","150 patients",,,"SCIP-VTE-1 " "670031","PATIENTS MEDICAL CENTER, LTD","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","86%","43 patients",,,"PN-6 " "670031","PATIENTS MEDICAL CENTER, LTD","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "670031","PATIENTS MEDICAL CENTER, LTD","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","93%","30 patients",,,"PN-4 " "670031","PATIENTS MEDICAL CENTER, LTD","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","86%","21 patients","1 ","1","AMI-5 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","9 patients","1 ","1","HF-4 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1 ","1","AMI-8A " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","374 patients","2 ","2","SCIP-INF-6 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","94%","276 patients","2 ","2","SCIP-INF-1 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","31 patients",,,"HF-3 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","32 patients",,,"AMI-5 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","32 patients",,,"AMI-2 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","98%","119 patients",,,"PN-3B " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","58 patients",,,"SCIP-CARD-2 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","27 patients",,,"PN-4 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","31 patients",,,"AMI-1 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","73 patients",,,"HF-1 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","100%","94 patients",,,"PN-7 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","94%","126 patients","2 ","2","SCIP-VTE-2 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","128 patients","2 ","2","SCIP-VTE-1 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1 ","1","AMI-4 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","270 patients","2 ","2","SCIP-INF-3 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","276 patients","2 ","2","SCIP-INF-2 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","91%","75 patients",,,"PN-6 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","127 patients",,,"PN-2 " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","99%","117 patients",,,"PN-5C " "670034","SCOTT & WHITE COMMUNITY HOSPITAL AT UNIV MED CAMPU","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","92 patients",,,"HF-2 " "670041","SETON MEDICAL CENTER WILLIAMSON","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","92%","26 patients",,,"SCIP-CARD-2 " "670041","SETON MEDICAL CENTER WILLIAMSON","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","99%","163 patients",,,"SCIP-INF-2 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","44 patients",,,"AMI-4 " "670041","SETON MEDICAL CENTER WILLIAMSON","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","224 patients",,,"SCIP-INF-6 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","53 patients",,,"AMI-1 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","85%","65 patients",,,"HF-1 " "670041","SETON MEDICAL CENTER WILLIAMSON","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","91%","46 patients",,,"SCIP-VTE-1 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","98%","100 patients",,,"AMI-5 " "670041","SETON MEDICAL CENTER WILLIAMSON","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","76%","55 patients",,,"PN-7 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","19 patients","1 ","1","AMI-3 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","HF-4 " "670041","SETON MEDICAL CENTER WILLIAMSON","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","49 patients",,,"PN-5C " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","84 patients",,,"HF-2 " "670041","SETON MEDICAL CENTER WILLIAMSON","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","84%","69 patients",,,"PN-2 " "670041","SETON MEDICAL CENTER WILLIAMSON","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery","78%","79 patients",,,"SCIP-INF-4 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","97%","102 patients",,,"AMI-2 " "670041","SETON MEDICAL CENTER WILLIAMSON","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","94%","158 patients",,,"SCIP-INF-3 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "670041","SETON MEDICAL CENTER WILLIAMSON","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","94%","33 patients",,,"PN-4 " "670041","SETON MEDICAL CENTER WILLIAMSON","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","54 patients",,,"PN-3B " "670041","SETON MEDICAL CENTER WILLIAMSON","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","162 patients",,,"SCIP-INF-1 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","22 patients","1 ","1","HF-3 " "670041","SETON MEDICAL CENTER WILLIAMSON","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","89%","9 patients","1 ","1","PN-6 " "670041","SETON MEDICAL CENTER WILLIAMSON","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","17 patients","1 ","1","AMI-8A " "670041","SETON MEDICAL CENTER WILLIAMSON","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","91%","45 patients",,,"SCIP-VTE-2 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","136 patients","2 ","2","SCIP-INF-6 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","90%","69 patients",,,"PN-6 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","83%","6 patients","1 ","1","AMI-5 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","95%","78 patients","2 ","2","SCIP-INF-3 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","4 patients","1 ","1","AMI-1 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","96%","76 patients",,,"PN-3B " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients",,,"AMI-3 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","88%","68 patients","2 ","2","SCIP-VTE-1 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","40%","40 patients",,,"HF-1 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","60%","5 patients","1 ","1","AMI-2 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","7 patients","1 ","1","HF-4 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","82%","68 patients","2 ","2","SCIP-VTE-2 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","82 patients","2 ","2","SCIP-INF-2 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","86%","78 patients",,,"PN-2 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients",,,"AMI-4 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","92%","12 patients","1 ","1","HF-3 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","71%","14 patients","1,2 ","12","SCIP-CARD-2 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","30 patients",,,"PN-4 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","98%","53 patients","3 ","3","PN-5C " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","89%","85 patients","2 ","2","SCIP-INF-1 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","98%","52 patients",,,"HF-2 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","87%","54 patients",,,"PN-7 " "670043","CEDAR PARK REGIONAL MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients",,,"AMI-8A " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","81%","68 patients",,,"PN-7 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","95%","139 patients",,,"SCIP-INF-1 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","86%","58 patients",,,"PN-5C " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","46%","136 patients",,,"SCIP-INF-3 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","71%","31 patients",,,"PN-4 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients",,,"SCIP-INF-4 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","72%","81 patients",,,"PN-2 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","88%","17 patients","1 ","1","SCIP-CARD-2 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","58%","104 patients",,,"SCIP-VTE-1 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","1 patients","1,3 ","13","AMI-4 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","7 patients","1,3 ","13","AMI-1 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","97%","209 patients",,,"SCIP-INF-6 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","29%","62 patients",,,"HF-1 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","1 patients","1,3 ","13","AMI-2 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","88%","73 patients",,,"HF-2 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","74%","87 patients",,,"PN-6 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","99%","96 patients",,,"PN-3B " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","87%","15 patients","1 ","1","HF-4 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","57%","103 patients",,,"SCIP-VTE-2 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","1 patients","1,3 ","13","AMI-5 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","138 patients",,,"SCIP-INF-2 " "670044","TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","94%","17 patients","1 ","1","HF-3 " "670046","USMD HOSPITAL AT FORT WORTH LP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "670046","USMD HOSPITAL AT FORT WORTH LP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","82%","17 patients","1 ","1","SCIP-CARD-2 " "670046","USMD HOSPITAL AT FORT WORTH LP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670046","USMD HOSPITAL AT FORT WORTH LP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "670046","USMD HOSPITAL AT FORT WORTH LP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","81%","53 patients","2 ","2","SCIP-VTE-2 " "670046","USMD HOSPITAL AT FORT WORTH LP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "670046","USMD HOSPITAL AT FORT WORTH LP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","85%","53 patients","2 ","2","SCIP-VTE-1 " "670046","USMD HOSPITAL AT FORT WORTH LP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670046","USMD HOSPITAL AT FORT WORTH LP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","143 patients","2 ","2","SCIP-INF-2 " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "670046","USMD HOSPITAL AT FORT WORTH LP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670046","USMD HOSPITAL AT FORT WORTH LP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","88%","144 patients","2 ","2","SCIP-INF-3 " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670046","USMD HOSPITAL AT FORT WORTH LP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","172 patients","2 ","2","SCIP-INF-6 " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670046","USMD HOSPITAL AT FORT WORTH LP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","90%","150 patients","2 ","2","SCIP-INF-1 " "670046","USMD HOSPITAL AT FORT WORTH LP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "670046","USMD HOSPITAL AT FORT WORTH LP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","98%","97 patients","2 ","2","SCIP-INF-2 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","83%","18 patients","1,2 ","12","SCIP-CARD-2 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","96%","55 patients","2 ","2","SCIP-VTE-1 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","6 patients","1 ","1","AMI-3 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","99%","99 patients",,,"PN-6 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","98%","43 patients",,,"AMI-2 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","51 patients",,,"AMI-1 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","98%","92 patients",,,"PN-2 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","69%","77 patients",,,"HF-1 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","12 patients","1 ","1","AMI-4 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients",,,"AMI-7A " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","89%","55 patients","2 ","2","SCIP-VTE-2 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","148 patients","2,3 ","23","SCIP-INF-6 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","26 patients",,,"PN-4 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","18 patients","1 ","1","HF-4 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","48%","25 patients",,,"AMI-8A " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","95%","128 patients",,,"PN-5C " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","97%","145 patients",,,"PN-3B " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","100%","97 patients","2 ","2","SCIP-INF-1 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","98%","49 patients",,,"HF-3 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","98%","87 patients",,,"PN-7 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","44 patients",,,"AMI-5 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","99%","87 patients",,,"HF-2 " "670047","SIERRA PROVIDENCE EAST MEDICAL CENTER","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","86%","96 patients","2 ","2","SCIP-INF-3 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","45 patients","2 ","2","SCIP-INF-2 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","9 patients","1,2 ","12","SCIP-VTE-1 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","61 patients","2 ","2","SCIP-INF-6 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","2 patients","1,2 ","12","SCIP-CARD-2 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2 ","2","SCIP-INF-4 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","91%","45 patients","2 ","2","SCIP-INF-1 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","9 patients","1,2 ","12","SCIP-VTE-2 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","45 patients","2 ","2","SCIP-INF-3 " "670049","NORTH CENTRAL SURGICAL CENTER LLP","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670050","TRUSTPOINT HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670050","TRUSTPOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection",,,"5 ","5","SCIP-INF-1 " "670050","TRUSTPOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)",,,"5 ","5","SCIP-INF-6 " "670050","TRUSTPOINT HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "670050","TRUSTPOINT HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "670050","TRUSTPOINT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery",,,"5 ","5","SCIP-VTE-2 " "670050","TRUSTPOINT HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "670050","TRUSTPOINT HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670050","TRUSTPOINT HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670050","TRUSTPOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)",,,"5 ","5","SCIP-INF-3 " "670050","TRUSTPOINT HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670050","TRUSTPOINT HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "670050","TRUSTPOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection",,,"5 ","5","SCIP-INF-2 " "670050","TRUSTPOINT HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670050","TRUSTPOINT HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,,"5 ","5","SCIP-INF-4 " "670050","TRUSTPOINT HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670050","TRUSTPOINT HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries",,,"5 ","5","SCIP-VTE-1 " "670050","TRUSTPOINT HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "670050","TRUSTPOINT HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "670050","TRUSTPOINT HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery",,,"5 ","5","SCIP-CARD-2 " "670050","TRUSTPOINT HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "670050","TRUSTPOINT HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670050","TRUSTPOINT HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "670050","TRUSTPOINT HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "670050","TRUSTPOINT HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "670052","DOCTORS HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","16%","19 patients","1 ","1","PN-2 " "670052","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","0%","1 patients","1 ","1","SCIP-CARD-2 " "670052","DOCTORS HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","2 patients","1,3 ","13","AMI-2 " "670052","DOCTORS HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","32%","34 patients",,,"HF-1 " "670052","DOCTORS HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,"0 patients","3 ","3","AMI-4 " "670052","DOCTORS HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","57%","7 patients","1 ","1","HF-4 " "670052","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","83%","6 patients","1,3 ","13","SCIP-INF-1 " "670052","DOCTORS HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","87%","15 patients","1 ","1","PN-3B " "670052","DOCTORS HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","2 patients","1,3 ","13","AMI-5 " "670052","DOCTORS HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,"0 patients","3 ","3","AMI-3 " "670052","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","0%","3 patients","1,3 ","13","SCIP-VTE-2 " "670052","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","83%","6 patients","1,3 ","13","SCIP-INF-2 " "670052","DOCTORS HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","48%","40 patients",,,"HF-2 " "670052","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","16 patients","1,3 ","13","SCIP-INF-6 " "670052","DOCTORS HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","43%","7 patients","1 ","1","PN-4 " "670052","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","0%","4 patients","1,3 ","13","SCIP-VTE-1 " "670052","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "670052","DOCTORS HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","25%","8 patients","1 ","1","HF-3 " "670052","DOCTORS HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","5 patients","1,3 ","13","AMI-1 " "670052","DOCTORS HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","6 patients","1,3 ","13","SCIP-INF-3 " "670052","DOCTORS HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","26%","19 patients","1 ","1","PN-7 " "670052","DOCTORS HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","74%","19 patients","1 ","1","PN-5C " "670052","DOCTORS HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "670052","DOCTORS HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,"0 patients","3 ","3","AMI-8A " "670052","DOCTORS HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","55%","11 patients","1 ","1","PN-6 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","96%","23 patients","1,3 ","13","AMI-5 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","95%","37 patients","3 ","3","SCIP-VTE-1 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","42%","24 patients","1 ","1","SCIP-CARD-2 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","26 patients","3 ","3","PN-5C " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","3 ","3","SCIP-INF-4 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,3 ","13","AMI-4 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","66%","71 patients","3 ","3","SCIP-INF-3 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","10 patients","1,3 ","13","PN-4 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","83%","12 patients","1,3 ","13","HF-3 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","83%","18 patients","1,3 ","13","PN-6 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","96%","74 patients","3 ","3","SCIP-INF-1 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","93%","15 patients","1,3 ","13","PN-7 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","81%","26 patients","3 ","3","PN-2 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","78%","9 patients","1,3 ","13","AMI-8A " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","96%","23 patients","1,3 ","13","AMI-1 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","80%","5 patients","1,3 ","13","AMI-3 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","99%","118 patients","3 ","3","SCIP-INF-6 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","90%","20 patients","1,3 ","13","AMI-2 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","8 patients","1,3 ","13","HF-4 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","62%","32 patients","3 ","3","HF-1 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","84%","37 patients","3 ","3","SCIP-VTE-2 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","96%","77 patients","3 ","3","SCIP-INF-2 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","94%","31 patients","3 ","3","PN-3B " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","78%","37 patients","3 ","3","HF-2 " "670053","ST LUKE'S SUGAR LAND HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,"0 patients","3 ","3","AMI-7A " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)",,,"5 ","5","PN-6 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","AMI-3 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","83%","29 patients","2,3 ","23","SCIP-INF-3 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","2 patients","1,2,3 ","123","SCIP-VTE-2 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","AMI-4 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination",,,"5 ","5","PN-2 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival",,,"5 ","5","PN-5C " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival",,,"5 ","5","AMI-1 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge",,,"5 ","5","AMI-5 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","66%","29 patients","2,3 ","23","SCIP-INF-1 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function",,,"5 ","5","HF-2 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)",,,"5 ","5","HF-3 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","PN-4 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","100%","29 patients","2,3 ","23","SCIP-INF-2 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival",,,"5 ","5","AMI-8A " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","60%","10 patients","1,2 ","12","SCIP-CARD-2 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions",,,"5 ","5","HF-1 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge",,,"5 ","5","AMI-2 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling",,,"5 ","5","HF-4 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","53%","58 patients","2,3 ","23","SCIP-INF-6 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","2 patients","1,2,3 ","123","SCIP-VTE-1 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival",,,"5 ","5","AMI-7A " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination",,,"5 ","5","PN-7 " "670054","FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics",,,"5 ","5","PN-3B " "670055","METHODIST STONE OAK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-1 ","surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries","100%","24 patients","1,2,3 ","123","SCIP-VTE-1 " "670055","METHODIST STONE OAK HOSPITAL","Pneumonia","PN-5C ","Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival","100%","16 patients","1,2,3 ","123","PN-5C " "670055","METHODIST STONE OAK HOSPITAL","Pneumonia","PN-2 ","Pneumonia Patients Assessed and Given Pneumococcal Vaccination","88%","17 patients","1,2,3 ","123","PN-2 " "670055","METHODIST STONE OAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-6 ","surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)","100%","62 patients","2,3 ","23","SCIP-INF-6 " "670055","METHODIST STONE OAK HOSPITAL","Heart Attack","AMI-7A ","Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival","100%","5 patients","1,2,3 ","123","AMI-7A " "670055","METHODIST STONE OAK HOSPITAL","Heart Attack","AMI-3 ","Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2,3 ","123","AMI-3 " "670055","METHODIST STONE OAK HOSPITAL","Heart Failure","HF-2 ","Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function","100%","17 patients","1,2,3 ","123","HF-2 " "670055","METHODIST STONE OAK HOSPITAL","Surgical Infection Prevention","SCIP-CARD-2 ","surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery","100%","1 patients","1,2 ","12","SCIP-CARD-2 " "670055","METHODIST STONE OAK HOSPITAL","Heart Failure","HF-4 ","Heart Failure Patients Given Smoking Cessation Advice/Counseling","100%","4 patients","1,2,3 ","123","HF-4 " "670055","METHODIST STONE OAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-4 ","all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery",,"0 patients","2,3 ","23","SCIP-INF-4 " "670055","METHODIST STONE OAK HOSPITAL","Pneumonia","PN-3B ","Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics","100%","18 patients","1,2,3 ","123","PN-3B " "670055","METHODIST STONE OAK HOSPITAL","Surgical Infection Prevention","SCIP-VTE-2 ","patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery","100%","24 patients","1,2,3 ","123","SCIP-VTE-2 " "670055","METHODIST STONE OAK HOSPITAL","Heart Failure","HF-1 ","Heart Failure Patients Given Discharge Instructions","100%","18 patients","1,2,3 ","123","HF-1 " "670055","METHODIST STONE OAK HOSPITAL","Heart Attack","AMI-2 ","Heart Attack Patients Given Aspirin at Discharge","100%","14 patients","1,2,3 ","123","AMI-2 " "670055","METHODIST STONE OAK HOSPITAL","Heart Attack","AMI-8A ","Heart Attack Patients Given PCI Within 90 Minutes Of Arrival","100%","1 patients","1,2,3 ","123","AMI-8A " "670055","METHODIST STONE OAK HOSPITAL","Pneumonia","PN-6 ","Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)","100%","3 patients","1,2,3 ","123","PN-6 " "670055","METHODIST STONE OAK HOSPITAL","Heart Attack","AMI-4 ","Heart Attack Patients Given Smoking Cessation Advice/Counseling","100%","6 patients","1,2,3 ","123","AMI-4 " "670055","METHODIST STONE OAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-3 ","surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)","100%","45 patients","2,3 ","23","SCIP-INF-3 " "670055","METHODIST STONE OAK HOSPITAL","Heart Attack","AMI-5 ","Heart Attack Patients Given Beta Blocker at Discharge","100%","14 patients","1,2,3 ","123","AMI-5 " "670055","METHODIST STONE OAK HOSPITAL","Pneumonia","PN-7 ","Pneumonia Patients Assessed and Given Influenza Vaccination","0%","2 patients","1,2,3 ","123","PN-7 " "670055","METHODIST STONE OAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-2 ","surgery patients who were given the right kind of antibiotic to help prevent infection","93%","45 patients","2,3 ","23","SCIP-INF-2 " "670055","METHODIST STONE OAK HOSPITAL","Surgical Infection Prevention","SCIP-INF-1 ","surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection","98%","45 patients","2,3 ","23","SCIP-INF-1 " "670055","METHODIST STONE OAK HOSPITAL","Heart Attack","AMI-1 ","Heart Attack Patients Given Aspirin at Arrival","100%","17 patients","1,2,3 ","123","AMI-1 " "670055","METHODIST STONE OAK HOSPITAL","Pneumonia","PN-4 ","Pneumonia Patients Given Smoking Cessation Advice/Counseling","100%","5 patients","1,2,3 ","123","PN-4 " "670055","METHODIST STONE OAK HOSPITAL","Heart Failure","HF-3 ","Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)","100%","4 patients","1,2,3 ","123","HF-3 "